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the cardiac, mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear.
chest pain.
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low lung volumes with bibasilar opacities, left greater than right can be aspiration in the appropriate clinical setting or atelectasis. no overt pulmonary edema. no pleural effusions or pneumothorax.
<unk> year old woman with tachycardia, o<num> requirement // r/o pulm edema or other acute process
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exam is limited secondary to patient's accentuated kyphosis and positioning, including rotation to the left. there is no definite consolidation or large effusion. cardiomediastinal silhouette cannot be adequately assessed for reasons stated above. no acute osseous abnormality is detected.
<unk>-year-old female with altered mental status.
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the endotracheal tube is <num> cm above the carina. there is dense retrocardiac opacity compatible volume loss/infiltrate/effusion. left upper lung is slightly better aerated than on the prior exam. there continues to be some volume loss/infiltrate in the right lower lung with some minimal obscuration of the right hemidiaphragm. the remainder of the appearance of the chest is unchanged compared to prior.
status post aneurysm repair.
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the lungs are well inflated and clear. there is left ventricular configuration of the heart with a tortuous descending thoracic aorta, which can be seen in systemic hypertension. no pleural effusion or pneumothorax is identified.
altered mental status, evaluate for pneumonia.
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pa and lateral chest radiographs again demonstrate ill-defined opacities in the right mid lung, less conspicuous than on <unk>. the heart size is top normal, unchanged. the cardiac, hilar, and mediastinal contours are within normal limits. there is no pneumothorax or pleural effusion.
worsening weakness. evaluation for pneumonia.
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the cardiac, mediastinal and hilar contours are normal. lungs are clear. no pleural effusion or pneumothorax is present. the pulmonary vascularity is normal. no acute osseous abnormality is visualized.
back pain.
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the cardiomediastinal and hilar contours are within normal limits. there is no focal consolidation, pleural effusion or pneumothorax.
chest tightness and shortness of breath. rule out an acute process.
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pa and lateral chest radiograph demonstrates well-expanded and symmetric lungs. a focal consolidation convincing for pneumonia is identified. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. visualized osseous structures are without an acute abnormality.
<unk>-year-old male with recent clinical diagnosis of pneumonia. presents with syncope.
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ap portable upright view of the chest. dialysis catheter again seen with its tip in the low svc near the cavoatrial junction. cardiomegaly again noted with hilar congestion and mild interstitial pulmonary edema. no large effusion or pneumothorax. no convincing evidence for pneumonia. mediastinal contour is stable with aortic calcification. tracheobronchial tree calcification also noted. bony structures are intact.
<unk>f with tachycardia // evidence of fluid
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the lungs are clear without consolidation or edema. there is mild prominence of the right pulmonary veins, which is unlikely of clinical significance. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal in size. mitral annular calcifications are noted. an s-shaped thoracolumbar scoliosis is unchanged.
cough, fever, and right basilar rhonchi. evaluate for pneumonia.
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there are slightly low lung volumes, which results in mild bronchovascular crowding. the cardiomediastinal and hilar contours are unremarkable. the aorta is tortuous. there is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with cp/palps // r/o acute process
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. bibasilar atelectasis. lungs are otherwise clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk>f w/sob, please eval for pna // <unk>f w/sob, please eval for pna
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single portable frontal image of the chest. a right-sided port-a-cath is in unchanged position. prior exam. an ng tube is seen in place in the stomach or proximal duodenum. the lungs are moderately well expanded. there is mild pulmonary vascular congesion. the lungs are otherwise clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
metastatic colon cancer, now with sbo and requiring assessment of ng tube placement.
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as compared to <unk> chest radiograph, cardiomediastinal contours are stable. lung volumes are relatively low, and a bilateral reticular interstitial pattern is present with mid and lower lung predominance. small left pleural effusion is also present as well as a nonspecific patchy opacity in the left lower lobe anterior medially.
<unk> year old man with anasarca // evidence of pulmonary edema?
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the cardiac, mediastinal and hilar contours appear unchanged. there is increased opacification of the left mid to lower lung suggesting pneumonia with the greatest suspected degree of involvement in the superior segment of the left lower lobe. there is a similar mild interstitial abnormality involving both lungs which alternatively suggests mild pulmonary edema. there is no definite pleural effusion or pneumothorax. sclerotic bones suggest renal osteodystrophy.
fever. question pneumonia.
