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mild enlargement of cardiac silhouette is noted. the aorta is unfolded, and mild atherosclerotic calcifications are noted at the aortic arch. the pulmonary vascularity is normal. apart from minimal left basilar atelectasis, the lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. clips are seen within the upper abdomen.
chest pain.
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pa and lateral chest views were obtained with patient in upright position. the heart size is within normal limits. no configurational abnormality is seen. thoracic aorta and mediastinal structures are unremarkable. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. no evidence of pneumothorax in the apical area on the frontal view. skeletal structures of the thorax are grossly unremarkable. records do not include a previous chest examination available for comparison.
<unk>-year-old male patient with asthma exacerbation, cough, evaluate for pneumonia.
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again seen is chest wall aicd/pacemaker with <num> leads in appropriate positions, unchanged. coronary stent projecting over the right heart is unchanged. mild pulmonary edema, mild to moderate cardiomegaly and trace right pleural effusion are unchanged. no focal consolidations. no pneumothorax. the patient is status post median sternotomy and cabg.
<unk> year old man with history of coronary artery disease, congestive heart failure with shortness of breath and wheezing this morning after intravenous fluids overnight
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ap and lateral chest radiographs were provided. a left chest wall pacemaker is present with leads in the right atrium and right ventricle. compared to the prior study, there has been improvement in pulmonary vascular congestion and aeration at the left base. lung volumes remain low. small bilateral pleural effusions are present, left greater than right. there is no focal consolidation or pneumothorax. right hilar opacity is stable and consistent with an enlarged pulmonary artery as seen on ct. multiple pulmonary nodules identified on the recent cta chest are not definitively identified. there are degenerative changes of the thoracic spine. the imaged upper abdomen is unremarkable.
<unk>-year-old woman status post ercp with chills and low-grade temps, evaluate for infection.
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cardiac size is mildly enlarged l. aside from retrocardiac atelectasis, the lungs are clear. there is no pneumothorax or pleural effusion.
<unk> year old man with meningoencephalitis, now with new fever to <num> // r/o pneumonia
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an endotracheal tube is slightly low lying with the tip terminating <num> cm above the carina. an enteric tube is seen coursing below the diaphragm with the tip terminating in the left upper quadrant, likely within the gastric fundus. a right internal jugular central venous catheter is in place with the tip projecting over the low svc. the inspiratory lung volumes are decreased. no significant pleural effusion or pneumothorax is detected on this single supine view. the pulmonary vasculature appears prominent. opacities projecting over the left heart border may represent atelectasis, although infection or aspiration are also possible. bronchovascular crowding due to low lung volumes is noted, though there is likely mild pulmonary vascular congestion. the cardiomediastinal silhouette is accentuated by low lung volumes. no acute osseous abnormality is detected.
hydralazine overdose status post intubation, here to evaluate endotracheal tube position.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is stable with top-normal heart size. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with sob daily
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cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal consolidation.
<unk>-year-old woman with anterior pleuritic chest pain, evaluate for acute process.
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lungs remain hyperinflated with flattening of the diaphragms, compatible with copd. heart size is moderately enlarged. the aorta is unfolded. mild interstitial pulmonary edema is new compared to the previous exam. worsening bibasilar airspace opacities are concerning for areas of infection or aspiration. probable trace bilateral pleural effusions are present. no pneumothorax is identified. no acute osseous abnormality seen. multilevel degenerative changes within the thoracic spine are re- demonstrated.
altered mental status, history of right lower lobe pneumonia, congestive heart failure, crackles in the right posterior lung field.
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lungs are clear. cardiac silhouette is normal. no pneumothorax.
cough.
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the patient is status post median sternotomy and cabg. the cardiac and mediastinal silhouettes are stable. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. there is no evidence of free air beneath the diaphragms. patient has a known hiatal hernia.
weakness, fatigue.
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compared to the prior study there is no significant interval change.
