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lungs are free of focal consolidation. note is made of a small pleural effusion at the left lung base. no pleural effusion on the right. there is no pneumothorax. cardiomediastinal contours are within normal limits. known pericardial effusion is better assessed on the concurrent cta.
history: <unk>f with positional retrosternal pain // evaluate for acute process
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the lungs are clear without consolidation, effusion, or overt pulmonary edema. moderate to severe enlargement of the cardiac silhouette is similar compared to recent exam. atherosclerotic calcifications again noted at the aortic arch. no acute osseous abnormalities.
<unk>m with syncope // eval for acute process
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the cardiac and mediastinal silhouette appear similar compared to the study from <num> days ago. there small bilateral pleural effusions which have slightly increased in the interval. this is particularly apparent on the lateral films. otherwise no significant change. there is no focal infiltrate.
<unk> year old woman with poorly controlled htn, stage <num> ckd, and aortic dissection complicated by bowel eschemia s/p bowel resection with ostomy presenting with hypertensize urgency, edema, fever, bactermic with bacillus on vanc. now with expectorant cough. // ?pneumonia
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in comparison to the prior radiograph on <unk>, there has been interval worsening of the substantial right pleural effusion. aerated portion of the right lung apex is clear. a small pleural effusion is also present on the left, unchanged. there are bibasilar consolidations which most likely represent compressive atelectasis, although infection cannot be excluded in the appropriate clinical setting. no pneumothorax bilaterally. right ij catheter sheath has been removed. no acute osseous abnormalities identified. there are compression deformities involving several thoracic vertebra, which appear unchanged compared to the prior radiograph on <unk>. otherwise no acute osseous abnormalities identified.
<unk>-year-old female with a history of mitral valve clipping, presenting from outside hospital for evaluation of worsening shortness of breath x<num> days.
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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.
chest pain.
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single ap view of the chest provided. patient is status post right upper lobe resection. dobbhoff tube is seen within the proximal stomach. a right picc line ends at the mid svc. diffuse, bilateral alveolar and interstitial opacities are umchanged from the prior examination. no pneumothorax. a small, right pleural effusion appears unchanged. hilar and cardiomediastinal contours are normal.
<unk> year old man with new dobhoff // evaluate positioning
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frontal and lateral views of the chest. the lungs are clear of consolidation or significant effusion noting that is non posterior costophrenic angles are excluded from the field of view on the lateral projection. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected.
<unk>-year-old male with fever.
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the cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. mild s-shaped scoliosis of the thoracic spine is again demonstrated.
<num> weeks of malaise after trip to <unk>.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable.
<unk>m w/ cp. // <unk>m w/ cp.
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lung volumes are similar to prior. bibasal linear opacities are likely scarring or atelectasis. no focal opacities are seen. the heart size is normal and unchanged. thoracic aorta is large and tortuous, unchanged from prior. no pleural abnormality is seen. sternal wires are aligned and intact.
<unk> year old man with chronic cough and congestion. please evaluate for intrathoracic process.
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in comparison with chest radiograph from <unk>, pulmonary edema has mildly improved, though multifocal consolidations in the right lung have probably worsened and may reflect aspiration. there is no pleural effusion or pneumothorax. significant left deviation of the trachea is unchanged and likely suggests thyroid enlargement or mass, though a thoracic aortic aneurysm cannot be definitively excluded based on this study alone.
<unk> year old man with babesios and sob // eval for interval change
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there is persistent right middle lobe atelectasis unchanged from <unk>. there is no focal consolidation, pleural effusion, or pneumothorax. the aorta is torturous. the heart size is within normal limits.
history of copd and worsening shortness of breath.
