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again seen, is a large left pleural effusion, increased in size from <unk>. there is obscuration of the left cardiac border. additionally, there is also likely a small right pleural effusion. there are increased interstitial markings bilaterally, likely reflecting interstitial edema. the aortic knob is calcified. there is no pneumothorax.
<unk>f with sob. known pleural effusion (<unk>). new pitting edema bl.
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heart size is mild to moderately enlarged with a left ventricular predominance. the aorta appears dilated, but unchanged. there is no pulmonary vascular engorgement. crowding of the bronchovascular structures likely relates to low lung volumes. no pleural effusion or pneumothorax is identified. there is a rounded opacity seen within the right mid lung field, which could reflect an area of developing infection. there are multilevel degenerative changes in the thoracic spine.
syncope and possible new atrial fibrillation.
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frontal and lateral views of the chest were obtained. the heart size and cardiomediastinal contours are normal. a bochdalek's hernia is again noted. the lungs are clear. no focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old female with asthma exacerbation. rule out pneumonia.
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left chest wall pacer has leads in the right atrium and right ventricle. there are innumerable diffuse small pulmonary nodules bilaterally compatible with patient's history of metastatic papillary cancer. there are small bilateral pleural effusions. heart size is normal. there is no pulmonary edema. there is no pneumothorax. the mediastinal and hilar contours are normal.
<unk> year old man with afib and known metastatic papillary ca, increasing sob // pleas eval for chf
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left pleural pigtail catheter is in unchanged position. left picc terminates in mid svc. lung volumes are low. bibasal atelectasis is persistent, obscuring the cardiac silhouette. left pleural effusion is minimal. moderate right subpulmonic pleural effusion may be slightly increased from before. there is no pulmonary edema.
<unk> year old man with h/o nonhodgkins lympohoma now with likely recurrance // eval chest tube
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central pulmonary arteries again appear mildly enlarged. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear.
weakness.
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again seen are right rib fractures of the posterior aspects of t<num> through t<num> (better appreciated on ct dated <unk>). new however, is a moderate sized right pneumothorax without mediastinal shift. small bilateral pleural effusions are best seen on the lateral which may or may not have associated atelectasis. cardiomediastinal silhouette is unchanged. colon distention is again seen. ng tube has its port around the ge junction.
<unk> year old man presenting after a fall with numerous rib fractures and small ptx and aspiration episodes // any evidence of aspiration pneumonia? resolution of pneumothorax? any evidence of aspiration pneumonia? resolution of pneumoth
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portions of the right heart border are obscured to a greater degree than on the previous examination, localized anteriorly on the lateral, is concerning for an early right middle lobe pneumonia or intervally developed scarring from prior infection. the remainder of the lung is well aerated. a left midlung nodule is new from the previous examination in <unk>. there is no pleural effusion or pneumothorax. heart and mediastinal contours are unchanged with clips projecting over the anterior chest.
<unk>-year-old woman with history of pneumonia, cough, chills, and pleuritic chest pain and prior breast cancer and radiation therapy.
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cardiac contours unchanged. bibasilar atelectasis again noted. no pleural effusions. no pneumothorax. left picc tip in the lower svc. posterior vertebral fusion hardware appears intact though partially visualized.
<unk> year old woman s/p tracheobronchoplasty // please evaluate for interval change
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right base opacity with subtle mediastinal shift to the left likely relates a consolidation seen on prior ct abdomen pelvis from <unk>, which was heterogeneous in appearance on ct, concerning for underlying hemorrhage. . the left lung is clear. there is no left pleural effusion. the left side of the cardiac and mediastinal silhouettes is unremarkable.
history: <unk>m with recent urologic stent w/ r sided chest pain // assess for acute process
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the lungs are poorly expanded with a retrocardiac opacity as well as a more subtle opacity in the right cardiophrenic angle. there is diffuse increased interstitial markings as well as increased vascular markings with upper re-distribution. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old female with fever and upper abdominal pain. evaluate for evidence of pneumonia.
