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bibasilar opacities in the setting of low lung volumes is likely due to atelectasis, although in the proper clinical setting, a pneumonia cannot be fully excluded. results were discussed with dr. <unk> <unk> room resident) at <time> p.m. on <unk> via telephone by dr. <unk>.
leukocytosis, and poor historian. evaluate for acute pulmonary process.
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no acute cardiopulmonary abnormality.
<unk>-year-old man with chest pain.
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swan-ganz catheter in appropriate position.
<unk>-year-old woman with history of idiopathic cardiomyopathy and class iv heart failure, ejection fraction is <unk>%, currently listed for heart transplant at outside hospital. presents status post rhc swan placement.
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faint patchy right upper lung field opacity which could reflect an area of developing infection.
history: <unk>f with fever and productive cough // ?pneumonia
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no acute cardiopulmonary abnormality.
history: <unk>m with chest pressure // ? pneumonia, cardiomegaly
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low lung volumes. right lung base opacity may represent atelectasis or infection in the appropriate clinical setting.
chest pain.
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interval placement of an enteric tube. recommend advancement approximately <num> cm for more appropriate positioning within the gastric lumen. bibasilar atelectasis.
history: <unk>f with sbo, s/p ng placement // ? ng tube placement
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low lung volumes. right lung base opacity may represent atelectasis or infection in the appropriate clinical setting.
chest pain.
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surgical changes in the left breast/axilla. no evidence of pneumonia.
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findings suspicious for bibasilar consolidation/aspiration. background changes of mild congestive heart failure.
<unk> year old woman l basal ganglia hematoma, extending to ventricle // r/o aspiration pna
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no acute cardiopulmonary process.
<unk>-year-old female with cough and myalgias.
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no acute cardiopulmonary process.
history: <unk>m with stroke // pna?
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no evidence of acute disease.
back pain and shortness of breath.
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pulmonary edema with pleural effusions which shows a waxing and waning course, but has progressed compared to prior image <unk>.
<unk> year old man with tachypnea // pleural effusions?
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subtle opacity in the left mid lung could represent an early pneumonia in the correct clinical context.
<unk>-year-old male with cough and fever.
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no pneumonia.
<unk> year old man s/p cabg with question of pneumonia, no white count or fever // evidence of infection?
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mild cardiomegaly with probable mild pulmonary edema. no new focal lung consolidation. chronic loculated left pleural effusion and rounded atelectasis.
history: <unk>m with dyspnea, copd, cough, fell onto l-shoulder last night // evaluate for acute process
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clear lungs.
<unk>-year-old man with a fatigue and weakness after chemotherapy. evaluate for pneumonia.
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limited examination determine the exact location of the intra-aortic balloon pump. the top of the aortic arch is difficult to ascertain on this radiograph but the iabp is roughly <num> cm from the presumed top of the arch. a repeat radiograph could be helpful.
<unk> year old man with cardiogenic shock s/p iabp placement // iabp placement
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<num>. clear lungs. <num>. interval normalization of the heart size since <unk>, suggestive of resolving pericardial effusion.
<unk>f with chest pain, evaluate for effusion or pneumonia
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normal chest radiograph.
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<num>. improved mild interstitial pulmonary edema. <num>. minimal bibasilar atelectasis. <num>. decreased mild cardiomegaly.
status post surgery of the right rotator cuff one week ago, now with shortness of breath and right-sided chest pain. evaluate for acute process.
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bibasilar opacities in the setting of low lung volumes is likely due to atelectasis, although in the proper clinical setting, a pneumonia cannot be fully excluded. results were discussed with dr. <unk> <unk> room resident) at <time> p.m. on <unk> via telephone by dr. <unk>.
leukocytosis, and poor historian. evaluate for acute pulmonary process.
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no acute cardiopulmonary abnormality. findings were relayed to dr. <unk>.
abdominal pain.
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no acute cardiopulmonary process.
history: <unk>f with chest pain // eval for ptx or pna
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no acute cardiopulmonary abnormalities
patient with the history of transplant and pacemaker leads
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interval advancement of the ngt, now seen terminating within the stomach. findings were conveyed by dr. <unk> to dr. <unk> <unk> telephone at <time> on <unk>, <num> minutes after discovery.
ng tube repositioning.
