Frontal_Image_Path
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Pa and lateral views of the chest were obtained. Long volumes are low. The heart is normal in size and cardiomediastinal contour is stable. Linear bibasilar opacities are consistent with atelectasis. There is no focal consolidation, pleural effusion or pneumothorax.
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<unk>-year-old woman with chest pain.
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As compared to the previous radiograph, there is no relevant change. The bilateral areas of parenchymal opacities have not substantially changed in extent and distribution. The lung volumes remain relatively low. No new opacities. No larger pleural effusions. Unchanged size of the cardiac silhouette. Unchanged right picc line.
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jaundice, weight loss, shortness of breath, evaluation.
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Right lung is well inflated, with minimal atelectasis at the base the pleural effusion on the left lung is further reduced. The <num> left lung tubes have been removed. There is no evidence of pneumothorax. Persistent atelectasis of the left base. Cardiovascular silhouette is unchanged.
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<unk> woman with left empyema status post left vats decortication now s/p after chest tube removal. assessment for interval changes
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Single portable view of the chest. Right picc is seen with tip in the lower svc. Relatively low lung volumes are noted. The lungs are clear of consolidation or large effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.
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<unk>-year-old male with multiple sclerosis and picc presents with mental status change.
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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 l sided chest pain // r/o ptx
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Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal the lungs are clear. No pleural effusion or focal consolidation is seen. There is no pneumothorax. No acute osseous abnormalities identified.
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recent malaise, dyspnea and palpitations.
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A single portable ap chest radiograph is obtained. The right hemidiaphragm remains elevated. The lungs are clear without focal consolidation, nodule, effusion, or pneumothorax. The heart and mediastinal contours are normal. Calcifications of the tracheobronchial tree are noted.
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<unk>-year-old with desaturations after fall.
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The dense opacity in the left upper lobe secondary to mass and radiation-induced atelectasis is unchanged. Volume loss in the left upper lobe results in chronic elevation of the left hemidiaphragm. The opacity in the left mid lobe is smaller or nearly resolved. Right apical scarring is unchanged and the remainder of the right lung appears normal. The cardiomediastinal silhouettes and pleural contours are unchanged. There is no pleural effusion or pneumothorax. There is no evidence of bronchial obstruction.
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stage iv squamous cell lung cancer, complaining of productive cough, now with one teaspoon hemoptysis. rule out acute process.
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Frontal and lateral chest radiographs demonstrate well expanded and clear lungs bilaterally. Cardiomediastinal and hilar contours are unremarkable. Pleural surfaces are normal. There is no pleural effusion or pneumothorax. Thoraolumbar scoliosis is mild to moderate.
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<unk>-year-old female with cough x<num> weeks. evaluate for pneumonia.
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New right lower lobe consolidation is either atelectasis or pneumonia. Mild pulmonary edema and pulmonary vascular congestion have increased. There is no pleural effusion or pneumothorax. Mild cardiomegaly is stable. The left-sided subclavian line terminates in the cavoatrial junction.
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<unk>-year-old male status post kidney transplant, who now presents for evaluation of fevers.
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The lungs are normally expanded and clear. The cardiomediastinal silhouette and hilar contours are normal. The aorta has become more tortuous and unfolded. There is no pleural effusion or pneumothorax. There is no pulmonary edema.
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chest pain. evaluate for pneumonia, fluid overload.
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As compared to the previous radiograph, there is no relevant change. The vertebral fixation devices are constant. Constant monitoring and support devices. Constant bilateral areas of parenchymal opacities, left more than right as well as constant retrocardiac atelectasis. No newly appeared parenchymal opacities, no evidence of pulmonary edema. Unchanged borderline size of the cardiac silhouette.
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respiratory failure, evaluation for interval change.
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There is right pneumothorax with mild volume loss of right upper lobe. There is no focal consolidation or pleural effusion. Cardiomediastinal silhouette is within normal size.
