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As compared to the previous radiograph, the patient has made a lesser inspiratory effort. As a consequence, the lung volumes are lower and there is crowding of the vascular and bronchial structures at the lung bases. However, there is no evidence of pneumonia or other acute lung disease. Normal size of the cardiac silhouette. No pleural effusions. No pneumothorax.
cough and fever, rule out pneumonia.
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The lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unchanged. A dual lead pacemaker device is present, with leads ending in the right atrium and right ventricle. The patient is status post median sternotomy, with intact sternotomy wires. A mitral valve replacement is present. No pneumothorax, pleural effusion, or consolidation.
history: <unk>f with cad s/p cabg c/o chest pain and dyspnea. recent left breast biopsy. // ?acute cardiopulmonary process
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Lung volumes are low. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected on these views. Heart size is normal. The aorta is tortuous. Enlargement of the right lobe of the thyroid is likely present, better seen on concomitant ct.
<unk>-year-old female with altered mental status.
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The heart is borderline enlarged. The aorta is mildly tortuous and partly calcified. There are probably trace pleural effusions bilaterally. Fissures are mildly thickened. Diffuse hazy opacification of each lung with a widespread reticular abnormality and bilaterally hilar enlargement suggests pulmonary edema. Findings are slightly more extensive in the right lung than left but largely symmetric.
history: <unk>m with hx of endocarditis with hypoxia and crackles at bases bilaterally.
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On todays exam, the lungs appear clear. Cardiac silhouette is normal in size. A additional well defined density projecting medial right lower hemithorax is compatible with a morgani hernia as seen on the prior cts. No evidence of pneumonia. No pleural effusion. No pneumothorax. Rib fractures of be posterior seventh, eighth and right ribs are new since prior setting, but subacute in appearance.
history: <unk>f with chest pain // eval for pna, chf
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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with cp. // pna? ptx?
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Frontal and lateral views of the chest. No prior. The lungs are clear without effusion or pneumothorax. Note is made of an azygos fissure. Cardiomediastinal silhouette is within normal limits. Soft tissues notable for two left anterior chest wall dermal piercings. Osseous structures are unremarkable.
<unk>-year-old female status post mvc with pain and tenderness of the left clavicle and shoulder.
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Compared to the next most recent radiograph of the chest the lungs are similarly expanded. The bandlike opacity in the right upper lobe is not appreciably changed. The cardiomediastinal silhouette is unremarkable without cardiomegaly. The hila are mildly prominent but stable. There is no pleural effusion or pneumothorax. Flowing ossification along the anterior and lateral vertebral bodies is re- demonstrated.
asthma presenting with cough, shortness of breath, wheezing. evaluate for pneumonia.
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Again seen is radiation fibrosis at the left lung apex. The patient is status post left mastectomy. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No definite focal consolidation is seen. Subtle haziness over the left mid lung is similar to prior chest radiograph from <unk> at <time>. Surgical clips are again noted at the left axilla/upper left chest wall.
history: <unk>f with weakness, sob // pna?
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The heart size is normal. The hilar mediastinal contours are normal. Lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. Visualized osseous structures are unremarkable.
history: <unk>f with cough + syncope yesterday.
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. The heart is top-normal in size, otherwise the cardiomediastinal silhouette is unremarkable. There is no pneumothorax, pleural effusion, pulmonary edema, or focal airspace opacity.
<unk>-year-old female with chest pain.
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Lungs are clear. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormalities.
<unk>m with ams, tremors x <num> day // stroke? bleed?
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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. A right basilar opacity is unchanged, likely representing subsegmental atelectasis or chronic scarring. There is no focal consolidation.
<unk> year old man with shortness of breath, evaluate for pneumonia..
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A right mid lung opacity correlates with the fdg-avid nodule seen on recent pet-ct. Blunting of the right posterior and lateral costophrenic angle suggests small effusion. No new focal consolidation, left pleural effusion or pulmonary edema is seen. The heart is normal in size.
<unk>-year-old male with cough and dyspnea. evaluate for pneumonia.
