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Cardiomegaly is a stable. The there is no evident pneumothorax. Thickening of the right pleural and a small right effusion are stable. Patient has known emphysema and interstitial reticular are opacities in the lower lobes better seen in prior ct. New opacity in the periphery of the right upper lobe could represent atelectasis or aspiration attention on followup is recommended. Biapical scarring with calcifications right greater than left is better evaluated in prior ct
<unk> year old woman with recurrent pneumothorax s/p mechanical pleurodesis now with chest tube removed; please schedule for <time> pm // interval change with chest tube removed; please schedule for <time>pm
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Frontal and lateral radiographs of the chest demonstrate a stable moderately enlarged heart. The cardiomediastinal silhouette and hilar contours are unchanged with a tortuous calcified aorta and calcification of the mitral annulus. The lungs are clear. No pleural effusion or pneumothorax. No displaced rib fracture identified.
history of osteoarthritis, osteopenia status post fall complaining of mid thoracic back pain and left axillary rib pain. question fracture.
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There is left-sided tunneled dual-lumen venous catheter seen with distal tip in the right atrium, similar to prior. The lungs are clear. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips are again seen.
<unk>-year-old female with possible blocked left tunneled hemodialysis line.
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A moderate right pleural effusion is again seen, with increasing overlying atelectasis. The left lung remains clear. No left pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are stable. The patient is status post median sternotomy and cardiac valve replacement. .
history: <unk>m with dyspnea // eval for effusion on r vs pna
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Elevation of the right hemidiaphragm is chronic. The cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is not engorged. Trace right pleural effusion is unchanged. No left sided pleural effusion or pneumothorax is seen. There is minimal streaky opacity in the left lung base likely reflective of atelectasis. No pulmonary edema is present. There are no acute osseous abnormalities.
complaints of left-sided chest pain.
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Pa and lateral views of the chest. The lungs, heart, mediastinum, and pleural surfaces are normal. There is no evidence of pneumonia. There is no pneumothorax or pleural effusion. There is no mediastinal widening.
chest pain, question pneumonia.
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In comparison to the film from two days prior, the retrocardiac opacity appears to have improved, although there is still a left-sided pleural effusion. Suprahilar right-sided opacities are related to the patient's known malignancy as is the hilar level opacity with fiducial seed. Cardiac size is top normal. No pneumothorax or pulmonary edema is identified. There is no convincing evidence of pneumonia. An abnormal contour at the medial aspect of the right hemidiaphragm is related to a hiatal hernia as seen on the <unk> ct.
<unk>-year-old with fever and weakness.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Surgical clips project over the anterior left chest. .
history: <unk>f with sob // eval pneumonia, other acute process
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Pa and lateral views of the chest provided. Midline sternotomy wires, mediastinal clips and prosthetic cardiac valves again noted as well as abandoned pacer leads and midline sternotomy wires. Interval removal of the right ij central venous catheter and feeding tube airspace consolidation is again noted in the right lower lung which is is concerning for pneumonia. There is a small right pleural effusion. Hilar congestion is noted without frank edema. Heart is stably enlarged.
<unk>m with esrd on dialysis w/ increasing doe x <num> wk, crackles b/l to apices, hernia repair <unk> // eval ? effusion, edema
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Pa and lateral views of the chest. The lungs remain clear. There is no effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. The trachea is deviated to the left at the thoracic inlet potentially due to right-sided thyroid enlargement. Atherosclerotic calcifications are noted at the arch of the aorta. Compression deformity in the lower thoracic spine is unchanged.
<unk>-year-old female with new onset of hyponatremia. rule out lung process.
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As compared to the prior examination dated <unk>, there has been a interval improvement in the right pleural effusion, now small in size. Mild, left lower lobe atelectasis is noted. No focal consolidation, pneumothorax, or pulmonary edema is identified. The heart size is normal. Mediastinal and hilar contours are normal. Redemonstrated are several embolization coils seen projecting along the right anterior mediastinum. Also seen is a large radiopaque lesion within the right hepatic lobe, consistent with the patient's prior tace procedure.
history of hepatocellular carcinoma and prior pleural effusion.
