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Frontal and lateral chest radiographs demonstrate a left chest port with the tip terminating at the cavoatrial junction. Lung volumes are low, with increased prominence of the cardiac silhouette and bronchovascular crowding, including bibasilar atelectasis. No definite focal consolidation is identified. There is no pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable.
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dyspnea and wheezing. evaluate for acute process.
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There is no lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiac size is top-normal, as seen on the prior examination. Dense calcifications are noted at the aortic arch and throughout the descending thoracic aorta. There is no evidence of displaced rib fracture or pneumoperitoneum. Small bilateral cervical ribs are incidentally noted.
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<unk>f with intermittent chest pain // ? pneumonia, effusions
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In comparison with study of <unk>, the pacemaker leads appear to be well situated. Continued enlargement of the cardiac silhouette with some hyperexpansion of the lungs, but no definite vascular congestion or acute focal pneumonia.
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dual-chamber icd.
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The patient is status post median sternotomy and cabg. The heart size remains moderately enlarged. The mediastinal and hilar contours are unchanged. There is no pulmonary edema. Small right pleural effusion which is partially loculated laterally and extends into the minor fissure is unchanged. Right basilar patchy opacity is re- demonstrated as well as <num> retrocardiac patchy opacity, all of which are similar compared to the previous exam. There is likely a small left pleural effusion. No pneumothorax is seen.
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pneumonia.
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Pa and lateral chest radiographs were provided. There is a focal opacity in the left lung base with slight obliteration of the left cardiac border concerning for infectious process. There is no other focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. There are no acute skeletal abnormalities.
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<unk>-year-old man with left flank pain, cough. evaluate for pneumonia.
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The lungs are clear, the heart size and mediastinal contours are normal, and there is no pleural effusion or pneumothorax. Osseous structures are intact.
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history: <unk>m with chest pain.
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As compared to the prior examination, the right pleural effusion has increased in size and is now moderate-severe with adjacent atelectasis. Bilateral pulmonary edema is now moderate-severe. The heart is enlarged and the aortic arch is heavily calcified. A large, calcified right goiter is again noted, deviating the trachea towards the left.
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<unk> year old woman with stage <num> ckd and chf with increased dyspnea especially at night x <num> week // r/o worsening right pleural effusion versus chf
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The lungs are well expanded and clear. Unchanged opacity projecting over the right upper lung medial to the scapula reflect was previously demonstrated to reflect a pleural and extrapleural lipoma (chest ct in <unk>). Otherwise the lungs are clear without pleural effusion or pneumothorax. The heart is again top-normal in size with tortuous aortic contour.
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crackles at the right upper lobe.
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Frontal and lateral views of the chest. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormality detected.
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<unk>-year-old female with copd and abnormal lung sounds, cough.
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Tracheostomy tube tip is in unchanged position. Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>m with cough
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As compared to the previous radiograph, the pre-existing parenchymal opacities have slightly decreased in extent and severity but are still clearly visible, notably in the region of the right apex. The bilateral pleural effusions, better visualized on the lateral than on the frontal radiograph, persist. Unchanged normal hilar structures and normal size of the cardiac silhouette, with minimal calcification of the aortic wall and minimal tortuosity of the aorta. No pneumothorax. Mild degenerative right shoulder disease.
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sepsis, colitis, persistent rhonchi.
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Frontal and lateral chest radiographdemonstrates well expanded lungs. There is a rounded density in the right cardiophrenic region seen on the frontal view, without definite correlate on the lateral view --? Due to localized atelectasis. Possible minimal blunting of the costophrenic angle posteriorly. Otherwise, no chf, focal infiltrate pleural effusion or pneumothorax detected. Heart size, mediastinal contour, and hila are unremarkable. A right central line or other port tip is seen in the low svc. No free air seen beneath the diaphragm. Please see additional findings on the abdominal film obtained the same day.
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nausea, vomiting, malaise. history of multi dysplastic syndrome. assess for acute process.
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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute fractures are identified.
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evaluation of patient with back pain.
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There is minimal right basilar atelectasis. The lungs are otherwise clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. Pulmonary vascularity is normal.