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<unk> year old man with pulmonary nodule // post bronch
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Portable ap upright chest radiograph obtained. Surgical clips again noted in the neck. Left cp angle is excluded. Central pulmonary hilar engorgement is changed from prior, which could represent increased pulmonary arterial pressures. Left lung base is poorly assessed with subtle increased opacity which could represent a developing pneumonia. Right lung remains clear. Heart and mediastinal contour is stable. Atherosclerotic calcification in the aortic knob noted. Bony structures intact.
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As compared to the previous radiograph, patient has received a new nasogastric tube. The course of the tube is unremarkable, the tip of the tube is not visible on the film. The pacemaker leads are in unchanged position. Moderate cardiomegaly and pulmonary edema of moderate severity are unchanged. Newly appeared small left pleural effusion and areas of atelectasis at both lung bases. No evidence of pneumothorax.
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polytrauma, rib fractures, evaluation for nasogastric tube position.
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Single upright view of the chest demonstrates large right pneumothorax, producing mild leftward deviation of the cardiomediastinal structures. Left lung is clear. Right lower lobe opacity, likely reflects compressive atelectasis.
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right-sided chest pain and the patient with recurrent pneumothoraces.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
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left upper quadrant pain. question pneumonia.
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In comparison to <unk> chest radiograph, a cavitary lesion in the superior segment of the right lower lobe is again demonstrated with apparent decrease in size of the intraluminal nodule previously interpreted as suspicious for a mycetoma. <num> adjacent cavitary lesions in the right apex are grossly unchanged. No new or worsening lung abnormalities are detected. Eighth cardiomediastinal contours are stable. Healed bilateral rib fractures are again demonstrated.
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<unk> year old man with recent pneumonia, esrd s/p transplant // eval for interval change in possible r fungal ball
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New right lung base pleural drain has been placed with tip ending laterally. Right lung base opacities have apparently improved, although comparison is difficult due to patient positioning. Bilateral small opacities already characterized as calcified granulomas in ct of <unk> are unchanged. Heart size is top normal. Blunting of the right costovertebral space is probably due to pleural effusion. Small right apical pneumothorax. New subcutaneous emphysema is alongside the left chest wall and in the cervical region.
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Overlying soft tissue somewhat limits the evaluation. Right subclavian hemodialysis catheter terminates in the right atrium. There is likely small right pleural effusion blunting the costophrenic sulcus. Moderate cardiomegaly is stable. The pulmonary artery is enlarged, unchanged. There is mild pulmonary vascular congestion without frank pulmonary edema. There is no pneumothorax. No evidence of pneumonia. Chain suture projects over the left lower lung
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history: <unk>f with dyspnea // eval for pulmonary edema
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A left hilar and left infrahilar opacity corresponds to known lesions seen on ct examination of <unk>. No new focal consolidation is seen to suggest pneumonia. No pleural effusion or pneumothorax is present. The heart size is normal. There is mild tortuosity of the aorta.
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history of metastatic melanoma, now with difficulty swallowing solids and liquids.
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The endotracheal tube terminates at the level of the clavicles. The nasogastric tube takes an unusual course along the lateral right heart border, and is probably coiled within a large hiatal hernia. There is no pneumothorax or pneumomediastinum. The heart appears mildly enlarged despite the projection. Aortic arch calcifications are incidentally noted. An increasing right basilar airspace opacity may either be due atelectasis or infection.
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<unk> year old woman with hyponatremia, pneumonia, prior rotated chest film // assess for pna
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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>m with cough and fever
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation. There is no effusion or edema. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. Aortic stent graft identified in the abdomen. No acute osseous abnormalities.
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<unk>-year-old male with hyperglycemia. question pneumonia.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Minimal subsegmental atelectasis is noted in the lung bases. Lungs are otherwise clear without focal consolidation. No pleural effusion or pneumothorax is present. Minimal scarring is seen in the lung apices. There are no acute osseous abnormalities.
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history: <unk>f with chest pain
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Tubes and lines are unchanged from yesterday. Lung volumes have decreased with mild vascular congestion. Left retrocardiac opacity has improved. Mild edema, increased from the prior studyl
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<unk>-year-old man after vf arrest, please evaluate volume status and assess for pneumonia.
