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CXR901_IM-2409-2001.png
stable cardiomegaly without acute cardio pulmonary process. heart size is enlarged but stable. stable sequela prior granulomatous disease. stable xxxx sternotomy xxxx with fracture of the superior-most sternotomy xxxx.. the lungs are normally inflated without evidence of focal airspace disease pleural effusion or pneumothorax. degenerative endplate changes of the spine.
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no acute cardiopulmonary disease no suspicious pulmonary nodules or masses. no evidence of disease recurrence. the lungs appear clear. the heart and pulmonary xxxx are normal. the pleural spaces are clear. surgical clips and suture material are noted in the right hilar region suggesting prior lung surgery. the mediastinal contours are stable.
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no acute pulmonary disease. the lungs are clear. there is no pleural effusion or pneumothorax. the heart and mediastinum are normal. the skeletal structures are normal.
CXR2940_IM-1341-2001.png
normal chest. heart size and mediastinal contour are normal. pulmonary vascularity is normal. lungs are clear. no pleural effusions or pneumothoraces. degenerative changes in the thoracic spine.
CXR2636_IM-1121-2001.png
no acute intrathoracic abnormality. xxxx sternotomy xxxx remain in xxxx. the cardiomediastinal silhouette is within normal limits for appearance. no focal areas of pulmonary consolidation. no pneumothorax. no pleural effusion. minimal degenerative changes of the thoracic spine.
CXR120_IM-0133-2001.png
low lung volumes bilaterally with central bronchovascular crowding without focal cardiopulmonary disease. low lung volumes bilaterally with central bronchovascular crowding without focal consolidation pleural effusion or pneumothoraces.. cardiomediastinal silhouette is within normal limits. degenerative changes of the thoracic spine..
CXR467_IM-2095-2001.png
no acute cardiopulmonary abnormality. lungs are clear bilaterally. cardiac and mediastinal silhouettes are normal. pulmonary vasculature is normal. no pneumothorax or pleural effusion. no acute bony abnormality.
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the trachea is midline. the cardiomediastinal silhouette is normal. the lungs are clear without evidence of acute infiltrate or effusion. there is no pneumothorax. the visualized bony structures reveal no acute abnormalities.
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normal chest heart size normal. lungs are clear. xxxx are normal. no pneumonia effusions edema pneumothorax adenopathy nodules or masses.
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no acute cardiopulmonary findings. heart size and mediastinal contours are unremarkable. there is no pneumothorax pleural effusion focal airspace consolidation.
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persistent stable right basilar atelectasis. low lung volumes and patient rotation. given differences in technique heart size xxxx within normal limits. persistent right basilar opacity xxxx atelectasis. no suspicious pulmonary opacity pneumothorax or definite pleural effusion. mild degenerative change of the thoracic spine.
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comparison xxxx xxxx. well-expanded and clear lungs. mediastinal contour within normal limits. no acute cardiopulmonary abnormality identified.
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no acute cardiopulmonary findings. clear lungs. heart size is normal. no pneumothorax or large pleural effusion.
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core irregularity along the anterior margin of the sternum may represent an age-indeterminate nondisplaced fracture. in addition focal lentiform hyperdensity along the xxxx aspect of the sternum may represent callus formation. left basilar atelectasis otherwise clear lungs. there is a cortical irregularity along the anterior margin of the sternum. in addition there is a focal retrosternal hypodense convexity. the cardiac silhouette is within normal limits. the thoracic aorta is torturous however the mediastinal contours are within normal limits. there is no pneumothorax. there is no large pleural effusion. there is streaky xxxx opacity within the left lung base xxxx representing atelectasis. otherwise the lungs are clear. there is thoracic kyphosis. there is hyperinflation of the lungs.
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cardiomegaly. pleural thickening along the inferior left lateral chest wall stable since the prior examination. overall low lung volumes. lungs are grossly clear. pleural thickening along the inferior left lateral chest. this appears relatively stable compared to the prior examination. no pleural effusions or pneumothoraces. cardiomegaly. degenerative changes in the spine.
