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CXR310_IM-1451-0001-0001.png
no radiographic evidence of acute thoracic xxxx. chest. the xxxx examination consists of frontal and lateral radiographs of the chest. the cardiomediastinal contours are within normal limits. no focal consolidation pleural effusion or pneumothorax identified. the visualized osseous structures and upper abdomen are unremarkable. thoracic spine. the xxxx examination consists of frontal lateral and swimmers lateral radiographs of the thoracic spine. there is no evidence of fracture or malalignment. the vertebral body xxxx and disc spaces are maintained. sternum. the xxxx examination consists of 2 oblique and one lateral radiograph of the sternum. no displaced xxxx fracture demonstrated.
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no acute cardiopulmonary abnormalities. cardiac size mediastinal contour and pulmonary vascularity are within normal limits. no focal consolidation suspicious pulmonary opacity pleural effusion or pneumothorax. the visualized osseous structures appear intact.
CXR2632_IM-1119-1001.png
no acute findings heart size within normal limits stable mediastinal and hilar contours. no focal alveolar consolidation no definite pleural effusion seen. no typical findings of pulmonary edema. no pneumothorax.
CXR793_IM-2330-1001.png
no evidence of acute cardiopulmonary process. the xxxx examination consists of frontal and lateral radiographs of the chest. the cardiomediastinal contours are within normal limits. pulmonary vascularity is within normal limits. no focal consolidation pleural effusion or pneumothorax identified. oval sclerotic density projecting over the inferior right glenoid may represent synovial osteochondromatosis or cortical xxxx xxxx. this is unchanged 31 17 xxxx. the remaining osseous structures and visualized upper abdomen are unremarkable in appearance.
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slight cardiomegaly. clear lungs.
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no evidence of active disease. the lungs are clear. there is no focal airspace consolidation. no pleural effusion or pneumothorax. heart size is within normal limits. right paratracheal density is stable from prior radiographs and may reflect tortuous vasculature. there is aortic atherosclerotic vascular calcification. there are mild degenerative changes of the spine. surgical clips are noted in the region of the left breast. there is mild diaphragm eventration.
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no acute cardiopulmonary disease. the heart and mediastinum are unremarkable. the lungs are clear without infiltrate. there is no effusion or pneumothorax. there is surgical clips projected over the left lung apex as well as over the right upper quadrant of the abdomen.
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small to moderate sized bilateral pleural effusions with adjacent infiltrate or atelectasis. there is bilateral lower lung airspace disease. there are small to moderate sized bilateral pleural effusions left greater than right. there is no pneumothorax. mediastinal silhouette normal. calcified left hilar lymph xxxx.
CXR2569_IM-1071-2001.png
no acute cardiopulmonary abnormality. the heart is normal size. the mediastinum is unremarkable. atherosclerotic calcifications present within the thoracic aorta. there is no pleural effusion pneumothorax or focal airspace disease. mild emphysematous changes are noted. bilateral apical pleural scarring is present. calcified granuloma is present within the right lower lobe. the xxxx are generally unremarkable.
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no acute cardiothoracic disease or significant interval change. the xxxx examination consists of frontal and lateral radiographs of the chest. xxxx sternotomy xxxx are again seen. the cardiomediastinal contours are grossly unchanged. right lung calcified granulomata are again seen. there is no consolidation pleural effusion or pneumothorax.
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right lower lobe pulmonary nodule. xxxx for better characterization. no acute pulmonary process. heart size and mediastinal contour are normal. pulmonary vascularity is normal. there is a 9 mm right lower lobe pulmonary nodule not seen on prior exams. there are posttraumatic deformities of the right posterior ribs. no focal airspace consolidation or effusion. no pneumothorax.
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no acute cardiopulmonary abnormalities. the heart size is normal. no pneumothorax. no large pleural effusions. no focal airspace opacities.
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no acute cardiopulmonary finding. the heart and cardiomediastinal silhouette are stable in size and contour. there is no focal airspace opacity pleural effusion or pneumothorax. the osseous structures are intact.
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small right juxtahilar opacity may represent infiltrate in the setting of xxxx. followup chest x-xxxx is recommended at an appropriate interval following treatment to document xxxx. the heart is not enlarged. the central pulmonary vasculature is not engorged. visualized osseous structures are unremarkable. no pneumothorax or pleural effusion. small right juxtahilar opacity may represent infiltrate. lungs are otherwise well aerated.