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Since the prior cxr performed earlier this morning, the tracheostomy tube has been removed. Additionally, there is a new right-sided internal jugular catheter that terminates in the cavoatrial junction. There are diffuse bilateral parenchymal opacities that are more prominent in the perihilar region; this has developed rapidly over the past <num> hours, favoring diagnosis of pulmonary edema. Cardiomediastinal silhouette unchanged.
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<unk> year old man with known pneumonia, interval tachypnea and respiratory distress // ? acute pathology/interval change
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Frontal and lateral views of the chest were obtained. The patient is status post median sternotomy and cabg as well as cardiac valve replacement. There is slight blunting of the costophrenic angles and trace/small pleural effusions could be present. The cardiac silhouette is top normal to mildly enlarged. The mediastinal contours are unremarkable, with the aorta calcified. Hilar contours are unremarkable. On the lateral view, there is irregularity of the inferior anterior aspect of a lower thoracic vertebral body of indeterminate age. No prior studies available for comparison. Recommend correlation with history of trauma to this site or history of infection. This finding was submitted via wet reading to the emergency department on <unk> at <time> p.m.
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A frontal chest radiograph again demonstrates a right central catheter with the tip in the upper svc and the endotracheal tube and nasogastric tubes in proper position. The cardiomediastinal silhouette is unchanged. Bilateral layering pleural effusions are noted. Given the change in patient position, it is difficult to tell if these effusions are new or increased. The area of pneumonia is substantially covered by the layering fluid and difficult to evaluate. There is no pneumothorax.
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pneumonia, evaluate for interval change.
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As compared to the previous radiograph, the patient has received a right-sided picc line. The course of the line is unremarkable, the tip of the line projects over the inflow tract of the right atrium. There is no evidence of complications, notably no pneumothorax. The pre-existing pneumonia on the right is mildly increased in severity. There also is an obvious increase in severity in the left lung, given that similar opacities that on the right are now widespread in the lingula and, probably, in the left lower lobe. Mild retrocardiac atelectasis. Unchanged size of the cardiac silhouette.
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auto stem cell transplantation with amyloidosis, admitted for severe pneumonia.
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There has been interval placement of right-sided central venous catheter. Tip projects over the region of the right internal jugular/ brachiocephalic vein. There is no pneumothorax. No other change.
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<unk>m s/p line placement // line placement
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Small atelectasis is present in the left lung base. No focal consolidation, pleural effusion, or pneumothorax
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dka.
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Frontal and lateral views of the chest were obtained. The cardiac silhouette remains enlarged. The aorta is calcified and tortuous. A left-sided picc is again seen, terminating in the mid svc. There are bibasilar atelectasis and likely trace bilateral pleural effusions. There is also some vascular congestion. No pneumothorax is seen.
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Tracheostomy tube is <num> cm above the <unk> which is upper limit of acceptable. Other support devices are in stable position. There is progressive opacification, edema, and pleural effusion on the right with a possible area of cavitation. The left lung is essentially unchanged. There is no pneumothorax.
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<unk>-year-old with trach and previous hemothorax.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The mediastinal contours are normal. The heart size is at the upper limits of normal, and unchanged from the prior exam.
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chest pain.
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There is a small right pleural effusion with associated atelectasis. There is no pulmonary vascular congestion or pneumothorax. The heart size is normal. The mediastinal and hilar contours are within normal limits.
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decreased breath sounds of the right base with cough. concern for pleural effusion or pneumonia.
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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unchanged. No pneumothorax, pleural effusion, or consolidation. Right-sided central catheter tip ends at the cavoatrial junction.
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history: <unk>m with all s/p allo transplant <num> days ago here with fever // evidence of acute cardiopulmonary process
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Pa and lateral views of the chest provided. 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>f with chest pain // r/o pna
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Frontal upright and lateral views of the chest were obtained. Low lung volumes result in bronchovascular crowding. There is no focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. No acute osseous abnormality is identified.
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The lungs are now clear aside from minimal atelectasis at the left lung base. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>m with fever <num> day ago, has had recurrent episodes of pleural effusions //
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Post-surgical changes involving the right apex is unchanged with surgical anterior thoracotomy, and areas of pleural thickening. There is no new focal opacity concerning for pneumonia. There are no pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are stable. Heart size is normal. Note is made of previous atrial septal closure device. Incidentally noted is high-density demonstrated over the right upper quadrant.
