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The lung volumes are normal. Normal size of the cardiac silhouette, pleural effusions. Normal hilar and mediastinal contours. No pneumonia. No pneumothorax.
glioma, evaluation for thoracic change.
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Pa and lateral views the chest provided demonstrate clear well expanded lungs without focal consolidation, large effusion or pneumothorax. No signs of congestion or edema. Heart size is normal. Mediastinal contour is normal. No definite displaced rib fractures identified.
<unk>f with fall down stairs. // r/o ich, fx, occult infiltrate
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The study is somewhat limited due to low lung volumes and the patient's chin and neck obscuring assessment of the right lung apex. Streaky bibasilar airspace opacities likely reflect atelectasis though aspiration or infection cannot be completely excluded. The cardiac, mediastinal and hilar contours are unchanged with mild enlargement of cardiac silhouette and tortuosity of the thoracic aorta again noted. There is crowding of the bronchovascular structures but no overt pulmonary edema is present. A small left pleural effusion is unchanged. Compression deformity of an upper lumbar vertebral body is unchanged. Marked degenerative changes of the left glenohumeral joint are present.
not feeling well, cough.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Moderate rightward convex curvature is again centered along the lower thoracic spine. Otherwise, bony structures are unremarkable.
chest pain.
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Lungs are clear. Mediastinal and cardiac contours are unremarkable. There is no pleural effusion or pneumothorax.
ppd positive, treatment with inh, needs x-ray.
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Ap upright and lateral views the chest were provided. The lungs appear clear without focal consolidation, effusion, or pneumothorax. Hyperinflated lungs likely reflect underlying copd. The cardiomediastinal silhouette appears normal. No acute fractures are identified.
<unk>-year-old male with intoxication, trauma, assess for pneumothorax.
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As compared to a previous radiograph, there is no substantial change in appearance of the pleural effusion. The pleural effusions are better appreciated on today's lateral radiograph. They are small and limited to the posterior aspects of the costophrenic sinuses. Unchanged appearance of the cardiac silhouette. Status post valvular replacement and sternotomy.
evaluation for pleural effusions.
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A right double lumen catheter terminates in the low svc. A left pectoral pacemaker is unchanged in position. The lung volumes are low which limits assessment for pulmonary edema. An opacity in the right lower lung could reflect asymmetric edema or pneumonia depending on the clinical setting. There is no definite pleural effusion. No pneumothorax. The cardiac silhouette remains mildly enlarged.
dyspnea. evaluate for a consolidation.
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Elevation of right hemidiaphragm is similar to prior with a stable small to moderate right pleural effusion. Right base atelectasis is unchanged, but superimposed consolidation cannot be excluded. Chronic by apical and perihilar fibrotic disease is unchanged. No pneumothorax. Heart size and cardiomediastinal contours are stable.
history: <unk>f with sob fever // r/o pneumonia
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. A <num> cm nodular opacity overlying a mid-thoracic vertebral body on the lateral view has no corresponding abnormality on the frontal view and could represent an paraspinal or osseous lesion. No diffuse pulmonary abnormality. No pleural effusion or pneumothorax. Osseous structures are unremarkable. No radiopaque foreign body.
<unk>-year-old male with right-sided chest pain.
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Lung volume is low. Mild bibasilar opacities are likely atelectasis. There is no pneumothorax or pleural effusion. Top-normal size of the cardiac silhouette is similar to before.
history: <unk>f with chest pain // chest pain
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Assessment is limited due to artifact from hair. Mild cardiomegaly is unchanged from prior. The lungs are well expanded and clear. The hilar contour is unremarkable. There is no pleural effusion or pneumothorax.
shortness of breath and chest pain.
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Ap and lateral views of the chest. There is no confluent consolidation. Streaky bibasilar opacities are seen with increased interstitial markings compatible with atelectasis and bronchiectasis seen on ct scan. There is no effusion. The cardiomediastinal silhouette appears slightly enlarged but this is likely due to a relatively lower lung volumes on the current exam. No acute osseous abnormality identified.
<unk>-year-old female with bandemia and shortness of breath. no identified source.