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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. No displaced fracture is seen.
chest pain.
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The lungs are grossly clear. There is no effusion, consolidation, or edema. Cardiomediastinal silhouette is stable. Median sternotomy wires and mediastinal clips are again seen. No acute osseous abnormalities. Sclerosis of the visualized osseous structures, for example involving the right scapula and proximal humerus are compatible with metastatic disease.
<unk>f with fall on coumadin. confused // ?fracture or bleed
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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 s/p fall l ankle deformity. pre-op cxr as well. // fx, pre-op
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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected. There is no free air beneath the hemidiaphragms. An air-filled stomach and loop of nondilated colon is seen in the left upper quadrant.
<unk>f with chest pain // infiltrate?
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Lungs are slightly low volume. As before, the right hemidiaphragm is elevated. The is mild cardiomegaly, unchanged compared with <unk>. The appearance of the lungs is also unchanged. Possible mild crowding of vessels in the right cardiophrenic region with increased density posteriorly is unchanged compared with <unk> and could be related to the elevated hemidiaphragm. No superimposed infiltrate is identified. No pleural effusion or pneumothorax detected. Mild degenerative changes in thoracic spine are similar to prior. Right upper quadrant surgical clips noted.
<unk>f with chest pain.
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Frontal and lateral chest radiographs demonstrate cardiomegaly with mild central vessel congestion. Right lower lung opacification likely represents a combination of elevated hemidiaphragm, atelectasis and reported hemothorax. Minimal blunting of the left costophrenic angle may reflect small pleural effusion versus scarring. No pneumothorax identified, though there is subcutaneous gas within the right chest wall surrounding a right chest tube.
right-sided chest tube, hemothorax. please evaluate and chest tube placement.
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
<unk>-year-old female with shortness of breath.
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Lungs are hyperinflated. Partially loculated right pleural effusion is grossly unchanged, including fluid within the fissure. There is superimposed parenchymal opacity in the right mid to lower lung which is new since recent exam. Left lung is clear. Cardiomediastinal silhouette is within normal limits. Anterior cervical fixation hardware is noted. No acute osseous abnormalities.
<unk>m with nausea, vomiting, fever, cough // eval for pneumonia
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Rectangular metal density overlying the right neck likely represents a hair clip. Normal cardiomediastinal and hilar contours. Normal pleural surfaces. Fully expanded, clear lungs. No acute pneumonia.
<unk>-year-old woman with productive cough and myalgias. evaluate for pneumonia.
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Cardiomegaly is unchanged. Lung volumes are decreased accentuating the bronchovascular structures. There is no focal consolidation, pleural effusion or pneumothorax.
confusion. evaluate for pneumonia.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.
left-sided tingling and leukocytosis.
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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>. Heart size is unchanged. Moderate widening and elongation of the thoracic aorta as before. No local contour abnormalities. The pulmonary vasculature is not congested. The previously identified post-interventional parenchymal density in the left lower lobe posterior area has now regressed and the density assumed the size of the previously identified suspicious lesion. No remaining pneumothorax or new pleural effusion is identified.
<unk>-year-old female patient with left lower lobe mass, status post ct-guided biopsy performed on <unk>, assess for interval change.
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Midline drain and right thoracostomy tube appear unchanged in position. Pulmonary vascular congestion is mild, and unchanged. No focal parenchymal consolidation. Small left pleural effusion is stable. No pleural effusion on the right. Oval-shaped lucency at the right lung base most likely represents pneumoperitoneum, although a small subpulmonic pneumothorax cannot be excluded. Expected postoperative appearance of the cardiomediastinal silhouette.
<unk> year old man s/p mie // check interval change
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In comparison with study of <unk>, there is little change in the degree of left pneumothorax. Persistent atelectatic changes are seen at the left base. On the lateral view, there is an air-fluid level posteriorly, consistent with some degree of hydropneumothorax, possibly loculated. Dilatation of gas-filled loops of bowel is consistent with adynamic ileus.
pneumothorax.
