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Endotracheal tube terminates approximately <num> cm above the level of the carina. Enteric tube courses below the diaphragm, out of the field-of-view. Re- demonstrated is extensive severe bilateral subcutaneous emphysema. Evidence of pneumomediastinum is also re- demonstrated. Bibasilar opacities persist, possibly due to aspiration and/or infection. It is difficult to assess for right-sided pneumothorax can't cannot exclude the presence of a small right pneumothorax. Right chest tube is not well seen.
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<unk> year old man with copd now with recurrent pneumothorax s/p ct. // please evaluate for interval change.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities, hypertrophic changes are noted in the spine.
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<unk>m with chest pain and shortness of breath eval pna, pnx
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As compared to the previous radiograph, there is no relevant change. The effusion on the right and atelectasis on the left have decreased in extent. The right picc line and the right upper quadrant drain are unchanged. No evidence of pneumonia. No pulmonary edema. Unchanged size of the cardiac silhouette.
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hcc, rising white blood cell count, evaluation for infection.
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An endotracheal tube terminates <num> cm above the carina. Left axillary clips are constant. The cardiac silhouette remains severely enlarged, particularly the left atrium, as evidenced by splaying of the carina. Substantial bilateral pleural effusions are slightly smaller on the right and unchanged on the left. Left lower lobe remains collapsed and there is persistent right lung base atelectasis. Mild pulmonary edema is unchanged. No pneumothorax.
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status post colonoscopy complicated by perforation now status post exploratory laparotomy with right hemicolectomy. evaluate for interval changes.
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Ap upright and lateral views of the chest were provided. Lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm.
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Low lung volumes are again noted. There is bibasilar atelectasis, with upper zone redistribution. No frank consolidation, overt chf, or pleural effusion is detected. The cardiomediastinal silhouette is within normal limits for technique and low inspiratory volumes. Slight aortic calcification may be present.
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<unk>m with chest pain, hypoxia, mild cough // please evaluate for pna, cardiomegaly
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Patchy lingular opacity at the lateral left lung base may relate to atelectasis and scarring although developing pneumonia is not excluded. The right lung is clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with pleuritic cp, hx of pna. // pna?
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Moderate cardiomegaly is unchanged. The aorta remains tortuous and diffusely calcified. The hilar contours are stable, with no evidence of pulmonary vascular congestion. Minimal streaky opacity within the retrocardiac region likely reflects atelectasis. There is no focal consolidation. No pleural effusion or pneumothorax is identified. Multilevel degenerative changes are present within the thoracic spine.
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congestive heart failure, atrial fibrillation, hypertension with failure to thrive.
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The heart is mild-to-moderately enlarged. The aorta shows calcifications along the arch. The mediastinal and hilar contours appear similar. There is increased indistinctness of vascularity and slightly prominent interstitial opacities suggesting mild vascular congestion. In addition, there is a possible small left-sided pleural effusion based on blunting of the left costophrenic sulcus on the frontal view. A patchy new medial left retrocardiac opacity in the left lower lobe which may reflect pneumonia or potentially atelectasis. Moderate-to-severe thoracolumbar compression deformity appears unchanged.
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abdominal and epigastric pain.
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Pa and lateral views of the chest were obtained. Lungs are clear bilaterally. No pleural effusion or pneumothorax. Cardiomediastinal silhouette normal. Bony structures are intact. No free air below the right hemidiaphragm.
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The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>m with dyspnea // evqal for pna, other acute process
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Interval decrease in lung volumes, small to moderate right-sided effusion has increased. Probable small left effusion. Increasing linear basilar opacities likely worsening atelectasis. No pneumothorax. Mild to moderate cardiomegaly. Left-sided subclavian stent again visualized.
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<unk> year old man with esrd, shortness of breath // pulmonary edema?
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Comparison is made to previous study from <unk>. The heart size is within normal limits. There is development of some vague densities at the lung bases which may represent atelectasis or early infiltrate. This may also be due to aspiration. The lung apices are clear. There are no pneumothoraces. Bony structures are intact.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>f with prior history of pneumonia several months prior, also with presyncope, now with temperature to <num> on <unk>, presyncope, palpitations. smoking history
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A tracheostomy tube and right internal jugular central venous catheter are in unchanged position. Bibasilar atelectasis, slightly greater on the right than the left, is stable. There is no new opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
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status post stroke. evaluate for interval change.
