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lungs are well expanded. heart appears normal in size and configuration. trachea is midline. thoracic aorta appears to be tortuous. cardiomediastinal contours are otherwise unremarkable. there is minimal platelet atelectasis over both bases. lung fields are otherwise clear with no evidence of focal infiltrates. no pleural effusions and no pneumothorax. bony structures are intact.
<unk>-year-old gentleman with metastatic hepatocellular carcinoma to the lung, recently complaining of chest pain. history of right atrial thrombus. rule out worsening metastatic disease or other cardiopulmonary process.
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cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation.
<unk>-year-old man with altered mental status and low back pain, evaluate for pneumonia
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ap portable upright view of the chest. right ij access dialysis catheter again seen with its tip in the region of the low svc. lungs are clear. there is no focal consolidation, effusion, or pneumothorax. no signs of congestion or edema. no signs of pneumomediastinum. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk>f with hematemesis // eval for consolidation
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the cardiac, mediastinal and hilar contours appear stable including borderline cardiomegaly. there is no pleural effusion or pneumothorax. the lungs appear clear.
weight loss and fatigue.
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heart size is normal. mediastinal and hilar contours are unremarkable. mild atherosclerotic calcifications are noted at the aortic knob. pulmonary vasculature is normal. lungs are hyperinflated without focal consolidation, pleural effusion or pneumothorax. pleural-parenchymal scarring is noted at the apices bilaterally. there are no acute osseous abnormalities.
history: <unk>f with syncopal episode, bilateral crackles on auscultation
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left-sided aicd/ pacemaker device is re- demonstrated with leads terminating in the right atrium and right ventricle. mild enlargement of the cardiac silhouette is again visualized. the mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is visualized. no acute osseous abnormality is identified
history: <unk>m with chest pain
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single portable supine chest radiograph demonstrates consolidation in the right lung base is unchanged. there is a similar amount of fluid seen layering along the minor fissure, which is chronically elevated from right upper lobe radiation change. there is no pneumothorax. the pulmonary vasculature is normal in appearance. the cardiac silhouette is normal in size, the mediastinal contours remain widened, with loss of the paratracheal stripe, likely the result of prominent mediastinal fat. the patient is intubated, the tip of the endotracheal tube lies <num> cm from the level of the carina. a right ij line is in place, unchanged in position with its tip in the region of the cavoatrial junction. ng tube is in place, the tip is not seen.
<unk>-year-old male with history of lung adenocarcinoma and aspiration pneumonia, evaluate for interval change.
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<num> views were obtained of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart and mediastinal contours are unremarkable with post cabg changes noted.
chest pain.
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et tube tip lies <num> cm above the carina. ng tube tip extends beneath the diaphragm off the film. no pneumothorax is detected. allowing for technical differences, the cardiomediastinal silhouette is unchanged. there is upper zone redistribution and diffuse vascular blurring, consistent with chf. this is more pronounced than on the prior study. allowing for technical differences, the retrocardiac opacity itself is unchanged, but there is some more patchy opacity at the left lung base likely related to this chf. right cardiophrenic opacity appears slightly improved. partially imaged cervical thoracic spine fixation hardware is noted, not fully evaluated.
<unk> year old man with ?aspiration pna // please eval for interval change.
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pa and lateral views of the chest provided. dextroscoliosis of the t-spine is noted with associated deformity of the thorax. allowing for this, lungs are clear. cardiomediastinal silhouette is normal. no acute osseous abnormality.
<unk>f with dyspnea associated with episodes of abdominal pain
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cardiomediastinal silhouette is within normal limits. lungs are clear. there is no pleural effusion or pneumothorax.
history: <unk>m with cp // evidence of pneumothorax
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the et tube, feeding tube, and right ij line are unchanged. the heart continues to be moderately enlarged. there is pulmonary vascular redistribution and hazy ill-defined vasculature compatible with fluid overload. this has a worsened appearance compared to prior. in addition there bilateral hazy lower lobe infiltrates that are also worse compared to prior
<unk>m p/w confusion and transferred from osh with large sah and acomm aneurysm. // interval change in lung volumes
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mid to lower lung interstitial opacities may be due to chronic lung fibrosis and scarring. there is no new parenchymal opacity concerning for pneumonia. the cardiac and mediastinal contours are normal. no pleural effusion or pneumothorax.
chronic bronchiectasis chronic cough. evaluate for pneumonia.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with cirrhoiss, fever // eval for pna
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the et tube is <num> cm above the carina. the left-sided picc line tip is difficult to definitively visualize secondary to patient positioning but is probably just at or below the cavoatrial junction. ng tube and feeding tube tips are in the stomach. there is dense retrocardiac opacity and a hazy right lower lobe infiltrate. compared to the prior study the right lower lobe infiltrate has increased.