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the lung volumes are low. the heart is mild-to-moderately enlarged. the mediastinal and hilar contours are unremarkable. the pulmonary vascularity is mildly prominent, suggesting mild congestion. patchy left basilar opacification suggests minor atelectasis. there is no definite pleural effusion or pneumothorax.
stroke. question aspiration.
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear. there is no pneumothorax or effusion. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old man with chest pain.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old male with chest pain.
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compared with prior radiographs on <unk>, there is no significant change. there are low lung volumes, we the moderate right-sided pleural effusion, fluid in the minor fissure, and right basilar atelectasis.there is no new focal consolidation. no pneumothorax. the cardiac and mediastinal silhouettes are unchanged. a right picc terminates in the mid svc.
<unk> year old man with cirrhosis, controlled hiv, new fever // evaluate for pna
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frontal and lateral views of the chest. mild cardiomegaly and mediastinal contours are stable. moderate-sized hiatal hernia is unchanged. ill-defined airspace opacities in the right mid and lower lung are consistent with pneumonia. no pleural effusion or pneumothorax. a left picc terminates in the lower svc, best assessed on the lateral view.
fever and cough.
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the lung volumes are low, accentuating interstitial markings. retrocardiac opacity is likely atelectasis, consolidation cannot be excluded. however, compared to prior exams, there is evidence of worsening moderate cardiomegaly and bilateral reticular opacities, concerning for increased pulmonary pressure. no pleural effusion or pneumothorax is seen.
<unk>f w/shortness of breath, please eval for pna // <unk>f w/shortness of breath, please eval for pna
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the heart size is top normal, exaggerated by low lung volumes. there is no focal consolidation. there is no pleural effusion or pneumothorax. the mediastinal and hilar contours are normal.
shortness of breath and cough.
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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 including no displaced rib fractures identified.
history: <unk>m with chest pain status post fall
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lung volumes are low, likely secondary to lack of full inspiration. no pneumothorax. mild pulmonary vascular congestion without frank pulmonary edema, and may be secondary to lack of full inspiration. bibasilar atelectasis. no pleural effusion. no focal consolidation to suggest pneumonia. the heart size is prominent.
<unk> year old man with pleuritic chest pain in left upper chest, s/p left supraclavicular brachial plexus block evaluate for pneumothorax.
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the cardiac and mediastinal silhouettes are stable. the cardiac silhouette remains enlarged. the aortic knob is calcified. there is moderate pulmonary edema, increased since the prior study. there is persistent blunting of the right costophrenic angle which may be due to a small pleural effusion. no pneumothorax is seen.
shortness of breath, history of chf off lasix.
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lungs are well-expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. no acute displaced rib fractures.
history: <unk>f with <num> month of left sided anterior chest pain // bony abnormality, ptx, acute cardiopulmonary process
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other than lower lung volumes, no significant interval change in the radiographic appearance of the chest. linear opacities in the left lung base, are consistent with atelectasis, unchanged. no focal consolidation, edema, effusion, or pneumothorax. the heart is normal in size. surgical clips projecting over the left abdomen abdomen and tube over the right upper abdomen are unchanged.
<unk> year old man with fever, cough \; evaluate for pneumonia.
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the heart is normal in size. the aortic arch is calcified. there is a small eventration of the anterior right hemidiaphragm. there is no pleural effusion or pneumothorax. the lungs appear clear.
lightheadedness.
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there has been interval removal of the right pacemaker and placement of a new left pacemaker which is intact with leads in the appropriate positions located in the right atrium and right ventricle. the lung volumes are stable. the cardiomediastinal and hilar contours are normal. the pleural surfaces are normal. no pneumothorax.
<unk> year old woman with heart block s/p dual chamber ppm. eval for lead position and post procedure complications. // <unk> year old woman with heart block s/p dual chamber ppm. eval for lead position and post procedure complications.
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there is engorgement of the central pulmonary vasculature, cephalized flow and indistinctness of the pulmonary vessels, all compatible with interstitial edema. mild aortic tortuosity is again noted with calcified plaque seen at the arch. this is stable compared to prior exams. similarly, the cardiac silhouette is borderline enlarged and again stable. there is a small right pleural effusion. no left effusion is noted. there is no pneumothorax. the osseous structures reveal mild multilevel degenerative disease in the mid thoracic spine.
shortness of breath.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the aorta is slightly tortuous. the cardiac silhouette is top-normal in size. no pulmonary edema is seen. surgical clips are seen overlying the left upper abdomen.
shortness of breath.