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chest and abdominal pain.
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Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. There is no evidence of pneumoperitoneum.
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right upper quadrant epigastric pain.
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Ap and lateral views of the chest. Streaky linear bibasilar opacities are most suggestive of atelectasis. The lungs are otherwise clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
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<unk>-year-old male with cough and hypoxia.
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Predominantly peripheral and basilar regions of increased interstitial markings appear stable compared to the prior exam and are likely secondary to fibrotic changes and bronchiectasis. No new focal consolidations concerning for pneumonia are identified. There is no pleural effusion or pneumothorax. The heart size is normal. The hilar and mediastinal contours are normal. There is significant amount of pneumoperitoneum consistent with patient's known perforated diverticulitis, better assessed on the recent ct abdomen pelvis performed on the same day.
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history of chest pain. please evaluate for subdiaphragmatic free air. the patient has a history of perforated diverticulitis.
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Lungs appear clear though volumes are low. There is no pleural effusion or pneumothorax. The heart size is stable and top-normal. Mediastinal contour is normal. No bony abnormality. No free air below the right hemidiaphragm.
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<unk>f with htn, dm, hypercholesterolemia, asthma presenting with chest pain.
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In comparison with the study of <unk>, the free intraperitoneal gas or a small subpulmonic pneumothorax on the right has cleared. The perihilar opacification on the right is not as well seen. There is hyperexpansion of the lungs with flattening of the hemidiaphragms consistent with chronic pulmonary disease. No acute focal pneumonia or pulmonary edema.
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nsclc with new cough.
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Compared to the prior radiograph, lung volumes are improved with better aeration. No evidence of focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar silhouettes are unremarkable. Chronic deformity of the right clavicle is unchanged, as is marked degenerative change of the left glenohumeral joint.
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<unk>m with cough, etoh. evaluate for pneumonia, aspiration, acute process.
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Cardiac size is normal. The aorta is tortuous. Minimal interstitial reticular abnormality in the lower lobes bilaterally is unchanged, better characterized in prior ct. There is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine. There is s-shaped scoliosis
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<unk> year old woman with arthrlagias // ? hilar <unk> or infiltrate
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Lung volumes are low. There is moderate cardiomegaly and mild pulmonary edema. There is small left pleural effusion.
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<unk>-year-old with dizziness. assess for pneumonia or chf.
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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.
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<unk>-year-old male with chest pain and history of smoking. evaluate for pneumothorax or pneumonia.
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Chest, pa and lateral. The lungs are hyperinflated. Again noted are diffuse, reticulonodular opacities, denser in the lower lungs. There is also increased linear opacities in the right lower lobe. There is a small right pleural effusion. Moderate cardiomegaly is stable. There is no pulmonary edema, however pulmonary vascular engorgement is noted. There is no pneumothorax.
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<unk>-year-old woman with history of previous abnormal chest ct with new interstitial lung disease. the patient now presents with wheezing and productive cough for the last <num> hours.
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal.
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<unk>f with syncope, evaluate for cardiomegaly.
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Ap and lateral radiographs of the chest were acquired. Lung volumes are slightly low. In the left lower lung, there is a focal patchy opacity, best appreciated on the frontal projection. The lungs are otherwise clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Multilevel degenerative changes of the thoracolumbar spine are noted. Lumbar spine hardware is incompletely evaluated. A left-sided pacemaker with right atrial and right ventricular leads is not significantly changed.
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altered mental status and lethargy. evaluate for pneumonia.
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No evidence of retained picc line. Chronic elevation of left hemidiaphragm. Persistent small left pleural effusion and mild left basilar atelectasis. Interval resolution of right pleural effusion and basilar atelectasis. The cardiomediastinal contours are normal. The pleural surfaces are normal. The spinal fusion hardware is intact. Mild thoracolumbar scoliosis.
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<unk> year old woman with breast cancer had a picc line placed weeks ago, pre placement measurement was <num> cm, it was removed yesterday, and unfortunately measured at <num> cm. didn't look broken, however, the discrepancy remains. likely the initial measurement was not correct, however needs cxr to evaluate. thank you! // is there picc line still in patient?