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obscuration of the bilateral lung bases xxxx combination of atelectasis infiltrate effusions. there is obscuration of the bilateral lung bases with lower lung volumes compared to prior examination. stable atelectaticfibrotic changes of the visualized lung and stable left-sided calcified granuloma. no acute osseous abnormalities identified. cardiomediastinal silhouette unremarkable.
CXR1822_IM-0533-1001.png
no acute cardiopulmonary abnormalities. the heart is normal in size and contour. there is no mediastinal widening. no focal air space disease. prominent hilar xxxx. no large pleural effusion or pneumothorax. the xxxx are intact.
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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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negative chest x-xxxx. no evidence of pneumonia. cardiac and mediastinal contours are within normal limits. the lungs are clear. thoracic spondylosis.
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no acute cardiopulmonary abnormality heart size is normal in cardiomediastinal silhouette is normal in contour. the lungs are clear bilaterally. no xxxx consolidations. no pleural effusion. no pneumothorax. xxxx and soft tissues are unremarkable. lungs are hyperinflated.
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cardiomegaly no acute pulmonary findings heart size mildly enlarged with enlarged right atrium. no focal alveolar consolidation no definite pleural effusion seen. no pneumothorax.
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right basilar opacity with associated blunting of costophrenic xxxx on lateral view may represent small pleural effusion atelectasis andor consolidation. interface at the left hemidiaphragm may represent artifact however further evaluation with right lateral decubitus films would better evaluate. there is right basilar opacity with associated blunting of the costophrenic xxxx seen on lateral view. in addition there is a interface along the left hemidiaphragm. this may represent attenuation artifact however further evaluation with right lateral decubitus views would better evaluate. there is no pneumothorax. the xxxx lungs are clear. cardiac silhouette and mediastinal contours are within normal limits.
CXR3574_IM-1756-2001.png
negative for acute abnormality. the cardiomediastinal silhouette is normal in size and contour. no focal consolidation pneumothorax or large pleural effusion. suspected xxxx artifact over the bilateral neck soft tissues and supraclavicular fossae. normal xxxx.
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emphysema without acute infiltrate. progressive xxxx deformity of midthoracic vertebral body xxxx t9. the heart is normal in size. the mediastinum is stable. aorta is tortuous. calcified lymph xxxx are again identified. there is mild prominence of the right paratracheal soft tissues stable in appearance from prior studies. there is no acute infiltrate or pleural effusion. osteopenia and degenerative changes are identified. xxxx deformity of t9 appears worse than prior study.
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normal chest radiograph the lungs are clear. the cardiomediastinal silhouette is within normal limits. no pleural effusion is identified.
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xxxx of left base atelectasis. otherwise clear. low lung volumes are present. the heart size and pulmonary vascularity appear within normal limits. no pleural effusion or pneumothorax is seen. scattered xxxx of left base atelectasis are noted. left xxxx-a-xxxx is in xxxx with the tip projecting over the caval atrial junction.
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no acute cardiopulmonary findings. the heart size and mediastinal contours appear within normal limits. there are low lung volumes with left basilar subsegmental atelectasis. no focal airspace consolidation effusions or pneumothorax. no acute bony abnormalities.
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heart size upper limits normal. lungs are clear. no evidence of active tuberculosis. no change from prior exam. the outside x-xxxx is normal except for slight cardiomegaly.
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no acute cardiopulmonary abnormality. cardiomediastinal silhouette is within normal limits of size and appearance. the pulmonary vascularity is unremarkable. lungs are expanded and clear of airspace disease. negative for pneumothorax or pleural effusion. limited bone evaluation reveals no acute abnormality. there is incompletely evaluated lumbar levoscoliosis.
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changes of chronic emphysematous lung disease without acute cardiopulmonary abnormality identified. there is hyperexpansion hyperlucency of both lungs as well as flattening of the diaphragm consistent with chronic emphysematous lung disease. no focal consolidation pneumothorax or large pleural effusion identified (blunting of costophrenic recesses bilaterally may represent small effusions or pleural thickeningscar. stable calcified mediastinal and hilar lymph xxxx and a left basilar calcified granuloma. acute osseous abnormality. the mediastinal silhouette stable.
