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Ap upright and lateral views of the chest provided. The lungs are grossly clear. No large effusion or pneumothorax. The heart remains stably enlarged. The mediastinal contour is unchanged with aortic calcification again noted. Multiple chronic rib deformities noted. There is chronic left shoulder dislocation and severe right shoulder osteoarthritis. No acute fracture is identified.
<unk>f with fall and occipital hematoma. dementia. unable to recall circumstances of fall
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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 <num>d cough, dyspnea, sputum, subjective fever. evaluate for pneumonia.
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>f presenting with fevers, diffuse myalgias, right sided upper back pain. // pna
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Frontal and lateral chest radiographs again demonstrate a normal cardiomediastinal silhouette. Sternal wires are intact. Again seen are bilateral calcified pleural plaques and surgical material projecting over the right mid lung, unchanged. Slightly hazy opacities with increased interstitial markings of the lung bases bilaterally are unchanged compared to <unk> and again suggestive of chronic interstitial lung disease. No focal consolidation or significant pulmonary edema is identified. There is no appreciable pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for pneumonia versus chf, in a <unk>-year-old woman with shortness of breath.
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In comparison with study of <unk>, there is no evidence of acute focal pneumonia. Monitoring and support devices remain in place.
ovarian cancer and sbo with congestion and cough.
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Retrocardiac opacity containing air bronchograms is concerning for pneumonia. Mild atelectasis at the right lung base noted. There are small bilateral pleural effusions. Moderate cardiomegaly appears unchanged. No pneumothorax is identified. No free air below the right hemidiaphragm.
exertional dyspnea, evaluate for acute process.
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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.
history: <unk>m with diabetes with <num> days of cough, fever that has resolved, lung exam significant for coarse breath sounds in middle right lobe, positive egophony.
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There is complete opacification of the right hemithorax with leftward shift of mediastinal structures indicative of a large right pleural effusion. Left lung is grossly clear without focal consolidation, left pleural effusion or pneumothorax. Heart size is appears unchanged. Pulmonary vasculature is not engorged. Left hilar contour is unremarkable. There are no acute osseous abnormalities.
history: <unk>f with prior right pleural effusion status post thoracentesis, now with recurrent shortness of breath
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion. Several cholecystectomy clips are seen in the gallbladder fossa.
<unk>-year-old female status post ccy with nausea, vomiting. question pneumonia.
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.
patient with recent tooth extraction, now with fevers for two days, sweats, and palpitations.
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Pa and lateral views of the chest provided. Subtle consolidation is seen in the right medial lung base. Otherwise the lungs are clear. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Dish related changes of the t-spine noted. No free air below the right hemidiaphragm is seen.
<unk>m with sob, fevers // eval pna
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with cp pls eval pna // history: <unk>m with cp pls eval pna
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Pa and lateral views of the chest provided. Port-a-cath resides over the right chest wall with catheter tip extending to the level of the mid svc. Midline sternotomy wires are again noted the lower most of these appears fragmented unchanged. Multiple surgical clips in the mediastinum are noted. There is a nodular opacity projecting over the right lower lobe as seen on prior chest ct measuring approximately <num> x <num> cm. There is mild blunting of the cp angles on the lateral projection indicative of small pleural effusions. Vague opacity in the left lower lung may represent minimal atelectasis versus pneumonia. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with cp and sob, metastatic pancreatic cancer.
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Right chest wall port catheter terminates in the mid svc. Again seen are numerous bilateral pulmonary masses in keeping with metastases, better characterized on the recent chest ct from <unk>. No lobar collapse, pleural effusion, or pneumothorax.
<unk> year old man with esophageal cancer and lung mets -worsening respiratory symptoms - short of breath at rest // progresion of chest disease vs infection
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The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. There is tortuosity of the thoracic aorta. No acute osseous abnormalities.
<unk>m with cough productive of sputum // ?cpd
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Biapical pleural thickening/scarring is stable. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The lungs are relatively hyperinflated, with flattening of the diaphragms, suggesting chronic obstructive pulmonary disease. The cardiac and mediastinal silhouettes are stable and unremarkable. The hilar contours are stable.
six weeks of cough.
