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Cardiomediastinal contours are normal. The lungs are clear. There are low lung volumes. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old woman with chronic cough since end <unk> <unk>, somewhat relieved with flovent, but continues to have symptoms despite tx with omeprazole, loratidine, benzonatate. no hx of tobacco use. // cause of cough
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Minimal rightward scoliosis of the thoracic spine. Normal lung volumes. No pleural effusions. No focal parenchymal opacity suggesting pneumonia. No pulmonary edema. Normal size of the cardiac silhouette. Normal appearance of the hilar and mediastinal structures. Minimal tortuosity of the thoracic aorta.
status post colectomy, fever, evaluation.
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Ap and lateral views of the chest. There are indistinct pulmonary vasculature suggesting pulmonary vascular congestion. More confluent bibasilar opacities are seen in part due to right greater than left pleural effusions with possible underlying atelectasis or consolidation. Cardiomediastinal silhouette is unchanged given differences in technique. Diffusely increased sclerosis of the bones is compatible with widespread metastatic disease.
<unk>-year-old male with hypoglycemia. history of prostate cancer.
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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. Surgical clips project over the right upper quadrant.
new jaundice, weight loss and night sweats.
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Lung volumes are low. The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. There is no definite pneumothorax or pleural effusion. Again noted is a <num> mm nodular opacity in the right apex, stable since <unk>.
<unk>m with shortness of breath // acute process?
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Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax. No displaced rib fracture
history: <unk>f with fall from standing with head injury // eval for ich, fx, pna
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Lung volumes are low. Elevation of the right hemidiaphragm is unchanged from the ct examination of <unk>. No focal opacity to suggest pneumonia is seen. No pneumothorax or significant pleural effusion is present. No overt pulmonary edema. The heart size is normal.
chest pain. hypoglycemia.
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Chronic deformities of the distal bilateral clavicles are seen. Oblique fractures of the proximal right humeral shaft is partially imaged better evaluated on dedicated humerus radiographs from <unk>. There is bibasilar atelectasis. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
breast cancer with mets to bone worsening rib pain
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The patient is status post sternotomy with evidence of a prosthetic aortic valve. A left-sided pacemaker is in satisfactory position with the leads in the right atrium and right ventricle. There are persistent small bilateral pleural effusions, not significantly changed from the prior exams. There are associated basilar opacities, which are likely atelectasis. There is increased prominence of the interstitial markings since <unk>, suggestive of a slight worsening of mild pulmonary edema. The mediastinal contours are normal. The heart size is at the upper limits of normal. Again noted is a partially calcified lymph node in the mediastinum on the left.
shortness of breath. evaluate for fluid overload or pneumonia.
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Frontal and lateral chest radiographs demonstrate intact sternal wires. There has been interval placement of a left chest wall pacer device with leads overlying the bilateral atria and the right ventricle. There is also a valve prosthesis. Lungs are well expanded, without focal consolidation, pleural effusion, or pneumothorax. Unchanged cardiomegaly. The visualized upper abdomen is unremarkable.
shortness of breath.
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Pa and lateral views of the chest. No prior. Lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with right scapular pain.
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Shallow inspiration accentuates heart size, pulmonary vascularity, which are mildly improved compared with prior exam. There is no pleural effusion. Strand of atelectasis or fibrosis at the lung base. Minimal bibasilar opacities, may represent atelectasis in the setting of shallow inspiration, infection cannot be excluded. Mild pectus excavatum.
<unk> year old woman admitted with dka, having fevers, rise in wbc count, no clear focal symptoms, cx negative, assess for pneumonia // ? pneumonia
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Lung volumes are normal. There is no focal consolidation, effusion or pneumothorax. There is no central vascular congestion or overt pulmonary edema. Mediastinal and hilar contours are normal. Heart is mildly enlarged.
<unk>m with new onset atraumatic bitemporal ha x<num> days // eval for acute processes
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There is no visualization of a picc line or any unexpected foreign body on this radiograph. Right chest port remains in good position, terminating in the mid svc. The cardiomediastinal and hilar contours are normal. The lungs are hyperinflated but clear. There is no pulmonary edema, pleural effusion or pneumothorax.
<unk>-year-old with picc line manipulation.
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Frontal and lateral views of the chest. The lungs are clear of consolidation or effusion. Cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.
<unk>-year-old male with known pituitary tumor, headache and shortness of breath.
