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The patient is status post median sternotomy and cabg. Cardiac silhouette size is normal. The mediastinal and hilar contours are unchanged. A small hiatal hernia is re- demonstrated. There is no pulmonary edema. Increased interstitial markings with reticulation at the lung bases are similar compared to the prior exam. No new focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen.
history: <unk>f with shortness of breath// eval for pna
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Cardiomegaly is moderate. Hilar congestion and mild pulmonary edema noted. No large effusion or pneumothorax. No convincing evidence for pneumonia. Mediastinal contour is within normal limits though note is made of mild aortic calcification. Bony structures are intact.
<unk>f with <unk> mos progressive doe. has pvd and risk factor for chf. assess for edema vs pna
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Multiple sternotomy wires are well aligned and intact. The lungs are well expanded and clear without lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>m with sob and fatigue // any consolidation
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
history: <unk>f with low grade fevers. r/o bronchitis.
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Dual lead left-sided aicd is stable in position. The cardiac and mediastinal silhouettes are stable. Hilar contours are stable.no focal consolidation is seen. No pleural effusion or pneumothorax is seen.
history: <unk>m with dyspnea // pneumonia or effusuion?
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In comparison with the study of <unk>, there is little overall change except for removal of the pin metallic leads projecting over the patient's chest. Hyperexpansion of the lungs with no evidence of acute pneumonia, vascular congestion, or pleural effusion.
cough with shortness of breath.
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The lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion.
<unk>-year-old male with jaundice and chest pain.
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Pa and lateral chest views were obtained with patient in upright position. Markedly distended bowel loops are observed and probably were related to the very high positioned diaphragms. Bilateral plate atelectases are observed, a major one projecting into the mid lung field and posteriorly. Acute pulmonary infiltrates cannot be identified. There is no pneumothorax in the apical area and no gross cardiac enlargement is present. There exists no prior chest examination or records available for comparison.
<unk>-year-old male patient with low lung volumes on v/q lung scan, assess for atelectasis.
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Heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities demonstrated.
right-sided chest wall pain with cough.
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The bones are unremarkable.
history of pancytopenia and productive cough, rule out infiltrate.
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Heart size and mediastinum are stable. Right pigtail catheter is in place. Interval decrease in right basal pneumothorax and subcutaneous emphysema of the right chest wall. However, persistence of small right pneumothorax. Right lower lobe atelectasis. Unchanged atelectasis of the left lung. Small right pleural effusion. Stable degenerative disc disease and cervical spinal fusion hardware.
<unk> year old woman with r ptx // check interval change
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Lung volumes are low accentuating vascular crowding, stable in appearance from <unk>. Diffuse prominent interstitial markings are likely due to overlying soft tissues. Opacity in the right lower lung overlies the spine on lateral view. The mediastinal contour, hila, prominent cardiac silhouette are stable from <unk>. No pneumothorax or pleural effusion.
<unk>f with history of cva, cad s/p stent p/w chest pain // eval for pna
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The lungs are clear aside from a small amount of bilateral lower lobe atelectasis. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size. The left hemidiaphragm is noted to be chronically elevated. Calcifications of the anterior longitudinal ligament are seen on the lateral view along with degenerative changes, unchanged.
history: <unk>m with progressive dizziness in setting of metastatic brain cancer
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Heart size and cardiomediastinal contours are normal. <num> mm left upper lung pulmonary nodule appears new since the prior exam. The lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax.
history: <unk>f with cough // acute process?
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Pa and lateral views of the chest provided. Lung volumes are markedly low limiting assessment. The cardiac silhouette appears enlarged which could reflect known prominent epicardial fat pads. In this patient with known interstitial lung disease, there are prominent reticular markings in the periphery of both lungs likely reflecting interval progression in fibrosis. Difficult to exclude a superimposed pneumonia. No large effusion or pneumothorax. No overt edema or congestion. Mediastinal contour is normal. Bony structures appear intact.
<unk>m with dyspnea and decreased breath sounds at right base, history of pulmonary fibrosis.
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No focal consolidation is seen. There may be a tiny pleural effusion. Enlarged cardiac silhouette and mild pulmonary vascular prominence is again noted. No pneumothorax is detected.
