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there are linear bibasilar opacities most likely atelectasis. small predominately subpulmonic right pleural effusion is similar compared to recent ct scan. superiorly, the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with cirrhosis w ascites, rlq ttp, r posterior crackles // eval ? rll pna vs atelectesis
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lung volumes are low. bibasal areas of atelectasis are extensive, in particular in the right lung base heart size is within normal limits. lung fields are clear. there is no pneumothorax.
<unk>m w/wheeze and cough and tactile fevers, please eval for pna // <unk>m w/wheeze and cough and tactile fevers, please eval for pna
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since the prior radiograph at the end of <unk>, there is been an interval increase in the size of the small right pleural effusion which is layering laterally and into the fissure. an opacity at the right base has also increased, and may represent pneumonia or rounded atelectasis. the moderate left pleural effusion and left basilar atelectasis are not significantly changed. the spiculated lesion seen on the prior ct in the left upper lobe is not appreciated on today's radiograph. the previously identified vascular congestion has improved. there is no pneumothorax. mild enlargement of the cardiac silhouette is unchanged. the mediastinal contours are normal.
history of copd, congestive heart failure, and recent pneumonia presenting with dyspnea. evaluate for pneumonia.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with productive cough // r/o acute infectious process
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the lungs remain clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities, hypertrophic changes noted in the spine.
<unk>m with iddm, dizziness // evaluate for acute process
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substantial interval increase in the right-sided pleural effusion which is now large and nearly opacifying the entire right lung. there is associated mediastinal shift. numerous pulmonary nodules are visualized throughout the left lung. no left-sided effusion.
<unk> year old man with pleural effusion // eval
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pa and lateral chest radiographs were provided. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is unremarkable. there are no acute skeletal abnormalities or free air under the diaphragm.
<unk>-year-old with right upper quadrant pain, pneumonia, question acute process.
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there is a left retrocardiac opacity which reflects a moderate left pleural effusion and associated atelectasis. there is a small right pleural effusion. there is a right perihilar opacity in the region of prior pneumonia. the heart size is normal.
<unk> year old man with multilobar pneumonia in <unk>, insulin-dependent diabetes, persistent cough, decreased breath sound in left base. no fevers or chills.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with cp, sob
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frontal and lateral chest radiographs were obtained. a right ij terminates in the lower svc. a left lower lobe consolidation is new compared to prior study and obscures the left hemidiaphgragm. bilateral small pleural effusions are increased as well. one nodule seen on ct scan from <unk> can be localized on the left lower lung zone. the cardiomediastinal silhouette and hilar contours are stable. there is no pneumothorax.
patient with copd with acute pneumonia and shortness of breath, eval pneumonia.
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transvenous pacing wires and in the right atrium and right ventricle. there is a small right pleural effusion with right basilar atelectasis. cardiomegaly is unchanged. there is tortuosity of the thoracic aorta. there is no focal lung consolidation. there is no pneumothorax. there is no pulmonary edema.
<unk>-year-old man with decreased breath sounds at the right lung base, evaluate for volume overload.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with fever., tachy, cough pls eval pna // history: <unk>m with fever., tachy, cough pls eval pna
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a right-sided port-a-cath is present with the tip in the low svc. the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. again noted are healing left rib fractures.
hypertension. evaluate for acute pathology.
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there increased interstitial markings seen at the bases bilaterally, as well as small bilateral pleural effusions which have increased in size. the heart is mildly enlarged. hila appear congested. no pneumothorax.
<unk>m with heart failure, shortness of breath. evaluate for pulmonary edema
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pa and lateral views of the chest provided. midline sternotomy wires and mediastinal clips are again noted. the heart is top-normal in size. mediastinal contour is unchanged. there is no focal consolidation concerning for pneumonia. no signs of congestion or edema. no large effusion or pneumothorax. bony structures are intact. no free air below the right hemidiaphragm.
<unk>f with abd pain, diarrhea, weakness // eval infiltrate
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incidental note is made of an azygos fissure with a prominent azygos vein. lungs are clear without focal consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are unremarkable.