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Large right middle lobe and lower lobe pleural effusion with presumed underlying atelectasis is new compared to prior. The size of the pleural effusion is concerning. Ct of the chest can further characterize the underlying etiology. Minimal interstitial edema is present in the remaining lungs. The lungs are otherwise clear. Mild cardiomegaly is unchanged. The mediastinum is unchanged. No pneumothorax. Left anterior eighth to tenth rib fractures. The pacemaker leads and sternotomy wires are in unchanged position.
<unk> year old man with dyspnea and new rib pain after minor trauma // dyspnea and fluid retention, likely chf
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Streaky opacity in the left base of hte left lung represents atelectasis; otherwise, the lungs are clear without focal opacity, pleural effusion or pneumothorax. There is mild cardiomegaly. The mediastinal contours are normal.
weakness. evaluation for infiltrate.
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Left central venous line terminates at the cavoatrial junction. Multiple bilateral pulmonary nodules are better characterized on recent ct chest examination. Bibasilar atelectasis is noted without lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged.
<unk>m with increase confusion // eval for pna
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Right internal jugular porta catheter terminates in the lower superior vena cava, with no visible pneumothorax. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with pancreatic cancer and port for chemo // confirm port placement prior to chemotherapy administartion
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There are relatively low lung volumes. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
chest pain and headache.
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A large right pleural effusion is new since <unk>. There is no mediastinal shift. The right-sided port-a-cath tip terminates in the lower svc, unchanged. There is mild left basilar atelectasis, but no effusion. No pneumothorax or focal consolidations concerning for pneumonia.
<unk> year old woman with metastatic peritoneal cancer. rule out pleural effusion.
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Compared to the prior study there has been interval increase in size of the cardiac silhouette. There is a small left pleural effusion. No focal consolidation, pulmonary edema or pneumothorax.
history: <unk>f with history of severe cardiomypothaty sob and cough // eval for pna and shortness of breath
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The lungs are well expanded without focal opacities. Bilateral apical nodular pleural and parenchymal scarring is unchanged from comparison radiograph. Tortuosity and calcification of the thoracic aorta is also unchanged. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pleural effusion or pneumothorax is present. Focal irregularity and sclerosis of the posterior seventh rib is suggestive of a healed rib fracture seen as early as <unk>.
increased dyspnea and prior non-tuberculous <unk>-<unk>-tree opacity seen on ct scan. rule out infiltrate.
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Cardiac silhouette is moderately enlarged, similar to prior examination. Mediastinal silhouette and hilar contours are unchanged. Calcifications are noted within the thoracic aortic arch. There is mild pulmonary vascular congestion with trace interstitial edema. A right apical granuloma is unchanged. Lungs are otherwise clear without focal consolidations. There is no pleural effusion or pneumothorax. The osseous structures are globally demineralized in appearance. There is severe compression deformity of a lower thoracic vertebral body and deformity of the right proximal humerus similar in appearance to prior study.
nonischemic cardiomyopathy, presenting with shortness of breath.
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Ap and two lateral radiographs of the chest were obtained. The exam is limited by low lung volumes and suboptimal x-ray penetration. Despite these limitations, there is increased pulmonary vascular congestion and indistinctness of the hila. Right lower lobe atelectasis is similar. Dual-lead pacemaker leads are in stable position of the chest. The aortic arch is calcified. Severe cardiomegaly is similar. No effusion or pneumothorax is present.
<unk>-year-old woman with cough. evaluate for pulmonary edema or consolidation.
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As compared to prior chest radiograph from <unk>, there has been no significant change. There is hyperinflation of the lungs with flattening of the diaphragms consistent with known diagnosis of emphysema. No new focal consolidations are identified. The cardiac silhouette is mildly enlarged. There is calcification of the aortic knob. The mediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. There are prominent loops of bowel loops seen in the left upper quadrant.
shortness of breath. rule out pneumonia.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded clear without focal consolidation concerning for pneumonia. The upper abdomen is unremarkable.
<unk>f with asthma, htn, hld with presyncope, back pain, and hypotension. // r/o pna, widened mediastinum
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Frontal and lateral chest radiographs. The heart is markedly enlarged. Median sternotomy wires are intact. There are increased insterstitial markings as well as a focal confluent opacity in the right lower lung, which may represent chf with alveolar edema. However, there is no pleural effusion. No pneumothorax detected.
dyspnea and history of chf.
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Pa and lateral images of the chest demonstrate elevated right hemidiaphragm which is similar to what was seen on previous exam. The lungs are well expanded and clear. There is no indication of a new acute pulmonary process. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is unchanged.
<unk>-year-old male with chest soreness.