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lungs are well inflated and clear. cardiomediastinal hilar contours are unremarkable. the heart is not enlarged. no pneumothorax, pleural effusion, or consolidation. no acute displaced rib fractures identified. patient is status post splenectomy, which may account in part for the non-physiologic bowel gas pattern seen in left upper quadrant.
history: <unk>m with chest pain // evaluate for cardiomegaly
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ap and lateral views of the chest. again seen are relatively low lung volumes. there is more dense consolidation in the right middle lobe. there are bilateral pleural effusions, small-to-moderate on the right and small on the left. elsewhere, the lungs are clear. again seen is density projecting over the anterior right first rib, likely at the costochondral junction given persistence of the finding in this region on multiple priors. cardiomediastinal silhouette is unchanged. median sternotomy wires and mediastinal clips are again noted. hypertrophic changes are noted in the spine.
<unk>-year-old male with altered mental status. question pneumonia.
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there has been interval placement of a left port-a-cath which terminates in the superior cavoatrial junction. the lungs are well expanded and clear. some scarring is seen in the right mid-lung, consistent with prior resection. calcified granulomas are again noted in the right lung. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
<unk>m with confusion // infiltrate?
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there is no evidence of a pneumothorax. atelectatic changes are seen at the left lung base in the setting of increased stomach distention and elevation of the left hemidiaphragm. pneumonia cannot be excluded in the left lung. the right lung is clear. no other changes are seen compared to prior exam.
<unk> year old woman with large mediastinal mass, s/p mediastinoscopy, with oxygen requirement // evaluate for pneumothorax, interval change
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the lungs are clear. cardiac silhouette is normal in size. there is no pleural effusion, pneumothorax or pneumonia.
asthma exacerbation, rule out acute process.
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central venous catheter projects from the inferior field of view with tip in the right atrium. the lungs are clear. the cardiomediastinal silhouette is within normal limits. aortic nipple is incidentally noted. no acute osseous abnormalities. left upper extremity graft is noted as well as right upper extremity vascular calcifications versus graft.
<unk>f with cough // evidence of pneumonia
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pa and lateral views of the chest provided. airspace consolidation is noted within the left lower lobe compatible with pneumonia. lungs otherwise clear. no large effusion or pneumothorax. heart size and knee mediastinal contour appears normal. bony structures are intact.
<unk>f with chest pain, cough, fevers // ? acute cardiopulm process, ?
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there is vascular congestion and low lung volumes in the left lung base, possibly due to obstructed airways from aspiration versus retained secretions as atelectasis was seen in the left lung base on the ct from <unk>. central hilar and mediastinal adenopathy including some calcified lymph nodes are better seen on the recent ct from <unk>.
<unk>-year-old female with history of congestive heart failure, possible sarcoidosis, altered mental status and oxygen requirement. evaluate for infiltrate/pneumonia.
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an enteric tube courses below the level of the diaphragm and terminates in the region of the stomach. lung volumes are low and there is bilateral patchy atelectasis. osseous structures are unremarkable.
history: <unk>f with gastric volvulus s/p ng tube placement // og tube placement
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no focal consolidation, edema, effusion, or pneumothorax. the heart is normal in size. mediastinal contours are within normal limits. no acute osseous abnormality.
<unk>-year-old man presenting with cough. evaluate for pneumonia.
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a new endotracheal tube is seen with the tip visualized <num> cm above the carina. mild bronchial wall thickening is noted. otherwise, the lungs appear clear. the cardiomediastinal silhouette and pleural surfaces are normal. no pneumothorax or pleural effusion.
<unk> year old man s/p intubation // tube placement
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cardiomediastinal silhouette and hilar contours are normal. on the lateral view, a subtle nodular opacity projects over the upper anterior mediastinum and a of a shadow projects over the upper middle mediastinum and these findings have no frontal view correlate. lungs are otherwise clear. a small streak of atelectasis is present in the left lung base. there is no pleural effusion or pneumothorax.
cough.
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frontal and lateral radiographs of the chest demonstrate an area of increased opacification of the right lung base which may represent aspiration in the appropriate clinical setting. superimposed right middle lobe infection cannot be excluded. cardiomediastinal and hilar contours are unchanged. there is no pneumothorax, or pleural effusion.
cough. evaluate for pneumonia.
