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A right internal jugular catheter terminates in the distal svc. Platelike atelectasis in the right lung base. There has been interval improvement in aeration of the left lung base with reduced atelectasis and likely a small residual effusion. No pneumothorax seen. Previous median sternotomy and coronary artery bypass clips seen.
<unk> year old woman pod <num> cabg // effusion/atelectasis
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A moderate size left pleural effusion persists, similar compared to the prior study. Left basilar consolidation has improved since then, but a small amount hazy opacification persists. The right lung is grossly clear. Moderate cardiomegaly is stable. There is no pneumothorax or overt pulmonary edema. A left chest wall pulse generator device is unchanged in position, with leads terminating in the right atrium and right ventricle.
<unk>f with ams // pna? sdh?
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Lungs are fully expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Specifically, there is no evidence of mediastinal or hilar lymphadenopathy or parenchymal abnormalities. Mediastinal and hilar contours are normal. Heart size is normal.
<unk> year old man with prostate bx showing signs of sarcoidosis // evidence of sarcoidosis
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As compared to prior radiograph from <unk>, there has been interval improvement of bibasilar atelectasis. There is a small right pleural effusion. There is no pneumothorax. The cardiomediastinal contours are stable in appearance.
<unk>-year-old male patient status post tracheobronchoplasty. study requested for evaluation of interval change.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with cough // r/o pna
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Right chest wall port is again noted. The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Mean sternotomy wires and mediastinal clips are again noted. No acute osseous abnormalities. There is unchanged anterior wedging of a lower thoracic vertebral body.
<unk>f with recent kindey and pancreas transplant, on immunosuppression, with fever. // does the patient have pneumonia?
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As compared to the previous radiograph, there is no relevant change. The position of the icd lead is constant, projecting over the right atrium. Unchanged scars at the right lung bases. No pulmonary edema. No pneumothorax. Unchanged position of the pacemaker generator.
history in appropriate icd shocks, evaluation of icd position.
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Since <unk>, postsurgical changes following right middle and lower lobe resection are seen with right basilar atelectasis, retraction of the right hemidiaphragm, and a small right pleural effusion. The left lung is clear. The heart is top normal in size. There is interval resolution of previously noted right pneumothorax. Tracheal shift.. Rib loss.
<unk> year old woman s/p rsxn of large lung mass // interval cxr
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Frontal and lateral radiographs of the chest demonstrate mildly enlarged cardiac silhouette. The mediastinal and hilar contours are normal. There is mild pulmonary edema, worse from prior. Small pleural effusions are improved. Opacity in the right lower lobe and could represent atelectasis although superimposed infection is also possible; however, it appears improved compared to the prior study. No pleural effusion or pneumothorax.
shortness of breath. evaluate fluid overload.
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The heart size is top normal. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of chest pain. please evaluate for acute process.
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There are persistent coarse reticular bibasilar opacities which given differences in inspiratory effort are unchanged. Known pulmonary nodules seen on prior ct are not clearly delineated. There is no confluent consolidation or effusion. Cardiomediastinal silhouette is stable. Tortuosity of the descending thoracic aorta is again noted. Old healed left lateral rib fractures are noted. There is no acute osseous abnormality.
<unk>m with ams // pna?
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There is a <num> x <num> cm rounded opacity within the right upper lobe posteriorly, which may represent a round pneumonia, but is concerning for malignancy. The lungs are otherwise clear. Heart size is normal. 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 woman with h/o asthma w cough and congestion // r/o infiltrate
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Pa and lateral images of the chest demonstrate improvement in the left lower lobe pneumonia on both the frontal and lateral views. Followup chest radiograph is recommended in two weeks following continued treatment of the pneumonia. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is unremarkable.
<unk>-year-old female with community-acquired pneumonia.
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Left base opacity is most likely due to atelectasis, but consolidation due to infection is not excluded in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. Cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable. No overt pulmonary edema is seen.
history: <unk>m with hiv and bilateral foot cellulitis p/w bilateral <unk> edema and bibasilar crackles c/f new chf // c/f pna, pulmonary edema
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Lungs are clear. Cardiac silhouette is normal in size. Medistinal silhouette is stable. No pleural effusion or pneumothorax.