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no focal consolidation is seen. there are relatively low lung volumes on the frontal view. there is no pleural effusion or pneumothorax. the cardiac silhouette is top-normal to mildly enlarged. mediastinal contours are unremarkable. no pulmonary edema is seen.
history: <unk>m with htn, lv strain presents with epigastric pain radiating to neck and jaw // cardiac workup
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the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiac and mediastinal silhouettes are normal. no acute fractures are identified.
right-sided pleuritic chest pain.
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low lung volumes are responsible for some bronchovascular crowding. there is a calcified pleural plaque in the left upper hemithorax, confirmed in lateral views to be in the anterior thoracic wall. there are no parenchymal opacities concerning for pneumonia. heart size appears enlarged, although an ap exam limits accuracy of assessment of cardiac size. no cardiomediastinal and hilar contour abnormalities. atherosclerotic calcifications of the aortic arch are noted. there is no pleural effusion or pneumothorax.
<unk>-year-old male status post fall with confusion. evaluate for evidence of pneumonia.
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geographic density projecting over the right mid lung has been present since at least <unk> and may represent pleural calcification. there there also areas of calcification projecting over the left hemithorax also likely pleural calcifications. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable and unremarkable.
history: <unk>m with altered mental status, l-arm pain // evalte for pneumonia, acute process
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opacification within the right mid and lower lung fields likely reflects a combination of a moderate pleural effusion and basilar atelectasis. infection or aspiration in the right lung base cannot be excluded. cardiac silhouette size remains at least mildly enlarged, but difficult to assess on this exam due to the right basilar opacity. the aorta remains mildly tortuous. pulmonary vasculature is not engorged. left lung is clear. no pneumothorax is present. no acute osseous abnormalities detected.
history: <unk>m with shortness of breath
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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 pleural effusion or pneumothorax. anterior wedging of a mid thoracic vertebral body is again seen, similar to prior. no radiopaque foreign bodies.
<unk>-year-old female with complex history presenting with substernal chest pain. evaluate and rule out acute process.
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there is a hazy opacity in the right mid lung zone, most consistent with pneumonia. severe emphysematous and bullous changes are unchanged, particularly at the bilateral bases with associated scarring. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unchanged from prior exams. rightward deviation due to a large thyroid goiter is again noted. hilar prominence is again noted.
fever and shortness of breath.
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the cardiac silhouette is mildly enlarged. the aorta is tortuous. the lungs are clear. no focal consolidation is noted. there is no pleural effusion or pneumothorax.
<unk> year old woman with as, af, on amiodarone. // r/o infiltrates; routine on amiodarone
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minimal bibasilar atelectasis is again noted. the lungs are otherwise clear. there is no focal consolidation worrisome for pneumonia. cardiomediastinal silhouette is stable. no acute osseous abnormalities.
<unk>f with wbc <unk>.<num>; infectious work-up for pneumonia // please eval for pna
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cardiac silhouette is mildly enlarged, more so than on <unk> with pulmonary vascular engorgement and interstitial edema superimposed on chronic pulmonary fibrosis. there is a left-sided pleural effusion along with left lower lobe consolidation as well as bilateral perihilar consolidations worrisome for pneumonia. there is no pneumothorax.
dyspnea.
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as compared to <unk>, left bronchial stent appears to have migrated inferiorly. no pneumothorax. low lung volumes and portable x-ray can cause crowding of the bronchovascular markings versus mild pulmonary vascular congestion. increasing subsegmental atelectasis in the lingula and lower lobes bilaterally.
<unk> year old man with lll obstruction s/p stent placement // r/o ptx
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the cardiac silhouette size is mildly enlarged but unchanged. the aorta is slightly unfolded. mediastinal and hilar contours are otherwise unremarkable. the pulmonary vascularity is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. compression deformities of <num> lower thoracic vertebral bodies are unchanged.
confusion.
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a triangular opacity extends from the right hilus to the peripheral fissure and right hilar opacity obscures the right bronchus intermedius. diffuse, right greater than left, emphysematous disease. no pneumothorax or pleural effusion. heart size is normal.
history: <unk>m with fall // ?> ptx
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pa and lateral chest radiographs. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
hypoxia. evaluation for pneumonia.
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there are low lung volumes which crowd the bronchovascular markings. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
<unk>m with fevers, cirrhosis // pna?
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frontal and lateral views of the chest demonstrate clear lungs without effusion, or pneumothorax. the cardiac silhouette is normal in size, mediastinal contours are normal.
