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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 h/o asthma p/w chest pressure and sob in the absence of fevers or cough // eval heart size, lung fields
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Mild bibasilar atelectasis has nearly resolved. There is mild pulmonary vascular congestion. No pleural effusion, overt pulmonary edema, or focal consolidation concerning for pneumonia is identified. The cardiomediastinal silhouette is unchanged, with a tortuous descending thoracic aorta.
history: <unk>m with cough and sob // infiltrate
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There is hazy opacity at the left lung base. The cardiomediastinal silhouette is unchanged with normal heart size and tortuous thoracic aorta. There is no pleural effusion or pneumothorax. A left chest pacemaker and leads are in unchanged positions. There is no free air under the diaphragm.
<unk>f with post-ercp fever, hypoxia, evaluate for pneumonia or perforation.
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Pa 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. No acute osseous abnormality is identified.
<unk>-year-old female with cough for one week.
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There are innumerable pulmonary nodules are again seen throughout both lungs. There is more confluent airspace opacity in the left <unk>-<unk> suprahilar regions including involving the left upper lung worrisome for pneumonia. Additionally, there is tenting of the bilateral diaphragms left greater than right raising concern for atelectasis. There may also be small bilateral pleural effusions. Cardiac silhouette is top-normal. Partially imaged abdomen demonstrates air distended loops of bowel, correlate clinically for possible underlying obstruction need for additional imaging.
history: <unk>f with nsclc now w sob, pls evalf or pna or new tumor burden // history: <unk>f with nsclc now w sob, pls evalf or pna or new tumor burden
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Lung volumes are low which accentuate the size of the cardiac silhouette which is mildly enlarged. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities seen. No free air is demonstrated under the diaphragms.
history: <unk>f with abdominal pain // eval for infiltrate, free air under diaphragm
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
patient with shortness of breath. evaluate for pneumonia.
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Bibasilar scarring is similar to prior study, <unk>. No consolidation, effusion, or pneumothorax is present. There is additional plate-like atelectasis at the left base. A right-sided port-a-cath terminates in the right atrium. There are anterior and posterior cortical breaks in the lower sternum, best seen on the lateral view.
<unk>-year-old man with chest pain after mvc, rule out acute process.
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Ap and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are normal.
altered mental status.
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A cardiac conduction device is contiguous with leads which project over the right ventricle and right atrium. No pneumothorax. No focal consolidation. A metallic stent projects over the aortic valve.
history: <unk>f with confusion // eval for acute process
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Known pulmonary emboli and enlarged lymph nodes are better delineated on dedicated chest cta from <unk>. There is mild right basilar atelectasis. Otherwise, the lungs are clear with no evidence of consolidation, effusion or pneumothorax. Cardiomediastinal silhouette remains at the upper limits of normal. Post cabg changes are again noted.
patient with recent pe with fever.
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
positive ppd.
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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 woman with cough and feeling unwell.
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Pa and lateral views of chest show a normal heart size. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lung parenchyma is clear with no sign of consolidation concerning for pneumonia. Again seen is a right-sided pacemaker with two electrodes terminating in the right atrium and right ventricle. The vagal stimulator capsule is again seen in the left axillary fossa.
seizure, evaluate for pneumonia.
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Compared with <unk>, no significant change is detected. The lungs are well expanded, without focal opacities. The heart appears mildly enlarged, but the cardiomediastinal and hilar contours are otherwise grossly unremarkable. There is mild upper zone redistribution, without overt chf. There is no pleural effusion or pneumothorax.
chest pain. evaluate for acute cardiopulmonary process.
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The lungs are well-expanded. Mild interstitial pulmonary abnormality, predominantly micro nodular, is more pronounced today than in <unk>. No focal consolidation. No pleural effusion or pneumothorax. Heart size is normal. Cardiomediastinal hilar silhouettes are stable.