<unk>-year-old man with chest pain.
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Port-a-cath terminates in the upper svc as on the prior study. Previously noted focal opacity just lateral to the access port is different in appearance than prior exam and likely is part of the access catheter. There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable.
altered mental status. evaluate for infectious process.
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Pa and lateral chest radiograph demonstrates no focal opacity concerning for pneumonia. When compared to prior study dated <unk>, there is an essentially no change. Cardiac and hilar contours are within normal limits. Mild mediastinal fullness, stable in appearance over several years, possibly reflective of an enlarged thyroid. There is no pleural effusion.
<unk>-year-old male with dyspnea and fever.
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Overall volume of the right hydropneumothorax is stable, with a slight increase in dependent fluid. Stable right apical pneumothorax. Unchanged left pleural effusion. Moderate bibasilar atelectasis, slightly increased on the right and stable on the left. Normal cardiomediastinal and hilar contours.
<unk>-year-old woman with a history of cecal cancer complicated by liver metastases now status post segment <num> wedge resection, pericardial effusion status post pericardial window, and pleural effusion and pneumothorax status post chest tube removal. assess for interval change.
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The lungs are well inflated. The right lung does not show any focal opacities. Some discoid atelectasis is present in the lower left lung field, but no other opacities are seen. There is mild cardiomegaly, but the cardiomediastinal contours are unremarkable otherwise. There is a tiny pleural effusion in the right. There is no pneumothorax. Right posterior rib deformities are more extensive than on prior but appear old. Chronic post-traumatic changes in the right coracoclavicular region are stable.
<unk>-year-old male with multiple medical problems, now with leg pain and diminished breath sounds on the right side. evaluate for acute cardiopulmonary process.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Bibasilar atelectasis. Lungs are otherwise clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk>m with bilateral leg swelling. evaluate for pneumonia
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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
history: <unk>m with sore throat and hemoptysis // evaluate for pulmonary abnormality
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Midline sternotomy wires and prosthetic cardiac valve again noted with mediastinal clips. There is dense mitral annular calcification. Cardiomediastinal silhouette is unchanged. Lungs appear hyperinflated with flattened diaphragms suggesting copd. Subtle increased opacities in the medial aspect of both lung bases may reflect a very early pneumonia in the correct clinical setting. No large effusion or pneumothorax. Severe degenerative disease partially imaged at the right shoulder.
<unk>m with hyponatremia // eval for consolidation
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Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Patchy opacities in the lung bases may reflect areas of atelectasis. Elevation of the right hemidiaphragm is chronic. No focal consolidation, pleural effusion or pneumothorax is identified. Mild to moderate multilevel degenerative changes are seen in the thoracic spine. Multiple remote right-sided rib fractures are noted.
history: <unk>m with dyspnea on exertion and fever/chills
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Nasogastric tube tip and side port appear to be within the stomach. Heart size is normal. Minimal atherosclerotic calcifications are seen at the aortic knob. Mediastinal and hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is present. Moderate degenerative changes are seen within the thoracic spine.
history: <unk>m with pancreatic mass and small bowel obstruction
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There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable. There is compression of the superior endplate of a mid thoracic vertebrae, perhaps t<num>, which is age indeterminate.
left chest pain. for an infiltrate or cardiomegaly.
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The heart is mildly enlarged. Upper mediastinal contours are unremarkable. The thoracic aorta is densely calcified throughout. Lung volumes are low and there is bibasilar atelectasis. No focal consolidation, pleural effusion, or pneumothorax.
history: <unk>m with resolved right facial droop // eval for pna
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Pa and lateral views of the chest provided. There is prominence of the perihilar vessels which likely represents mild congestion. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
history: <unk>m with cough // ?pna
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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected. Hypertrophic changes of the spine are noted.
history: <unk>f with cp // r/o infectious process
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The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
v/d, tachycardia minimally responsive to fluids. question increased heart size.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. Lower lung volumes are seen on current frontal exam. Mild bilateral effusions are again noted with probable adjacent atelectasis. There is no pneumothorax. Cardiomediastinal silhouette is within normal limits. Posterior right seventh rib fracture and right lateral ninth rib fracture are again seen. Osseous structures are otherwise unremarkable.