<unk> year old woman with diverticulitis. sob yesterday with increased o<num> req. // evaluate for interval improvement
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portable semi-upright ap radiograph of the chest. left chest wall pacemaker-defibrillator has a lead traversing the right svc terminating in the right ventricle and another lead arriving in the right atrium by way of a left sided svc draining into the coronary vein. lungs are normally expanded. there is blunting and opacity at the left costophrenic sulcus which may represent atelectasis, possibly with small pleural effusion, although infection cannot be completely excluded. however, this area is partially obscured by the pacer. the remaining lung fields are clear. there is no pneumothorax. the cardiomediastinal silhouette is stable; the heart is top normal.
hypotension, cough. evaluate for infiltrate.
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pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is normal. osseous structures are unremarkable.
<unk>-year-old male with dyspnea.
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there is blunting of the left costophrenic angle raising concern for a small left pleural effusion. left base streaky retrocardiac opacity may relate to pleural effusion and atelectasis although an underlying consolidation is not excluded. the right lung is clear. there is no evidence of pneumothorax. the cardiac and mediastinal silhouettes are unremarkable.
fever, cough.
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single portable view of the chest. when compared to ct performed hours prior, there has been no significant interval change. there is slight motion on this exam limiting evaluation. bibasilar opacities most suggestive of atelectasis. there is no new confluent consolidation. bilateral hilar adenopathy, pulmonary nodules, bronchial wall thickening and mucous plugging are also better seen on prior chest x-ray ct. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>-year-old male with respiratory failure.
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pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. blunting of the costophrenic angles is unchanged. there are no abnormal cardiac or mediastinal contours.
cough and fever, phlegm.
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lung volumes are slightly low, similar when compared to the prior study. a nasogastric tube is positioned in the stomach. a dual lead pacemaker is unchanged in appearance. there is new platelike atelectasis in the right middle lobe. linear atelectasis at the left lung base. no consolidation, pneumothorax or pleural effusion seen.
<unk> year old man with <unk> <unk>'s syndrome, requiring total colectomy with end ileostomy, complicated by severe gi dysmotility, recurrent stoma prolapse requiring re-siting and infected mesh, who presents with sbo. has high grade seen on ct a/p. ngt just replaced // ngt placement
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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 chest pain
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pa and lateral views of the chest provided. right ij access dialysis catheter noted with tip in the region of the right atrium/cavoatrial junction. the heart remains mildly enlarged. mild hilar congestion noted without frank pulmonary edema. no large effusion or pneumothorax. bony structures are intact. there is moderate volume free intra peritoneal air noted in the upper abdomen which may be related to recently placed peritoneal dialysis catheter, though clinical correlation is advised.
<unk>m with tunneled line placed for hd <num> days ago presenting with persistent bleeding at the site. patient had peritoneal catheter placed <num> days ago.
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frontal and lateral views of the chest were performed. there is no pleural effusion, pneumothorax, or focal airspace consolidation. a linear opacity at the left lung base is unchanged, likely reflecting scarring. the heart size is normal. the hilar and mediastinal structures are unremarkable. kyphoplasty changes are again seen in the thoracic spine.
left-sided sharp chest pain. evaluate for pneumonia or a pneumothorax.
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heart size remains mildly enlarged. the aorta is tortuous. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. there are moderate multilevel degenerative changes throughout the thoracic spine.
history: <unk>f with chest pain
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there is possible background hyperinflation. the right hemidiaphragm is elevated. the heart is not enlarged. aorta is minimally unfolded. there is patchy atelectasis/scarring in the right cardiophrenic region associated with the elevated right hemidiaphragm. there may be minimal subsegmental atelectasis at the left base. no chf, frank consolidation or gross effusion is identified. the pulmonary nodules identified on the <unk> chest ct are not well depicted radiographically. osteopenia, mild right convex curvature and degenerative changes of the thoracic spine are noted, not fully evaluated. no free air detected beneath the diaphragms.
<unk> year old woman with lung nodules from metastatic leiomyosarcoma, new sob overnight since doxil (chemo), with no significant findings on exam except for increased wob // edema? infection?