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negative for acute abnormality. the cardiomediastinal silhouette is normal in size and contour. no focal consolidation pneumothorax or large pleural effusion. negative for acute displaced rib fracture.
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exam somewhat limited costophrenic xxxx excluded. stable mild cardiomegaly. clear lungs. examination is somewhat limited the costophrenic xxxx and posterior costophrenic sulci are excluded. patient is rotated to the right. heart size upper limits normal but stable. mediastinal contour is grossly unremarkable. lung parenchyma is clear no focal airspace consolidation. no large effusion no visible pneumothorax within the limits of the study.
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slight cardiomegaly. clear lungs.
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no acute radiographic cardiopulmonary process. no acute osseous abnormality. scattered degenerative changes of the thoracic spine. surgical clips overlying the right upper quadrant. anterior cervical fusion xxxx. tortuous and ectatic aorta. no focal area of consolidation pleural effusion or pneumothorax.
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normal chest heart size normal. lungs are clear. xxxx are normal. no pneumonia effusions edema pneumothorax adenopathy nodules or masses.
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stable tortuosity of the thoracic aorta. the presence of an underlying aneurysm cannot be excluded. clear lungs the lungs appear clear. the thoracic aorta remains tortuous. the presence of an aortic aneurysm cannot be excluded on this study xxxx. a there are calcified mediastinal and hilar lymph xxxx suggesting prior histoplasmosis infection. the pleural spaces are clear.
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cardiomegaly and pulmonary vascular congestion. eventration of right hemidiaphragm with basilar atelectasis. the heart is mildly enlarged. pulmonary vascularity is increased. there is again mild elevation of the right hemidiaphragm. air space disease andor atelectasis is noted in right lung base. there is also xxxx streaky opacity in the left base. the costophrenic xxxx are blunted.
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small right pleural effusion. increased. no pneumothorax is seen. scattered xxxx of right base atelectasis. the heart size and pulmonary vascularity appear within normal limits. right pleural effusion is present and appears increased. no pneumothorax is identified. some scattered xxxx of right base atelectasis are seen. surgical xxxx remain in xxxx. the left lung appears clear.
CXR731_IM-2291-2001.png
no acute cardiopulmonary abnormality. the lungs are clear and without focal air space opacity. the cardiomediastinal silhouette is normal in size and contour. there is no pneumothorax or large pleural effusion.
CXR2217_IM-0822-0001-0001.png
no acute cardiopulmonary findings heart size borderline enlarged mediastinal contours appear similar to the xxxx from xxxx xxxx xxxx noted. right hemidiaphragm eventration. no focal alveolar consolidation no definite pleural effusion seen. no typical findings of pulmonary edema.
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no acute cardiopulmonary abnormality. lungs are clear bilaterally. cardiac and mediastinal silhouettes are normal. pulmonary vasculature is normal. no pneumothorax or pleural effusion. no acute bony abnormality.
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the lungs are hypoinflated. there is focal airspace disease in the right lung base concerning for pneumonia or aspiration. there is minimal airspace disease in the left lung base xxxx atelectasis. there is no pneumothorax or large pleural effusion. heart size is normal.
CXR3265_IM-1551-1001.png
no acute cardiopulmonary findings. the heart size and mediastinal contours appear within normal limits. no focal airspace consolidation pleural effusion or pneumothorax. no acute bony abnormalities.
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no acute visualized cardiopulmonary abnormality. the heart and mediastinal silhouettes are within normal limits. the lungs are clear without focal airspace opacity large effusion or pneumothorax. the xxxx are grossly intact. degenerative t-spine osteophytes.
CXR2222_IM-0826-2001.png
round opacity measuring 2 cm in diameter within the posterior mediastinum. recommend further evaluation of this nodule with chest ct with iv contrast. lungs are clear bilaterally with no focal consolidation pleural effusion or pneumothoraces. cardiomediastinal silhouette is within normal limits. calcified densities within the right paratracheal region and left perihilar region may represent calcified granulomas. there is a round opacity measuring 2 cm in diameter within the posterior mediastinum. xxxx are unremarkable.