<unk>-year-old male with mechanical fall and right rib fracture.
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Cardiomediastinal silhouette is top normal. Except for streaky left basilar atelectasis, lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
<unk> year old woman with new dx of multiple myeloma with new onset of significant night sweats. evaluate for signs of infection.
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. Again noted is a right sided port-a-cath, with the tip terminating at the cavoatrial junction. A moderate right-sided pneumothorax status post removal of a right-sided chest tube remains. It has not increased in size. There is no pleural effusion.
<unk> year old man s/p rul lobectomy, rml wedge resection with r apical ptx s/p chest tube removal // ? change in new r ptx s/p chest tube pull - please schedule for midnight
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There is moderate cardiomegaly. The aortic knob is calcified. The mediastinal and hilar contours are unchanged, with mild unfolding of the thoracic aorta. There is mild pulmonary edema. Trace right pleural effusion is present. No pneumothorax or focal consolidation is present. There are no acute osseous abnormalities.
congestive heart failure, receiving blood.
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Bilateral airspace opacities are again identified. Opacification of the right lower lung is unchanged, the right midlung opacification is increased, in the left mid and lower lung opacification has improved. There is a small to moderate layering right pleural effusion. There is no pneumothorax or pulmonary edema. Moderate cardiomegaly is unchanged.
mr. <unk> is a <unk>m with h/o cad s/p mi, metastatic prostate cancer, and stage iiia gastric adenocarcinoma who presented with gastric outlet obstruction c/b by nstemi, transferred to micu after aspiration pneumonia following intubation for peg, now s/p duodenal stent on mostly normal diet, undergoing radiation therapy, w/low uop giving fluids, febrile to <num> overnight evaluate for pneumonia.
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are identified.
atypical chest pain for <num> hours and question of pericarditis.
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Compared with prior radiographs on <unk>, there has been interval complete resolution of the right lower lobe pneumonia.the lungs are clear without focal consolidation. No pleural abdomen or pneumothorax is seen. The cardiac and mediastinal silhouettes are normal.
<unk> year old man with rll pneumonia // evaluate for resolution of infiltrate
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The lungs are clear. There is no effusion, consolidation, or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with chronic cough, l sided pleuritic pain // evaluate for pleural effusion, pulmonary process
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There is minimal left basilar atelectasis; otherwise, the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified.
status post l<num>-l<num> laminectomy, for evaluation of infectious symptoms.
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Mild to moderate enlargement of cardiac silhouette appears similar compared to the previous exam. The mediastinal and hilar contours are stable, with unchanged widening of the right paratracheal stripe compatible with known lymphadenopathy. There is no pulmonary edema. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There are multilevel degenerative changes in the thoracic spine. Surgical anchor is visualized within the left humeral head.
chest discomfort, history of cardiomyopathy.
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Pa and lateral views of the chest. No prior. Low lung volumes are seen. Linear opacities at the lung bases, left greater than right are most suggestive of atelectasis; however, a component of consolidation cannot be excluded. Cardiomediastinal silhouette is within normal limits. Superiorly, the lungs are clear. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with pleuritic flank pain, dyspnea on exertion. fever.
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top-normal. There is no pulmonary edema. Mediastinal and hilar contours are unremarkable.
hyperthyroidism.
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There is mild cardiomegaly. There is linear atelectasis or scarring at both lung bases. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. There is an old right clavicular fracture.
<unk>-year-old man with left knee septic arthritis, preoperative chest radiograph.
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Pa and lateral views of chest demonstrate clear lungs. Cardiac size is normal. No pleural effusion or pneumothorax. No displaced rib fractures.
pain.
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Pa and lateral views of the chest. Linear right upper lung opacity is compatible with scarring/ resection. Small bilateral effusions have not significantly changed in size noting that they are now seen laterally at the costophrenic angles on the frontal view, more so when compared to prior. There is no definite new focal consolidation. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected.
<unk>-year-old female with atrial fibrillation status post recent cardioversion with dizziness and lightheadedness for <num> days. elevated white blood cell count.