<unk>-year-old female with fatigue, question pneumonia.
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the lungs are clear, the cardiac and mediastinal contours are normal, there is no pleural effusion or pneumothorax. no displaced rib fractures are identified. no clavicular or humeral head fractures are seen. surgical clips seen in the right upper quadrant.
<unk>f with fell off horse // r/o truama
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semi-upright bedside ap radiograph of the chest demonstrates diffuse bilateral heterogeneous opacities representing moderate-to-severe pulmonary edema, which has worsened from two days ago. asymmetric prominence of the right upper lung opacity is also noted when compared to the two prior studies from <unk> and <unk>. there continues to be moderate cardiomegaly and pulmonary and mediastinal vascular engorgement. there are probable persistent bilateral pleural effusions, better appreciated on the ct from <unk>. there is no pneumothorax.
acute hypoxemia in a patient with volume overload, healthcare-associated pneumonia, and critical aortic stenosis.
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there has been interval improvement of the left pleural effusion. the cardiac silhouette is unchanged, and no signs of pulmonary congestion are noted. left-sided central line is unchanged in position.
<unk>-year-old woman with pleural effusions and chest pain, assess for change effusions from history.
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the heart is within normal limits. the mediastinal and hilar contours are within normal limits. there is no evidence of pneumomediastinum. biapical scarring is noted. there is no focal consolidation, pleural effusion or pneumothorax.
<unk>f with chest discomfort/pain <unk>min following egd // eval for pleural effusions/fluid, evidence of mediastinal widening, perforation
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left-sided pacemaker leads project to the right atrium and right ventricle. compared to the prior study, the heart has enlarged, with worsened diffuse interstitial opacities and lower lung volumes, consistent with interstitial pulmonary edema. no pneumothorax. the dobhoff tube terminates in the stomach.
<unk> year old man with new dual chamber ppm. evaluate lead placement.
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central line in cavoatrial juncture as previously. increased haziness over the right hemithorax and suggesting increased pleural effusion. left lower lobe atelectasis. there may be a small left effusion. no pneumothorax. cardiomegaly as before.
<unk>m with a history of recently diagnosedmetastatic adenocarcinoma of unknown primary with brain, bone,liver metastases, svc syndrome s/p stenting and multiple uethrombosis on heparin drip who presented with hypotension <unk> pna or tamponade iso pericarditis and pericardial s/p pericardiocentesis course c/b <unk> and <unk> onset altered mental status // ?pneumonia vs. aspiration pneumonitis
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ap upright and lateral views of the chest were provided. lung volumes are low material lying for this there is invaded ground-glass opacity in the lower lungs bilaterally which is concerning for pneumonia. there is also likely a superimposed component of atelectasis. there is no large effusion or pneumothorax. heart size is difficult to assess. the mediastinal contour is prominent but this is stable and likely reflects unfolded thoracic aorta. no definite bony abnormality. chronic degenerative disease of the right shoulder is noted.
<unk> year old female with shortness of breath, question pneumonia.
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patient is status post right thoracentesis <unk>. small bilateral pleural effusions remain. no pneumothorax. persistent consolidation in the right middle lobe. heart is enlarged. mediastinal contours are unchanged. . again seen is the median sternotomy wires and mediastinal clips.
<unk> year old man with chf, cll w/ r pleural effusion s/p thoracentesis on <unk>, worsening l pleural effusion // s/p r thoracentesis on <unk>. eval for reaccumulation of r effusion, worsening of l effusion, post-thoracentesis pneumothorax. thank you.
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frontal and lateral views of the chest. the lungs are clear without focal consolidation, effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>-year-old male with chest pain.
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the cardiomediastinal silhouettes are unchanged in appearance. the bilateral hila are normal. there is left lower lobe opacification with silhouetting of the lateral aspect of the left hemidiaphragm concerning for left lower lobe pneumonia. there may be an adjacent small left pleural effusion. there is a small right pleural effusion. there is no evidence of pulmonary vascular congestion or pneumothorax.
<unk> year old man with high fevers, ulcerative colitis and gi bleeding // eval for pneumonia
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits. left hilar calcification is noted.