<unk>-year-old female with sickle cell anemia and left-sided pain.
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The heart remains moderately enlarged, unchanged compared to the prior exam. Pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are present. There are mild degenerative changes in the thoracic spine.
cough and shortness of breath.
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There is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Osseous structures are intact.
shortness of breath, palpitations. rule out infiltrate.
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The right lung is clear. Left lung postsurgical changes including stable left-sided volume loss, a left apical suture line, and tenting of the left hemidiaphragm indicate prior left upper lobectomy. The cardiomediastinal silhouette is stable. There is no pneumothorax. A small right and small to moderate left pleural effusion are unchanged.
<unk> year old man with gvhd of lungs, b/l pleural effusion, small pericardial effusion with worsening dyspnea // eval for interval change since <unk>
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Two views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.
cough.
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Heart size is top-normal. The aorta is tortuous. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. Clips are seen the right upper quadrant of the abdomen compatible prior cholecystectomy.
history: <unk>m with fever, cough. // 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 <num> weeks of cough with sputum, mild sob // eval pna
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Pa and lateral views of the chest provided. Midline sternotomy wires are again noted with prosthetic cardiac valves again seen. Previously noted right ij central venous catheter is been removed there has been placement of a left chest wall port-a-cath with tip in the mid svc region. The heart is moderately enlarged. There is persistent consolidation at the right mid to lower lung with moderate right pleural effusion which appears partially loculated. Prominence of the mediastinum appears grossly unchanged. The left lung remains clear. Bony structures are noted to be sclerotic with a rugger <unk> appearance, suggestive of renal osteodystrophy.
<unk>m with sob, mechanical valves not on coumadin.
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There is no consolidation, pleural effusion, or pneumothorax. There is no pulmonary edema. Mildly enlarged cardiac silhouette is not changed.
<unk> year old woman with asthma, ra on several immunosuppressants, with now cough, wheezing, and slight hypoxemia // r/o pna
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Pa and lateral views of the chest provided. Patient is status post median sternotomy wires are intact and properly aligned. Vascular clips denote prior right axillary surgery. Interval removal of right chest tube. No pneumothorax. Moderate bilateral pleural effusion, right worse than left, with associated moderate bibasilar atelectasis are unchanged from <unk>. New, small collection of pleural air following removal of right chest tube. Hilar contours are normal. Severe cardiomegaly is unchanged.
<unk> year old man with s/p bentall // eval postop changes
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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 available chest examination of <unk>. The heart size is within normal limits. No configurational abnormalities are identified. The thoracic aorta is mildly widened and elongated, but does not demonstrate any local contour abnormalities or wall calcifications. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax in the apical area. Skeletal structures of the thorax grossly unremarkable. On the previous examination of <unk> the patient was postoperative and had bibasilar plate atelectasis but no other significant pulmonary or cardiovascular abnormalities.
<unk>-year-old male patient with <num>- month history of intermittent wheezing. evaluate for pulmonary abnormalities.
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A right-sided port-a-cath terminates in the mid to distal svc. A right basal opacity likely reflects a combination of pleural fluid/thickening and atelectasis, this is unchanged compared to the prior study. Left lung appears grossly clear. The cardiomediastinal contour is unchanged in appearance. Multilevel degenerative changes noted in the thoracic spine. No pneumothorax seen.
history: <unk>m with recent chemo and fever. // pneumonia?
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The lungs are clear. There is no effusion, consolidation, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No displaced fractures identified.
<unk>f with mvc, eval for ptx // eval for ptx
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Pa and lateral chest radiographs. Large right pleural effusion has recurred with loculations along the costal margin and right apex. Right femoral venous catheter terminates in the right atrium. Axillary clips are again noted on the right. The left lung is clear with the exception of a new subcentimeter nodule in the left lung base. There is no pneumothorax.
<unk> year old woman with fever // pna? effusion. patient has a history of breast cancer.
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In comparison with study of <unk>, there has been a significant increase in the degree of right pleural effusion, which involves the lower half of the right lung. Diffuse bilateral pulmonary opacifications persist, consistent with metastatic disease.
lung cancer with effusion.