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No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is mildly enlarged. Mediastinal contours are unremarkable.
history: <unk>f with dizziness and weakness concerning ? stroke. // patient with chest tightness
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with nausea, weakness // pna
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Heart size is normal. The hilar contours are unremarkable. Mild tortuosity of the thoracic aorta is noted. 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 dyspnea on exertion
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There are opacities in the bilateral lung bases, which may be due to atelectasis or consolidation. However, lateral view demonstrates opacification of one of the lower lobes, which is concerning for pneumonia. The mediastinum, hila and heart are within normal limits. No acute osseous abnormalities.
<unk> year old man with diabetes, fever and rigors with no obvious source // rule out pneumonia
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Mild to moderate enlargement of the cardiac silhouette is present. Mediastinal contour is within normal limits. Perihilar haziness with vascular indistinctness is compatible with mild pulmonary vascular congestion. More focal ill-defined opacities in the left upper lobe and left perihilar region as well as within the right mid lung fields are concerning for areas of coexistent infection. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with hiv and known chf presents with progressive dyspnea on exertion, texas small nocturnal dyspnea, orthopnea, and weight gain. afebrile, nonproductive cough, compliant with haart.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable. There has been no significant change.
palpitations.
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The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with unstable angina // chest pain, sob
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with chest pain // r/o acute process
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is slight subpleural scarring at each lung apex. Otherwise, lung fields appear clear. There is no pleural effusion or pneumothorax. Bony structures appear within normal limits. There are a number of small air-fluid levels projecting over the left upper quadrant including within the stomach, but no evidence for free air or bowel dilatation on limited visualization of the epigastric region. Surgical clips project over the right upper quadrant.
epigastric pain and ekg changes.
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Pa frontal and lateral chest radiograph demonstrates persistent and unchanged right loculated pleural effusion with associated right basilar atelectasis. There appears to be increased opacification in the right middle lobe of possibly atelectasis but pneumonia cannot be excluded. Opacification in the left upper lobe seen better on recent ct <unk> is not well appreciated appear small left pleural effusion with associated atelectasis is additionally better demonstrated on ct <unk>. Cardiomediastinal and hilar contours remain stable in appearance. Median sternotomy wires are intact. There is no pneumothorax.
<unk>-year-old male with recent esophagectomy. now with persistent tachycardia shortness-of-breath and patchy opacities on recent ct.
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The cardiac, mediastinal and hilar contours appear stable. Streaky opacities in the left mid lung are most consistent with minor atelectasis. There is no pleural effusion or pneumothorax. The lungs appear clear. Moderate right wall of the s-shaped thoracolumbar curvature is noted.
cough and shortness of breath.
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Pa and lateral chest radiograph demonstrate a left chest cardiac device, its leads which appear intact and terminate in the anticipated location of the right atrium and ventricle. Patient is status post cabg. The most inferior median sternotomy wire appears discontinuous as does the second to most inferior sternotomy wire anteriorly. Surgical clips project over the left heart border and left mid axillary chest superiorly. There is no pneumothorax. There is no pleural effusion. No evidence of pulmonary edema. Cardiomediastinal and hilar contours are within normal limits. Bibasilar atelectasis, left greater than right is mild. Images of the upper abdomen are grossly normal.
history: <unk>m with vomiting, dizziness, hx cabg and pacer // pacer placement, acute cardiopulmonary process
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The heart is again mildly enlarged. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Minimal degenerative changes are noted along the thoracic spine. There has been no significant change.
left-sided chest pain.
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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 and stable. No pulmonary edema is seen.
history: <unk>m with cp // eval for cp
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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 appear within normal limits.
fever.
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Patient is status post right upper lobectomy with right-sided volume loss similar to prior. There are opacities at the right lung base laterally and blunting of the lateral costophrenic angle is likely due to scarring and is unchanged. The left lung is clear and there is no effusion. Cardiomediastinal silhouette is stable. Surgical clips project in the left upper quadrant and left mid abdomen.
<unk>-year-old male with lung cancer and shortness of breath.
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. A left nipple ring is identified.
<unk>m with fever, shortness of breath. evaluate for infection.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. The previously seen wedge-shaped density inferior to the right hilus has nearly completely resolved with subtle density remaining on lateral view. Lungs are clear. There is no pleural effusion or pneumothorax.
right upper lobe pneumonia.
