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Pa and lateral views of the chest provided. Lungs appear hyperinflated with changes related to chronic emphysema and mild fibrosis. No superimposed pneumonia. No pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with h/o non-prod cough for <num> weeks and diuretic usage with shakes since last night.
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Cardiac silhouette size is normal. The mediastinal contours are unremarkable. The pulmonary vasculature is normal. Right basilar and infrahilar patchy opacity is new in the interval, concerning for pneumonia. Left lung is clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>f with persistent cough
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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>m with achilles rupture, preop // preop
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Interval development of a new enlarged left pleural effusion with tracking in the fissures. Small amount of adjacent left-sided compressive atelectasis. The right lung is clear. No pulmonary edema or pneumothorax. Chronic bilateral apical scarring. Stable cardiomediastinal contours and hila.
<unk>-year-old woman with refractory multiple myeloma, who is currently receiving radiation to the left chest wall plasmacytoma. she presents with a wet-cough and worsening l-sided chest pain. evaluate for pneumonia or new lytic lesion.
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Mild pulmonary vascular congestion and mild pulmonary edema are new from the prior study. There is no focal consolidation, pleural effusion, or pneumothorax. Mild cardiomegaly is unchanged. The dual-chamber pacemaker and its leads project in unchanged location.
<unk>m with cough for several days and crackles to midlung fields bilaterally
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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>m with shortness of breath // eval for pneumonia or pneumo
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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 chest examination dated <unk>. The heart size is normal. No configurational abnormality is identified. Thoracic aorta and mediastinal structures are unremarkable. A right-sided lobus venae azygos is identified and unchanged in appearance. The pulmonary vasculature is normal. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax in apical area. Skeletal structures of the thorax grossly within normal limits. When comparison is made with the previous examination, no significant interval change is identified.
<unk>-year-old male patient with productive cough and localizing findings in right lower lobe. any intrathoracic pathology?
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Frontal and lateral views of the chest were obtained. Left hilar opacity could represent lymphadenopathy or a mass. No pleural effusion or pneumothorax. The heart size is normal. No displaced rib or sternal fracture.
<unk>-year-old male with sternal chest pain after trauma.
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There is mild biapical pleural thickening. No focal consolidation is seen. Previously seen bronchiolitis on prior chest ct from <unk> is better appreciated on that more sensitive study. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with chest pain, difficulty breathing. recent pna*** warning *** multiple patients with same last name! // please evaluate for acute intrathoracic process
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The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. There is no evidence of fracture including on dedicated views of the left ribs.
<unk>f with left chest pain after fall onto ribcage // fx? ptx?
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Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
history: <unk>f with dyspnea // eval for cardiopulmonary process
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The heart is normal in size. The cardiac, mediastinal and hilar contours appear unchanged. There is probably a trace pleural effusion on the right, but likely decreased. There is no evidence for pneumonia or parenchymal edema.
shortness of breath and cough.
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Pa and lateral chest radiographs were obtained. The lungs are well inflated and clear. No consolidation, effusion, or pneumothorax is present. The heart and mediastinal contours are normal.
<unk>-year-old woman with fevers and cough, evaluate for consolidation.
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Right chest wall port is noted. There is increased density compatible with ingested contrast within the patient's gastric pull-through. Other changes compatible gastric pull-through are seen including widening of the right paratracheal stripe. There is a small to moderate right pleural effusion and small left pleural effusion. Overall, the aeration of the right lung has significantly improved since prior but there is persistent basilar opacity.
<unk>m with history of aspiration pneumonia, diminished breath sounds at right base, crackles. // r/o pneumonia
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The lungs are well-expanded and clear. No pneumothorax, effusion, edema, or focal consolidation. The heart size is normal. The airways are patent. The mediastinum, hila, and pleura are normal. No evidence of fracture or osseous lesions suspicious for malignancy or infection.
<unk>-year-old woman presenting with chest pain. evaluate for pneumonia.
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Left port-a-cath terminates in the low svc/cavoatrial junction. Bibasilar atelectasis is re- demonstrated, slightly decreased on the left as compared to the prior study. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with pancreatic ca on chemo, with +blood culture, hx of fevers // please evaluate for acute infectious process
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Despite low lung volumes, the lungs are clear. There is no consolidation, effusion, or edema. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
<unk>m with c/o cp // ? pna
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Frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
<unk>-year-old hiv positive female with cough and rhonchi. evaluate for pneumonia.