<unk> year old woman s/p serial debridement of nec fasc wound with newly placed ett/ngt // position of ett and ngt
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. no displaced fracture is seen.
patient with chest pain. evaluate for infiltrate.
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lung volumes are relatively low in the air is minor basilar atelectasis. no pleural effusion or pneumothorax is seen. subtle lateral right mid lung opacity is seen underlying consolidation possibly due to infection is not excluded. the cardiac and mediastinal silhouettes are unremarkable and stable.
history: <unk>m with confusion, abd pain // eval for pna
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small right pleural effusion is mildly improved since <unk>. previously described right upper lobe opacity has cleared. interstitial reticular opacities and bullae consistent with patient's emphysema, unchanged. bilateral apical scarring, more pronounced on r than left, unchanged. no pneumothorax. cardiomediastinal borders and hilar structures are normal. cardiac size is normal.
<unk> year old woman s/p right video assisted thoracoscopic surgery, pleurodesis for recurrent ptx // eval for interval change
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there are low inspiratory volumes. the cardiomediastinal silhouette is unchanged. there is increased opacity at the left base, consistent with left lower lobe collapse and/or consolidation, possibly slightly worse. there is upper zone redistribution and mild vascular blurring, progressed from the prior film. the right lung base in costophrenic sulcus are grossly clear, except for subsegmental atelectasis. no pneumothorax is detected. again seen are the rib fractures along the left upper chest wall. there is a small amount of newly visible pleural thickening in this area, consistent with edema/hemorrhage.
<unk> year old man with new o<num> requirement s/p vomiting // eval for aspiration pna
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heart size is mildly enlarged, increased since <unk>. mediastinal silhouette and hilar contours are unremarkable. the lungs are clear. the pleural surfaces are clear without effusion or pneumothorax.
cough.
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the lungs are clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. there is no free intraperitoneal air.
<unk>m with epigastric abdomninal pain s/p colonoscopy // eval free air, other acute process
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as compared to the prior examination, there has been no significant interval change in the patient's moderate pulmonary vascular congestion. severe, stable cardiomegaly is again noted. small, bilateral pleural effusions are seen. there is no focal consolidation or pneumothorax identified.
pneumonia, pulmonary edema status post pleurodesis. evaluate for interval change.
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the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is essentially normal. the cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormality is detected.
<unk>-year-old woman with intermittent, left-sided chest pain for the past <num> days, here to evaluate for evidence of heart failure or pneumothorax.
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no focal consolidation, pleural effusion, or pneumothorax is seen. heart and mediastinal contours are within normal limits.
<unk>-year-old male with new shortness of breath.
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there are relatively low lung volumes and mild bibasilar atelectasis. no definite focal consolidation is seen. the cardiac silhouette is top-normal, likely exaggerated by ap technique. the patient is rotated slightly to the right. there aorta is somewhat tortuous. no large pleural effusion or evidence of pneumothorax is seen. old right-sided posterior <num>th rib deformity is again seen.
fever, tachycardia.
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pa and lateral views of the chest. the lungs are clear without consolidation, effusion, or pulmonary vascular congestion. cardiomediastinal silhouette is unremarkable. no acute osseous abnormalities identified.
<unk>-year-old female with pulsatile tender neck mass on the right.
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pa and lateral views of the chest provided. there is mild prominence of interstitial markings, which may represent interstitial pulmonary edema in the appropriate clinical setting. no overt pulmonary edema. 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 chest pain
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there is a known large hiatal hernia. the cardiac silhouette is somewhat enlarged. the aorta is calcified. left base opacity likely relates to consolidation seen on preceding ct. no large pleural effusion is seen. bilateral ground-glass opacity may be infection versus pulmonary edema.
history: <unk>f with pna, atrius pt. sob // pna worsening
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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.
history: <unk>m with hallucinations and hypotension, infx workup and eval for stroke // pna? stroke?