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heart size is normal. the hilar and mediastinal contours are normal. lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. visualized osseous structures are unremarkable.
history: <unk>f with fall, altered mental status // ? pneumonia
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extensive, accentuated and dilated bronchi, most predominant in the right lung, are unchanged. there is slight improvement in aeration of the right lung base. hyperinflation of the left lung is stable. there is no focal consolidation worrisome for pneumonia, pleural effusion or pneumothorax. a nodule seen in the right upper lung is thought to correspond to an area of scarring seen on the prior chest ct (<num>
bronchiectasis and from mac now on antibiotics for <unk> year. evaluate for improvement.
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frontal and lateral chest radiograph demonstrates well expanded and clear lungs. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. no pleural effusion or pneumothorax. limited assessment of the osseous structures are unremarkable and visualized upper abdomen is within normal limits. metallic nipple rings are present bilaterally.
<unk>f with <num> week of cough. assess for pneumonia.
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pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
<unk>-year-old woman with cough for <num> week.
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as compared to <unk>, a moderate right pleural effusion with adjacent substantial right mid and lower lung opacification is new. compared to more recent ct chest of <unk>, the pleural effusion has increased in size, and note is again made of a small loculated component anteriorly. . right heart border is obscured by the effusion, but cardiomediastinal contours are otherwise stable from the
<unk> year old woman with pleural effusion // eval
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in the interval since the prior study, there has been development of large posterior right upper lobe opacity. findings are concerning for pneumonia. in the prior chest ct from <unk>, a <num> mm spiculated nodule is seen in the posterior right upper lob; conceivable but much less likely, there may have been quite significant growth of the nodule in the interval. also, correlate with any history of intervening procedure. right paratracheal opacity with leftward indentation of the trachea is consistent with patient's known enlarged right lobe of the thyroid. no large pleural effusion is seen in the small amount of pleural fluid along the right lung apex is difficult to exclude. there is no evidence of pneumothorax. the aorta is calcified and slightly tortuous. the cardiac silhouette is not enlarged. there is no overt pulmonary edema.
lung mass with anemia.
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the ett terminates approximately <num> cm above the carina. an ng tube is seen coursing below the diaphragm. hyperinflated lungs. no focal consolidations. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen.
history: <unk>f with confirm tube placement s/p intubation and og tube // confirm tube placement s/p intubation and og tube
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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 cough // r/o pneumonia
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portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. the heart remains stably enlarged. there is dense left basilar opacification, which may represent atelectasis or pneumonia, but is not significantly changed from prior. median sternotomy wires and a left ventricular assist device are in place. a swan-ganz catheter is present with the tip ending in the right pulmonary artery, but its ifnerior loop in the right atium appears to be subluxing into the ivc. there is no pneumothorax.
<unk> year old man s/p heartmate // assess for infiltrates
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patient is status post median sternotomy. postsurgical changes are again noted at the left hemi thorax with left mid lung scarring and left base retrocardiac opacity. there is also right perihilar and infrahilar opacity, similar in distribution compared to the prior ct from <unk> although may be slightly increased, could be due to radiation pneumonitis and superimposed postprocedural change although overlying infection is not excluded. no pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>m with sob // sob
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the lungs are clear. there is flattening of the diaphragms and increased ap diameter indicating hyperinflation. heart size is stable. the mediastinal and hilar contours are stable. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old woman with chronic cough // assess for abnormality
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pa and lateral views of the chest. previous heterogeneous opacity in the left lung has resolved, and substantially cleared from the right lower lung. however, there is a small round opacity at the lateral right lung base. compared to prior study, patient is slightly rotated to the left and this opacity may conform to a similar finding on the previous film. it is unclear whether this is a nodule or residual opacity from prior pneumonia. the cardiac, mediastinal, and hilar contours are normal. there are no pleural effusions.
recent multifocal pneumonia, assess for clearance.
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no previous images. the heart is normal in size, and the lungs are clear without vascular congestion or pleural effusion.
cough.
