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CXR3130_IM-1472-1001.png
left lower lobe and right perihilar airspace disease. in the appropriate clinical setting this is compatible with infectionpneumonia and followup radiography is recommended following treatment to document resolution. if clinical findings are discordant a xxxx is recommended. 2 images. heart size is enlarged stable. thoracic aortic atherosclerotic calcifications are present. there is xxxx dense consolidation within the retrocardiac left lower lobe. there is also patchy airspace opacity within the perihilar right lung. no pleural effusion or pneumothorax.
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no acute cardiopulmonary disease. pa and lateral views of the chest were obtained. the cardiomediastinal silhouette is normal in size and configuration. mildly tortuous thoracic aorta. the lungs are well aerated. there is no pneumothorax pleural effusion or focal air space consolidation. mild elevation right hemidiaphragm.
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no acute cardiopulmonary finding. mild to moderate t10 vertebral body anterior xxxx deformity xxxx from xxxx. slight interval increase in xxxx loss of t1unchanged severe l1 xxxx deformity. if further imaging characterization is needed recommend mri. findings will be conveyed to the ordering physician xxxx the primordial communication xxxx. cardiomediastinal contour stable and within normal limits. changes of prior cabg again noted. normal pulmonary vascularity. streaky bibasilar opacities decreased from previous possibly subsegmental atelectasis andor scar. no pneumothorax or pleural effusion demonstrated. redemonstrated severe l1 xxxx fracture. slight interval increase in xxxx loss of t11 and there is xxxx mild to moderate anterior xxxx loss of t1degenerative changes of the spine. abdominal aortic stent.
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subtle medial left basilar opacity could represent early pneumonia. there is a subtle left medial base opacity. cardiomediastinal silhouette is normal. pulmonary vasculature and xxxx are normal. no pneumothorax or large pleural effusion. osseous structures and soft tissues are normal.
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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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no acute cardiopulmonary abnormality. stable calcified hilar xxxx and granulomas. lungs are clear bilaterally. there is no focal consolidation pleural effusion or pneumothoraces. cardiomediastinal silhouette is within normal limits. xxxx are unremarkable.
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vague increased sclerotic focus overlying the posterior spine on lateral xxxx xxxx from prior study. although this may be artifact or a pulmonary density a xxxx sclerotic focus within the thoracic xxxx cannot be excluded. bone scan would be helpful to evaluate for metastatic disease to the bone. the lungs are clear. the heart and pulmonary xxxx appear normal. the pleural spaces are clear. there is xxxx minimal sclerotic change overlying the midthoracic spine the lateral view. unclear whether this is a pulmonary finding or skeletal finding. bone scan would be helpful to evaluate for potential metastatic disease. the mediastinal contours are normal.
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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 acute pulmonary disease. the lungs are clear. there is no pleural effusion or pneumothorax. the heart and mediastinum are normal. the skeletal structures short thready changes of the spine.
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xxxx indeterminant small nodular opacities. may be granulomas or bone islands. however xxxx is recommended given the history of malignancy. otherwise no acute cardiac or pulmonary disease process identified. frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. the aorta is unfolded. there is left base streaky opacity due to xxxx scarring or discoid atelectasis. there is a midright lung small calcified granuloma. there are small nodular opacities projecting over the right base in the right costophrenic sulcus posterior right 9th rib and the anterior t10 vertebral body. no xxxx focal airspace consolidation or pleural effusion.
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improving lung volumes with bibasilar atelectasis. cardiomediastinal silhouette is stable and within normal limits. there is improved lung volumes bilaterally with persistent bibasilar atelectatic opacities without focal consolidation pneumothorax or effusion. no acute bony abnormality identified.
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cardiomegaly with vascular congestion and suspected pulmonary edema. the heart is enlarged. there is pulmonary vascular congestion with diffusely increased interstitial and mild patchy airspace opacities. the distribution xxxx pulmonary edema. there is no pneumothorax or large pleural effusion. there are no acute bony findings.
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left pleural effusion with adjacent atelectasis. xxxx right effusion is also present. cardiomegaly without overt edema. cardiac silhouette is enlarged but unchanged. there is left-sided xxxx central line with a xxxx lumen. poly vasculature is within normal limits. mediastinum is normal. bibasilar opacity left greater than right is appreciated. no pneumothorax.