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There is a three-lead pacemaker/icd device that appears unchanged. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. A chronic appearing deformity of the left humeral head appears unchanged with an adjacent calcification.
left-sided weakness.
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In comparison with study of <unk>, there has been placement of right atrial and right ventricular lead without evidence of pneumothorax. No change in the mild enlargement of the cardiac silhouette with coarse interstitial markings that could reflect some combination of chronic lung disease and elevated pulmonary venous pressure.
pacemaker leads, to assess for pneumothorax.
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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.
<unk> year old man with liver cancer with coughing and wheezing. // r/o infection. please wet read and <unk> <unk> <unk>
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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Post-cabg changes are noted with intact median sternotomy wires. No acute fractures are identified.
evaluation of patient with dizziness.
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Ap and lateral images of the chest demonstrate low lung volumes bilaterally. Patient is rotated to her left. Allowing for this, the cardiomediastinal and hilar contours appear stable in appearance when compared to prior radiograph obtained one week prior on <unk>. New since prior examination, there is obscuration of the left hemidiaphragm which may reflect atelectasis/positioning, although an early consolidation cannot be excluded. Blunting of the posterior costophrenic angles may represent small effusions. There is no pneumothorax. No acute osseous abnormality is identified.
<unk>-year-old female status post fall.
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Frontal and lateral chest radiographs demonstrate a borderline enlarged heart, unchanged, and well-aerated lungs which are clear. There is no change in the appearance of the large, chronically dissected aorta. There is no focal consolidation, edema, pleural effusion, or pneumothorax. Please note that evaluation of the lateral view is limited by motion artifact.
worsening dyspnea on exertion and bilateral lower extremity edema, in a patient with chf and esrd.
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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 sle and chest pain. // concern for worse pericarditis/myocarditis
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
<unk>-year-old male with cough, evaluate for pneumonia.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear.
right lower chest in right upper quadrant pain.
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Frontal and lateral views of the chest. Linear opacity identified at the left lung base is most likely atelectasis versus scarring. The lungs are otherwise clear. The cardiomediastinal silhouette is stable. Post-operative changes with median sternotomy and mediastinal clips are again noted. No acute osseous abnormality is identified.
<unk>-year-old male with chest discomfort.
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The cardiac silhouette size is normal. The mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
chest pain radiating across the upper chest.
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Cardiac, mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Dense opacification in the left lower lobe is present with a small left pleural effusion, not substantially changed in the interval. Minimal patchy opacity in the right lower lobe may reflect atelectasis. No pneumothorax is demonstrated. Clip is noted in the right upper quadrant of the abdomen. There are no acute osseous abnormalities
history: <unk>m with dyspnea
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Again, there is a large left-sided pleural effusion with significant adjacent atelectasis and partial left lower lobe collapse. There is no right-sided pleural effusion or pneumothorax identified. The upper lung fields are grossly clear bilaterally. No appreciable mediastinal shift is identified. The cardiac size is difficult to measure accurately given the obscuration of the left heart border by the large effusion.
history: <unk>m with p-leuritic l cp, recent surgery, diminished sounds on l // r/o ptx or effusion
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There is mild bilateral interstitial pulmonary edema. The heart is top-normal in size. There is no pneumothorax or pleural effusion. The glenohumeral joints demonstrate mild degenerative changes bilaterally.
<unk>-year-old male with altered mental status.
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There has been no significant change since prior study dated <unk>. Again appreciated is expected right volume loss from prior bilobectomy with persistent right pleural effusion. Lungs are otherwise clear. There is no pneumothorax. Cardiomediastinal silhouette and hilar contours are stable. Surgical clips project over the right hemithorax.
large cell neuroendocrine carcinoma status post right lower lobe and right middle lobectomy.
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Redemonstrated is a right sided pleurx catheter and a left-sided port-a-cath seen terminating in the lower svc. There has been interval development of bilateral, moderate pleural effusions with adjacent atelectasis. The upper lung fields appear normally aerated. There is no evidence of pneumothorax. A right perihilar opacity is unchanged. The cardiomediastinal silhouette is stable. Patchy sclerosis is seen throughout the visualized spine, and is on the lateral compatible with the patient's known metastatic disease.
weakness and tachypnea.