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The cardiomediastinal hilar contours are stable. There is no pleural effusion or pneumothorax. Lungs are well hyperexpanded and clear without focal consolidation concerning for pneumonia. Linear atelectasis at the left lung base is present. There is no pulmonary edema.
history: <unk>m with chest pain // eval for pneumothorax
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In comparison with study of <unk>, the area of pneumonia at the right base has cleared. There are mild areas of opacification at both bases, which most likely represent some combination of atelectasis and scarring. Blunting of the left costophrenic angle persists, possibly relating to pleural scarring. In the appropriate clinical setting, supervening pneumonia would have to be considered. There is no evidence of pulmonary vascular congestion or cardiomegaly. Subclavian stent is seen on the right.
transplant, on immunosuppressive with chest discomfort.
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No previous images. There is enlargement of the cardiac silhouette, especially the left atrium, with posterior prominence of the upper portion of the cardiac silhouette and elevation of the left main stem bronchus. Some prominence of central vessels is consistent with elevated pulmonary venous pressure. Marked tortuosity of the aorta is seen. Blunting of the costophrenic angles posteriorly could represent small effusions or pleural thickening. No evidence of acute focal pneumonia. Of incidental note is substantial degenerative change involving the lower thoracic and upper lumbar spine.
mitral stenosis with valvuloplasty.
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Moderate cardiomegaly has been stable compared to exams dated back to at least <unk>. There has been mild interval increase in retrocardiac opacity compared to the most recent prior exam from <unk>. Small bilateral pleural effusions are persistent. Mild vascular plethora noted. Plate-like atelectasis is seen at the mid right lung. Calcified granulomas, as well as a calcified left hilar node, are redemonstrated. There is no evidence of a pneumothorax. The visualized osseous structures are grossly unremarkable.
history of fever, cough. please evaluate for pneumonia.
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There is bibasilar atelectasis without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Surgical clips overlies the right axilla. Partially imaged is a proximal right humeral prosthesis.
fever and left leg swelling and pain x.
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Pa and lateral view of the chest compared to prior chest x-ray from <unk> and chest ct from <unk>. Postoperative changes of left upper lobectomy are seen with left hemithorax volume loss and elevation of the hemidiaphragm as well as surgical chain sutures in the suprahilar region. There is increased nodular opacity in the postoperative bed, which was more clearly delineated by recent ct as suspicious for recurrent disease. The lungs are otherwise clear. Cardiomediastinal silhouette is unchanged. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with syncopal episode, history of lung cancer with recent lobectomy.
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Cardiac size is top-normal. Mediastinal lymphadenopathy is better seen in prior ct. Large right and small left effusions are unchanged. Multiple lung nodules are better seen in prior ct. Surgical clips project in the left upper hemi thorax. Patient has known emphysema. There is minimal asymmetric vascular congestion on the right .
<unk> year old man with history of treated malignancies now presenting with dyspnea found to be anemic and hypoxic // please evaluate for interval change from osh cxrs particularly for pulmonary edema
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Pa and lateral views of the chest. Low lung volumes. There is chronic opacity in the right middle lobe, unchanged. The right hemidiaphragm apex is more lateral. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal.
sudden onset dizziness and weakness.
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Frontal and lateral chest radiographs were obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
patient with chronic cough, rule out lung disease.
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There are low lung volumes. Streaky lower lung opacities bilaterally are compatible with chronic fibrosis. There is relative sparing of the left upper lobe. Heart size and mediastinal contours are within normal limits for a frontal projection. No pleural effusion.
<unk>f with fall, also ams and infx workup
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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. A chronic deformity involving the left sixth rib is noted.
<unk>f with s/p syncope and chest pain // r/o acute process
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As compared to the previous radiograph, there is a newly appeared opacity at the right lung base. The opacity could represent a combination between a small subpulmonic pleural effusion and an atelectasis. No other parenchymal changes are seen. Borderline size of the cardiac silhouette. The nasogastric tube is coiled in the stomach.
fever, assessment for cardiopulmonary status. evaluation.
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Lung volumes are low. The heart is mild to moderately enlarged. The mediastinal and hilar contours are probably unchanged allowing for differences in technique. There is a mild interstitial abnormality suggesting interstitial edema. Otherwise, the appearance is unremarkable. There may be trace bilateral pleural effusions, more suggested on the left.
question pneumonia.