<unk>m with with fever, tachycardia. eval for acute process, attn to pna.
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pa and lateral views of the chest are compared to prior exam from <unk>. a subtle hazy opacity at the left lung base on the frontal not well seen on the lateral view. elsewhere, the lungs are grossly clear noting stable right apical scarring. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unchanged.
<unk>-year-old female who complains of palpitations and dizziness. question pneumonia.
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the lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes are normal. pleural surfaces are normal.
<unk> year old woman with fever and cough // pneumonia?
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moderate cardiomegaly is stable. the aorta is tortuous. aortic stent is in unchanged position. there is minimal vascular congestion. there is no pneumothorax or pleural effusions. there are degenerative changes in the thoracic spine. there is pectus carinatum.
<unk> year old woman with dyspnea // r/o chf
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. there is no free air under the diaphragm or in the mediastinum.
history: <unk>f with acute onset epigastric pain, severe pain // ?free aid
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ap and lateral views of the chest. there has been no significant interval change. diffusely increased interstitial markings are again noted, potentially due to chronic disease. there is no confluent consolidation or effusion. cardiomediastinal silhouette is stable. compression deformities in the lumbar spine are again noted.
<unk>-year-old female with chest pain.
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frontal and lateral views of the chest. no prior. there is blunting of posterior costophrenic angles compatible with small bilateral pleural effusions. there is no pulmonary vascular congestion or confluent consolidation. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with question ovarian hyperstimulation syndrome. shortness of breath.
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the heart size is at the upper limits of normal, likely exaggerated by ap technique. the mediastinal contours demonstrate a prominent right upper contour and a lack of a left-sided aortic knob, suggestive of a right-sided aorta, confirmed on localizer images from <unk> spinal mr. <unk> hilar contours are within normal limits. the lung volumes are low with bibasilar opacities, most compatible with atelectasis, although underlying pneumonia cannot be entirely excluded. there is no pleural effusion or pneumothorax.
<unk>-year-old female with cough.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable.
history: <unk>m with chest pain // r/o pneumonia
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. a hiatal hernia is visible on the frontal view. a small amount of air is visible within it. patchy medial right lower lung opacity suggests minor atelectasis in the right middle lobe. otherwise, the lungs appear clear. moderate-to-severe degenerative changes affect the right acromioclavicular joint. a suture anchor projects along the left humeral head.
chest pain.
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faint bibasilar opacities are noted, greater on the right than the left. otherwise, cardiomediastinal silhouette is within normal limits. no acute fractures are identified. no free air is noted under the hemidiaphragms.
evaluation of patient with fever.
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the lungs are normally expanded. there are adjacent <num> and <num> mm nodules at the left base best appreciated on the frontal radiograph and not well seen on the lateral projection. the heart is normal in size. the mediastinal hilar contours are normal. the aorta is unfolded. there is no pleural effusion or pneumothorax.
history: <unk>m with palpitation // ? pna
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the lungs are hyperinflated with flattening of the diaphragms, suggestive of copd. again seen is chronic atelectasis/scarring notable at the right base. no new focal parenchymal opacity to suggest pneumonia is seen. no pleural effusion, pulmonary edema or pneumothorax is present. the heart size is within normal limits. there is mild tortuosity of the aorta with dense atherosclerotic calcification.
weeks of shortness of breath.
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a frontal semi-upright view of the chest was obtained portably. the lungs are well expanded and clear without focal consolidation, pleural effusion, or pneumothorax. heart size is upper limits of normal, accentuated by lordotic view. mediastinal silhouette and hilar contours are normal.
<unk>-year-old woman with lower extremity cellulitis with fever. evaluate for pneumonia.
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pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormality detected. no free air seen below the diaphragm.
<unk>-year-old male with vomiting and chest pain.
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pa and lateral views of the chest. the lungs are clear without consolidation, effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is unchanged. lateral indentation of the trachea on the left at the thoracic inlet is unchanged. no acute osseous abnormality is detected.