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
history: <unk>f with migraine, gastritis p/w cp x <num> week // source of cp, r/o pna
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are hyperinflated with fibrotic changes suggestive of copd. There is, however, no confluent consolidation. There may be a small right-sided pleural effusion. Cardiac silhouette and hilar contours are stable. Atherosclerotic calcifications are again noted at the arch. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with worsening shortness of breath. nausea and general malaise for two days.
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The patient is status post coronary artery bypass graft surgery. The heart is again mild to moderately enlarged. There is mild unfolding of the thoracic aorta. The arch is again calcified. The cardiac, mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. Mild degenerative changes are noted along the lower thoracic and upper lumbar spines. There has been no significant change.
status post fall and failure to thrive.
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Moderate left pleural effusion has increased in size compared to the previous study, with adjacent atelectasis and or consolidation in the lingula and left lower lobe. New patchy peribronchiolar opacities in the right lower lobe could reflect a source of infection given clinical suspicion for pneumonia. Small right pleural effusion is unchanged. Cardiomediastinal contours are stable. Lungs remain hyperexpanded. Multilevel degenerative changes are present in the spine.
<unk> yo male, hx copd, chf, now with decr o<num> sats , increased purulent sputme, congestion, b/l crackels // r/o pna
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No new focal consolidation, pleural effusion or pulmonary edema is seen. The cardiac size and mediastinal contours are normal, and the descending aorta is tortuous. Previous left lingular findings of bronchiectasis are again seen.
<unk>-year-old woman with chronic pneumonitis, with worsening cough, dyspnea. evaluate for infiltrate.
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There is moderate cardiomegaly. Pacer leads are in standard position with tips in the right atrium and right ventricle. There is mild vascular congestion. . There is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine
<unk> year old man with pacemaker // eval lead position
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The lungs are well expanded. There is mild pulmonary vascular congestion with small bilateral pleural effusions, progressed since prior exam. There is an area of increased retrocardiac opacity, which may reflect atelectasis vs. Possible superimposed infection. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax. Visualized osseous structures are unremarkable. Sternotomy wires and a mechanical aortic valve are noted.
<unk>-year-old male with dyspnea.
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Lung volumes continue be low with bibasilar atelectasis. A retrocardiac opacity seen on the lateral radiograph likely represents atelectasis, though infection cannot be fully excluded. There are no pleural effusions or pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.
<unk>-year-old female with pulmonary hypertension and dyspnea. evaluate for pulmonary edema or pneumonia.
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The heart size is normal. The mediastinal and hilar contours are unremarkable. The lungs are clear. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
slurred speech.
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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.
<unk> y/o <num>wks pregnant with sob, chest pain on exertion // r/o pulmonary edema, cardiomegaly
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Bibasilar opacities are present, left greater than right. The cardiac silhouette has increased since prior study. Small bilateral pleural effusions have accumulated in the interim. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact. Median sternotomy wires and surgical clips are noted projecting over the mediastinum.
right upper quadrant pain and shortness of breath, 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 chest pain
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Lung volumes are improved. Patchy right basilar opacities are similar to prior. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is top-normal. No free air below the right hemidiaphragm is seen. The left hilum is prominent, likely due to the enlarged main pulmonary artery seen on prior ct.
history: <unk>f with cp // eval for infiltrate,
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Heart size is normal and the mediastinal and hilar contours are unremarkable. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
seizures.
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The trachea is deviated to the left, stable from prior, suggestive of mass effect. The lungs are well expanded and clear. Incidentally noted azygos fissure. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old male with difficulty breathing, cough, chest pain.
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The lungs are clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged in appearance. No acute, displaced rib fracture is identified.
history: <unk>f with l sided rib pain // l rib fx?
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is not engorged. The lungs are clear. No pleural effusion or pneumothorax is present. There are mild degenerative changes in the thoracic spine.
cough.
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The lungs are well-expanded. No focal consolidation, effusion, edema, or pneumothorax. The heart is normal in size. The mediastinum is not widened.
<unk> year old man with alcoholic hepatitis, with rising tbili. evaluate for pna or other acute process.
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There is chronic elevation of the right hemidiaphragm. There is pulmonary vascular congestion and mild pulmonary edema. There is no focal airspace opacity. Cardiomegaly is chronic. There is no pneumothorax.
<unk>-year-old woman with lower extremity swelling, dyspnea on exertion, and a history of chf. evaluate for pulmonary edema.
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. Lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No pneumomediastinum or radiopaque foreign body.
<unk>-year-old female with recent egd presents with pleuritic right chest pain. evaluate for retained foreign body or pneumomediastinum.
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Moderate-sized hiatal hernia is similar to prior.
shortness of breath.
