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Pa and lateral chest views were obtained with patient in upright position. The heart size is normal. No configurational abnormality is identified. Unremarkable appearance of thoracic aorta and no mediastinal abnormalities are seen. The pulmonary vasculature is normal. No signs of acute infiltrates and the lateral and posterior pleural sinuses are free. No remaining pneumothorax in apical area, either left or right side. Comparison is made with the next preceding chest examination of <unk>. The, at that time, existing left-sided apical pneumothorax has resolved. Same holds for the diffusely increased parenchymal pattern, mostly in central location, consistent with edema. With regard to skeletal findings on this routine pa and lateral chest examination, one can notice only minor rib deformities on the left side in the form of local increased sclerosis in the posterolateral area of the seventh, eighth and ninth rib, consistent with callus formation. No persistent bony separation or marked displacement is observed on the pa and lateral chest examination. The acute trauma ct of <unk> is reviewed. At that time, multiple left-sided rib fractures were noted and seen to involve the left-sided third, fourth, sixth, seventh, eighth and ninth as well as tenth and eleventh rib. There was never any major diastasis. The present chest examination can identify local sclerosis in some of these sites, consistent with ongoing osseous healing. Detailed visualization of all the previously identified rib fracture sites would require a renewed ct examination, which is hardly indicated unless the patient displays local relevant symptoms.
<unk>-year-old male patient, with status post motor vehicle collision on <unk>, evaluate rib fractures.
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Cardiac silhouette size is mildly enlarged. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion, focal consolidation, or pneumothorax is identified. No acute osseous abnormality is detected. Marked degenerative changes of both glenohumeral joints, left greater than right, are re- demonstrated.
history: <unk>f with shortness of breath
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Streaky opacities in the lingula correspond to scarring seen on the prior examinations. Otherwise, the lungs appear clear. There are no pleural effusions or pneumothorax. A port-a-cath terminates in the same position along the upper superior vena cava. Mild degenerative changes are similar along the thoracic spine.
dry cough. history of metastatic breast cancer.
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Frontal and lateral chest radiographs demonstrate minimally increased opacity in the right lower lung, with a possible corresponding opacity projecting over the lower thoracic spine. This may represent an early pneumonia. The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable.
cough and chest pain.
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Frontal and lateral views of the chest. There has been interval development of significant right mid to lower lung opacity which is likely in part due to an effusion with possible underlying consolidation or atelectasis. Patient's known mass is also at the right lung base. There is also a rounded mass in the left lung base compatible with known malignancy. Cardiomediastinal silhouette cannot be adequately assessed. Left chest wall port is seen with catheter tip in the region of the ra/svc junction there is a rounded opacity projecting over the left lung base compatible with known mass.
<unk>-year-old male with shortness of breath. history of lung cancer.
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The lungs are clear. No pleural effusion, pulmonary edema, focal consolidation, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality.
<unk>-year-old man presenting with chest pain; evaluate for pneumonia.
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Lung volumes are low. 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. The previous right pleural effusion is substantially improved.
history: <unk>m with abd pain and fever // eval infiltrate
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Lung volumes are low. There is no focal consolidation, pleural effusion or pneumothorax. There is bibasilar atelectasis. Heart size is mildly enlarged. No acute osseous abnormalities are identified.
history: <unk>m with bladder incontinence, headache // per neuro request prior to admit.
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The lung volumes are slightly low, as before. There is minimal right lower lung subsegmental atelectasis. The lungs are otherwise clear. Heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
history of radiation fibrosis, now with dyspnea and mild stridor. post-viral inflammation. assess for findings of bronchiolitis.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The aorta is mildly ectatic and unchanged from the prior exam. No free air is identified below the hemidiaphragms. Cholecystectomy clips are present in the right upper quadrant.
epigastric pain and tenderness. evaluate for free air.
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Heart size top normal. Mediastinal and hilar silhouettes are unremarkable. No focal consolidation, pleural effusion or pneumothorax.
<unk>f with shoulder pain. evaluate for pneumothorax.