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<num> views were obtained of the chest. the lungs are well expanded with right apical cavity, surrounding scarring and right pleural thickening, better assessed on subsequent chest ct, consistent with a now known prior history of tuberculosis. there is no pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours.
chest pain, assess for pneumonia.
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frontal and lateral views of the chest. lower lung volumes seen on the current exam when compared with prior with secondary crowding of the bronchovascular markings and streaky bibasilar opacities which are most likely atelectasis. there is no evidence of consolidation or large effusion. the cardiac silhouette is enlarged but stable in configuration. the trachea is deviated to the right at the thoracic inlet compatible with underlying left thyroid enlargement confirmed on prior ct scan. no acute osseous abnormality is identified.
<unk>-year-old female with syncope.
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ap upright and lateral views of the chest provided. lung volumes are low. 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, fever // eval pna
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ap view of the chest provided. right apical pneumothorax is stable. right-sided chest tube is seen in unchanged position. substantial right subcutaneous emphysema appears to be slightly more compared to prior study. left subcutaneous emphysema has decreased in the interim.
<unk> year old man with persistent air leak, s/p rml obectomy
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there is new mild cardiomegaly and new hazy ill-defined vasculature with bilateral alveolar infiltrates and small bilateral effusions
<unk> year old man with respiratory distress post-op // new/acute pathology?
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endotracheal tube has been removed in the interim. the ng tube is seen within a markedly distended stomach. low lung volumes are low, which results in crowding of the bronchovascular structures. there is no pleural effusion or pneumothorax. there is no focal airspace consolidation.
subarachnoid hemorrhage. evaluate position of the new ng tube.
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right chest tube is unchanged in positioning compared to prior same day radiograph with side hole close to the lateral intercostal plane. there is a trace right apical pneumothorax. right basilar opacity is unchanged from prior but improved from radiograph <unk>. mildly prominent pulmonary vasculature is unchanged. prominent mediastinal silhouette is unchanged, component of which is likely secondary to low inspiratory volume.
<unk> year old man with chest tube to seal // ?ptx ?ptx
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lungs are clear. the cardiomediastinal silhouette is within normal limits given patient rotation to the left. hypertrophic changes are noted in the spine.
<unk>f with syncope and seizure-like activity // eval for pneumonia
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pa and lateral views of the chest provided. lung volumes are low with bibasilar atelectasis again noted. difficult to exclude a superimposed pneumonia. no large effusion or pneumothorax. heart size appears grossly unchanged. mediastinal contour is normal. bony structures are intact. no free air seen below the right hemidiaphragm.
<unk>f with fever cough sob // eval for worsening pna
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the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.
<unk>f with hyperglycemia // acute process?
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lung volumes are low. redemonstrated is a large right upper lobe paramedian mass, better evaluated on prior ct. linear airspace opacities adjacent to the right hilum is unchanged over multiple prior cts and likely represents scarring. the lungs are otherwise grossly clear without lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
<unk>m with r sided lung adenoca s/p radiation, chemo now w/ presyncopal event
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the cardiomediastinal and hilar contours are stable. sternal wires and an aortic valve replacement are again demonstrated. a left apical pneumothorax is decreased in size from <unk> and is small. a small left-sided chest tube projects over the left hemi thorax. a displaced midclavicular fracture on the left is unchanged. a small left pleural effusion is minimally increased in size. multiple left-sided rib fractures are identified. of note, there is irregularity of the left eighth rib, suggesting possible osseous lesions/pathologic rib fracture.
<unk>m with s/p chest tube // eval for ptx
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the cardiomediastinal and hilar contours are within normal limits. the lungs are hyperinflated suggesting emphysema. no focal consolidation, pleural effusion or pneumothorax is identified. a rounded opacity projecting over the right midlung on the frontal view is most consistent with overlapping structures.
<unk>f with gastric outlet obstruction and pancreatic mass with oxygen requirement // ?consolidation
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right subclavian central line tip upper svc, similar. no pneumothorax. minimal interstitial prominence bilateral costophrenic <unk>, <unk> represent edema, new since prior exam. no consolidations. no pleural fluid.