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>m with dizziness*** warning *** multiple patients with same last name! // ? pna
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The lungs are clear. There is no consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with chest pain // eval for pna
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Pa and lateral views of the chest. No prior. Lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with left-sided pleuritic chest pain for one day. question pneumothorax.
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Pa and lateral views of the chest were obtained. The lungs are well expanded and clear. There is no focal consolidation, pleural effusion or significant pulmonary edema. The thoracic aorta is elongated and tortuous and is unchanged since the prior exams.
<unk>-year-old male with cough and fever. rule out infiltrate.
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The heart size is normal. Mediastinal and hilar contours are unchanged and within normal limits. Lungs are clear. Hyperinflation of the lungs is compatible with underlying copd. No focal consolidation, pleural effusion or pneumothorax is seen. Multilevel degenerative changes are re- demonstrated in the thoracic spine along with several compression deformities within the lower thoracic spine. There is evidence of prior vertebroplasty of two vertebral bodies at the thoracolumbar junction.
status post stem cell transplant with cough.
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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.
history: <unk>f with palpitations // eval for ptx
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The patient is status post partial left first rib resection. A left chest tube is in unchanged position. There is no pneumothorax. There is probably a trace left pleural effusion. There is no focal consolidation or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk> year old man with first rib rsx // interval change
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Ap and lateral views of the chest. Left chest wall dual lead pacing device is seen unchanged in position. The lungs are clear. There is no effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is unchanged and within normal limits. Median sternotomy wires and mediastinal clips again noted. No acute osseous abnormalities.
<unk>-year-old female with altered mental status.
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Cardiac, mediastinal and hilar contours are normal. The lungs are clear. The pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are seen.
low oxygen saturation.
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The lungs are well inflated and clear. Hyperinflation may be slight. A sharply marginated <num>mm opacity projecting over the left lower lung has no correlate on the lateral projection. No focal consolidation, effusion, or pneumothorax is present. Biapical thickening is mild. The cardiac and mediastinal contours are normal.
<unk>-year-old woman with severe cough for weeks, smoker, family history of lung cancer.
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Pa and lateral views of the chest provided. Midline sternotomy wires again noted. Cardiomediastinal silhouette is unchanged with mild cardiac enlargement. Aortic and mitral valve replacements are noted. Lungs are clear without overt signs of edema or pneumonia. Mild hilar congestion is suspected. No large effusion or pneumothorax. Bony structures are intact. Degenerative changes of the left shoulder partially imaged
<unk>m with chest pain and doe, hx of copd
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Frontal and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. No free intraperitoneal air is visualized.
rectal pain. evaluation for free air.
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Heart size is mildly enlarged, unchanged. The aorta is diffusely calcified and tortuous, as seen previously. Otherwise the mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is seen. Minimal patchy atelectasis is present within the lung bases. Clips are noted in the right upper quadrant of the abdomen. There are mild multilevel degenerative changes seen in the thoracic spine.
history: <unk>f with altered mental status on immunosuppressive therapy. // ?pneumonia
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There is a large right pleural effusion with associated underlying collapse and/or consolidation. Heart size at the upper limits of normal. The left lung is clear. The upper portion of the right lung is clear. No left pleural effusion. No pneumothorax
history: <unk>f with ruq abd pain, cirrhosis // pleural effusion?
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The heart is normal in size. There is slight unfolding of the thoracic aorta. Otherwise the mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. The chest is mildly hyperinflated. Slight degenerative changes are noted along the thoracic spine.
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.
<unk>f with fever.?pna // <unk>f with fever.?pna
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Heart size is normal. The aorta is mildly tortuous. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion, focal consolidation or pneumothorax is present. No acute osseous abnormalities are present.
palpitations.
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Frontal and lateral views of the chest. The lungs are clear without focal consolidation, effusion, or pulmonary vascular congestion. Cardiomegaly is unchanged. Atherosclerotic calcifications again noted at the arch. No acute osseous abnormalities identified.
<unk>-year-old female with decreased oxygen saturation, with nausea and vomiting.
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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 chest pain.
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Frontal and lateral views of the chest. No prior. The lungs are clear of focal consolidation or effusions. Mild bibasilar atelectasis is seen on the frontal view. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with cough and fevers. weakness.