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Lung volumes are low, accounting for some bronchovascular crowding, with lung fields appearing stable compared to prior. Cardiomediastinal contour is unchanged, cardiac size is top normal. There is no pleural effusion or pneumothorax. The aorta is tortuous.
<unk>-year-old male with ongoing cough with blood in the sputum. evaluate for evidence of acute cardiopulmonary process.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with fever
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Right chest wall port is again noted. Increased and irregular interstitial markings noted with a primarily bibasilar distribution, right greater than left is unchanged from prior exam and is compatible with bronchiectasis. There is no new confluent consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Gastric band is noted in the left upper quadrant.
<unk>m with cough // r/o infiltrate
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal and there is no evidence of pulmonary edema. There is a subtle right lower lobe opacity is decreased in conspicuity from the prior exam. No pneumothorax.
history: <unk>m with hx of chf // ?pulm edema
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Left-sided port-a-cath tip terminates in the upper svc. Heart size remains moderately enlarged. The mediastinal and hilar contours are unchanged with enlargement of the pulmonary artery again suggestive of underlying pulmonary arterial hypertension. The aorta is diffusely calcified. Lungs are hyperinflated with emphysematous changes again demonstrated. Blunting of the right costophrenic angle appears unchanged, compatible with chronic pleural thickening. Chain sutures from prior wedge resections in the right lung are re- demonstrated. Patchy and streaky opacities are seen in the lung bases, more pronounced compared to the prior chest radiograph, which may reflect atelectasis but bronchial inflammation may be present, as was demonstrated on the prior ct. No focal consolidation, new pleural effusion or pneumothorax is present.
history: <unk>f with lung cancer, copd presents with dyspnea, malaise, low grade fever
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The cardiomediastinal and hilar contours are within normal limits. There are small bilateral pleural effusions. The lungs are otherwise clear with no focal consolidations or pneumothorax. A left subclavian central venous catheter line terminates in the mid svc, unchanged in position from prior examination. Right clavicular fracture is unchanged.
<unk>-year-old male patient with aml and sweet's syndrome with increased o<num> sats. study requested to rule out pneumonia.
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A left-sided pacemaker is seen with dual leads in unchanged position. Bilateral pleural catheters are again seen. Blunting of the left costophrenic angle and retrocardiac opacity are similar in appearance to the prior study and consistent with a small left pleural effusion with adjacent atelectasis. There is no pleural effusion seen on the right. The cardiomediastinal and hilar contours are unchanged. There is no evidence of pneumothorax.
<unk>m with pt with bilat pleur-ex, drop in hgb <num> to <num> over <num> days with guaiac neg stools.
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Pa and lateral chest radiographs. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
chest pain and fever.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear. There is no effusion. The cardiomediastinal silhouette is within normal limits. Calcific density again projects over the scapula on the frontal view, likely an intra-articular body within the right glenohumeral joint recess. Osseous and soft tissue structures are otherwise notable for hypertrophic changes in the spine.
<unk>-year-old male with left arm pain, acs risk factors.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with elevated wbc, psych admission
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There is a new faint right upper lobe and hilar opacity. The cardiomediastinal silhouette and hila are normal. There is no pleural effusion or pneumothorax.
<unk>-year-old with shortness of breath.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. S-shaped thoracic scoliosis is noted.
<unk>m with hypoxia, sob // aspiration? pna?
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Frontal and lateral views of the chest. There is relative elevation of the right hemidiaphragm. The lungs are clear of focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified. No free air is seen below the diaphragm. Multiple surgical clips are seen in the left upper quadrant.
<unk>-year-old male with nausea and vomiting.
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The patient is rotated. Cardiomediastinal silhouette is grossly unchanged. There is no pleural effusion or pneumothorax. There is streaky left basilar opacity, most consistent with atelectasis. There is no focal consolidation concerning for pneumonia.
<unk>-year-old man with sirs, concern for infection, evaluate for intra thoracic process.