<unk> year old man with aml getting chemotherapy, cough, ? calcified lung nodules on recent ct, now with fever // eval for pneumonia
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right picc line tip low svc. feeding tube tip below diaphragm, not included on the radiograph. surgical clips upper abdomen. stable left lower lobe consolidation. increased pulmonary vascularity, similar. worsened perihilar opacities, interstitial prominence, from edema. worsened left pleural effusion. right pleural effusion, probably similar. distended partially seen bowel loop upper abdomen.
<unk> year old man with possible aspiration event // ?asp event ?focal consolidation
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pa and lateral views of the chest provided. no free air below the right hemidiaphragm. there is no focal consolidation, effusion, or pneumothorax. there is a nodular opacity in the left mid to lower lung measuring at least <num> mm. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. gas-filled loop of colon noted in the upper abdomen.
<unk>f with surgical abdomen // eval for free air
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cardiomediastinal contours are normal. there are large bilateral pleural effusions right greater than left associated with adjacent atelectasis. the osseous structures are unremarkable
<unk> year old woman with recoverinyg from acute pancreatitis, quite bil breath sounds, some extremity edema // assess for presence/extent of pleural effusions
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two views of the chest demonstrate clear lungs without effusion, or pneumothorax. the cardiac silhouette is normal in size, the mediastinal contours are normal.
<unk>-year-old male with wheezing and fevers, rule out pneumonia.
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study is slightly limited due to the patient's chin obscuring assessment of the lung apices. additionally, the patient is mildly rotated. heart size is mildly enlarged but unchanged. the mediastinal and hilar contours are similar. there is mild pulmonary vascular congestion. patchy opacities in the lung bases could reflect atelectasis but infection cannot be excluded. no large pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
altered mental status, history of liver transplantation.
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lung volumes are low. the heart is mildly enlarged with mild pulmonary edema. there is also a right basilar pneumonia.
<num> day fatigue, febrile, evaluate for consolidation.
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interval removal of a right-sided internal jugular central venous line. multiple metallic clips overlying the superior mediastinum are unchanged in position. lung volumes remain low leading to crowding of the bronchovascular structures. there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
history: <unk>f with hyperglycemia // ? infection
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ap upright and lateral views of the chest provided. diffuse mild ground-glass opacities are seen within the lungs, as on prior, likely representing mild pulmonary edema. there is small right pleural effusion. trace fluid along the fissure all planes also noted. cardio mediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with esrd on hd w/ sob // acute process?
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frontal and lateral views of the chest are compared to previous exam from <unk>. the lungs remain clear of consolidation or effusion. cardiomediastinal silhouette is normal. mild leftward deviation of the trachea at the thoracic inlet again seen, potentially due to thyroid enlargement. hypertrophic changes are again seen in the spine.
<unk>-year-old male with positive blood cultures. question pneumonia.
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pa frontal and lateral views of the chest were obtained. these demonstrate subtle opacity of the medial basal segment of the right lower lobe which may suggest early pneumonia. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. visualized osseous structures are without acute abnormality. the visualized portions of the abdomen are unremarkable.
<unk>-year-old male with fever. eevaluate for pneumonia.
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pa and lateral radiographs of the chest demonstrate clear lungs with low lung volumes. the cardiomediastinal contours are normal. no pleural abnormality is detected. no osseous abnormality is seen.
chest wall sternal and left shoulder pain post motor vehicle collision.
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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 pleuritic chest pain and cough // evaluate for infiltrate, pneumothorax, etc.
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heart size is normal with mild lung old male thoracic aorta. hilar contours are unremarkable. lung volumes are low. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
cough for several weeks.
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frontal and lateral chest radiographs demonstrate a normal heart, lungs, mediastinum, hila, and pleural surfaces.
iga multiple myeloma on pomalidamide, recent splenectomy, and acute on chronic renal failure, now with fever and mild progression of chronic anemia. evaluate for infection.
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compared to the radiograph from <unk>, there is increased in irregular opacities in mid lungs, right worse than left, likely reflecting widespread peribronchial infiltration. superimposed infection is also possible. the lower lobes appear are clear on today's exam. no pleural effusion or pneumothorax is seen. the heart size is normal.
<unk> year old man with gvhd of the lungs rsv pneumonia // eval for interval change
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the lungs are grossly clear. there is some bronchial wall thickening in the right lower lobe suggestive of mild bronchiectasis. the heart is moderately enlarged but there is no vascular congestion, evidence of pulmonary edema or mediastinal venous engorgement. the pleural surfaces are normal without effusion or pneumothorax.
atrial fibrillation. screening before treatment with amiodarone.