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no acute cardiopulmonary abnormality. stable calcified granulomas. the trachea is midline. negative for pneumothorax pleural effusion or focal airspace consolidation. the heart size is normal.
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no acute or active cardiac pulmonary or pleural disease. frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. no xxxx focal airspace consolidation or pleural effusion.
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mild cardiomegaly without acute cardiopulmonary abnormality. no active infectioustuberculous process. the lungs are clear bilaterally. specifically no evidence of focal consolidation pneumothorax or pleural effusion.. mild cardiomegaly without acute cardiac abnormality. visualized osseous structures of the thorax are without acute abnormality.
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possible lower posterior lateral left rib fractures as described above. if further concern for rib fractures dedicated rib films would better evaluate. otherwise no acute cardiopulmonary disease. within the posterior lateral 8th rib there is a deformity along the cortex with associated oblique lucency. in addition within the posterior lateral 9th rib there appears to be a obliquely oriented lucency with cortical disruption. findings are concerning for possible left rib fractures. otherwise the cardiomediastinal silhouette is within normal limits. the lungs are clear bilaterally. multiple small punctate radiopaque foreign bodies are seen within the subcutaneous tissues and are present on previous ct scan from xxxx.
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enlarged pulmonary arteries. this may be due to previouschronic pulmonary embolism or xxxx pulmonary arterial hypertension. no evidence of pneumonia or other acute cardiopulmonary abnormality. there is persistent marked enlargement of the pulmonary arteries. normal heart size. no focal airspace consolidation. no pleural effusion or pneumothorax. visualized osseous structures are unremarkable in appearance.
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low lung volumes patchy and streaky bibasilar atelectasis or scarring unchanged from prior study blunting of the costophrenic xxxx suggestive of small pleural effusions. this is seen xxxx in the posterior costophrenic recesses esophagogastric to the in xxxx the distal tip coursing inferiorly into the stomach and not included on the study. previously noted esophagogastric flexion catheter has been removed previously noted left-sided picc line has been removed.
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no acute findings. normal heart size. clear lungs. no pneumothorax or pleural effusion.
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no acute abnormality. heart size within normal limits. there is mild hyperexpansion with flattening diaphragms and bronchovascular crowding in the lung bases compatible with emphysema. negative for focal pulmonary consolidation pleural effusion or pneumothorax.
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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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no evidence of active disease. lungs are clear. no pleural effusion or pneumothorax. cardiomediastinal silhouette is normal. there are minimal degenerative changes of the spine.
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marked cardiomegaly. low lung volumes. there is marked cardiomegaly. there is questionable dilation of the pulmonary arteries. low lung volumes. no focal airspace consolidation. no pleural effusion or pneumothorax. prominent interstitial markings are xxxx due to low lung volumes. elevated right hemidiaphragm.
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no evidence of active disease. low lung volumes are present. 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. there has been interval development of multiple healed left rib fractures. degenerative changes are present in the spine.
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no acute cardiopulmonary abnormality. the cardiomediastinal contours are within normal limits. pulmonary vasculature is unremarkable. there is no focal airspace opacity. no pleural effusion or pneumothorax is seen. there are mild degenerative changes along the thoracic spine. no acute bony abnormality is identified.
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small nodular opacity in left upper lung may be secondary to superimposed structures or early infiltrate. followup evaluation in 2 weeks may be helpful. the heart is normal in size. the mediastinum is unremarkable. small nodular opacity left upper lobe may represent early infiltrate. the lungs are otherwise clear. there is no pleural effusion.
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obscured right heart xxxx with streaky right medial basilar airspace opacities possibly due to airspace disease versus atelectasis. otherwise no acute cardiopulmonary abnormalities. cardiac size mediastinal contour and pulmonary vascularity are within normal limits. the right heart xxxx appears obscured and there are streaky right medial basilar airspace opacities possibly due to airspace disease or atelectasis. otherwise no focal consolidation pleural effusion or pneumothorax. the visualized osseous structures appear intact.