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Lung fields are well inflated and clear. There is no pleural effusion. Cardiac silhouette is normal. The aorta is mildly elongated.
.<unk> year old woman with + ppd needing assessment of cxr for active tb signs, asymptomatic
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There is left lower lobe consolidation. Biapical scarring is noted. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. Anterior cervical fixation hardware is partially visualized. Lower thoracic levoscoliosis is identified.
<unk>f with report of pneumonia s/p treatment still symptomatic // evidence of intrapulmonary process
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. There is no evidence of radiopaque foreign body visualized within the intrathoracic trachea. The cardiomediastinal silhouette is within normal limits.
history: <unk>f with ?pill impaction in upper and lower esophagus // evaluate for esophageal foreign body
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lung volumes are slightly low. Minimal streaky opacities in the lung bases may reflect areas of atelectasis though early aspiration cannot be completely excluded. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with opioid overdose // eval for aspiration
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Lung volumes are low. Heart size is top normal. Mediastinal and hilar contours are unchanged. Patchy retrocardiac opacity appear similar compared to the previous study, potentially atelectasis though infection cannot be completely excluded. No pleural effusion or pneumothorax is seen. Bronchovascular structures are crowded due to low lung volumes without overt pulmonary edema. No acute osseous abnormalities seen.
history: <unk>m with fever, malaise
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with intermittent chest tightness and palpitations. // enlarged silhouette? pe findings?
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When compared to priors, there has been no significant interval change. Postoperative changes of left pneumonectomy with shift of the right lung into the left hemi thorax is again noted. The right lung is grossly clear. Cardiomediastinal silhouette is stable. No acute osseous abnormalities, chronic changes of left thoracotomy are noted.
<unk>f with chest pain // assess for pna
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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 chest pain for <num> days just to the left of the sternum. // 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>f with persistent cough // pneumonia?
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The patient is status post median sternotomy and cabg. Cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. Minimal atherosclerotic calcifications are noted at the aortic knob. Pulmonary vasculature is normal. Calcified granuloma is seen within the right apex. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. Minimal degenerative changes are seen within the thoracic spine.
history: <unk>m with chest pain
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The lungs are hyperinflated, suggesting small airway obstruction or even emphysema, but clear of focal abnormality. There has not been much change in lung volumes since at least <unk>. The cardiomediastinal silhouette, hilar structures, and pleural surfaces are normal. No pneumothorax.
<unk> year old man with <num> weeks of dry cough // assess for cardiopulmonary disease
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The cardiac and mediastinal silhouettes are stable. Hilar contours are stable.no focal consolidation is seen. There is slight blunting of the posterior costophrenic angle on the lateral view which can be seen with trace pleural effusions versus pleural thickening. Cervical hardware is noted, partially imaged over the cervical spine.
history: <unk>m with chf and mood disorder w/ new onset agitation // evaluate for pulm edema, pna
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Pa and lateral views of the chest provided. Cardiac silhouette remains enlarged with left lower lobe consolidation and effusion appearing slightly increased. Blunting of the right cp angles also noted. No nodules are again seen in the left upper and right lower lung. Mediastinal contour is grossly unchanged allowing for slight rotation. A right proximal shaft clavicle fracture is new in the interval. An expansile left upper rib cage lesion is better assessed on prior ct.
<unk>f with r clavicle deform common nodules and rib lesions on prior chest ct exam.
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unchanged. Prominence of the aortic contour corresponds to mild tortuosity of the aorta seen on cta of the chest dated <unk>. There is no pneumothorax, pleural effusion, or consolidation.
<unk> year old man with cough // any new infiltrated compared to last year?
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There are peripheral thickened interlobular septa, particularly in the right costophrenic sulcus (<unk> b-lines) and fissures are mildly thickened. There is a trace pleural effusion on the right side only.
chills, chest pain and diaphoresis.
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Interval placement of a right picc line, the tip extending to the superior cavoatrial junction. A left apically directed chest tube is present. Persisting pneumomediastinum and subcutaneous emphysema over the left chest and over both sides of the neck. A small left pneumothorax is newly noted. Unchanged small left pleural effusion and overlying atelectasis.
