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supine portable ap view chest was provided. cardiomegaly is again noted with bilateral pleural effusions which appear increased on the right and stable to mildly increased on the left. mild pulmonary edema is present. there is dense atherosclerotic calcification involving the thoracic aorta. scoliosis again noted.
<unk>-year-old female with hypoxia.
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ap portable upright view of the chest. overlying ekg leads are present. a tips shunt projects over the right upper quadrant. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. old fracture involving the right distal clavicle is similar to prior.
<unk> year old woman with ams
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the cardiomediastinal silhouettes are within normal limits. the bilateral hila are unremarkable. the lungs are clear without focal consolidation. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion. there is no evidence of a displaced rib fracture.
<unk>f with fall.syncope, pls eval for rib fracture.
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pneumoperitoneum reflects the previous day's cholecystectomy. lung volumes are low. linear opacities at the lung bases are likely atelectasis. there is no focal consolidation, pleural effusion or pneumothorax. heart and mediastinal slight is likely exaggerated due to poor inspiration. cholecystectomy clips are noted within the right upper quadrant.
history: <unk>f s/p recent abdominal surgery <unk> now w/abdominal pain, vomiting, tachypnea // evaluate for pneumonia, acute process
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as compared to <unk>, mediastinal drains, chest tube, nasogastric tube and endotracheal tube have been removed. hazy opacity throughout the right lung has improved. increasing basal atelectasis with bilateral effusions, small right moderate left. no interstitial edema. possible tiny apical right pneumothorax.
<unk> year old woman with s/p cabg // evalptx
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cardiac, mediastinal and hilar contours are normal. the pulmonary vascularity is normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are present.
chest pain.
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frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. the pulmonary vasculature is unremarkable. the lungs are clear without focal or diffuse abnormality. no pneumothorax, pneumomediastinum, or pleural effusion. osseous structures are unremarkable. no radiopaque foreign body.
<unk>-year-old male with hiv, presenting with dysphagia for solids and liquids. evaluate for pneumomediastinum or other acute chest pathology.
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the endotracheal tube ends <num> cm above the carinal. a right central venous line ends at the cavoatrial junction. a transesophageal tube ends in the stomach. postoperative atelectasis in the right lower lobe is moderately severe. the left lung is clear. there is no pleural effusion or pneumothorax. the mediastinum is markedly widened by the generally large and elongated thoracic aorta, less so by the dilated pulmonary arteries, as confirmed by the the same-day chest cta. heart is mildly enlarged. there is no pulmonary edema. air beneath the chronically elevated right hemidiaphragm reflects recent abdominal surgery.
<unk> year old woman // eval line/effusions.
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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 hypotension
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heart size is normal. the aorta is tortuous. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is identified. moderate degenerative changes are seen in the thoracic spine.
history: <unk>m with exertional dyspnea
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single portable frontal upright image of the chest. the et tube and ng tube are in good position. bibasilar opacities are seen, which have increased from prior exam, concerning for pneumonia. there are moderate pleural effusions. there is no pneumothorax. the cardiomediastinal silhouette is unchanged from prior exam.
rhonchi and hypoxia on a vent.
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the patient is status post median sternotomy and aortic valvular replacement. mild cardiomegaly is re- demonstrated. mediastinal and hilar contours are unchanged with dense atherosclerotic calcification of the aortic knob noted. mild pulmonary vascular congestion is similar compared to the prior study. more focal patchy opacity in the retrocardiac region could reflect an area of atelectasis though infection is not completely excluded. no large pleural effusion or pneumothorax is identified. marked degenerative changes of both acromioclavicular joints are seen. high riding right humeral head suggests underlying rotator cuff disease. remote right eighth rib fracture is again seen.
history: <unk>f with altered mental status
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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 cough, fever, // acute cardiopulm process
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no significant interval change overall. the lungs remain hyperinflated. left lower lobe atelectasis is re- demonstrated. the cardiomediastinal silhouette unchanged. no pleural effusion common pneumothorax, edema, or focal consolidation. no definite rib fracture. no subdiaphragmatic free air is visualized. appearance of the thoracic spine, including loss of vertebral body height, is overall similar to <unk>.