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no acute findings. the postoperative cardiomediastinal silhouette is stable and upper limits of normal in size. there are xxxx sternotomy xxxx and surgical clips compatible with prior cabg. there is at xxxx one left-sided coronary artery stent. pulmonary vasculature is normal in caliber. the lungs are grossly clear of focal airspace disease pneumothorax or pleural effusion. there are no acute bony findings.
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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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heart size is normal and lungs are clear. no pneumothorax effusion or pneumonia.
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no acute cardiopulmonary process this is an apical lordotic view the 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.
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low lung volume exam demonstrates small amount of right basilar atelectasis. there is no acute consolidation or pneumothorax. there are low lung volumes. the heart size and upper mediastinum have a normal appearance. there is no pulmonary vascular congestion. there is minimal right basilar atelectasis. there is no large effusion or pneumothorax. the osseous structures appear intact.
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no acute process. the cardiac contours are normal. atherosclerotic aorta. the lungs are clear. thoracic spondylosis.
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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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stable xxxx silhouette. no pneumothorax. no focal consolidation. no large pleural effusion. unchanged pleural thickening at the visualized lung apices. mild osteopenia degenerative changes. no fractures.
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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.
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no acute cardiopulmonary disease. the heart is normal in size and contour. the lungs are clear without evidence of infiltrate. there is no pneumothorax or effusion.
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no acute cardiopulmonary abnormality identified. heart size and pulmonary vascular engorgement appear within limits of normal. mediastinal contour is unremarkable. no focal consolidation pleural effusion or pneumothorax identified. no convincing acute bony findings.
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possible subtle increased opacity in right apex otherwise unremarkable appearance of lung xxxx heart xxxx mediastinum xxxx bony structures are unremarkable. possible subtle increased opacity in right apex versus technique. otherwise no significant interval change compared to prior study
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no acute disease. previously visualized nodule in right lower lobe not well-seen on today's study xxxx summation artifact. examination was performed with nipple markers. the previously noted small nodule in the right lower lung is not well-seen on today's study and may have been secondary to summation of structures. the heart is normal in size. the mediastinum is unremarkable. the lungs are otherwise clear.
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no acute cardiopulmonary abnormality. there is stable xxxx scarring or atelectasis in the left midlung. the lungs are otherwise grossly clear. the heart size is near the upper limits of normal. mediastinal silhouette is normal. there is no pneumothorax or pleural effusion. xxxx t-spine osteophytes are noted.
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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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heart size is normal. lungs are clear. old fusion of approximately t9-t1
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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.
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no acute cardiopulmonary disease. focal convexity of the left inferior posterior mediastinum may reflect focal aneurysm of the descending thoracic aorta. this has been present and without significant change since at xxxx xxxx. nonemergent chest ct may be useful. pa and lateral views the chest were obtained. the cardiac silhouette is normal in size and configuration. calcified right hilar lymph xxxx. there is focal contour abnormality of the level of the inferior posterior mediastinum may reflect focal aneurysm of the descending thoracic aorta. the lungs are well aerated. no pneumothorax pleural effusion or focal air space consolidation.
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no acute cardiopulmonary findings. the heart size is normal. lungs are clear. there is no pleural line to suggest pneumothorax or costophrenic xxxx blunting to suggest large pleural effusion. bony structures are within normal limits.
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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.
CXR739_IM-2296-1001.png
no acute cardiopulmonary abnormalities are seen. end of report. xxxx xxxx and lateral views of the chest were obtained xxxxxxxx. the lung volumes are low normal. the lungs are clear and there are no pleural effusions. the mediastinum and pulmonary xxxx are normal. the bony elements are not remarkable.
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heart size normal. lungs clear. no edema or effusions.
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mildly improved xxxx xxxx opacities which may represent atelectasis infiltrate andor pleural effusions. normal and stable cardiomediastinal contours. interval removal of left-sided intravenous catheter. no pneumothorax. xxxx xxxx opacities obscuring the hemidiaphragms slightly improved from prior exam.. right-sided rib fractures again noted.
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cardiomegaly but no focal consolidation. the lungs are clear and without focal airspace opacity. the cardiomediastinal silhouette is enlarged. there is no pneumothorax or large pleural effusion.