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Leftward shift of mediastinal structures is unchanged and due to volume loss in the left upper lobe. Left upper lobe and left upper paramediastinal opacity is compatible with known lung malignancy and changes from prior radiation fibrosis. Small to moderate left pleural effusion persists, but appears decreased in size compared to the previous exam. The cardiac silhouette size also appears somewhat decreased compared to the previous exam, but remains mildly enlarged. There is no pulmonary vascular engorgement or pneumothorax. The right lung is clear. Streaky left basilar opacity likely reflects atelectasis but infection is not excluded. There are no acute osseous abnormalities.
fever, history of lung cancer and pneumonia.
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Lungs are well expanded and essentially clear. Borderline cardiomegaly is unchanged. There is no edema pulmonary edema or vascular engorgement. Transvenous right atrial right ventricular pacer leads are continuous from the left gastric pectoral generator. No pneumothorax.
<unk> year old man with pacemaker // pls perform a cxr prior to the mri, as requested by radiology pls perform a cxr prior to the mri, as requested by radiolog
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Mild cardiomegaly is stable compared to exams dating back to at least <unk>. The lungs demonstrate a chronic interstitial abnormality. There is a small right pleural effusion, with adjacent atelectasis. There is no evidence of a pneumothorax. Right-sided picc line terminates in the mid svc, in appropriate position. The patient is status post left mastectomy.
history: <unk>f with dyspnea. please evaluate for infiltrate.
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The cardiac, mediastinal and hilar contours appear stable. There are probably trace pleural effusions. A mild interstitial abnormality appears unchanged. Fissures appear more thickened, but there is no evidence for parenchymal edema.
cough and chest pain.
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Patient is status post median sternotomy and cabg. Heart size is mildly enlarged but unchanged. Mild interstitial pulmonary edema is present along with small bilateral pleural effusions, similar compared to the previous exam. No focal consolidation or pneumothorax is visualized. There are no acute osseous abnormalities detected.
chest pain.
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Moderate enlargement of the cardiac silhouette is re- demonstrated. Mediastinal and hilar contours are unchanged with atherosclerotic calcifications again noted at the aortic knob. Pulmonary vasculature is not engorged. Patchy opacities in the lung bases likely reflect areas of atelectasis, however infection cannot be excluded in the correct clinical setting. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is seen.
history: <unk>m with fever and right sided weakness
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The lungs are normally expanded. There is persistent atelectasis at the left base. Heart size is exaggerated by ap technique and is likely within normal limits. Mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Right humeral hardware is redemonstrated. There is osteopenia and multiple chronic compression deformities in the spine and rib abnormalities compatible with history of multiple myeloma. The aorta is unfolded and tortuous.
chest pain. evaluate for infiltrate.
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No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema, or pneumothorax is present. The heart size is top normal. There is tortuosity of the aorta.
cough and possible tia.
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Linear opacity in the right midlung is most suggestive of atelectasis versus scarring. There is no consolidation worrisome for pneumonia. Cardiomediastinal silhouette is within normal limits. Tortuosity seen of the descending thoracic aorta. Mild anterior height loss of a lower thoracic vertebral body is age indeterminate.
<unk>m with stroke sx, rule out infxn // eval for pneumonia
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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. No pneumothorax, pleural effusion, or consolidation.
history: <unk>f with left chest pain // concern for injury
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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 sob and cp pls eval for pna vs edema // history: <unk>m with sob and cp pls eval for pna vs edema
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Right basilar opacity and left pleural effusion have improved since <unk>. There is no pulmonary edema, pleural effusion or pneumothorax. The heart size is top normal. The mediastinal contours are normal. There is no free air beneath the diaphragm.
<unk> year old man s/p whipple now with fever and sob // r/o pna
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There are no rib fractures visualized. There is no pneumothorax. The lungs are incompletely expanded with associated vascular crowding but otherwise clear. There is no focal consolidation, pleural effusion, or evidence of pneumothorax. The cardiomediastinal silhouette is normal. The pleural surfaces are unremarkable. There is mild degenerative changes seen along the thoracic spine.
left chest pain, suspicious for rib fractures.