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comparison xxxx xxxx. well-expanded and clear lungs. mediastinal contour within normal limits. no acute cardiopulmonary abnormality identified. stable chest.
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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 intrathoracic abnormality. the cardiomediastinal silhouette is within normal limits for appearance. no focal areas of pulmonary consolidation. no pneumothorax. no pleural effusion. the thoracic spine appears intact. no acute displaced rib fractures.
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no acute cardiopulmonary abnormality. stable cardiomediastinal silhouette. no focal pulmonary opacity pleural effusion or pneumothorax. no acute bony abnormality.
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no active disease. the heart and lungs have xxxx xxxx in the interval. both lungs are clear and expanded. no change in the small calcified right upper lobe nodule. heart and mediastinum normal.
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no evidence of active disease. the heart size and pulmonary vascularity appear within normal limits. the lungs are free of focal airspace disease. no pleural effusion or pneumothorax is seen.
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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. normal xxxx.
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no acute findings. cardiac and mediastinal contours are within normal limits. granulomatous calcifications and mediastinum. the lungs are clear. bony structures are intact.
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no acute disease. the heart is normal in size. the mediastinum is unremarkable. right chest xxxx is visualized with tip at cavoatrial junction. there is no pneumothorax. the lungs are clear.
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no acute cardiopulmonary abnormalities. cardiomediastinal silhouettes are within normal limits. lungs are clear without focal consolidation pneumothorax or pleural effusion. bony thorax is unremarkable.
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chest. no active disease. lumbar spine negative. chest. both lungs are clear and expanded with no pleural air collections or parenchymal consolidations. heart and mediastinum remain normal. lumbosacral spine. xxxx disc spaces and alignment are normal. sacrum and sacroiliac joints are normal.
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no acute cardiopulmonary abnormality. given differences in patient rotation heart size and mediastinal contours are grossly unchanged. lungs appear clear without focal consolidation. no visible pleural effusion or pneumothorax. stable degenerative changes of the thoracic spine with scattered xxxx deformities. stable postsurgical changes of the left shoulder and marked degenerative changes of the right shoulder.
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moderate thoracic spondylosis. no acute cardiopulmonary abnormality. heart size is upper limits of normal for ap projection. mediastinal contours and pulmonary vasculature are unremarkable. the patient's chin obscures the bilateral lung apices. there is no focal airspace consolidation. no visible pleural effusion or pneumothorax. no displaced rib fractures are seen. there are moderate degenerative changes along the thoracic spine.
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chest radiograph. no acute radiographic cardiopulmonary process. there is mild cardiomegaly and tortuous aorta. mildly low lung volumes. no focal consolidation pleural effusion or pneumothorax. the xxxx xxxx are intact and without acute osseous abnormality. mild degenerative changes of the thoracic spine.
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stable chest radiograph with no acute or progressive abnormality. there is no suggestion of enlargement of the known right retrohilar pulmonary nodule or xxxx pulmonary nodularity. no interval change is found in the bony thorax. the heart size remains normal with an ectatic tortuous aorta. the pulmonary vasculature is not engorged. lungs are free of infiltrate and there is no pleural effusion. the fullness to the right hilum is again noted but this is unchanged suggesting no progression of the retrohilar nodule xxxx on the ct scan. no xxxx pulmonary nodule is found.
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no acute cardiopulmonary process. the cardiomediastinal silhouette is within normal limits. lungs are clear without areas of focal consolidation. no pneumothorax or large pleural effusion.
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hyperinflated lungs air trapping versus inspiratory xxxx. hyperinflated lungs with flattened diaphragm and increased retrosternal airspace. no focal alveolar consolidation no definite pleural effusion seen. heart size within normal limits the typical findings of pulmonary edema. mild spine dextrocurvature noted.
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normal heart size. no xxxx of pleural effusions. there appears to be generalized mild interstitial changes in both lungs. similar changes appear to have been present xxxx scan focused on the abdomen xxxx. for more detailed evaluation of the lung parenchyma consider xxxx with high resolution technique. there are no xxxx of acute airspace disease. no lung masses visualized. visualized bony structures have normal appearance.
CXR3948_IM-2017-1001.png
no acute cardiopulmonary process. the cardiomediastinal silhouette is within normal limits for size and contour. the lungs are normally inflated without evidence of focal airspace disease pleural effusion or pneumothorax. no acute bone abnormality.
