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As compared to the previous radiograph, no relevant change is seen. No pneumothorax. Status post left shoulder surgery. Moderate cardiomegaly with mild fluid overload but no overt pulmonary edema. Moderate tortuosity of the thoracic aorta. No pleural effusions.
complete heart block, status post pacemaker placement.
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Ap upright and lateral views of the chest provided. Lung volumes are quite low limiting assessment. Vague opacities throughout both lungs may represent areas of scattered atelectasis. Difficult to exclude an atypical pneumonia. No large effusion or pneumothorax. Cardiomediastinal silhouette likely normal allowing for suboptimal technique. Bony structures are intact.
<unk>f with ams, facial weakness // evaluate for acute process
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There is blunting of bilateral costophrenic angles, right greater than left suggesting small effusions. There is increased opacity projecting over the left upper lung laterally, overlying the posterior left fifth rib and scapula. The lungs are hyperinflated and otherwise clear of focal consolidation. Cardiomediastinal silhouette is within normal limits. Old posterior right rib fracture is identified. Two mid thoracic compression deformity deformities are seen, <num> of which was present on previous exam however <num> appears new since <unk>. Deformity of the left proximal humerus is partially visualized.
<unk>f with palpitations // r/o cardiomegaly, effusions
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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.
<unk>m with chest pain // e/o cardiac, pulm abnormalities
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Low lung volumes. The cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax. No evidence of pneumonia.
<unk>-year-old after fall.
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There is slight increased opacity at the left lung base when compared to prior exam which is also seen on the lateral view overlying the spine. Elsewhere, lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumomediastinum. There is no free intraperitoneal air. No acute osseous abnormalities.
<unk>f with s/p egd w/ severe chest pain // mediastinal air?
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Frontal and lateral views of the chest. When compared to prior, there has been interval enlargement of the right-sided pleural effusion which is now small to moderate. There is a new moderate left-sided pleural effusion. Underlying atelectasis particularly on the left is suspected noting infection cannot be excluded. Superiorly, the lungs are clear. Cardiomediastinal silhouette is difficult to assess given obscuration of the left heart border. No acute osseous abnormalities detected.
<unk>-year-old female with shortness of breath, evaluate for pneumonia or pulmonary edema.
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The lungs are clear. The heart and mediastinal structures are unremarkable. The bony thorax is grossly intact
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Pa and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, pneumothorax. The heart and mediastinal contours appear normal. Bony structures are intact. No free air below the right hemidiaphragm.
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Assessment is limited by patient rotation and low lung volumes. Heart size is moderately enlarged. Widening of the mediastinal contours is likely due to low lung volumes. There is mild pulmonary edema. No large pleural effusion or pneumothorax is detected. Atelectatic changes are seen in the lung bases. No acute osseous abnormalities present.
history: <unk>m with altered mental status
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. The lingular opacity has resolved. There is no pleural effusion or pneumothorax.
hiv, history of pneumonia in <unk>, now with cough. evaluate for pneumonia.
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Ap and lateral views of the chest. The lungs are clear of focal consolidation. Nodular opacity over the right lung base is most compatible with a nipple shadow. The cardiomediastinal silhouette is within normal limits. There is no effusion. No acute osseous abnormalities.
<unk>-year-old female with rhonchi. question pneumonia or edema.
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The lungs are low in volume but appear clear. Minimal linear bibasilar atelectasis is noted. The heart is normal in size and normal cardiomediastinal contours. No pleural effusion or pneumothorax.
<unk>-year-old man with fever to <num>, assess for acute process.
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Osseous structures are grossly unremarkable.
<unk>m with dm, epigastric pain, nausea and vomiting, evaluate for acute process.
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As compared to the previous radiograph, the patient is less rotated. The hilar structures, right more than left, look enlarged, but no definitive mass is seen in the region of the right hilus. A small right pleural effusion might be present. There is mild fluid overload and a borderline size of the cardiac silhouette.
possible pneumonia on x-ray, evaluation.