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mild pulmonary edema is present. left lower lung opacity is likely a combination of small atelectasis and probably a small effusion. right small pleural effusion is presumed. heart size is mildly enlarged, and the pulmonary vasculature is minimally congested. a right central line tip ends at lower svc.
to rule out pneumothorax. acute shortness of breath.
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a left-sided pacemaker projects leads into the right atrium and ventricle. a right picc terminates near the mid svc, obscured by the pacer wires. there is no pneumothorax. small bilateral pleural effusions appear new since <unk>, with adjacent moderate atelectasis. small underlying consolidations at the bases cannot be entirely excluded.
post cabg.
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pa and lateral views the chest provided. lung volumes are low limiting assessment. there is a right upper extremity access picc line with its tip terminating in the mid svc region. the lungs are clear without large effusion or pneumothorax. cardiomediastinal silhouette is unchanged. no large pneumothorax.
<unk>-year-old female with picc line assess position.
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heart size and mediastinum are overall unremarkable. lung volumes are very low. there is no pulmonary edema. minimal bibasal atelectasis is noted and potentially left pleural effusion.
<unk>m pod#<unk> s/p lap chole with persistent tachycardia, increased wbc, desats when ambulatory to <num>s // assess for pna
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pa and lateral views of chest demonstrate clear lungs. there is no pneumonia, pulmonary edema, pneumothorax or pleural effusion. the heart size is normal.
abdominal pain and fever
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the lungs are well-expanded and grossly clear. there is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia. the cardiomediastinal silhouette is unremarkable.
history: <unk>f with fever and cough // ?pneumonia
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compared to recent exam, the degree of edema has not significantly changed. right midlung opacity on prior has decreased in the interval. there are small bilateral pleural effusions. cardiac enlargement is similar to prior. atherosclerotic calcifications again noted at the arch. degenerative changes seen at the left shoulder.
<unk>f with chest pain // eval infiltrate, chf
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lung volumes are low, accounting for bronchovascular crowding. no focal opacities are identified. there are moderate bilateral pleural effusions. there is no pneumothorax. healed rib fractures in the right. csf shunt catheter seen traversing along the right hemi thorax, ending just below the right hemidiaphragm margin.
preoperative assessment.
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frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with fever // eval for pna
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. minimal reticular and linear upper lobe opacities appear unchanged from the previous examination. remainder of the lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old man with etoh cirrhosis and elevated bilirubin // assess for pneumonia
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there are fractures of the posterior left <unk> and <num>th ribs, as well as multiple other fractures which are not well seen. the degree of displacement in the <num>th rib fracture appears more pronounced. there is a moderate left pleural effusion, which has increased in size from one week ago. in addition, on the lateral view, the sharp demarcation between the opacity and aerated lung raises concern for left lower lobe collapse. moderate cardiomegaly is unchanged. there is no pneumothorax. pulmonary vascularity is normal.
<unk>-year-old man with history of multiple myeloma, presenting with left-sided chest pain and a history of known rib fractures. evaluate for pneumonia, atelectasis,
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pa and lateral chest radiograph demonstrates clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion, pneumothorax, or evidence of pulmonary edema.
history: <unk>f with chest pain pls eval for pna vs edema // history: <unk>f with chest pain pls eval for pna vs edema
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mild bibasilar reticular opacities are seen which could be due to chronic lung disease versus aspiration. no pleural effusion or pneumothorax is seen. the aorta is tortuous. the cardiac silhouette is top-normal to mildly enlarged.
history: <unk>m with a flutter // evidence pneumonia
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pa and lateral views of the chest provided. midline sternotomy wires and mediastinal clips are again noted. 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> year old woman with history of sternotomy in <unk>, now c/o pain over site with // r/o wire migration
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the lungs are clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>m with exertional cp, back pain // please eval for pna, heart size
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rib fractures are again seen in the lateral aspect of the seventh, eighth, and ninth right ribs, which are now more closely approximated than in prior study. there is no pneumothorax. there is right greater than left basilar atelectasis with small pleural effusion on the right. the right hemidiaphragm is stably elevated. the cardiomediastinal silhouette is stable and within normal limits. the pleural surfaces are unremarkable.