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<num>. increasing opacification of the left base may reflect infection, aspiration, lymphangitic spread of the patient's known metastatic disease, or less likely,atelectasis. <num>. stable opacifications in the bilateral apices are likely due to metastatic disease or scarring. <num>. known metastatic disease.
fever and weakness. history of metastatic adenocarcinoma.
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no acute cardiopulmonary process.
history: <unk>m with chest pain // eval for infiltrates
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diffuse increased airspace opacities in the background of fibrotic lung disease, findings could be secondary to vascular congestion, atypical infection, or acute exacerbation of interstitial lung disease.
<unk>-year-old man with bibasilar crackles, evaluate for pneumonia or chf.
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<num>. interval improvement in pulmonary edema. <num>. bilateral diffuse pneumonitis. differential includes infectious such as viral, chronic eosinophilic pneumonia, cryptogenic organizing pneumonia, or churg-<unk>. <num>. stable asbestosis with calcified pleural plaques and diaphragmatic calcification in a patient with known exposure. results conveyed via email by dr.<unk> on <unk>.
male with dyspnea and abnormal chest ct. status post diuresis. assess for interval change.
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<num>. mild interstitial pulmonary edema. <num>. unchanged moderate cardiomegaly. <num>. possible trace left pleural effusion.
systolic dysfunction, orthopnea, and shortness of breath. evaluate for pneumonia or pulmonary edema. the technologist noted that the patient has undergone recent rotator cuff surgery of the right arm and was unable to lift this arm for the lateral view.
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no acute cardiopulmonary process.
<unk>m with <num> foot fall. // ?fracture, ptx
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<num>. no appreciable pneumothorax or displaced rib fracture. <num>. pulmonary edema is similar to mildly increased. however superimposed infection cannot be entirely excluded. recommendation(s): if there is continued concern for pneumothorax, short interval follow-up chest radiograph can be obtained. if possible, inspiratory/expiratory radiographs can help to emphasize pneumothorax.
evaluate for pneumothorax or rib fracture in a <unk>-year-old man status post cardiac arrest, now with return of spontaneous circulation.
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no evidence of pneumonia.
history: <unk>m with sob // eval for pna
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no acute cardiopulmonary process.
chest pain, evaluate for cardiopulmonary process.
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no acute intrathoracic process.
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no acute cardiopulmonary abnormality. no displaced rib fractures identified. if there is continued concern for a rib fracture, then a dedicated rib series is recommended.
left rib pain after fall <num> days ago.
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no acute cardiopulmonary process.
<unk>-year-old female with cough, here to evaluate for pulmonary abnormality.
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cardiomegaly and congestive heart failure, with less severe interstitial edema compared to <unk>.
<unk> year old woman with shortness of breath // sob
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normal chest.
svt earlier today.
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no pneumonia.
<unk> year old man with cough // cough x <num> month, smoker, r/o pneumonia
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resolution of the right apical pneumothorax. baseline changes of idiopathic pulmonary fibrosis with a superimposed opacity at the left lung base which may reflect atelectasis acute on chronic inflammation, or in the correct clinical setting, infection.
status post wedge resection. evaluate interval change.
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interval enlargement of the right pleural effusion and new trace left pleural effusion. diffuse nodular opacities compatible with known metastatic disease.
<unk>-year-old man with metastatic salivary cancer presenting with severe allergic reaction.
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no acute cardiopulmonary process.
<unk>-year-old female with cough and myalgias.
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no evidence of pneumonia.
<unk>-year-old female with chest pain, shortness of breath. question pneumonia.
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normal chest radiograph.
fever of unknown source.
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stable appearance of extensive consolidation in the left upper lobe/lingula. vague new opacity in the left lower lobe may represent a superimposed pneumonia. please refer to subsequent ct of the chest for further details.
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s
history: <unk>m with asthma p/w fever x <num> days and dry cough. +sick contacts. ?crackles left base // consolidation
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no acute cardiopulmonary process.
dyspnea.