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No previous studies for comparison. Cardiac silhouette and mediastinum is normal. Lungs are grossly clear. There are no focal consolidations or pleural effusions. Bony structures are grossly intact. Surgical clips are seen in the region of the ge junction.
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In comparison with the study of <unk>, the patient has taken a better inspiration. Dual-channel pacer device remains in place in this patient with substantial enlargement of the cardiac silhouette. Some indistinctness of engorged pulmonary vessels is again consistent with mild elevation of pulmonary venous pressure. Hazy opacification at the bases, especially on the right, is consistent with layering pleural effusions.
shortness of breath.
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In comparison with the study of <unk>, there is increase in the diffuse bilateral pulmonary opacifications. The findings suggest substantial pulmonary edema, though the possibility of superimposed pneumonia must be considered. Left hemidiaphragm is now better seen, consistent with some decrease in volume loss in the lower lobe. The monitoring and support devices are essentially unchanged.
metastatic mucinous carcinoma, to assess for progression of infiltrates.
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The lungs are clear without focal consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities to
<unk>m with ams, hx of hiv immunocompromised // eval for pneumonia
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Pa and lateral views of the chest. No prior. The lungs are clear. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with tia symptoms. question pneumonia.
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Pa and lateral views of the chest provided. A left central venous line ends at the cavoatrial junction. Lungs are mildly hyperinflated and grossly clear. No pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are normal.
<unk> year old woman with fever, cough // ? pneumonia.
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The heart is borderline in size. There is moderate unfolding and calcification along the thoracic aorta. Streaky retrocardiac opacities, probably refering to the left lower lobe, obscure the contour of the left hemidiaphragm. Elsewhere, the lungs appear clear. There are no pleural effusions or pneumothorax. Small anterior osteophytes are present throughout the thoracic spine.
atrial fibrillation.
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Pa and lateral chest radiographs. Right-sided port-a-cath tip is in the right atrium. Air-fluid level within the retrosternal space has resolved. Perihilar opacities on the left also have improved. There is no focal consolidation, pleural effusion, or pneumothorax. Two calcifications overlying the right lower lung lie within the breast.
<unk> year old woman with lymphoma. fever/neutropenia and cough. assess for abnormalities
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The lungs are clear. There is no effusion or pneumothorax. There is no evidence of pneumomediastinum. The cardiomediastinal silhouette is within normal limits. Mild s-shaped thoracic scoliosis is noted. No acute osseous abnormalities.
<unk>m with food impaction in esophagus // ? acute cardiopulm process
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There is persistent marked rightward rotation. There has been interval re-expansion of the right right lung with decreased pneumothorax, now small. Persistent opacification of the re- expanded right lung may represent consolidation, aspiration, re-expansion pulmonary edema. There is a small to moderate right pleural effusion and a trace left pleural effusion. A dobhoff tube terminates within the stomach. Subcutaneous emphysema overlying the right chest wall and axilla is unchanged.
<unk> year old woman s/p and ptx with resp failure evaluate lungs lines tubes
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Chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. Lungs are clear. No pleural effusion or pneumothorax is evident. Stable degenerative changes are identified within the thoracic spine.
recent bronchitis, history of dilatation of ascending aorta on prior cardiac shadow. please evaluate for aortic aneurysm or infiltrate.
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Ap and lateral views of the chest. The lungs are clear without focal consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits for technique. Descending thoracic aorta is tortuous. No acute osseous abnormality is identified. Chronic deformity of the proximal left humerus is identified.
<unk>-year-old female with new atrial fibrillation and weakness.
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Right-sided port-a-cath tip terminates in the lower svc. Heart size is normal. A moderate size hiatal hernia is re- demonstrated. The mediastinal and hilar contours are unchanged. There is no pulmonary edema, focal consolidation or pleural effusion. No pneumothorax is demonstrated. Multilevel degenerative changes are noted in the imaged thoracolumbar spine.
esophageal cancer with progressive weakness.