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The cardiac silhouette is mildly enlarged, similar to prior examination. In the right infrahilar region, there is a patchy opacity, in the appropriate clinical context, which may represent a right middle lobe pneumonia. There is no pleural effusion or pneumothorax.
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history: <unk>f with cough, sob // eval for pna
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Heart size is normal. The mediastinal and hilar contours are unremarkable. There is no pulmonary edema. Patchy bibasilar airspace opacities are more pronounced on the right, and are concerning for areas of infection or aspiration. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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dyspnea, borderline temperature.
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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size.
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history: <unk>m with weakness, cough on prednisone // evidence of infection
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The cardiac, mediastinal and hilar contours appear unchanged. Projecting over the lateral right lung is a vague nodular focus, not present on the prior examinations. There is also a potential new lung nodule projecting over the left upper lung although the latter may be partly artifactual. There is no pleural effusion or pneumothorax.
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tachycardia and chemotherapy.
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Ap upright and lateral views of the chest provided. The heart appears top-normal in size. Streaky lower lung opacities likely represent atelectasis and bronchovascular crowding. The hila appear slightly prominent though there is no overt edema. No large effusion or pneumothorax. Mediastinal contour is unchanged. Bony structures are intact. Cervical fusion hardware is partially visualized in the lower c-spine.
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<unk>m with dyspnea, cough
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits.
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<unk>-year-old male with chest tightness and recent fever.
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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. Chronic left ribcage deformities noted. Chronic compression deformity of l<num> noted. No free air below the right hemidiaphragm is seen.
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<unk>m with recent falls, l rib pain // fracture or bleed?
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Left-sided pacer device is again noted with leads terminating in the regions of the right atrium and right ventricle. Lung volumes are persistently low. Heart size is mildly enlarged. The aorta remains tortuous and diffusely calcified. Crowding of bronchovascular structures is likely due to low lung volumes. No overt pulmonary edema is present. Patchy atelectasis is seen in the lung bases without focal consolidation. No large pleural effusion or pneumothorax is identified. The osseous structures are diffusely demineralized with multilevel moderate degenerative changes and dextroscoliosis.
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history: <unk>f with right shoulder pain status post fall. +headstrike
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The lung volumes are low. There is an increased opacity over the right lower lobe silhouetting at the right hemidiaphragm suggestive of a moderate right pleural effusion with adjacent atelectasis. Otherwise, the left lung is clear. Cardiomediastinal silhouette is normal. Fluid is noted in the right minor fissure.
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evaluation of patient with cough, fever and abdominal pain.
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Left picc tip terminates in the low svc. Right-sided central venous catheter tip terminates in the low svc. Low lung volumes are present. Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Patchy opacities within the lung bases likely reflect areas of atelectasis, with no focal consolidation identified. Small bilateral pleural effusions, more pronounced on the right, are new in the interval. No pneumothorax is present. No acute osseous abnormality is seen.
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history: <unk>m with pancreatic cancer, abd distention // picc line position
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Frontal and lateral radiographs of the chest demonstrate clear lungs. The cardiac and mediastinal contours are normal. No pleural abnormality is detected.
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low-grade lymphoma with productive cough. evaluate for pneumonia.
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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 cardiac silhouette is top normal in size. The mediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
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<unk> year old woman with worsening shortness of breath and cough over past <num> months // please assess for acute processes
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
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<unk>-year-old female with chest discomfort.
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Left chest wall single lead pacing device is now seen with lead tip in the right ventricular apex. Low lung volumes are noted with crowding of the bronchovascular markings. There is no consolidation effusion or pneumothorax. Median sternotomy wires are identified several of which appear fractured as on prior. The cardiomediastinal silhouette is enlarged but likely accentuated by low lung volumes. No acute osseous abnormality is identified.
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<unk>f with chest pain // eval for cardiopulmonary process
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.
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history: <unk>m with dyspnea // acute process?
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. A bochdalek's hernia is again noted. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax.
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<unk>-year-old female with asthma exacerbation. rule out pneumonia.