<unk>-year-old male with rib fracture.
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pa and lateral chest radiographs. there is no focal consolidation, pleural effusion or pneumothorax. the pulmonary arteries are prominent, similar to prior radiograph. the cardiac size is normal.
possible right lower lobe pneumonia.
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ap view of the chest provided. . there is no focal consolidation. cardiomediastinal and hilar contours are normal. the pleural surfaces are normal.
<unk> year old man admitted with seizure, now new fever and new wbc.
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the airway stent is not well visualized. the right upper lobe opacity has minimally decreased. the background anterior, right hilar and right lower lobe pleural masses are stable, within right middle lobe volume loss. there is scarring in left lateral. the cardiac silhouette remains enlarged unchanged. no pneumothorax. multiple rib deformities are seen the left.
<unk> year old woman with rms placement, r/o atelectasis // rms stent placement
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the endotracheal tube is appropriately positioned, ending <num> cm above the level of the carina. an enteric catheter courses below the level of the diaphragm and out of the field of view inferiorly. there is minimal left lower lung linear atelectasis. the lungs are otherwise clear. the heart size is top normal, exaggerated by position and technique. the mediastinal contours are normal. there are no definite pleural effusions. no pneumothorax is seen.
altered mental status, status post intubation. evaluate for pneumonia.
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frontal and lateral views of the chest. the lungs are clear. please note that the lateral most aspect of the right costophrenic angle is excluded from the field of view. cardiomediastinal silhouette is within normal limits. thoracic dextroscoliosis is again seen with partially visualized posterior fixation hardware spanning the thoracolumbar spine. no acute osseous abnormalities.
<unk>-year-old female with chest pain.
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chronic interstitial fibrosis is severe. left-sided transvenous pacer has leads ending in the right atrium and right ventricle. there is no focal consolidation concerning for pneumonia. no pleural effusion or pneumothorax is seen. the heart is mildly enlarged. the mediastinal and hilar contours are normal.
<unk> year old woman with pulmonary fibrosis, p/w cough and increasing secretion // r/o pneumonia
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chest, ap and lateral. the opacity seen on the prior radiograph in the right lower lobe has minimally worsened. the upper lungs are clear. a small left pleural effusion is unchanged. cardiomegaly is chronic. there is mild pulmonary edema. the patient is status post mitral valve replacement and cabg. there is no pneumothorax.
fever and recent admission for pneumonia.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. an interstitial abnormality has resolved. there are no pleural effusions or pneumothorax. bony structures are unremarkable aside from slight rightward convex curvature centered along the upper to mid thoracic spine and very small upper spinal osteophytes.
chest pain.
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mild to moderate cardiomegaly is similar to prior. cardiomediastinal contours are stable. lung apices are obscured by the patient's chin. pulmonary vasculature is indistinct, compatible with edema. bibasilar streaky opacities are consistent with atelectasis. the left costophrenic angle is obscured, compatible with a small effusion. no pneumothorax. osseous structures are unremarkable. no radiopaque foreign body.
hypoglycemia and recent falls.
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large right pleural effusion is inseparable from known anterior chest wall mass. known hilar and mediastinal lymphadenopathy and pulmonary nodules/masses have increased in size, better evaluated on most recent chest ct from <unk>. no pneumothorax is seen.
<unk> year old woman with met breast cancer. increase in doe and cough // please assess for disease progression vs other etiology
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there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are unchanged. the hilar structures are unremarkable. old right rib fractures are again noted.
syncope.