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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.
<unk>-year-old woman with cough. evaluate for pneumonia.
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Pa and lateral views of the chest were obtained. The lungs are hyperinflated and clear. There is no focal pneumonia, pleural effusion, or pneumothorax. The aortic stent graft and dual-lead pacemaker are in unchanged position compared to prior study.
<unk>-year-old male with productive cough. concern for pneumonia.
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There is focal opacification at the right lower lobe concerning for pneumonia. There appears to be also right middle lobe involvement. Trachea is midline. Cardiomediastinal silhouette is within normal size.
<unk> year old woman with rll adventitious sounds, cough, fever // r/o pna
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There is no pulmonary edema. The cardiac silhouette is normal in size. Tortuosity of the descending aorta is again seen. Right paratracheal opacity is again seen, without indentation on the adjacent trachea, compatible with vascular structures
history: <unk>m with cough // r/o chf
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Frontal and lateral views of the chest were obtained. A peripheral wedge-shaped opacity in the right upper lobe is new from <unk>. No other opacity is seen. There is no pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. No displaced rib fracture is identified.
chest pain.
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In comparison with study of <unk>, there is little overall change. Again there is substantial enlargement of the cardiac silhouette with prosthetic valve in place and single-channel pacemaker lead that extends to the region of the apex of the right ventricle. Continued large pleural effusion with substantial volume loss in the right middle and lower lobes. There may be a small left effusion. Increasing engorgement of pulmonary vessels, consistent with more prominent pulmonary edema.
worsening effusion.
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Probable small amount of basilar atelectasis at the left lung base. Otherwise, the lungs are well-expanded and clear. Mild pulmonary vascular congestion but pulmonary edema, improved from the prior exam. No new specific focal consolidation to suggest pneumonia. No pneumothorax. Stable moderate cardiomegaly. Stable mildly tortuous or dilated descending aorta. Mediastinal contours and hila are unchanged.
<unk> year old woman with esrd s/p failed dcd, chf, cad <num>v dz, presented with pulm edema vs pna. evaluate for pneumonia after removing fluid via hemodialysis.
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Frontal and lateral views of the chest were obtained. Low lung volumes result in bronchovascular crowding. There is minimal residual opacity at the left lung base, likely atelectasis or scarring, but the left lower lobe pneumonia has resolved. No new opacity is seen. No pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes and hilar contours are normal allowing for lung volumes. Eventration of the right hemidiaphragm is seen. Degenerative change is seen in the thoracolumbar spine.
<unk>-year-old woman with left lower lobe pneumonia. this is a followup study.
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The cardiac silhouette size is mildly enlarged. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. There is no focal consolidation, pleural effusion or pneumothorax. Minimal atelectasis is noted in the left lung base. Mild scarring is seen within the lung apices. Moderate multilevel degenerative changes again noted in the thoracic spine.
congestive heart failure history with increased shortness of breath, rales, increased lower extremity swelling.
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Lung volumes have improved. No focal consolidation, effusion, edema, or pneumothorax. The heart is normal in size. The mediastinum is not widened. Hilar and pleural contours are normal. A <num>-mm opacity projecting over the lateral aspect of the right eighth posterior rib is unchanged since at least <unk>, favoring benign etiology, likely calcified granuloma. A hiatal hernia small.
<unk>-year-old man with history of tobacco abuse presents with <num> weeks of cough and wheezing on exam. evaluate for pneumonia, acute process, or mass.
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There is mild bibasilar atelectasis with no focal consolidation identified. There is no evidence of pulmonary edema. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are normal without effusion or pneumothorax. There is surgical hardware projected over the lumbar spine.
chest pain.
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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. There is a right port-a-cath terminating at the cavoatrial junction. A left upper quadrant peritoneal catheter is seen.
<unk>-year-old female with stage iiib ovarian cancer on chemotherapy, recent weakness, nausea and vomiting.
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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. There is mild s-shaped curvature to the thoracic spine. There has been no significant change.
chest pain.
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The trachea at the level of the thoracic inlet is mildly narrowed. Cardiac silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
dyspnea.
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The cardiomediastinal and hilar contours are within normal limits. A small right pleural effusion is demonstrated. No pneumothorax or focal consolidation.
<unk>m with etoh/hcv cirrhosis presenting with increasing abdominal distension // eval for acute process
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen.
history: <unk>f with known pe, worsening cp/sob // eval for acute process
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Previously noted mild pulmonary edema has improved, but a large right pleural effusion has apparently increased in size with adjacent right middle and lower lobe lung opacification. A small left pleural effusion is also seen. The cardiac and mediastinal contours are unchanged with calcification of the aortic knob again seen.