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Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax. Innumerable dense pulmonary nodules appear unchanged from prior, the largest a <num> mm nodule in the left lower lobe consistent with prior granulomatous exposure.
history: <unk>f with chest pain // eval for infiltrate
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There is a left -sided port-a-cath which terminates in the mid svc. The cardiac size remains moderately enlarged. Left atrial appendage clip is unchanged position. Surgical clips are on the left side of the abdomen. There are small bilateral pleural effusions, probably present on the <unk> study as well.
<unk>f with with fever. // pna?
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The right hemidiaphragm is elevated with mild adjacent atelectasis. Linear atelectasis is noted at the left lung base. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>f with seizure // evaluate for acute process
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Cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Patchy opacities are noted in the lung bases, without focal consolidation, pleural effusion or pneumothorax. Mild degenerative changes are present within the thoracic spine.
history: <unk>m with chest pain
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A central venous catheter terminates in the right atrium. The heart is at the upper limits of normal size. There is a gastric pull-up, which accounts for widening of the right side of the mediastinum. The mediastinal and hilar contours are unchanged. There is a consolidation involving the left upper lobe which layers along the major fissure. In addition, there is patchy opacification in the posterior portions of the lungs. To some extent, this probably resides in the right lower lobe, although the left lower lobe may also be affected by pneumonia. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.
cough.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with cough, back pain // r/o pna r/o pna
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Mild cardiomegaly has slightly increased in size compared to the most recent prior exam from <unk>. The hilar and mediastinal contours are normal. Linear and streaky opacities in the lung bases are likely secondary to mild bibasilar atelectasis. There is mild pulmonary vascular congestion. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of dizziness, dyspnea, please evaluate for pneumonia.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with <num> episode of hemoptysis and sob, now resolved // eval for cavitation
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Pa and lateral chest radiographs demonstrate mildly increased central pulmonary vascular prominence and a small left pleural effusion. There is no pneumothorax. The heart size is mildly enlarged.
fever. evaluation for pneumonia.
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Ap and lateral views of the chest. Low lung volumes are seen particularly on the frontal view with secondary crowding of the bronchovascular markings. Lateral view is a limited by patient's arms being down by her side. There is no confluent consolidation or large effusion. Cardiomediastinal silhouette is stable. Degenerative changes again seen at the shoulders with chronic deformity particularly of the left humeral head and glenoid.
<unk>-year-old female with diffuse edema and dyspnea.
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The lungs are well expanded. There is mild interstitial pulmonary edema. Minimal left basilar atelectasis is seen but no focal opacity to suggest pneumonia. Moderate cardiomegaly is redemonstrated, with significant contribution from the left ventricle and atrium as before. Left-sided pacemaker is redemonstrated with the leads in expected position. There is no pleural effusion or pneumothorax. The right pulmonary artery is enlarged, suggestive of pulmonary hypertension.
<unk>-year-old female with weakness. evaluate for pneumonia.
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Pa and lateral views of the chest provided. The lung volumes are low. There is increased opacity the left lower lobe, which may be due to atelectasis or focal consolidation. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with cough series evaluate for pneumonia.
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Heart size is normal with unremarkable cardiomediastinal silhouette and hilar contour. Lungs are clear without focal consolidation, effusion or pneumothorax. The spleen is not enlarged.
weight loss and night sweats.
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Pa and lateral chest views were obtained with patient upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. Position and diaphragms obscure partially the heart silhouette, but significant cardiac enlargement is unlikely. The thoracic aorta is mildly widened and elongated but unchanged in comparison. 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. Skeletal structures of the thorax are grossly within normal limits.
<unk>-year-old male patient with cough, history of smoking, evaluate cough.
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As compared to the previous radiograph, the pre-existing parenchymal opacities have completely cleared. On the current radiograph, there is no indication for pneumonia. Both the frontal and the lateral radiographs show normal lung parenchyma. Moderate-to-severe degenerative spinal changes with subsequent increased kyphosis. No pleural effusions. No hilar or mediastinal abnormalities.
productive cough and wheezing, evaluation for pneumonia.
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No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with was seen yesterday s/p ped struck with read: cxr overread of possible mediastinalwidening on supine cxr. // ? any acute process
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The lungs are well expanded and clear. There is no pleural abnormality. The moderate cardiomegaly is unchanged from prior exam. The mediastinal and hilar contours are stable. Median sternotomy wires and surgical clips are aligned and intact. The osseous structures are unremarkable.
history: <unk>f with chest pain // evaluate for acs
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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. No signs of pneumomediastinum. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Focal eventration of the right hemidiaphragm is noted.