<unk>-year-old male with chest pain.
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as compared to the prior examination dated <unk>, there has been no significant interval change. there is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities are detected.
history: <unk>m with coarse lung sounds, asthma vs. pneumonia // eval for infiltrate
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pa and lateral chest radiographs. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
fever.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. cholecystectomy clips are noted in the right upper quadrant.
chest pain.
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compared to chest radiographs from <unk>, moderate central vascular congestion has minimally improved. moderate cardiomegaly is stable. lung volumes remain low. small left pleural effusion has improved. tiny right pleural effusion persists. persistent mild bibasilar opacities likely reflect atelectasis. no pneumothorax.
<unk> year old man with cad s/p cabg, htn, ckd stage iii, dm, cirrhosis here w/ sbp, aockd and fluid overload // progression of vascular congestion
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right infrahilar opacity with partial obscuring of the right heart border is perhaps similar to <unk> but slightly worse compared to <unk>, suggesting ongoing aspiration and and/or pneumonia. retrocardiac opacity with silhouetting of the lateral border of the thoracic aorta as well as left hemidiaphragm is overall unchanged to slightly improved compared to the prior exam and may reflect atelectasis and/or consolidation. the heart is top-normal in size, unchanged. lung volumes are slightly low and prominence of the pulmonary vessels may be secondary to crowding effect. the right hemidiaphragm is elevated and may suggest some component of right lower lung atelectasis. no pneumothorax. no pleural effusion.
<unk> year old man with mssa bacteremia, l<num>/l<num> osteo, course complicated by aspiration pneumonia. evaluate for aspiration infectious process given rising leukocytosis.
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the heart size is normal. the aorta remains tortuous, and the mediastinal contours are stable. pulmonary vasculature is normal and the hilar contours are unremarkable. patchy opacity is seen within the right lower lobe which may reflect an area of infection. no pleural effusion or pneumothorax is visualized. there are no acute osseous abnormalities.
leukocytosis and fever.
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a right chest wall port-a-cath is present, the tip projecting over the upper svc. a right internal jugular central venous catheter tip overlies the superior cavoatrial junction. the patient is status post median sternotomy. there has been interval removal of the gastric tube. no focal consolidation, pleural effusion or pneumothorax identified. the size the cardiac silhouette is mildly enlarged but unchanged.
<unk> year old woman s/p kidney-pancreas transplant now with low grade fever // atelectasis, pneumonia
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lung volumes are low. again noted are diffuse, bilateral, coarse, interstitial opacities overall not significantly changed compared to the prior examination. however, there is increased opacification over lateral left lower lung, possibly parenchymal or related to tracking pleural effusion. possible trace right pleural effusion. the heart is not well evaluated given the overall parenchymal opacification. cardiomediastinal hilar silhouettes are grossly unchanged. multiple bilateral rib deformities are not essentially unchanged.
<unk>f with dyspnea.
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ett tube, ng tube, and right and left ij lines are similar to the prior study. again seen is the left chest tube. the sideport now lies slightly more proximal/ lateral, partially overlying the left chest wall, suggesting slight interval retraction. allowing for this, the appearance of left lung is grossly unchanged, with increased retrocardiac density, hazy density along the left chest wall, and fluid tracking along the left lung apex. suspect left pleural effusion. no left-sided pneumothorax or subcutaneous emphysema along the left chest wall. the appearance of the right lung is also similar, with evidence for interstitial edema, hazy opacity at the right base, and probable small effusion. lucency previously seen along the right chest wall raising the possibility of a skin fold versus pneumothorax is no longer visualized. no evidence of right-sided pneumothorax is detected on the current study. cardiomegaly, prosthetic valve, and sternotomy wires, are similar to prior. there is chf, with interstitial and probable alveolar edema, which may be very slightly improved compared <num> day previous. again seen is an iatrogenic linear density, with tip overlying the lateral border of the scapula. the appearance is suggestive of a picc line, though note is made that is not that it does not extend into the chest itself. the appearance is unchanged compared with <unk> at <num> <num>.
<unk> year old man s/p cabg/avr // eval for pleural effusions
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the lungs remain clear without focal consolidation or effusion. the cardiomediastinal silhouette is normal. surgical clips in the upper abdomen are again noted. no acute osseous abnormalities identified. sclerotic focus in the right humeral head has the appearance of a bone island and is unchanged since <unk>.