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no focal consolidation, large pleural effusion, or evidence of pneumothorax is seen. the cardiac silhouette is mildly enlarged. the mediastinum is unremarkable. no evidence of free air is seen beneath the diaphragms.
hypertension
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pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding single view chest examination of <unk>. on the frontal view, the findings are unchanged and there is no evidence of any pneumothorax. again identified are the two standard electrodes in right atrial appendage position and apical portion of right ventricle correspondingly. the third electrode can now be located in greater detail with the help of the lateral view. this third wire is also connected with the same left-sided pacer passes along through the central venous system and when reaching the right atrium makes an anterior gentle curve to return in dorsal direction and apparently entering the venous coronary sinus. it continues for about <num> cm in posterior direction before it curves finally with its tip laterally, so that it rests in a posterior lateral obtuse marginal vein of the coronary venous system. thus, the wire should activate region of the posterolateral left ventricle. comparison is extended to a series of chest examinations in <unk>. the degree of cardiomegaly appears to be stable. there is no significant pulmonary vascular congestion or any pleural effusion in lateral or posterior pleural sinuses.
<unk>-year-old female patient with cardiomyopathy status post biventricular icd. are the leads in appropriate position?
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endotracheal tube terminates approximately <num> cm above the carina. an enteric tube courses to the body of the stomach. the aicd lead terminates in the right ventricle. an additional catheter projects over the mid abdomen, incompletely evaluated. dense left retrocardiac opacity with air bronchograms is concerning for pneumonia, and less likely atelectasis. mild pulmonary vascular congestion is noted. no pneumothorax. left pleural effusion is presumed, but not large. cardiomediastinal silhouette is mildly enlarged. atherosclerotic calcifications of the aortic arch is an incidental finding.
<unk>-year-old male with urosepsis and right subdural hematoma. evaluate endotracheal tube placement.
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the heart size is mildly enlarged. the aorta is mildly is tortuous, unchanged. mediastinal and hilar contours are otherwise unremarkable. there is no pulmonary edema. small bilateral pleural effusions, right greater than left, are demonstrated. patchy right basilar opacity likely reflects compressive atelectasis. no pneumothorax is demonstrated. there are no acute osseous abnormalities.
cough.
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compared to the cxr on <unk>, the left lung base opacity is more prominent. there is a definite left-sided pleural effusion with adjacent atelectasis; however, cannot exclude an underlying pneumonia or pulmonary infarction in this region. the right lung is free of consolidations or large pleural effusions. no pneumothorax bilaterally. the right internal jugular catheter is unchanged in position, terminating in the cavoatrial junction. median sternotomy wires are unchanged. the mediastinum and hila are within normal limits. heart size is within upper limits of normal. no acute osseous abnormalities.
<unk> year old man with cabg // r/o inf, eff
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mild enlargement of cardiac silhouette with a left ventricular predominance is noted. the aortic knob demonstrates mild atherosclerotic calcifications. mediastinal and hilar contours are normal. pulmonary vasculature is normal. minimal subsegmental atelectasis is noted in the left lung base. lungs are otherwise clear without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormalities seen.
chest pain and shortness of breath.
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left-sided port-a-cath tip terminates in the mid svc. the heart size is normal. mediastinal and hilar contours are unremarkable. lungs are clear. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
hemodialysis dependent end-stage renal disease, weakness, fatigue.
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portable semi-upright radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding. there has been slight interval improvement in the bilateral areas of parenchymal opacity, suggesting improving atelectasis and decreasing pulmonary edema. moderate cardiomegaly is stable. there is no pneumothorax, consolidation, or pleural effusion. the left sided pectoral pacemaker is seen with leads in unchanged position. however, as seen on the ct of the chest dated <unk>, the right atrial lead actually ends in the right atrial appendage.
<unk>-year-old female who is <unk> weeks pregnant with asthma flare and ongoing hemoptysis. evaluate for interval change.
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frontal and lateral views of the chest. left chest wall dual lead pacing device is seen with tips in expected positions. right picc is no longer visualized. the lungs are clear without consolidation, effusion, vascular congestion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected.
<unk>-year-old male with dizziness and lightheadedness for <num> weeks.
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no focal consolidation, pleural effusion or pneumothorax identified. the size of the cardiomediastinal silhouette is within normal limits.
<unk> year old woman with splinter hemorrhages, palm and sole rash, purple toe, concern for endocarditis. // any evidence of pulmonary emboli? any focal consolidations?