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lung volumes are low. this accentuates the cardiac silhouette size which appears mildly enlarged. crowding of the bronchovascular structures is demonstrated with possible mild pulmonary vascular congestion. patchy opacities in the lung bases likely reflect areas of atelectasis. no pleural effusion or pneumothorax is present. the mediastinal contours are unremarkable. no acute osseous abnormalities demonstrated.
history: <unk>f with hypotension
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the heart size is within normal limits and mediastinal contours demonstrate a tortuous aorta. the right lung is clear, and the left lung demonstrates a small persisting pleural effusion with minimal associated atelectasis. there is no pneumothorax. these findings are similar to prior exam.
<unk>-year-old male with left-sided empyema status post vats decortication.
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ap view of the chest provided. there is now partial opacification of the left hemithorax, concerning for increased layering pleural effusion. in addition, there is left lower lobe atelectasis. there appears to be new slight mediastinal shift to the left, however this may be due to the slight obliquity of the patient. right lung is unchanged. new swan-ganz catheter is seen terminating in the left pulmonary artery. impella catheter courses to the region of the left ventricle. endotracheal tube terminates approximately <num> cm above the carina. left-sided chest tube and transcutaneous atrial biventricular pacer defibrillator leads are in unchanged positions. there is no pneumothorax.
<unk> year old man with vt storm s/p vt ablation and impella // confirm line placements, et tube, <unk>, impella
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the lungs are clear. the pleural and mediastinal surfaces are normal. moderate cardiomegaly is stable since <unk>.
history: <unk>f with dyspnea // acute process?
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the patient is status post median sternotomy and cabg. left-sided aicd/pacemaker device is noted with leads terminating in the right atrium, right ventricle, and likely in the region of the coronary sinus. moderate enlargement of cardiac silhouette size is present. the aortic knob is calcified and the aorta is unfolded. hazy ill-defined opacity in the right hemithorax could reflect asymmetric pulmonary edema, though infection or aspiration is not excluded. blunting of the left costophrenic sulcus is suggestive of a small pleural effusion. streaky retrocardiac opacity could reflect atelectasis. there is no pneumothorax. multiple fractures are noted in the right-sided ribs which appear remote. dense arterial calcifications are noted within the upper abdomen.
shortness of breath.
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pa and lateral chest radiographs were provided. the lungs are hyperexpanded and there is prominence of interstitial markings consistent with copd. there is no focal consolidation, pleural effusion, or pneumothorax. a calcified granuloma is present in the left upper lobe. cardiomediastinal silhouette is normal and unchanged from the prior radiograph. osseous structures demonstrate no bony abnormality.
<unk>-year-old man with altered mental status, evaluate for pneumonia.
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multiple right-sided rib fractures are again seen; a fracture through the right lateral <num>th rib appears new compared to most recent prior exam. the lungs are again noted to be hyperinflated. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the aorta is tortuous and calcified. heart and mediastinal contours are stable.
<unk>-year-old female with question of fall <num> days ago, now with right thoracic pain. technique: frontal and lateral chest radiographs were obtained.
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right ij central line tip mid svc. sternotomy weight tavr. cardiac pacemaker. left basilar opacity has improved, consistent with improved atelectasis. small left pleural effusion is stable. improved bilateral perihilar, basilar opacities, consistent with improved edema. improved right pleural effusion. catheter projected over right lower chest.
<unk> year old man with pleural effusion s/p chest tube placement // assess residual pleural effusion and chest tube
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ap single view of the chest is obtained with patient in sitting semi-upright position. analysis is performed in direct comparison with the next preceding pa and lateral chest examination of <unk>. the heart size is within normal limits. the thoracic aorta is moderately widened and elongated but no significant interval change has occurred since the next preceding chest examination of <unk>. the pulmonary vasculature is not congested. no signs of acute infiltrate are present, and the lateral pleural sinuses are free. as shown already on the preceding examination, difference in translucency of the lung bases is explained by the patient's status post left-sided mastectomy.
<unk>-year-old female patient with hypoxia and low oxygen saturation status post surgery.
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ap and lateral views of the chest. no prior. there are increased interstitial markings throughout the lungs, which are age indeterminate. more confluent right basilar opacity is identified. the cardiomediastinal silhouette is grossly within normal limits. atherosclerotic calcifications noted at the aortic arch. vertebroplasty changes are seen at multiple thoracic and lumbar spinal vertebral bodies. there may be anterior dislocation or inferior subluxation at the right glenohumeral joint.