<unk>m with chest pressure // eval infiltrate, ?pneumomediastinum
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The heart is borderline 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.
left-sided chest pain, occasional cough and wheezing.
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Ap and lateral views of the chest. There are new diffuse opacities in both lungs, right greater than left likely due to slight leftward rotation. There are small bilateral pleural effusions, left greater than right. There is mild cardiomegaly. No pneumothorax.
history of chf and hypertension and diabetes, worsening cough and dyspnea. evaluate for pneumonia or pulmonary edema.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no pleural effusion or pneumothorax. Old rib fractures are again seen.
interstitial cystitis presenting with cough, low-grade fever, and bibasilar crackles on exam. evaluate for infiltrate.
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Pa and lateral radiographs of the chest demonstrates clear lungs and normal hilar and cardiac contours. Opacity within the retrosternal clear space likely reflects the patient's known anterior mediastinal mass. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
acute onset of dyspnea in a patient with a history of myasthenia <unk> and asthma. the patient has no leukocytosis, fever, or cough.
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Pa and lateral views of the chest provided. Left ij dialysis catheter and right ij access port-a-cath unchanged. Cardiomediastinal silhouette remains prominent. Hilar congestion again noted with mild interstitial edema. No convincing signs of pneumonia. No large effusion or pneumothorax. Bony structures are intact.
<unk>m with exertional chest pain for the past two days.
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The cardiac silhouette is stable, mild to moderately enlarged. Mediastinal contours are stable and unremarkable. No large pleural effusion is seen although a trace pleural effusion be difficult to exclude. Subtle prominence of the interstitial markings suggests minimal to mild interstitial edema. No pneumothorax is seen.
history: <unk>m with sob // eval for volume overload
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Pa and lateral views of the chest were reviewed. Cardiomediastinal and hilar contours are unremarkable with calcification of the aortic knob. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear. There is no pulmonary edema. Degenerative changes are seen in the thoracic spine.
lightheadedness, shortness of breath.
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Cardiomediastinal silhouette is stable. There is no focal consolidation. Minimal blunting of the left costophrenic angle is new compared to the prior examination and may represent a tiny left pleural effusion. There is no right pleural effusion. No pneumothorax. Bones and the upper abdomen are grossly unremarkable.
<unk> year old man with influenza a // fluid collection on r? dull to percussion on exam.
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Lung volumes are low, accentuating the cardiac silhouette and pulmonary vasculature. Heart size is top normal. Mediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
prior history of pulmonary embolus, presenting with two days of shortness of breath.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with fever, chills, sob. // any e/o pna, acute processes?
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Heart size is normal. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. The lungs are clear. Left lateral pleural lipoma accounts for the opacity in the periphery of the left lung base and is unchanged. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities seen.
history: <unk>f with copd, shortness of breath, chest tightness earlier today
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The lungs are clear. There is no effusion, edema or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. Surgical clips project over the lower neck.
<unk>m with chest pressure and dyspnea, recent stent placed // eval infiltrate or cardiomegaly
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There are patchy bibasilar opacities. Prominent interstitial markings are likely related to age related changes. No pulmonary edema, pleural effusion or pneumothorax identified. The cardiac and mediastinal contours are normal.
history: <unk>f with dyspnea // eval pulm edema, effusion
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Heart size is mildly enlarged. Aorta is tortuous with atherosclerotic calcifications noted at the arch. Mild pulmonary vascular congestion is demonstrated. No focal consolidation is seen. Small left pleural effusion is demonstrated. No pneumothorax is identified. No acute osseous abnormalities seen.
history: <unk>f with shortness of breath, chest tightness // eval for volume overload
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In comparison with study of <unk>, there is little overall change. Specifically, no evidence of acute focal pneumonia. Elevation of the right hemidiaphragmatic contour persists. No vascular congestion or pleural effusion.
hiv and cirrhosis with recent fever.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Atherosclerotic calcifications are noted at the aortic arch.
right lower lobe consolidation on ct. evaluate for pneumonia.
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Lungs are well expanded. Subtle reticular interstitial markings at the bases have significantly improved. No new focal opacity. No pleural abnormality. Heart size is normal. Cardiomediastinal and hilar silhouettes are unremarkable.