<unk>m with fever // eval for pna
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cardiomediastinal silhouette is within normal limits. there is no focal consolidation, pleural effusion, or pneumothorax. bronchial wall thickening is noted.
history: <unk>f with fever and cough // eval for pna
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the patient is status post median sternotomy. there has been interval removal of the endotracheal tube, mediastinal drains and right swan-ganz catheter, and a right central venous sheath is still in place. there continues to be left retrocardiac opacity likely reflecting atelectasis though infection cannot be excluded. there are no new focal consolidations or pneumothoraces.
<unk> year old man with the status post ascending aortic replacement. evaluate following chest tube removal.
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pa and lateral views of the chest. the lungs are clear. eventration of the right hemidiaphragm again seen. there is no large effusion or pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits. mild thoracic vertebral body height loss in the mid thoracic spine is unchanged.
<unk>-year-old male with chest pain.
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compared to the prior study there has been no significant interval change.
status post cabg.
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the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>m with ruq pain with blocked cbd. preoperative evaluation.
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no new focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no pulmonary edema is seen.
history: <unk>m with renal failure, cirrhosis, recent <num>wk admission // assess for fluid in lungs
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the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>m with right upper back cramping at his neck, who felt short of breath, pale, and tremulous about <num>h ago, with tachycardia to <num>. evaluate for acute process.
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portable supine chest film <unk> at <time> is submitted.
<unk> year old woman with cp and chronic trach // eval for evolution of consolidation eval for evolution of consolidation
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lung volumes are low causing crowding of the bronchovascular structures. no pneumomediastinum is noted. no focal consolidation, pleural effusion or pneumothorax is noted. the heart is normal in size.
<unk>-year-old male with malaise, fevers/chills status post endoscopy with dilation. evaluate for mediastinal air or other cardiopulmonary abnormality.
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very shallow inspiration accentuates heart size, pulmonary vascularity. there are stable bilateral mid, lower lung opacities, likely atelectasis. there is increased opacity in the right lung base medially, superimposed infection cannot be excluded. . surgical clips in the upper abdomen.
<unk> year old woman with hcc, brain mets, new fever. // ? infectious process in lungs
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there is a small right apical pneumothorax. there is increased patchy opacification in the right upper and mid lung field surrounding the localizer, which is new in comparison to the prior chest radiograph. mild right basilar atelectasis. the left lung is clear. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no pleural effusion is seen. there are no acute osseous abnormalities.
<unk> year old man with lung rfa <unk> complicated by ptx now with fever and increased shortness of breath // evaluate for ptx or other acute process.
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frontal and lateral views of the chest. mild cardiomegaly and a tortuous thoracic aorta are relatively unchanged. no focal opacity, pulmonary edema, pleural effusion or pneumothorax is identified.
left lower lobe pneumonia diagnosed in late <unk> in <unk>. for followup radiograph. is clinically better. evaluate for persistent abnormality.
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cardiomediastinal silhouette is within normal limits. lungs are clear. there is no pleural effusion or pneumothorax. bones are grossly unremarkable.
history: <unk>f with trauma, mvc // evidence of rib fracture
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ap portable semi upright view of the chest. multiple calcified lymph nodes again seen projecting over the chest and neck. the previously noted tracheostomy tube is no longer seen. calcified pleural plaque along the right hemidiaphragm noted along with multiple bilateral calcified pulmonary nodules. a small right pleural effusion is likely present. no convincing signs of pneumonia. the cardiomediastinal silhouette appears grossly within normal limits. severe degenerative disease at both shoulders is again noted.
<unk>m with sob // ? pna
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the lungs are hyperinflated compatible with known emphysema. nodular opacities overlying the anterior <num>nd ribs bilaterally may represent sclerotic foci in the ribs or lung nodules. no other focal opacities are seen. cardiomediastinal and hilar contours are unremarkable. atherosclerotic calcifications of the aortic knob are present. there is no pleural effusion or pneumothorax.
<unk>-year-old female with chest pain and nausea. evaluate for evidence of pneumonia.