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The tip of the endotracheal tube terminates <num> cm above the carina in appropriate position. A left chest aicd lead is in unchanged position. The tip of the nasogastric tube courses out of the field of view of this exam. Severe cardiomegaly is unchanged. There is obscuration of the left hemidiaphragm which likely reflects a combination of atelectasis and pleural effusion. There is no pneumothorax.
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<unk> year old woman with vt, now intubated and sedated, evaluate for interval change, esp pulmonary edema
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In comparison with the study of <unk>, there again are low lung volumes in a patient with enlargement of the cardiac silhouette. There is increased indistinctness of engorged pulmonary vessels, consistent with developing pulmonary edema. No acute focal pneumonia is appreciated.
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fever, to assess for pneumonia.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with palpitations // eval for pneumonia, chf
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Heart size is top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Subsegmental atelectasis is seen in the lingula. Remainder of the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is seen.
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history: <unk>f with chest pain/ right upper quadrant pain
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In comparison with the study of <unk>, monitoring and support devices remain in place and there is no evidence of acute pneumonia or vascular congestion.
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cranial surgery with intubation.
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Ap upright and lateral views of the chest provided. Mild basal atelectasis noted. Hilar congestion noted without frank edema. No large effusion or pneumothorax. Heart size is normal. Mediastinal contour is unchanged. Bony structures are intact. No free air below the right hemidiaphragm.
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<unk>f with sob // r/o acute process
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Left pectoral pacer leads terminate in the right atrium and right ventricle, as expected. Lungs are clear of consolidation, effusion or pneumothorax. No pulmonary edema. Mild cardiomegaly is unchanged. Mediastinal contours are normal.
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<unk>m with dizziness
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Pa and lateral chest radiographs demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no focal opacity convincing for pneumonia. There is no pneumothorax, pleural effusion, or evidence of pulmonary edema. No air under the right hemidiaphragm is identified.
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<unk> year old woman with hyperglycemia muscle aches // r/o pna
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Status post placement of a left pectoral pacemaker with leads terminating in the right atrium and right ventricle. There is no fracture or displacement. The cardiac silhouette is top normal. There is no evidence for pulmonary edema. There is no pleural effusion or pneumothorax. There is no focal airspace consolidation. Mediastinal and hilar structures are normal. The imaged upper abdomen is unremarkable.
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pacemaker implant, evaluate repositioning.
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Right middle lobe consolidation has nearly resolved with minimal residual opacity remaining. Paramediastinal areas of radiation fibrosis are unchanged, and intrathoracic lymph node enlargement is similar to recent ct allowing for technical differences between the studies. Heart size remains normal. There is no pleural effusion. Known skeletal lesions are shown to better detail on recent ct.
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<unk> year old man with hx of lymphoma and recent right middle lobe pneumonia. with persistent cough. please re-evaluate. // <unk> year old man with hx of lymphoma and recent right middle lobe pneumonia. with persistent cough. please re-evaluate.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
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history: <unk>m with jaw, arm pain, orthostatic sxs. // eval ? pneumothorax, effusion eval ? pneumothorax, effusion
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Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax.
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cough.
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. Osseous structures are unremarkable.
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<unk>-year-old female with fever and chest pain.
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A nasogastric tube has been placed which makes a single coil within the stomach. The cardiac, mediastinal, and hilar contours appear unchanged, allowing for differences in technique. The heart is at the upper limits of normal size. The lung volumes appear low. The lungs appear clear. There is no pleural effusion or pneumothorax. No free air is demonstrated. Degenerative changes involve each shoulder. The right acromiohumeral interval appears narrowed which can be seen with rotator cuff pathology, and suture anchors in the left humeral head suggest prior rotator cuff repair, also present before.
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hypotension and gastrointestinal bleeding.
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A right-sided picc line terminates in the lower superior vena cava. The cardiac, mediastinal and hilar contours are stable. Moderate unfolding along the lower descending thoracic aorta is stable. The lungs appear clear. There are no pleural effusions or pneumothorax. Mild degenerative changes are stable along the mid thoracic spine.
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picc line placement.