<unk>m with h/o urothelial ca s/p chemo <unk> and pcn b/l p/w fever.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen. There is no displaced fracture identified.
chest pain.
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Cardiomediastinal contours are stable with mild cardiomegaly. . The lungs are clear. There is no pneumothorax or pleural effusion. There are moderate degenerative changes in the thoracic spine
<unk> year old woman with <num> wks of recent right postero-lateral pleuritic type chest pain, now resolved x <num> week // assess for any right sided pleural or rib/chest wall process that could have caused the pain
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Frontal and lateral radiographs of the chest demonstrate areas of increased opacification of the right mid and lower lung, with effacement of the right heart border, concerning for right middle lobe and lower lobe pneumonia. However, underlying mass cannot be excluded. There is a probable right-sided pleural effusion. Increased opacification of the left lung base probably represents atelectasis, although superimposed infection cannot be excluded.
chest pain. evaluate for pneumonia.
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Paucity of pulmonary markings in the right lung apex is compatible with severe bullous emphysema as seen on concurrent ct c-spine. Subtle opacity is present at the right lung base without definite correlate on the lateral view. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax.
discitis and osteomyelitis, evaluate for pneumonia.
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As compared to prior chest radiograph from <unk>, lung volumes have increased and there has been interval removal of a right-sided picc line. The cardiomediastinal and hilar contours are within normal limits. Slight prominence of interstitial lung markings could relate to patient's known underlying emphysema. There is no focal consolidation, pleural effusion or pneumothorax.
syncope. evaluate for infiltrate.
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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.
weakness and chills.
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Pa and lateral views of the chest provided. A linear density abuts the left heart border at the left lung base likely platelike atelectasis. Otherwise lungs appear clear without evidence of pneumonia or edema. No large 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 cp // evidence of pneumothorax
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Frontal and lateral views of the chest were obtained. Moderate cardiomegaly with mediastinal widening is unchanged. Lung volumes are low. Mild pulmonary edema is worsened since the prior exam. Bilateral lower lobe lung opacities, larger on the left, have increased and likely represent a combination of atelectasis, consolidation, and effusion. No pneumothorax. No acute osseous changes identified.
<unk>-year-old female with weakness.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with chronic cough for several weeks.
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Left-sided port-a-cath terminates in the low svc without evidence of pneumothorax. There is bibasilar atelectasis/scarring. Right base opacity most likely relates to atelectasis, less likely pneumonia. No pleural effusion is seen. The cardiac and mediastinal silhouettes are grossly stable.
history: <unk>f with fever, on chemo // evidence of pneumonia
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There is a right subclavian pheresis line with the tip at the cavoatrial junction. There is no focal consolidation, pleural effusion or pneumothorax. The heart size is mildly enlarged, unchanged from the prior study. There is a small right pleural effusion.
right subclavian pheresis line, confirm line placement.
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The lung volumes are normal. Borderline size of the cardiac silhouette without pulmonary edema. No lung nodules or masses. No pneumonia, no pleural effusions. The lateral projection is also normal.
dyspnea, rule out pulmonary process.
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As compared to the previous radiograph, there is an unchanged appearance of the lung parenchyma. No pneumonia is seen. A minimal increase in radiodensity over the basal parts of the thoracic spine, seen on the lateral radiograph only, is unchanged as compared to the previous image. No pulmonary edema. No pleural effusions. Tips in situ.
cirrhosis, shortness of breath, rule out pneumonia.
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Frontal and lateral chest radiographs demonstrate clear lungs without effusion or pneumothorax. The cardiac silhouette and mediastinal contours are normal. The pulmonary vasculature is normal.
<unk>-year-old female with cough and crackles in the right lower lobe, rule out infiltrate.