<unk> year old woman with pleural effusion s/p cabg // **please check at <num>pm today**eval pleural effusions/?pneumothorax w/chest tube on waterseal
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Frontal and lateral views of the chest demonstrate low lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Several surgical clips project over right upper abdomen, which is otherwise unremarkable.
back pain. study obtained for preoperative planning.
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Compared to prior, there is no significant change. The lungs are mildly hyperexpanded with mildly flattened diaphragm, suggestive of chronic pulmonary disease. Otherwise, the lungs are clear. The heart size is normal. The mediastinal and hilar contours are normal. No pleural abnormality seen. Mildly distended loops of bowel is seen under the left hemidiaphragm.
<unk> year old woman with productive cough, chills. please evaluate for pneumonia
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Pa and lateral views of the chest. The lungs are clear. There is no pneumothorax. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with chest pain.
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There are left greater than right bilateral pleural effusions with overlying atelectasis. Cardiac silhouette remains mildly enlarged although to a lesser degree at as compared the prior study. Dual lead left-sided pacemaker is similar in position. Aortic core valve is noted but not as well seen on
history: <unk>m with recent tavr, chf // evaluate for acute process, chf, pericardial effusion
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of <unk>. The heart size is normal. No configurational abnormality is present. Thoracic aorta and mediastinal structures are unremarkable. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present. Whereas the left-sided lateral pleural sinus is free, there is mild blunting seen on the right side extending also into the posterior pleural sinus. This finding did not exist on the previous examination. No pneumothorax has developed in the apical area. Development of a small pleural effusion in the right lower lung space. It is recommended to follow this up after patient's symptoms have subsided.
<unk>-year-old female patient with one month of history of cough, evaluate for infiltrates.
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Heart is moderately enlarged and increased when compared to the prior exam. Aortic knob is calcified. There is mild pulmonary edema. Small bilateral pleural effusions are new compared to prior study. A pleural-based rounded opacity within the right lateral aspect of the inferior right hemithorax likely reflects a pseudotumor with fluid tracking within the major fissure. No pneumothorax is identified. There is diffuse vascular calcification of the thoracoabdominal aorta. No acute osseous abnormalities are seen.
chest pain.
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As compared to the previous radiograph, the lung volumes have decreased. There is moderate cardiomegaly with borderline diameter of the azygos vein. In addition, the vascular diameters are increased, there are bilateral perihilar haze, and increased fluid in the interstitium. Overall, picture corresponds to moderate pulmonary edema. At the time of dictation, <time> p.m., on <unk>, the referring physician, <unk>. <unk> was paged for notification. The lateral radiograph suggests the presence of minimal bilateral pleural effusions. No evident pneumonia.
dyspnea, questionable pulmonary edema.
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Patchy left base opacity may be due to atelectasis versus subtle pneumonia. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with hx asthma p/w with sob, productive cough // ? pna
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The heart size is normal. The aortic knob is calcified. Calcified ap window lymph node is again seen. Mediastinal and hilar contours are otherwise within normal limits. Lungs are clear. No pleural effusion or pneumothorax is identified. There are mild osteophytes within the thoracic spine. Mild loss of height of several mid thoracic vertebral bodies is unchanged.
weakness, near syncope.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Left lower lobe segmental consolidation with additional left lower lobar bronchiectasis (best seen on frontal view, in retrocardiac location), is compatible with pneumonia. Lungs are otherwise clear. Subtle opacity at the right base may be atelectasis or additional focus of infection. Pleural surfaces are clear without effusion or pneumothorax.
epigastric pain.
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Moderate cardiomegaly and postoperative mediastinal contour with aortic valve replacement is unchanged. A left dual-lead pacer is unchanged in position. The hilar contours are unremarkable. There is mild bibasilar atelectasis. Lungs are otherwise clear. Pleural surfaces are clear without effusion or pneumothorax. There are multiple old right-sided rib fractures. There is a large hiatal hernia.
cerebral palsy and laryngomalacia presenting with upper respiratory symptoms and tachypnea.