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Et tube present, tip approximately <num> cm above the carina. Ng tube present, tip extending beneath diaphragm, off film. Right ij sheath or other right ij line present, tip over distal svc. Doubt pneumothorax. Cardiomediastinal silhouette is grossly unchanged. Biapical fiberonodular changes in right apical calcified granuloma again noted. Equivocal minimal increase in hazy opacity at the right upper zone. No focal consolidation seen in the mid or right lower zones. Patchy retrocardiac opacity is noted, but is improved compared with <num> day earlier. No pleural effusions identified. Cardiomediastinal silhouette is grossly unchanged. Sternotomy wires again noted. Doubt chf.
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<unk> year old man with intermittent mucous plugging // please eval for interval change, ett placement
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
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<unk> year old man with cough x<num> weeks // assess for pna
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Heart size is top normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>m with chest pains
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities are visualized.
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shortness of breath.
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Persistent multifocal bilateral parenchymal opacities persist, perhaps minimally improved since <unk> in the right upper lung. No frank pulmonary edema. Heart size is normal. No pneumothorax.
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<unk>-year-old man with hiv presenting with ruq pain, fever, and tachycardia. evaluate for pneumonia.
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Portable semi-erect ap view of the chest was reviewed. Compared to the prior study, there is increased engorgement of the pulmonary vessels, particulary in the the upper lobes, and the mediastinal veins. Moderate cardiomegaly is unchanged. The lungs are clear and there is no pulmonary edema.
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evaluation for infiltrates in a patient with hypoxic respiratory failure.
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Large right pleural effusion is unchanged in size, with adjaent atelectasis of the right middle and lower lobe. The previously seen pulmonary venous congestion and interstitial edema has improved. Nonspecific right apical scarring is again seen.
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<unk>-year-old male with liver disease and recurrent pleural effusions, evaluate pleural effusion
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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. There is moderate cardiomegaly, stable in comparison to prior studies. Median sternotomy wires appear aligned and intact. No acute fractures are identified. Post-surgical changes are noted in the right upper quadrant. Degenerative changes are noted throughout the thoracic spine.
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shortness of breath.
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The heart size and mediastinal contours are within normal limits. The lungs are clear of consolidations, cavitary masses or abnormal calcifications. There is no pleural effusion. The visualized portion of the spine appears normal.
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<unk>-year-old female with positive ppd, but negative quantiferon test.
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There is no focal consolidation, pleural effusion or pneumothorax. Retrocardiac opacity is similar in appearance to prior study and may represent atelectasis. There is mild prominence of pulmonary vasculature which may be due to mild pulmonary edema or due to technique. Nodular opacity in the left upper lobe corresponds to calcified nodules seen on recent ct chest.
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<unk>-year-old female with fever, chills, and cough x <num> day. question pneumonia.
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The heart is normal in size. The mediastinal and hilar contours are normal. The lungs are clear. The pulmonary vascularity is normal. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities are present.
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chest pain.
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As compared to the previous radiograph, there is a minimal improvement of the right basal parenchymal opacity, as reflected by reduction in extent and density. The capsulated right pleural effusion is unchanged and constant. The left lung has unchanged appearance. The monitoring and support devices and the moderate cardiomegaly are also constant.
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pontine bleeding, evaluation for interval change.
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Patient is status post median sternotomy and placement of a left-sided pacer device with leads terminating in the right atrium and right ventricle, unchanged. Heart size remains mildly enlarged. Mediastinal and hilar contours are similar with tortuosity of the thoracic aorta again noted. Lungs are hyperinflated. Mild interstitial pulmonary edema is new in the interval, superimposed on a background of basilar predominant chronic interstitial lung disease. Small right pleural effusion is new. No pneumothorax is demonstrated. Widening of the left ac joint is unchanged, with chronic deformity of the distal clavicle compatible with prior trauma. Old right-sided rib fractures are also noted.
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history: <unk>f with shortness of breath
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A single portable frontal chest radiograph is limited by ap technique and low lung volumes. The low lung volumes accentuate the pulmonary vasculature. There is no consolidation effusion or pneumothorax. Cardiac and mediastinal contours are unremarkable.
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humeral head fracture.