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Right-sided port-a-cath tip terminates at the svc/ right atrial junction. Lung volumes are persistently low. This accentuates the size of the cardiac silhouette which appears mildly enlarged. The aorta remains tortuous. Crowding of bronchovascular structures is present without overt pulmonary edema. Patchy opacities are noted in lung bases likely atelectasis. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with history of lymphoma presents with with tachypnea, fever
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The left pigtail drainage catheter has been removed. Lung volumes remain low with increased bibasilar atelectasis. Left lower lobe opacifications are slightly improved. Loculated air overlying the spine at site of prior drainage catheter remains without evidence of worsening collection. The moderate left-sided pleural effusion is stable. No pneumothorax.
<unk> year old man with recent l sided chest tube (removed <unk>) // r/o pneumothorax, evaluate interval change of effusion. requested by thoracic surgery
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Trace bilateral pleural effusions are new. Mild bibasilar opacities are new, may represent atelectasis, consider aspiration in the appropriate clinical setting. No pneumothorax. Normal heart size, pulmonary vascularity. Minimal elevation of the right hemidiaphragm. No evidence of fractures.
<unk>f tx from osh single driver restrained mvc +airbag deployment, ct head, c-spine negative, ct a/p- small l renal contusion // r/o intrathoracic process
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Slight loss of height of the l<num> vertebral body is unchanged. Cholecystectomy clips are noted in the right upper quadrant of the abdomen.
history: <unk>f with worsening dyspnea and mild chest pain
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. No focal consolidation concerning for pneumonia is identified. Cardiomediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. There is no pleural effusion or pneumothorax. Osseous structures are without an acute abnormality.
<unk>-year-old male with <num> weeks of cough.
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Lung volumes remain low. The cardiac silhouette size remains unchanged and normal. Mediastinal and hilar contours are similar. No pulmonary edema is overtly demonstrated. Diffuse interstitial abnormality is compatible with known chronic interstitial lung disease which is more pronounced in the lung bases. Minimal patchy opacity within the left lung base may reflect superimposed atelectasis. No pleural effusion or pneumothorax is identified. No displaced fractures are present.
history: <unk>f with motor vehicle collision, on coumadin, right chest wall tenderness.
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The lungs well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
<unk>m with syncope // ?pna
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There is convexity of the mediastinal silhouette in the region of the ascending aorta, which could either be a tortuous or dilated aorta, more so than in <unk>. The lungs are clear bilaterally. No pleural effusion or pneumothorax. Heart size is normal.
<unk> year old woman with <num> pack year smoking history // new onset cough and diffuse wheezing
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Patient is status post median sternotomy and cabg. Cardiac silhouette size remains borderline enlarged. The mediastinal and hilar contours are unchanged with tortuosity and calcification of the thoracic aorta again noted. The pulmonary vasculature is not engorged. Left-sided pleural thickening and pleural calcifications with parenchymal scarring in the left lung base appear relatively unchanged. No new focal consolidation is present. No right-sided pleural effusion or pneumothorax is demonstrated. Bullous emphysematous changes are again seen within the upper lobes bilaterally.
history: <unk>m with altered mental status, syncope vs seizure
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Ap upright 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 chest pain // acute process?
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The cardiomediastinal and hilar contours are within normal limits. Scattered, multifocal opacities are significantly improved from the prior radiographs on <unk>. No effusion or pneumothorax is seen. No focal consolidation is identified.
<unk> year old man with recent hospitalization for endocarditis with productive cough, wheezing, and low grade fever for past <num> days. crackles heard on visiting nurse exam. // evaluate for acute pulmonary process.
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The lungs are mildly hyperinflated. There is no pulmonary edema, pneumonia, pneumothorax, or pleural effusion. The cardiomediastinal silhouette, hila, and pleural surfaces are unchanged. Mild leftward tracheal deviation may suggest thyromegaly.
<unk> year old woman with chronic cough, persists despite multimodality therapy. had unremarkable cxr in <unk> // any lesion on cxr that might explain cough?
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The lungs are well inflated and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No rib fractures are noted.
<unk>-year-old male status post motor vehicle accident. evaluate for evidence of pneumothorax or any other acute cardiopulmonary process.