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relatively low lung volumes are seen. retrocardiac opacity may be secondary to atelectasis. elsewhere, the lungs are clear. cardiomediastinal silhouette is within normal limits for technique. no acute osseous abnormalities.
<unk>f with cva obtundation // acute process
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>m with chest pain and dyspnea // evaluate for cardiomegaly, any pneumonia?
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there is a new left-sided pleurx catheter with interval improvement of the loculated left pleural effusion. there is a small left basilar pneumothorax. there is a stable left apical density which may represent pleural fluid and/or thickening. calcified pleural plaques are likely related to prior asbestos exposure. the heart and mediastinal contours appear to be stable with aortic calcifications. there appears to be slight interval worsening of diffuse bilateral pulmonary edema compared to the prior exam.
history of recurrent effusions, please evaluate status post pleurx placement and post-thoracoscopy.
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the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal. there is a linear radiodensity projecting over the left neck seen only the frontal view.
<unk>f with lost crown status post mvc. evidence of tooth/crown in lungs
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there is moderate cardiomegaly that is unchanged. pulmonary edema is improved and is now mild with a residual moderate right pleural effusion. no left pleural is seen. a left dialysis catheter and right port-a-cath are unchanged in position. et tube is seen with its tip projecting <num> cm superior to the carina.
<unk> year old man with hypotension, hiv, hcv with cirrhosis, esrd // eval for pneumonia, interval eval of ett
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the heart is again markedly enlarged with a single-lead pacemaker device, whose lead again terminates over the expected region of the right ventricle. the cardiac, mediastinal and hilar contours appear stable including moderate tortuosity and calcification along the thoracic aorta. a small pleural effusion is probably new on the right with patchy right basilar opacity, probably due to atelectasis. the kyphotic curvature is mildly exaggerated with minimal loss in height among several lower thoracic vertebral bodies, but not likely to be acute.
shortness of breath. question pulmonary edema.
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the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart continues to be enlarged. the mediastinal contours are normal.
<unk> year old woman with cough
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mild cardiomegaly vascular congestion is improved when compared to <unk> study. low lung volumes with stable bibasilar atelectasis are stable. a small left pleural effusion is stable.
<unk> year old woman with s<num> dlbcl, tachypnea, now wheezing // aspiration
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pa and lateral chest radiographs are markedly limited by the patient's body habitus. linear opacities projecting over the lungs are most likely attributable to soft tissue. bibasilar atelectasis is mild. the hila are well defined. there is no effusion or pneumothorax. cardiac and mediastinal contours are normal. ill-defined rounded opacities along the right anterolateral ribs may represent callous from prior fractures.
<unk>-year-old woman with shortness of breath, question pulmonary edema.
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lung volumes are within normal limits. the granular appearing opacity in the right mid lung is less conspicuous than on the prior study but persists. a atelectasis in the lingula is also unchanged. no pleural effusion or pneumothorax seen. the cardiomediastinal contour is unchanged compared to the prior study. the heart is not enlarged. air filled dilated loops of bowel in the left upper quadrant are unchanged in appearance when compared to the prior study.
<unk> year old man with questionable pneumonia // pneumonia
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lung volumes are low. bilateral interstitial opacities are compatible with pulmonary edema. there is no focal consolidation, large pleural effusion or pneumothorax. the heart is moderately enlarged. sternal closure device is stable.
history of desats to <num>s after iv fluid bolus. assess for pulmonary edema.
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again seen is mild prominence of the interstitial markings compatible with mild pulmonary edema. trace bilateral pleural effusions have nearly resolved since the previous exam. the heart remains enlarged and the aorta is tortuous.
chest pain, evaluate for acute process.
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there is a faint opacity in the left lower lobe which may be representative of a developing pneumonia. otherwise, the remainder of the lungs is clear. the cardiomediastinal silhouette is normal. there are no effusions or pneumothoraces. the visualized osseous structures are normal.
evaluation of the patient with fever, chills, and cough.
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the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
<unk>-year-old with worsening abdominal pain, recent pneumonia.