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pa and lateral views of the chest provided. subtle patchy retrocardiac airspace consolidation is noted compatible with left lower lobe pneumonia. no large effusion or pneumothorax is seen. the right lung appears largely clear. cardiomediastinal silhouette appears normal. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with sob and hemopytsis // sob, hemoptysis
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a right chest wall port-a-cath is present, the tip extending to the right atrium. there are low bilateral lung volumes. mildly increased opacities are noted in the right supra hilar region and at the right lung base. no pleural effusion or pneumothorax identified. the size of the cardiac silhouette is unchanged.
<unk> year old man with mm, recent <unk> surgery on <unk>, with rigors // underlying pulmonary process? pneumonia?
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the patient is status post aortic valve replacement. the heart is mildly enlarged. the mediastinal and hilar contours appear unchanged. the aorta is partly calcified. bilateral nipple shadows are visualized. fine reticulation in the periphery of the basilar portions of the lungs suggesting interstitial changes is similar since the prior study without evidence for a superimposed process. mild degenerative changes are similar along the thoracic spine. the bones are probably demineralized to some degree.
shortness of breath.
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frontal and lateral radiographs of the chest were acquired. the lungs are clear. the heart size is normal. tortuosity of the descending thoracic aorta is not significantly changed. there are no pleural effusions. no pneumothorax is seen. lumbar fusion hardware is incompletely assessed. there is re-demonstration of a lap band projecting over the epigastric region, not significantly changed in position. right upper quadrant surgical clips are noted.
cough and neutropenia. evaluate for pneumonia.
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the cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
unknown chemical exposure.
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frontal and lateral views of the chest were obtained. the lungs are clear without focal consolidation. previously seen pulmonary nodules on chest ct were better evaluated on ct, which is more sensitive. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. hilar contours are stable.
<unk>-year-old female with cough, shortness of breath.
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there is moderate cardiomegaly with moderate pulmonary edema, progressed since <unk>. right internal jugular access central line ends at the cavoatrial junction. there are small bilateral pleural effusions. no pneumothorax.
<unk>-year-old woman with line placement.
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compared to the prior study there is no significant interval change. no focal infiltrate
<unk> year old woman with acute liver failure new fevers // is there a new vap
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assessment is limited by patient positioning and rotation. left-sided pacemaker device is noted with leads terminating in similar positions. moderate cardiomegaly and tortuosity of the thoracic aorta are re- demonstrated with diffuse atherosclerotic calcifications noted within the aorta. hilar contours are difficult to assess given the degree of patient rotation. patchy opacity in the left lung base could reflect an area of atelectasis. additional focal opacity is seen within the right mid lung field. no overt pulmonary edema is demonstrated. no large pleural effusion or pneumothorax is clearly visualized on this supine exam. osseous structures are diffusely demineralized with loss of height of several mid thoracic vertebral bodies.
history: <unk>f with altered mental status
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there is mild pulmonary interstitial edema as well as small bilateral pleural effusions. no focal consolidation is identified. the cardiac silhouette is stable. there is no pneumothorax. a moderate hiatal hernia is noted.
<unk>f with fever, sob // eval for volume status, infiltrate
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pa and lateral views of the chest. no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal hilar contours are normal.
history smoking, persistent cough.
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portable upright chest radiograph was provided. a left chest wall dual-lead pacemaker is seen with leads in the right ventricle and right atrium. median sternotomy wires are intact. lung volumes are slightly low. there is no focal consolidation, pleural effusion or pneumothorax. there is no evidence of pulmonary edema. prominent interstitial markings at the lung bases are unchanged since the prior studies, likely representing nsip and better assessed on the recent chest ct. the cardiomediastinal silhouette is notable for a tortuous and calcified aorta. the heart is minimally enlarged.
history of shortness of breath and abnormal ekg. question pneumonia or fluid overload.
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ap and lateral views of the chest. the lungs are clear without focal consolidation, effusion, or pulmonary vascular congestion. mild cardiomegaly is seen but likely accentuated due to ap technique. lucency below the right hemidiaphragm compatible with free intraperitoneal air not unexpected in the setting of peritoneal dialysis. no acute osseous abnormality is identified.