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Lung volumes are low with linear streaky opacities reflecting atelectasis in the lung bases. There is associated crowding of the central bronchovascular structures. There is a opacity in the right lower lobe with air bronchograms concerning for pneumonia. No pleural effusion is seen.
<unk>-year-old man with fever, chills, nausea vomiting. evaluate for pneumonia.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with cough
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.
left-sided chest pain.
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Compared with prior radiographs on <unk>, there is no significant change in the extent of the loculated right hydropneumothorax.the left lung is clear without focal consolidation, effusion or pneumothorax. Cardiomegaly is unchanged.
<unk> year old man with h/o r chest tubes // evaluate stability of hydro and pneumothorax
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The cardiomediastinal silhouettes are stable and 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 chest pain, evaluate for non- cardiac causes of chest pain.
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There is patchy consolidation in the left upper lobe which is new since prior. Elsewhere, lungs are clear. Left chest wall triple lead pacing device is noted. Moderate cardiomegaly is similar in appearance. No acute osseous abnormalities, hypertrophic changes seen the spine.
<unk>f with cough, fever // eval for pna
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The right-sided effusion has decreased in size, now very small or possibly resolved. Cardiac size is normal. Focal patchy opacity at the right lung base is seen and a small focus of infection may be present. Right hilar adenopathy is noted to be decreasing over multiple prior exams as was seen on a pet-ct from <unk>. There is no pulmonary edema or pneumothorax.
lung cancer.
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Streaky left basilar opacity at the cardiophrenic angle is thought to be be due to overlying pectoral soft tissues and epicardial fat pad as there is no clear correlate on the lateral view. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m s/p fall, septic x<num> days, looking for infectious workup on chest // <unk>m s/p fall, septic x<num> days, looking for infectious workup on chest
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Frontal and lateral views of the chest were obtained. The heart is mildly enlarged, similar to prior. Pulmonary vasculature is mildly engorged and indistinct vascular markings are compatible with mild pulmonary edema. No focal pulmonary consolidation, pleural effusion, or pneumothorax. Median sternotomy wires are intact. Multiple upper abdominal clips are identified. Numerous mediastinal clips are similar to prior. Osseous structures are unremarkable.
<unk>-year-old female with chest pain, hyperglycemia, and cough. evaluate for pneumonia.
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Lungs: the lungs are well inflated. A <num> mm nodule seen in the right upper lobe between the anterior aspects of the right first second rib. This nodule was not present previously and therefore needs further workup with ct scan. Pleura: no pleural effusion is seen. Heart: the heart is not enlarged. Mediastinum and hila: there is no mediastinal mass. Osseous structures: the osseous structures are normal for age. Other findings: none
history: <unk>f with cough and congestion // r/o pneumonia
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Pa and lateral chest radiographs were provided. The lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. The bones are intact. There is no pneumomediastinum. A lap band is present in the left upper quadrant.
<unk>-year-old with chest pain and vomiting. question acute cardiopulmonary process.
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The lungs are clear. Incidentally noted is a pectus deformity with secondary expected silhouetting of the right heart border. The cardiomediastinal silhouette is normal. No acute osseous abnormalities.
<unk>m with pt with night sweats, fatigue // ? acute cardiopulm process
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Pa and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion, or pneumothorax. Heart size is top normal. The mediastinal silhouette is unremarkable. There are no acute fractures.
<unk>-year-old female with chest pain. question cardiomegaly.
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The lungs are clear and hyperexpanded with flattened diaphragms suggestive of chronic obstructive pulmonary disease. The mediastinal silhouette, hila, and cardiac borders are normal. No pleural effusion. Stable focal right hemidiaphragm eventration. A left chest wall defibrillator with intact dual leads terminating in the right atrium and right ventricular wall is unchanged from <unk>. Wedge compression deformities in <num> thoracic vertebrae are stable from <unk>.