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there is no focal infiltrate or consolidation, pleural effusion, or pneumothorax. no evidence of chf. cardiomediastinal and hilar silhouettes are within normal limits.
<unk>m with productive cough for two weeks, please eval for pneumonia //
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lung volumes are low with small bilateral pleural effusions and associated atelectasis. median sternotomy wires are intact. opacity overlying the right clavicular head is not seen on priors. there is no pneumothorax.
<unk>f with right-sided rhonchi, fever // eval for pna
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frontal and lateral views of the chest demonstrate no acute cardiopulmonary process. the cardiomediastinal, pleural and pulmonary structures are unremarkable. there is no pleural effusion or pneumothorax. the heart size is normal. there are no areas of consolidation concerning for pneumonia. there are no suspicious osseous lesions seen.
chest pain, evaluate for infiltrate.
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the lungs are normally expanded. there are linear areas of opacity in the right base likely reflecting atelectasis. no focal airspace opacity is detected to suggest pneumonia. the heart is not enlarged. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax.
leukocytosis. evaluate for infection.
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pa and lateral chest radiographs were obtained for this exam. direct comparison was made to the immediate preceding film on <unk>. cardiac size is normal. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. there is crowded vasculature with perivascular densities in the left lower lung zone.
<unk>-year-old with cough and fevers.
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
<unk>f with hyperglycemia and cough // ?pna
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frontal chest radiograph demonstrates the right picc has been removed. right-sided tunneled dialysis catheter tip terminates in the right atrium. lung volumes are persistently low with mild pulmonary vascular congestion, interstitial edema and right basilar atelectasis. there is no large pleural effusion or pneumothorax. the cardiomediastinal silhouette is stable. incidentally noted, the splenic flexure of the colon is dilated, measuring <num> cm.
shortness of breath.
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pa and lateral views of the chest provided. mild platelike left basal atelectasis noted. otherwise lungs are clear. 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 asthma, cough w/ sputum // pna?
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redemonstrated is a right-sided picc line with the tip terminating at the cavoatrial junction. multiple bilateral parenchymal opacities are noted, some of which demonstrate areas of central lucency and are compatible with the patient's known multifocal septic pulmonary emboli. more confluent consolidation in the right lung base has partially improved, and a right pleural effusion has decreased in size. the cardiomediastinal silhouette is unchanged.
history: <unk>f with new fever // r/o pna
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. the mediastinal and hilar contours are unremarkable. no displaced fracture is seen.
chest pain and shortness of breath.
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frontal and lateral views of the chest demonstrate low lung volumes without pleural effusion, focal consolidation or pneumothorax. the hilar and mediastinal silhouettes are unremarkable. a mild interstitial pulmonary abnormality could be acute, either edema or interstial pneumonia, but since there is a suggestion of a milder interstitial abnormality in <unk>, this may be the progression or recurrence of a longstanding process. heart is mildly enlarged, including a dilated left atrium both increased since <unk>. partially imaged upper abdomen is unremarkable.
cough and sore throat for one week.
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the heart is moderately enlarged. again noted are midline sternal wires, only the lower ones of which are in place, and surgical clips. there are patchy, bilateral opacities, particularly in the right mid lung, which, on the most recent examination was obscured by the patient's overlying hand. similar opacities were also seen on more remote studies including <unk> and <unk>. no pleural effusion or pneumothorax is identified. tracheostomy tube appears to be in standard position.
<unk> year old man with chronic trach dependence, fever, worsening dyspnea // pneumonia?confirm trach placement (question of displacement on previous x-ray)
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pa and lateral views of the chest were obtained. there is now increased right pleural effusion compared to <unk>, with consolidation at the right base. there is preservation of right upper lobe aeration. the left lung is clear. the cardiac silhouette remains enlarged. there is no pneumothorax. there are no acute skeletal abnormalities.
<unk>-year-old man with history of right pleural effusion, now with dyspnea x <unk> days, right lower lung fields diminished breath sounds, evaluate for infectious process for recurrent effusion.