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2 cm noncalcified nodule in the right lower lobe would benefit from a xxxx. there is a rounded opacity in the right lower zone measuring 0 cm which is xxxx to be in the posterobasal segment. there is of uncertain etiology but would benefit from followup at xxxx some concern for neoplasm. a xxxx is recommended. no airspace disease effusion or cavitary nodule. normal heart size and mediastinum. visualized xxxx of the chest xxxx are within normal limits.
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normal chest radiograph. heart size is normal. no pneumothorax pleural effusion or focal airspace disease. bony structures are intact.
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no acute disease. the heart is normal in size. the mediastinum is unremarkable. the lungs are clear.
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negative for acute cardiopulmonary abnormality no focal consolidation effusion or pneumothorax. normal heart size. stable left subclavian chest xxxx catheter tip in mid svc. lungs are well expanded. calcified granuloma posteriorly in the medial right lower lobe. postsurgical changes of anterior lower cervical spine fusion. thoracic spine demonstrates mild degenerative changes with some mild xxxx loss of t4 and t7 vertebral bodies.
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significant improvement in bilateral airspace disease and improved aeration bilaterally as described above. compared to prior examination there is significant improvement in aeration bilaterally with improved bilateral airspace opacities. currently there are only minimal streaky opacities in the bilateral midlung which may represent mild residual airspace disease atelectasis or underlying changes of chronic lung disease. no large focal consolidations pneumothorax or definite pleural effusions identified. the mediastinal silhouette is stable and within normal limits for size and contour. no acute osseous abnormality is identified.
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hyperinflated but clear lungs. lungs are hyperinflated but clear. no focal infiltrate or effusion. heart and mediastinal contours within normal limits. calcified mediastinal xxxx identified.
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findings of copd and left base focal atelectasis. lungs are xxxx. xxxx opacities are present in the left lung base. heart size normal. mediastinum normal.
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no active pulmonary disease. cardiac and mediastinal contours are within normal limits. the lungs are clear. left axillary surgical clips. bony structures are intact.
CXR1151_IM-0102-2001.png
stable chest x-xxxx without acute cardiopulmonary findings. frontal and lateral views of the chest demonstrate the cardiomediastinal silhouette normal. there is normal distribution of the pulmonary vascularity. the lungs are clear. no effusion consolidation or pneumothorax.
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no acute cardiopulmonary abnormality. scattered calcified pulmonary nodules xxxx represents calcified granulomas. lungs are clear bilaterally. there is no focal consolidation pleural effusion or pneumothoraces. stable calcified hilar and mediastinal lymph xxxx xxxx decreased in size from prior exam. heart size is normal. xxxx are unremarkable.
CXR518_IM-2131-2001.png
stable normal cardiac size and contour unremarkable mediastinal silhouette. normal pulmonary xxxx and interstitium. lungs clear no airspace disease pleural effusion or pneumothorax. no activeacute cardiopulmonary disease. stable normal cardiac size and contour unremarkable mediastinal silhouette. normal pulmonary xxxx and interstitium. lungs clear no airspace disease pleural effusion or pneumothorax. no activeacute cardiopulmonary disease.
CXR738_IM-2296-1001.png
no active disease. the heart and lungs have xxxx xxxx in the interval. both lungs are clear and expanded. heart and mediastinum normal.
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normal chest heart size normal. lungs are clear. xxxx are normal. no pneumonia effusions edema pneumothorax adenopathy nodules or masses.
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negative. the cardiomediastinal silhouette is normal in size and contour. no focal consolidation pneumothorax or large pleural effusion. negative for acute bone abnormality.
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stable mild cardiomegaly. no acute pulmonary abnormality. there is mild cardiomegaly similar to prior exams. no focal consolidation. no visible pleural effusion or pneumothorax.
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no acute findings. the cardiac contours are normal. the lungs are clear. thoracic spondylosis.
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no comparisons. the heart size is normal and the lungs are clear.
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no acute cardiopulmonary findings. lungs are clear bilaterally with no focal infiltrate pleural effusion or pneumothoraces. cardiomediastinal silhouette is within normal limits. xxxx and soft tissues are unremarkable.