CXR102_IM-0016-2001.png
no acute cardiopulmonary abnormality. normal heart size. clear hyperaerated lungs. no pneumothorax. no pleural effusion. xxxx substernal density may be related to a pectus deformity.
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normal heart size and normal mediastinal contours. normal pulmonary vasculature. no xxxx of pleural effusions. no infiltrates. normal x-xxxx of chest.
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stable cardiomegaly and persistent minimal bibasilar atelectasis. interval performance of anterior cervical spinal fusion xxxx intact without complicating features. there is stable cardiomegaly with persistent bibasilar opacities xxxx atelectasis andor infiltrate. no xxxx focal consolidations pneumothorax or pleural effusions. the visualized osseous structures demonstrate mild multilevel degenerative disc disease of the thoracolumbar spine without acute osseous abnormality.
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cardiomegaly with diffuse interstitial opacities. findings may be secondary to pulmonary edema. atypical infection is another consideration. there is mild cardiomegaly. aorta is heavily calcified and tortuous consistent with atherosclerotic disease. there are diffuse increased interstitial opacities identified. this may be secondary to edema or alternatively atypical infection. no large effusion or visualized pneumothorax. osteopenia of the spine is identified.
CXR1007_IM-0008-3001.png
no acute cardiopulmonary abnormalities. 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 show no acute abnormalities. lateral view reveals mild degenerative changes of the thoracic spine.
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basilar atelectasis. no confluent lobar consolidation or pleural effusion. the cardiac contours are normal. xxxx basilar atelectasis. the lungs are clear. thoracic spondylosis. lower cervical xxxx arthritis.
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no comparison chest x-xxxx. well-expanded and clear lungs. mediastinal contour within normal limits. no acute cardiopulmonary abnormality identified.
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no acute cardiopulmonary findings. chronic changes of emphysema and left basilar scarring. the heart size is within normal limits. after cirrhotic calcification of the thoracic aorta. hyperexpanded lungs with flattened diaphragms and increased retrosternal clear space suggestive of emphysema. streaky left basilar opacities are favored to represent scarring. no pleural effusions or pneumothorax. exaggerated thoracic kyphosis. scattered calcified granulomas bilaterally. no acute bony abnormalities.
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no acute findings heart size within normal limits stable mediastinal and hilar contours. no focal alveolar consolidation no definite pleural effusion seen. no typical findings of pulmonary edema. dense nodule again noted in the right lower lobe suggesting a previous granulomatous process.
CXR1333_IM-0214-2001.png
no acute cardiopulmonary abnormality. cardiomediastinal silhouette is within normal limits of size and appearance. pulmonary vascularity is unremarkable. morgagni hernia stable. lungs are expanded and clear of air space disease or consolidation. negative for pneumothorax or pleural effusion. limited evaluation reveals diffuse demineralization with stable anterior wedging at the lower thoracic levels.
CXR3081_IM-1440-1002.png
no acute cardiopulmonary findings. the heart is normal in size. the aorta is tortuous and ectatic. the lungs are clear without focal airspace opacity pleural effusion or pneumothorax. the osseous structures are intact.
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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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no acute cardiopulmonary finding. the heart and cardiomediastinal silhouette are normal. there is no focal airspace opacity pleural effusion pneumothorax. the osseous structures are intact.
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no evidence of acute cardiopulmonary process. interval cabg. the xxxx examination consists of frontal and lateral radiographs of the chest. there has been interval cabg. surgical clips are again seen in the epigastric region. the cardiomediastinal contours are within normal limits. pulmonary vascularity is within normal limits. no focal consolidation pleural effusion or pneumothorax identified. the visualized osseous structures are unremarkable.
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no acute pulmonary findings. normal heart size. clear lungs. degenerative this disease within the spine. prosthetic right shoulder. possible xxxx body in the axillary recess of the left shoulder. degenerative left glenohumeral osteoarthritis.
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no evidence of active disease. the lungs are clear. there is no focal airspace consolidation. no pleural effusion or pneumothorax. heart size and mediastinal contour are within normal limits. there are degenerative changes of the spine.