<unk> year old woman with scleroderma, ild presenting with cough and sob // r/o pna
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Lungs are clear. There is no pneumothorax. Small right pleural effusion is present. Calcified left hilar lymph nodes again noted. Cardiomediastinal silhouette is unremarkable.
altered mental status, assess for pneumonia.
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The lungs are clear. There is a small calcified granuloma in the right lower lung, unchanged from prior studies. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
evaluate for acute process in a <unk>-year-old man with tachypnea.
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Right pleural effusion has mildly reaccumulated. Right lower lobe atelectasis has increased. Mediastinal contour and mild cardiac enlargement is stable. There is no pneumothorax.
patient with liver transplant and pleural effusion, thoracocentesis for <num> liters. assess for recurrence.
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Patient is status post median sternotomy and cabg. Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
<unk> year old man with left chest pain, intermittent // eval for acute pathology
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Ap upright and lateral views of the chest provided. Left chest wall port-a-cath is seen with its tip extending to the svc. Lung volumes are low. There is bronchovascular crowding likely accounting for streaky opacities in the lower lungs. If there is strong concern for pneumonia, repeat necessary with more optimal inspiratory effort. No large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures appear intact.
<unk>m with dyspnea, metastatic colorectal cancer.
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Equivocal density at the right lung base may represent calcification of the costochondral junction, however a small area of pneumonia or aspiration cannot be entirely excluded. There is no pleural effusion, pneumothorax, or pulmonary edema. Cardiomegaly is mild. A left pectoral single-chamber pacemaker lead projects over the right ventricle.
<unk>m with stroke, evaluate for pneumonia.
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The heart is not enlarged. The cardiomediastinal silhouette is within normal limits. Slight haziness over the right heart border is likely artifact due to mild pectus excavatum configuration. No chf, focal infiltrate, effusion, or pneumothorax detected. There is suggestion of slight left convex curvature of the thoracic spine centered at the approximate t<num> level. On the lateral view, visualized vertebral body heights and vertebral body alignment is preserved.
history: <unk>m with chest pain // eval cariomegaly
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There are bilateral pleural effusions, small on the left and moderate on the right with adjacent atelectasis. There is pulmonary vascular congestion without overt edema. Enlargement of the cardiac silhouette is similar to prior although detailed evaluation is limited. Dense mitral annular calcifications are seen. Median sternotomy and left chest wall single lead pacing device are again noted. No acute osseous abnormalities.
<unk>f with dyspnea // eval for pulmonary edema
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear without focal consolidation concerning for pneumonia. The upper abdomen is unremarkable.
history: <unk>m with fever // pna
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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>. There is status post right upper lobectomy with corresponding elevation of the hilar structures and deformity of the pulmonary vascular pattern. There is no evidence of a new mass formation. Mediastinal structures with cardiac contours surrounded by scar formations unchanged, same holds for the detectable contours of the thoracic aorta. Left-sided pleural scar formations along the left lateral chest wall remain unaltered. Comparison with the next preceding examination demonstrates, however, that there again was some increase of pleural effusion with more prominent blunting with fluid of the lateral pleural sinus on the frontal view. Increased pleural density is also noted along the posterior right-sided lower chest wall coinciding with blunting of the posterior pleural sinus. There is no evidence of pneumothorax.
<unk>-year-old male patient status post right upper lobectomy, assess for interval change.
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. S-shaped thoracic scoliosis is identified. No acute osseous abnormality is identified.
<unk>-year-old female with temperature of <num> with cough.
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The lungs are well expanded. A small opacity is seen in the right lung base, possibly representing atelectasis, but cannot exclude early pneumonia or aspiration in the right clinical setting. Mild cephalization is noted, but no overt pulmonary edema is seen. There is no pleural effusion or pneumothorax. The mediastinum is widened, primarily due to an enlarged aorta, which could be aneurysmally dilated. The cardiac silhouette is enlarged.
history: <unk>m with hyperk // ? mass
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Pa and lateral views of the chest provided. Pacemaker generator in the left chest wall with leads terminating in the right atrium and right ventricle. Lungs are grossly clear. The hemidiaphragms are mildly flattened. No pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are normal.
<unk> year old man with recent copd exacerbation with xrays done at <unk> // evaualte for copd
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Pa and lateral views of the chest. The lungs are clear without focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>-year-old female with cough and pleuritic chest pain for one week.