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no acute cardiopulmonary abnormality. the lungs are clear bilaterally. specifically no evidence of focal consolidation pneumothorax or pleural effusion.. cardio mediastinal silhouette is unremarkable. visualized osseous structures of the thorax demonstrates stable mild multilevel degenerative disc disease of the thoracolumbar spine as well as chronic left-sided rib fractures without acute abnormality.
CXR5_IM-2117-1004003.png
no acute cardiopulmonary abnormality. the cardiomediastinal silhouette and pulmonary vasculature are within normal limits. there is no pneumothorax or pleural effusion. there are no focal areas of consolidation. cholecystectomy clips are present. small t-spine osteophytes. there is biapical pleural thickening unchanged from prior. mildly hyperexpanded lungs.
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no acute cardiopulmonary abnormalities. large calcified granuloma in the right lower lobe is unchanged. no pneumothorax. heart size is normal. no large pleural effusions. no focal airspace opacification.
CXR164_IM-0419-2001.png
no acute cardiopulmonary findings. the cardiopulmonary silhouette is normal. the heart size is normal. the lungs are clear with no pulmonary effusions or pneumothorax.
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cardiomegaly with elevated right hemidiaphragms and no acute findings. patient is rotated. mild cardiomegaly. low lung volumes with elevated hemidiaphragms greater on the right. this is identified on a thoracic xxxx study from xxxx as well. no pneumothorax. no large pleural effusion. no focal infiltrate.
CXR603_IM-2193-2001.png
heart size normal. right hilar calcifications are suggestive of prior granulomatous disease. otherwise the mediastinal silhouette and pulmonary vascularity are within normal limits. there is no focal airspace consolidation pleural effusion or pneumothorax.
CXR751_IM-2305-2001.png
no acute cardiopulmonary findings heart size within normal limits. no focal alveolar consolidation no definite pleural effusion seen. no typical findings of pulmonary edema. no pneumothorax.
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multiple round opacities in the right upper lobe measuring up to 7 mm. exact etiology of these is unclear. negative for cardiac enlargement. negative for vascular congestion. there are several small circular opacities in the right upper lung some of which are centrally lucent. negative for bony abnormality.
CXR471_IM-2099-2002.png
no acute disease. the heart is normal in size. the mediastinum is unremarkable. mild pectus excavatum deformity is noted. the lungs are clear.
CXR3271_IM-1552-1001.png
no acute cardiopulmonary abnormality.. the lungs are clear bilaterally. specifically no evidence of focal consolidation pneumothorax or pleural effusion.. cardio mediastinal silhouette is unremarkable. visualized osseous structures of the thorax are without acute abnormality.
CXR2673_IM-1149-1001.png
developing heart failure with pulmonary venous engorgement and bibasilar pulmonary interstitial edema. the heart is large. in the interval pulmonary venous engorgement has developed. also bibasilar interstitial infiltrates are present.
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right middle lobe opacity which may represent a focal area of consolidation or atelectasis. right middle lobe opacity is present. the cardiac silhouette and mediastinal contours are within normal limits. there is no pneumothorax. no large pleural effusion.
CXR473_IM-2101-1002.png
heart size normal. lungs clear.
CXR905_IM-2410-0001-0001.png
normal heart size. normal pulmonary vasculature. normal mediastinal contours. lung parenchyma is clear. no airspace disease. no pulmonary edema. no xxxx of pleural effusions. no xxxx of active tuberculosis. no xxxx of active cardiopulmonary disease.
CXR3073_IM-1434-2001.png
negative for acute cardiopulmonary findings. heart size and cardiomediastinal contours are normal. lungs are clear without focal airspace opacity pleural effusion or pneumothorax. no displaced rib fracture.
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comparison xxxx xxxx clear lungs. no effusions. unremarkable mediastinal contour. no acute cardiopulmonary abnormality identified.. stable chest.
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no acute cardiopulmonary abnormalities. the heart size and mediastinal silhouette are within normal limits for contour. the lungs are clear. no pneumothorax or pleural effusions. the xxxx are intact.