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again demonstrated is left atrial enlargement, not substantially changed in the interval with the overall cardiac silhouette size appearing mildly enlarged. mediastinal and hilar contours are similar with prominence of the left pulmonary artery. pulmonary vasculature is not engorged. no focal consolidation is present. small bilateral pleural effusions are new in the interval. there are no acute osseous abnormalities.
<unk>f with atrial fibrillation with rapid ventricular rate, shortness of breath.
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despite both an indwelling left pleural drain and a new drain, a small left pneumothorax, apical pleura at the level of the <unk> posterior rib and veru small left pleural effusion, if any, are unchanged. the right lung is clear. moderate cardiomegaly persists. a right internal jugular vein catheter ends just above the origin of the svc.
<unk> year old man with pneumothorax // eval for pneumothorax and chest tube placement
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ap upright and lateral views of the chest provided. mild cardiomegaly is noted with hilar congestion and mild pulmonary edema. there are small bilateral pleural effusions. difficult to exclude a superimposed subtle pneumonia. no large pneumothorax. bony structures are intact.
<unk>m with dyspnea
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pa and lateral views of the chest. again seen are extensive fibrotic changes particularly at the lung apices with superior retraction of the hila and bilateral pleural plaques. there is a superimposed new region of consolidation at the right lower lobe laterally worrisome for superimposed acute process. no other new consolidation is identified. cardiomediastinal silhouette is unchanged in no acute osseous abnormality identified.
<unk>-year-old male worsening dyspnea and chest pain.
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the lungs are well inflated and clear. a calcified granuloma is again seen in the right upper lobe, unchanged, as well as calcified granulomas at the left hilus. an azygos fissure is noted. the cardiomediastinal silhouette and hilar contours are normal. there is no pleural effusion or pneumothorax.
fever and cough, evaluate for pneumonia
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a frontal chest radiograph demonstrates a nasoenteric tube with the tip within the <unk> portion of the duodenum. the cardiomediastinal silhouette is normal. the lungs are clear. there is no pleural effusion or pneumothorax.
alcoholic hepatitis, hypotension, and hyponatremia with ascites, requiring tube feeds. evaluate nasogastric tube placement.
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pa and lateral views of the chest. no prior. the lungs are clear. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with new jaundice and body aches, question pneumonia.
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are clear without focal consolidation concerning for pneumonia. line vascularity is within normal limits. the upper abdomen is unremarkable.
<unk>m with etoh cirrhosis, ams, jaundice stable // r/o infection
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<num> views were obtained of the chest. thin sliver of intraperitoneal air under the right hemidiaphragm is consistent with recent surgery. the lungs are otherwise clear without pleural effusion or pneumothorax. linear right basilar atelectasis is noted. the heart is normal in size with normal mediastinal and hilar contours. dextroscoliosis noted.
abdominal pain after surgery, assess for abnormality.
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the cardiomediastinal and hilar silhouettes and pleural surfaces are normal. a subtle area of peribronchial opacification projecting over the cardiac apex is seen only on the lateral view. no effusion or pneumothorax.
<unk> year old man with persistent sputum production. evaluate for active or latent tb or focal consolidation.
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as compared to the prior chest radiograph, there is been a slight interval improvement in the right pleural effusion, as well as more significant improvement in the bibasilar atelectasis. the known right middle lobe mass is now more conspicuous. there is a stable, small left pleural effusion with adjacent atelectasis. the upper lungs are clear without focal consolidation or pneumothorax. the heart size is normal. mediastinal and hilar contours are normal.
known right middle lobe metastatic disease, now with hypoxia and dyspnea.
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the heart size is mildly enlarged. the mediastinal and hilar contours are unchanged, and there is no pulmonary vascular engorgement. lungs are clear. no pleural effusion or pneumothorax is seen. there is mild loss of height of a vertebral body at the thoracolumbar junction which is unchanged.
weakness.
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the inspiratory lung volumes are slightly decreased from the most recent prior study. the lungs are clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. minimal bi-apical pleural thickening is noted. the pulmonary vasculature is not engorged and there is no pulmonary edema. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. multilevel degenerative changes are noted throughout the thoracic spine with mildly exaggerated kyphotic curvature.
chest pain, here to evaluate for acute cardiopulmonary process.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. heterogeneous lung architecture suggests emphysema including relative lucency in the left upper lung compared to the right. there is no pleural effusion or pneumothorax. there is no free air.
alcohol withdrawal and sepsis.