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The lungs are hyperinflated. The cardiomediastinal silhouette is unchanged, with multiple mediastinal clips and intact median sternotomy wires. Aortic arch calcifications are again noted. There is no pleural effusion, over pulmonary edema, or pneumothorax. No focal consolidation is identified.
history: <unk>m with sob // ro infection
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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 cough and subj fevers // r/o acute infectious process
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The right ij introducer sheath has been removed. Small left pleural effusion, similar. Decreased left basilar atelectasis. Stable right perihilar atelectasis. Sternotomy, postoperative changes. .
<unk> year old man with s/p mv repair and lv lead // eval for effusion - please arrange with <unk> rn timing x<unk>
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A right-sided central venous access catheter terminates in the mid svc and remains in unchanged position since at least <unk>. Borderline cardiomegaly remains essentially unchanged since <unk>. Lungs are clear. There are no pleural effusions or pneumothorax. Multiple vertebral body compression fractures are again seen and are unchanged since at least <unk>.
<unk>-year-old woman with myeloma and no blood return from port. study requested for evaluation of placement.
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Pa and lateral views of the chest. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is normal. No acute osseous abnormality is seen.
<unk>-year-old female with chest tightness.
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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 cp, sob // eval for cardiopulmonary abnormality
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Pa and lateral views of the chest were reviewed. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well expanded and clear. There is no focal consolidation concerning for pneumonia.
chest pain.
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Ap upright and lateral views of the chest provided. Lung volumes somewhat low. No free air below the right hemidiaphragm. Mild basilar atelectasis noted bilaterally. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact.
<unk>f with back pain, hx pud, active gib
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Upright pa and lateral radiographs of the chest. The lungs are normally expanded and clear. There is no focal airspace consolidation. There is likely mild cardiomegaly. The mediastinum and hilar contours are normal. Pulmonary vascularity is normal and symmetric. There is no evidence of frank pulmonary edema. There is no pleural effusion or pneumothorax detected.
lower extremity swelling. question congestive heart failure.
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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 fever
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Right upper lung scarring is re- demonstrated. Opacity along the periphery of the right major fissure correlates to fat on the previous ct. No evidence of pneumonia are new. The cardiac, hilar and mediastinal contours are normal.no pleural effusion, pulmonary edema, or pneumothorax. Vp shunt catheter and ivc filter are incompletely imaged. Right breast prosthesis is also noted.
history: <unk>f with history of breast/lung cancer here with weakness
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Ap and lateral views of the chest are compared to prior chest ct from <unk>. Low lung volumes are seen. The lungs, however, are clear of consolidation or effusion. There is the suggestion of a small hiatal hernia based on the frontal exam, similar in configuration compared to prior given rightward deviation of the right paraspinal line. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with acute onset of chest pain, worse with inspiration and epigastric pain. history of hiatal hernia.
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Frontal and lateral radiographs of the chest were acquired. Lung volumes are slightly low. There is a new wedge-shaped opacity within the posterior aspect of the left lower lobe, projecting over the spine on the lateral radiograph, possibly representing a pulmonary infarction given the patient's history of pulmonary embolism (as seen on ct from <unk>). Band-like parenchymal opacity extending from the left hilum, at the level of the left upper lobe, is not significantly changed in appearance. A nodular right upper lung opacity projecting over the right second intercostal space, is slightly decreased in size compared to prior radiograph from <unk>. The heart size is normal. The mediastinal contours are normal. A small left pleural effusion cannot be excluded. There is no pneumothorax.
abdominal and chest pain. 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. Bony structures are unremarkable.
periscapular back pain.
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Ap upright and lateral views of the chest demonstrate low lung volumes. Diffuse bilateral streaky opacities could be related to pulmonary vascular crowding from low lung volumes or mild vascular congestion. Mild peribronchial cuffing is noted. Heart is top normal in size, and cardiomediastinal contour is unremarkable. No large effusions or pneumothorax.