<unk>-year-old man with syncope/fall with head strike d/t <unk> pain/vomiting // ? traumatic injury (head/neck).
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single supine portable view of the chest. there has been interval placement of a right ij central venous catheter whose tip is likely in the right atrium. retraction by <num> cm would be ideal for placement within the mid-to-distal svc. given lower lung volumes, the appearance of the lungs has not changed. there is no pneumothorax.
<unk>-year-old male status post right central venous line placement.
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the heart is mild to moderately enlarged. the mediastinal and hilar contours appear unchanged including unfolding of the thoracic aorta. the lungs appear clear. there are no pleural effusions or pneumothorax.
hypoxia and altered mental status.
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when compared to prior, there has been interval placement of right-sided central venous catheter. tip projects over the upper/mid svc. endotracheal and enteric tubes are again noted. appearance of the chest is not significantly changed noting right greater than left parenchymal opacities. there is no pneumothorax.
<unk>m with cvl // eval line placement
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the cardiomediastinal and hilar contours are within normal limits. lungs are essentially clear. there is no focal consolidation, pleural effusion or pneumothorax.
chest pain for two weeks.
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pa and lateral views of the chest provided. there is increased opacity in the right middle lobe, concerning for pneumonia. heart size is normal. there are no pleural effusions.
<unk> year old woman with upper respiratory sx with cough x <unk> weeks, evaluate consolidation for pna
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. clips are noted within the right upper quadrant of the abdomen.
history: <unk>f with cough
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moderate cardiomegaly is seen with mild stable interstitial edema. opacification at the left lung base obscuring the hemidiaphragm is suggestive of a small left pleural effusion with adjacent atelectasis, although a superimposed infectious process cannot be excluded. there is a small right pleural effusion. median sternotomy wires are again noted and right axillary surgical <unk> are seen. an aortic valve replacement is seen. compression deformity with vertebral plana involving the mid thoracic spine is stable compared to the prior exam.
history: <unk>f with history as, mr presenting <unk>/p fall // r/o chf, pneumonia
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single ap view of the chest provided. a right central venous catheter terminates at the cavoatrial junction, possibly right atrium. a dobbhoff extends below the diaphragm and ends beyond the pylorus. prominence of the pulmonary vasculature and mild interstitial edema are unchanged. mild atelectasis at the lung bases is unchanged. no pleural effusion or pneumothorax is seen. the lung apices are not completely visualized. hilar and cardiomediastinal contours are normal.
<unk> year old man with new feeding tube // assess placement of feeding tube
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there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. hyperexpansion suggests copd. mild thoracic scoliosis is unchanged. hyperdensity overlying the anterior aspect of a lower thoracic intervertebral space likely represents superimposition of structures. cholecystectomy clips are noted projecting over the right upper quadrant.
<unk>f with s/p recent liver biopsy now with pleuritic chest discomfort and sob, evaluate for pna
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the cardiomediastinal silhouette is within normal limits. lungs are clear. there are degenerative changes of the thoracic spine.
<unk> year old woman with concern for stroke // eval for infiltrates
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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>f with dyspnea, worse with exertion
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there has been interval removal of the are right apical chest tube. the right basilar chest tube appears unchanged in orientation in comparison to the prior chest radiograph. there is no pneumothorax. the left pleural effusion appears unchanged in size. the left basilar opacities have improved, however the right middle lobe opacity has worsened. there is a <num> mm radiodensity projecting over the right lower lung, which represents a calcified granuloma, and was visualized on the prior chest ct. heart size is stable. the mediastinal and hilar contours are stable. the pulmonary vasculature is normal. there are no acute osseous abnormalities.