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The cardiomediastinal and hilar contours are remarkable for a markedly tortuous descending thoracic aorta, without change since <unk>. Clear lungs. No pleural effusion or pneumothorax.
history: <unk>m with cough and fever // eval pneumonia
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. There is linear atelectasis as well as a subtle opacity in the left lung base. The lungs are otherwise clear. Pleural surfaces are clear without effusion or pneumothorax.
post-operative fever.
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A left chest port terminates in the mid svc. A right breast implant is noted. Lungs are clear. Cardiomediastinal silhouette is within normal limits. No pleural effusion.
history: <unk>f with recent vomiting and bandemia // vomiting
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There relatively low lung volumes but no focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Evidence of dish is seen along the thoracic spine.
history: <unk>m with mid thoracic back pain // eval for chf/pneumonia
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Cardiac size is top-normal. The aorta is tortuous. Bibasilar scars opacities have increased could represent atelectasis or pneumonia in the appropriate clinical setting. There is no pneumothorax. There is a small right pleural effusion
<unk> year old man with r basilar crackle // opacity, volume overload
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Pa and lateral views of the chest provided. There is mild blunting of the right cp angle on the frontal view, possibly indicating a tiny effusion or pleural thickening. On the lateral view there is a convex bulge noted posteriorly partially overlapping with the lower thoracic spine which requires further evaluation with nonemergent ct chest. No signs of pneumonia or edema. Cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with weakness // acute process
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Right apical stellate opacity and right lower lobe consolidation are really slowly improving since the <unk>, but the change between the exam is really mild. There is no pneumothorax or pleural effusion. Mediastinal and cardiac contours are normal.
patient with <unk> pneumonia, resolving?
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Patient is status post cabg and mitral and tricuspid valve replacement, with intact median sternotomy wires. There is atelectasis at the right lung base.there is mild interstitial edema, similar to prior. No pleural effusion or pneumothorax is seen. Cardiomegaly is not significantly changed.
<unk>m with asthma, recent cardiac surgery. // cause of patient's shortness of breath?
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Accounting for differences in technique compared to the prior study, the cardiomediastinal and hilar contours are stable with unfolding the thoracic aorta. There is no pleural effusion or pneumothorax. Lungs are mildly underinflated but clear. Pulmonary vasculature is within normal limits.
acute mental status change.
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The heart is normal in size. Abnormal mediastinal and right hilar contours appear similar to the prior scout view. A focal opacity in the right upper lobe also appears unchanged allowing for differences in modality. These findings are most consistent with stable malignant disease in the chest. Small changes would not be easily detected with radiography, however. Likewise, there are several nodules in the left lung which correlate generally with prior findings, although small to moderate differences would again be difficult to detect. There is similar moderate relative elevation of the right hemidiaphragm. There is no pleural effusion or pneumothorax.
cough, fever. history of chemotherapy.
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The lungs are well expanded and clear. Minimal atelectasis is seen in the left lung base. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Degenerative changes are seen in bilateral shoulders and acromioclavicular joints.
dementia, worsening altered mental status, question fever home concerning for pneumonia.
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Pa and lateral views of the chest provided. <num> discrete nodular opacities are seen projecting over the bilateral mid lungs which likely represent calcified granulomas. These are stable from prior imaging studies. There is no focal consolidation to suggest pneumonia. No overt edema. No pleural effusion or pneumothorax. The cardiomediastinal silhouette appears grossly within normal limits. Aortic atherosclerotic calcification noted. No acute bony injury.
history: <unk>m with weakness // r/o pna
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no evidence of pneumothorax, pneumomediastinum, or pleural effusion or pulmonary edema.
caustic ingestion. evaluation for pneumonia or mediastinal free air.
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The heart remains enlarged. The hilar and mediastinal contours are normal. Lung volumes are low. Lungs are otherwise clear and there is no focal consolidation concerning for pneumonia. There are no pleural effusions or pneumothorax. There is stable positioning of mitral valve replacement. A left pacemaker is in place with two leads terminating in the right atrium and right ventricle, expected locations.
<unk>-year-old female patient with cough and immunosupressed. study requested to rule out an infiltrate.
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Frontal and lateral views of the chest. The heart is mildly enlarged. Nodular opacity overlying the right lower lung is likely a nipple shadow. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.