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<unk>-year-old female one month status post tracheoplasty with right chest wall pain. evaluate for pneumothorax or fracture. pa and lateral chest radiograph
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There is no evidence of pneumothorax. Mild interstitial pulmonary edema is present. Heart size is top normal. Mediastinal and hilar contours are unremarkable. Minimal free air under the right hemidiaphragm is consistent with post-rf ablation and these changes are better appreciated on recent ct interventional study dated <unk>. Minimal bibasilar opacities reflect consolidation and/or atelectasis.
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<unk>-year-old man with cirrhosis and hcc status post rfa.
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The right costophrenic angle is excluded from the field of view. Exam is limited by lordotic positioning. Patient is status post median sternotomy. A left-sided pacer device is noted with leads terminating in the regions of the right atrium and right ventricle. Moderate enlargement of the cardiac silhouette is present. There is mild pulmonary vascular congestion. Patchy opacities the lung bases likely reflect areas of atelectasis, without focal consolidation. No large left pleural effusion is present. There is no pneumothorax. No acute osseous abnormality is seen.
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history: <unk>m with shortness of breath
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The lungs are well expanded, without focal opacities. The cardiac silhouette is enlarged, likely secondary to prominent pericardial fat. There is no pleural effusion or pneumothorax. No rib fractures are identified.
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shortness of breath.
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In comparison to the prior radiograph, the patient is positioned differently. The patient is upright as opposed to semi-upright previously and more rotated to the right. There is increased atelectasis at the left base. Increased diffuse opacification of the right lung may represent a layering effusion or increased edema within that lung. A moderate right pleural effusion has redistributed but probably stable in size. Tracheostomy tube and right picc are unchanged in position. Heart size is difficult to evaluate
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<unk> year old woman with trach s/p bronch // interval change post-bronch
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The heart size is normal. The aorta is tortuous. The mediastinal and hilar contours otherwise are unremarkable. The pulmonary vascularity is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. Compression deformities of at least <num> vertebral bodies at the thoracolumbar junction are age indeterminate.
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altered mental status.
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As compared to the previous radiograph, there is no relevant change. No pulmonary edema. Normal lung volumes. No parenchymal opacities suggestive of pneumonia. Normal size of the cardiac silhouette. Minimal tortuosity of the thoracic aorta. No pleural effusions.
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questionable pneumonia.
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There is biapical scarring and mild atelectasis, with superior retraction of the minor fissure due to right upper lobe volume loss, all of which is similar in appearance compared to prior ct from <unk>. Tenting of the left hemidiaphragm relates to left lung volume loss and associated upward tension on the inferior ligament. There is no focal consolidation. The heart is normal in size. Bulging of the left superior mediastinal contour with associated rightward displacement of the trachea is secondary to a known mediastinal mass, better evaluated on prior ct from <unk>. The only change is reduced left apical thickening suggesting decreased pleural effusion. No pneumothorax is seen.
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shortness of breath with known chest mass. evaluate for pneumonia.
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
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mixed connective tissue disorder and progressive dyspnea on exertion, evaluate for interstitial lung disease.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Small rounded, nodular are seen throughout both lungs. There is no focal consolidation. No pleural effusion or pneumothorax is seen. Rightward tracheal deviation is longstanding and related to an enlarged left thyroid lobe.
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<unk> year old woman with hx of multifocal neuroendocrine tumor of lung // compare to last cxr
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A tracheostomy tube is appropriately positioned. A left picc ends in the upper svc. A surgical clip is seen in the right upper abdominal quadrant. There is a moderate left pleural effusion with marked volume loss of the left lower lobe, not significantly changed. There is minimal right lower lung atelectasis. The heart size is difficult to assess given the marked volume loss at the left lung base, but it is likely mildly enlarged, not significantly changed. There is no pneumothorax.
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new onset difficulty breathing. evaluate for interval change.