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When compared to a remote prior, there has been no significant interval change. There are increased interstitial markings best seen on the lateral view in the retrosternal region and projecting over the cardiac silhouette. There is no new consolidation, or effusion. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>m with cough, fever // r/o infiltrate
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The lungs are hyperinflated. No focal consolidation. Moderate levoscoliosis of the thoracic spine. The cardiomediastinal silhouette is unremarkable.
history: <unk>f with fever // ? infectious process
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Pa and lateral views of the chest provided. There is mild prominence of interstitial markings, which may represent interstitial pulmonary edema in the appropriate clinical setting. No overt pulmonary edema. 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 chest pain
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Frontal and lateral radiographs of the chest demonstrate normal heart size. Low lung volumes. Retrocardiac opacity consistent with left lower lobe pneumonia.
dyspnea for <num> days question cardiomegaly or infiltrate.
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Ap upright and lateral views of the chest provided. Cardiomegaly is re- demonstrated with an unfolded thoracic aorta. There is no focal consolidation, effusion or pneumothorax. No convincing signs of edema. Imaged osseous structures are intact. Degenerative changes are notable at the left shoulder partially imaged. No free air below the right hemidiaphragm is seen.
<unk>f with dementia presents with hyperglycemia, searching for precipitating factor // ? pneumonia
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Pa and lateral chest radiograph demonstrates a <num> x <num> cm opacity within the left lower lobe not definitely confirmed on the lateral chest radiograph. Linear opacity in the right upper lobe consistent with azygous fissure. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion. Osseous structures demonstrates no acute abnormality.
<unk>-year-old female smoker with hemoptysis.
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Lung volumes are normal. There is no consolidation. Pleural surfaces are smooth, without effusion or pneumothorax. Cardiomediastinal contours are normal. No subdiaphragmatic free air.
history: <unk>m with dyspnea, cough, hx of asthma // please evaluate for acute cp process
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The cardiac, mediastinal and hilar contours appear stable. The lungs appear clear. Trace pleural effusions are suspected bilaterally. There is no pneumothorax. Narrowing among mid thoracic interspaces appears unchanged.
worsening bilateral lower extremity edema. status post liver transplant.
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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 mild bronchiectasis at the lung bases. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of palpitations. please evaluate for acute process.
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The lateral radiograph is sub-optimal likely due to patient motion. Ill-defined streaky opacities in the perihilar and lower lungs, right great than left, are worse since <unk> and may represent progression of previous process, however, acute infection may be present. The cardiomediastinal silhouette and hilar contours are stable. There is no large pleural effusion or pneumothorax.
shortness of breath and bilateral wheezes and coughing fits x<num> days. fever. evaluate for pneumonia.
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Mild enlargement of cardiac silhouette is present. Thoracic aorta is unfolded. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. Streaky opacities in lung bases likely reflect areas of atelectasis. No pleural effusion or pneumothorax is seen. Remote left third posterior rib fracture is present.
history: <unk>m with altered mental status, agitation
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The lungs are well expanded. There is mild pulmonary edema, increased from baseline. No focal consolidation or mass is seen. There is no pleural effusion or pneumothorax. Severe cardiomegaly is seen. Median sternotomy wires are noted, several of which are fractured. Some of the sternal wire fragments are migrating through the soft tissues from prior exams. Mediastinal clips are noted. Hardware is noted in the right proximal humerus.
history: <unk>f with copd on home o<num> now with cough. // pneumonia?
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear apart from minimal atelectasis in the lung bases. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is identified.
history: <unk>m with chest pain, status post myocardial infarction <num> days ago and catheterization.
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Hyperinflated lungs are clear. There are no pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are normal. Pulmonary vascularity is normal.
<unk>-year-old male with tobacco history and weight loss. also with cough. evaluate for pulmonary process.
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Pa and lateral views of the chest. No prior. The lungs are clear. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable. No displaced rib fracture identified.
<unk>-year-old female with left-sided flank pain around t<num>-t<num>. question rib fracture.