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no evidence of past or present tb.
<unk> year old woman with positive ppd // check lungs
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no acute cardiopulmonary process such as pneumonia.
<unk>-year-old female with weight loss and recent cough.
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interval placement of a nasogastric tube seen coiled within the distal esophagus. findings were conveyed by dr. <unk> to dr. <unk> <unk> telephone at <time>pm on <unk>, <num> minutes after discovery.
worsening abdominal pain and fever, evaluate nasogastric tube positioning.
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no acute cardiopulmonary process.
chest pain, shortness of breath.
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<num>. no acute cardiopulmonary process. <num>. no acute fracture. if concern for sternal fracture persists, ct could be acquired to further evaluate.
chest pain, mvc about <num> weeks ago.
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since <unk>, mild pulmonary edema, mediastinal and vascular congestion have improved.
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no acute cardiopulmonary process.
seizure.
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no acute intrathoracic process.
<unk>-year-old male with left upper quadrant pain status post trauma, assess pneumothorax or left rib fracture.
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no acute cardiopulmonary process.
breakthrough seizures.
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normal chest.
<unk>f with fever // eval heart and lungs
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icd placement with single lead terminating in the right ventricle. no evidence of pneumothorax.
<unk>-year-old female with icd placement. evaluation for position of lead.
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stable pulmonary edema
<unk> year old woman with met. breast cancer with recent esophageal occlusion <unk> banded varice // pulmonary edema change, consolidation change. other acute change?
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no acute findings. top normal heart size.
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no acute cardiopulmonary process.
<unk>-year-old male with cough.
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<num>. hyperinflation, consistent with copd. <num>. marked cardiomegaly, unchanged. <num>. mild vascular plethora, less pronounced than in <unk>. <num>. no focal opacity to suggest an acute pneumonic infiltrate on this ap view. <num>. interval improvement in small left effusion, with residual minimal blunting of the left costophrenic angle. <num>. severe glenohumeral osteoarthritis bilaterally. possibility of bilateral humeral head osteonecrosis cannot be excluded.
<unk> year old woman with hx of chronic diastolic heart failure, admitted for new diagnosis of dm. rule out pneumonia. // please eval for pna, pulm edema
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no acute cardiopulmonary abnormality. findings were relayed to dr. <unk>.
abdominal pain.
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right internal jugular central venous catheter terminates in the upper svc.
<unk>-year-old woman with aaa rupture and line placement.
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<num>. improved mild interstitial pulmonary edema. <num>. minimal bibasilar atelectasis. <num>. decreased mild cardiomegaly.
status post surgery of the right rotator cuff one week ago, now with shortness of breath and right-sided chest pain. evaluate for acute process.
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no acute cardiopulmonary process.
<unk> year old male to female transgender patient with hiv on anti-virals who presents with <num> day history of cough and right sided back pain. // please evaluate for pneumonia, pneumothorax, other intra-thoracic process
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left lower lobe pneumonia. followup radiographs after treatment are recommended to ensure resolution of this finding.
history: <unk>m with cough, chills
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no evidence of acute cardiopulmonary disease.
chest pain.
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no acute cardiopulmonary process. no evidence of a radiopaque foreign body.
missing tooth fragment. evaluate for tooth fragment aspiration.
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findings with mild to moderate pulmonary vascular congestion and cardiomegaly.
shortness of breath and weight gain. recent hospitalization for pneumonia but also history of renal transplant, congestive heart failure, and coronary bypass.
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<num>. the enteric tube ends in the upper stomach. <num>. hyperinflated lungs consistent with copd.
<unk> year old woman w/ sbo, s/p ng placement // confirm ng location
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no pneumonia.
<unk>m with a history of aml s/p one cycle of decitabine currently receiving <num>+<num>, now day #<unk> with new cough and sore throat.
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no definite acute cardiopulmonary process bsed on this limited, rotated exam.
<unk>-year-old female with progressive confusion.
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no acute intrathoracic process.
<unk>m with chest pain
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no acute cardiopulmonary process.
chest pain.