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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. nipple shadows should not be mistaken for lung nodules.
history: <unk>f with brady and htn, dizziness? // ? mass, cxr- ? mass ? mass, cxr- ? mass
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the patient is status post sternotomy. the cardiac, mediastinal and hilar contours appear unchanged including a prominent main pulmonary artery contour and/or left atrial appendage in addition to overall mild cardiomegaly. prominent central pulmonary arteries appear unchanged on the lateral view. streaky opacity at the left lung base suggests atelectasis. the lungs appear otherwise clear. there are very small probable bilateral pleural effusions.
chest pain.
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mild enlargement of the cardiac silhouette is stable. the thoracic aorta appears to be tortuous, but cardiomediastinal contours are otherwise unremarkable. the lung volumes are reduced, and there is increased ap diameter of the chest secondary to known severe kyphosis of the thoracic spine with evidence of old compression fractures at multiple levels. there is also evidence of old rib fractures on the left. lungs are clear. no pleural effusions and no pneumothorax.
<unk>-year-old lady with left posterior chest pain and history of ulcerative colitis with subtotal colectomy and severe kyphosis, ? new chest lesion left posterior.
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the lungs are well expanded and clear without focal consolidation or pneumothorax. there is no right pleural effusion. blunting of the left costophrenic sulcus may represent a small effusion or pleural thickening. heart size is normal. mediastinal silhouette and hilar contours are normal. minimally displaced fractures of the left second posterior and anterolateral third and fourth ribs are seen. the other known left rib fractures are not well visualized on this study. the left scapular fracture is again seen.
<unk>-year-old man with rib fractures.
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portable chest radiograph demonstrates clear lungs without pleural effusion or pneumothorax. the cardiac silhouette is normal in size, the mediastinal contours are normal. there is no intraperitoneal free air. surgical clips are noted in the upper quadrant.
<unk>-year-old female with abdominal pain, please rule out free air.
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portable frontal semi-erect chest radiograph demonstrates an endotracheal tube terminating in the mid thoracic trachea. upper sternal wires are fractured and new plating from both sides of what looks like sternal dehiscence. there are low lung volumes, with exaggeration of the cardiac silhouette and bronchovascular crowding. even allowing for this, there is at least moderate cardiomegaly. diffuse bilateral opacities consistent with mild pulmonary edema. no focal consolidation or appreciable pleural effusion or pneumothorax is visualized.
status post endotracheal tube placement.
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right-sided pleurx catheter with in good position. interval decrease in right apical pneumothorax and is now small. the large right mass with associated right lung collapse are stable with the bronchial stent in similar position. increasing right-sided pleural effusion. the left lung remains clear.
<unk> year old woman with r pleurex, persistent pneumothorax // f/u pneumothorax, effusion. please perform am cxr
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there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. aortic arch calcifications are noted.
history: <unk>f with known renal tumor, renal stones presents with new flank pain x<num>d. // evaluate for renal stones, diverticulitis, abscess.
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
<unk> year old man with pmhx of dm, htn, hl who presents with substernal chest burning, mild shortness of breath and cough for several hr.
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there are streaky bibasilar opacities, likely atelectasis. additional linear opacity in the right mid lung sulcal atelectasis versus scarring. the lungs are otherwise clear. cardiac silhouette is mildly enlarged as on prior. median sternotomy wires and mediastinal clips are again noted. tortuosity of the descending thoracic aorta is noted. there are hypertrophic changes in the spine.
<unk>m with atypical cp at pcp <unk> // evidence of pneumonia
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. there is a left lower lobe opacity which could represent atelectasis, but given the clinical history, pneumonia is a serious consideration. there is no pleural effusion or pneumothorax.
cough, fever, rhonchi at the left base, status post surgery <num> weeks ago.
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frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. lungs are clear. no pleural effusion or pneumothorax evident. no displaced rib fractures identified.
exertional chest pain. please evaluate for potential cause.