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Pa and lateral views of the chest. Cardiac, mediastinal, and hilar contours are normal. Lungs are clear without evidence of pneumonia. No pleural effusion or pneumothorax. No evidence of volume overload. Heart size is normal.
hiv, etoh abuse, abdominal pain, hematemesis, is there an acute cardiopulmonary process.
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Pa and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is normal. No acute osseous abnormality detected. No free air seen below the diaphragm.
<unk>-year-old female with chest pain and epigastric pain.
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Frontal and lateral radiographs of the chest demonstrate increased retrocardiac opacification concerning for pneumonia in the appropriate clinical setting. The heart is not enlarged. The aorta is tortuous. There is no pneumothorax, pleural effusion, or consolidation.
<unk>m with tachycardia, htn, cough, recent sick contacts // r/o pna
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. Median sternotomy wires are intact.
history: <unk>f with retrosternal cp // eval for acute process
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Pa and lateral chest radiograph demonstrate hyperinflated lungs bilaterally. Lungs are clear without a focal consolidation to suggest pneumonia. Cardiomediastinal and hilar contours are stable relative to prior examination dated <unk>. There is no pneumothorax or pleural effusion.
history: <unk>m with cp // ? effusion, consolidation
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Lung volumes are mildly decreased with bibasilar atelectasis, more prominent on the left, overall similar from the prior examination. There is no lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged in appearance. No displaced rib fracture is identified. Known mixed sclerotic and lytic lesions within the right coronoid process, right scapula, left anterior second rib, manubrium, and sternum are better visualized on the patient's previous ct chest examination.
history: <unk>m with melanoma // eval infiltrate
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. There is mildly increased right infrahilar opacity, which could represent prominent vessels as noted before, though no definite focal consolidation is identified. There is no pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for infiltrate in a patient with asthma, not improving with steroid treatment.
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The cardiac, mediastinal and hilar contours appear stable. There is small eventration of the right hemidiaphragm. There is no pleural effusion or pneumothorax. Streaky posterior left basilar opacity suggests minor atelectasis. Elsewhere, the lungs appear clear. Moderate to severe rightward convex curvature is centered at the thoracic thoracolumbar junction and appears unchanged with incompletely characterized, but probably similar, degenerative changes.
right leg pain and transient exertional chest pain.
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Ap upright and lateral views of the chest provided. Extensive surgical fixation hardware at the right proximal humerus again noted. There is interval improvement in right basal effusion and atelectasis compared with prior exam. Cardiomediastinal silhouette appears normal aside from a slightly unfolded thoracic aorta. There is no convincing evidence for edema. Chronic left ribcage deformities are re- demonstrated. Vertebra plana defect in the mid thoracic spine again seen with acute kyphotic angulation centered at this level.
<unk>f with chf, copd p/w dyspnea and cough. b/l wheezes, at dry weight // acute cardiopulmonary process
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Frontal and lateral views of the chest. The lungs are clear of consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormality is detected. Surgical clips seen in the upper abdomen.
<unk>-year-old female with nausea and weakness.
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Mild to moderate cardiomegaly is unchanged. There is no evidence of pulmonary edema. There is no focal consolidation to suggest pneumonia. Mediastinal contour is normal. Morphologic changes of the vertebral bodies with endplate concavity is consistent with patient's history of sickle cell, and are unchanged from prior.
<unk>m with sickle cell with hypoxia <unk>% , no chest pain.
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There is a left-sided pleural effusion with retrocardiac opacity that either represents pneumonia or atelectasis. Mild right basilar atelectasis. Small right pleural effusion. There is no pulmonary vascular congestion. There is mild cardiomegaly. The upper lung zones are clear.
severe as with three-vessel disease, assess for pulmonary edema or other acute process.
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The cardiac silhouette size is normal. Aortic knob is calcified. Mediastinal and hilar contours are normal. Lungs are clear. No focal consolidation, pulmonary edema, pleural effusion or pneumothorax is present. Multilevel degenerative changes are seen within the thoracic spine.
history: <unk>m with chest pain.