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Moderate right and small left pleural effusions are seen with overlying atelectasis. Medial right base opacity may be due to combination of pleural effusion and atelectasis, but underlying consolidation due to pneumonia is not excluded in the appropriate clinical setting. Subtle lateral left mid lung opacity projecting over the posterior left seventh rib is most likely due to overlap of structures ; previously seen left upper lung opacity is much less conspicuous on the current study.
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history: <unk>m with increase shortness of breath // eval for pna
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Cardiac silhouette size is top normal. The aorta remains unfolded. Mediastinal contour remains unchanged. New focal consolidative opacity is seen in the left lower lobe concerning for pneumonia. Linear opacities in the right mid lung and lung base are unchanged, likely reflective of areas of scarring. Emphysematous changes are again noted with bilateral pleural parenchymal scarring in the lung apices. There is no pulmonary vascular congestion, pleural effusion or pneumothorax. No acute osseous abnormality is detected.
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history: <unk>m with cough and shortness of breath
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The lungs are clear. There is no consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Coronary artery stent is noted. No acute osseous abnormalities.
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<unk>m with chest pain, h/o cad // eval for structural process
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Right picc remains in place. It is seen to at least the at the level of the cavoatrial junction but tip is not clearly delineated. Left chest wall triple lead pacing device is again noted. Degree of cardiomegaly is stable. There is no edema or effusion. No focal consolidation.
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<unk>m with fall with headstrike on eliquis with missing teeth concerning for possible aspiration of tooth // foreign body (tooth) in airway? head bleed? facial fracture?
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The lungs are clear. There is no pneumothorax. The heart and mediastinum are within normal limits. Previous cervical spine fusion hardware is again noted. The bones are osteopenic.
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<unk> year old woman with left sided chest pain and <num> days of cough. previous cxr negative but more concerning physicial exam findings. // evaluate for evolving pneumonia
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Right lower lobe linear atelectasis is present with mild elevation of the right hemidiaphragm due to volume loss. No pleural effusion or pneumothorax is present. No acute osseous abnormalities seen. Mild loss of height is noted of a mid thoracic vertebral body, which appears chronic.
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history: <unk>m with 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 stable. The previously described linear thin density projecting over the right side of the heart just inferior to the right mainstem bronchus on the prior study is not seen on the current study and may have been external to the patient. .
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history: <unk>f with cough, possible foreign body // concern for foreign body on previous exam, please eval with no overlying materials
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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.
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history: <unk>f with auditory hallucination // r/o chf/pneumonia
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Frontal and lateral chest radiograph demonstrates right port tip within the right atrium. The lungs are well inflated. New right middle lobe opacity most consistent with atelectasis. Right lung is otherwise clear. Triangular opacity within the left lung base best seen on lateral projection likely represents scarring from previous inflammatory disease. No left pleural effusion. No additional focal opacity. Heart size, mediastinal contour and hila are unremarkable.
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<unk>f with fever on chemo. assess heart and lungs.
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Pa and lateral views of the chest are compared to previous exams from <unk> and <unk>. There is minimal residual retrocardiac opacity identified. Elsewhere, the lungs are clear of consolidation or effusion. Cardiomediastinal silhouette is stable as are the osseous and soft tissue structures. Previously seen left internal jugular central line is no longer visualized.
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<unk>-year-old female with shortness of breath.
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Pa and lateral views of the chest. Clips in the right hilum and right costophrenic angle represent post-right upper and middle lobectomy. Right apical pleural drain has been placed. The air has decreased in right apical hydropneumothorax and has now filled with fluid. The remaining right lung is unchanged. The left lung is clear. No left pleural effusion or pneumothorax. No evidence of pneumonia. Right-sided subcutaneous air has decreased.
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right upper lobe and right middle lobectomy with right apical fluid collection status post drainage and catheter placement, assess progression of fluid collection.
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As on prior, for a low lung volumes are seen with streaky bibasilar opacities. Superiorly, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with persistent cough, dyspnea // eval for consolidation
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The heart size is top normal. Low lung volumes cause mild bronchovascular crowding and minimal bibasilar atelectasis. The cardiomediastinal silhouette is otherwise stable. The aorta is mildly tortuous.