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The lungs are clear. Cardiac silhouette is normal in size. There is no pleural effusion, pneumothorax or pulmonary edema. Mediastinum is unremarkable. Hilar contours are normal.
chest pain.
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As compared to the previous radiograph, the bases of both lungs are better ventilated. However, minimal areas of atelectasis persist at both the left and the right lung bases. More obvious than on the previous image is a mediastinal contour abnormality at the level of the azygos vein. This contour is only partly explained by the azygos vein, although contour could also represent a slightly tortuous ascending aorta, a further clarification with ct should be performed. Moderate cardiomegaly. Postoperative changes in the right shoulder.
pneumonia, evaluation for abscess.
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The lungs are well inflated. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.
<unk>f with sob. assess for 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.
<unk> yo man with lymphoma in remission s/p chemo. has new sob/doe and crackles on exam bilat lung bases // <unk> yo man with lymphoma in remission s/p chemo. has new sob/doe and crackles on exam bilat lung bases
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No pleural effusion is seen. There is no pneumothorax. The cardiac silhouette is mild to moderately enlarged, similar to prior given differences in technique. There is pulmonary vascular congestion. No definite focal consolidation is seen.
<unk>m w/ l arm pain, cp. eval for cardiopulm change // <unk>m w/ l arm pain, cp. eval for cardiopulm change
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There is no focal consolidation, pleural effusion, or pneumothorax. The previously identified left lower lobe opacity and small left pleural effusion are no longer seen on this radiograph. Cardiomediastinal silhouette is normal and unremarkable. Osseous structures are unremarkable.
<unk>-year-old man with recent left lower lobe pneumonia, evaluate for resolution.
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Left-sided dual-chamber pacemaker device is re- demonstrated with leads terminating in the right atrium right ventricle. The patient is status post right upper lobectomy with expected fluid overlying the right apex. Cardiac, mediastinal and hilar contours are unchanged. Patchy opacities within the right perihilar region, right lung base, and left lung base are unchanged from the exam earlier today, but not clearly evident on the prior ct exam from <unk>. There is no pulmonary edema. Small bilateral pleural effusions are noted. No pneumothorax is identified.
history of lung cancer status post right upper lobectomy in <unk> with low ejection fraction now with cough and dyspnea.
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Artifact/drain projects over the right mid to lower hemithorax. Given this, no focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac silhouette size is top-normal. The aorta is slightly tortuous.
history: <unk>f s/p fall in shower, generalized weakness // ?pna
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Heart size and cardiomediastinal contours are normal. Multiple small pulmonary nodules, right base subpleural atelectasis, and central bronchial wall thickening seen on the same-day chest ct are not well appreciated on this radiograph. No focal consolidation, pleural effusion, or pneumothorax. Congenital coalition of the right first and second ribs is incidentally noted.
history: <unk>f with dyspnea // pna?
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Cardiac silhouette size is normal. The aorta is mildly tortuous but unchanged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. Mild degenerative changes are noted in the thoracic spine.
history: <unk>m with <unk> body dementia, sent for geriatric psychiatric evaluation
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Marked rotary levoscoliosis slightly limits assessment. The cardiac and mediastinal contours are unchanged, with the heart size within normal limits. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen. Mild bronchial wall thickening is noted in the right lung base, compatible with bronchiectasis as seen on the prior chest ct.
new onset left-sided chest pain, history of myocardial infarction.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Heart size is normal. Multiple old healed left rib fractures are noted.
<unk>m with chest pain // ? acute cardiopulm process
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Patient is status post median sternotomy and aortic valve replacement. Heart size is mildly enlarged but unchanged. The aorta is diffusely calcified and mildly tortuous. Hilar contours are similar, with mild pulmonary vascular congestion. No frank pulmonary edema is present. Patchy atelectasis is noted in the lung bases without focal consolidation. No pleural effusion or pneumothorax is present. Moderate multilevel degenerative changes are seen in the thoracic spine. Multiple clips project over the right upper chest.
history: <unk>f with acute onset chest pain, shortness of breath unresponsive to nebulizers.