<unk>-year-old female with cough and tachypnea.
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there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal. a left lower lobe granuloma is unchanged from the prior study.
<unk>f with orthopnea, evaluate for pulmonary edema
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a pleural catheter is again seen in the left lung base, with interval decrease in pleural fluid, now trace. the lungs are clear and the heart size and mediastinal contours are stable. right chest wall port catheter tip terminates in the low svc. lucency at the left apex is increased but there is no clear pleural line. attention on follow up is recommended.
<unk> year old man with pleurx // pleurx f/u
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there is a moderate left apicolateral pneumothorax with small basilar hydro-pneumothorax component. the lungs are e clear.the cardiac, hilar and mediastinal contours are normal. no rib fractures.
history: <unk>m with l sided sharp chest pain.
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the heart is enlarged, and there is moderate pulmonary edema. there are no pneumothoraces. an endotracheal tube terminates in appropriate position, and the nasogastric tube terminates below the view of this radiograph.
<unk>-year-old male with dyspnea, cardiogenic shock
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the lungs are moderately well inflated. again identified is a dense left retrocardiac opacity silhouetting the left hemidiaphragm compatible with left lower lobe atelectasis versus consolidation. et tube terminates approximately <num> cm above the carina at the level of the clavicles an could be advanced by approximately <num> cm. the weighted feeding tube terminates in the distal stomach. another enteric tube terminates in the proximal stomach. the right renal cases are opacified by contrast, likely related to a prior intravenous exam.
et tube placement and advancement.
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the patient is status post median sternotomy, cabg and aortic valve replacement. heart size is mildly enlarged. the aorta is tortuous and diffusely calcified. mediastinal and hilar contours are otherwise unremarkable. there is no pulmonary edema. streaky opacities in the lung bases likely reflect atelectasis. no focal consolidation, pleural effusion or pneumothorax is visualized. there are multilevel degenerative changes in the thoracic spine.
increasing palpitations.
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compared with prior radiographs on <unk>, the previously seen right-sided inferior lateral hydropneumothorax is smaller than previous, and again contains an air-fluid level. again seen is a small left pleural effusion. a right lower chest tube is unchanged in position. there is no new focal consolidation. the cardiac and mediastinal silhouettes are unchanged.
<unk> year old man with cirrhosis, bilateral pe and exudative effusion // eval pulm effusion, chest tubes; please do in am for ct surg to eval
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the lungs are clear. on the lateral projection one can see the right anterior diaphragmatic pleural contour is elevated and flattened, obliterating the anterior sulcus. this could be due to a small, residual loculation of previously large pleural effusion, or pleural thickening. the left basal pleural surface is normal. small areas of right costal pleural thickening reflect prior pleural insult. cardiomediastinum is within normal limits and stable.
<unk>-year-old male with a history of renal cell carcinoma and status post partial right nephrectomy. study is to evaluate for a possible lung metastasis.
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lordotic positioning. heart size at the upper limits of normal, with slight left ventricular configuration. aorta slightly unfolded. there is borderline upper zone redistribution, but no overt chf. no focal infiltrate or effusion is identified. incidental note made of prominent degenerative changes in the visualized portion of the lower cervical spine. mild t-spine degenerative changes noted.
<unk> year old woman with sah // pre op for angio surg: <unk> (cerebral angio)
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sternal wires, valve prosthesis, cardiac device, and mild cardiomegaly are unchanged. there is new left lower lobe infiltrate and small left effusion. there is also a small right effusion.
low-grade fever.
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cardiac silhouette remains enlarged. mediastinal contours are stable. the lateral views are suboptimal due the patient's overlying arm. given this, there may be trace pleural effusions. subtle increase in opacity projecting over the right hemi thorax as compared the left is felt to most likely be technical. multiple surgical clips seen projecting over the lower cervical region suggest prior thyroidectomy.
history: <unk>f with fall // fx?