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right picc is again seen. the lungs are clear of focal consolidation, effusion, or overt pulmonary edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with fever, productive cough, absent breath sounds/crackels on exam // ?infection
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the heart is mildly enlarged and there is vascular engorgement with ill-defined vasculature and patchy hazy alveolar infiltrate. there is volume loss in both lower lobes. there are no definite effusions.
<unk> year old woman with ? pulm edema // ? edema
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the lungs are clear. there is no pneumothorax. the heart and mediastinum are within normal limits. regional bones and soft tissues are unremarkable.
<unk> year old man with shortness of breath. // potential etiology for dyspnea
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port-a-cath remains in place with no change in the position of the tip. the cardiomediastinal contours appear to be normal. the lungs are clear bilaterally without focal consolidation, pleural effusions, or pneumothorax. the bony structures are intact.
<unk>-year-old gentleman with a history of bladder cancer status post chemoradiation, presenting with new-onset shortness of breath, rule out infection.
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again seen are small bilateral pleural effusions. mild interstitial edema is noted. the cardiac silhouette is enlarged but stable in configuration. prosthetic valve is visualized as well as median sternotomy wires. no acute osseous abnormalities.
<unk>f with dyspnea and crackles on lung exam // pneumonia? volume overload?
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the lungs are well expanded and clear. there has been interval resolution of prior opacity in the right lung base. heart size is also improved. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old male with shortness of breath. evaluate for acute process.
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the patient is status post median sternotomy and mitral valve replacement. heart size is normal. mediastinal and hilar contours are normal. lungs are clear without focal consolidation. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities demonstrated.
history: <unk>m with hypotension
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the ett tip projects over the midline approximately <num> cm from the carina with the neck in neutral to flexed position. recommend advancing approximately <num> cm. the enteric tube traverses the midline into the left upper quadrant in the expected region of the stomach although the tip is not seen. the right lung is clear. there is body some atelectasis of the left lower lung with slight elevation of the left hemidiaphragm. no pneumothorax or large pleural effusion. the cardiomediastinal silhouette is normal.
history: <unk>m with intubated // s/p intubatuion
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portable ap upright chest film <unk> at <time> is submitted.
<unk> year old woman with multilobar pneumonia with worsening respiratory distress. // please evalulate for acute process and interval change. please evalulate for acute process and interval change.
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the right ij line terminates in the right atrium. the heart is moderately enlarged. the mediastinal silhouette is unchanged. the diffuse bilateral parenchymal reticular opacities are consistent with patient's background fibrosis and severe emphysema. rounded lucencies in the right upper lung consistent with chronic bullous emphysematous changes better evaluated on chest ct from <unk>. lobe opacity in the right middle lung as seen on the prior study from <unk> is consistent with <num> pneumonia. there is no pulmonary edema, pleural effusion, or pneumothorax.
<unk> year old woman with copd, pneumonia, and sepsis // pneumonia, interval change, pulmonary edema
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there is stable mild enlargement of the cardiac silhouette. there is mild pulmonary edema. there may be a small right pleural effusion. no focal consolidation or pneumothorax. the median sternotomy wires are intact.
history: <unk>f with chf, pafib, coming in with gi bleeding and sob. // e/o pna
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the et tube ends in the mid thoracic trachea. an enteric tube is seen with the tip below the diaphragm. the cardiomediastinal silhouette is unchanged. mild vascular congestion persists. no large pleural effusion or pneumothorax.
copd, now intubated evaluate et tube.
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the lung volumes are normal. there is no pleural effusion, pneumothorax or focal airspace consolidation. heart is normal size. there is no pulmonary edema. the mediastinal and hilar contours are unremarkable.
asthma exacerbation. evaluate for an acute cardiopulmonary process.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with cough.
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the lungs are well-expanded and clear. no focal consolidation, edema, effusion, or pneumothorax. the heart is normal in size. the mediastinum is not widened. no acute osseous abnormality.
<unk>-year-old woman with fatigue shortness of breath. evaluate for pneumonia.
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the left picc line continues to terminate in the low svc. a small right pleural effusion with chronic right middle lobe atelectasis and bronchiectasis are unchanged. previous pulmonary edema has resolved. moderate cardiomegaly despite the projection is also unchanged. there is no pneumothorax. an benign appearing ossified structure at the left glenohumeral joint is unchanged.