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There has been no significant interval change in the appearance of the lungs since <unk>. Subtle nodular opacity projecting over the left lower chest was also seen on <unk>, stable, most consistent with nipple shadow. Mild biapical pleural thickening is re- demonstrated. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable. Surgical clips are seen in the right upper quadrant.
history: <unk>m hx renal cancer p/w fevers, hemoptysis; r/o pna, new malignancy // <unk>m hx renal cancer p/w fevers, hemoptysis; r/o pna, new malignancy
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Compared to the previous radiograph, there is no relevant change. Normal size of the cardiac silhouette. Mild tortuosity of the thoracic aorta. No evidence of pleural effusions, no pneumonia, no pulmonary edema. No evidence of active or non-active tb.
evaluation for tb.
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Mild to moderate interstitial abnormality has improved compared to <unk>, probably due to resolution of a component of acute pulmonary edema. Heart size is normal. The mediastinal contour is unremarkable. There is no pleural effusion or pneumothorax. There is no evidence of a focal consolidation.
<unk>f with cough, evaluate for pneumonia.
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There is an apparent right upper lobe nodule measuring <num> x <num> mm.the lungs are otherwise clear. The cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. Right shoulder hardware is noted, from prior surgery.
history: <unk>m with seizures.
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Pa and lateral radiographs of the chest demonstrate clear lungs. The cardiac and mediastinal contours are normal. No pleural abnormality is seen.
cough and wheezing. evaluate for pneumonia.
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Since the thoracentesis, the left pleural effusion has essentially resolved. There is an area of consolidation in the left mid-lung region that obscures the left heart border, suggesting possible lingular pneumonia. This was seen on the prior radiograph this morning, but was partially obscured by the effusion. There is also a vertical line in the peripheral of the left hemithorax that mimics a loculated pneumothorax but there or are pleural markings beyond this line. No apical pneumothorax. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk> year old woman with recurrent left effusion s/p <unk> // ? ptx
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Lungs are fully expanded and clear without consolidations or effusions. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal. Pleural surfaces are normal. Median sternotomy wires are midline and intact
<unk> year old woman, <num> days postpartum, with fever, abdominal pain and vaginal bleeding. patient is on therapeutic lovenox for history of mrsa endocarditis with septic emboli. // please evaluate for cause of fever (pneumonia) vs pe
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. <num> catheters are partially seen within the right upper quadrant of the abdomen.
status post liver transplant, now hyperthermic with nausea and vomiting.
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A subtle opacity at the right lung base is concerning for pneumonia. The cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
history: <unk>f with htn, hld and episodes of l neck pain radiating to occiput concerning for seizure // please evaluate for pulmonary edema, interstitial infiltrates, consolidation
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In comparison with the study of earlier in this date, there has been a reduction in amount of free pleural fluid following thoracentesis on the right. No evidence of pneumothorax.
thoracentesis, to assess for pneumothorax.
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Frontal and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures demonstrate no acute abnormality.
<unk>-year-old female with <unk> time seizure. known breast cancer metastasis to brain.
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The heart is of normal size with normal cardiomediastinal contours. The pulmonary vasculature is unremarkable. The lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. No radiopaque foreign body.
fever. evaluate for infiltrate.
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Left picc line ends in the mid svc. There is a focal consolidation in the right lower lobe concerning for pneumonia vs aspiration pneumonitis. Moderate right effusion and small to moderate left effusion is unchanged from <unk>. Mild cardiomegaly is unchanged from <unk>, <time>. Mediastinal borders and hilar structures are normal. There is no pneumothorax.
<unk>m concern for aspiration, o<num> sat dropped to the <num>s acutely following aspiration event, now improving with oxygen supplementation .
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Pa and lateral views of the chest provided. Elevation of the right hemidiaphragm is new from prior exam. There is likely a small right pleural effusion. A nodular opacity projecting over the left lower lung likely represents a nipple shadow. The heart is mildly enlarged. The aorta is unfolded. No pneumothorax. Bony structures are intact.