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<unk> year old man with hx of cll and cough, please evaluate for pneumonia.
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Low lung volumes. There is subtle opacification at the right lung base which may represent atelectasis, however an early developing pneumonia is a consideration. Otherwise, the lungs are 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.
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history: <unk>m with wbc <unk> // eval for pna, acute process
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Opacity at the left lung base concerning for a focal consolidation. No evidence of pleural effusion or pneumothorax. The cardiomediastinal silhouette is moderately enlarged likely secondary to moderate cardiomegaly. No evidence of pulmonary edema. Imaged osseous structures are intact. No evidence of free air below the diaphragm. A moderate hiatal hernia is noted in the retrocardiac region.
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<unk>-year-old female with chf and asthma presents with dyspnea. evaluate for acute cardiopulmonary process.
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Pa and lateral views of the chest are compared to previous exam from <unk>. Linear opacity at the bilateral lung bases may be due to scarring, unchanged. The lungs are otherwise clear. There is no effusion. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with multiple abscesses. rule out infiltrate.
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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. Thoracic scoliosis is noted.
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history: <unk>f with cp, hypoxia // eval for consolidation
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The heart is at the upper limits of normal size. The cardiac, mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.
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cough and chills.
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The right upper lung opacity has decreased in size and density. There is increased pulmonary venous congestion. No pleural effusion. Bilateral lower lobe atelectasis has increased slightly. No new consolidation. The cardiomediastinal silhouette is unchanged. No pneumothorax.
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<unk> year old man s/p extubation, with right middle lobe opacity noted yesterday. // interval changes
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The heart is again enlarged. A moderate interstitial abnormality is consistent with pulmonary edema. In addition to an existing loculated pleural effusion along the lateral right lower chest, there is an increasing moderate-sized pleural effusion which probably has a free-flowing component, but also likely a loculated element potentially along the right upper lateral chest. However, some of this appearance may be due to parenchymal consolidation. The left base is also newly opacified, which may correspond to consolidation, loculated pleural effusion or both. There is no pneumothorax.
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history of right-sided pleural effusion status post evacuation, presenting with shortness of breath.
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. Again seen is an old healed left lateral ninth rib fracture.
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history: <unk>m with shortness of breath// eval pneumonia
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The inspiratory lung volumes are markedly decreased, which accentuate the interstitial lung markings due to bronchovascular crowding. Within this limitation, there is subtly increased opacification of the left lung base with no correlate on the lateral radiograph which most likely represents atelectasis. There is no focal consolidation concerning for pneumonia. No significant pleural effusion or pneumothorax is detected. The pulmonary vasculature is within normal limits. The cardiac silhouette is accentuated in the setting of low lung volumes but likely within normal limits. The mediastinal and hilar contours are within normal limits.
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history of metastatic pancreatic cancer, now with right flank pain, here to evaluate for acute cardiopulmonary process.
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Interval improvement in retrocardiac opacity. Stable, small bilateral pleural effusions, left greater than right. Cardiomediastinal and hilar contours are normal. Interval improvement in pulmonary edema. Mild, bilateral parenchymal scarring is stable. There is no pneumothorax.
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<unk>-year-old woman with a history of pulmonary hypertension and copd, now with concern for volume overload or a copd exacerbation. evaluate for interval change status post diuresis.
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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.
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<unk>f with rml and rll inspiratory crackles, syncope this morning // <unk>f with rml and rll inspiratory crackles, syncope this morning
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As compared to the previous radiograph, the known right lung pneumonia has almost completely resolved. The only parenchymal remnants seen are extremely subtle and small. The lung volumes continue to be low, with mild atelectasis at both lung bases. No pleural effusions. No pulmonary edema.
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recent pneumonia, evaluation for resolution.
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Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion or pneumothorax. Eventration of the right hemidiaphragm is similar to prior. T<num> vertebral body compression fracture appear stable.
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<unk> year old woman with dyspnea // dyspnea cough
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Pa and lateral views of the chest provided. There has been significant interval increase in right pleural effusion with only partial residual aeration of the right upper lobe and shift of midline structures to the left. The left lung is clear. Heart size cannot be assessed. Bony structures appear intact.