<unk> year old woman s/p pleurodesis, now with chest tubes removed. // interval progression
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there are new small bilateral pleural effusions and findings suggesting pulmonary vascular congestion. there is no confluent consolidation. linear opacity in the right midlung is most suggestive of atelectasis. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with hypotension, please r/o infection // eval for pna
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no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with chest pain // ? acute cardiuplm process
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. mediastinal and hilar contours are unremarkable.
history: <unk>f with chest pain // evaluate for acute process
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the lungs are fully expanded and clear. there is no focal consolidation to suggest pneumonia. cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. visualized osseous structures are unremarkable.
<unk>f with palpitations, svt // evaluate for acute process .
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the lungs are clear. there is no consolidation or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with pleuritic chest pain. // r/o pneumonia
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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 // eval for infiltrate
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there is small bilateral pleural effusions, left larger than right. the opacification at the left lung base is possibly pneumonia in correct clinical setting. compared to the prior radiograph from <unk>, left lung base opacification and pleural effusion is increased. there is no pneumothorax. cardiomediastinal and hilar silhouettes are normal size. right-sided dialysis catheter terminates in the right atrium, unchanged in position.
<unk> year old man with lll pna // interval change
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heart size remains mildly enlarged. the mediastinal and hilar contours are unchanged and there is mild pulmonary vascular congestion, similar compared to the previous exam. trace right pleural effusion appears decreased in size compared to the prior exam. patchy bibasilar airspace opacities could reflect atelectasis. no pneumothorax is identified. there are no acute osseous abnormalities.
weakness, diarrhea.
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there are low lung volumes. the heart size is normal. the mediastinal and hilar contours are unchanged. there is crowding of the bronchovascular structures as a result of the low lung volumes. mild pulmonary vascular congestion is noted with peribronchial cuffing. no focal consolidation, pleural effusion or pneumothorax is detected. degenerative changes of both glenohumeral joints are seen.
dyspnea and cough.
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enlarged cardiomediastinal silhouette is unchanged. moderate left pleural effusion and compressive atelectasis is stable. there is a small right pleural effusion. pulmonary edema has mildly improved. median sternotomy wires are intact.
<unk> year old man post cabg, evaluate for pleural effusions
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endotracheal tube tip terminates <num> cm from the carina. an enteric tube is seen coursing within the esophagus and off the inferior borders of the film. the heart size is mildly enlarged. mediastinal contours are unremarkable. lung volumes are low which cause crowding of the bronchovascular structures. no overt pulmonary edema is seen, though there is mild cephalization of the pulmonary vascular markings. linear opacities in the lung bases likely reflect subsegmental atelectasis. assessment for a left-sided pneumothorax or pleural effusion is limited as the left lung base is excluded from the field of view. no large right pleural effusion or pneumothorax is seen.
skull fracture, intubated.
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portable ap chest radiograph. et tube terminates <num> cm above the carina at the level of the thoracic inlet. hyperdensity within the trachea and bronchi raises concern for retained secretions. lung volumes are low with bibasilar atelectasis. ng tube tip and sidehole are in the stomach. there is no pleural effusion or pneumothorax.
unstable c-spine fracture. evaluation of et tube placement.
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the et tube appears to terminate approximately <num> cm above the carina. there is mild cardiomegaly. there is an enteric tube which extends below the diaphragm with the tip out of view of this film. there is mild bibasilar atelectasis. the hilar and mediastinal contours are otherwise unremarkable. there is no large pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history of arrest. please evaluate for et tube placement.
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen.
cough, dyspnea.
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pa and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. there is no free air below the right hemidiaphragm.
<unk>-year-old man with chest pain.
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the cardiac silhouette is moderate to severely enlarged. the aorta is calcified and tortuous. prominence of the hila and central pulmonary vasculature suggests pulmonary vascular engorgement with mild pulmonary vascular congestion. no definite focal consolidation is seen. no pleural effusion or pneumothorax.
<unk>f chf worsening doe last week // <unk>f chf worsening doe last week
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there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities are identified. no free air under the right hemidiaphragm.
<unk>f with pleuritic chest pain // eval ? ptx, effusion, pneumomediastinum
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures appear within normal limits. there has been no significant change.
shortness of breath.