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Ap and lateral views of the chest. No prior. There is a large right and small-to-moderate left pleural effusion. Where seen, the lungs are grossly clear. The cardiac silhouette is difficult to assess given silhouetting on the left. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormality is identified noting old right lateral lower rib fracture and height loss of lower thoracic vertebral bodies.
<unk>f with unknown pmhx who presents w/ dyspnea, <unk> edema.
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The lungs are well-expanded and clear. There is no focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette, hila, and pleural are normal. There is no acute osseous abnormality.
<unk> year old man with cough, dyspnea, o<num> sats in <num> %, junky sounding lungs. was being treated with doxy for ?
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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.
<unk>m with left sided chest pain.
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No previous images. The heart is normal in size, and lungs are clear without vascular congestion, pleural effusion, or acute focal pneumonia.
failure to thrive.
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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>f with cough, prior pna // eval for pna
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A right port-a-cath is seen on the frontal radiograph with increased density at the distal end, possibly representing a kink in the line or incorrect placement. The catheter is not well seen on the lateral view. Additional views would be helpful in better assessing line placement. The lungs are clear. The heart size is normal. No pneumothorax.
<unk> year old woman with port that is not drawing back, placed one week ago, please assess placement with <num> views // port placement
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The right sixth rib has a mildly anomalous medial course, possibly post-traumatic but unchanged; otherwise bony structures are unremarkable. There has been no significant change.
chest pain.
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Lungs are clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. Extensive aortic calcifications are again seen. No focal consolidations are noted. Median sternotomy wires are intact and well aligned. No pneumothorax or pulmonary edema.
<unk> year old man with cough, green sputum // r/o pna
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In comparison with study of <unk>, there is little change in the appearance of the heart and lungs with no acute cardiopulmonary disease. Right subclavian picc line extends to the mid to lower portion of the svc.
picc placement.
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Severe cardiomegaly is re- demonstrated. The aortic arch is calcified. Mediastinal and hilar contours are unchanged. Mild pulmonary vascular congestion is demonstrated with upper zone vascular redistribution. Small left pleural effusion is likely present. Patchy bibasilar opacities may reflect atelectasis. No focal consolidation or pneumothorax is identified. Multilevel degenerative changes are again seen in the thoracic spine.
history: <unk>m with dyspnea. history of aortic stenosis, congestive heart failure, atrial fibrillation
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The heart is unchanged in size. There is moderate residual of the right pleural effusion, unchanged when compared to prior examination. Left lung is clear. There is no pneumothorax.
<unk>-year-old male patient with mpe status post talc pleurodesis. study requested for evaluation of reaccumulation of effusion.
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Known mediastinal adenopathy is not clearly delineated. No acute osseous abnormalities.
<unk>f with chest pain // eval infiltrate
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is normal. Linear opacities in the lung bases likely reflect atelectasis. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with weakness, fever
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The heart size, mediastinal, and hilar contours are normal. A hyperdensity overlying the anterior right first rib and posterior fourth rib is new since the radiograph from <unk>. While this may just be costochondral calcification, underlying nodule is not excluded. The lungs are otherwise clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>f with epigastric pain. eval for acute process.
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The patient is status post median sternotomy. The right internal jugular central venous catheter remains present, the tip projecting over the distal svc. Bilateral perihilar and lower lung zone patchy airspace opacities. Relatively unchanged left pleural effusion. No pneumothorax identified. The size of the cardiomediastinal silhouette is enlarged but unchanged.
<unk> year old woman with cabg // r/o inf, eff
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As compared to the previous radiograph, there is no relevant change. Marked tortuosity of the thoracic aorta. Borderline size of the cardiac silhouette without evidence of pulmonary edema. Normal appearance of the lung parenchyma without evidence of pneumonia, pulmonary nodules or masses or other lung parenchymal changes. No pneumothorax. Unchanged deviation of the trachea caused by a nodular and enlarged thyroid, as documented by ct examination from <unk>.
worsening cough, weight loss, evaluation.
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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. Known pleural plaques are unchanged. Cardiac and mediastinal contours are normal. The aortic arch calcifications are mild.
abdominal pain and vomiting.