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cardiac leads are contiguous with a generator projecting over the left chest. the calcified soft tissue mass at the right costophrenic angle is grossly unchanged from <unk>. cardiomegaly is moderate. nodular pleural thickening at the right apex could be a mass. a rounded density projecting over the medial right may lie outside of the lung fields. additional tiny rounded densities projecting over the right midlung are incompletely characterized on this single view. there is no pneumothorax. possible small right pleural effusion
history: <unk>m with hypotension // eval for infiltrate
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large right middle lobe and lower lobe pleural effusion with presumed underlying atelectasis is new compared to prior. the size of the pleural effusion is concerning. ct of the chest can further characterize the underlying etiology. minimal interstitial edema is present in the remaining lungs. the lungs are otherwise clear. mild cardiomegaly is unchanged. the mediastinum is unchanged. no pneumothorax. left anterior eighth to tenth rib fractures. the pacemaker leads and sternotomy wires are in unchanged position.
<unk> year old man with dyspnea and new rib pain after minor trauma // dyspnea and fluid retention, likely chf
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mildly hypoinflated lungs with bibasilar atelectasis and crowding of vasculature. no pleural effusion or pneumothorax. there is a focal <num> cm nodular opacity projecting over the posterior right fifth rib at the lung apex. stable mild cardiomegaly. mediastinal contour and hila are unremarkable. left-sided pacer device is again seen along the left anterior chest wall with <num> intact leads, unchanged since prior examination. limited assessment of the osseous structures are notable for orthopedic hardware in the proximal left humerus.
<unk>m with several days of cough, ?aspiration. assess for pna
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aortic stent graft is noted. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac silhouette is top-normal. no pulmonary edema. no priors are available for comparison to assess for interval change.
history: <unk>f with aortic ulcer, hoarse voice // eval for aortic widening, pleural effusion
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spinal fusion hardware is intact and unchanged in position. heart appears normal in size and cardiomediastinal contours are unremarkable. lungs are well expanded and clear. there are no focal areas of consolidation. no pleural effusions and no pneumothorax.
<unk>-year-old woman with history of smoking and chronic cough x<num> months,? mass.
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there is small left pleural effusion, increased from <unk>. there is mild left lung base atelectasis. there is trace right pleural effusion. right internal jugular venous line terminates at the low svc. there is no pulmonary edema. cardiomediastinal silhouette is normal size.
<unk> year old woman s/p cabg // eval for effusion
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pa and lateral views of the chest demonstrate the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no pneumothorax, pleural effusion, pulmonary edema or focal consolidation concerning for pneumonia.
cough.
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. there are moderate degenerative changes in the thoracic spine
<unk> year old man with cough. crackles l lung // r/o pna
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cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable with minimal atherosclerotic calcifications noted in the aortic knob. patchy opacities are seen within the left upper and lower lung fields which are nonspecific but may reflect areas of infection in the correct clinical setting. no pleural effusion or pneumothorax is present. cervical spinal fusion hardware is incompletely imaged.
history: <unk>m with altered mental status
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the heart appears mildly enlarged. the mediastinal and hilar contours appear unremarkable. the lungs appear clear. there is no pleural effusion or pneumothorax.
sudden onset of chest pain.
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compared to earlier same day, a residual left pneumothorax is seen anteriorly, with additional small areas of lucency about the upper left lung and left lung base. however, the left pneumothorax appears significantly smaller compared with earlier the same day. the small left pleural effusion is essentially unchanged. area of relative lucency at the right lung base is again noted, question artifact. as before, pneumothorax is considered less likely, but if it remains a clinical concern, then additional imaging with low inspiratory volume films could be obtained. again seen is the pigtail catheter at the left lung base and multiple left-sided rib fractures. no chf and no new focal consolidation is identified. the small right pleural effusion is unchanged. the right lung nodule remains visible.