<unk>-year-old man with a history <unk> <unk>'s who presents with altered mental status and rhonchi on chest auscultation, evaluate for pneumonia.
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The lungs are well expanded and clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged in appearance. Mild, s-shaped scoliosis is centered within the mid thoracic spine, similar to the prior examination.
history: <unk>f with dizziness // eval infiltrtate
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There is a large spiculated mass in the right middle lobe. A small right pleural effusion is noted. No evidence of pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
<unk> year old man, active smoker, with <num> month unintentional weight loss and elevated inflammatory markers. // eval for occult lung mass
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Compared with radiograph performed approximately <num> days ago there has been interval development of a right lower lobe opacity, with obscuration of the right heart border. There is a small amount of layering pleural effusion with some fluid within the minor fissure. On the left there is a small pleural effusion. A vague small opacity is seen in the left upper lung which appears new from prior. There is increased vascular congestion and interstitial markings bilaterally. Right-sided central line ends in the right atrium as before. Sternotomy wires are intact.
<unk>-year-old female with new hypoxia and chest pain.
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The heart is mild-to-moderately enlarged. Fullness of the right paratracheal stripe may be due to underlying tortuous vessels. Fullness of the right hilum is likely accentuated by low lung volumes. No pulmonary vascular congestion is present. No focal consolidation, pleural effusion or pneumothorax is seen. Elevation of the right hemidiaphragm is noted. There are no acute osseous abnormalities.
cough and shortness of breath.
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Ap and lateral views of the chest. The lungs are clear without consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified. There is a chronic mild compression deformity of the lower thoracic vertebral body.
<unk>-year-old male with fall.
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Frontal and lateral radiographs of the chest demonstrate normal heart size. The cardiomediastinal silhouette and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax.
weakness, question pneumonia
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The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. Lungs are well-expanded and clear without focal consolidation concerning for pneumonia.
<unk>f with asthma here with fever tachycardia sob and increased sputum production.
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The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. The mediastinal and hilar contours are unremarkable.
chest pain and dyspnea. evaluate for pulmonary edema or pneumonia.
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The lungs are grossly clear. Lateral view is limited due to the low lung volumes. No effusion is identified. There is moderate cardiomegaly and atherosclerotic calcifications of the aortic arch. No acute osseous abnormalities identified.
<unk>f with altered mental status. // eval for acute process
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Frontal and lateral chest radiographs were obtained. A right chest tube remains in place with its tip in the apex. Only a tiny right apical pneumothorax persists. There is improvement in bilateral basilar atelectasis, though a small right effusion is still present. There is stable postoperative widening of the right mediastinal contours, consistent with esophagectomy and pull-up procedure. A left chest port-a-cath has its tip in the lower svc. The ng tube has been removed.
patient status post minimally invasive esophagectomy, check interval change.
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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. The osseous structures are unremarkable.
chest pain.
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The lungs are well inflated and clear. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax. Patient is status post sternotomy and coronary artery bypass graft surgery. A <num> lead aicd device appears unchanged.
<unk>m with chest pain, dyspnea, rule out wide mediastinum, pneumonia, pulmonary edema.
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The lungs are well expanded and clear. Mediastinal contours, hila, and cardiac silhouette are normal. There is no pneumothorax or pleural effusion. Degenerative changes are seen in the spine.
<unk>m with cough, fever // eval for pna
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable.
history: <unk>f with afib // eval for chf
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The mediastinal contours are within normal limits. Atherosclerotic calcifications are noted along the aortic arch. There is moderate-to-severe enlargement of the cardia silhouette. Mild loss of height is noted in a mid thoracic vertebral body. The chronicity is unknown.
dyspnea on exertion.
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Heart size is normal. The mediastinal and hilar contours are normal. A faint <unk>-mm nodular opacity projecting within the left lower lobe and left anterior <num>th rib is noted. Remainder of the lungs are clear. No pleural effusion, pneumothorax, or pulmonary edema. No acute osseous abnormalities are seen.
right-sided flank pain, worse with inspiration.
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Frontal and lateral views of the chest. The lungs are clear without focal consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old male with chest pain.