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Pa and lateral views of the chest. No prior. The lungs are clear. There is no pneumothorax or pleural effusion. The cardiomediastinal silhouette is within normal limits. Free air identified below the right hemidiaphragm, compatible with recent surgery. Osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old female status post recent ovarian surgery last week with shortness of breath.
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Mild enlargement of the cardiac silhouette is unchanged. The mediastinal and hilar contours are similar. Mild pulmonary vascular congestion is present. No focal consolidation, pleural effusion or pneumothorax is seen. There are mild multilevel degenerative changes in the thoracic spine with mild loss of height of a couple vertebral bodies at the thoracolumbar junction, unchanged.
history: <unk>f with hypoxia
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Frontal and lateral views of the chest demonstrate ill-defined opacity in the left lower zone of well-expanded lungs. The cardiac silhouette and mediastinal contours are normal. The pleural surfaces are normal.
cough, decreased breath sounds in the right lower lobe, question pneumonia.
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Dual lumen right-sided subclavian central venous catheter tip terminates in the proximal right atrium. Mild to moderate cardiomegaly is re- demonstrated. Atherosclerotic calcifications are noted at the aortic knob. Mediastinal and hilar contours are unchanged. Mild pulmonary vascular congestion is present. There is a small left pleural effusion, as seen previously, with focal opacity in the left lung base potentially reflective of compressive atelectasis though infection is not excluded. No pneumothorax is detected. There are no acute osseous abnormalities.
history: <unk>f with fall on hemodialysis
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Heart size is normal. The aorta is mildly unfolded. Pulmonary vascularity is normal and the hilar contours are within normal limits. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Mild degenerative changes are seen within the thoracic spine.
shortness of breath, cough, congestion.
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Frontal and lateral views of the chest are unchanged. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. There are no acute osseous abnormalities.
cough and chest pain. evaluate for pneumonia.
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Frontal and lateral radiographs demonstrate hyperinflated lungs with diaphragmatic flattening and paucity of vessels in the bilateral upper lobes consistent with patient's known emphysema. When compared to prior film dated <unk>, there has been resolution of bilateral lower lobe opacification. There is a small left pleural effusion. There is no pneumothorax. Cardiomediastinal and hilar contours are unremarkable.
<unk>-year-old female with copd and prior pneumonia. evaluate prior infiltrates.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. Slight relative elevation of the right hemidiaphragm anteriorly is unchanged. There is no pleural effusion or pneumothorax. The lungs are clear. The osseous structures are unremarkable.
fever and malaise. question infiltrate.
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Heart size is normal. Distension of the upper thoracic and lower cervical esophagus could be related to esophageal dysmotility. Lungs and pleural surfaces are clear.
<unk> year old woman with hx of severe copd, who was recently diagnosed with aspiration pneumonia at osh // resolution of pneumonia?
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As compared to the previous radiograph, the lung volumes have clearly increased, reflecting improved ventilation. There is no evidence of a pneumothorax or another post-surgical complication. However, there is a slight opacity at the bases of the medial aspect of the right lung obscuring the right heart border. In addition, a minimal atelectasis is seen at the right lung bases. These changes could, in the appropriate clinical setting, reflect early pneumonia. No pulmonary edema. Borderline size of the cardiac silhouette. Normal hilar and mediastinal structures. At the time of dictation and observation, <time> a.m., on the <unk>, the referring physician, <unk>. <unk> was paged for notification and the findings were discussed a few minutes later over the telephone.
status post right vats thymectomy, evaluation for interval change.
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion.
<unk> year old woman with spinal cord lesion // infection?
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Patchy nodular opacities projecting over the lateral left lower lung may be due to pneumonia. No pleural effusion or pneumothorax is seen. The aorta is calcified and tortuous. The cardiac silhouette is not enlarged. Multilevel degenerative changes are seen along the spine.
history: <unk>m with doe, confusion // evaluate for acute process
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There are opacities projecting over lung bases, most conspicuous at the left lung base obscuring the left lateral costophrenic angle. There is no effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with fever, chest pain // eval for pna
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There is mild elevation of the left hemidiaphragm compared to the right. The lungs are well expanded and clear without focal consolidation concerning for pneumonia. No significant pleural effusion or pneumothorax is present. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. There is mild tortuosity of the thoracic aorta with mild calcification at the aortic knob. The mediastinal and hilar contours are otherwise within normal limits. The visualized upper abdomen demonstrates gas-containing bowel projecting over the right and left upper quadrants. Lumbar scoliosis is incompletely visualized.
persistent cough, here to evaluate for pneumonia.