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Pa and lateral views of the chest provided. There is increased consolidation in the right lower lobe which could represent pneumonia. A small associated effusion is difficult to exclude. No pneumothorax. Left lung is clear. Heart size is top-normal. Mediastinal contour is normal. Bony structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with cp, sob, history of pulmonary embolism.
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The lungs are clear without focal consolidation. There is moderate cardiomegaly with pulmonary vascular congestion. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact.
shortness of breath, evaluate for acute process.
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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.
<unk>m with chest pain right crackles, evaluate for pneumonia
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The cardiomediastinal and hilar contours are within normal limits. Lungs are clear. There is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with anginal equivalent sxs since <num>am // eval ? mediastinal widening, edema
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Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
left-sided chest pain.
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Frontal and lateral radiographs of the chest show clear lungs without pleural effusion, focal consolidation, or pneumothorax. There is no appreciable pulmonary nodule. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The aortic knob is partially calcified.
<unk>-year-old female with history of breast cancer, now with bloody phlegm, here to evaluate for pulmonary mass or 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. Degenerative spurring is seen anteriorly along the mid thoracic spine. No free air below the right hemidiaphragm is seen.
<unk> year old woman with <num> days of cough, wheeze. please evaluate for pneumonia.
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Persistent right greater than left basilar opacities are noted. Superiorly, the lungs are clear. Right chest wall port is stable in position. Cardiomediastinal silhouette is also stable. No acute osseous abnormalities. Biliary catheter again projects over the upper abdomen.
<unk>m with sob // eval for pna<num>
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
<unk> yo woman with new uri, fevers, cough. r/o pneumonia // <unk> yo woman with new uri, fevers, cough. r/o pneumonia
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Hyperexpansion of the lungs is consistent with the clinical diagnosis of chronic pulmonary disease. However, no acute focal pneumonia or vascular congestion. There is blunting of the left costophrenic angle, an appearance that could reflect pleural thickening or effusion.
copd with worsening cough.
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Overall, there has been improvement since recent exam. Increased lung volumes are seen with decrease appearance of the pulmonary vascular congestion seen on prior. There is no pleural effusion. Right basilar opacity has essentially cleared. Cardiomegaly is similar in degree as well as a prosthetic mitral valve is again noted with median sternotomy wires. No acute osseous abnormalities identified.
<unk>f with fatigue, ams // infiltrate?
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Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. The nodular opacity seen on the prior shoulder radiograph is likely due to hypertrophy and sclerosis at the left <num>st rib costochondral junction. Gynecomastia is again noted.
left apical abnormality on left shoulder radiographs. dedicated chest radiographs are being performed for further evaluation.
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As compared to the previous radiograph, no relevant change is seen. Moderate cardiomegaly, tortuosity of the thoracic aorta. Minimal apical scarring. The mediastinal <unk> and the mediastinal lines and boundaries are unremarkable. No pleural effusions. No pneumonia. No pulmonary edema.
gastrointestinal bleed, mediastinal widening.
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In comparison to <unk> chest radiograph, the left lung is still extensively collapsed with very minimal improvement of left lung aeration. Additionally, the near-complete opacification of the left hemithorax and contralateral shift of the mediastinum is consistent with the known large left pleural effusion, which is also mildly improved. The volume of the right lung is borderline-low and there is interval development of a mild diffuse interstitial opacities particularly in the right lung base suggesting interstitial edema. Additionally, a small right pleural effusion is noted. However there is no pneumothorax noted in the right lung. The prominent enlargement of the air-filled esophagus is again seen. The tip of the pleural tube is visualized at the level of the left posterior tenth rib.
<unk> year old woman with loculated pleural effusion s/p pigtail placement x<num> // ?interval change
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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size.
<unk> year old woman with ruq abdominal pain, recent pneumonia // evaluate for acute proces
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Lungs well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>m with fever on chemo // pna?
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Pa and lateral chest radiographs were obtained. The lungs are well inflated and clear. No effusion or pneumothorax is present. Cardiac and mediastinal contours are normal.
<unk>-year-old man with shortness of breath and lactic acidosis.
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The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified. Surgical clips seen in in the upper abdomen.
<unk>f with acute onset doe and tachycardia. // evidence of acute cardiopulmonary process.