<unk>-year-old female with chest pain. additional history per ed dashboard is end-stage renal disease with peritoneal dialysis.
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the cardiomediastinal and hilar contours are within normal limits. the heart is mildly enlarged. there is calcification of the aortic knob and the aorta is mildly tortuous. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. severe compression deformities of multiple thoracic vertebral bodies are again demonstrated and not significantly increased from <unk>.
<unk>f with recent fall // evaluate for pneumonia, rib fracture
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lungs are clear without focal consolidation, effusion, or pneumothorax based on this supine film. biapical pleural based scarring is seen. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications noted at the aortic arch. right shoulder arthroplasty changes are seen. no displaced fractures seen.
trauma.
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the cardiac silhouette size is borderline enlarged. mediastinal and hilar contours are unchanged. the lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is demonstrated. no acute osseous abnormalities detected.
hypotension, hypoxia.
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patient is status post of lvad placement in unchanged position. left chest wall aicd with leads in standard positions. median sternotomy wires and clips again noted.the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. severe cardiomegaly is unchanged.
<unk> yo male from <unk> with a pmh of rheumatic heart dz c/b avr at age <unk> and mechanical mvr at age <unk>, dilated cardiomyopathy ef <unk>%, s/p heartmate ii lvad implant <unk> as dt, who presents with <num> weeks of dyspnea. // eval for volume overload
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frontal and lateral chest radiographs demonstrate a normal heart, lungs, mediastinum, hila, and pleural surfaces. no displaced rib fractures are seen on <num> dedicated views of the left hemithorax.
left chest pain with cough and torso movement.
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ap upright 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 w/horner's
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no significant interval change in size of the right hydro pneumothorax with re-expansion pulmonary edema in a right upper lung zone. a small left pleural effusion with overlying atelectasis persists. the right pleural pigtail catheter, right picc line and left chest wall dual lead pacemaker are unchanged.
<unk> year old woman with right pleural effusion s/p ct c/b penumothorax // please assess for interval change
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heart is mildly enlarged. the cardiac, mediastinal and hilar contours appear stable. there is a small new pleural effusion on the left and probably a trace one on the right. a mild interstitial abnormality involves the lower lungs but more suggestive of vascular congestion than pneumonia.
recent cold, cough, and shortness of breath.
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pa and lateral chest radiographs were obtained. breast shadow projects over both lung bases. despite this limitation, the lungs are clear. there is no nodule, consolidation, effusion, or pneumothorax. the heart and mediastinal contours are normal. the right posterior sulcus is blunted. both costo-phrenic angles are sharp.
<unk>-year-old woman with atypical chest pain, cough. evaluate for infectious process.
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heart size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. there is mild elevation of the right hemidiaphragm which is chronic with adjacent subsegmental atelectasis in the right middle lobe. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
diabetic ketoacidosis.
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lung volumes are low. the cardiac, mediastinal and hilar contours are unchanged, and the pulmonary vasculature is normal. chronic interstitial opacities in a peripheral and basilar predominant pattern are re- demonstrated, more pronounced in the left lung, and compatible with known chronic interstitial lung disease. no new focal consolidation, pleural effusion or pneumothorax is evident. there is diffuse gaseous distention of the bowel loops with chronic elevation of the right hemidiaphragm again noted.
history: <unk>m with interstitial lung disease and shortness of breath
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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 w/hx of lap roux en y gastric bypass in <unk> presenting with acute onset epigastric abdominal pain, nausea, emesis. // eval for free air under diaphragm
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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 fevers, headache, cough, seizure history
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lung volumes are low. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. <unk> and fusion hardware within the cervical spine is new since the prior radiograph.
history of dizziness. evaluate for infiltrate.
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<num> views were obtained of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. mild enlargement of the previously top normal cardiac silhouette has developed since <unk>, but there is no vascular engorgement, edema, or pleural effusion. previously described right lower lobe opacity appears to have decreased in conspicuity.
palpitations, assess for acute process.
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the tip of the endotracheal tube projects over the mid thoracic trachea. a gastric tube extends into the stomach. a right internal jugular central venous catheter is new and extends to the distal svc. a right-sided chest tube is again present. chain sutures project over both lung apices and right mid lung zone. there is a persisting right pneumothorax although better evaluated on today's ct scan. moderate layering bilateral pleural effusions. the previously described ground-glass opacities in the left upper and left lower lobes were better evaluated on today's ct scan of the chest. the size of the cardiomediastinal silhouette is within normal limits.