<unk> year woman with shortness of breath, dyspnea insertion with new confusion and disorientation with elevated bicarb by labs. evaluate for small pleural effusions and pneumonia.
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The heart continues to be severely enlarged. There is volume loss in both lower lungs. There small bilateral effusions. There is minimal pulmonary vascular redistribution. Compared to the prior study. The other smaller edema is slightly decreased. However, there continues to be fluid overload and low lung volumes.
<unk> pericarditis, question pulmonary edema.
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Heart size is normal. Central pulmonary vascular congestion is mild without frank interstitial edema. Cardiomediastinal silhouette and hilar contours are otherwise normal. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
chest pain
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Two frontal views of the chest and one lateral view. The lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No visualized fracture identified on these non-dedicated films.
<unk>-year-old male with chest pain, subsequent to <unk> with extensive vehicle damage. question rib fracture.
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Lung volumes are low. Linear opacities in the bilateral lung bases likely represent subsegmental atelectasis. The mediastinal contour, hila, and cardiac silhouette are normal. No pleural effusion or pneumothorax. A bb is noted over the right lateral ninth rib without underlying fracture. No osseous abnormality within the limits of plain radiography.
<unk>m with l mid-axillary rib pain intermittently since tues/wed up to <unk> no other sxs. // evaluation of ribs for fracture or pna on l side
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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. Mild degenerative changes are noted in the thoracic spine.
history: <unk>f with chest tightness, chest pain // evaluate for infection, cardiomegaly
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Pa and lateral views of the chest. There are new diffuse increased interstitial opacities which can be seen in atypical pneumonia. No evidence of edema, pleural effusion, or focal consolidation. Mild cardiomegaly is stable.
multiple myeloma, now with cough, congestion, and elevated white count, evaluate for infection.
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Pa and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old male with chest pain. question acute process.
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Pa and lateral views of the chest provided. There is no focal consolidation. There is no pulmonary edema. Heart is top normal. Mediastinal and hilar contours are normal. Left pleural thickening is unchanged. Sternotomy wires are in normal alignment. Residual coil from lvad is in unchanged position.
<unk> year old woman with heart transplant <num> weeks ago, evaluate infiltrate, pulmonary edema
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There is been interval placement of a right chest tube coiled in the right lung base with the tip terminating in the medial posterior right hemi thorax. A central catheter is seen in the ivc terminating in the lower right atrium. There is a large air-fluid level in the right lung base consistent with hydropneumothorax. An irregular contour of the lungs along the right fissures near the right hilus suggests partial collapse of the right middle lobe. The patient's known right apical metastasis is better appreciated on ct. The left lung is relatively clear. The cardiomediastinal contours are stable and within normal limits. The patient is status post right mastectomy with numerous surgical clips in the right axilla.
<unk> year old woman with effusion sp drain // worsening effusion?
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Pa and lateral images of the chest. The lungs well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
chest pain.
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Focal opacity seen over the posterior costophrenic angle localizing to the left on the frontal view. Elsewhere, the lungs are clear. Cardiac silhouette is top normal. No acute osseous abnormalities.
<unk>f with complaint of wheezing // wheezing-rule out infiltrate
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The previously described left perihilar opacity on <unk> is likely soft tissue.the lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pneumonia, no pulmonary edema. No pleural effusions.
<unk> year old woman with ?opacity in left hilar area on cxr done yesterday. presents today with ?palpable purpura/lumps on upper and lower extremities. // r/o chest mass, infiltrate.
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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. There is mild anterior reduction in height of the t<num> vertebral body.
cough and hypoxia.
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Pa and lateral views of the chest provided. Mild elevation of the right hemidiaphragm is again noted. There is chronic atelectasis of the right lung base better seen on same-day ct abdomen pelvis with tiny right pleural effusion. There is mild left lower lung atelectasis. No convincing evidence for pneumonia or edema. The heart is top-normal in size. Mediastinal contour is normal. Bony structures are intact.
<unk>m pmh hcc, s/p tace, p/w fever, mental status change.
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As compared to the previous radiograph, there is no relevant change. Normal lung volumes. Borderline size of the cardiac silhouette without evidence of pulmonary edema. No pleural effusions. No pneumonia. Normal hilar and mediastinal contours. Minimal tortuosity of the thoracic aorta.
acute renal failure, dyspnea on exertion, rule out cardiopulmonary process.