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improved lung volumes particularly at the right lung base. heterogeneous right middle lobe opacity may represent continued sequela of aspiration. left lung is clear. cardiomediastinal silhouette is normal.
<unk> year old man with altered mental status and hypoxemic respiratory failure with leukocytosis, now with worsening hypoxia // eval ?worsening fluid, pna, atelectasis or other acute processes
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ap upright and lateral views of the chest provided. numerous clips are seen within the right axilla and chest wall. hardware fixation partially imaged on the lateral view along the humerus. the right scapula appears high riding which could be positional. lungs are clear without focal consolidation, large effusion or pneumothorax. cardiomediastinal silhouette appears normal. no free air below the right hemidiaphragm.
<unk>m with right chest pain // ? pna
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scattered linear opacities are compatible with bibasilar atelectasis. there is no large pleural effusion. no pneumothorax is identified. cardiac size within normal limits. aortic calcifications are moderate. there is a minimally displaced fracture of the <num> right posterior rib. a questionable deformity is also noted of the fifth lateral rib on the right.
history: <unk>m with unwitnessed fall from standing with chest pain and altered mental status. // eval for traumatic injury
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pa and lateral views of the chest provided. lungs are clear. cardiac silhouette is normal. mildly torturous descending aorta is again noted. there are no pleural effusions.
<unk> year with cough and fever
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the lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes are normal. pleural surfaces are normal. the right picc line terminates in the origin of the svc.
<unk> year old woman on dapto via picc; line appears to have withdrawn <num>cm. // confirm line positioning still central.
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the lungs are well inflated and clear. there is unchanged asymmetric elevation of the right hemidiaphragm. the cardiomediastinal silhouette and hilar contours are unchanged. there is no pleural effusion or pneumothorax. scattered surgical clips are identified at the right hilum and the right apex from prior lobectomy.
<unk>f s/p left lobectomy for lung ca, p/w acute chest pain. evaluate for acute process.
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the apical component of the hydropneumothorax has decreased and is now tiny. the pleural effusion component is also decreased in size, however, small pockets of air-fluid levels remain. atelectasis in the right lower lobe has decreased. there is very mild bilateral interstitial edema. the pigtail catheter is again seen terminating in the right base. the heart size is unchanged and the aorta is tortuous. the mediastinal silhouette and hilar contours are unremarkable.
status post right pigtail catheter for right hydropneumothorax. evaluate for interval change.
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the heart size is normal. mediastinal and hilar contours are unremarkable. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are visualized.
chest pain.
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there are small bilateral pleural effusions. there is moderate streaky bilateral as well as moderate retrocardiac atelectasis. there is no focal consolidation or pneumothorax. the cardiomediastinal silhouette is normal. sternal wires are intact. no free air below the right hemidiaphragm is seen. right picc tip is in the right axillary vein. the left jugular venous line has been removed.
<unk> year old man s/p mvr/tvrepair/cabg // eval for pleural effusions
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portable ap chest radiograph demonstrates low lung volumes and pulmonary vascular congestion. there is also an opacity in the right upper lobe. the cardiomediastinal silhouette is normal. there is no pneumothorax. there is no large pleural effusion or pneumothorax.
hypoxemia and leukocytosis.
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the heart size is top normal, unchanged. mediastinal and hilar silhouettes are unchanged. no change in the appearance of the large, known chronically dissected aorta. no focal consolidation, pleural effusion, or pneumothorax.
<unk>m with fever. evaluate for pneumonia.
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
history: <unk>f with fever and productive cough // fever and productive cough
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left-sided icd is similar position compared the prior study. the cardiac and mediastinal silhouettes are similar, given differences in technique, inspiration, and patient position. lateral right pleural thickening is re- demonstrated. no large pleural effusion seen. moderate pulmonary vascular congestion with possible mild interstitial edema is seen.
history: <unk>m with hfref (<unk>%). // pulmonary edema
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<num> views were obtained of the chest. the lungs are well expanded and clear with apical paraseptal and centrilobular emphysema. previously seen nodules have resolved. there is no pleural effusion or pneumothorax. the heart is top normal in size with normal cardiomediastinal contours.
confusion, assess for pneumonia.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities
<unk>f with palp // pna?