<unk>f with chest pain
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Increased interstitial markings are seen throughout the lungs without predominant basilar distribution, overall similar compared to prior film and pet-ct. There is no superimposed focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.
<unk>m with exertional cp // ? acute cardiopulm process
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The lung volumes are low, resulting in crowding of the bronchovascular structures. There is no pleural effusion, pneumothorax or focal airspace consolidation. A calcified granuloma is seen in the right upper lung and unchanged from <unk>. The heart is top-normal in size. There is no overt pulmonary edema.
dyspnea. evaluate for pneumonia, pneumothorax or pulmonary embolus.
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.
chest pain
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The cardiomediastinal and hilar contours are within normal limits. There is no focal consolidation, pleural effusion or pneumothorax. There is mild elevation the right hemidiaphragm.
pain. rule out infiltrate, pneumothorax.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
chest pain. evaluate for pneumonia, acute process.
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There is mild interstitial edema as well as increased small bilateral pleural effusions. Heterogeneous lower lung opacities are likely atelectasis, although infection cannot be excluded. There is no pneumothorax. The heart is moderately enlarged, substantially increased compared to the prior radiograph from <unk>. The mediastinal contours are normal.
dyspnea with history of chf and bilateral lower extremity edema. evaluate for pleural effusions or evidence of pneumonia.
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Pa and lateral views of the chest were obtained. There is no focal consolidation or congestive heart failure. No pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. No bony abnormalities. No free air below the right hemidiaphragm.
evaluation for intrathoracic process.
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An area of heterogeneous opacity in the posteroinferior aspect of the left lower lobe, better seen on the lateral view, suggests pneumonia. There is no effusion or pneumothorax. There is no vascular engorgement or pulmonary edema. Mediastinal and hilar contours are normal. Heart size is normal.
<unk> year old man with flu <num> days ago, now with sob, crackles in lll, low-grade fever // ? lll pna
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There is mild cardiomegaly. Transvenous pacemaker lead tip is in the right ventricle. The lungs are clear. There is no pneumothorax or pleural effusion. There are moderate degenerative changes in the thoracic spine
<unk> year old woman with atrial fibrillation, non-ischemic cardiomyopathy, icd for primary prevention, presenting with icd shocks for atach, getting loaded with amiodarone // ?pulm fibrosisbaseline cxr for amio initiation
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Known mid thoracic vertebral body lesion is not well visualized on radiography.
cough and fever.
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Ap upright and lateral views of the chest provided. Midline sternotomy wires again noted. Cardiomediastinal silhouette is unchanged. With no focal consolidation is seen concerning for pneumonia. Mild congestion and edema is suspected. No large effusion or pneumothorax. Imaged bony structures appear grossly intact. No free air below the right hemidiaphragm. Clips noted in the upper abdomen on the lateral projection.
<unk>f with dyspnea // r/o acute 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>m with right <unk> finger and ring finger discoloration(blue) with decrease cap refill. // mass?
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Right-sided port-a-cath is stable in position, terminating in the low svc/ cavoatrial junction. There is a moderate right and small left pleural effusion, the right pleural effusion may be slightly increased as compared to the prior study. Overlying right basilar atelectasis is seen. Right base opacity most likely represents combination of pleural effusion and atelectasis, but underlying consolidation is not excluded.the cardiac and mediastinal silhouettes are stable and unremarkable.
history: <unk>f with metastatic breast ca and fever // eval 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. Bony structures are unremarkable.
palpitations.
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The heart is normal in size. The hilar and mediastinal contours are normal. The lungs are well expanded and clear. There are no pleural effusions or pneumothorax. The osseous structures are unremarkable.
<unk>-year-old female patient with exertional dyspnea for the past week. study requested to rule out pneumonia.
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The lungs are clear without focal or diffuse abnormality. There is no evidence of pneumothorax or pleural effusion. Osseous structures are unremarkable. No radiopaque foreign bodies.
<unk>-year-old female with intermittent shortness of breath. rule out cardiopulmonary abnormality.