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lung volumes are again low. there is no effusion or pneumothorax. medial right upper lobe mass is similar to prior. superior right lower lobe opacity is similar to prior. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m w/hemoptysis
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the cardiac, mediastinal and hilar contours appear stable. a new interstitial abnormality is suggestive of pulmonary edema. opacities include a possible nodule projecting over the left mid lung, measuring about <num> mm in diameter; a nipple shadow could also be considered. there is also at least one posterior right basilar nodule measuring about <num> mm in diameter that was probably already present before with patchy surrounding opacification that has not resolved. fissures are mildly thickened. the lateral views suggest trace pleural effusions. the bones appear demineralized. vertebral body heights and interspaces appear maintained. there is mild rightward curvature centered along the lower thoracic spine that is probably for the most part positional. bone destruction involves the left distal clavicle, as seen previously, but somewhat difficult to compare to the prior scout view.
cough and fever. history of metastatic renal cell carcinoma.
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right basilar opacity has mildly improved since <unk> at <time>,. there is small right pleural effusion, which has improved since <unk>. status post left pneumonectomy, with shift of mediastinal structures to the left. endotracheal tube tip <num> cm above carina. enteric tube tip in the proximal to mid stomach. picc line tip near cavoatrial junction. mild interstitial prominence has improved, suggesting improving edema. . no pneumothorax.
<unk> year old man with pneumothorax // worsening pneumothorax
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portable ap view of the chest and upper abdomen. new enteric tube in the stomach coils ending adjacent to the ge junction. a previously seen enteric tube ending in the distal stomach or duodenum is unchanged. two abdominal drains are unchanged in position. a left chest tube is only partially visualized. bibasilar atelectasis is unchanged. left pleural effusion is unchanged.
status post abdominal closure/washout.
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since the prior chest radiograph performed on <unk>, there has been interval placement of a left ij catheter which terminates in the low svc. otherwise no relevant change. lungs are clear, without consolidation. trace right pleural effusion again noted. no pleural effusion on the left. no pneumothorax. cardiomediastinal and hilar contours are normal. no subdiaphragmatic free air.
history: <unk>f with l ij // eval for central line placement
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right picc line tip in the low svc. normal heart size, pulmonary vascularity. new right mild-to-moderate pleural effusion. worsened right basilar opacity, may represent atelectasis or pneumonitis. small left pleural effusion. left lung is clear. no pneumothorax.
<unk>m etoh cirrhosis, rny gastric bypass w/ marginal ulcer and cdiff colitis, dislodged g tube in remnant stomach s/p ex-lap <unk> patch perf marginal ulcer, now with new onset delirium, tachycardia, hypotension // new onset tachycardia, delirium, hypotension
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the cardiomediastinal silhouette and pulmonary vasculature are normal. there is no pleural effusion or pneumothorax. the lungs are clear.
<unk> year old woman with atypical chest pain. // please evaluate for cardiopulmonary process.
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the lungs are clear. the cardiomediastinal contours are unchanged. no cardiac enlargement. no pleural effusions or pneumothorax. prior median sternotomy and cabg.
<unk> year old man with brain tumors. // is there a lung primary malignancy?
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cardiomediastinal silhouette is top normal. except for streaky left basilar atelectasis, lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
<unk> year old woman with new dx of multiple myeloma with new onset of significant night sweats. evaluate for signs of infection.
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left internal jugular central venous catheter and enteric tubes remain in unchanged positions. heart size is normal. mediastinal and hilar contours are unremarkable. lungs are clear without focal consolidation. no large pleural effusion or pneumothorax is demonstrated. no subdiaphragmatic free air is present.
history: <unk>f with bowel obstruction
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the inspiratory lung volumes are decreased from the most recent prior study. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar contours are within normal limits allowing for low lung volumes. no acute osseous abnormality is detected.
weakness, here to evaluate for acute cardiopulmonary process.
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there has been interval removal of a large volume of right pleural effusion with subsequent re-expansion of the right lung and re-expansion pulmonary edema. the remains a moderate to large right pleural effusion with a small amount of rightward midline shift. the left lung remains clear. there is no pneumothorax or focal consolidation.
<unk>m with s/p chest tube, evaluate for pneumothorax and chest tube placement
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frontal and lateral views of the chest. correlation is made to previous exam from <unk>. the lungs are clear of consolidation or effusion. cardiac silhouette is top normal in size. atherosclerotic calcifications noted at the arch. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with worsening lower extremity edema, question pulmonary edema.
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the lungs are well expanded. there is biapical scarring but no focal parenchyma opacity concerning for pneumonia. the cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or penumothorax. no rib fracture is identified.
<unk> y/o male with subcostal left anterior subcostal pain.