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Again seen dual lead left-sided pacemaker is similar in position.the cardiac and mediastinal silhouettes are stable. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax.
history: <unk>m with cough and low-grade fever for the past <num> days. // ? pneumonia
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There is bibasilar atelectasis/scarring. No definite focal consolidation is seen. The lungs remain hyperinflated. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with weakness // eval for pna
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Heart size is normal. Atherosclerotic calcification of the aorta and coronary arteries is heavy. There is no evidence of central adenopathy. There is no pleural effusion or pneumothorax. The lungs are mildly hyperinflated, and displacement of vessels in the left upper lobe suggests emphysema. Mild bibasilar atelectasis is noted. There is no focal consolidation concerning for pneumonia. There is no pneumoperitoneum.
<unk>f with fever, s/p recent ercp.
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Post right upper lobectomy. Stable moderate partially loculated right-sided effusion and persistent right juxta hilar opacity. Interval increase in subsegmental atelectasis of the left base.
<unk> year old woman pod<num> from r upper lobectomy // change in intrathoracic process
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The lungs are clear. The cardiomediastinal contours are unchanged. No cardiac enlargement. No pleural effusions or pneumothorax. Prior median sternotomy and cabg.
<unk> year old man with brain tumors. // is there a lung primary malignancy?
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Ap and lateral views of the chest demonstrate low lung volumes with mild bibasilar atelectasis. There is no focal consolidation concerning for pneumonia, pleural effusion. There may be mild pulmonary vascular congestion. No pneumothorax is present. The heart is top normal in size and the intrathoracic aorta is tortuous, which is stable since the prior study. Upper mid abdominal surgical clips are again noted.
<unk>-year-old female with weakness. evaluation for pneumonia.
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No focal consolidation, pleural effusion, or pneumothorax is seen. Heart and mediastinal contours are within normal limits.
<unk>-year-old female with productive cough.
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A right subclavian central venous catheter terminates in the mid svc. Left subclavian central venous catheter is in unchanged position with its tip at the cavoatrial junction. There is no definite pneumothorax. No focal consolidations are identified. There is an area of linear atelectasis at the left lower lobe and scarring at the right lung base which appear unchanged.
<unk>-year-old woman with aml status post c<num> decitabine, now with new left sided pleuritic chest pain, worse with deep breath, feeling exactly like her last pneumothorax. rule out pneumothorax.
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The inspiratory lung volumes remain decreased. There is no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiac silhouette, mediastinal and hilar contours are within normal limits. The trachea is midline. No acute osseous abnormality is detected.
cough, here to evaluate for pneumonia.
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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size.
<unk>f with tachycardia, chest pain,r ecent cough // r/o pna, ptx
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Since prior in there has been near complete resolution of the opacity in the right lung. Minimal right basilar opacity seen on the frontal view may be due to atelectasis. The left lung remains clear. Cardiomediastinal silhouette is within normal limits. Moderate hiatal hernia is noted. Atherosclerotic calcifications seen at the aortic arch.
<unk>m with cough recent pneuomina // r/o infiltrate
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Pa and lateral views of the chest the heart is moderately enlarged, and intact median sternotomy wires and mediastinal vascular clips are again noted. Epicardial pacing leads also noted. There is mild vascular engorgement, possible mild vascular blurring, and trace thickening of the minor fissure, suggesting mild vascular plethora. A small amount of pleural fluid or thickening is seen posteriorly. There is no large pleural effusion or pneumothorax. No focal airspace opacity is seen. Minimal atelectasis left base.
<unk>-year-old female with history of copd, presents with intermittent shortness of breath.
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Moderate-to-severe cardiomegaly is again noted. The lungs however are clear on the current exam. There is no consolidation, effusion or congestion. Median sternotomy wires are again noted. Old posterior left rib fractures identified.
<unk>m with sob // ?pulm edema
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Frontal and lateral chest radiographs demonstrate unchanged mediastinal and hilar contours. Stable cardiac enlargement noted. There is increased distribution and density of the previously noted left upper lobe ground glass opacification. New retrocardiac opacification may represent atelectasis though pneumonia cannot be excluded in the correct clinical setting. In addition, there is a new small left pleural effusion. Multiple densely calcified pleural plaques are again noted and may contribute to the appearance of lung parenchymal abnormalities.
dyspnea. evaluate for chf or other pathology.
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The lung volumes are normal. There is no pleural effusion, pneumothorax or focal airspace consolidation. Linear atelectasis at the left lung base. The heart is normal size. The mediastinal and hilar contours are unremarkable.
weakness. evaluate for pneumonia.