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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax. While study is not tailored to evaluate for rib fractures, no definite displaced fracture is identified.
history: <unk>m with chest pain after a fall // eval for any rib fx
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The heart size is normal. The hilar and mediastinal contours remain within normal limits. There is no pneumothorax or pleural effusion. Right basilar opacities seen on the <unk> chest radiograph have largely resolved. However, there is now a new left perihilar opacity reflecting a new focus of infection.
history: <unk>m with recurrent pneumonias and prior hx of mac, who p/w <num>-month history of cough, and <num>-day history of fevers/chills. // pneumonia?
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Left chest tube has been removed since prior. Improved bibasilar atelectasis. There are small pleural effusions, similar. No definite pneumothorax. Shallow inspiration accentuates heart size. Normal pulmonary vascularity. Sternotomy. Small volume retro xiphoid air, in keeping with recent surgery.
<unk> year old man with s/p cabg- ct d/c'd // f/u effusions, atx
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Mild enlargement of cardiac silhouette is present. Mild interstitial pulmonary edema appears slightly progressed compared to the prior study. Trace bilateral pleural effusions are noted. There is no focal consolidation or pneumothorax. The mediastinal and hilar contours are relatively unremarkable. Compression deformity of a mid thoracic vertebral body is unchanged compared to the prior chest radiograph from <unk>. Remote right-sided rib fractures are present. Tips catheter is noted within the right upper quadrant of the abdomen.
fever and hypotension.
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The lung volumes are normal. Moderate cardiomegaly without evidence of pulmonary edema. No pleural effusions. No pneumonia. No pneumothorax.
increasing dyspnea on exertion, evaluation for abnormalities.
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are unremarkable. No focal consolidation, pleural effusion, or pneumothorax. Fracture of the distal <unk> of the left clavicle is displaced with superior angulation of the proximal fragment. No substantial bony bridging is appreciated. The left hemidiaphragm is elevated.
<unk>-year-old female with nausea and confusion. evaluate for pneumonia.
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Ap upright and lateral views of the chest provided. Lungs are clear and hyperinflated. Cardiomediastinal silhouette appears normal. No large effusion or pneumothorax. Bony structures appear intact.
<unk>f with fall w/headstrike no loc // ich? pna?
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Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is not engorged. Hazy ill-defined opacity within the left lower lobe is concerning for an area of developing infection. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
cough, fever.
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The lungs are clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal silhouette. Calcified pleural plaques are redemonstrated, likely the result of prior asbestos exposure. Rightward shift of trachea is due to goiter as seen on prior ct.
fatigue, dizziness, nausea and diabetes, no infectious source on exam, assess for pneumonia.
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The cardiomediastinal silhouettes are stable and within normal limits. The bilateral hila are unremarkable. The lungs are clear without evidence of focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion. Left greater than right biapical pleural-parenchymal scarring is unchanged.
<unk>-year-old man with chest pain, evaluate for cardiomegaly.
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Compared with the prior radiograph, pulmonary arteries appear enlarged, with perihilar interstitial markings, compatible with pulmonary edema. The heart size is normal. There is no pneumothorax, large pleural effusion, or focal consolidation. Partially imaged right shoulder hardware is unchanged since the prior chest radiograph.
history: <unk>m with pmh of dchf, copd, p/w dyspnea, orthopnea. please eval pulmonary edema.
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The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with hx epilepsy presenting s/p mvc presumably caused by seizure //
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Extensive bilateral scattered round, cannonball focal opacities throughout both lungs, which do not appear significantly different when compared to the scout film on <unk>. The cardiomediastinal silhouette and hila are unchanged. No pleural effusion or pneumothorax. No acute osseous abnormality.
<unk>-year-old woman with metastatic endometrial carcinoma; evaluate tumor response.
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The heart size is normal. The hilar and mediastinal contours are unremarkable. The lungs are clear without evidence of focal consolidations, pleural effusions or pneumothoraces. The visualized osseous structures are unremarkable.
history of occasional shortness of breath. please evaluate for pneumonia.