<unk> year old woman with afib, chf, severe c diff. concern for picc malposition // eval for picc position
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the sequential images show repositioning of the esophageal drainage tube healed he initially looped in the mid esophagus, then in the upper stomach finally at or just beyond the pylorus. partially imaged right ij central venous catheter with tip projecting in the high svc. lung apices not included on this radiograph. lungs are grossly clear. surgical <unk> project just left of midline in the abdomen. chain sutures and surgical clips are seen in the right upper quadrant.
<unk>-year-old man with hepatectomy, with a new nasoenteric tube, evaluate position.
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pa and lateral views the chest provided. the lungs are clear bilaterally without focal consolidation, large effusion or pneumothorax. no convincing signs of congestion or edema though the hila appear somewhat prominent which could reflect prominent vascular structures. cardiomediastinal silhouette appears normal aside from atherosclerotic calcifications of the aortic knob. bony structures are intact.
<unk>f with pulm htn with increased dyspnea. assess for infiltrate or congestive heart failure.
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stable cardiomegaly and mild tortuosity of the thoracic aorta in this patient status post previous median sternotomy and coronary bypass surgery. . the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are hyperinflated and grossly clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. compression deformities in the spine are similar to the prior study.
<unk> year old woman with cough // r/o pulm path
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right internal jugular central venous catheter tip terminates at the svc/right atrial junction. no pneumothorax is identified. cardiac silhouette size is top normal. the aorta remains tortuous. the mediastinal and hilar contours are similar. there is mild pulmonary vascular congestion. patchy opacities are noted in the lung bases, more pronounced in the left lung base, potentially atelectasis though infection or aspiration cannot be excluded. there may be a tiny left pleural effusion. no pneumothorax is present.
history: <unk>m with right internal jugular central line placement and status post <num>l ns
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pa and lateral views of the chest. the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormality detected.
<unk>-year-old male with left-sided chest pain.
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the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.
<unk>f with <num> week cough, sob, wheezing // eval for consolidation
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no focal consolidation is seen.there is no pleural effusion or pneumothorax. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>m with ams // please evaluate for abnormality
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lung volumes are persistently low. this accentuates the size of the cardiac silhouette which appears mild to moderately enlarged but unchanged. widening of the superior mediastinal contour is due to low lung volumes, an aortic knob remains distinct. is crowding of the bronchovascular structures as a result of low lung volumes without with mild pulmonary vascular congestion. patchy opacities are noted in the lung bases which likely reflect areas of atelectasis in the setting of low lung volumes. no pleural effusion or pneumothorax is identified. no acute osseous abnormality is detected.
history: <unk>m with chest pain
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there has been further increase in the bilateral but left side predominant airspace opacities. unchanged right apical bullous disease without a discrete pneumothorax a suspected trace left pleural effusion is present with adjacent atelectasis. the size and appearance of the cardiomediastinal silhouette is unchanged. multiple bilateral rib fractures of varying ages are present. a healing fracture of the distal right clavicle is also noted.
<unk> year old man with aspiration pneumonia, now satting in <num>'s on <num>l--<unk> for evolution. // eval for interval change from this morning.
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the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax.
alcohol withdrawal with recent fevers and altered mental status. assess 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>m with chest pain, dyspnea // ? acute cardipulm process
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ap and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of focal consolidation or effusion. the cardiac silhouette is enlarged but stable in configuration compared to prior. atherosclerotic calcification is seen at the aortic arch. the osseous and soft tissue structures are unremarkable.
<unk>-year-old male with altered mental status versus seizure.
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subtle increased opacity of the lower lung on lateral view likely is on the left. no pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits.
<unk>-year-old female with cough.
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there has been interval removal of the intra-aortic balloon pump. the swan-ganz catheter has been pulled back and currently resides in the region of the tricuspid valve. the ng tube resides in the stomach. the et tube is appropriately positioned <num> cm above the carina. moderate cardiomegaly and pulmonary vascular congestion persists. mediastinal widening is secondary to right-sided heart failure. pleural effusions persist. there is no pneumothorax.