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fracture deformity proximal right humerus. no pulmonary consolidation. fracture deformity proximal right humerus. hyperinflation lungs. no pulmonary consolidation. xxxx opacity left base compatible xxxx atelectasis or xxxx scarring. the cardiomediastinal silhouette appears unremarkable. mild atherosclerotic calcification aorta. prior chest surgery. costophrenic xxxx clear. visualized spine vertebrae appear normal in xxxx and alignment.
CXR3819_IM-1926-4004.png
continued severe cardiomegaly andor pericardial effusion. no acute pulmonary disease process identified. frontal (on two cassettes) and lateral views of the chest with overlying external cardiac monitor leads show an unchanged cardiomediastinal silhouette. the cardiac silhouette remains markedly enlarged. there is aortic xxxx vascular calcification. no xxxx focal airspace consolidation or pleural effusion.
CXR3714_IM-1856-2001.png
no acute cardiopulmonary disease. cardio mediastinal silhouette pulmonary vascular pattern are within normal limits. mildly low lung volumes. no focal infiltrate pleural effusion or pulmonary edema. no pneumothorax.
CXR1814_IM-0527-1001.png
heart size normal and lungs clear.
CXR2379_IM-0939-1001.png
stable chronic lung changes without acute cardiopulmonary abnormality. cardiomediastinal silhouette is within normal limits of size and appearance. lungs are hyperlucent and hyperexpanded. negative for focal airspace disease or consolidation. negative for pneumothorax or pleural effusion. limited evaluation reveals no acute abnormality.
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no acute abnormality seen. normal heart size. mild tortuosity of the aorta. no pneumothorax pleural effusion or suspicious airspace opacity. mild levoscoliosis of the lumbar spine.
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interval improvement in aeration of lung bases and pleural effusions. residual small left effusion and questionable small right pleural effusion. normal cardiomediastinal silhouette. interval improvement in lung volumes bilaterally. improved aeration of the right and left lung bases. bilateral small pleural effusions and left base atelectatic change with interval improvement. visualized xxxx of the chest xxxx are within normal limits.
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emphysema with no acute cardiopulmonary findings. mild hyperexpansion of the lungs. numerous bilateral rib deformities. no focal airspace disease. heart size is normal. no pneumothorax or effusion. large flowing anterior endplate osteophytes of the thoracic spine.
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no acute pulmonary abnormality. the lungs and pleural spaces show no acute abnormality. heart size and pulmonary vascularity within normal limits.
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chest. right 4th rib fracture. no cardiopulmonary injury. no pleural air collection. right shoulder negative. right humerus negative. chest. a minimally displaced fracture is present on right rib the small amount of pleural fluid is xxxx deep to the fracture. no pleural air collection. both lungs clear and expanded. heart and mediastinum normal. note xxxx of a levoscoliosis of the thoracolumbar spine. right shoulder. xxxx soft tissues and alignment are normal. right humerus. xxxx and soft tissues are intact.
CXR885_IM-2399-2001.png
no acute cardiopulmonary abnormality. postsurgical changes as described above. heart size mediastinal contour and pulmonary vascularity are within normal limits. postsurgical changes include left chest pacemakericd with xxxx tips over the right atrium and right ventricle sternotomy xxxx and graft markers and upper anterior mediastinal surgical clips. no focal consolidation suspicious pulmonary opacity large pleural effusion or pneumothorax is identified. specifically no evidence of pneumonia. visualized osseous structures appear intact.
CXR2953_IM-1351-1001.png
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.
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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 process. heart size and vascularity are normal. mild tortuosity of the aorta. no focal airspace disease or effusion. degenerative change of the spine. no pneumothorax.
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no acute preoperative findings. cardiac and mediastinal contours are within normal limits. prior granulomatous disease. the lungs are otherwise clear. bony structures are intact.
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no acute pulmonary findings. normal heart size. aortic calcification. granulomatous nodule left midlung stable. no acute pulmonary abnormalities. thoracic spondylosis.
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no acute disease. the heart is normal in size. the mediastinum is unremarkable. the lungs are slightly hypoinflated but clear. there is no pleural effusion.
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no acute disease. the heart is normal in size. the mediastinum is stable. the lungs are clear.
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clear lungs. no acute cardiopulmonary abnormality. the lungs are clear. heart size is normal. no pneumothorax.