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widespread metastatic disease. no definite evidence of acute superimposed process.
cough and shortness of breath. known pulmonary metastases.
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no acute cardiopulmonary process.
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circular calcified left upper quadrant abdominal lesion with differential including calcified splenic cyst, versus less likely a large pancreatic pseudocyst or calcified splenic artery aneurysm. recommend correlation with abdominal ultrasound.
<unk> year old man with dyspnea, wheezing, and productive cough when running x <unk> year, history of prostate ca // r/o mass
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<num>. numerous bilateral ill-defined opacities, right greater than left, are concerning for multifocal pneumonia. <num>. no pleural effusion or pneumothorax. these findings were communicated via telephone by <unk>, md, to <unk> <unk>, np, at <unk> on <unk>, <num> minutes after discovery.
recent left apical pneumothorax, now with supplemental oxygen requirement and tachycardia. evaluate for interval change.
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<num>. slightly increased small left pleural effusion with left lower lung consolidative opacities that could be atelectasis, although underlying infection is not excluded. <num>. minimal right lower lung atelectasis and small right pleural effusion.
cough and fever.
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no pneumonia.
<unk> year old man with cough // cough x <num> month, smoker, r/o pneumonia
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resolution of the right apical pneumothorax. baseline changes of idiopathic pulmonary fibrosis with a superimposed opacity at the left lung base which may reflect atelectasis acute on chronic inflammation, or in the correct clinical setting, infection.
status post wedge resection. evaluate interval change.
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<num>. confluent opacity in the right lower lobe could be compatible with pneumonia in the appropriate clinical setting. <num> cm poorly defined nodular opacity in left mid lung could potentially be infectious or neoplastic and is without correlate on prior cta. follow-up chest radiographs are recommended in <unk> weeks after completion of antibiotic therapy to ensure resolution. <num>. small right pleural effusion vs pleural thickening and adjacent linear scar.
history: <unk>m with cp // eval for ptx/pna
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<num>. over last <unk> hours, mild pulmonary edema has redistributed but unchanged in severity, having improved in the right lung and minimally worsened on left the left side <num>. increased retrocardiac density reflectes left lower lung atelectasis or a combination of edema and atelectasis is unchanged.
<unk>-year-old woman with respiratory failure, septic shock for evaluation of interval changes.
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no acute intrathoracic process.
<unk>f with fever, cough // r/o pna
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vague linear opacity at the left lung base, partially obscuring left heart border, could represent scarring/atelectasis, though pneumonia cannot be excluded. please correlate clinically.
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mild peribronchial cuffing may represent small airways inflammation in the appropriate clinical setting. hyperinflated lungs, as on prior. no focal lung consolidations.
<unk>-year-old man with congestion and cough, evaluate for pneumonia.
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<num>. left mid to lower lung nodule measuring <num> mm. a nonemergent chest ct is recommended to further assess. <num>. no free air below the right hemidiaphragm.
<unk>f with surgical abdomen // eval for free air
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no acute intrathoracic process. no significant interval change.
<unk> year old man with mantle cell lymphoma // pre bmt
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prominent interstitial markings may be due to mild interstitial edema, similar to prior.
<unk>f with cough, congestion, syncope // acute cardiopulm disaese
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<num>. no acute cardiopulmonary process. <num>. mild cardiomegaly. <num>. mildly hyperinflated lungs suggestive of chronic obstructive pulmonary disease.
<unk>-year-old man with paraplegia small atrial fibrillation. evaluate for acute cardiopulmonary disease.
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essentially unremarkable chest x-ray given low lung volumes.
<unk>-year-old female with new desaturations, fever and diaphoresis.
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minimal bibasilar atelectasis. otherwise, no acute pulmonary process identified.
chest pain. assess for acute cardiopulmonary disease
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no change.
ards
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normal study.
<unk>-year-old female with chest discomfort. evaluate for acute process.
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no acute cardiopulmonary process.
<unk>-year-old woman with chest pain and shortness of breath. evaluate for opacities.
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right lung base opacity, cannot exclude aspiration versus developing pneumonia.
<unk> year old man with cough, sputum production, dyspnea // please eval pneumonia