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The lungs are relatively hyperinflated, suggesting chronic obstructive pulmonary disease. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax.the cardiac silhouette is top-normal to mildly enlarged.
cough, a etoh, question pneumonia
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Portable single frontal chest radiograph was obtained. An ng tube terminates in the fundus of the stomach with the side hole near the ge junction. Lung volumes are low. There is a small left pleural effusion with compressive atelectasis at the left base. The heart is mildly enlarged with pulmonary vascular congestion. There is no pneumothorax.
patient with copd, status post ex lap, eval postop.
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Supine ap portable view of the chest was obtained. There has been interval placement of right internal jugular central venous catheter terminating at the cavoatrial junction without evidence of pneumothorax. In the interval since the prior study, there has been mild increase in pulmonary edema. Indistinctness of the hila has increased. Bibasilar opacities likely relate to pulmonary edema though again underlying infection or aspiration cannot be excluded in the appropriate clinical setting. No large pleural effusion.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with sob // sob
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Heart size is normal. Re- demonstration of calcifications of the aortic knob. Cardiomediastinal silhouette and hilar contours are otherwise unremarkable. Lungs are clear. No pleural effusion or pneumothorax. Partial visualization of cervical fixation hardware. Stable mild elevation of the right hemidiaphragm.
history of vascular disease presenting with acute onset dyspnea and nausea.
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No overt pulmonary edema is seen. No evidence of free air is seen beneath the diaphragms.
right upper quadrant, right flank pain x.
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A left chest tube is present. There is a small left apical pneumothorax. Linear opacities at the left base are likely atelectasis. The right lung is clear. The cardiomediastinal silhouette is unremarkable. There are no pleural effusions or focal consolidations.
<unk>-year-old woman status post left upper lobe wedge resection. evaluate postop film.
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Ap portable upright view of the chest. Cardiomegaly is mild with mild to moderate pulmonary edema evidenced by interstitial and pulmonary hilar congestion. No large effusion or pneumothorax is present. No convincing signs of pneumonia. Mediastinal contour appears grossly unremarkable. Bony structures are intact.
<unk>f with chest pain // ?pna, ptx
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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.
history: <unk>m with shortness of breath
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As compared to the previous radiograph, there is no relevant change. Elevation of the right hemidiaphragm with bilateral relatively extensive parenchymal opacities. The appearance of these opacities and their distribution suggests atelectasis rather than pneumonia. Borderline size of the cardiac silhouette. Tortuosity of the thoracic aorta. No pleural effusions. No pneumothorax.
worsening respiratory distress, evaluation.
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There is no focal consolidation, pleural effusion or pneumothorax. There is minimal atelectasis at the bases. Median sternotomy wires and clips in the left chest are seen from prior cabg. Mild degenerative changes of the thoracic spine are present.
fevers, bilateral crackles, question chf.
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In comparison with study of <unk>, there has been some decrease in the consolidation at the right base. Continued mild enlargement of the cardiac silhouette with evidence of pulmonary edema. The tip of the endotracheal tube measures approximately <num> cm above the carina. Swan-ganz catheter from the femoral region extends to the right pulmonary artery.
pulmonary edema.
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The endotracheal tube terminates approximately <num> cm from the carina. Enteric tube terminates in the stomach.no strong evidence for pulmonary edema. Reticulonodular opacity at the right lung base likely represents infection. Cardiomediastinal contours are normal. No pleural effusion. Remote right posterior fourth and fifth rib fractures are noted.
history: <unk>f with intubation. evaluate for tube placement.
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Patient is status post median sternotomy and cabg. The heart is top normal in size. The mediastinal silhouette is unchanged. The lungs are mildly hyperinflated. There is no focal consolidation, pleural effusion, or pneumothorax. Degenerative changes are noted along the thoracic spine and an old rib deformity is seen on the left.
<unk>-year-old female patient with fever, dysphagia. study requested for evaluation of pneumonia and/or infections.
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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.
history: <unk>m with fever // pna?