<unk> year old woman with stemi // assess for interval changes and line placement
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heart size is normal. the mediastinal and hilar contours are unchanged. mild atherosclerotic calcifications are within the aorta diffusely. hilar contours are similar and the pulmonary vasculature is not engorged. lungs remain hyperinflated. no focal consolidation, pleural effusion or pneumothorax is present. the osseous structures are diffusely demineralized with mild loss of height of several mid thoracic vertebral bodies, not substantially changed in the interval. degenerative changes are also seen within the right glenohumeral and acromioclavicular joints.
history: <unk>f with chest pain
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frontal lateral radiographs of the chest demonstrates a left chest wall port-a-cath with the tip in the region of the cavoatrial junction. a disc shaped foreign bodies projects in the anterior chest wall soft tissues. slight increase in mild cardiomegaly. no focal consolidation, pleural effusion or pneumothorax.
fever, question pneumonia.
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there is persistent elevation of the right hemidiaphragm that has been present since at least <unk>. there is no consolidation or pleural effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits.
right-sided pleural effusion, status post attempted thoracentesis. question of pneumothorax.
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there has been improvement opacification at the left lung base, with residual linear atelectasis and partial left lower lobe collapse. the right lung is clear. heart size is normal and there is a small left pleural effusion. small amount of air adjacent to the left heart border maybe a small amount of pneumomediastinum. pleural catheter marginates the mediastinum at the level of the ap window. no appreciable pneumothorax..
<unk> year old man s/p fall and with pulmonary contusion. evaluate interval change in pulmonary contusion.
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patient is status post right subclavian port-a-cath which terminates at the lower svc. the cardiomediastinal and hilar contours appear stable when compared to prior radiograph dated <unk>. there appears to be increased density at the left lower lung zone suspicious for consolidation. the right lung base is clear. there is no pleural effusion or pneumothorax. visualized osseous structures are unremarkable.
<unk>-year-old male with productive cough and shortness of breath.
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single portable upright radiograph is centered over the lower chest and upper abdomen. the tip of a dobbhoff tube projects over the left upper quadrant in the region of the stomach. visualized portions of the lungs show the tip of a right-sided picc line remains in the low svc. there is discoid right lower lobe atelectasis.
<unk>-year-old man with alcoholic hepatitis and dobbhoff tube placement.
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pa and lateral views through the chest demonstrates hyperinflated clear lungs. cardiomediastinal and hilar contours are within normal limits allowing for a patient who is minimally rotated to the left. there is no pleural effusion or pneumothorax. no acute osseous abnormality is identified.
<unk>-year-old male with palpitations.
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assessment is limited by patient rotation. right-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle. patient is status post median sternotomy, cabg, and coronary artery stenting. heart size appears moderately enlarged with a left ventricular predominance. the aorta is diffusely calcified. mild pulmonary vascular congestion is demonstrated with small right pleural effusion, not substantially changed. streaky opacities in the lung bases likely reflect areas of atelectasis. no pneumothorax is identified. no acute osseous abnormality is detected.
history: <unk>m with abdominal pain and nausea
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there is no focal consolidation, pleural effusion or pneumothorax. there is no change since the prior exam. the cardiac silhouette is normal. osseous structures are unremarkable.
<unk>-year-old woman with history of early stage uterine cancer with left shoulder, arm and back pain. assess for cause.
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frontal and lateral views of the chest were obtained. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable. no overt pulmonary edema is seen.
a <unk>-year-old male with chest pain, shortness of breath.
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no change in the left-sided pacemaker with leads projecting to the right atrium and right ventricle. mild to moderate cardiomegaly is unchanged. calcified tortuous aorta is unchanged. lungs are clear without focal consolidation, effusion, <unk> pneumothorax. thoracic spinal ankylosis is unchanged.
<unk> year old man with prod cough, marked doe, rapid afib. no fever <unk> <unk> edema. evaluate for pneumonia <unk> chf.
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the heart size is normal. mediastinal and hilar contours are unremarkable. left picc has been removed. no focal consolidation, pleural effusion or pneumothorax is seen. minimal patchy opacities in the lung bases likely reflect atelectasis. there are no acute osseous abnormalities.
left shoulder pain, abdominal pain, headache.