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As compared to the previous radiograph, the monitoring and support devices are constant. There is a slight increase in extent and severity of the right pleural effusion, the left pleural effusion is unchanged. Massively enlarged triangular cardiac silhouette suggests pericardial effusion. These should be ruled out by echocardiography. The degree of pulmonary fluid overload is constant.
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bacteremia, evaluation for changes.
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Single portable supine frontal chest radiograph demonstrates endotracheal tube in appropriate position at the level of the clavicles <num> cm above the level of the carina. An enteric feeding tube is seen coursing midline with tip in stomach and side ports below the level of the diaphragm. Hypoinflated lungs with bilateral perihilar interstitial opacities consistent with vascular crowding. Right lower lobe atelectasis noted. Left lower lobe and retrocardiac opacity present. Limited assessment of the left costophrenic angle. No large left pleural effusion. No right pleural effusion. No pneumothorax. Mild cardiomegaly, partially accentuated due to low lung volumes. Mediastinal contour and hila are otherwise unremarkable. Limited assessment of the osseous structures are unremarkable and upper abdomen is within normal limits.
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<unk>m with fall, loss of teeth. assess for tooth or pneumothorax.
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Frontal and lateral views of the chest were obtained. Per the radiology technologist, the patient is unable to lift left arm for x-ray any these are the best films possible. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable with the aorta calcified and tortuous. The cardiac silhouette is not enlarged. No displaced fracture is seen. The patient's left arm overlies the anterior chest on the lateral view. There are mild degenerative changes along the spine.
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The endotracheal tube has been slightly advanced. The tip of the tube now projects <num> cm above the carina. The patient is now after bronchoscopy. Bronchoscopy and potential lavage is likely to explain new relatively widespread alveolar opacities in the right lung. Otherwise, there is no relevant change. Moderate cardiomegaly and left-sided opacities and consolidations are constant. No pneumothorax. A new nasogastric tube has been inserted, the tip is not included on the image, the course of the catheter is unremarkable.
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multifocal pneumonia, evaluation.
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As compared to the previous radiograph, the left pigtail catheter has been removed and the patient has received two left-sided chest tubes. There is a <num>-<num> mm right apical pneumothorax. No evidence of tension. Post-surgical left lateral pleural thickening and small air inclusion in the left lateral soft tissues. Unchanged size of the cardiac silhouette. Minimal left basal atelectasis. Minimal right pleural effusion. Otherwise, the right hemithorax appears normal.
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status post left video-assisted thoracoscopic surgery.
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The cardiomediastinal silhouette and pulmonary vasculature are normal. There is no pleural effusion or pneumothorax. The linear opacities seen in the right base likely represent atelectasis. No definite consolidation is identified. Given density of breasts, however, evaluation of lung bases is limited.
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<unk>f with tachy afib <num>, r/o infection // ? pna
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As compared to the previous radiograph, there is no relevant change. The patient has been extubated. The other monitoring and support devices are in unchanged position. There is unchanged presence of bilateral pleural effusions and mild cardiomegaly as well as mild fluid overload. No newly appeared focal parenchymal opacities. No pneumothorax.
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evaluation for interval change.
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In comparison with the study of <unk>, there is continued enlargement of the cardiac silhouette with pulmonary edema and bilateral pleural effusions with compressive atelectasis at the bases. Pacemaker device remains in place. Opacification over the lower portion of the glenohumeral joint on the right is again seen. When the condition of the patient improves, views of the right shoulder would be helpful.
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pacemaker with new-onset heart failure.
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There is no significant change in the et tube, left ij line, <num> lead pacemaker, or ng tube. There is bilateral lower lobe volume loss with increased compared to prior. Early infiltrate in this region can't be excluded. There is mild pulmonary vascular redistribution.
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intubation open abdominal wound check interval change.
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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No foreign body is identified.
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<unk>f with throat tightness for <num> weeks
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The lungs are clear. Cardiomediastinal silhouette and hilar contours are unremarkable. There may be a small left pleural effusion. Mild compression deformity of a mid-thoracic vertebral body is of indeterminate age.
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<unk>-year-old woman with acute on chronic pancreatitis. now with crackles on exam. question pulmonary edema or acute process.