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no radiographic evidence of acute cardiopulmonary disease. the lungs are clear without evidence of focal airspace disease. there is no evidence of pneumothorax or large pleural effusion. the cardiac and mediastinal contours are within normal limits. prominent pericardial fat xxxx is again noted. there is a stable granuloma overlying a lower thoracic vertebral body. the xxxx are unremarkable.
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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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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 for acute abnormality. discrete xxxx projectile not seen. the cardiomediastinal silhouette is normal in size and contour. no focal consolidation pneumothorax or large pleural effusion. negative for acute displaced rib fracture. no discrete xxxx projectile visualized. contrast within the bilateral renal collecting systems. contrast also probably within the left colon.
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cardiomegaly with small bilateral pleural effusions and left basilar atelectasis. there is mild cardiomegaly. mediastinal contours appear within normal limits. there are small bilateral pleural effusions left greater than right with left basilar opacities. no pneumothorax. mild degenerative changes of the thoracic spine.
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no acute cardiopulmonary abnormalities. cardiomediastinal silhouettes are within normal limits. lungs are clear without focal consolidation pneumothorax or pleural effusion. degenerative disease is seen in the thoracic spine and left xxxx xxxx.
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chronic obstructive pulmonary disease with no acute findings. the lungs remain hyperexpanded. no masses or infiltrates in the lungs. no pleural or mediastinal air collections. heart size normal.
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no acute cardiopulmonary abnormality identified. 2 images. heart size and pulmonary vascular engorgement appear within limits of normal. mediastinal contour is unremarkable. no focal consolidation pleural effusion or pneumothorax identified. no convincing acute bony findings.
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slight cardiomegaly. lungs are clear. no rib abnormalities are seen. the lower ribs are not adequately imaged to rule out pathology on the chest film
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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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no acute cardiopulmonary inability. right lower lobe xxxx calcified granuloma. heart size within normal limits. no pleural effusions. no evidence of pneumothorax. degenerative changes thoracic spine.
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no acute cardiopulmonary abnormalities. the heart is normal in size and contour. there is no mediastinal widening. low lung volumes. no focal airspace disease. no large pleural effusion or pneumothorax. the xxxx are intact.
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no acute radiographic cardiopulmonary process. no acute osseous abnormality. soft tissues are within normal limits. borderline enlargement of the heart. normal hilar vasculature. no focal area of consolidation pleural effusion or pneumothorax.
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at xxxx 2 right lung pulmonary nodules concerning for two nodules are noted in the right xxxx xxxx measuring 13 mm and one measuring 16 mm in diameter. the smaller one appears to be within the right upper lobe and the large xxxx appears to be within the left lower lobe. no focal consolidation and no other pulmonary nodules are identified. however if a full evaluation for lung nodules is desired consider xxxx for further evaluation. no pleural effusions or pneumothoraces. heart and mediastinum of normal size and contour.
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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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mild blunting left costophrenic recess possibly mild atelectasis or scarring. cardiac and mediastinal contours are within normal limits. atherosclerotic aorta. mild blunting left costophrenic recess possibly mild atelectasis or scarring. no confluent lobar consolidation or large volume pleural effusion. thoracic spondylosis.
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clear lungs. no discrete adenopathy or significant scarring. no active pulmonary disease.
CXR131_IM-0202-2001.png
no acute pulmonary disease. there is a calcified granuloma in the right midlung zone. lungs are otherwise clear. there is no pleural effusion or pneumothorax. the heart and mediastinum are normal. the skeletal structures are normal. surgical clips are present in the right upper quadrant.
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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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no acute or active cardiac pulmonary or pleural disease. frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. normal mediastinal contour pulmonary xxxx and vasculature central airways and lung volumes. no pleural effusion.
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no acute disease. the heart is normal in size. the mediastinum is unremarkable. xxxx scarring is noted in the lingula. the lungs are clear.
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no acute findings heart size within normal limits. no alveolar consolidation no findings of pleural effusion or pulmonary edema. no pneumothorax.
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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.
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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.
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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.
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no evidence of active disease. heart size and pulmonary vascularity appear within normal limits. the lungs are free of focal airspace disease. no pleural effusion or pneumothorax is seen. degenerative changes are present in the spine.