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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. hypertrophic changes are noted in the spine.
<unk>f with chest pain // acute process?
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pa and lateral views of chest. lateral view is limited, however, the frontal view demonstrates clear lungs. cardiac silhouette is normal in size. no pleural effusion or pneumothorax.
fevers and chills
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there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal size. the trachea is midline. anterior osteophyte formation is noted at multiple levels of thoracic spine, similar to prior.
<unk> year old woman with nonproductive cough, asthma exacerbation // ? pna pls pg wet <unk> <unk>, ? pna, cough
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single portable ap upright view of the chest was reviewed and compared to the prior. diffuse opacity in the left lower lobe and a rounded opacity measuring <num> mm in the left lower lobe may represent atelectasis, however, <unk> years ago on an abdominal ct, nodular opacity in the lingula and left lower lobe were present. median sternotomy wires and multiple surgical clips projecting over the cardiac and mediastinal silhouettes is indicative of prior cabg. the fourth sternotomy wire is fractured on the left side, however, it is unchanged since <unk> and there are no new breaks and alignment is maintained. a right-sided hemodialysis catheter ends in the lower superior vena cava. the heart and mediastinal contours are normal. there is no pleural effusion or pneumothorax. there is mild vascular congestion more prominent in the upper lungs. linear radiolucencies in the right hemithorax correspond to skin folds.
increasing oxygen requirement.
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right picc line terminates in the upper svc. heart size is normal. hilar and mediastinal contours are unremarkable. lungs are clear with no consolidation, pleural effusion, or pneumothorax.
<unk> year old woman with aml, undergoing pre-transplant testing.
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a previously seen heterogeneous right upper lung opacity has resolved. the lungs are now clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
wheezing. assess for pneumonia.
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cardiac silhouette is mildly enlarged. the aorta remains tortuous. there appears to be minor left basilar atelectasis without definite focal consolidation. no large pleural effusion or pneumothorax is seen. no overt pulmonary edema is seen.
history: <unk>m with stridor // cp process?
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endotracheal tube is seen with tip approximately <num> cm from the carina. enteric tube passes below the field of view and the tip is not included. low lung volumes are noted with secondary crowding of the bronchovascular markings. no large confluent consolidation identified. prominence of the cardiomediastinal silhouette is likely accentuated by low lung volumes.
<unk>m with ich // ? ett tube placement
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frontal and lateral views of the chest. the lungs are clear of consolidation, effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. osseous structures demonstrate no acute abnormality.
<unk>-year-old male with acute substernal chest pain.
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frontal and lateral views of the chest demonstrate cardiomegaly. the lungs are clear. left lower lobe opacities previously visualized appear to have resolved. no pneumothorax or effusion.
<unk>-year-old man with cough and previous pneumonia. question change in pneumonia.
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. there are mild degenerative changes in the thoracic spine
rt sided mid back pain
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the lung volumes are normal. there is a small-moderate left pleural effusion, unchanged from <unk>. overlying consolidation is presumably atelectasis. there is no pneumothorax or right pleural effusion. heart is mildly enlarged but unchanged. the mediastinal and hilar contours are unremarkable. bilateral rib fractures are unchanged. there are no new rib fractures seen.
shortness of breath in rib fractures. event for pleural effusion.
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two radiopaque foreign bodies resembling the tips of ballpoint pens are noted within the upper esophagus, at the level of the thoracic inlet. the cardiac, mediastinal and hilar contours are normal. lungs are clear. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.
swallowed pens. evaluate for foreign body.
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small bilateral pleural effusions are observed. there is no pneumothorax. there are no areas of focal consolidation concerning for infection. there is mild bilateral lower lung atelectasis. cardiomediastinal silhouette is stable and within normal limits. pleural surfaces are unremarkable.
<unk>-year-old female status post right thoracentesis.