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Pa and lateral views of the chest demonstrates the lungs are well expanded and clear. There is a dual lead pacemaker device with leads terminating in the right atrium and right ventricle, as before. Additionally, a port-a-cath is in place projecting over the right chest, terminating in the mid to lower svc, as before. There is no evidence of pneumothorax. Left apical pleural thickening is again seen, previously described is postradiation fibrosis. The breast shadows are asymmetrical, in keeping with left breast prosthesis. The cardiomediastinal silhouette is unremarkable and no focal pneumonia is present. There is no pleural effusion.
shortness of breath on exertion.
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The lungs are clear and lung volumes are slightly increased. No pleural effusion, pneumothorax focal airspace consolidation. Heart is normal size. The mediastinal and hilar structures are unremarkable. The left shoulder arthoplasty is partially imaged.
weakness. evaluate for infiltrate or an 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>m with altered mental status
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The overlying brace with somewhat obscures evaluation. There is no definite pneumothorax seen after chest tube removal. Small bilateral pleural effusions are unchanged with fluid seen in the left major fissure. There has been improved aeration of the left lung base with persistent, residual bibasilar atelectasis. The cardiac and mediastinal contours are unchanged. Severely displaced right rib fractures are unchanged in orientation and demonstrate small adjacent hematoma. There has been improvement in the subcutaneous air seen along the right lateral chest wall.
recent chest tube removal. evaluate for interval change.
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Lung volumes are low. This accentuates the size of the cardiac silhouette which is likely top normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is detected.
cough, chills for <num> week.
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The lungs are normally expanded and clear. Heart size is normal. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. There are large flowing anterior and left lateral osteophytes emanating from the thoracic spine.
<unk> year old woman with sob. has <unk> of dmt<num>, htn and ckd // r/o pneumonia
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Compared with the prior radiograph, no significant change. Likely mild emphysema. The heart size, mediastinal, and hilar contours are stable and within normal limits. Lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>m with cp. evaluate for change in heart size since prior xray or any new abnormalities of mediastinum.
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Low lung volumes are present. Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. There is no pulmonary vascular congestion. Pleural thickening with surgical clips is seen within the right basilar hemithorax as well as associated rib deformities, not changed in the interval. Bibasilar atelectasis is noted without focal consolidation. No pleural effusion or pneumothorax is present. Diffuse idiopathic skeletal hyperostosis is seen throughout the thoracic spine.
history: <unk>f with shortness of breath
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Right-sided port-a-cath terminates in the upper svc. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk> year old woman with history of gastric cancer // assessment of port-site
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There is a new opacity in the left lower lobe concerning for pneumonia given the clinical setting. Stable normal heart size with tortuosity of the thoracic aorta. No pleural effusion or pneumothorax. The right lung is clear.
<unk> year old man with multiple medical problem presetns with <num> days on cough. left basilar crackles on exam. ? pneumonia. // ? pneumonia
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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.
<unk>-year-old female with nausea, vomiting, and generalized fatigue.
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Pa and lateral views of the chest. The lungs are clear of consolidation or effusion. Calcified granuloma projects over the left lung base, similar to prior. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>-year-old male with mycosis.
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Low lung volumes are noted with secondary crowding of the bronchovascular markings. There is no confluent consolidation, effusion, or overt pulmonary edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified.
<unk>f with episode of unresponsiveness, ? acute infectious process // ? acute cardiopulm process
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Pa and lateral views of the chest provided. Left ij dialysis catheter is again seen. Increased opacities in the right and left lower lobes are concerning for pneumonia. No large effusion or pneumothorax is seen. No convincing signs of edema. Cardiomediastinal silhouette is stable. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with sob // infiltrate?
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As compared to the previous radiograph, pre-existing pleural effusions have minimally decreased in extent. However, bilateral, right more than left subtle reticular opacities are seen on both the frontal and the lateral radiograph. Given the small overall lung volumes the findings are suggestive of a fibrotic process. Ct could be performed to clarify this suspicion. Moderate cardiomegaly without evidence of acute pulmonary edema. Status post cabg.
history of lung disease with desaturations. questionable fluid overload.