<unk>-year-old male with recent aspiration pneumonia, now with wheezing. evaluate for cardiopulmonary process.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear without focal consolidation concerning for pneumonia. Postcholecystectomy clips are seen in the right upper quadrant.
<unk>m with shortness of breath // ?pneumonia
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The cardiac, mediastinal and hilar contours appear stable. There is similar mild relative elevation of the left hemidiaphragm. Streaky left basilar opacities suggest unchanged minor atelectasis or scarring. The lungs appear otherwise clear. There is no pleural effusion or pneumothorax.
reproducible chest pain.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. No subdiaphragmatic free air is seen.
<unk>m with left sided chest pain and left lower quadrant pain. evaluate for free air.
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The lungs are clear without focal consolidation. S-shaped scoliosis of the thoracolumbar spine is again noted. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax.
<unk>f with dyspnea on exertion, evaluate for acute process.
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The heart is normal in size. The mediastinal and hilar contours appear unchanged. Bullous changes are similar at the apices. The lungs are mild to moderately hyperinflated. Although new since earlier studies, there has been little if any change in patchy opacities in the right middle and lower lobes, streaky in nature with peribronchial cuffing, over the past month. There is no definite pleural effusion or pneumothorax. Mild degenerative changes are similar along the thoracic spine.
shortness of breath and cough.
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Lungs are well expanded with bibasilar atelectasis. No pleural effusion or pneumothorax. Persistent mild cardiomegaly. No focal opacity. Mediastinal contour and hila are unremarkable. Limited assessment of upper abdomen is normal.
<unk>m with recent chf admission, acute anginal equivalents tonight. assess for acute process.
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Ap upright and lateral views of the chest provided. The heart is mildly enlarged though this could in part reflect technique. Lungs are clear without focal consolidation, large effusion or pneumothorax. No signs of congestion or edema. The mediastinal contour is normal. No acute osseous abnormality. No free air below the right hemidiaphragm.
<unk>f with episode aphasia, neuro w/u // ?cpd
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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. Kyphoplasty/vertebroplasty noted in the lower thoracic spine.
history: <unk>f with chest pain // eval heart and lungs
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The lungs are underinflated with streaky opacities suggestive of atelectasis at the bases, slightly more confluent in the right lower lobe posterior. Cardiomediastinal silhouette is enlarged. There is no pleural effusion or pneumothorax. There is mild rightward curvature of the thoracic spine. Partially calcified aortic knob is again noted. Elevation of the right hemidiaphragm is a chronic finding.
history: <unk>f with sle now with nausea and vomiting. evaluate for infection.
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The lungs are clear. There is no pleural effusion or pneumothorax. The cardiac silhouette is normal in size, the mediastinal contours are normal. No displaced rib fracture is seen. If there is further concern for rib injury, recommend repeat dedicated views with bb marker marks the site of pain.
<unk>-year-old female with left flank pain and swelling, question rib fracture, pneumothorax.
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Pa and lateral views of the chest provided. Airspace consolidation is noted within the right upper lobe and to a lesser extent right lower lobe concerning for multifocal pneumonia. Left lung is clear. No pleural 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 fever // pna?
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Minimal blunting of the left costophrenic angle could be due to a trace pleural effusion. Lungs are clear. No pneumothorax is identified. There are moderate multilevel degenerative changes in the thoracic spine with anterior osteophyte formation.
history: <unk>f with alzheimer's and acutely worsened mental status, unable to provide history
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There is mild hyperinflation of the lungs, which is usually due to emphysema or small airways obstruction. Otherwise, the lungs are clear. The left pectoral pacemaker is seen with transvenous leads in the right atrium and right ventricle. No pneumothorax. No focal consolidations are seen.
<unk> year old man with ppm <num> wk ago. // assess lead position for ppm
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Pa and lateral radiographs of the chest. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. The pulmonary vascularity is normal.
hemoptysis.
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Pa and lateral views of the chest are compared to previous exam from <unk>. Lungs are clear of consolidation. Cardiomediastinal silhouette is within normal limits. Posterior right ninth and tenth rib fractures are again seen. Osseous structures are otherwise unremarkable.