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The heart remains mild to moderately enlarged. The aorta demonstrates aortic arch calcifications. Mediastinal and hilar contours are unchanged. The previous pattern of mild pulmonary edema has nearly resolved. Persistent opacification in the left lung base likely reflects a combination of moderate pleural effusion with adjacent atelectasis, not significantly changed from the prior exam. There are no new areas of focal consolidation. No pneumothorax is demonstrated. Degenerative changes of the left humeral head are noted. Compression deformity of the l<num> vertebral body is re- demonstrated.
shortness of breath and dyspnea on exertion with bilateral lower extremity edema.
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The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. There is again a large anterior eventration of the right hemidiaphragm, not significantly changed. A streaky opacity at the right lung base suggests unchanged atelectasis associated with the eventration. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.
dyspnea.
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The heart is normal in size. There is a moderate tortuosity to the descending thoracic aorta. The lungs appear clear. There are no pleural effusions or pneumothorax. Moderate degenerative changes affect the lower most part of the thoracic spine.
left axillary pain.
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Mild right basilar atelectasis. Trace left pleural effusion or thickening stable. Heart size at the upper limits are normal. Normal pulmonary vascularity. No pneumothorax. Degenerative arthritis bilateral shoulders, with probable loose bodies in left subcoracoid recess.
<unk> year old woman with incarcerated hernia // pre op surg: <unk> (hernia repair)
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As compared to the previous radiograph, there is unchanged mild, probably vascular right paramediastinal opacity at the right lung apex. No acute or new parenchymal opacity. Minimal bilateral apical thickening. A <num> mm soft tissue lung nodule is seen, partly projecting over the eighth rib. This small nodule appears to have been present on the previous examination. Normal size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta.
dyspnea on exertion, rule out pneumonia.
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Ap and lateral views of the chest were compared to previous exam from <unk>. The lungs remain clear. The cardiomediastinal silhouette is stable. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with fall and elevated white count. rule out pneumonia.
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Pa and lateral views of the chest are obtained. Hyperinflation of bilateral lungs is again seen, consistent with copd. No new focal consolidations, pleural effusions or soft tissue changes are noted since the prior exam. No pneumothorax is seen. Bilateral apical opacities likely representing scarring remain unchanged. The cardiomediastinal silhouette is unremarkable. If evaluation for fracture is indicated, recommend detailed views of the area of focal physical exam findings.
<unk>-year-old male with trauma last week and pain in the right lateral ribs with basilar rales and cough. evaluation for pneumonia and fractures.
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Frontal and lateral views of the chest were obtained. The heart is of top normal size, exaggerated by low lung volumes. Cardiomediastinal contours are unremarkable. Pulmonary vasculature is unremarkable. Lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. Median sternotomy wires are intact. Osseous structures are unremarkable.
<unk>-year-old male with weakness. evaluate for pneumonia.
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The patient is status post median sternotomy and cabg. There is mild enlargement of cardiac silhouette which is unchanged. Mediastinal and hilar contours are unremarkable. Aortic knob calcifications are again seen. There is persistent upper zone vascular redistribution, compatible with chronic congestion, but no overt pulmonary edema. Linear opacity within the right lung base likely reflect subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is present.
worsening left-sided weakness, chest pain.
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Frontal and lateral radiographs of the chest demonstrate clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. Median sternotomy wires and mediastinal clips are noted.
history: <unk>m with extensive cardiac pmh who presents with doe. // ? pna ? chf exacerbation ? pleural effusion
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Pa and lateral chest radiographs were obtained. Lung volumes are low. There is increased interstitial opacity in the right lung base seen on the frontal view without correlate on the lateral projection. This is more pronounced since <unk>. There is prominent calcification of the right anterior <num>th rib end. A right chest port-a-cath tip terminates in the low svc. There is no effusion or pneumothorax. Cardiac and mediastinal contours are normal.
lung cancer.
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Pa and lateral views of the chest provided. Vp shunt tubing courses inferiorly through the right chest wall. Low lung volumes limits assessment. Allowing for this, the lungs are clear. No focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable with mild cardiomegaly again seen. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with shortness of breath // acute process?