<unk>-year-old male with syncope.
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pa and lateral views of the chest. there is no focal consolidation. there is no pleural effusion or pneumothorax. there is mild cardiomegaly and pulmonary vascular congestion. the mediastinal and hilar contours are normal. note is made of an absent spleen.
sickle cell pain, evaluate for acute cardiopulmonary process.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with intermittent chest pain // chest pain
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ap upright and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with fall // preop
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pa and lateral views of the chest provided. there is no focal consolidation. there may be mild bronchial wall thickening, which may reflect nonspecific airway inflammation. there is no pleural effusion. heart size is normal.
<unk> year old woman smoker, asthmatic with new mild chest discomfort and dyspnea with exertion
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the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. no definite focal consolidation is identified. basilar opacities may represent atelectasis. there is no pleural effusion or pneumothorax. there is no subdiaphragmatic free air.
history: <unk>f with fever // free air?
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frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. the aorta is tortuous with scattered calcifications. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax. emphysema is noted, but with low lung volumes. severe bilateral glenohumeral osteoarthritic changes are again seen.
<unk>-year-old female with copd and dyspnea. evaluate for pneumonia.
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moderate cardiomegaly is re- demonstrated. the aorta is unfolded and diffusely calcified. there is mild upper zone vascular redistribution, unchanged, and likely chronic. pulmonary vascular congestion without overt pulmonary edema. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>f with weakness
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heart size is normal. mediastinum is normal. lungs are clear. no definitive abnormalities in the supraclavicular areas demonstrated, although note is made that the right supraclavicular area appears to be more dense than the left and some per impulse soft tissues would potentially explain that abnormality. father assessment with cross-sectional imaging of the area is recommended. there is no pleural effusion or pneumothorax.
<unk> year old woman with supraclavicular fullness. // r/o lung/mediastinal process
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the cardiomediastinal and hilar contours are normal. there is continued hyperexpansion of the lungs, and the lungs are clear. there is no pulmonary edema, pleural effusion or pneumothorax.
<unk>-year-old with productive cough for a month.
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the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal.
<unk>-year-old female with acute onset of shortness of breath and cough and substernal chest pain. evaluate for consolidation.
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cardiac and mediastinal silhouettes are stable. no definite focal consolidation is seen. there is no large pleural effusion or pneumothorax. relative increased density over the left lung base is felt to a potentially be due to overlying soft tissue. no pneumothorax is seen. no displaced fracture is identified.
history: <unk>f with sp/ fall, l hand <unk> digit and mcp pain // eval ? traumatic injury, infiltrate
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pa and lateral views of the chest provided. endobronchial valves project over the left pulmonary hilum. patient is known to have severe emphysema. a small left pneumothorax appears similar to the prior exam. no signs of tension. mild left basal atelectasis persists. right lung is clear. cardiomediastinal silhouette is stable. bony structures are intact.
<unk>f with l pneumothorax from osh. hx recurrent ptx. // eval pneumothorax
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a right pleurx catheter has been placed in the interim with the tip directed inferomedially. increased airspace opacities of the right lower lung are thought to reflect postprocedure changes. additionally, subcutaneous emphysema is present. a small right pleural effusion persists. there is a right subpulmonic pneumothorax. a nodule seen in the right mid lung measures <num> cm and is largely unchanged from prior studies. the left lung is clear. cardiac and mediastinal contours are normal. dense calcifications are seen throughout the aorta.
right pleural effusion status post pleurx catheter placement.
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bilateral calcified pleural plaques are again noted. there is no obvious parenchymal consolidation. surgical chain sutures project over the right mid lung. the cardiomediastinal silhouette is within normal limits. median sternotomy wires are noted. no acute osseous abnormalities.