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<unk>m with shortness of breath // ?interval increase in hydrothorax
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The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
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<unk>-year-old woman with persistent cough and atypical chest pain, evaluate for pneumonia.
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Frontal and lateral views of the chest were obtained. A right port-a-cath ends in the mid to lower svc, in satisfactory position. There is no apparent discontinuity or kinks along its course. Lungs are clear without focal consolidation, pleural effusion or pneumothorax. Heart size is upper limits of normal, unchanged. Mediastinal silhouette and hilar contours are stable. Dr. <unk> <unk> the findings with <unk> (iv team) by phone at <time> p.m. On <unk>.
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patient with port-a-cath flushing but not drawing back. evaluate line placement.
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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.
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history: <unk>m with malaise, fatigue, cough // ? pna
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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 displaced fracture is seen.
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history: <unk>m s/p mvc with cspine tenderness and right chest wall ttp // eval for cspine fracture, hemothorax/pneumothorax
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Previously seen-stated pleural thickening is no longer present, wall is most likely superimposition of overlying structures external to the patient. No new abnormality. Otherwise stable.
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<unk> yo aml s/p mec salvage tx, pending hsct, prior cxr showed "irregular thickening right lateral costal pleura". no h/o trauma, reproducible chest pain, cough, desaturation // please have patient disrobe to waist for study; prior artifact vs right pleural thickening? need for f/up ct?
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Pa and lateral views of the chest provided. Lung volumes are low. Mild cardiomegaly is noted. There is subtle blunting of the left cp angle suggesting a tiny effusion or pleural thickening. The lungs appear clear without focal consolidation or edema. No pneumothorax. Mediastinal contour is normal. Bony structures are intact. Partially imaged spinal hardware is again noted in the lumbar spine.
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<unk>m with chest pain
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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. No free air under the diaphragms is seen.
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upper abdominal pain.
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The heart size is normal. The mediastinal and hilar contours are unremarkable. The lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities present.
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cough and congestion.
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A right-sided port-a-cath is seen in the chest wall with tip terminating in the high svc. Entire catheter is not visualized on the field of view; however, there is an apparent clockwise turn, the same was seen on <unk> exam. No kinks are noted. The remainder of the lungs are clear without any evidence of focal opacities concerning for infectious process or pneumothorax or pleural effusion. Mediastinal opacities were present on prior radiographs and likely just due to the patient's posistioning.
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<unk>-year-old man with gbm recent port placement. check for placement.
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Compared to <unk>, there is a new focal consolidation that is only seen on the lateral view and may be projecting over the right hilum on frontal view. Minimally increased prominence of bilateral hilar contour, right worse than left, is seen. The heart size is unchanged. The lungs are mildly hyperinflated. There is no evidence for pulmonary edema or pneumothorax.
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<unk> year old man with cml and gvhd to the lungs. increasing cough; assess for infiltrates; abnormalities.
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The heart is normal in size. The cardiomediastinal and hilar contours are stable. A left upper lobe opacity adjacent to the left hilus is improving when compared to the prior examination consistent with improving aeration. Right lower lobe opacity persists and could represent atelectasis. A small right pleural effusion is present and minimally decreased in size. There is no appreciable pneumothorax.
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<unk> year old man s/p avr // eval for effusions -post-op baseline
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There no pleural effusions or pneumothorax.
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shortness of breath and chest pain.
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Chest, pa and lateral. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
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chest congestion.
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Frontal and lateral chest radiograph demonstrate normal cardiomediastinal and hilar contours. Lungs are clear. No focal consolidations evident. No pleural effusion or pneumothorax identified. No displaced rib fractures identified.
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chest pain. assess for acute process.
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Cardiac silhouette size is mildly enlarged with a left ventricular predominance. The aorta is tortuous. The mediastinal and hilar contours are otherwise unchanged. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. No subdiaphragmatic free air is present. There is no acute osseous abnormality.