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Lung volumes are lower compared to the previous study which accentuates the size of the cardiac silhouette which appears moderately enlarged. Superior mediastinal widening is re- demonstrated, potentially due to the presence of mediastinal fat and low lung volumes. Atherosclerotic calcifications of the aortic knob are present. There is crowding of bronchovascular structures without overt pulmonary edema. Small hiatal hernia persists. Apart from atelectasis at the lung bases, no focal consolidation, pleural effusion or pneumothorax is present. The osseous structures are diffusely demineralized with moderate degenerative changes seen in the thoracic spine.
history: <unk>f with weakness
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Again noted are small right and moderate pleural effusions, not significantly changed since prior examination with associated atelectasis. No definite focal consolidation is identified ; there is bilateral apical scarring. There is stable hyperexpansion of the lungs. The cardiomediastinal silhouette is unremarkable.
history: <unk>f with increased doe over past week- r/o chf // r/o chf/pna
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Lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with chest pain, fevers, headache // ?pna,
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. There is no large effusion. No pneumothorax or confluent consolidation.
<unk>-year-old male with slurred speech.
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Moderate decrease in right-sided pleural fluid. Associated opacification of the right lung has improved. No pneumothorax. Right-sided pleural catheter in similar position. The left lung is clear.
<unk> year old woman with pleural effusion // eval
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Pa and lateral views of the chest provided. Mediastinal prominence better assessed on same-day ct of the neck performed at an outside hospital. There is mild basal atelectasis evidenced by subtle reticulonodular opacities in the lower lungs, difficult to exclude pneumonia. No large effusion or pneumothorax. Cardiomediastinal silhouette is unchanged. Bony structures are intact.
<unk>f with sob, cough // pna
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Patchy left base retrocardiac opacity is worrisome for pneumonia. The right lung is clear. The lungs are overall hyperinflated, which may be due to chronic obstructive pulmonary disease. No pulmonary edema is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. The hilar contours are stable.
cough, shortness of breath.
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The heart is mildly enlarged and the aorta is slightly tortuous, similar to prior. There is no focal infiltrate or effusion.
cough and hemoptysis.
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Right chest wall port is again seen with catheter tip at the ra svc junction. Slightly lower lung volumes seen on the current exam. The lungs however remain clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with on chemo w/ high fever // r/o pna
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Cardiomediastinal contours are stable with cardiac size top normal and tortuous aorta. Faint opacities in the left lower lobe are stable. There are no new lung abnormalities. The upper lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable. Left picc in standard position
<unk> year old man with new cough, ? aspiration event <unk> // pna? effusion?
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Mild cardiomegaly is unchanged. The cardiac and mediastinal silhouettes are otherwise unremarkable.
history: <unk>m with sickle cell, chest/belly pain // ?pna
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Pa and lateral chest radiographs were provided. Lung volumes are slightly low. There is no focal consolidation, pleural effusion or pneumothorax. Linear opacities at the bases are likely atelectasis. The cardiomediastinal silhouette is notable for a tortuous aorta. The bones are intact.
pancreatitis. evaluate for pleural effusion.
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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>m with fever cough // eval for pna
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Patchy right base opacity raises concern for pneumonia versus possibly atelectasis. The left lung is clear. No pleural effusion or pneumothorax is seen. The cardiac silhouette appears top-normal. Mediastinal contours are unremarkable. No pulmonary edema is seen.
history: <unk>m with fever, ams // eval for pna
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There is complete opacification of the right lung base, compatible with a moderate-sized right pleural effusion with underlying atelectasis or consolidation. The presence of kerley b lines suggest mild interstitial pulmonary edema. The left lung base is well aerated. There is no pneumothorax. The cardiac silhouette is incompletely evaluated due to opacification at the right lung base. The mediastinal and hilar contours are within normal limits. There is partial opacification of the aortic knob. No acute osseous abnormality is detected.
dyspnea and decreased breath sounds on the right on physical exam, here to evaluate for pleural effusion or pneumonia.