<unk>f with dizziness // ? acute process
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on the previous chest x-ray, that there was a tube overlying the upper airway , terminating at the level of the clavicular heads --<unk> is no longer seen. on today's examination, an ng tube is seen extending beneath the diaphragm off the film. a left subclavian picc line is again noted, with tip overlying the svc/ra junction. no pneumothorax is detected. there is upper zone redistribution, without overt chf. no focal infiltrate or left effusion is identified. the right costophrenic angle is excluded from the film.
<unk> year old man with new ng tube // eval ng tube position
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low lung volumes are seen which limit assessment. there is a an opacity, which obscures the right heart border, concerning for an early developing right middle lobe pneumonia. the remainder of the lungs are clear without pleural effusion or pneumothorax. the heart is normal in size. normal cardiomediastinal silhouette.
chest pressure. assess for infiltrate.
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the heart is normal in size. the mediastinal and hilar contours appear unchanged. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable.
shortness of breath and chest pain.
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pa and lateral chest radiograph demonstrate patchy peripheral lower lobe predominant ground-glass opacities. relative to prior ct dated <unk>, these may reflect resolving opacities. lungs appear hyperinflated. cardiomediastinal and hilar contours are within normal limits. no overt pulmonary edema. there is no pleural effusion or pneumothorax. osseous structures demonstrates no acute abnormality.
<unk>-year-old male with question of spontaneous bleeding.
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the tip of the left picc line projects over the upper svc. no focal consolidation, pleural effusion or pneumothorax identified. the size of the cardiac silhouette is enlarged but unchanged. chronic appearing left eighth rib fracture.
<unk> year old man with new picc, eval azygous view // lateral view to eval for azygous placement of picc
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ap portable upright view of the chest. overlying ekg leads are present. platelike atelectasis noted in the right lower lung. no focal consolidation concerning for pneumonia. the heart is mildly enlarged though there is no evidence of edema or congestion. no pleural effusion or pneumothorax. mediastinal contour is unchanged. bony structures are intact.
<unk>f with dchf, on considerable fluid.
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compared to the prior study there is a slight increase in the vascular plethora with the small right and moderate left pleural effusion there is no pneumothorax
<unk> year old man with dm<num>, cad, pleural effusion s/p attempted thoracentesis // s/p attempted thoracentesis, eval for pneumothorax
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pa and lateral views of the chest provided. mild elevation of the left hemidiaphragm is noted. mild left basal atelectasis. no large effusion or pneumothorax. no convincing signs of pneumonia or overt edema. heart size appears similar to prior. mild hilar congestion difficult to exclude. bony structures are intact. no free air below the right hemidiaphragm.
<unk>f with presyncope // ?pna or cpd
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the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. note is made of biapical scarring, similar to prior exams.
<unk> year old woman with bronchiectasis, pneumonia in <unk>, noted acute onset fever chills and right basilar rhonchi // please evaluate for rll pneumonia
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m status-post liver transplant and liver biopsy with fever and nausea/vomiting // evaluate for pneumonia
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a right ij terminates at the cavoatrial junction. the remaining appearance of the lung is unchanged since prior study.
<unk>-year-old woman with right ij placement, evaluate for line placement.
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lungs are without focal consolidation, pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours.
<unk>-year-old woman with right shoulder pain and weakness, assess for pneumonia.
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previously seen bilateral basilar opacities are markedly worse with an increase in the basal consolidation and bilateral pleural effusions. mild vascular congestion is observed. an opacity in the left mid lung field is observed and correlates with a calcified pleural plaque in left hemithorax better visualized on prior ct; otherwise pleural surfaces are unremarkable. there is no pneumothorax. aorta is mildly calcified. heart size is within normal limits.
<unk>-year-old male with hypoxia.
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minor bibasilar atelectasis is seen. there is no focal consolidation. no pleural effusion or pneumothorax is seen. there is linear atelectasis or scarring at the right lung base, unchanged. mild cardiomegaly is stable. the aorta is mildly tortuous, with calcifications seen at the aortic knob.
<unk>f w/ delirium vs dementia. please eval for cardiopulm etiology
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there is a tracheostomy tube in place. the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart is normal in size. there is no pulmonary edema. the mediastinal contours are normal.