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the lungs are well expanded. there is mild increase in the prominence of pulmonary vasculature from prior exam, without evidence of pulmonary edema. there is no pleural effusion. there is no pneumothorax. the cardiomediastinal silhouette is unremarkable. a vp shunt is seen passing through the right chest.
<unk> year old woman with trach, peg, new tachypnea? // new pneumonia?
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frontal and lateral radiographs show clear lungs. the lung fields are slightly obscured by overlying soft tissue attenuation. the heart size is top normal. the mediastinum is normal. no pleural effusion or pneumothorax is seen.
chest pain. evaluate acute process.
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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.
history: <unk>f with n/v, sscp x <num> day // eval ? edema, infiltrate
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portable semi-upright radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding. there is a small amount of bibasilar atelectasis, which is new from the prior study. the cardiomediastinal and hilar contours are unchanged, and there is persistent epicardial fat, consistent with prior ct chest findings. there is no pneumothorax, pleural effusion, or consolidation. a dobbhoff tube is seen with the tip ending at the ge junction.
<unk>-year-old man with acute pancreatitis. evaluate for dobbhoff tube positioning.
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the cardiac, mediastinal and hilar contours are normal. the lungs are clear. no pleural effusion or pneumothorax is identified. no acute osseous abnormality seen.
confusion and possible seizure.
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left apical pleural and parenchymal fibrosis with associated volume loss is consistent with radiation fibrosis in the setting of previous left mastectomy. there is no focal consolidation, pleural effusion or pneumothorax. the heart is mildly enlarged, and mediastinal and hilar contours are normal. surgical clips projecting over the left axilla and right upper abdominal quadrant are again noted. scoliosis is noted.
<unk>-year-old female with dyspnea.
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fibrosis from radiation treatment are seen in the left lower lung, increased since prior chest radiograph from <unk>. the known left pulmonary nodules are not well seen on this exam, and better assessed on recent ct chest. the right lung is clear. the heart size is normal. no pneumothorax or pulmonary edema.
<unk> year old man status post lll rf ablation, please obtain upright chest xray at <num>pm // upright chest x-ray please
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. again seen is calcified granuloma in the right upper lobe not significantly changed. otherwise, the lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old man with cough, shortness of breath, o<num> sat <unk>% // pneumonia/infiltrate
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ap portable upright view of the chest. midline sternotomy wires, aicd and prosthetic cardiac valve again noted. there has been interval removal of the right ij central venous catheter. a short metallic stent projects over the mediastinum which corresponds to a stent within the proximal left subclavian artery. patient's chin obscures the superior mediastinum. there is suboptimal inspiratory effort which limits assessment. there is mild pulmonary edema with hilar congestion noted. no large effusion can be seen. no large pneumothorax. no convincing signs of pneumonia. heart size cannot be assessed. mediastinal contour appears grossly unchanged. bony structures are intact.
<unk>f with dyspnea, fluid overload
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right chest wall port is noted. there is increased density compatible with ingested contrast within the patient's gastric pull-through. other changes compatible gastric pull-through are seen including widening of the right paratracheal stripe. there is a small to moderate right pleural effusion and small left pleural effusion. overall, the aeration of the right lung has significantly improved since prior but there is persistent basilar opacity.
<unk>m with history of aspiration pneumonia, diminished breath sounds at right base, crackles. // r/o pneumonia
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exam is somewhat limited by body habitus. heart size is mildly enlarged. central pulmonary vascular prominence without frank interstitial pulmonary edema. mediastinal contours are otherwise unremarkable. linear lingular atelectasis. no dense consolidation. no pleural effusion or pneumothorax.
dyspnea.
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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. excreted contrast from recent contrast-enhanced exam seen within the renal pelves and proximal ureters.
<unk>f with right sided numbness and weakness // eval for ich, pneumonia
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pa and lateral chest radiographs were provided. again seen is a large paramediastinal opacity, similar to the previous exam. a right pleural effusion is again noted. increased right basilar opacity may represent increasing effusion or pneumonia. the left lung is relatively clear with pleural plaques, unchanged since the previous exam. cardiomediastinal silhouette is unchanged.
history of lung cancer presenting with shortness of breath, tachycardia and hypoxia. question pneumonia.