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Minimal basilar atelectasis/scarring is seen without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is mildly enlarged. Slight prominence of the hila likely relates to pulmonary vascular engorgement. Some degenerative changes are seen along the spine.
history: <unk>m with axtaxia // eval for pnanchct eval for ich
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A right pigtail drain is seen at the base of the right lung, unchanged in position. A left central venous catheter is seen terminating in the low svc and unchanged. There is some opacity at the base of the right lung which likely represents increased atelectasis, however may also represent pneumonia or pulmonary hemorrhage in the appropriate clinical setting. There is possibly a new loculated right pleural effusion. There is a small pleural effusion on the left. The cardiomediastinal silhouette and hilar contours are grossly unchanged. There is no pneumothorax.
evaluation of effusion
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Mild ground-glass opacities in right middle lobe is new. This is compatible with pneumonia. Left lung is unremarkable. There is no pneumothorax or pleural effusion. Left-sided port-a-cath ends in upper svc. Surgical clips from right breast surgery and axillary lymph node dissection.
patient with breast cancer on chemotherapy. neutropenic, fever, rule out infection.
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Frontal and lateral radiographs of the chest were acquired. There is pleural thickening along the lateral aspect of the left lung with associated calcified plaque, better seen on prior ct from <unk> and not significantly changed compared to chest radiographs from <unk>. <unk> calcified pleural plaque is also noted at the left lung apex. Elevation of the lateral aspect of the left hemidiaphragm is not significantly changed. There is no focal consolidation. The heart size is normal. The mediastinal contours are normal. There is no pneumothorax. Multilevel degenerative changes of the thoracolumbar spine are noted.
cough and hyperglycemia. assess for pneumonia.
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Frontal and lateral chest radiographs were obtained. There is an ill-defined, non-calcified focal opacity in the left mid lung. The lungs are otherwise well expanded with no other consolidations. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no rib fracture.
patient with left-sided rib pain, rule out pathological fracture.
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The cardiac silhouette size is normal. The mediastinal and hilar contours are normal. The pulmonary vascularity is normal. Lungs are clear. Previously described nodular opacity in the left upper lobe on the chest radiograph <unk> is not visualized on the current exam. No pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.
ms flare with fall and progressive weakness.
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax with bibasilar atelectasis noted. The heart size is normal. The mediastinal contours are normal. Surgical clips are noted in the cervical neck compatible with prior thyroidectomy.
<unk>-year-old female with chest pain.
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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. The thoracolumbar curve is slightly to the left.
dyspnea and wheezing.
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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>f with right upper back pain radiate to chest // role out pneumothorax
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding portable single view chest examination of <unk>. Comparison is also extended to a pa and lateral chest examination of <unk>. In the present examination both diaphragms rather high positioned indicative of poor inspirational effort resulting in some crowded appearance of the pulmonary vasculature on the bases. Acute parenchymal infiltrates, however, cannot be identified and the lateral and posterior pleural sinuses are free from any fluid accumulation. No acute pulmonary infiltrates are identified anywhere and there is no pneumothorax in the apical area. Skeletal structures of the thorax is grossly unremarkable. In the next preceding portable chest examination, the patient had a right-sided diaphragmatic elevation, the course of which was unknown. No acute pulmonary abnormalities are present. On the pa and lateral chest examination of <unk>, the chest findings were considered to be normal. The relatively high positioned diaphragms could be explained by patient's personal constitution. Comparison with today's pa and lateral chest examination indicates several gain in body weight.
<unk>-year-old male patient with two months of cough, assess for interstitial infiltrate or nodule.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>f with palpitations, sob // ?cause for sob
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The lungs are well expanded and clear. The heart is moderately enlarged. The mediastinal contours are grossly stable. Aortic calcifications are again seen. There may be a trace amount of fluid along the major fissure. No large pleural effusion or pulmonary edema is seen. There is no pneumothorax.
epigastric pain and history of aortic insufficiency. evaluate for acute changes.
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As seen on prior, there is a focal opacity projecting over the spine inferiorly on the lateral view. On the current exam, it is difficult to localize to the left or the right on the frontal view. Superiorly, the lungs are clear. The cardiomediastinal silhouette is within normal limits.
<unk>f with several days fever fatigue malaise, outdoor exposure <num> wks prior, transient rash // eval ? interval changes in previously dx pna