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There are low lung volumes bilaterally secondary to mild subsegmental atelectasis. There are no areas of focal consolidation suspicious for infection. There are no masses or lesions. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable and within normal limits. The pleural surfaces are unremarkable.
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<unk>-year-old female with chest pain and cough.
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Interval repositioning of endotracheal tube, now terminating <num> cm above the carina. Otherwise, no relevant short interval change since recent study.
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The pulmonary vasculature is unremarkable. The lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. Anterior wedging of a mid thoracic vertebral body is again seen, similar to prior. No radiopaque foreign bodies.
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<unk>-year-old female with complex history presenting with substernal chest pain. evaluate and rule out acute process.
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Compared to prior radiographs on <unk>, there is a prominent pleural line at the right apex which could be due to pleural calcifications seen on ct on <unk>, however small right apical pneumothorax cannot be excluded. There is no evidence of tension. The right-sided pigtail catheter is unchanged in position. Small right pleural effusion is unchanged. There is no new focal consolidation. Cardiomediastinal silhouette is unchanged. Again seen are diffuse sclerotic lesions compatible with osseous metastatic disease.
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<unk> year old man with metastatic prostate cancer and recent chest tube placement. // s/p chest tube.
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A right-sided chest strain is unchanged in position compared to the prior study. Catheter tubing in the left lower chest is presumed to be on the patient's skin but of uncertain etiology. Lung volumes are unchanged. A right port-a-cath terminates in the mid svc. No interval change in the mediastinal contour to suggest dilation of the conduit. Persistent small left pleural effusion. Left basal consolidation is unchanged compared to the prior study.
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<unk> year old man with gej adenocarcinoma, now s/p mie; ngt fell out overnight // eval for interval change, dilated conduit
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Slight rightward convex curvature centered along the lower thoracic spine appears similar. Bony structures are otherwise unremarkable.
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chest pain.
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Pa and lateral views of the chest provided. Lung volumes are low limiting assessment. Allowing for this, there is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable with top-normal heart size. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>m with dm, ckd, htn with cough, and pleuritic chest pain
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Ap portable upright view of the chest. Lung volumes are low limiting assessment. No convincing evidence for focal consolidation, large effusion or pneumothorax. The cardiomediastinal silhouette appears grossly unremarkable. The mildly prominent appearance of the mediastinum correlates with normal vasculature on the cta performed same day. Bony structures are intact.
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<unk>m with ams // please eval for infiltrates
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Frontal and lateral views of the chest. No prior. The lungs are hyperinflated but clear of consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Hypertrophic changes noted in the spine with lateral bridging osteophytes, one of which produces increased opacity projecting just lateral to the distal trachea on the frontal view. Osseous and soft tissue structures are otherwise unremarkable.
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<unk>-year-old male with altered mental status and worsening dementia. question pneumonia.
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Et and right subclavian lines are in similar position. Enteric tube tip again seen in the distal esophagus and should be advanced. The lung bases are now more entirely seen and are clear without consolidation. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities per
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<unk>m with cvl placement, please capture diaphragms // history: <unk>m with cvl placement, please capture diaphragms
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Comparison is made to prior radiographs from <unk>. Heart size is within normal limits. Lungs are grossly clear without focal consolidation, pleural effusions or signs for acute pulmonary edema. There are no pneumothoraces. The bony structures are grossly intact.
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Pa and lateral views of the chest provided. There is stable mild elevation of the right hemidiaphragm with mild scarring in the right lower lobe accounting for the linear opacity at the right lung base. There is no convincing evidence for pneumonia or chf. No large effusion or pneumothorax is present. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. A curvilinear hyperdensity projecting along the right mediastinal border corresponds with the costovertebral junction based on comparison with prior ct. No free air below the right hemidiaphragm is seen.
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<unk>m with seizure, eval for pnuemonia, other acute process.
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Patient is status post avr. There is prior evidence of median sternotomy and the sternal sutures are intact. Since prior radiograph from yesterday, the left chest tube has been removed. There is very minimal pneumothorax distributed at left costophrenic angle. Mild pneumomediastinum is unchanged since yesterday. Small right pleural effusion and right basal atelectasis have improved, whereas left lower lung atelectasis reflected by increased retrocardiac density has worsened. Pulmonary vascular congestion is much better than what it was on yesterday's radiograph. Swan-ganz catheter through the right internal jugular approach is seen; however, the tip is now more proximally migrated and appears either in the ventricular outflow tract or in the right ventricle. Consider repositioning.