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a picc line terminates in the right axillary line on the right. a gastrostomy tube projects over the left upper quadrant. a tracheostomy is in place. the cardiac, mediastinal, and hilar contours appear unchanged including borderline cardiomegaly. there is new left basilar opacification, although fairly plate-like and streaky which may indicate atelectasis. there is no pleural effusion or pneumothorax.
shortness of breath.
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pa and lateral views of the chest. the lungs are clear. there is no consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. old healed mid right clavicular fracture is identified. there is no acute osseous abnormality.
<unk>-year-old female with chest pain.
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ap and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. the heart size is normal. there is no free air under the diaphragm. gastric distention is better appreciated on the abdomenal radiograph.
hypoxia and wheezing.
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there is no significant change compared to prior examination with redemonstration of mild interstitial pulmonary edema with a small left effusion. cardiomediastinal silhouette and hilar contours are unchanged. endotracheal tube and a left subclavian central venous catheter are in standard position. there is no pneumothorax.
status post triple aaa repair. evaluate for effusion.
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cardiac, mediastinal and hilar contours are normal. the pulmonary vasculature is normal. scarring within the lung apices is re- demonstrated. lungs are clear. no pleural effusion or pneumothorax is seen. there is no subdiaphragmatic free air.
right upper quadrant pain post colonoscopy.
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the lung volumes are low, with bibasilar atelectasis, accentuating the heart size and crowding the pulmonary vasculature. there is an apparent left pleural effusion. the heart is top-normal in size. there is no pneumothorax or overt pulmonary edema. moderate gaseous distension of the stomach is noted.
history: <unk>f with wheezing, hypoxia // presence of infiltrate
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there is no consolidation, pleural effusion, or pneumothorax. lungs are mildly hyperinflated. cardiomediastinal and hilar silhouettes are normal size. a cluster of several calcified nodular opacities measuring up to <num> mm in the left upper lung appears stable from <unk>, and suggest calcified granulomas.
<unk> year old man with cough/fever/decr bs rll // rll pna
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ap and lateral views of the chest. left chest wall dual-lead pacing device is again seen. the lungs are clear without focal consolidation or effusion. the cardiac silhouette is enlarged but stable in configuration. hypertrophic changes are noted in the spine.
<unk>-year-old female with cough and hemoptysis.
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there is interval removal of left picc line. the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well expanded and clear of focal consolidation concerning for pneumonia.
<unk>m with hx mantle cell lymphoma on chemotherapy p/w fever to <num> at home // eval for focal consolidation
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there are <num> right chest tubes with tips oriented superiorly in the apex, similar to prior. there is mild right pulmonary vascular congestion and mild right interstitial edema. there is a small right pleural effusion. there is no focal consolidation or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. left picc tip is in the lower svc, similar to prior.
<unk> year old woman with mrsa bacteremia and chest tube s/p vats decortication. // interval chest tube change
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frontal and lateral views of the chest were obtained. the heart size and cardiomediastinal contours are normal. the lungs are clear. no focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old male with cough and fevers.
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the patient has been extubated and a enteric tube has been removed in the interim. a right-sided picc terminates in the upper to mid svc. there has been near resolution of the bilateral ground-glass opacities with some residual opacities seen within the right mid lung and lung bases. a new and more focal consolidation is noted within the right lower lobe. there is no pleural effusion or pneumothorax. the cardiac silhouette remains mildly enlarged.
recent acute respiratory failure from alveolar hemorrhage. evaluate interstitial process.
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there are prominent interstitial markings bilaterally, within opacity at the left lung base. the heart remains mildly enlarged. there are likely small bilateral pleural effusions. no pneumothorax is seen.
<unk>m with intermittent weakness/lh, evaluate for acute process.
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the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
intermittent left-sided chest pain since yesterday. rule out pneumonia or effusion.