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Single lead left-sided pacer device extends to the expected location of the right ventricle.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. The aorta is calcified.
history: <unk>m with cp // ptx?
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Cardiac silhouette size is normal. The mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. There appear to be minimal linear and patchy opacities both lower lobes with peribronchial cuffing. No focal consolidation, pleural effusion or pneumothorax is demonstrated. There are no acute osseous abnormalities.
history: <unk>f with cough
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Frontal and lateral radiographs of the chest demonstrate well-expanded and clear lungs. Cardiomediastinal and hilar contours are unremarkable. A small left-sided apical pneumothorax remains. There is no pleural effusion or consolidation.
<unk>-year-old man with recent pneumothorax.
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The tip of the right picc line projects over the superior cavoatrial junction. The dobhoff catheter extends to the body of the stomach. A metallic stent (tips) projects over the right upper quadrant. Small bilateral pleural effusions with adjacent atelectasis and increased septal thickening are noted in both lungs. No pneumothorax. The size and appearance of the cardiac silhouette is unchanged.
<unk> year old woman with cirrhosis and minimal abdominal ascites w/worsening exercise capacity and abdominal distension. // hepatohydrothroax?
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Pa and lateral views of the chest provided. Linear density in the right lower lung may represent atelectasis versus scarring. Otherwise, the lungs are clear with 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 who presents with cough, sore throat // r/o pneumonia
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Aside from minimal bibasilar atelectasis, the lungs are clear. Moderate cardiomegaly has increased and lung vasculature is more engorged, and there is probably a new small, right pleural effusion, but there is no pulmonary edema. Contours of the tortuous aorta are unchanged. There are no pleural abnormalities. Despite severe, erosive degenerative deformities of the humeral heads, the shoulders are not dislocated. It is not possible to say whether there has been progression of multiple wedge deformities of the thoracic vertebra.
flank pain, evaluate for pneumonia.
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There is mild tortuosity of the descending aorta. The cardiomediastinal and hilar contours are otherwise within normal limits. There is no pleural effusion, pneumothorax or focal consolidation.
coronary artery disease and increasingly frequent chest pain. rule out pneumonia or edema.
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Frontal and lateral views of the chest were obtained. Enlarging left lower lobe opacity without shift of the mediastinum is consistent with pleural effusion and atelectasis. The right lung is essentially clear with minimal right lower lobe atelectasis. Mild pulmonary edema has slightly worsened. No pneumothorax. Mild to moderate cardiomegaly is unchanged. A compression deformity of a lower thoracic spine vertebral body is unchanged.
<unk>-year-old female with lethargy and recent pneumonia.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. No signs of congestion or edema. The cardiac and mediastinal silhouettes are unremarkable. No acute bony abnormalities. No free air below the right hemidiaphragm.
<unk>f anorexia, decreased uop, with pleuritic chest pain
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Right base atelectasis is seen without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with sickle cell, pain crisis of leg, reported hr in <num>s prior to arrival (?able) // evaluate for acute processs
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Dual lead left-sided pacemaker is similar in position. Patient is status post median sternotomy. There are bilateral pleural effusions, right greater than left, with overlying atelectasis. Moderate pulmonary vascular congestion is seen. Cardiac silhouette is difficult to accurately assess due to bibasilar opacities. The aorta is calcified. Bones are diffusely osteopenic.
history: <unk>f with chest pain, vomiting*** warning *** multiple patients with same last name! // evaluate for acs
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There small bilateral pleural effusions with adjacent atelectasis, greater on the right. Interval decrease in the the airspace opacities centrally in the left lung. No pneumothorax identified. The size and appearance of the cardiac silhouette is unchanged. The patient is status post tavr.