<unk> year old woman with cied for mri. // <unk> year old woman with cied. please assess for mri.
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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> year old man with hiv p/w diffuse aches, abd pain, nausea, occasional sob // r/o pna
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In comparison with the prior radiograph, lung volumes are low, accentuating the heart size and bronchovascular structures. Bronchial cuffing bilaterally may suggest underlying bronchitis. Lungs are otherwise clear, without pleural effusions, focal consolidation, or pneumothorax.
<unk>f with sob, cough, not responsive to bronchodilators. eval for acute process.
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable unremarkable. The hilar contours are stable.
fever, cough, and dyspnea.
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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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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with fevers. // evaluate for infection
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Lung volumes are normal and lungs are clear. No pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. Mitral annular calcifications are noted. Mediastinal and hilar contours are unremarkable.
altered mental status. rule out pneumonia.
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Frontal and lateral radiographs of the chest demonstrate clear lungs. The mediastinal and cardiac contours are normal. No pleural abnormality is detected. Scoliosis of the upper thoracic spine is noted.
evaluate for malignancy.
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There are relatively low lung volumes. Medial right base opacity could be due to atelectasis however consolidation is not excluded in the appropriate clinical setting. No pleural effusion is seen. The cardiac and mediastinal silhouettes are stable. There is no pulmonary edema. No evidence of pneumothorax is seen.
history: <unk>f with confusion // r/o pna
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As compared to the previous radiograph, the known right pneumothorax after biopsy has minimally progressed. The pleural gap at the lung apex is now approximately <num> mm, as compared to <num> mm on the previous image. There is currently no radiographic evidence of tension. No pleural fluid. Normal size of the cardiac silhouette. Normal appearance of the left lung.
pneumothorax after right lung biopsy. evaluation.
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Study limited by poor penetration. Mild enlargement of cardiac silhouette. There are subtle linear opacities in the right middle lobe, likely representing atelectasis. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with stroke // ? intrathoracic process
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Mild pulmonary vascular congestion is stable to possibly minimally increased. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Left port-a-cath is again seen, terminating at the cavoatrial junction.
history: <unk>f with h/o asthma, trach, green/bloody sputum, cough. // r/o infiltrate
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Pa and lateral chest radiographs were provided. The lung volumes are low. There is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Lucency under the left hemidiaphragm is due to the stomach. The bones are intact.
<unk>-year-old woman with history of pcos, now with sharp upper back pain, worse with inspiration. evaluate for consolidation or effusion.
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Lung volumes are low. Hazy bibasilar opacities are likely atelectasis. There is no effusion, edema or pneumothorax. The cardiomediastinal silhouette is stable. No acute osseous abnormalities. Surgical clips are noted in the upper abdomen.
<unk>f with dizziness // eval for pna
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Severe cardiomegaly appears increased compared to the prior study. Aorta remains tortuous. Rightward deviation of the trachea is unchanged, and due to an underlying large thyroid nodule, as seen on the prior chest cta. Central pulmonary vascular congestion is present along with perihilar haziness and probable trace right pleural effusion with small amount of fluid in the right minor fissure. Patchy atelectasis is seen in the lung bases without focal consolidation. No pneumothorax is seen.
<unk>f with history of of chf, presents with shortness of breath
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The heart size is improved; the mediastinal and hilar contours are stable. Bibasilar opacities persist although they are improved in appearance compared to prior. There is no large pleural effusion or pneumothorax. An electronic device projects over the left upper abdomen on the frontal view. On the lateral view, clips project in the expected region of site of cholecystectomy.
<unk>-year-old female with altered mental status and hypoxia.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs remain clear. Cardiomediastinal silhouette is stable. Osseous and soft tissue structures are unchanged, noting probable post-traumatic changes in the right coracoclavicular region.
<unk>-year-old male with abdominal pain.
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There is mild bibasilar atelectasis without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. The hilar contours are also stable.
fever, cough.