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Portable semi-upright radiograph of the chest demonstrates an ett tip terminating approximately <num> cm above the carina. The transesophageal tube side port terminates near the ge junction. Bilateral patchy opacities are noted, worse on the left than on the right, in the appropriate clinical context, possibly related to possibly aspiration, multifocal pneumonia, hemorrhage. No definite pleural effusion or pneumothorax is identified.
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history: <unk>m with ett from osh // ? ett placement, ? pna or infiltrates
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Streaky bibasilar opacities are again noted. Rounded lucency projecting over left upper lung laterally is compatible with cystic subpleural lesion seen on prior exams. The lungs are otherwise clear. Cardiomediastinal silhouette is within normal limits. Compression deformity in the mid thoracic spine is noted and was present on prior. Cervical fixation hardware is visualized.
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<unk>m with chest pain // ptx?
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There is diffuse bilateral reticular interstitial markings, which are suggestive of chronic lung disease with superimposed mild new pulmonary edema. Opacities in the right lung base may be due to mild pulmonary edema but concurrent infection cannot be excluded in the right clinical setting. The heart size is mildly increased compared to same day outside exam, although still top normal in size. No pneumothorax. Surgical clips are seen in the right axilla.
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history: <unk> with ? flu // eval for infiltrate
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As compared to the previous radiograph, there is no relevant change. No pneumothorax. No pleural effusions. Normal size of the cardiac silhouette. No evidence of pneumonia. The very subtle parenchymal opacities in the lung parenchyma, documented on the ct examination from <unk>, are not visible on the current image.
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fever, questionable pneumonia.
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Ap upright and lateral views of the chest were obtained. There is no focal consolidation or pneumothorax. There is some redistribution of fluid into the upper lung zone vasculature. There is a small, probably left-sided pleural effusion with a subpulmonic component given that more is seen on the lateral than the frontal radiograph. Allowing for ap technique and low lung volumes, the heart is upper limits of normal for size. The mediastinal silhouette is normal. Degenerative changes are seen in the shoulder girdles bilaterally.
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The endotracheal and nasogastric tubes are in appropriate position. Opacity in the left lung base correlates with a small effusion and atelectasis on the ct performed <num> day prior. The effusion has decreased in size. No new opacities are concerning for pneumonia are identified. No pneumothorax. The cardiac and mediastinal contours are stable.
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<unk> year old man intubated for ams. evaluate for pneumonia.
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Mildly prominent lung markings particularly at both lung bases is likely due to vascular crowding in the setting of suboptimal inspiratory effort. There is no new consolidation to suggest pneumonia. The cardiomediastinal silhouette is stable. Aortic arch calcifications are incidentally noted.
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<unk> year old man with wheezing. former long term smoker. // r/o mass, infiltrate
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. The lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities present.
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fever, postop.
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The right chest tube in unchanged position. The moderate right pneumothorax is slightly larger compared with yesterday, but there is no evidence of tension. There is a small right pleural effusion. Right lateral chest wall subcutaneous emphysema is not significantly changed from yesterday. Normal heart size and mediastinal contours. No left pleural effusion or pneumothorax. Nodular opacities at the right apex are better characterized on ct from <unk>.
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prior hydropneumothorax, now on waterseal. evaluate for interval change.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. There is mild reversed s-shaped curvature to the visualized thoracolumbar spine which is unchanged.
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cough. recent diagnosis of pneumonia.
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Single supine ap portable view of the chest was obtained. Endotracheal tube is seen, terminating approximately <num> cm above the level of the carina. Nasogastric tube is seen coursing below the level of the diaphragm, coiling in the expected location of the gastric fundus. Mild bibasilar opacities are seen, right greater than left, which could relate to aspiration though an early infectious process cannot be excluded in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top normal. The aorta is calcified.
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Pa and lateral views of the chest were obtained demonstrating clear well-expanded lungs without focal consolidation, effusion or pneumothorax. There is no sign of pulmonary edema or vascular congestion. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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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. No subdiaphragmatic free air.
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history: <unk>m with epigastric pain // pneumonia?