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patchy opacity left base may represent evolving infiltrate. small right pleural effusion. low lung volumes. question patchy opacity left base. no pneumothorax. osseous structures intact. small right effusion.
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heart size normal.no significant change in left base airspace disease and small effusion. small residual right pneumothorax. increased right base atelectasis.catheter overlying the right mediastinum may be outside the patient is.
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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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no acute cardiopulmonary disease. the cardiac silhouette mediastinal contours are within normal limits. there are low lung volumes. there is no focal consolidation. there is pneumothorax. there is no large pleural effusion. there is prominent right anterior first rib end.
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no acute abnormality of the chest. right hilar prominence corresponding to lymphadenopathy partially demonstrated xxxx abdomen and pelvis xxxx xxxx. consider xxxx of the chest for further evaluation. heart size within normal limits. prominent right perihilar density consistent with lymphadenopathy previously partially demonstrated xxxx abdomen and pelvis xxxx xxxx. negative for focal pulmonary consolidation pleural effusion or pneumothorax. tips noted.
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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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copd. no acute disease. lungs are hyperexpanded. bullae are present in the upper lobes. no focal infiltrates or masses in the lungs. heart size normal.
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there is a left basilar airspace opacity which is concerning for pneumonia. right basilar atelectasis. there is a left basilar airspace opacity. right basilar atelectasis. the heart size and mediastinal silhouette are within normal limits for contour. no pneumothorax or pleural effusions. the xxxx are intact.
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no acute cardiopulmonary abnormality. the lungs are clear and without focal airspace opacity. the cardiomediastinal silhouette is normal in size and contour and stable. there is no pneumothorax or large pleural effusion. xxxx foreign body in the posterior soft tissues appear stable.
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no acute pulmonary disease. there is some minimal biapical scarring. a calcified granuloma is present in the right middle lobe. there is no pleural effusion or pneumothorax. the heart is not significantly enlarged. there are atherosclerotic changes of the aorta. arthritic changes of the skeletal structures are noted.
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no radiographic evidence of acute cardiopulmonary disease heart xxxx mediastinum xxxx bony structures and lung xxxx are unremarkable.
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patchy right lower lobe airspace disease may be due to atelectasis or infiltrate. the heart and mediastinal contours are stable. there is minimal patchy right lower lobe airspace disease identified. no pleural effusion or pneumothorax.
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elevated left hemidiaphragm. no evidence of active disease. the heart size and pulmonary vascularity appear within normal limits. the descending thoracic aorta is tortuous. central venous catheter is again noted. the lungs are free of focal airspace disease. the left hemidiaphragm remains elevated. no pneumothorax or pleural effusion is seen.
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heart size normal. mediastinal silhouette and pulmonary vascularity are stable and within normal limits. there is no focal airspace consolidation pleural effusion or pneumothorax.
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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. low lung volumes. heart size normal. no focal airspace consolidations. no pneumothorax or effusions.
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no acute cardiopulmonary abnormality. no radiographic evidence of metastatic disease in the chest. heart size and mediastinal contours appear within normal limits. pulmonary vascularity is within normal limits. no focal consolidation suspicious pulmonary opacity pneumothorax or definite pleural effusion. visualized osseous structures appear intact.
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negative chest. heart size is normal. no focal consolidations. no pneumothorax or pleural effusion.
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no acute cardiopulmonary abnormalities. the heart is normal in size and contour. there is no mediastinal widening. the lungs are clear bilaterally. no large pleural effusion or pneumothorax. the xxxx are intact.
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no acute cardiopulmonary findings. the cardiac silhouette measures near upper limits of normal in size. pulmonary vasculature is normal in caliber. there is stable eventration of the anterior right hemidiaphragm. the lungs are clear of focal airspace disease pneumothorax pleural effusion. there are no acute bony findings.
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decreasing bilateral hilar adenopathy. continued clear lungs. the mediastinal and hilar lymph xxxx are less prominent than previously. heart size remains normal. lungs are clear.
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no acute preoperative findings. the cardiac contours are normal. the lungs are clear. thoracic spondylosis.