<unk>-year-old female with left cheek pain. please evaluate.
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ap portable upright view of the chest. patient's rotation limits assessment. overlying ekg leads are present. the lungs appear hyperinflated which could reflect underlying copd. there is no large effusion or pneumothorax. no definite signs of pneumonia or overt edema. the heart size appears within normal limits. the mediastinal contour is difficult to assess given rotation though appears well-defined. no acute bony injuries. bones are diffusely demineralized.
<unk>f with ams
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pa and lateral chest radiographs. median sternotomy wires are intact. mediastinal clips are again noted. central interstitial opacities are chronic, but compatible with edema. there is no pleural effusion or pneumothorax.
shortness of breath.
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the lung volumes are low. there are patchy lower lung opacities, most suggestive of minor atelectasis; otherwise, the lungs appear clear. there are no pleural effusions or pneumothorax.
decreased responsiveness. history of heroin abuse.
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pa and lateral views of the chest provided. there is no focal consolidation. there is no pulmonary edema or pleural effusion. heart size top-normal. mediastinal and hilar contours are normal.
<unk> year old woman with new white count, evaluate for pneumonia?
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ap and lateral views of the chest provided. lung volumes are somewhat low. allowing for this, there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with esrd p/w pounding sensation in chest, sob at <num>am // ? intrathoracic pathology
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single portable view of the chest. bilateral calcified pleural plaques are identified. there is not definitely calcified opacity the right lung apex, some of which has a rounded configuration projecting over the lateral aspect of the right first rib. this may be due to chronic changes of the lateral first and second ribs as the superior margin of the second rib and inferior margin of the first rib are not well seen elsewhere, the lungs are clear where not obscured by the calcified plaque. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcification noted at the arch. median sternotomy wires and mediastinal clips are identified. no acute osseous abnormality is identified.
<unk>-year-old male with right lower extremity ischemia, pre-op.
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the lungs are grossly clear besides mild left basilar atelectasis. the cardiomediastinal silhouette is within normal limits for technique. no acute osseous abnormalities. small right cervical rib is incidentally noted.
<unk>m with new <num>rd degree heart block // eval for edema/infiltrate
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two frontal images of the chest demonstrate a right picc line terminates in the low svc, unchanged from previous imaging. there is no pneumothorax or other complications. interval removal of ng tube is also noted. there is a left pleural effusion and opacity in the left lower lobe associated with some volume loss. a catheter is seen overlying the liver. calcified left hilar lymph nodes are again noted. otherwise, the lungs appear clear and well expanded. osseous structures are unremarkable.
<unk>-year-old female status post ex lap roux-en-y choledochojejunostomy and gastrojejunostomy, now with recent removal of right ij on the same side as the picc line.
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there has been interval development of a large right pleural effusion. right basilar opacification likely reflects compressive atelectasis though infection cannot be excluded. trace left pleural effusion is also present. patchy left basilar opacity may reflect atelectasis. heart size is difficult to assess given the presence of a large right pleural effusion. aorta is mildly unfolded. no pulmonary edema is identified. there is no pneumothorax. no acute osseous abnormalities present.
history: <unk>m with dyspnea.
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the heart is at the upper limits of normal size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. mild degenerative changes are noted along the thoracic spine. minimal wedging of a mid thoracic vertebral body appears unchanged since at least <unk>. there has been no significant change.
chest pain.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
chest pain after cocaine use.
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pa and lateral views of the chest provided. the lungs appear hyperinflated. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with left chest pain, sob.
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severe pulmonary edema is unchanged with slightly increased cardiomediastinal silhouette. internal jugular catheter now terminates appropriately within the upper svc. there is no pneumothorax. small bilateral pleural effusions are noted.
<unk>-year-old male with history of end-stage renal disease, recent non-st elevated myocardial infarction, now with flash edema.