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There is obscuration of the right heart border with opacity confirmed on the lateral view compatible with a right middle lobe pneumonia. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is otherwise unremarkable. Bilateral nipple rings are identified. No acute osseous abnormalities.
<unk>f with <unk> wks fever, cough // r/o pna
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As compared to the previous radiograph, there is no relevant change. Left basal opacity with marked elevation of the left hemidiaphragm and overinflation of the left apical lung portions. Apical medial thickening on the left. The right lung appears normal. Normal size of the cardiac silhouette. Unchanged projection of surgical materials over the left upper quadrant.
history of ground-glass opacities seen on lung ct, evaluation.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. A pleural adhesion is seen in the left lower lung. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Patient is status post median sternotomy and numerous surgical clips are seen in the mediastinum.
<unk> year old man with -- fever and malaise but no significant cough // r/o pneumonia
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Pa and lateral views of the chest were reviewed. The heart size is normal. There may be left hilar lymphadenopathy. Obscuration of the left heart border with a focal, almost mass-like opacity in the lingula has the suggestion of an air fluid level, concerning for cavitation. More diffuse increased interstitial markings in the left upper lobe are also present. The right lung is clear. There is no pleural effusion or pneumothorax.
weakness, confusion.
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As compared to the previous radiograph, there is no relevant change. The lung volumes are normal. There is no evidence of pneumothorax or overinflation. The structure and transparency of the lung parenchyma is unremarkable. No evidence of pulmonary edema or pneumonia. Normal size of the cardiac silhouette, normal hilar and mediastinal contours.
cough, rule out pneumonia.
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. The aortic knob is again calcified. No overt pulmonary edema is seen.
altered mental status, wandering outside.
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Heart size is top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Subsegmental atelectasis in the right lung base is noted. Otherwise the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The patient is status post bilateral mastectomies. S-shaped scoliosis of the thoracolumbar spine is re- demonstrated.
chest pain.
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In comparison with the study of <unk>, there is the suggestion of some increased opacification in the retrocardiac region. Although this may merely be related to atelectasis or even a technical artifact, in the appropriate clinical setting supervening pneumonia at the left base would have to be considered.
chemotherapy for lymphoma, to assess for pneumonia.
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Pa and lateral views of the chest provided. Lung volumes are somewhat low though allowing for this, lungs are clear. 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 chest pain
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A right internal jugular venous catheter terminates at the cavoatrial junction. Streaky left mid to lower lung opacities appear unchanged and suggest minor atelectasis. The right hemidiaphragm is persistently elevated with blunting of the right costophrenic sulcus. The only clear change is some improvement in aeration of the right upper lobe. There is air-fluid level projecting along the right lateral and posterior parts of the outer chest, but decreased on the posterolateral view, which could be seen with redistribution of the fluid or some differences in orientation between the radiographs. However, the total extent of air and fluid is not necessarily changed. A displaced right fourth rib fracture and a non-displaced right fifth rib fracture are noted.
status post tracheobronchoplasty.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
light-headedness.
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The cardiac silhouette size is normal. The aorta is mildly tortuous. Pulmonary vascularity is normal. The hilar and mediastinal contours are otherwise unremarkable. Linear opacities within the left lung base likely reflect atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
fever.
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Heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations, pleural effusions or pneumothoraces. The visualized osseous structures are unremarkable.
history of hematemesis and chest pain, rule out intrathoracic process.
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is seen.
fall with posterior back pain and scapular pain.
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Compared to the scout film from the ct chest of <unk>, the right upper lobe opacity is increased. Right lower lung zone opacity, most likely in the middle lobe is also worse. The left lung is clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The osseous structures are unremarkable.
<unk>-year-old woman with new right upper lobe and right lower lobe infiltrate on ct and new right lateral pleuritic chest pain possibly due to mac or pneumonia. assess for left-sided infiltrates and progression.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. An azygos fissure is incidentally noted. There is no pleural effusion or pneumothorax.
<unk>-year-old female with syncope. evaluate for acute cardiopulmonary process.