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no acute process. the cardiac contours are normal. the lungs are clear. thoracic spondylosis. prior cholecystectomy
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no focal airspace consolidation. emphysema. stable biapical opacities possibly scarring. heart size is at the upper limits of normal. there is aortic atherosclerotic vascular calcification. the lungs remain hyperexpanded. there are biapical opacities stable from the prior study. no xxxx focal airspace consolidation. no significant pleural effusion. no pneumothorax. there are mild degenerative changes of the spine.
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stable aicd with intact xxxx replacement. no acute radiographic cardiopulmonary process. there is redemonstration of an aicd with the left chest wall with stable intact xxxx placement. surgical cervical xxxx is redemonstrated. cardiac and mediastinal xxxx appear normal. xxxx opacity in the left upper lobe xxxx atelectasis or scarring. no visible pneumothorax or pleural effusion is seen. no visible free air under the diaphragm. the osseous structures appear intact.
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copd. there is hyperinflation of the lungs but they are clear. the heart and mediastinum are normal. the skeletal structures are normal. there are bilateral breast prostheses.
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no acute pulmonary disease. there is a calcified granuloma in the left upper lung zone. the lungs are otherwise clear. there is hyperinflation. the heart and mediastinum are normal. the skeletal structures and soft tissues are normal for age.
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no acute cardiopulmonary disease. cardiomediastinal silhouette is normal. pulmonary vasculature and xxxx are normal. no consolidation pneumothorax or large pleural effusion. postsurgical changes of the cervical spine are present.
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no active disease. both lungs are clear and expanded. heart and mediastinum normal.
CXR3361_IM-1614-2001.png
no acute cardiopulmonary abnormalities. cardiomediastinal silhouettes are within normal limits. lungs are clear without focal consolidation pneumothorax or pleural effusion. bony thorax is unremarkable.
CXR937_IM-2433-1001.png
unremarkable 2 views of the chest. normal cardiac size. normal pulmonary vasculature. no airspace disease. negative for pneumothorax. negative for acute osseous deformity. the thoracic spine has a normal appearance.
CXR812_IM-2343-2001.png
no acute cardiopulmonary abnormalities. chronic bilateral emphysematous changes. the heart size and mediastinal silhouette are within normal limits for contour. the lungs are clear. no pneumothorax or pleural effusions. the xxxx are intact. stable splenic artery embolism coils.
CXR912_IM-2417-1001.png
no acute cardiopulmonary findings. no focal consolidation. no visualized pneumothorax. no large pleural effusions. heart size is normal. the cardiomediastinal silhouette is grossly unremarkable.
CXR1588_IM-0382-2001.png
normal chest heart size normal. lungs are clear. xxxx are normal. no pneumonia effusions edema pneumothorax adenopathy nodules or masses.
CXR838_IM-2362-2001.png
no acute cardiopulmonary abnormalities. stable prominence of the cardiac apex xxxx from ventricular hypertrophy. mid sternotomy xxxx again noted. no pneumothorax significant pulmonary edema or large pleural effusions. no focal lung consolidation. clips in the right upper quadrant consistent with cholecystectomy. dextroscoliosis of the thoracolumbar spine.
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no acute cardiopulmonary abnormality. the heart is normal size. the mediastinum is unremarkable. there is no pleural effusion pneumothorax or focal airspace disease. the xxxx are unremarkable.
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no acute cardiopulmonary abnormality. elevation of the right xxxx diaphragm containing liver. no airspace disease effusion or noncalcified nodule. calcified granuloma seen bilaterally. normal heart size. elevated right hemidiaphragm with a nodular soft tissue contour containing liver. degenerative changes demonstrated within the visualized thoracic spine. there is neurostimulator overlying the mid and lower thoracic spine.
CXR2283_IM-0870-1001.png
no acute visualized cardiopulmonary abnormality. the heart and mediastinal silhouettes are within normal limits. the lungs are clear without focal airspace opacity large effusion or pneumothorax. the xxxx are grossly intact. interval removal of right picc. persistent elevation of the left hemidiaphragm.
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no active disease. the heart and lungs have xxxx xxxx in the interval. both lungs are clear and expanded. heart and mediastinum normal.