<unk>-year-old male with productive cough. question pneumonia.
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The heart size is top normal. The hilar and mediastinal contours are normal. Mild streaky bibasilar atelectasis is persistent. There is no large pleural effusion or pneumothorax. The visualized osseous structures are normal.
history of fever, chronic cough, urosepsis. please evaluate for pneumonia.
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The patient has undergone cabg, the sternal wires are in correct alignment. An area of non-characteristic pleural thickening is seen at the lateral bases of the left lung. In addition, better seen on the lateral than on the frontal radiograph, there is a minimal left pleural effusion. Also better depicted on the lateral image is fluid marking of the fissural structures as well as mild peribronchial cuffing. In combination with moderately enlarged cardiac silhouette, mild interstitial edema is likely. At the time of dictation and observation, <time> a.m., on the <unk>, the referring physician, <unk>. <unk>, covered by dr. <unk>, was paged for notification.
fevers, hypotension, shoulder pain, worsening expiration, questionable pulmonary edema.
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Frontal and lateral chest radiograph demonstrates unremarkable cardiomediastinal and hilar contours. He lungs are clear. No pleural effusion or pneumothorax evident. No displaced rib fractures identified.
fall, evaluate for pneumonia.
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Frontal and lateral chest radiographs demonstrate unchanged cardiomediastinal and hilar contours. There is a new opacification within the left lung base as well as new reticulonodular opacifications in the right lung base. Findings are concerning for left lower lung atelectasis vs pneumonia.
chest pain radiating to the back. assess for pleural effusions or congestive heart failure.
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding pa and lateral chest examination of <unk>. Heart size and the appearance of mediastinal structures including thoracic aorta are unchanged and stable. The pulmonary vasculature is not congested. The on previous examination identified rather nodular appearing densities located in the right upper lobe lateral segment and in the left hemithorax in a location compatible with the lingula of the left upper lobe, remain unchanged. They have not undergone any significant alteration in appearance or density. No new pulmonary abnormalities are present, no pleural effusion has developed as the lateral and posterior pleural sinuses remain free and no pneumothorax is seen in the apical area.
<unk>-year-old female patient with nodular sarcoidosis, on prednisone treatment, follow up examination.
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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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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are normal. There is a rounded radiopaque structure with the appearance of the ring seen projecting over the left upper quadrant on the frontal view, not included on the lateral view.
status post swallow ring.
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The cardiomediastinal and hilar contours are normal. Lungs are clear, without consolidation, pleural effusion or pneumothorax. A left chest wall port-a-cath ends at the level of the right atrium. No consolidation, pulmonary edema, pleural effusion or pneumothorax is seen.
<unk>-year-old male with mental status change.
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Ap and lateral chest radiographs. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
anemia, confusion, lethargy, and left lower lobe crackles.
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The cardiac, mediastinal, and hilar contours are normal. Scarring within the lung apices is present. There is no pulmonary edema. Focal patchy opacity is noted within the right upper lung field spanning a diameter of approximately <num> cm. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
hemoptysis.
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Frontal and lateral views of the chest were obtained. The lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax with interval resolution of the left pleural effusion. Linear scarring or atelectasis in the right middle lobe is unchanged. The patient is status post cabg with intact median sternotomy wires. Heart size is normal. Mediastinal silhouette and hilar contours are normal.
<unk>-year-old man status post cabg and maze procedure. patient feels clicking in his chest. evaluate for broken wire.
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Slightly low lung volumes contribute to vascular crowding, however there is no evidence of focal consolidation to suggest pneumonia. No pleural effusion or pneumothorax. No pulmonary edema. Flowing anterior thoracic vertebral osteophytes are once again noted compatible with dish.
history: <unk>m with chest pain // eval for ptx
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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 man with cough, history of pneumonia.
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The heart is enlarged, minimally increased from <unk>. Lung volumes are low which accentuates bronchovascular markings. Given that, there is mild pulmonary vascular congestion and mild to moderate pulmonary edema. No pleural effusion or pneumothorax is seen.
<unk> year old woman with basilar crackles // ? edema