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A left-sided port-a-cath is seen with tip projecting over the expected location of the mid svc. No focal consolidation, pleural effusion, or pneumothorax is seen. Heart and mediastinal contours are within normal limits.
<unk>-year-old male with ms, white count, and fever.
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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified.
history: <unk>m with weakness // eval for pna
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Pa and lateral views of the chest provided. Emphysema is noted. 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 seizure disorder presenting with seizure
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The lungs are clear. Heart size is mildly enlarged, unchanged. The aorta remains tortuous. The mediastinal, hilar contours, and pleural surfaces are otherwise unremarkable. No pulmonary edema, pleural effusion, or pneumothorax. No focal consolidations are seen.
history: <unk>m with chest pain radiating to shoulders and back.
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In comparison with the study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. Central catheter again extends to the lower portion of the svc.
stem cell transplant with low-grade fever, to assess 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. An irregular bony focus along the anterior aspect of the right second rib corresponds to prior ct findings. Known left-sided rib fractures are not well depicted.
recent motor vehicle collision with known left apical pneumothorax and rib fractures, presenting with persistent pleuritic chest pain.
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Low lung volumes limits assessment. No focal consolidation, edema, effusion, or pneumothorax. The heart size is normal. The mediastinum is not widened. Hilar and pleural contours are normal. No acute osseous abnormality.
<unk>-year-old woman presenting with chest pain and shortness of breath.
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There are two nodular densities in the right mid and lower lung that are stable since <unk>. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
cough and shortness of breath. history of liver transplantation.
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No previous images. The heart is normal in size and there is no vascular congestion or pleural effusion. No convincing evidence of focal pneumonia.
trigeminal neuralgia with rash and fever.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs are clear. There are no pleural effusions or pneumothorax. Surgical clips project about the right breast. Clips are also present at the base of the neck and suggest prior thyroidectomy.
shortness of breath.
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Since the prior ct scan dated <unk>, there is increased consolidation at the left lung base associated with pleural effusion. Left basilar consolidation may reflect atelectasis and or pneumonia. Extensive pleural calcifications noted on the right which is unchanged as is the right apical scarring and pleural thickening. The heart remains mildly enlarged with pacer leads extending into the expected location of the right atrium and right ventricle. There is no pneumothorax.
<unk>-year-old female with hypoxia.
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Frontal and lateral views of the chest were obtained. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Biapical pleural thickening is unchanged.
<unk>-year-old female with left-sided upper chest pain.
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Left -sided dual lead pacemaker is unchanged in position. The heart is normal in size. Small bilateral pleural effusions are not significantly changed . Right basilar opacity appears increased from prior exam. The cardio mediastinal and hilar contours are unchanged.
<unk> year old man with pleural effusion // eval
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The heart is normal in size. Patchy increased left basilar opacity could be seen with atelectasis, or potential pneumonia. A nodular component may reflect a left lower lobe nodule seen on the prior ct. There is probably a small new left-sided pleural effusion. The right lung remains clear. There is no pneumothorax. Small osteophytes are noted along the lower thoracic spine.
lung cancer and coronary disease, presenting with dyspnea and acute right-sided chest pain.
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The lungs are fully expanded and clear. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Visualized osseous structures are normal. An azygous fissure is noted.
<unk>m with chest pain.
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Compared with the prior film, and allowing for technical differences, no definite change is detected. Again seen are multiple nodular opacities, likely reflecting known metastatic disease. Ovoid opacity in the right mid zone is similar to the prior film also again seen is a small left effusion with underlying with increased retrocardiac density, consistent with left lower lobe collapse and/or consolidation. Probable atelectasis at the right base, unchanged. No gross right effusion. The cardiomediastinal silhouette is unchanged. There is upper zone redistribution, without overt chf, similar to the prior film. No pneumothorax is detected. Clips and a single loop of air-filled bowel noted in the upper abdomen.
<unk>m w/ rcc met to lung w/ pleural effusions s/p <unk> w/ ams concerning for cap // evaluate for any evolution of consolidation seen on prior cxr