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frontal and lateral views of the chest were obtained. thin curvilinear opacities projecting on either side of the cardiac silhouette are compatible with pneumomediastinum. on the lateral view, air is seen along the anterior aspect of the upper abdomen. the heart size is normal. pulmonary vasculature is unremarkable. the lungs are clear without focal or diffuse abnormality. no emphysema is noted. no pleural effusion or pneumothorax. no radiopaque foreign bodies. osseous structures are unremarkable.
<unk>-year-old female with chest pain radiating to neck. <unk> films read as pneumomediastinum.
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lung volumes are low. the heart appears at least borderline enlarged. within the limitations of technique, the mediastinal and hilar contours are probably within normal limits. opacification is fairly confluent over the lateral left lower lung suggesting pneumonia, or potentially aspiration in the appropriate setting; otherwise, lungs appear clear. there is no definite pleural effusion or pneumothorax.
hypoxia after recent colonoscopy procedure. history of congestive heart failure and copd.
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the heart is at the upper limits of normal size. the mediastinal and hilar contours appear within normal limits aside from patchy calcifications along the aortic arch. there are no pleural effusions or pneumothorax. mild degenerative changes are noted along the mid thoracic spine.
dry cough.
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portable semi-upright radiograph of the chest demonstrates hyperexpanded lungs. there is persistent opacification of the right base, which likely represents atelectasis or aspiration. there is stable increased opacification of the retrocardiac space, also likely consistent with aspiration or atelectasis. the endotracheal tube ends <num> cm in the carinal. a nasogastric tube courses into the stomach with the side port at the ge junction. there is no pneumothorax.
<unk> year old woman with resp failure // ngt placement
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the heart is at the upper limits of normal size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. similar mild relative elevation of the right hemidiaphragm compared to the left is mild and unchanged. a partly visualized deformity of the right shoulder is probably chronic and post-traumatic. there has been no significant change.
fever.
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portable semi-upright radiograph of the chest demonstrates heterogeneous opacities in the bilateral lungs, which may represent pulmonary edema in the setting of pulmonary fibrosis and emphysema. overall, the appearance is unchanged from the prior study. tracheostomy tube is in place. heart size is normal. a small pleural effusion is again seen on the right side. right-sided pectoral port-a-cath ends in the proximal right atrium.
<unk>-year-old man with history of pseudomonas pneumonia and fever and lethargy. evaluate for interval change.
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assessment of the chest is limited by patient rotation. heart size remains moderately enlarged. the aorta is tortuous and calcified. large right thyroid goiter displaces the trachea to the left. pulmonary vasculature is not engorged. the lungs are hyperinflated suggestive of copd. minimal blunting of the costophrenic angle posteriorly on the left is compatible with a small pleural effusion, not substantially changed in the interval. there is improved aeration of the left lung base with minimal streaky and linear opacities, likely atelectasis. no new focal consolidation or pneumothorax is present. mild degenerative changes are seen in the imaged thoracic spine. a percutaneous gastrostomy catheter is noted in the left upper quadrant of the abdomen.
history: <unk>f with elevated white count
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the lungs are hyperinflated and clear. the cardiomediastinal and hilar contours are stable. . there is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with chest pain // ?acute cardiopulmonary process
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frontal and lateral radiographs of the chest show several small surgical clips projecting over the right breast consistent with prior surgery and unchanged from diagnostic mammogram of <unk>. the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. mild s-shaped thoracolumbar scoliosis is noted.
<unk>-year-old female with anterior chest wall pain, here to evaluate for cardiopulmonary pathology.
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits. a couple of bronchi seen on end demonstrate mild bronchial cuffing.
<unk>-year-old female with persistent cough.
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frontal and lateral chest radiographdemonstrates mild bilateral lower lobe heterogeneous opacities, left greater than right. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is within normal limits.
<num> days epigastric pain, nausea vomiting with diarrhea now resolved. no fevers. assess for pneumonia.
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heart size is normal with mild tortuosity of the thoracic aorta. hilar contours are unremarkable. lung volumes are somewhat low but are otherwise clear. pleural surfaces are clear without effusion or pneumothorax.
syncope.
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there is mild enlargement of the cardiac silhouette. there is new pulmonary vascular congestion with mild interstitial edema. no pleural effusion, focal consolidation or pneumothorax.