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Re- demonstrated is extensive subcutaneous emphysema over the left chest wall and neck. The <num> left chest tubes are present and unchanged. There is stable appearance of the small left pneumothorax without evidence of tension. Mild left basilar atelectasis. The size and appearance of the cardiomediastinal silhouette is unchanged.
mr. <unk> is a <unk>-year-old gentleman with a history of alpha-<num> antitrypsin deficiency and severe emphysema (on <num>l home o<num>) who was discharged on <unk> after endobronchial valve placement (<unk> trial) who re-presented with shortness of breath and was found to have a large left pneuothorax. // ?interval
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Endotracheal tube is in standard position, terminating <num> cm from the carina. An enteric tube tip is noted within the stomach. Multiple clips are demonstrated at the gastroesophageal junction. Cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Streaky atelectasis is seen within the lung bases, likely due to low lung volumes. No focal consolidation, pneumothorax, or pleural effusion is demonstrated. No acute osseous abnormalities present.
history: <unk>m intubated; check tube placement
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In comparison with the earlier study of this date, there has been a right thoracentesis with substantial removal of pleural fluid. No evidence of pneumothorax. Some residual pleural fluid with basilar atelectasis persists. Otherwise, little change.
thoracentesis, to assess for pneumothorax.
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As compared to the previous radiograph, the patient has undergone mediastinoscopy. There is no evidence for the presence of a pneumothorax. Irregular contour at the level of the right hilus. A single right-sided clip is seen paralleling the lateral tracheal wall. No pleural effusions. No signs suggestive of hilar lymphadenopathy are present on the lateral radiographs.
status post mediastinoscopy, evaluation for interval change.
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Ap view of the chest. The lungs are clear of focal consolidation or large effusion noting that the left lateral costophrenic angle is excluded from the field of view. The cardiomediastinal silhouette is stable. Degenerative changes seen at the right shoulder as well as posttraumatic changes of prior left ac joint separation.
<unk>-year-old male with chest pain.
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There is overall stable appearance of the chest from <unk> with loculated right pleural effusion extending over the apex and opacification of the right lower lobe which was demonstrated to be a postobstructive consolidation on the pet-ct yesterday. There is stable enlargement of the cardiac silhouette. No pneumothorax.
<unk>f with metastatic lung ca and known right pleural effusion with dyspnea // assess for pna, worsening effusion
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Bilateral diffuse pulmonary opacities consistent with moderate pulmonary edema in a patient with cardiogenic shock. Moderate cardiomegaly is noted. The intra-aortic balloon pump tip terminates at the aortic arch.
<unk> year old man with stemi, cardiogenic shock with iabp // eval for pulm edema, iabp placemnet
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Ap and lateral chest radiographs. There is no focal consolidation or pneumothorax. Mild pulmonary vascular congestion is similar to priors. There has been improvement of the bilateral pleural effusions. The heart size is top-normal. Compression fracture of a upper thoracic vertebra is unchanged from <unk>.
history: <unk>m with acute cholecystitis // acute process, pre-op
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Compared to chest radiograph from the same date, cardiomediastinal contours have slightly increased. Diffuse heterogeneous opacities persist throughout both lung have progressed s. Interval worsening of more focal opacities in the right middle lobe and left lower lobe partially obscuring the right heart border and left hemidiaphragm, have also worsened. Support devices are unchanged and in good position.
<unk> year old man with hypoxic respiratory failure with worsening hypoxia // eval for change
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Ett terminates <num> cm above the level of the carina. An enteric tube is seen courseing below the diaphragm, terminating in the proximal stomach. There is prominence of the right hilum with suggestion of retraction seen. There is also opacity projecting over the right lung apex, as was also the case on the prior study. There appears to be volume loss in the right lung with elevation of the right hemidiaphragm as well. Areas of opacity in the right mid to lower lung appear somewhat increased and there is suggestion of right perihilar air bronchograms. There is slight blunting of the right costophrenic angle, which may be due to trace effusion or pleural thickening. The left lung is clear. No pneumothorax is seen. The cardiac silhouette is mildly enlarged.