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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 chest examination <unk> <unk>. The heart size has mildly increased in comparison with the previous examination. Again no typical configurational abnormality can be identified. The aorta is mildly widened and elongated but does not demonstrate any local contour abnormalities. The pulmonary vasculature has developed an upper zone redistribution pattern, but there is no evidence of interstitial or alveolar edema nor are there any pleural effusions in the pleural sinuses. No evidence of acute pulmonary parenchymal infiltrates seen. No pneumothorax can be identified in the apical area. Skeletal structures of the thorax are unchanged and show normal appearance with the exception of mild degenerative changes in the mid portion of the thoracic spine, but no evidence of vertebral body compression fracture.
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<unk>-year-old female patient with increasing shortness of breath, assess for infection, cardiomegaly, or other abnormality.
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Pa and lateral views of the chest provided. 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 confusion // r/o pna
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The lungs are well inflated. The trachea is central. The cardiomediastinal contour is normal. The heart is not enlarged. No blunting of the costophrenic angles to suggest a pleural effusion. Increased density at the bilateral hila likely due to calcified lymph nodes. This appearance is unchanged compared to the prior study. No areas concerning for consolidation seen. No destructive bony lesions seen.
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<unk> year old man with hcv cirrhosis, bilirubin above baseline // evaluate for pna
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Once again, there is significant prominence of the interstitial markings throughout the lungs as well as increasing bilateral pleural effusions, most compatible with pulmonary edema. Cardiac size remains stable. No evidence of pneumothorax.
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history: <unk>f with recent surgery, fever, hypoxia // eval for pna
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As compared to previous radiograph, the patient has received a nasogastric tube. The tip of the tube cannot be exactly identified but appears to project over the distal parts of the stomach. The course of the tube is unremarkable. There is no evidence of complications, notably no pneumothorax. Unchanged moderate cardiomegaly and areas of atelectasis as well as minimal overhydration. No interim appearance of parenchymal opacities.
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left mca stroke, nasogastric tube.
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There is no consolidation, pleural effusion, or pneumothorax. Sternal surgical hardware is in unchanged position with frontal view compared to <unk>. There is better visualization of right heart border as expected. On lateral view, there is improved degree of pectus excavatum compared to the preoperative chest radiograph on <unk>. Alignment of the sternum is parallel with the thoracic spine.
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<unk> year old woman s/p repair of pectus deformity // check interval change
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Cardiac silhouette is mildly enlarged but stable in size. Mediastinal and hilar contours are stable in appearance. Within the lungs, incidental note is made of a small calcified granuloma in the left lower lobe. No focal areas of consolidation are identified, and there are no pleural effusions or acute skeletal findings.
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Comparison is made to a previous study from <unk>. The endotracheal tube, feeding tube, right and left ij central line are again seen. Heart size is unchanged. There are again seen diffuse airspace opacities bilaterally without significant change. No pneumothoraces are identified.
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As compared to the prior chest radiographs, most recently dated <unk>, there has been no significant interval change. Low lung volumes result in crowding of bronchovascular structures at the bases. The remainder of the lungs are grossly clear without focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits.
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history: <unk>m with chest pain // ?pna
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Lungs are well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the osseous structures are notable for mild multilevel degenerative changes with anterior flowing osteophytes, disc space narrowing and subchondral sclerosis most prominent in the mid thoracic level. No displaced rib fracture.
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<unk>m with chest pain. assess for pneumonia or rib fracture.
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The cardiac, mediastinal and hilar contours appear unchanged. A focal onodular opacity projects along the inferior left anterior first costochondral junction and left upper lung, but if this is a bony prominence, is more distinct than on the prior study. Otherwise, the lung fields appear clear. There is no pleural effusion or pneumothorax.
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worsening dementia and aggression.
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Frontal and lateral radiographs of the chest demonstrate clear lungs. The cardiac and mediastinal contours are normal. No pleural abnormality is detected.
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persistent cough with night sweats and leukocytosis. evaluate intrathoracic process.
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Frontal and lateral views of the chest were obtained. The lungs are somewhat hyperinflated with flattening of the diaphragms. Right-sided chest deformity is again seen. Patchy left base opacity is grossly stable over prior studies, most likely due to atelectasis. No pleural effusion is seen. There is no evidence of pneumothorax. The cardiac silhouette is mildly enlarged. The aorta remains tortuous. A tubular structure/drain is partially imaged overlying the right abdomen.