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evaluate for the pneumothorax.
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Since the recent study, a right pleural effusion has decreased in size with only a small residual effusion remaining. There is associated improved atelectasis at the right lung base. A right chest wall mass with associated rib destruction at the levels of the right eighth, ninth and tenth rib levels is again demonstrated, but difficult to precisely measure radiographically. There has been apparent increase in extent of bone destruction in the ribs and adjacent paraspinal regions. Lungs are otherwise remarkable for multiple small pulmonary nodules bilaterally. Cardiomediastinal contours are stable in appearance.
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Ap single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the frontal view of the pa and lateral chest examination of <unk>. The degree of cardiac enlargement may have increased. However, portable and standard views can cause size distortion of the heart shadow. The midline row of sternal suture lines appears unchanged. The pulmonary vasculature has a degree of more perivascular haze in comparison with the previous study. In addition, lateral pleural sinuses are somewhat blunted suggesting the possibility of bilateral pleural effusion. Fortunately, no lateral view was obtained which could have given more conclusive information about the degree of pleural effusion in this patient who is probably beginning to develop failure. Observe that the portable chest examination cannot render details of intracardiac process. For that purpose, the next examination would be an echocardiogram.
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<unk>-year-old female patient with unstable angina and previous bypass surgery. evaluate for intracardiac process.
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The lungs are well expanded. There is unchanged small right pneumothorax. Bilateral chest tubes are in place. Bibasilar atelectasis has improved from prior exam. Et tube and right picc line appear to be in unchanged locationz, though the picc line is partly obscured by overlying mediastinal interfaces. There are no pleural effusions. Cardiomediastinal silhouette is unchanged.
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<unk>-year-old male with history of hypopharyngeal squamous cell carcinoma on chemotherapy, now status post pericardial drain with right pneumothorax.
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An enteric tube traverses the stomach. Two-lead pacemaker appears in place. Previously noted bilateral increased pulmonary interstitial markings have improved, particularly on the left, suggesting improved pulmonary edema. However, there are now increased bibasilar opacities suggesting either redistribution of dependent-edema or increased atelectasis or aspiration at the lung bases. Bilateral small effusions have increased.
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flu with respiratory failure and copd, evaluation for interval change.
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The cardiomediastinal silhouette and hilar contours are unchanged in appearance with stable rightward mediastinal shift. Again appreciated is a right dual-lumen port with the tip terminating at the cavoatrial junction. There has been slight interval improvement in the widespread parenchymal opacities particularly in the right mid and lower lung and now appears back to baseline in appearance similar to that of <unk> study. Multiple nodular opacities are again seen in the left lower lung, better appreciated on recent ct torso examination. There is no new focal consolidation worrisome for infectious process. There is no pleural effusion or pneumothorax.
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lymphoma with fevers, chills and cough.
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No significant interval change. Tip of nasogastric tube cannot be seen, likely below the diaphragm. Swan-ganz catheter in the right main pulmonary artery. Intra-aortic balloon catheter in the aortic knob. Left pleural effusion and probably lower lobe atelectasis with no interval change. Small right effusion.
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<unk> year old woman with new onset hf. // pa catheter placement
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There has been placement of a dobbhoff tube which is in appropriate position within the stomach. Otherwise, there has been no significant change since the most recent prior radiograph. The visualized portions of the lungs demonstrate no new parenchymal opacities. Cardiomediastinal silhouette is unremarkable.
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<unk>-year-old man with trach and new dobbhoff, please evaluate dobbhoff placement.
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. The heart size remains unchanged and is within normal limits. No configurational abnormality is seen. Mild widening and elongation of the thoracic aorta is noted, but no local contour abnormalities or wall calcifications are identified. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present, and the lateral and posterior pleural sinuses are free. No pneumothorax in the apical area. The lateral view discloses a mildly accentuated kyphotic curvature in the thoracic spine, not excessive for patient's age and there is no evidence of vertebral body compression fractures. In comparison with the next preceding chest examination of <unk>, the at that time described mild blunting of the lateral pleural sinuses is not present anymore. An interesting observation is that on both lateral views, there was never any fluid accumulation in the posterior dependent pleural sinuses, thus free pleural effusion cannot be identified.