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Chest tubes have been removed. Skin fold versus tiny left costophrenic angle pneumothorax. Worsened left basilar consolidation, right basilar opacities, may represent atelectasis, consider pneumonitis in the appropriate clinical setting. There are small pleural effusions, similar. Heart size is difficult to determine given basilar consolidation. Pulmonary vascularity has improved. Right picc line tip in the upper right atrium.
<unk> year old woman pod#<unk> s/p l vats decortication, now s/p ct pull // pls eval for interval change s/p chest tube d/cplease perform at <unk>, <num>hrs post-pull of ct
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In comparison with the study of <unk>, there is no evidence of acute cardiopulmonary disease or old granulomatous disease.
positive ppd.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with fevers and chills // please eval for any pna
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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.
<unk> year old woman with intoxication, decreased breath sounds r base // eval for pna, aspiration
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Frontal and lateral views of the chest. Again seen are multiple rounded masses in the lungs, better seen on the lateral view. Small bilateral effusions are identified. There is more dense opacity projecting over the region of the right middle lobe, much of which is due to the known mass, although a component of postobstructive atelectasis or infection is also possible. Median sternotomy wires and mediastinal clips are again seen. Right chest wall port is seen with catheter tip at the lower svc. Coronary artery stents are identified.
<unk>-year-old male with cough. history of metastatic melanoma.
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.
<unk>-year-old female with asthma exacerbation. evaluate for infection.
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Pa and lateral views of the chest provided. Lung volumes are somewhat low with bibasilar atelectasis noted. There is no convincing sign of pneumonia or chf. No large effusion or pneumothorax is seen. The heart size appears grossly normal though difficult to assess on the frontal projection. The mediastinal contour appears normal. The bony structures are intact. No free air below the right hemidiaphragm is seen. On the lateral projection, gas filled dilated small bowel is present.
<unk>m with cp // ? free air
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Right-sided picc line is in unchanged position. Right midzone wedge-shaped opacity is identified anteriorly within unchanged air-fluid level. There are mild bilateral fluffy interstitial changes. This is unchanged from before with relative preservation of the left base. No pneumothorax.
<unk>m w/esrd s/p dcd/ddrt in <unk> on tacrolimus and mycophenolate mofetil, presented with r-sided chest pain and was found to have pulmonary mucormycosis; s/p r middle lobectomy and r upper wedge resection on <unk>, on ambisome with <num>l ns prehydration, with dyspnea on exertion // ?pulmonary edema, consolidation, pe
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Pa and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable.
history: <unk>f with non productive cough, fever and sob // pna?
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The heart is normal in size. The mediastinal and hilar contours are normal. The lungs are clear. The pulmonary vascularity is normal. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities are present.
chest pain.
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The lungs remain hyperinflated, suggesting chronic obstructive pulmonary disease. Biapical pleural thickening is re- demonstrated. There are increased bilateral lower lung opacities worrisome for pneumonia. A more focal opacity in the right mid lung was also present on the prior study. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. A right port-a-cath terminates in the distal svc without evidence of pneumothorax.
history: <unk>f with fever, cough // r/o infectious process
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As compared to the previous radiograph, there is improved ventilation at the lung bases, likely reflecting a stronger inspiratory effort. Currently, there is no evidence of pneumonia. Borderline size of the cardiac silhouette, no pulmonary edema. Moderate tortuosity of the thoracic aorta.
resolving gallstone, pancreatitis and fever, questionable pneumonia.
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The heart size is normal. The hilar and mediastinal contours are normal. 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 shortness of breath and dyspnea on exertion. please evaluate for acute intrathoracic abnormalities.
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Frontal and lateral radiographs of the chest demonstrate persistent moderate-sized left pleural effusion with adjacent atelectasis. The right lung is clear. In comparison with the study dated <unk>, there is little overall change. There is no pneumothorax. A chest tube projects over the left hemithorax.
<unk>-year-old female with pleural effusions. evaluate for interval change.
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Pa and lateral radiograph of the chest show no major interval changes since prior chest x-ray with low lung volumes and bibasilar atelectasis and minimal left pleural effusion. Left upper lung atelectasis has disappeared. There is no pneumothorax. Heart is still enlarged, with normal postoperative appearance of the mediastinum related to cabg procedure.