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an endotracheal tube is in place with the tip terminating at the thoracic inlet. a nasogastric tube is seen coursing below the diaphragm with the tip terminating to the right of the spine at the expected position of the pylorus. the inspiratory lung volumes are decreased from the most recent prior study. no focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax is detected. the pulmonary vasculature is not engorged. minimal streaky opacities in the lung bases on the left greater than the right are compatible with minimal atelectasis. the cardiac silhouette is moderately enlarged. the mediastinal and hilar contours are within normal limits.
altered mental status, here to evaluate for aspiration.
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the lungs are clear.the cardiac contour is enlarged. the mediastinal and hilar contours are normal. there is no pleural or pericardial effusion. the osseous structures are unremarkable.
<unk>f with wheezing, dyspnea. evaluate for pneumonia.
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frontal and lateral views of the chest demonstrate low lung volumes. left lung base consolidation, better appreciated on the lateral view is unchanged. parenchymal changes involving the right lung base are more conspicuous since prior. there is no pleural effusion. no pneumothorax. hilar and mediastinal silhouettes are unchanged. heart size is normal.
shortness of breath, patient with pneumonia.
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no consolidation is seen. mild lateral left base atelectasis is noted. there is no pleural effusion or pneumothorax. the cardiac silhouette is top-normal. mediastinal contours unremarkable. no pulmonary edema is seen.
<unk> year old woman with dyspnea, sob // evaluate for acute process
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cardiomediastinal contours are normal. lungs are grossly clear. no definite pleural effusion on this single portable projection. note is made of previous left axillary lymph node dissection and prior left breast surgery.
<unk> year old woman with sinusitis seen on head ct with rising wbc, on ctx for presumed uti // evidence of pna?
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in comparison to the prior exam, the lung volumes are lower. bibasilar hazy opacities, which are likely related to atelectasis, but in the proper clinical setting, pneumonia cannot be fully excluded. there is no evidence of pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is normal.
leukocytosis, and poor historian. evaluate for acute pulmonary process.
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the et tube terminates approximately <num> cm above the carina. there is an enteric tube which extends below the diaphragm with the tip in the body of the stomach. a swan-ganz catheter is in unchanged position, ending in the pulmonary outflow tract. a right internal jugular vein is in appropriate position. moderate cardiomegaly is persistent. there is perihilar perivascular congestion with moderate pulmonary edema, similar to the prior exam. again noted is a retrocardiac opacity which may be concerning for pneumonia. no evidence of pneumothorax. the visualized osseous structures are unremarkable.
history of cabg. please evaluate dobbhoff tube location.
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the cardiomediastinal silhouettes are stable and 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. minimal blunting of the cp angles on lateral view may reflect trace pleural effusions. biapical pleural parenchymal scarring is again noted.
<unk>m with chest pain, pleuritic in nature, evaluate for acute process.
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the patient is status post intubation and ng tube placement, both in adequate positions. increased perihilar opacities and prominent interstitial markings is consistent with mild pulmonary edema. there may be small bilateral pleural effusions. there is no pneumothorax. the cardiomediastinal silhouette is moderately enlarged.
history: <unk>f with intubated for resp distress*** warning *** multiple patients with same last name! // eval for tube placement
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pa and lateral views of the chest provided. a picc line is seen extending from the right arm through the right subclavian vein into the mid svc region. perihilar opacities, left greater than right are again noted compatible with known atypical mycobacterial infection. there is also mild left basal opacity which is not significantly progressed. no large effusion or pneumothorax. the cardiomediastinal silhouette appears unchanged. bony structures appear intact.
<unk>f with picc in place fro mac pna, with fever and tachycardia x<num> hrs
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frontal and lateral radiographs of the chest were acquired. hazy opacification of both lung bases is thought to be secondary to overlying soft tissues. there is no focal consolidation. engorgement of the mediastinal vasculature is not significantly changed. the heart size is top normal. there are no pleural effusions. no pneumothorax is seen.
fall and cough. assess for pneumonia.