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Left base pleural scarring is noted. No consolidation, pulmonary edema, or pneumothorax is identified. Cardiomediastinal silhouette is normal size. Sternotomy wires are intact.
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history: <unk>m with substernal chest pressure that started while at rest, s/p <unk> <unk> <num> five days ago for nstemi // acute process
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The heart is normal in size. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs appear clear. Moderate degenerative changes affect the thoracic spine. One of two frontal views depicts a comminuted fracture of the proximal right humerus, but better depicted on dedicated radiographs of the same day.
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syncope.
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| null |
There is marked change in the chest x-ray findings as compared to the earlier study. There is opacification of the lower <unk> of the left hemithorax and there is abrupt cut off of the left mainstem bronchus approximately <num> cm from the carina. There is mediastinal shift to the left and this is consistent with atelectasis, possibly related to a mucous plug. The right lung is clear. There is no pneumothorax. Nasogastric tube tip is in the stomach.
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<unk> year old woman with hypoxic respiratory failure recent extubated now with low grade temperature // assess for interval development of rll opacity?
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Low lung volumes are noted, particularly on the lateral view. There is subsequent bibasilar right greater than left atelectasis. There is no focal consolidation worrisome for pneumonia. There is no effusion. The cardiomediastinal silhouette is within normal limits. Anterior vertebral body height loss at the thoracolumbar junction is noted at <num> levels, previously seen on <num> level on prior.
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<unk>m with lower back pain s/p fall. also with recurrent syncopal events so eval for cardiopulmonary process. // fracture? infiltrate?
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In comparison with study of <unk>, there is indistinctness of pulmonary vessels consistent with elevated pulmonary venous pressure. Small right pleural effusion persists. In the appropriate clinical setting, supervening pneumonia, especially at the right base, would have to be considered.
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sclerosis after tips with sputum, to assess for pneumonia.
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| null |
Right upper lobe focal consolidation is unchanged since <unk>, but worse than <unk>. A left upper lobe focal consolation is more conspicuous today; those confluent opacities could reflect multifocal pneumonia. The remaining of the exam is unchanged with a right-sided picc line ending in lower svc, moderate bilateral pleural effusions and atelectasis. Cardiac congestion is probably overestimated due to the pulmonary emphysema. There is no pneumothorax.
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patient with copd, metastatic cancer, presented with mssa bacteremia.
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The lungs are clear of consolidation. Nodular density projecting over the left lateral sixth rib is unchanged since <unk> and is compatible with a nodule identified on chest ct from <unk>. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
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<unk>f with confusion // infiltrate?
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The cardiac silhouette size remains mildly enlarged. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. Minimal atelectasis is noted in the right lower lobe. There are no acute osseous abnormalities.
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history: <unk>f with doe, wheezing since yesterday, hx asthma, no fevers, chills, or chest pain // eval ? infiltrate
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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
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history: <unk>m with mvc, persistent l chest wall pain and l shoulder pain // eval ? traumatic injury
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| null |
There is a right-sided picc line that terminates most likely at the confluence of the brachiocephalic veins. The heart is enlarged. There is bilateral hilar congestion, and in addition to mild pulmonary edema, asymmetric opacification of the left mid to lower lung.
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cough, hypoxia, and shortness of breath.
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Frontal and lateral radiographs the chest demonstrate low lung volumes with resulting bronchovascular crowding. There is an area of increased retrocardiac opacity, concerning for left lower lobe pneumonia. There is mild vascular congestion. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax, or pleural effusion.
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cough, shortness-of-breath, crackles on the left. evaluate for pneumonia.
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| null |
The tip of the endotracheal tube projects <num> cm from the carina. An enteric feeding tube is new and extends into the stomach. Diffuse patchy bilateral airspace opacities likely reflect pulmonary edema. No large pleural effusion or pneumothorax identified. The size of the cardiomediastinal silhouette is within normal limits.
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<unk> year old woman with brain tumor resection, intubated // eval ogt placement
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