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history: <unk>f with <num> week history of chest pain following endoscopy last week
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Pa and lateral chest radiographs were provided. There is no focal consolidation or pneumothorax. There is mild prominence of the pulmonary interstitium consistent with mild pulmonary edema. A small amount of fluid is present in one of the major fissures seen on the lateral projection. The heart is mildly enlarged. The aorta is tortuous and calcified. The right shoulder appears anteriorly subluxed. There are mild degenerative changes in the spine.
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history of worsening dyspnea and edema. rule out acute process.
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In comparison with the study of <unk>, there is little interval change. Again there is a dual-channel pacemaker device in good position with areas of bilateral fibrosis or atelectasis. Specifically, no evidence of chronic tuberculous disease.
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positive ppd.
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The lungs are clear. There is no effusion or consolidation or edema. There is mild enlargement of the cardiac silhouette. No acute osseous abnormalities.
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<unk>m with chest pain // eval for acute process
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There is diffuse increase in interstitial markings bilaterally, increased since the prior study, worrisome for moderate to severe pulmonary edema versus atypical infection. No large pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are stable.
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history: <unk>f with dyspnea, fatigue // ? pneumonia or other cardiopulm process
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No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable.
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history: <unk>f with sob, worsened with inpiration // pna?
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Frontal and lateral views of the chest demonstrate low lung volumes. There is no pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Small right lung base consolidation is better assessed on the ct exam of the same date. Dual-chamber dialysis catheter terminates in the right atrium. Right-sided pic catheter has been removed.
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four-day history of hiccups. assess for pneumonia.
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Re-accumulation of large right pleural effusion with small aerated portion of right upper lung seen. Right middle lobe and lower lobe collapse also seen. Left lung is clear. Right chest tube again noted.no pneumothorax. The cardiac and mediastinal silhouettes are unchanged. Anterior ribs are not visualized in these plain radiographs. Dedicated oblique views of the ribs may be obtained if high clinical suspicion for rib fractures.
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<unk> year old man with metastatic lung ca with r pleural involvement; new focal point tenderness in the mid-anterior r chest at the mid-clavicular line // please evaluate for rib fracture/pathology
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Pa and lateral views of the chest. There is mild cardiomegaly. The mediastinal and hilar contours are normal. There is no pleural effusion, focal consolidation, pneumothorax.
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left-sided chest pain, evaluate for pneumothorax or pneumonia.
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There is hazy opacification in the right lower lobe. There is mild pulmonary vascular congestion. There is a moderate left pleural effusion. There is no pneumothorax. Cardiomegaly is mild. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Scattered metallic densities in the chest may be from prior trauma.
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history: <unk>m with cough, fevers, chills*** warning *** multiple patients with same last name! // evaluate for pneumonia
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Right port-a-cath ends in the low svc. There are small bilateral pleural effusions. No focal consolidation. No pneumothorax. Cardiomediastinal and hilar contours are normal.
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metastatic breast cancer, leukocytosis, evaluate for infiltrate.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no pleural effusion or pneumothorax. A zone of slightly increased density at the anterolateral aspect of the <unk>, <unk>, and <unk> right ribs with minimal cortical irregularities could represent incomplete fractures.
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cough and fever x <num> days. evaluate for pneumonia.
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Frontal and lateral views of the chest. The lungs are clear of consolidation, effusion or vascular congestion. Cardiomediastinal silhouette is normal. No acute osseous abnormality seen.
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<unk>-year-old female with cough and wheeze.
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<num> views of the chest demonstrate mild bibasilar atelectasis with slightly hyperinflated lungs. The mediastinal contour is slightly prominent due to unfolding of the aorta. The cardiac size is normal and the hilar contours are within normal limits. No pneumothorax or pleural effusion.
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wheezing and chest pain.
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The lungs are hyperinflated but clear. There is no focal consolidation. Mild calcified biapical pleural thickening is noted. Heart size is normal. Osseous structures are intact. No pleural effusion or pneumothorax.
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history: <unk>f with shortness of breath // ?pneumonia
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Pa and lateral views of the chest. Right subclavian port-a-cath ends in the mid-to-low svc, unchanged in position compared to prior study. No focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal. Multiple compression deformities in the thoracic spine are similar to prior study.
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myeloma, assess port placement.
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