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Frontal and lateral radiographs of the chest demonstrate a right chest tube in unchanged position in the right apex. There is a small right apical and right basilar pneumothorax which is smaller compared to the study done earlier the same day. Small right pleural effusion is not significantly changed. There is slight decrease in size of small left pleural effusion. Pneumomediastinum and extensive subcutaneous emphysema is gradually decreasing. Stable heart size and mediastinal contours.
chest tube drainage system malfunction. evaluate for pneumothorax and pleural effusion interval changes.
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Pa and lateral views the chest provided demonstrate clear well expanded lungs without focal consolidation, large effusion or pneumothorax. There is a c-shaped calcification projecting over the heart, as on prior, compatible with mitral annular calcification. The heart is not enlarged. The mediastinal contour is normal. Bony structures are intact.
<unk>f with altered mental status.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with chest pain cough // eval for pna
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The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
chest pain. evaluate for cardiopulmonary disease or infiltrate.
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Moderate hiatal hernia, which exaggerates heart size, borderline in size. No pleural effusion. No pneumothorax or focal consolidation.
<unk> year old woman with persistent cough over <num> month, no fever // lesions?
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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 similar study of <unk>. Mediastinal structures, heart and significant pericardial fat pad of unchanged appearance. The pulmonary vasculature is not congested. Central airways including trachea and main bronchi on frontal view appear free. There exists a few peripheral linear plate atelectasis on the left base, rather unchanged. Crowded appearance of pulmonary vasculature in retrocardiac left-sided area suggestive of partial atelectasis and unchanged. On the right side, there exists a small plate atelectasis in the mid lung, apparently regressing from previous findings. Noteworthy is, however, that the amount of pleural blunting of the lateral sinus has increased indicating mild increase of the right-sided pleural effusion. Amount of pleural density in the right-sided posterior pleural sinus, however, is small. There is no evidence of pneumothorax in the apical area and the previously identifiable remaining local soft tissue emphysema has now disappeared.
<unk>-year-old male patient with recent tracheoplasty operation, now with pleuritic chest pain after tracheoplasty.
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The heart size is normal. The aortic knob is calcified. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is within normal limits. Faint nodular opacity within the right lung base measuring up to <num> mm is unchanged compared to the prior study. Lungs are hyperinflated. No focal consolidation, pleural effusion or pneumothorax is present. Scarring within the lung apices is present. Mild reduction of height of a low thoracic vertebral body is unchanged.
fatigue and altered mental status.
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Left pectoral pacemaker and its leads are in unchanged positions. <num> leads are identified terminating in the right atrium, right ventricle, and coronary sinus. Sternotomy wires are intact. Prosthetic aortic valve is noted. Mild atelectasis is noted in the left lung base. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is normal size.
<unk> year old man with pacemaker // evaluate for lead position
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The lungs are hyperinflated but clear of new consolidation. Prior right-sided pleural effusion is no longer visualized. Right upper lung pulmonary nodule is again noted. Previously seen left perihilar nodule is not clearly delineated on the current exam. Other known pulmonary nodules on prior ct are not clearly identified. The cardiomediastinal silhouette is within normal limits. Coronary artery stent identified. Atherosclerotic calcifications noted at the aortic arch. Surgical clips seen in the mid upper abdomen.
<unk>m with lung ca presents with <num> week hx of fever // eval for consolidation / pna
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The lungs are clear of airspace or interstitial opacity. Mild hyperinflation. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes.
<unk> year old man with cough for <num> week productive of yellow/green sputum and sob. please eval for pna // evaluate for pneumonia
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Moderate to severe cardiomegaly is re- demonstrated, unchanged. The mediastinal contour appears similar. Perihilar haziness is present along with mild to moderate pulmonary edema, similar to that seen on the prior study. No large pleural effusion, focal consolidation, or pneumothorax is present. There is probable bibasilar atelectasis. No acute osseous abnormalities detected.
history: <unk>f with hypoxia, shortness of breath, weight gain // pulmonary edema edema?
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with sob confusion // eval for pna cxrhead ct eval for ich