<unk>f with new onset af with rvr, mild sob x weeks // ? volume overload
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the lungs are clear besides minimal left basilar atelectasis. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>m with palpitations, chest pain // evaluate for acs
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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 fever, cough // 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 sob
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ap portable supine view of the chest. numerous clips are seen in the left axilla. the previously noted picc line has been removed. there are small residual pleural effusions which appear improved prior exam. the heart remains moderately enlarged. retrocardiac opacity may reflect atelectasis versus pneumonia. there is mild residual pulmonary edema. mediastinal contour is unchanged. bony structures appear grossly intact.
<unk>f with altered ms // ? acute cardiopulm process
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the lungs are clear. there is no pneumothorax. no displaced rib fracture is identified. the heart and mediastinum are within normal limits. a spinal stimulator projects over the lower thoracic spine.
<unk> year old woman with s/p horacic lead and ipg placement // chest pain with inspiation
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the lungs are well expanded and clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
<unk>f with s/p ground level fall.
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the patient is intubated. the endotracheal tube terminates approximately <num> cm above the carina. an orogastric tube terminates near the inlet to the stomach and a sidehole marker projects over the distal esophagus. a right internal central jugular venous catheter terminates at the cavoatrial junction. there are probably small-to-moderate bilateral layering pleural effusions. the heart is probably normal in size. mild fullness of central pulmonary vessels suggests venous hypertension. streaky left basilar opacities are probably due to minor atelectasis. there is no pneumothorax.
hypotension and hypoxia, status post endotracheal intubation.
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there has been interval removal of the right-sided central venous catheter. a port-a-cath visible on the left has its tip terminating in the cavoatrial junction. an ovoid lucency projects over the right tracheobronchial angle and a crescentic lucency is seen along the junction of the left heart border and aortic lumen and a small subdiaphragmatic crescentic lucency is also seen beneath the right hemidiaphragm. subcutaneous emphysema is seen along the right chest wall. overall, the lungs are clear. there is no large pleural effusion or pneumothorax. an old healed rib fracture is seen in the eighth posterolateral rib on the right. clips are seen in the epigastric region of the abdomen.
<unk>-year-old female with afib with rapid ventricular response.
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chest pa and lateral radiograph demonstrates unremarkable cardiomediastinal and hilar contours. lungs are clear. no pleural effusion or pneumothorax evident. no osseous abnormalities detected.
cough, please evaluate for pneumonia.
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single portable view of the chest is compared to previous exam from <unk>. lower lung volumes are seen on the current exam. there are bibasilar opacities which partially silhouette the hemidiaphragms bilaterally raising possibilty of effusions and indistinct pulmonary vascular markings. cardiac silhouette is enlarged but stable in configuration. atherosclerotic calcifications noted at the arch. osseous and soft tissue structures are unchanged.
<unk>-year-old female with afib, pulmonary edema.
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lung volumes remain low. there is minimal streaky density consistent with subsegmental atelectasis as before. in addition, there is increased density in the right lung base that is more confluent. the heart and mediastinal structures are unchanged. the patient has been extubated. a left subclavian catheter remains in place.
interval change
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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 itp s/p splenectomy p/w fevers, cough // any e/o pna
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moderate cardiomegaly is stable. . the lungs are clear. there is no pneumothorax or pleural effusion. there are moderate degenerative changes in the thoracic spine surgical clips project in the upper abdomen.
<unk> year old woman with pain right upper chest pain // pain and swelling in right supraclavicular area -- assess for cause
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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 with l knee infection s/p quad tendon repair // surgrey pre-op
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ap single view of the chest has been obtained with patient in upright position. the heart size appears to be normal. no configurational abnormality is suspected. the thoracic aorta is mildly widened and elongated but without local contour abnormalities. the pulmonary vasculature is not congested. there is no evidence of pneumothorax in the apical area. the lateral pleural sinuses are free. there is no evidence of acute pulmonary infiltrates. skeletal structures of the thorax grossly unremarkable. our records do not include a previous chest examination available for comparison.
<unk>-year-old male patient with trauma, ? fracture.
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there is a new right perihilar opacity with associated increased opacity of the right upper lobe, and a new small right pleural effusion. increased soft tissue density at the right paratracheal margin is indicative of possible mediastinal lymphadenopathy. no pneumothorax. heart size is normal.
history: <unk>f with ams and cough. please evaluate for pneumonia or other pulmonary process.