<unk> year old man with chf + hemoptysis (scant, few episodes) // effusion, edema
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Pa and lateral views of the chest. In the right lower lobe, there is a vague opacity concerning for pneumonia. There is no pleural effusion or pneumothorax. The remainder of the lungs is clear. The cardiomediastinal silhouette is normal.
fever and sore throat, evaluate for acute infectious process.
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There is an equivocal retrocardiac opacity which may represent atelectasis or less likely pneumonia in the proper clinical setting. Mild pulmonary vascular congestion mild pulmonary edema is new the prior study. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits.
<unk>f with cough, dyspnea on exertion, and fever, evaluate for pneumonia or heart failure.
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Again, there is volume loss in the right lung as compared to the left. Right cardiophrenic angle haziness is stable. Relative haziness of the right lung as compared to the left likely relates to volume loss. No large pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Partially imaged left humeral prosthesis is noted.
history: <unk>m with weakness
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In comparison to prior study, there has been slight interval improvement of the right lower lobe consolidation. However, a right upper lung opacity is more coalescent. The cardiomediastinal and hilar contours are normal. Possible trace right pleural effusion. Otherwise, the pleural surfaces are normal. Stable degenerative changes of thoracic spine.
<unk> year old woman with aspiration pneumonia, continued cough, afebrile, worsening aspiration on last cxr monitoring for improvement // improved aspiration
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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
history: <unk>f with vomiting and epigastric pain // evaluate for free air
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There are relatively low lung volumes. 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 ams // eval for pna
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Cardiomegaly stable from <unk>. Moderate pulmonary edema is new from <unk>. Small bilateral pleural effusions are slightly increased from <unk>. Lung volumes are low. Bibasilar opacities are more severe than on <unk>.
<unk>f with sob and elevated bnp // ?pulmonary edema or pneumonia
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Pa and lateral chest views were obtained with patient in upright position. The heart size is within normal limits. No typical configurational abnormality is seen. Thoracic aorta and mediastinal structures are unremarkable. 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 evidence of pneumothorax in the apical area on frontal view. Mildly accentuated kyphotic curvature in the thoracic spine as seen on the lateral view with mild degree of degenerative spurs at vertebral body edges, but no evidence of vertebral body compression fracture. No other skeletal abnormalities identified on pa and lateral chest views. Our records do not include a previous chest examination available for comparison.
<unk>-year-old male patient with new brain lesion, evaluate for cardiopulmonary process.
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The inspiratory lung volumes are appropriate. Streaky opacification at the right medial lung base most likely reflects atelectasis. There is no focal consolidation concerning for pneumonia. No pleural effusion or pneumothorax is detected. Moderate pleural parenchymal scarring is noted in the bilateral lung apices which appears symmetrical. The cardiac silhouette is top normal in size. A cardiac monitoring device projects over the left hemithorax. The mediastinal and hilar contours are within normal limits. The trachea is midline. The visualized upper abdomen is unremarkable. Multilevel degenerative changes are noted throughout the thoracic spine. No evidence of displaced rib fracture or acute osseous abnormality.
status post mvc with neck pain, here to evaluate for acute intrathoracic injury.
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The cardiomediastinal silhouettes are within normal limits. The bilateral hila are unremarkable. The lungs are clear. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk>f with fever, cough, malaise, 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. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with ongoing cough, chills
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The lungs are well expanded. There is segmental atelectasis of the left lower lobe. No other focal opacities are identified. Moderate cardiomegaly is reidentified but the cardiomediastinal and hilar contours are otherwise unremarkable. Apparent engorgement of the azygos vein is unchanged from prior examinations. There is no pleural effusion or pneumothorax. Exaggerated kyphosis increases anteroposterior diameter of the chest.
dyspnea. evaluate for pneumonia.
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Frontal and lateral views of the chest demonstrate low lung volumes. The right lung base opacity is new since prior. No pleural effusion is seen. Mild vascular congestion is new. Hilar and mediastinal silhouettes are unchanged. The heart is mildly enlarged. The left lung is essentially clear. There is no pneumothorax or pleural effusion. The patient is status post median sternotomy. Right ventricular pacer lead is in unchanged position.
cough and dyspnea.