<unk> year old woman with left ptx chest tube to water seal // interval change
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the ett appears to be high terminating <num> cm above the carina, which is unchanged in comparison to the prior radiograph. there is a left picc line with the tip terminating in the low svc. there is a right ij ecmo cannula, which appears unchanged in comparison to the prior radiograph. there is improved aeration of the lower lobes bilaterally, although there is a persistent combination of bilateral pleural effusions and bibasilar atelectasis. the upper lungs appear clear bilaterally. the mediastinal and hilar contours are normal. there is no pneumothorax.
<unk> year old man with ards // interval change
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frontal and lateral radiographs of the chest were acquired. the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
chest pain. assess for pneumonia or pneumothorax.
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pa and lateral chest x-ray shows lung well inflated, and clear. the left retrocardiac opacity described in prior chest x-ray has disappeared. there is no pleural effusion or pneumothorax. heart is still moderately enlarged.
<unk> years old woman with history of diastolic chf, cough since five days, who has been mildly febrile for past two days, but has known satellite herpes zoster. initial chest x-ray showed retrocardiac opacity. please assess for pneumonia or pulmonary edema.
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a right pleurx catheter is present with its tip directed inferomedially. the right subpulmonic pneumothorax and pleural effsuion are unchanged allowing for differences in inspiration. a small pleural effusion remains. extensive subcutaneous air along the right chest and airspace opacities within the right lung are postoperative. the known right lung mass is unchanged. the left lung is clear. the cardiomediastinal contours are unremarkable. a calcified tortuous aorta is again noted.
status post pleurx catheter placement.
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cardiac, mediastinal and hilar contours are normal. pulmonary vascularity is normal and the lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities identified.
fever, sore throat, productive cough.
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bronchiectasis seen at the lung bases is re- demonstrated. the cardiomediastinal and hilar contours are within normal limits. the heart is normal in size. there is mild pulmonary vascular engorgement without frank pulmonary edema. a left lower lobe heterogeneous opacity is concerning for pneumonia. no focal consolidation is identified. there is no pneumothorax. bibasilar reticular opacities are suggestive of small airways inflammation. focal scarring in periphery of left
<unk>m with chest pain // eval infiltrate, cardiomegaly
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the lung volumes are low. the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. allowing for low lung volumes, vague lower lung opacities are probably due to minor atelectasis. the right shoulder is not fully imaged, but there is an indication that the acromion may be depressed with respect to the right clavicle, although the appearance may be essentially a projectional artifact. bony structures are otherwise unremarkable.
trauma.
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the heart is at the upper limits of normal size. linear calcification projects over the right lung apex. the lungs appear otherwise clear. there are no pleural effusions or pneumothorax. vascular calcifications are widespread. no free air is demonstrated. there are moderate to severe degenerative changes involving each glenohumeral joints. mild degenerative changes are present along the visualized lower thoracic spine.
nausea, vomiting and abdominal pain. question free air.
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the lungs are clear without focal consolidation, pleural effusion or pneumothorax. there is mild pulmonary vascular congestion. the heart is normal in size, and the mediastinal contours are normal.
<unk>-year-old male with sepsis, atrial fibrillation with rapid ventricular response. evaluate for acute cardiopulmonary process.
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ap single view of the chest has been obtained with patient in sitting semi-upright position. comparison is made with the next preceding similar portable examination of <unk>. the previously existing small caliber pigtail catheter draining the left pleural base has been exchanged with a large caliber chest tube now seen to terminate in the left apical area. the amount of pleural effusion has decreased. there exist now a loculated pneumothorax on the left base at the site of the tube entrance but otherwise the lung remains aerated with no extension of the pneumothorax in the apical area. the previously described left-sided picc line remains in unchanged position.
<unk>-year-old male patient post-decortication, postoperative examination.
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endotracheal tube tip is <num> cm from the carina. enteric tube passes below the field of view and tip projects over the gastric fundus. there may be small left pleural effusion. there is no confluent consolidation. cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications seen at the aortic arch. no acute osseous abnormalities.
<unk>m with intubated xfer // eval ett placement
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ap and lateral views of the chest provided. the lungs are hyperinflated and grossly clear. no convincing evidence for pneumonia or overt chf. no large effusion or pneumothorax. cardiomediastinal silhouette is stable. bony structures are intact.
<unk>m with dyspnea // eval for pna