<unk> year old woman s/p r ij trialysis // please assess for ptx
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ap upright and lateral views of the chest provided. midline sternotomy wires and mediastinal clips again noted with a prosthetic cardiac valve. there are streaky perihilar opacities most likely reflecting relating to mild edema. <unk> b-lines also noted. no large effusion or pneumothorax. cardiomediastinal silhouette appears stable. the aorta is unfolded and calcified. bony structures are intact.
<unk>f with syncope // infiltrate?
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since the prior radiograph performed several hr earlier, there has been interval placement of a right internal jugular catheter, which terminates in the mid superior vena cava. previously described opacity at the right lung base is unchanged. no new areas of focal consolidation, large pleural effusion or pneumothorax. heart size is normal. osseous structures are intact.
<unk>m with rij placement, please confirm placement // confirm placement of central line in rij
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the heart is again seen to be moderately enlarged. there tiny bilateral pleural effusions. the pulmonary vasculature appears normal. there is no focal infiltrate. degenerative changes of the spine are again visualized with joint space narrowing and anterior osteophytes.
<unk> year old man with productive cough. // pneumonia?
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. mild elevation of the left hemidiaphragm is present secondary to a distended gastric fundus.
<unk>-year-old male with chest pain. evaluate for acute process.
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right supraclavicular dual-channel central venous line ends at or just below the anticipated location of the superior cavoatrial junction. the lungs are low in volume but grossly clear. pleural effusion is minimal if any. no pneumothorax. expansile lesion noted in left middle rib laterally. the heart size is normal.
a <unk>-year-old man with multiple myeloma after bone marrow transplant. assess port placement.
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pa and lateral views of the chest. no prior. the lungs are clear of focal consolidation or effusion. the cardiomediastinal silhouette is normal, noting scattered atherosclerotic calcifications at the aortic arch. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with bronchiectasis presents with chest pain. treated presumptively for pneumonia last week.
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pa and lateral views of the chest. the lungs are clear. cardiac silhouette is top normal. no acute osseous abnormality detected.
<unk>-year-old female with shortness of breath.
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left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. heart size is difficult to assess given obscuration of the right heart border due to a small to moderate size right pleural effusion. the aorta is unfolded. there is no pulmonary edema. right basilar opacity likely reflective of atelectasis is present. no left-sided pleural effusion is seen. there is no pneumothorax is identified though assessment of the lung apices is somewhat obscured by the patient's chin projecting over this region. there are mild degenerative changes in the thoracic spine.
<unk> year old woman with cough and shortness of breath. // r/o pneumonia
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the lungs are clear without consolidation, effusion, or edema. the cardiac silhouette is enlarged similar to prior. median sternotomy wires and mediastinal clips are noted. no acute osseous abnormalities identified.
<unk>f with chest pain // please eval for any pna, infectious process
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pa and lateral views of the chest are compared to previous pa and lateral films from <unk>, portable chest x-ray from <unk> and chest ct from <unk>. again seen are diffuse bilateral increased interstitial markings with bronchiectasis and bronchial wall thickening compatible with chronic underlying lung disease. nodular opacities in the right mid and upper lung are again noted and although are more conspicuous on the current exam, likely have not demonstrated interval change given differences in technique. there is no large confluent consolidation or effusion. cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.
<unk>-year-old male with cough and pneumonia. history of hiv.
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lung volumes are slightly low. no focal consolidation, pleural effusion, or pneumothorax is seen. mild pulmonary vascular prominence may be exaggerated by low lung volumes. heart and mediastinal contours are also exaggerated by low lung volumes. an enteric catheter terminates in the epigastric region likely within the distal stomach. an endotracheal tube tip terminates approximately <num> cm above the carina. there is right acromioclavicular separation, incompletely imaged. a small ossified fragment superior to the left distal clavicle is likely chronic.
<unk>-year-old male status post intubation.
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frontal and lateral radiographs of the chest were acquired. the lungs are symmetrically expanded. there is no focal consolidation. no pleural effusions or pneumothorax are seen. the cardiac and mediastinal contours are normal. aortic calcifications are noted. a <num> mm round sclerotic focus in the right humeral head is likely a bone island, unchanged in appearance.
chest pain.