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Bibasilar atelectasis and pleural effusions are new since <unk>. There is mild interstitial pulmonary edema. Mildly enlarged cardiac silhouette is exaggerated by low lung volumes.
history: <unk>m with bilat <unk> edema, fatigue, h/o chf // r/o acute process
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In comparison with the study of <unk>, the patient has taken a better inspiration. There is no evidence of acute pneumonia, vascular congestion, or pleural effusion.
chronic cough.
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Frontal and lateral views of the chest are correlated to ct of the abdomen and pelvis from the same day and chest x-ray from <unk>. Mildly indistinct pulmonary vascular markings are seen, particularly on the right. There is no frank pulmonary edema. Subtle opacity at the left lung base laterally is compatible with scarring identified on prior ct. Costophrenic angles are sharp. Cardiomediastinal silhouette is stable. Numerous fractured mediastinal wires again noted. Osseous and soft tissue structures are otherwise notable for degenerative changes at the acromioclavicular joints.
<unk>-year-old male with dyspnea, history of chf.
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Evaluation is limited due to patient positioning. The lungs appear clear. Cardiac and mediastinal silhouettes are unremarkable. There is levoscoliosis of the mid thoracic spine. No acute fractures are identified. The stomach appears significantly distended.
abdominal pain.
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There is a left-sided picc line seen terminating within the lower svc. 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.
dyspnea.
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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 lightheadedness // eval for pna
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The lungs are clear. There is no effusion, consolidation, or pneumothorax. Cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
<unk>f with chest pain since this am, radiation to back // eval ? infiltrate, effusion
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Extensive calcific changes are redemonstrated in the left lung apex compatible with prior granulomatous disease. There is associated retraction or deviation of the superior thoracic trachea to the left, compatible with underlying fibrosis. Less prominent changes in the right lung apex are also stable. There is no focal consolidation concerning for pneumonia. No significant pleural effusion or pneumothorax is detected. The pulmonary vasculature is not engorged. Calcification at the aortic knob is redemonstrated. The cardiomediastinal and hilar contours are unchanged and within normal limits.
chest pain, here to evaluate for acute cardiopulmonary process.
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The lungs are well inflated. The trachea is central. The cardiomediastinal contour is normal. The heart is not enlarged. No blunting of the costophrenic angles to suggest a pleural effusion. No areas concerning for consolidation seen. No destructive bony lesions seen.
<unk> year old man with difficult to control seizures has been having shortness of breath increasing today. // ? chemical aspiration
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There is a large right and small left pleural effusion with mild pulmonary vascular redistribution and moderate cardiomegaly. The findings are compatible with chf. Given technique, the extent of the chf is similar compared to prior. Dual lead pacemaker with leads in similar location compared to prior is again seen. The patient is status post sternotomy with sternal wires and mediastinal clips.
syncope and check cardiac leads.
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The lungs are well expanded. There is no consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal. A <num> cm well-circumscribed right lower lung opacity has no correlate on a <unk> frontal projection or on the lateral. Numerous left rib deformities are old.
afib.
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Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. Calcified granuloma in the left upper lobe is unchanged. No acute osseous abnormalities seen.
history: <unk>m with chest pain
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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 obesity, ocp use presents with atypical chest pain and shortness of breath
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Vp shunt catheter is noted. Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
<unk>-year-old woman with fever and right upper quadrant pain, evaluate for pneumonia
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The lungs are mildly hyperinflated but clear. The patient is status post cabg with intact median sternotomy wires. No fractures identified.
chest pain.
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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Probable coronary artery stents are noted. Slightly tortuous descending thoracic aorta is noted. No displaced fractures identified. Degenerative changes noted at the shoulders.
<unk>m s/p unwitnessed fall with altered ms // r/o ich, infiltrate, fx
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No focal consolidation is seen. There is no large pleural effusion or pneumothorax. The cardiac silhouette is moderately enlarged. Aortic knob is calcified. No pulmonary edema is seen.
history: <unk>f with cirrhosis, orthopnea // please evaluate for acute abnormality
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. Mild biapical pleural scarring is unchanged. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with presyncope
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The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old man presenting with chest pain after electrocution. evaluate for acute process.