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Pa and lateral views of the chest. Previously seen moderate left pleural effusion has decreased in size. There is no evidence of pneumothorax. A cardiac stent or calcified coronary arteries seen. Sternotomy wires are seen. The right lung is clear with no effusion. There may be a tiny small residual left pleural effusion. Mediastinal and hilar contours are normal.
status post left thoracentesis, evaluate for pneumothorax.
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Right apical pneumothorax is still present as compared to previous chest x-rays with no significant interval change. Increase in left perihilar and basilar opacities noted compared to previous chest x-rays. No pleural effusion or pulmonary edema is noted. Heart size is normal. Mediastinal contours are normal. No bony abnormality suspected. Right-sided chest tube and right central line are unchanged.
<unk> year-old woman with history of rectal ca status post right lower lobe vats wedge procedure.
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
weakness, elevated blood sugar.
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Compared with the prior radiograph, there is persistent mild pulmonary vascular congestion. Moderate cardiomegaly is unchanged. Opacity in the left lower lobe may reflect pneumonia in the correct clinical setting. Median sternotomy wires are intact, and there is no change in the left-sided pacemaker lead positions. Anchors overlying the right humeral head are unchanged.
<unk>m with fever. eval for acute process.
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Patchy right base opacity is worrisome for pneumonia. No pleural effusion or pneumothorax is seen. The cardiac silhouette is mildly enlarged. The aorta is calcified.
history: <unk>f with productive ocugh // ? pna
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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
<unk>m with cough // acute process?
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Patient is status post median sternotomy and cabg.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.
history: <unk>m with cp associated w/ sob // r/o infiltrate or any cardiac abnormaties
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Heart size is at the upper limits of 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. Prominent gas is noted in the visualized bowel loops in the upper abdomen.
history: <unk>f with tachycardia. evaluate for effusion.
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Again demonstrated is a second ventricular lead projecting from a left upper pacemaker generator pack. This is unchanged in configuration since the <unk> radiographs. There is no pneumothorax, focal consolidation, or pleural effusion. The heart size remains normal.
new rv lead placement via left subclavian vein.
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is a subtle opacity posteriorly on lateral view which likely corresponds to increased lung markings in the left lower lobe. There is no acute osseous abnormality.
<unk>-year-old woman with pleuritic chest pain and <num> weeks of cough, evaluate for pneumonia.
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Pa and lateral views of the chest. There is a small left pleural effusion. No right pleural effusion. The lungs are clear. No evidence of pneumonia. The cardiac, mediastinal, and hilar contours are stable. No pneumothorax. Median sternotomy wires are in place in appropriate position.
lymphoma, on chemotherapy, likely neutropenic pneumonia.
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Patient is status post median sternotomy. Left-sided pacer device is stable in position. There is a large pleural effusion with overlying atelectasis, again seen. Underlying consolidation is difficult to exclude. Small right pleural effusion is also present. No pneumothorax is seen. The cardiac silhouette appears mildly increase in size as compared to the prior study with mild to moderate cardiomegaly seen. Mediastinal contours are stable and unremarkable.
history: <unk>m with dyspnea on exertion and pitting edema // pulmonary edema?
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No focal consolidation to suggest pneumonia is seen. New interstital markings are consistent with mild edema. A small right pleural effusion is likely present. No pneumothorax is seen. Fluid is seen along the right minor fissure. The heart size is top normal. There are calcifications of the aortic arch. Multilevel degenerative changes of the thoracic spine appear similar to prior exam.
clinical history of back pain. cough.
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The lungs are well expanded and clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Surgical anchors are seen in the bilateral humeral heads.
exertional chest pain with shortness of breath.
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There are low lung volumes and bibasilar atelectasis. No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with cough, chills syncope // eval for pna
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. There is no radiopaque foreign body identified. There is no evidence of pneumomediastinum. No acute osseous abnormality is detected.
<unk>-year-old female with likely food impaction, question foreign body. question pneumomediastinum. chest pain.
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Interval increase in size of the dense right upper lobe consolidation. No newly consolidations identified. Trace blunting of the right costophrenic angle, reflective of a small left pleural effusion. No pneumothorax. The size of the cardiac silhouette is within normal limits.
<unk> year old man with cough and previous rul consolidation // ?pna
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Lungs are hyperinflated, suggestive of copd. No focal consolidation, pleural effusion, or pneumothorax.
chest discomfort and shortness of breath.