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. there is a normal postoperative appearance status post right upper lobectomy. there is no focal consolidation, pleural effusion or pneumothorax.
<unk> year old man with nsclc and cough, ? pna // <unk> year old man with nsclc and cough, ? pna
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inspiratory volumes are slightly low. the heart is not enlarged. the cardiomediastinal silhouette is unchanged compared with <unk>. mild upper zone redistribution, without overt chf. no focal infiltrate or effusion is detected. the left anterior seventh rib has an unusual configuration, in that the superior border/ cortex is indistinct, new compared with <unk>. other visualized ribs are within normal limits. mild degenerative changes of the thoracic spine are noted.
<unk> year old man with cough x <num> week // evaluate for pneumonia
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>f with cough, fevers. evaluate for pneumonia
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single upright portable view of the chest demonstrates hyperexpansion of the lungs with flattening of the hemidiaphragms, as before, with slight interval increase in bibasilar opacities, possibly atelectasis or aspiration or infection. the heart and cardiomediastinal silhouette are unchanged. no pleural effusion or pneumothorax is detected.
<unk>-year-old man with copd and worsening hypoxia. evaluation for pulmonary edema.
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there is mild cardiomegaly. . the mediastinal contour is stable. lung volumes are low resulting in mild basilar atelectasis. there is no consolidation or pleural effusion. a left upper lobe granuloma is stable over multiple prior studies, dating back to the ct scan of <unk>.
history: <unk>f with cough, sob // ?pna
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pa and lateral views of the chest provided. there has been interval removal of the right ij central venous catheter. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is stable with mild cardiomegaly. imaged osseous structures are intact. dish related changes of the t-spine noted. no free air below the right hemidiaphragm is seen.
<unk>m with fever post renal xplant // eval pneumonia
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severe hyperexpansion is consistent with underlying copd. there is moderate pulmonary vascular congestion and associated mild to moderate interstitial pulmonary edema. bilateral pleural effusions are small. a mildly displaced anterior left eighth rib fracture is acute or subacute. dextroscoliosis of the lower thoracic spine is severe. there is moderate to severe cardiomegaly and tortuosity of the descending aorta. there is focal eventration and elevation of the left hemidiaphragm. demineralization is moderate to severe. allowing for scoliosis, the cardiomediastinal silhouette is within normal limits.
<unk>f with hypoxia, likely choledocholithiasis evaluate for 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.
<unk>f with abdominal pain // ?free air
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cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal and the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
left-sided chest pain, cough
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the heart is normal in size. the mediastinal and hilar contours are unremarkable. the lungs are well-expanded. there is evidence of an opacity in the right lower lung consistent with pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
<unk>-year-old female who presents for evaluation of neutropenic fever.
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the tip of the right internal jugular central venous catheter extends to the mid svc. retrocardiac opacity likely reflects a combination of pleural fluid and atelectasis/ consolidation. a small layering right pleural effusion is also noted. no pneumothorax. the size the cardiomediastinal silhouette is unchanged. no evidence of pulmonary edema.
<unk> year old woman with <num>v cad, now with rising leukocytosis // evidence of pneumonia
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there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities are identified. a left paravertebral opacity at the level of the mid thoracic spine represents a prominent osteophyte.
history: <unk>m with sob and cough // pneumonia?
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the heart size is within normal limits. the mediastinal and hilar contours appear unremarkable. minimal retrocardiac consolidation is present. there is no large pleural effusion or pneumothorax.
<unk>-year-old male with swelling and infection of the left foot and toe, in need of a pre-operative chest radiograph.
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heart size likely is moderately enlarged but difficult to assess given the presence of moderate bilateral pleural effusions, increased from the prior exam. bibasilar airspace opacities may reflect compressive atelectasis. there is mild to moderate pulmonary edema. no pneumothorax is identified. there are no acute osseous abnormalities.
shortness of breath.