<unk> years old man status post cabg, evaluation for pleural effusion.
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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 status post fall earlier today. incontinent of urine. somewhat lethargic.
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Opacity at the left lung base peripherally is worrisome for infectious process. Question nodular opacity in the right lower lung zone medially, possibly superimposed shadows. Previous right middle lobe opacity seen on radiograph dated <unk> has resolved. There are small bilateral pleural effusions. Upper lung zones appear clear. Cardiomediastinal and hilar contours are stable. There is no pneumothorax. There is no air under the right hemidiaphragm.
history: <unk>f with wolfram syndrome, multiple pneumonias presenting with // ?pna
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal. A few air-fluid levels are seen in bowel in the upper abdomen.
history of immunosuppression and low blood pressure, 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 palpitations
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Bibasilar predominantly linear opacities favor atelectasis over infectious pneumonia. There is suggestion of mild pulmonary vascular congestion, without overt pulmonary edema. Heart size is mildly enlarged.
history: <unk>f with hyperglycemia // ? pna
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. The lingular opacity has resolved. There is no pleural effusion or pneumothorax.
hiv, history of pneumonia in <unk>, now with cough. evaluate for pneumonia.
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Lung volumes are lower than on the previous study. This accentuates the size of the cardiac silhouette which is borderline enlarged. Mediastinal and hilar contours are unremarkable. Crowding of the bronchovascular structures is present without pulmonary edema. Patchy opacities are noted in the lung bases, more so on the left, likely reflective of areas of atelectasis. No pneumothorax or pleural effusion is identified. No definite displaced fractures are seen.
history: <unk>m with fall
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Pa and lateral views of the chest were provided. The lungs are clear bilaterally. A pectus excavatum of the sternum results in poor definition of the right heart border. No large effusion or pneumothorax is seen. The cardiomediastinal silhouette is normal. No bony abnormalities. No free air below the right hemidiaphragm.
<unk> year-old female with chest and back 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. Eventration of the diaphragm is incidentally noted bilaterally.
history: <unk>f with chest pain // eval for pneumo or widened mediastinum
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk>m w/chest pain, please eval for wide mediastinum, ptx, pna // <unk>m w/chest pain, please eval for wide mediastinum, ptx, pna
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. No free air seen below the diaphragm.
<unk>m with chest pain, abd pain // acute process
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Cardiomediastinal and hilar contours are stable with mild cardiomegaly. There is no pleural effusion or pneumothorax. There is no focal consolidation concerning for pneumonia. Left retrocardiac opacity has improved on the current study. Rightward deviation of the trachea is due to an enlarged left thyroid lobe, as seen on recent chest ct.
concern for right pneumothorax.
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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 poor historian, new leukocytosis
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As compared to the previous radiograph, there is no relevant change. Large lung volumes, bilateral apical thickening that is symmetrical in distribution. Normal size of the cardiac silhouette and extensive tortuosity of the thoracic aorta. No pleural effusions. The subtle bilateral parenchymal opacities are unchanged in size and morphology.
mac, triple antibiotics, assessment for changes.
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Lower lung volumes are seen, but the lungs remain clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with abnormal ekg // r/o acute process
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Median sternotomy wires and cabg clips are noted. The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. The lungs are well expanded. Fibrosis at the medial left upper lung is again noted. A small area of subtle consolidation in the right mid lung is new since the prior study. Pulmonary vasculature is within normal limits.
productive cough for two weeks with history of pneumonia.
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Pa and lateral views of the chest are compared to previous exam from <unk>. Low lung volumes seen on the frontal exam. Bibasilar opacities, larger on the left, most likely due to atelectasis, as this is not confirmed on lateral view. Lungs otherwise are clear. Cardiomediastinal silhouette is within normal limits. Surgical clips in the right upper quadrant suggest prior cholecystectomy. Osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old female with chest pain and cough and fever.
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There is a large right-sided pleural effusion. Minimal right-sided aerated lung seen superiorly. There is no leftward mediastinal shift suggesting significant component of underlying right lung atelectasis. The left lung is clear. The cardiomediastinal silhouette cannot be adequately assessed. No acute osseous abnormalities.
<unk>f with known pleural effusion, sob, ?fever. // eval for pna, pleural effusion