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Linear bibasilar opacities most likely represent atelectasis. No new opacity concerning for pneumonia. No, pulmonary edema, pleural effusion or pneumothorax identified. The heart is enlarged and there is evidence of prior surgery. The aorta is ectatic.
history: <unk>m with cough*** warning *** multiple patients with same last name! // cough
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable. There is no pulmonary edema. Multi-level degenerative changes including multilevel anterior osteophytes are seen along the thoracic spine.
history: <unk>f with r upper abdominal pain // evaluate for pulmonary edema, effusion
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The heart is mild to moderately enlarged. The aorta is tortuous. The cardiac, mediastinal and hilar contours are probably unchanged allowing for differences in technique, including a convex contour to the right upper mediastinum, which is commonly due to tortuosity of great vessels. There is no focal opacification. The interstitium is again mildly coarse, but similar to baseline. Fissures are mildly thickened as best depicted on the lateral view and there are also trace posterior pleural effusions.
right upper extremity cellulitis and hypoxia.
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Frontal and lateral views of the chest. There is moderate cardiomegaly. Indistinct pulmonary vascular markings seen bilaterally. Small bilateral pleural effusions are present. The trachea is deviated to the right at the thoracic inlet, potentially due to right-sided thyroid enlargement. No acute osseous abnormality is identified.
<unk>-year-old female with shortness of breath, told she had fluid in her lungs.
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Ap and lateral views of the chest. Slightly lower lung volumes seen on the current exam. Streaky right mid-to-lower lung opacities are again seen, suggestive of scarring. Indistinct pulmonary vascular markings are seen throughout. There is a small right-sided pleural effusion. Degree of cardiomegaly has not changed. Prosthetic aortic and mitral valve prostheses are noted. There is a compression deformity in the lower thoracic spine which was not present on prior and is age indeterminate. Enlarged main pulmonary artery again seen compatible with pulmonary hypertension.
<unk>-year-old female with history of chf with worsening shortness of breath.
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Given slightly low lung volumes, the lungs appear clear. Cardiac size is within normal limits. There is no pleural effusion, pulmonary edema or pneumothorax. The lateral view is limited due to overlying soft tissues and the low lung volumes. L-shaped metallic density along with <num> other small densities, one projecting right of the trachea the other near the left shoulder are presumed to be external to the patient.
productive cough x<num> days
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Cardiac silhouette size is normal. The mediastinal and hilar contours are unchanged with extensive atherosclerotic calcifications of the thoracic aorta again noted. Cavitation with surrounding opacification in the right upper lobe with associated apical pleural thickening, architectural distortion and volume loss appears unchanged from the previous radiograph. Pulmonary vasculature is not engorged. Remainder of the lungs are clear without new focal consolidation. No pleural effusion or pneumothorax is identified. Remote left-sided rib fractures are again noted.
history: <unk>f with dyspnea
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The lungs are well expanded and clear. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is unremarkable. No evidence of lymphadenopathy. Visualized osseous structures are unremarkable.
<unk>-year-old male with headaches, monoarthritis of the toe, cough, and elevated esr and crp, now requiring assessment for evidence of sarcoidosis.
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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 pmh endometrial cancer presenting with ha and neck stiffness // cardiopulmonary process
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Frontal and lateral views of the chest. Left picc is no longer visualized. The lungs are clear without consolidation or effusion. Mild cardiomegaly. Enlarged right hilar contour is unchanged when dating back to <unk>, may represent enlarged pulmonary artery. Right shoulder arthroplasty is noted. Hypertrophic changes are noted in the spine.
<unk>-year-old male with cirrhosis and lower extremity edema.
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Ap upright and lateral views of the chest were provided. Lung volumes are low material lying for this there is invaded ground-glass opacity in the lower lungs bilaterally which is concerning for pneumonia. There is also likely a superimposed component of atelectasis. There is no large effusion or pneumothorax. Heart size is difficult to assess. The mediastinal contour is prominent but this is stable and likely reflects unfolded thoracic aorta. No definite bony abnormality. Chronic degenerative disease of the right shoulder is noted.
<unk> year old female with shortness of breath, question pneumonia.