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Lung volumes are normal. There is central vascular congestion with minimal interstitial pulmonary edema. Opacity within the right middle lobe has improved since prior study and suggests atelectasis, less likely infection. Trace right pleural effusion. No pneumothorax. Mild cardiomegaly is unchanged. There is mild unfolding of the thoracic aorta with calcification at the aortic knob. Otherwise, mediastinal contours are unremarkable. No compression deformity in the thoracic spine is visualized on the lateral view.
<unk>f with doe // sob
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There is no pleural effusion, focal consolidation or pulmonary vascular congestion. There is mild linear atelectasis at the left lung base. There is no evidence of acute infectious process. There is a moderate hiatal hernia, in the thoracic esophagus is mildly distended with air. The aorta is tortuous.
<unk> year old woman with history of smoking, worsening cough for one week increased fatigue ? rll consolidation // pls eval for pna or other infectious process
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The patient is status post sternotomy. The heart appears mildly enlarged. The pulmonary vasculature shows diffuse moderate prominence with ill definition to vascular margins suggesting pulmonary edema. There is no pleural effusion or pneumothorax.
dyspnea on exertion.
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Interval removal of endotracheal tube. Persistent cardiomegaly, but slight improvement in degree of pulmonary vascular congestion. Persistent small pleural effusions and adjacent basilar opacities which likely reflect atelectasis.
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A new right internal jugular central venous catheter tip terminates in the proximal right atrium. No pneumothorax is visualized. Remainder of the chest is unchanged. The cardiac, mediastinal and hilar contours are unremarkable. Persistent patchy bibasilar opacities are re- demonstrated with small bilateral pleural effusions.
central line placement.
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The lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. A right-sided central line ends in the lower svc.
<unk>-year-old female with right internal jugular line placement. evaluate for placement or pneumothorax.
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Single portable view of the chest. Endotracheal tube tip is approximately <num> cm from the carina. Enteric tube is seen within the esophagus however folded in the region of the lower esophagus and extends with its tip overlying the pharynx. Increased interstitial markings seen throughout the lungs and streaky right basilar opacities identified. Cardiomediastinal silhouettes within normal limits for technique.
<unk>f with intubated // eval tube
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The right pleural effusion has decreased in size compared to the prior study. There is a persistent airspace opacity in the right mid lung. Atelectasis at the left base is also unchanged. There is no pneumothorax. Heart size is mildly enlarged and unchanged. A right chest tube is unchanged in position. The vp shunt is unchanged.
followup evaluation in a patient with effusion.
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In comparison with the study of <unk>, there are lower lung volumes which accentuate the prominence of the transverse diameter of the heart. Mild tortuosity of the aorta without vascular congestion or acute focal pneumonia. There has been interval insertion of a biventricular pacer device with leads extending to the region of the right atrium, apex of the right ventricle, and coronary sinus. No evidence of pneumothorax.
cardiomyopathy with a pacer insertion.
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Patient is status post median sternotomy and cardiac valve replacements. The cardiac knee and mediastinal silhouettes are stable. No pleural effusion or pneumothorax is seen. There is moderate pulmonary edema.
history: <unk>m with chest pain // eval cardiomegaly, infiltrate
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There is a retrocardiac opacity which obscures the left hemidiaphragm concerning for pneumonia. There is no evidence of pneumothorax. Small left pleural effusion is noted. Large <unk>.<num>-cm (craniocaudal) left-sided pleural based lateral opacity may represent a loculated pleural effusion.
history: <unk>m with fever and cough // pneumonia?