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<unk>-year-old female patient with bilateral pleural effusions and chronic cough. examined to date with normal echo, lft, kidney function, concern for underlying lung disease, assess for interval change.
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Bibasilar hazy opacities are again seen, seen over multiple prior studies and may relate to chronic lung disease with possible overlying component of pulmonary edema. Prominence of the hila is again seen in this patient with known history of lymphadenopathy. The cardiac silhouette is moderately enlarged. The mediastinal contours are stable. No large pleural effusion or pneumothorax is seen.
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copd and acute dyspnea.
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Ap upright and lateral views of the chest were provided. Midline sternotomy wires are again noted. A prosthetic cardiac valve is redemonstrated. As compared with prior exam, there is improvement in pulmonary edema which has near completely resolved. No large effusion or pneumothorax is seen. The heart remains top normal in size. The mediastinal contour is stable. There is hypertrophic change at the right ac joint. Otherwise, the bony structures appear intact.
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There has been interval advancement of an endotracheal tube, which now terminates only about <num> cm above the orifice of the right mainstem bronchus. A <unk> tube again is seen passing through the esophagus, although its endpoint is not imaged. Costophrenic sulci are also partly excluded, but there has been no definite change. Bilateral pleural effusions, greater on the right than left, are probably unchanged allowing for differences in technique, and persistent interstitial changes suggest pulmonary congestion, although the latter appear improved.
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high end expiratory pressure on ventilator since advancement of endotracheal tube. patient with upper gastrointestinal bleeding.
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The right upper lobe fluid collection appears slightly increased in size now measuring <num> x <num> cm compared to <num> x <num> cm. There are no other significant changes with a right central venous in stable position. Right wedge shaped opacity likely represents atelectasis. There is no new focal consolidation or pleural effusion.
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<unk> year old man with end-stage renal disease with pulmonary mucormycosis status post right middle lobectomy and right upper wedge resection, with right upper lobe fluid collection, concern for bleeding
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There are heterogeneous bibasilar opacities could be due to pneumonia or aspiration. Pleural effusion on the right is small, if present. Cardiac silhouette is top-normal in size. There is no pneumothorax.
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history: <unk>m with sepsis // ?pna
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There is blurring of detail due to respiratory motion. Moderately severe cardiomegaly is chronic. Mediastinum is persistently widened by a tortuous aorta and probably also vascular ectasia. There is mild perihilar vascular engorgement; however, no significant pulmonary edema is identified. Increase in opacity in the retrocardiac region may be secondary to atelectasis and overlao of vascular shadows; however, an acute infectious process cannot be excluded. There is no large pleural effusion or pneumothorax. Again seen is hyperinflatipm and flattered diaphragms suggesting bacground copd.
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history of fever. please evaluate for pneumonia.
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax.
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<unk>m with poor historian
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There is background hyperinflation with flattened diaphragms, suggesting copd. Heart size is borderline enlarged, with a left ventricular configuration. Aorta is mildly unfolded. There is upper zone redistribution and mild vascular plethora, with possible trace bilateral effusions. There is mild bibasilar atelectasis. No frank consolidation. Superior endplate scalloping of a lower thoracic vertebral body is noted, unchanged.
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history: <unk>m with ams // infiltrate? bleed?
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As compared to the previous radiograph, there is no relevant change. The lung volumes have slightly decreased, and atelectasis is seen at the left and right lung base. Unchanged moderate cardiomegaly without evidence of acute pulmonary edema. Tortuosity of the thoracic aorta. No evidence of pneumonia.
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chronic heart failure, crackles, evaluation.
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There is slightly improved aeration at the left lung base with persistent retrocardiac opacification and air bronchograms projecting the left heart border. Opacification at the right lung base is unchanged. No pleural effusion or pneumothorax is seen. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. Mild calcification of the aortic knob is again noted.
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acute shortness of breath and recent pneumonia, here to evaluate for interval changes.
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Upright ap and lateral views of the chest provided. The lungs are clear and hyperinflated. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>m with ams, hx copd // r/o infection
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The lungs are clear without focal consolidation. Bilateral nipple shadows are noted. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No evidence of subdiaphragmatic air.