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there is likely a combination of scarring and atelectasis in the mid and lower left lung. there is no new focal consolidation. heart size is top-normal. aneurysmal dilatation of the visualized thoracic aorta is chronic, recently evaluated by mra. cardiomediastinal hilar silhouettes are stable. no pleural effusion. no pneumothorax. median sternotomy wires and mediastinal clips are noted.
history: <unk>m with multiple comorbidities presented with abd pain found to have acute pancreatitis with lipse <num> and positive ct.
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since prior, there has been a slight decrease in the size of a right apical pneumothorax, which now measures <num> cm. there is no evidence of tension. the lungs, heart, and mediastinum are normal.
<unk> year old man with post-pull had small ptx, evaluate interval change.
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lungs are clear of focal opacities. cardiac silhouette is normal in size. no pleural effusion or pneumothorax. platelike atelectasis again noted in the right lower lobe. calcified right hilar and mediastinal nodes are again noted.
<unk>-year-old man with sickle cell and chest pain.
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits.
<unk>-year-old female with cough and chest pain.
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the lungs are well expanded and clear. the mediastinum is unremarkable. the cardiac silhouette is within normal limits for size. no effusion or pneumothorax is noted. the osseous structures are unremarkable.
history of chest pain.
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there are relatively low lung volumes, which accentuate the bronchovascular markings. given this, there may be minimal vascular congestion no focal consolidation to suggest pneumonia is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable.
history: <unk>m with chest pain // r/o pna
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cardiomediastinal silhouette is normal. there is no focal lung consolidation. opacity at the left costophrenic angle, likely represent scarring. there is no pleural effusion or pneumothorax. there is no overt pulmonary edema.
<unk>-year-old man with syncope evaluate for pneumonia.
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the cardiomediastinal silhouette is within normal limits. lungs are clear. bony structures are intact.
<unk> year old woman with ? stroke // ? intrathoracic process
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heart size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vascularity is not engorged. minimal patchy opacity in the right middle lobe likely reflects atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. there are mild degenerative changes in the thoracic spine. no free air is noted under the diaphragms.
epigastric abdominal pain, tenderness to palpation over the epigastrium and right upper quadrant.
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the cardiac, mediastinal and hilar contours appear stable. there is persistent vague opacity in the lingula but this seems to be a background finding of long chronicity that may indicate minor atelectasis or scarring. the chest is hyperinflated. there is no pleural effusion or pneumothorax.
history of myeloma and copd with progressive cough.
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portable upright view of the chest demonstrates normal lung volumes. there is no pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unchanged. the descending aorta is mildly tortuous. there is mild-to-moderate cardiomegaly, unchanged. pacemaker leads project over right atrium and ventricle. there is no pulmonary edema.
patient with left femoral fracture. study obtained for preoperative planning.
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there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. incidentally noted is fullness within the left upper quadrant immediately inferior to the left hemidiaphragm.
history: <unk>m with fever <num>, pls ecal pna // history: <unk>m with fever <num>, pls ecal pna
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the patient is status post median sternotomy and coronary artery bypass graft surgery. the cardiac silhouette is mildly enlarged but stable. the mediastinal and hilar contours are within normal limits and unchanged. at the left lung base, there is streaky opacification most compatible with atelectasis. no focal consolidation concerning for pneumonia is detected. no significant pleural effusion or pneumothorax is identified. the pulmonary vasculature is not engorged and there is no evidence of overt pulmonary edema. there is blunting of the right costophrenic angle suggesting atelectasis or scarring. there is bilateral rotator cuff disease.
dyspnea, here to evaluate for evidence of congestive heart failure.
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pa and lateral views of the chest. postoperative changes of esophagectomy with gastric pull-through are seen with surgical clips in the right side of the upper mediastinum and increased density paralleling the right side of mediastinum. lungs are clear. there is no effusion or pneumothorax. there is no evidence of pneumomediastinum. the cardiac silhouette is within normal limits. compression deformity of t<num> is unchanged from plain film from <unk>.
<unk>-year-old female with esophageal cancer with severe vomiting. question free air.