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Pa and lateral chest views were obtained with patient in upright position. There is moderate cardiac enlargement. The configuration suggests prominence of the left ventricular contour to the left and posteriorly as well as a moderate enlargement of the left atrium with some right-sided intracardiac double contour straightening of the left heart border. A permanent pacer is in left anterior axillary position, seen to be connected to a single intracavitary electrode terminating in a position compatible with the right ventricle. The pulmonary vasculature shows a mild upper zone redistribution pattern; however, no interstitial or alveolar edema is identified. On the other hand, the marked irregular distribution of the pulmonary vessels in the periphery, coinciding with local areas of increased translucency and low position, flattened diaphragms is suggestive of copd. Acute parenchymal infiltrates, however, cannot be identified. There is no pneumothorax in the apical areas. In comparison with the next preceding chest examination of <unk>, the at that time postoperative existing left-sided chest wall emphysema has absorbed. Also, the left basal postoperative linear small atectatic densities have normalized. Also, noteworthy in comparison with the previous study is that the, at that time existing more marked cardiac enlargement and the bilateral small amount of pleural effusions have disappeared.
<unk>-year-old female patient status post vats left lower lobe wedge resection on <unk>. evaluate for interval change.
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Comparison is made to prior study from <unk>. There are low lung volumes due to poor inspiratory effort. There is blunting of bilateral costophrenic angles suggestive of small pleural effusions. There is some atelectasis versus developing infiltrate at the right base. Cardiac silhouette is within normal limits. The visualized lung apices are clear.
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Pa and lateral chest radiographs were obtained. The lungs are well inflated and clear. No effusion, pneumothorax, or focal consolidation is present. The cardiac and mediastinal contours are normal.
<unk>-year-old woman with bradycardia.
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Single portable upright chest radiograph demonstrates an enlarged heart with consolidation involving the left lower lobe and along the left lateral pleural surface. Interstitial markings are prominent within bilateral lungs though greater within the left upper lobe. Opacification involving the left apex is additionally present. Findings are concerning for pleural based process including neoplasm. Rib fractures involving the right <num>, <num>, and <unk> th ribs noted. Imaged upper abdomen is unremarkable. There is no pneumothorax.
<unk> year old woman with mm, here with sob // pna
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The lungs are hyperexpanded, but clear. No focal consolidations to suggest pneumonia. The heart is top-normal in size. No pulmonary edema. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with chest pain // chest pain
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The lungs are well-expanded and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.
<unk>f epigastric pain. assess for cardiopulmonary change.
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There is interval removal of the dual lumen central venous catheter. Heart size is normal, and cardiomediastinal contours are within normal limits. Lung fields are clear with no focal infiltrates, pleural effusions, or pneumothorax. Bony structures are intact.
multiple myeloma, productive cough, ? pneumonia.
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Pa and lateral views of the chest were provided. Midline sternotomy wires are again seen along with mediastinal clips. There is a tiny right pleural effusion. Otherwise, the lungs are clear. No signs of edema or pneumonia. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no consolidation, effusion, or pneumothorax. The cardiac and mediastinal contours are normal. There is no anterior thoracic opacity corresponding to the density seen on the prior thoracic spine film.
<unk>-year-old man with an opacity noted in the anterior thorax.
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Right picc is again noted with tip in the right atrium. Lung volumes are low and the left costophrenic angle is excluded from the field of view. There is likely bibasilar atelectasis although the upper lungs are grossly clear. Lung apices are obscured by patient's chin. Tracheostomy tube is in appropriate position. Atherosclerotic calcifications seen at the aortic arch.
<unk>f with recent trach, has picc in r arm // ? r picc placement
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No focal consolidation, pleural effusion or pneumothorax identified. Re- demonstrated are multiple well-defined dense nodules consistent with prior granulomatous exposure. The size of the cardiomediastinal silhouette is within normal limits.
<unk> year old woman with evidence of granulomatous disease in the past on cxr // ?interval change
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A new tracheostomy tube terminates <num> cm above the carina. Aeration of the lungs is improved. Right basilar atelectasis is unchanged. The unchanged left lower lobe consolidation may be due to atelectasis or infection. Prominent bilateral pulmonary arteries, calcified nodes in the neck, and partially visualized cervical spine hardware are unchanged.
<unk> year old woman with airway edema. evaluate for effusion, pneumothorax, atelectasis.