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Lung volumes are low, without focal consolidation. The cardiomediastinal silhouette is unchanged. There is no pneumothorax. Prior right posterior rib fractures with deformity are again seen. There are small bilateral effusions and bibasilar atelectasis. Severe degenerative changes of the right acromioclavicular and glenohumeral joint again seen. Bilateral high riding humeral heads likely reflect chronic rotator cuff disease.
<unk>-year-old female with altered mental status, evaluate for pneumonia.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear except for a linear focus of atelectasis or scar at the left base. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. The patient is status post prior median sternotomy and coronary bypass surgery.
asbestos surveillance
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There is mild pulmonary edema and small bilateral pleural effusions. More focal consolidation identified at the right lung base. Moderate to severe enlargement of the cardiac silhouette is seen. There is no prior exam to evaluate for interval change. No acute osseous abnormalities, hypertrophic changes noted in the spine.
<unk>m with hx of chf p/w cough, dyspnea, and weight gain // assess for edema, effusion, infiltrate
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The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal. Thoracic spine degenerative changes are mild.
shortness of breath and chest pain.
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The lung volumes are low. There is no evidence of pneumothorax or pleural effusions. Crowding of the vascular and bronchial structures at the lung bases but no evidence of atelectasis, pneumonia or pulmonary edema.
recent fall, rib pain, rule out pneumothorax.
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There is no focal consolidation, effusion, or pneumothorax. The ascending aorta is tortuous. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>m with ?cp // eval for cp
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A right port-a-cath is unchanged with the tip ending in the low svc. Streaky right basilar opacity is most suggestive of atelectasis. The lungs are otherwise clear without pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are within normal limits. Multilevel degenerative changes of the thoracic spine are noted.
history of cancer, now with hypoxia and tachycardia, here to evaluate for pneumonia.
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There are large bilateral pleural effusions. Heart size is not evaluable in this context. Prominent calcifications are noted at the aortic knob. There is central pulmonary vascular congestion with mild edema. There is no pneumothorax. Basal consolidations could represent atelectasis versus aspiration/pneumonia.
altered mental status.
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. The heart size is normal. Mediastinal contours are normal. Redemonstrated are several healed, right rib fractures.
history of copd and multiple myeloma, now with persistent cough and dyspnea. evaluate for pneumonia.
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Ap upright and lateral chest radiograph was obtained. The lungs are low in volume with increased interstitial opacity consistent with the chest ct findings of interstitial lung disease. Bibasilar atelectasis is noted without pneumothorax or pleural effusion. Mediastinal and hilar contours as well as cardiac size are unremarkable with post cabg changes noted. The left rib fracture seen on ct is not identified on these views.
head and neck and back pain.
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There is minimal left base atelectasis. The cardiac and mediastinal silhouettes are unremarkable.
fever, cough.
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A right-sided picc line terminates at the cavoatrial junction, as before. The cardiac, mediastinal and hilar contours appear unchanged. The aorta is tortuous. There is no pleural effusion or pneumothorax. A left upper apical granuloma appears unchanged.
hypotension and fever. history of osteomyelitis.
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As before, there are low lung volumes accentuating the pulmonary vasculature and cardiac contour, however there is no evidence of pneumonia. There is a new small left pleural effusion. No pneumothorax. Cardiomediastinal contours are normal.
<unk> year old man with s/p trauma, ex lap, bladder rupture/repair now with fever // eval pna
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Ap and lateral images of the chest. A right-sided central line terminates in the low svc. The lungs are well expanded. There is mild pulmonary vascular prominence, which has progressed over the last several exams. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. Moderate to severe cardiomegaly is again noted.
cough and fever.
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Ap upright and lateral views of the chest provided. Retrocardiac opacity is noted which is concerning for a a partially layering right pleural effusion with probable adjacent right basal consolidation. Findings are best seen on the lateral projection. Left chest wall pacer device is again seen with pacer leads extending into the region of the right atrium and right ventricle as on prior. The heart remains mildly enlarged. Bony structures are intact.
<unk>m with difficulty breathing, tachypnea //
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen.
<unk>m with chest pain // r/o pneumothorax
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The lungs are clear, but hyperinflated. The cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old with chest pain and syncope.
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Left apical pleural fibrosis is unchanged. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal. No bony abnormality is detected.
shortness of breath and right-sided wheezing.