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The heart is mild-to-moderately enlarged with a left ventricular configuration. The aorta is mildly tortuous. The lung volumes are low. The lungs appear clear. There is no pleural effusion or pneumothorax. Mild degenerative changes are noted along the lower thoracic spine.
cough and fever.
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There is no focal consolidation or pneumothorax. Vascular congestion is mild. Bilateral pleural effusions are small. Cardiomegaly is moderate. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>m with ?pulm edema // eval for fluid overload
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Frontal and lateral views of the chest were obtained. Left costophrenic angle and hemidiaphragm are obscured, suggestive of moderate pleural effusion. Adjacent opacity is also noted. Right lung is clear. Hilar and mediastinal silhouettes are unremarkable. Heart size cannot be accurately assessed due to adjacent pleural effusion. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.
patient with cough and rhinorrhea.
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Dual lead left-sided pacer device is seen with leads extending to the expected positions of the right atrium and right ventricle. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Evidence of a large hiatal hernia is redemonstrated. Degenerative changes are again seen along the spine including dish.
recent icd placement, chest pain times <num> for a few seconds.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is mildly enlarged as before with normal cardiomediastinal contours.
cough assess for pneumonia.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. The osseous structures are diffusely demineralized.
history: <unk>f with altered mental status
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There are relatively low lung volumes. There is mild pulmonary vascular congestion. Left base opacity with obscuration of the left hemidiaphragm is seen with may be due to atelectasis as well as dilatation of the descending aorta. Aortic arch is calcified. Cardiac silhouette is top-normal to mildly enlarged. No large pleural effusion is identified. Mid lung atelectasis is seen.
history: <unk>f with pancreatitis, incr rr // eval for evolving effusion
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The cardiomediastinal and hilar contours are within normal limits. Lungs are hyperexpanded and there is flattening of the diaphragms, suggestive of copd. There are two <num> mm rounded densities in the left and right upper lobes bilaterally, suggestive of pulmonary nodules. There is increased density within the right apex, for which further evaluation with ct is recommended. There is no pleural effusion or pneumothorax.
no past medical history, presenting with chest pain of acute onset. question acute cardiopulmonary process.
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There has been interval removal of the bilateral pleural drains. There has been interval improvement of the small right pleural effusion and resolution of the left pleural effusion. There is mild bibasilar atelectasis. No new focal consolidations are seen. There is no pneumothorax. There is mild cardiomegaly, dating back to at least <unk>. There is no pulmonary edema. The hilar and mediastinal contours are otherwise normal. The median sternotomy wires are intact.
<unk>-year-old female with a history of pleural effusions, who presents for followup evaluation. history of a-fib s/p ablation complicated by left atrial perforation and open repair.
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The lungs are symmetrically well-expanded and well aerated without focal consolidation, pleural effusion or pneumothorax. A faint nodule projecting over the left mid lung zone corresponds to an abnormality seen on the prior chest ct. The pulmonary vasculature is not engorged. The cardio mediastinal and hilar contours are within normal limits. The trachea is midline. No acute osseous abnormality is detected.
history of aml now with left lower chest / upper abdominal pain, here to evaluate for pneumonia.
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Frontal and lateral chest radiographs demonstrate a port-a-cath with the tip terminating in the right atrium. The cardiomediastinal silhouette is unchanged. There has been interval resolution of the right basiilar opacity, with residual bibasilar linear atelectasis. No pneumothorax is seen. A tortuous aorta and small hiatal hernia are redemonstrated.
evaluate for resolution of recent pneumonia.
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As compared to the previous radiograph, the pre-existing opacity at the right lung base has completely resolved. On today's image, no parenchymal opacities of infectious origin are seen. The extensive emphysematous changes remain constant.
copd, recurrent pneumonia.
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Pa and lateral chest radiographs. There is no focal consolidation, pleural effusion, or pneumothorax. The heart size is normal.
fever and chills.
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On the lateral view only, there is a linear opacity projecting posteriorly at the base. This is new from the prior lateral radiograph. It does not have a definite correlate on the frontal radiograph, though may represent an early pneumonia. The rest of the lungs are clear. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
cough and shortness breath. evaluate pneumonia.
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Pa and lateral views of the chest provided. Right upper lobe consolidation seen on <unk> has since resolved. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal appearance and position is unchanged. Radiopaque objects projecting over the chest are consistent with known post gunshot injury.
<unk> year old man s/ silicosis s/p recent rul tbbx. productive cough. // e/o pna