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Pa and lateral chest radiographs were obtained. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is normal. The thoracic aorta is mildly tortuous. No acute osseous abnormalities are seen.
chest tightness.
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The heart size is normal. The hilar and mediastinal contours are normal. There is a retrocardiac opacity, overall similar to the prior exam. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
<unk> year old woman with fever, immunocompromised // eval for pna
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The cardiomediastinal silhouette is normal. The lungs are mildly hyperinflated. There is no focal consolidation. There is no pneumothorax or pleural effusion.
<unk>f with chest tightness, dyspnea, palpitations, evaluate for acute cardiopulmonary process .
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The lungs are well expanded. Persistent opacity of the right heart border is most likely accounted for by known internal mammary necrotic lymph nodes and appears slightly larger. Left lower lobe parenchymal opacity is unchanged. There is no new pulmonary opacity. Thickening of the left paratracheal stripe with narrowing and rightward deviation of the trachea is unchanged. Left hilar lymphadenopathy appears grossly stable. There is no pleural effusion or pneumothorax. Heart size is normal.
<unk> year old woman with cough and recent chest x-ray <unk> with haziness around the right heart border, known metastatic breast cancer. evaluate for worsening or resolution of rt heart border haziness
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The lungs are symmetrically well expanded and well aerated without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged, and there is no overt pulmonary edema. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
one week of substernal left chest pain, here to evaluate for acute cardiopulmonary process.
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Frontal and lateral views of the chest were compared to previous exam from <unk>. The lungs are clear of confluent consolidation. There is, however, evidence of bronchial wall thickening centrally. There is no effusion. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with trouble breathing and productive cough.
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New right basilar opacity is seen, and no pulmonary edema, pleural effusion or pneumothorax is seen. The cardiac and mediastinal contours are normal, and the left hemidiaphragm is chronically elevated and unchanged.
<unk>-year-old woman with cough, shortness of breath. assess for infiltrate.
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Pa and lateral views of the chest. No prior. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with diabetes, cough, and fever. left flank and chest pain.
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The heart size is top normal, stable compared to the exam dating back to <unk>. There is no pulmonary edema. The hilar and mediastinal contours are normal. No focal consolidations, pleural effusions, or pneumothorax is seen.
<unk>-year-old man with asthma and wheezing who presents for evaluation of pneumonia.
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Pa and lateral chest were provided. There is an area of consolidation at the right lung base, raises concern for pneumonia. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is stable from prior study with the heart size being top normal.
<unk>-year-old woman with fever and cough, question cardiopulmonary process.
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Lungs are clear. Cardiac silhouette is normal in size. No pleural effusion or pneumothorax. Central venous catheter in unchanged position. Mild relative elevation of the right hemidiaphragm.
<unk>-year-old male with fever. recent chemotherapy.
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The heart size is mildly enlarged. There has been interval improvement of the mediastinal vascular engorgement. There has been interval improvement of the previously seen diffuse bilateral pulmonary edema. No new focal consolidations concerning for infection is identified. There is a small left pleural effusion. There is no pneumothorax. Again seen are streaky mid left lung opacities consistent with atelectasis. Again seen are old bilateral rib fractures with evidence of callus formation. Multilevel degenerative changes are seen throughout the thoracic spine, including stable compression deformities of the lower thoracic spine, better assessed on the skeletal survey from <unk>.
history of chest tightness, palpitations. rule out infiltrate.
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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The heart size is top normal. The cardiac, hilar, and mediastinal contours are normal.
history of hepatitis c cirrhosis and chest pain for approximately two days.
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The heart size is top normal. The hilar and mediastinal contours are unremarkable. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of central chest pressure x<num> days, please evaluate for pneumonia.
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There are two punctate metallic density foreign bodies. One projects over the right scapula in the posterior soft tissues on the lateral view and one is seen only on the frontal view projecting over the right aspect of the c<num> vertebral body; however, the lateral view does not cover this portion of the neck so unclear where in the soft tissues in ap dimension it is located. Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax.