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Frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
chest pain. evaluate for pneumothorax.
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In comparison with study of <unk>, the patient has taken a better inspiration and there is no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
uri with wheezing at right base.
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
cough and fever.
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Patchy reticulonodular opacities are redemonstrated in both lungs, more conspicuous on the right. The right basal nodular opacities are slightly more prominent. Calcified pleural plaques are also noted. No focal consolidation or pleural effusion is seen. The heart is normal in size. Normal cardiomediastinal silhouette. A tortuous aorta is noted along with median sternotomy wires and aortic valve prosthesis.
chest pain, low-grade temperature at home. assess for pneumonia or other acute process.
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The patient has a nasogastric tube, the tube terminates in the mid esophagus. The lung volumes are low. The size of the cardiac silhouette is moderately enlarged and there are bilateral areas of atelectasis. In addition, the vascular diameters are mildly enlarged, suggesting mild fluid overload. Finally, an area of relatively extensive retrocardiac atelectasis is seen. Short-term radiographic followup is required. The time of dictation, <time> a.m., on <unk>, the referring physician, <unk>. <unk> was paged for notification.
postoperative hypoxia, evaluation.
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.
<unk>-year-old male with cough // eval for infiltrate
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A pacer unit projects over the left chest with leads in the right atrium and right ventricle. Sternotomy wires and mediastinal clips are unchanged. The heart size is at the upper limits of normal. The mediastinal contours demonstrate calcified atherosclerotic disease of the aortic knob with a mildly tortuous aorta. The previously described pulmonary edema has resolved. Pleuroparenchymal scarring, and possible pleural calcification, at the left base is longstanding, but there is no pleural effusion or pneumothorax. Degenerative changes are noted in the thoracic spine, primarily in the form of anterior osteophytes.
<unk>-year-old male with subdural hemorrhage and left eye proptosis.
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
history: <unk>f with cough, night sweats // eval for acute process
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Ap upright and lateral chest radiograph demonstrates hyperexpanded lungs. There is increased opacity projecting over the left lung base laterally with a configuration raising the possibility of extrapleural lesion. Lungs are otherwise clear without a focal consolidation convincing for pneumonia. Heart size is upper limits of normal. There is no evidence of pulmonary edema. No pleural effusion. There is no pneumothorax. Surgical clips project over the left upper outer chest.
<unk>f with new ataxia // ?acute abnormality, infection
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Ap upright and lateral views of the chest provided. Overlying ekg leads are present. A retrocardiac opacities consistent with hiatal hernia. The lungs are grossly clear without definite signs of pneumonia or edema. No large effusion or pneumothorax is seen. Scattered areas of atelectasis noted. Cardiomediastinal silhouette is within normal limits. Bony structures are intact.
<unk>f with weakness // eval for pna
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Pa and lateral images of the chest demonstrate well expanded lungs. There is a thin-walled area of increased emphysematous changes at the left lung base consistent with what was previously described. If this area is clinically concerning, could consider a high-resolution ct scan of the chest to look for possible interstitial changes. There is no evidence of acute cardiac or pulmonary process. Visualized osseous structures are unremarkable.
<unk>-year-old female with left-sided chest pain and prior history of smoking and pneumothorax.
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Pa and lateral views of the chest. Multiple left-sided rib fractures are again seen, without any significant change. The right lung is clear. No pneumothorax is seen. Unchanged left lower lung opacity likely representing a combination of effusion and atelectasis.
status post fall with left <unk>-<num>th rib fractures, left pneumothorax, left hemothorax, reevaluate rib fractures or pneumothorax.
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There is increased opacity affecting the right lower lobe medially and retrocardiac region, obscuring a portion of the left hemidiaphragm and seen posteriorly is increased opacity remainder of the lungs are clear. Rib deformities are again seen on the right
mr. <unk> is a <unk> year old male with history of esophageal adenocarcinoma and renal cell carcinoma in remission, afib on warfarin, and h/o pe who presents with dysphagia and increased cough // ? infiltrate
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. Left upper lobe nodule is essentially unchanged over a long period of time.
hiv with fever and chills.