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<unk>m with pancreatitis, history of peptic ulcer // eval for free air, pneumonia
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Lung volumes remain low. There is continued evidence of mild pulmonary edema mediastinal structures are unchanged. An endotracheal tube, nasogastric tube and left internal jugular catheter remain in place. There is no significant change.
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interval evaluation
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As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are in constant position. Moderate bilateral parenchymal opacities, part atelectatic, part caused by small pleural effusions and fluid overload. Moderate cardiomegaly. Presence of a small post-operative right basal air inclusion cannot be excluded.
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right middle lobe resection, evaluation for interval change.
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Poor lung volumes account for vascular crowding. There are no focal opacities in the left lung. A rounded consolidation abutting the right hemidiaphragm is noted in the right lower lung region which is unchanged compared with prior ct and corresponds to known lung mass. There is no evidence of abdominal free air or pleural effusion. A subsequent chest ct demonstrated the presence of pneumothorax, which is poorly seen on this study.
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<unk>-year-old male with hypotension after a biopsy of a right lower lobe mass. evaluate for evidence of pneumothorax.
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There is a left pigtail chest catheter. A small to moderate left apical and lateral pneumothorax is relatively unchanged since the interventional study. There is no right pneumothorax. There is a small left pleural effusion. The cardiac and mediastinal contours are stable. The right lung is grossly clear.
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<unk> year old man with pneumothorax. eval for interval change.
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Since the prior study, the patient has been disease with endotracheal tube tip terminating approximately <num> cm above the level the carina. Right-sided internal jugular central venous catheter terminates in the low svc without evidence of pneumothorax. Enteric tube courses below the diaphragm, out of the field of view. Since the prior study, bilateral opacities have significantly improved, with residual opacity seen in the right mid to lower lung and slightly at the left lung base. Obscuration left hemidiaphragm is within due to a small left pleural effusion with overlying atelectasis.
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<unk> year old woman with respiratory distress // assess for infiltrate
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No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The mediastinal contours are unremarkable. The cardiac silhouette is mildly enlarged and in an almost globular configuration. Correlate with concern for mild pericardial effusion. Surgical clips are noted in the upper abdomen.
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The patient is status post coronary artery bypass graft surgery. The cardiac, mediastinal, and hilar contours appear unchanged including mild cardiomegaly and tortuosity of the thoracic aorta. There are new suspected trace pleural effusions, larger on the right than left, but no pulmonary edema or focal opacification. Mild background interstitial process appears decreased since the prior radiographs.
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chest congestion and cough.
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Frontal and lateral chest radiographdemonstrates well expanded and clear lungs.no pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.
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productive cough with fevers. assess for pneumonia.
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Lung volumes are low. Bibasilar airspace opacities are likely due to aspiration or infection. There is no pneumothorax or pleural effusion.
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<unk> year old woman with recent aspiration pna, worsened mental status // eval for new infiltrate
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The right picc has been withdrawn and terminates at the cavoatrial junction. Unchanged position of aicd and swan-ganz catheter. No other change including stable cardiomegaly.
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<unk> year old man with heart failure and swan in place // monitor position of swan
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Patient has had median sternotomy and coronary bypass grafting. Sternal wires are intact and aligned. A new right internal jugular approach cardiac pacing wire projects over the right ventricle. No pneumothorax, mediastinal widening, or pleural effusion. Mild pulmonary vascular engorgement and mild interstitial edema are new. The heart is larger, but not enlarged. No pneumothorax
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<unk> year old man with copd, cad, as s/p tavr // s/p tavr with temp lead in place
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Lines and tubes are similar to the prior film. Compared to the prior film, diffuse bilateral interstitial and alveolar opacities are new or much more pronounced, slightly more pronounced on the right. The right minor fissure is slightly thickened and slightly retracted. There is increased retrocardiac density, with interval obscuration of the medial left hemidiaphragm. No gross effusions.
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<unk> year old man with hypoxia // ards?
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There is no evidence of left pneumothorax following a bronchoscopic biopsy of a left lower lobe mass. New left lower lobe consolidation is present, and could reflect post-procedural hemorrhage, aspiration and/or lavage fluid. Focal opacity at right lung base is also noted and is likely due to atelectasis. Cardiomediastinal contours are stable in appearance.