<unk> year old man who needs cmr but reports hunting accident // ?metal
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Pa and lateral chest views have been obtained with patient in upright position. Comparison is made with the next preceding portable chest examination of <unk>. Heart size appears unchanged on the frontal view, but the patient makes a much improved deeper inspirational effort, resulting in optimal separation of pulmonary vasculature, showing no evidence of cardiovascular congestion. The area of the tracheostomy cannula is unaltered and there is no conclusive evidence for any air in the surrounding superior mediastinal tissues. No pneumothorax is identified in the apical area on either side. On the lateral view, the posterior pleural sinuses are free from any fluid accumulation. As before, there is evidence of two sternal wires, the most superior located in the manubrium, lower one at the junction between the corpus and the xiphoid process. As this was a rather unusual presentation, old records were reviewed. A chest ct of <unk> demonstrated the presence of these circular wires, but showed also additional spiraling wires in the body of the sternum. The latter must have been removed. It is not clear what the purpose of this sternotomy was as the patient has no evidence of surgical clips or intracardiac prosthetic valves on the plain chest examination. Our radiologic reports do not clarify this question, but clinical available notes in the computer do not reach back to <unk>.
<unk>-year-old male patient status post tracheostomy placement. evaluate for postoperative air in chest.
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Heart size is normal. The aorta is tortuous as before the mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There are subtle persistent linear basal opacities which could represent some atelectasis or scarring at the bases. Mild eventration of the right hemidiaphragm is stable. No pleural effusion or pneumothorax is seen.
history: <unk>f with chest pain // acute process?
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There are bibasilar opacities right greater than left concerning for pneumonia particularly in the right lower lung.no pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Irregularity in the left posterior eighth rib is noted without definite fracture line, correspond with clinical site of pain.
<unk> year old woman with cough, left anterior chest wall pain // r/o infiltrate, r/o rib fx
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Frontal and lateral views of the chest are compared to previous exam from <unk>. There are diffusely increased interstitial markings seen in the lungs bilaterally. More significant opacity seen in the retrocardiac region on the lateral view. Posterior costophrenic angles are not well seen, potentially due to effusions. The cardiac silhouette is enlarged but essentially unchanged from prior. Distended loop of bowel seen between the liver and the right hemidiaphragm. Soft tissue are otherwise unremarkable.
<unk>-year-old male with bilateral crackles and tachycardia. question pneumonia.
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There is dense consolidation identified in the right lower lobe and silhouetting of the right cardiac border. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits for technique. No acute osseous abnormalities identified.
<unk>m with confusion // evaluate for ich or pna
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. Small anterior osteophytes are present along the thoracic spine.
hypertension, headache, and chest pain.
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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. Mild degenerative changes are similar along the thoracic spine.
chest pain.
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In comparison with study of <unk>, there is little change in the multiple bb fragments seen projected over both lungs and extending into the neck. They are predominantly anterior on the lateral view. No evidence of acute cardiopulmonary disease.
trauma.
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The heart size is normal. The mediastinal and hilar contours are unremarkable and the pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.
exertional dyspnea.
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Pa and lateral chest radiographs demonstrate engorged pulmonary vasculature, mild interstitial edema, and mild cardiomegaly. There is no large pleural effusion or pneumothorax. Severe degenerative changes are noted in the glenohumeral joints bilaterally.
chest pain. evaluate for pneumonia or chf.
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There has been interval increase in right-sided pleural effusion, which may be partially loculated, with overlying atelectasis, underlying consolidation cannot be excluded. Overall there are low lung volumes. Perihilar opacities may relate to pulmonary edema. Patchy left base opacity may be related to atelectasis versus developing consolidation. No left pleural effusion is seen. There is no evidence of pneumothorax. The right aspect of the cardiac silhouette cannot be adequately assessed due to adjacent opacity.
worsening shortness of breath for <num> weeks.