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There are no acute skeletal abnormalities.
<unk>-year-old man with psoriatic arthritis, rule out infiltrate.
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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.
hiv, cough and fever.
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Pa and lateral views of the chest provided. Multiple known lung nodules are better visualized on prior ct chest. There is no convincing evidence of pneumonia or edema. Cardiomediastinal silhouette appears similar with mediastinal prominence reflecting known right hilar and suprahilar mass. Aortic calcifications again noted. Bony structures appear grossly intact.
<unk>f with metastatic lung cancer, nausea/vomiting, on chemo // eval for infection
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The lungs are clear. Cardiac silhouette is top normal. There is no pleural effusion or pneumothorax. There is no pulmonary edema.
three days of cough.
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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. Mild degenerative changes are noted along the mid thoracic spine. There is been no significant change.
chest pain and cough.
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Right right-sided hickman catheter is in the mid svc. The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. Calcified right breast implant. No pneumonia, no pulmonary edema. No pleural effusions.
<unk> year old woman with multiple medical problems, with hickman catheter in place for tpn for short-gut syndrome due to radiation enteritis. presenting with fever and abdominal pain // please assess for evidence of pneumonia, and for location of hickman catheter
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A dobhoff type tube is present, with radiopaque tip overlying the expected site of the gastric body. Note is made that there appears to be a central wire within a catheter, with a radiolucent segment between the central linear density and the radiopaque tip of the catheter. An additional vertically oriented catheter probably represents portion of the dobhoff outside the patient. A right subclavian picc line is present -- the tip is partially obscured by the other catheter, but likely lies at the svc/ra junction similar to the prior study. No obvious pneumothorax is identified, though as noted, the extreme upper edge of the apices is excluded. The lungs are grossly clear, with minimal atelectasis at the left lung base. No free air seen beneath the diaphragm. A partially visualized bowel gas pattern is grossly unremarkable. Mild sigmoid scoliosis of the thoracolumbar spine, with rotary component in the lumbar spine, is suggested.
<unk> year old woman with eating disorder // placement of ngt
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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.
history: <unk>f with epigastric pain // eval acute process
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Slightly low inspiratory volumes, with slight patient rotation. A port-a-cath type catheter is present. On today's exam, the tip overlies the proximal svc. The cardiomediastinal silhouette is grossly unchanged. Linear density projecting over the cardiac silhouette to the right of midline appears to correspond to density seen on the <unk> ct scan (<time> from that exam) and may represent some postoperative material. Vague focal density along the right chest wall inferiorly appears represent changes around a possibly ununited fracture of the right (?) <num>th rib. This appearance is seen on the <unk> radiograph and is not thought to be acute. No chf, focal infiltrate, consolidation, or effusion is identified.
<unk> year old woman with tbm, recurrent tracheitis on inhaled tobramycin, atypical cf (has cf gene mutation but no clinical s/s). now with reported productive cough per patient. she has not brought up any sputum yet. she is afebrile, and hemodynamically stable. // eval for infection
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Pa and lateral views of the chest were provided. Lung volumes are low and there is mild stable right hemidiaphragmatic elevation. There is subsegmental right and left lower lung atelectasis without definite signs of pneumonia, chf, pleural effusion, or pneumothorax. Overall, cardiomediastinal silhouette appears stable with top normal heart size. Bony structures are intact. Clips in the right upper quadrant noted.
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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. Bony structures are unremarkable.
shortness of breath and chest pain.
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Ap portable upright view of the chest. Suture material again noted in the left suprahilar region. The left chest tube tip projects near the left pulmonary hilum. There is interval re-expansion of the left lung without discernible pneumothorax. Right lung remains clear. Subcutaneous emphysema noted along the left chest wall and in the low left supraclavicular region.