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there is mild hyperexpansion. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is within normal limits with a tortuous descending aorta. focal narrowing of the upper trachea is unchanged from the prior study and may be due to an enlarged thyroid gland.
<unk>m with ongoing chest pain, evaluate for acute cardipulm process
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the cardiac, mediastinal and hilar contours appear unchanged. the lungs appear clear. there are no pleural effusions or pneumothorax. a vascular stent, presumably within the right brachiocephalic vein, again projects over the medial right lung apex.
abdominal pain and shortness of breath.
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the patient has had a previous left pneumonectomy with complete whiteout of the left hemithorax and ipsilateral deviation of the trachea and mediastinum. the right lung is hyperinflated but clear. there is no pneumothorax.
<unk> year old woman with history of lung carcinoid status post pneumonectomy presenting with chest pain copd pt had pneumonia // <unk> year old woman with chest pain copd pt had pneumonia
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icd projects over the left pectoral region with lead tip in the right ventricular apex. tiny small right pleural effusion. no new focal opacity, pneumothorax, left pleural effusion or pulmonary edema. moderately enlarged heart with predominant left atrial enlargement and normal mediastinal contour and hila. no bony abnormalities.
male status post icd extraction and reimplantation. assess lead placement.
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frontal and lateral views of the chest were performed. the lungs are clear. there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are normal. the hilar structures and pleural surfaces are unremarkable. the imaged upper abdomen is normal.
dehydration and cough, evaluate for pneumonia.
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left picc line terminates <num> cm below the superior cavoatrial junction. the patient is rotated to the right, limiting assessment of cardiomediastinal contours. the lung volumes are low/moderate. there are mild bilateral pleural effusions.
<unk> year old woman with etoh cirrhosis with picc line from osh.
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the heart size is normal. the hilar and mediastinal contours are within normal limits. there is no pneumothorax, focal consolidation, or pleural effusion.
dyspnea, asthma, wheezing. also history of fever.
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the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion or pneumothorax. no evidence of free intraperitoneal air.
<unk>-year-old with right upper quadrant abdominal pain. please assess for free air.
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there are moderate bilateral pleural effusions have increased compared to prior. the heart size is enlarged. there is mild pulmonary vascular redistribution. an underlying infectious infiltrate can't be excluded.
<unk> year old woman with worsened sob // acute process
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since the prior study, lung volumes have decreased and there has been development of interstitial edema and small bilateral pleural effusions. heart size is slightly larger. retrocardiac opacification likely represents left lower lobe atelectasis. lung apices are well aerated. sternal wires and mediastinal clips are unremarkable. no pneumothorax.
<unk> year old man with bladder cancer, cad, afib who came in with sbp now with some shortness of breath. evaluate for acute process.
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the cardiomediastinal and hilar contours are within normal limits. lungs are clear. there are no focal consolidations or pleural effusions. mild elevation of the right hemidiaphragm is redemonstrated. a sclerotic focus on the left sixth anterior rib is again seen and is unchanged, previously described as a bone island on ct torso of <unk>.
<unk>-year-old man with multiple myeloma, bilateral septic arthritis, status post or washout with new cough and crackles in right lower lobe on exam. rule out pneumonia.
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in normal cardiac silhouette. right apical pleural thickening similar to priors and likely due to radiation therapy. no focal consolidation, pleural effusion or pneumothorax. surgical clips in the right axillary region compatible with prior lymph node dissection. mild pulmonary venous congestion.
patient with history of right breast cancer and radiation with new oxygen requirements.
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ap single view of the chest has been obtained with patient in sitting semi-upright position. comparison is made with the next preceding similar study dated <unk>. on the single ap frontal view, there is no evidence of any pneumonic infiltrates. heart size is unchanged and within normal limits. no pneumothorax in the apical area. a previously described dobbhoff line has been advanced further and one notices that the line makes a <num>-degree loop in the proximal esophagus at the level of the clavicles. the dobbhoff line itself has advanced further and its tip exceeds the lower limit of the present image.
<unk>-year-old male patient with multiple seizures, evaluate for pneumonia.