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pathologic fractures seen at t5 and lleft venous catheter in svc. left chest wall mediport placement with venous catheter tip in superior xxxx xxxx. normal cardiac contours. no pneumothorax or pleural effusions. clear lungs bilaterally. xxxx fracture seen at t5 and l2 with areas of sclerosis throughout the thoracic and lumbar spine.
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right upper lobe airspace consolidation please correlate clinically for pneumonia. frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. there is xxxx airspace opacity in the mid right lung radiating from the right hilum to the pleura and bordered inferiorly by the fissures. the xxxx fissure is convex upward. there is right base patchy airspace opacity. this appears chronic and may be due to scarring. there is no significant pleural effusion.
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no evidence of active disease. the lungs are clear. there is no focal airspace consolidation. no pleural effusion or pneumothorax. heart size and mediastinal contour are normal.
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no definite evidence of metastatic disease. age-indeterminate xxxx deformity of t6 xxxx since study dated xxxx xxxx. sternotomy xxxx mediastinal clips noted. heart size within normal limits. negative for focal pulmonary consolidation pleural effusion or pneumothorax. there is xxxx deformity of t6 xxxx since x-xxxx thoracic spine xxxx xxxx. mild xxxx deformity of t12 stable. prior cholecystectomy.
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xxxx change. hypoinflation with no visible active cardiopulmonary disease. lung volumes remain low. no infiltrates. heart and pulmonary xxxx remain normal.
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no residual right pleural effusion identified status post thoracentesis. no pneumothorax. mediastinum cardiac size grossly stable. small to moderate left-sided pleural effusion increased xxxx compared to prior chest radiograph. left lung base atelectasisairspace disease.
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normal heart size and normal mediastinal contours. normal pulmonary vasculature. no xxxx of pleural effusions. no infiltrates. moderate scoliosis in the thoracolumbar spine. normal x-xxxx of chest.
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no evidence of acute cardiopulmonary process. the xxxx examination consists of frontal and lateral radiographs of the chest. the cardiomediastinal contours are within normal limits. there is right greater than left biapical bullous emphysema. no focal consolidation pleural effusion or pneumothorax identified. there are xxxx degenerative changes of the thoracic spine.
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probable xxxx posterior recess effusions with mild basilar atelectasis. no lobar pneumonia. normal heart size. tortuous calcified aorta. scattered granulomas. no lobar pneumonia. probable xxxx post your recess effusions. kyphotic degenerated osteopenic thoracic spine.
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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.
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no acute cardiopulmonary process. the cardiomediastinal silhouette is within normal limits. lungs are clear without focal consolidation. no pneumothorax or large pleural effusion.
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xxxx opacities in the right upper lobe anterior segment which may represent atelectasis or infiltrate. heart size is normal. there are xxxx opacities which appear to xxxx xxxx above the right xxxx fissure. there is mild thickening in the fissure. no pneumothorax. no large pleural effusions.
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senescent changes with xxxx sternotomy. some focal subsegmental atelectasis suggested on lateral view probably involving the basilar portion of the right middle lobe. no acute airspace disease effusions or chf. no xxxx acute abnormalities since the previous chest radiograph.
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decreased lung volumes. bibasilar airspace opacities seen on lateral xxxx xxxx be atelectasis or possibly pneumonia. xxxx xxxx and lateral chest examination was obtained. there is enlarged heart silhouette. decreased lung volumes. lungs demonstrate bibasilar airspace opacities better visualized on lateral view. there is no effusion or pneumothorax. degenerative changes of the bilateral xxxx.
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no evidence of pulmonary tuberculosis. low lung volumes with minimal streaky basilar airspace disease xxxx atelectasis. right paratracheal prominence xxxx represents tortuous xxxx. comparison with prior imaging studies could confirm this if available. heart size within normal limits. right paratracheal prominence xxxx represents tortuous xxxx. xxxx lung volumes. mild streaky bibasilar opacities. no pleural effusion or pneumothorax.
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findings of copd. no acute findings. lungs are hyperexpanded. bullae are present in the upper lobes. no focal infiltrates. heart size normal.
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unremarkable examination of the chest. the cardiomediastinal silhouette is normal in size in appearance and stable from xxxx. the lungs are clear. soft tissues and bony structures are unremarkable. no pneumothorax or pleural effusion.