<unk> year old woman s/p lul // ptx with ct on waterseal, please check portable film with ct on suction
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Redemonstrated is elevation of the right hemidiaphragm with adjacent pleural thickening and several surgical clips, which appear unchanged from the prior examination. Lung volumes are low, and bibasilar atelectasis is noted. The upper lungs are grossly clear without lobar consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is unchanged in appearance. Right shoulder arthroplasty is incompletely imaged on today's examination.
history: <unk>f with productive cough, schizophrenia, poor historian // infiltrate suggestive of pneumonia
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Pa and lateral views of the chest are provided demonstrate no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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Frontal and lateral views of the chest demonstrate no focal consolidations to suggest pneumonia. There is stable left lateral subpleural scar and rounded opacity likely relating to old rib fracture in the right midlung. There is a nodule projecting over the seventh right rib anteriorly, that may represent nipple shadow. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.
<unk> year old man with aml, and increasing cough, evaluate for pneumonia.
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Lungs are low in volume. Metallic density projecting over the right hemithorax is unchanged. Cardiomediastinal silhouette is unchanged allowing for portable technique and low lung volumes. No evidence of edema or focal consolidation is seen.
<unk>-year-old man with palpitations, assess for pneumonia or fluid overload.
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Persistence of a small left apical pneumothorax. The right pleural surfaces are normal. The lung volumes are slightly decreased compared to prior. Increased bibasilar opacities, right > left. A moderate amount of peribronchial coughing likely consistent with mild pulmonary vascular congestion and mild interstitial edema. The cardiomediastinal and hilar contours are stable. The mildly displaced lateral left sixth rib fracture is not as well visualized as on prior chest radiograph.
<unk> year old man with pneumothorax s/p fall. please perform at <num>am // ?interval change, please perform at <num>am
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There is no longer an ekg lead within the upper esophagus instead, on this film, it now projects over the gastric fundus. 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.
status post swallowed ekg lead.
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An endotracheal tube terminates in the in the right mainstem bronchus. An orogastric tube courses below the diaphragm, tip is not included on this examination, but the side hole is well within the stomach. Patient is slightly rotated. The cardiomediastinal and hilar contours are within normal limits. Mild focal rounded prominence of the right mid hilum may reflect an enlarged vessel or lymph node. There is calcification of the aortic knob. Linear opacities are seen within the right lung base, suggestive of atelectasis. Additionally, multiple surgical clips are seen overlying the right lung base. There is blunting of the left costophrenic angle, suggestive of a small pleural effusion. There is prominence of the right hilum. No pneumothorax identified.
status post transfer. evaluate et tube placement.
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Heart size is normal with a left ventricular predominance. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal and the lungs are clear. There is no focal consolidation, pleural effusion or pneumothorax is identified. Severe compression deformity of a mid thoracic vertebral body is unchanged. No acute osseous abnormalities are otherwise seen.
cough, elevated lactate.
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The lungs are well expanded and clear. Mild vascular cephalization might be slightly worsened than baseline when compared with prior radiograph. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old male with chest pain. evaluate for evidence of pneumonia.
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A portable frontal chest radiograph demonstrates interval removal of nasogastric and endotracheal tubes. A left chest tube is unchanged in position. There is no pneumothorax. Bibasilar atelectasis is slightly increased. Apparent widening of the mediastinum is likely secondary to rotation. The remainder of the exam is unchanged.
pneumothorax with chest tube in place. evaluate for interval change.
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There are small bilateral pleural effusions that have increased compared to the study from the prior day. Right-sided mediastinal mass is again visualized. Right-sided picc line with tip just below the cavoatrial junction is again seen. There is mild pulmonary vascular redistribution. There is a new area of right lower lobe volume loss/infiltrate laterally.
lymphoma and mediastinal mass status post biopsy and pericardial window.
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There is atelectasis at the left lung base and left perihilar region. Additionally, blunting of the left costophrenic angle suggests possible small pleural effusion. Right lung is essentially clear. There is no evidence of pneumonia, pulmonary edema or pneumothorax. Mild cardiomegaly is persistent.
<unk> year old man with questionable pneumonia seen on <unk> cxr // r/o pneumonia that may have been seen on <unk>