CXR3275_IM-1556-1004003.png
no acute radiographic cardiopulmonary process. the cardiomediastinal silhouette and vasculature are within normal limits for size and contour. the lungs are normally inflated and clear. mild degenerative changes of the spine.
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right basal acute airspace disease. please correlate clinically for pneumonia. chronic interstitial pattern may reflect copd. frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. right-sided aortic xxxx. normal mediastinal contour pulmonary xxxx and vasculature central airways and aeration of the lungs. there is right basal xxxx patchy opacity and bibasal atelectasis or scarring. there is no pleural effusion or pneumothorax. right apical calcified granuloma noted.
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bilateral large pleural effusion possibly from pleuritis or sympathetic from the known pancreatitis. one xxxx are low. both costophrenic xxxx are blunted. pulmonary xxxx are normal. no visible infiltrates in the aerated lungs.
CXR2195_IM-0805-2001.png
mildly hyperinflated clear lungs. the cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. the lungs are mildly hyperinflated without evidence of focal airspace disease pneumothorax or pleural effusion. incidental note is xxxx of an azygos fissure. there are no acute bony findings.
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no acute cardiopulmonary abnormality. normal heart. clear lungs. no pneumothorax. no pleural effusion.
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mild cardiomegaly as before with no effusions or overt evidence of chf. large lung volumes as before. no acute airspace disease. stable mediastinal contour. no xxxx acute abnormalities since the previous chest radiograph.
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borderline heart size improved mediastinal widening. no focal alveolar consolidation no definite pleural effusion seen. mild hypoventilation bronchovascular crowding without typical findings of pulmonary edema.
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negative for acute abnormality. right thorax volume loss with some degree of left-to-right mediastinal shift. relative hyperlucency of left lung xxxx compensatory hyperinflation. diminutive right hilar silhouette compatible with absence of right xxxx pulmonary artery as noted on prior ct. no focal consolidation pneumothorax or large pleural effusion. negative for acute displaced rib fracture.
CXR3263_IM-1549-2001.png
no acute cardiopulmonary finding. left knee: minimal degenerative changes however no acute bony abnormality. the heart size and cardiomediastinal silhouette are normal. the lungs are clear without focal airspace opacity pleural effusion or pneumothorax. the osseous structures are intact. left knee: there is no fracture-dislocation. there are degenerative changes with medial compartment osteophytes. there is no suprapatellar effusion. there is a xxxx.
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no acute cardiopulmonary disease. heart size and pulmonary vascularity within normal limits. no focal infiltrate pneumothorax or pleural effusion identified.
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normal chest heart size normal. lungs are clear. xxxx are normal. no pneumonia effusions edema pneumothorax adenopathy nodules or masses.
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no acute cardiopulmonary abnormality. heart size and pulmonary vasculature are normal. lungs are clear. no pneumothorax large effusion. no acute bony abnormality.
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no acute cardiopulmonary abnormality. heart size and mediastinal contours are normal in appearance. no consolidative airspace opacities. no radiographic evidence of pleural effusion or pneumothorax. visualized osseous structures appear intact.
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heart size mediastinal silhouette pulmonary vascularity are within normal limits. there is no lobar consolidation. no pleural effusion or pneumothorax.
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hyperinflation with chronic upper lobe reticular-nodular pleural-parenchymal opacities and hilar retraction. no gross interval change from xxxx. the lungs are hyperinflated with biapical pleural-parenchymal scarring and upward retraction of the xxxx similar to the prior study. there are multiple reticular-nodular opacities in the upper lobes bilaterally which appear grossly stable from the prior study. there is no evidence of xxxx focal airspace disease. there is no pneumothorax or pleural effusion. heart size is normal.
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no acute abnormality. heart size within normal limits. negative for focal pulmonary consolidation pleural effusion or pneumothorax. mild degenerative changes thoracic spine.
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negative chest radiographs. the cardiomediastinal silhouette and pulmonary vasculature are within normal limits. there is no pneumothorax or pleural effusion. there are no focal areas of consolidation.
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no acute cardiopulmonary findings. cardiomediastinal silhouette and pulmonary vasculature are within normal limits. lungs are clear. no pneumothorax or pleural effusion. no acute osseous findings.