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Comparison is made to the prior radiograph from <unk>. Heart size is within normal limits. The feeding tube is unchanged and appropriately sited. There is a small right-sided pleural effusion and atelectasis at the right lung bases. These appear stable. There are no signs of overt pulmonary edema.
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The et tube ends in the mid thoracic trachea. An enteric tube is seen with the tip below the diaphragm. The cardiomediastinal silhouette is unchanged. Mild vascular congestion persists. No large pleural effusion or pneumothorax.
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copd, now intubated evaluate et tube.
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There is moderate enlargement of the cardiac silhouette. There is no prior exam to evaluate for interval change. There are <num> abandoned cardiac leads identified without pacing device. There is retrocardiac opacity which silhouettes the hemidiaphragm. Elsewhere, the lungs are grossly clear without overt edema. There is no right-sided pleural effusion. No acute osseous abnormalities.
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<unk>f with chest pain, malaise // acute process
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Pa and lateral chest views were obtained with patient in upright position. The heart size is normal, no configurational abnormality is identified. Thoracic aorta unremarkable. The pulmonary vasculature is not congested. There are three well-aligned rib fractures bridged by metallic plates and multiple fixation screws. This concerns the lateral portions of <unk> <num>, <num> and <num> on the right side. The alignment is anatomical. The previously described remaining pleural density has markedly regressed and only a mild degree of blunting of the right pleural sinus is present. As there is no increased density in the posterior pleural sinuses on the lateral view, remaining pleural effusion can be excluded. No remaining pneumothorax in the right apical area which had already been regressed to minimal size on the next preceding study.
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<unk>-year-old male patient with multiple right rib fractures and right hemothorax after fall. status post orthopedic repairs of right seventh, eighth and ninth ribs. evaluate for interval change.
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There has been slight interval increase in the right basal pneumothorax as compared to the earlier exam. Aeration at the left base has improved, and there is decreased left basilar subsegmental atelectasis. The left lung remains clear. Sternotomy wires are intact and aligned. The patient has had prior valve replacement and right shoulder repair. Multiple acute right-sided rib fractures are unchanged.
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<unk> year old man with multiple rib fractures s/p bicycle accident with hydropneumothorax and chest tube currently to water seal. // ?interval change in hydropneumothorax
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There has been interval placement of a right-sided central venous catheter whose tip is likely in the upper right atrium. Low lung volumes are again noted. There is no pneumothorax or other change from prior. Appearance of the right hilum is unchanged.
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<unk>-year-old female with hypotension, status post central line placement.
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Single ap upright portable view of the chest was obtained. Cardiac and mediastinal silhouettes are stable. There is persistent diffuse increased interstitial markings bilaterally, consistent with patient's history of pulmonary fibrosis/chronic lung disease. There is persistent blunting of the left costophrenic angle, which could be due to trace pleural effusion and/or pleural thickening. Underlying left base consolidation is difficult to exclude. Dedicated pa and lateral views would be helpful for further evaluation.
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| null |
As compared to the previous radiograph, there is no relevant change. Borderline size of the cardiac silhouette without pulmonary edema. No pleural effusion. No hilar or mediastinal abnormalities. No pulmonary edema. No pneumothorax.
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fever, rule out acute process.
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Pa and lateral views of the chest provided. Lung volumes are low with bibasilar atelectasis noted. No convincing signs of pneumonia. No large effusion, pneumothorax for signs of edema. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with chest pain
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Again seen is a right-sided picc line. Its position is unchanged over several films, overlying the right atrium, distal to the cavoatrial junction. The previously seen dobhoff type tube is no longer visualized. A tips stent is faintly seen in the right upper quadrant. Additional embolization material in other small densities are noted in the upper abdomen. No pneumothorax is detected. Mild prominence of the cardiomediastinal silhouette is unchanged. Hazy density in the left lung could reflect a layering pleural effusion. Again seen is retrocardiac opacity obscuration of the left hemidiaphragm consistent with left lower lobe collapse and/or consolidation. There is vascular plethora and mild vascular blurring, consistent with chf. This may be accentuated by slightly low volumes. No pneumothorax detected.
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<unk> year old woman with etoh hepatitis and cirrhosis now w/increased sob. // is there worsening pulmonary edema?
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