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When compared to prior, there has been no significant interval change. Moderate size right-sided pneumothorax is not significantly changed. Right-sided port-a-cath is in stable position. There is no focal consolidation. Cardiomediastinal silhouette is stable. Subcutaneous gas again projects over the right axilla.
<unk>f with ptx,** please perform at <num> pm** // ** please perform at <num> pm** int change?
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The lungs are hyperinflated, but clear of focal consolidation, effusion, or pulmonary vascular congestion. The cardiac silhouette is at upper limits of normal in size. No acute osseous abnormalities identified.
<unk>-year-old male with upper respiratory infection and afib with rapid ventricular rate.
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Lung volumes are low and there is mild bibasilar atelectasis. 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. A lesion in or around the left lobe of the thyroid gland,, extending from the neck into the upper mediastinum displacing the trachea to the right at the thoracic inlet, has been present since <unk>.
history: <unk>f with worsening renal function, epig/chest discomfort // eval ? infiltrate
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Heart is normal size and mediastinal contour is stable. Lungs are clear. There is no pleural effusion or pneumothorax. Bones and the upper abdomen are grossly unremarkable.
<unk>m with <unk>'s with increased weakness and confusion
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Moderate cardiomegaly is re- demonstrated. The aorta is unfolded and diffusely calcified. There is mild upper zone vascular redistribution, unchanged, and likely chronic. Pulmonary vascular congestion without overt pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>f with weakness
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Large hiatal hernia is identified, significantly increased in size from ct abdomen and pelvis on <unk>, with adjacent bibasilar atelectasis. Otherwise, the remainder of the lungs are clear. Cardiac and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old male with fever and cough and sputum production. evaluate for evidence of infiltrate.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax.
<unk>f with paf presenting with chest tightness // please evaluate for volume overload
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. When compared to chest radiograph dated <unk>, there has been no significant interval changes. The aorta is torturous. There is no pleural effusion or pneumothorax. No acute osseous abnormality is identified.
<unk>-year-old female with <num> hr of chest pressure and pain.
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As compared to prior chest radiograph from <unk>, there is dilation of the azygos vein and increased pulmonary congestion. There is no overt pulmonary edema. Minimal bilateral pleural effusions are unchanged. Relative hyperlucency of the entire right hemithorax could be due to prior right mastectomy. A right basal pleural tube extends from the lateral costal surface to the posterior aspect of the chest. There is no pneumothorax. The heart is mildly enlarged. Increased lucencies adjacent to the trachea likely represent distended esophagus. There is also marked distention of the stomach.
<unk>-year-old female patient, status post vats wedge resection. study requested for evaluation of pneumothorax.
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Pa and lateral views of the chest were obtained. The heart is mildly enlarged, but cardiomediastinal contour is stable. Lungs are clear. There is no pleural effusion or pneumothorax. Sternotomy wires are unchanged in appearance.
<unk>-year-old woman with chest/left shoulder pain.
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There is no consolidation, pleural effusion or pneumothorax. No concerning parenchymal opacities are identified, within the limitations of radiography. Heart size is normal. There is suggestion of a slight cortical irregularity along the posterior inferior endplate of one of the lower thoracic vertebral bodies seen on the lateral view, which is most likely artifactual.
<unk> year old man with unintentional (but possibly explainable) weight loss ><num>lbs over the last year; hx ewing's sarcoma // any worrisome lesion?
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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. No acute displaced rib fracture.
history: <unk>f with lupus nephritis w/ anasarca, chest pain // eval ? edema
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Heart is mildly enlarged. The aorta is mildly tortuous. There is no pleural effusion or pneumothorax. The lungs appear clear.
dyspnea on exertion.
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There is a three-lead pacemaker/icd device with leads again terminating in the right atrium, right ventricle, and coronary sinus, respectively. The patient is status post coronary artery bypass graft surgery. The heart is moderately enlarged. The mediastinal and hilar contours appear unchanged. There is mild upper zone redistribution of the pulmonary vascularity without frank pulmonary edema. There is no pleural effusion or pneumothorax. Thin anterior flowing osteophyte formation is noted along the mid-to-lower thoracic spine.
syncope.
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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 cough
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Cardiac silhouette size is mildly to moderately enlarged. The mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Streaky opacity within the left lung base likely reflects atelectasis, and no focal consolidation is present. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Surgical anchors are demonstrated overlying the left humeral head.
history: <unk>f with cough
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Median sternotomy wires are intact and appear in appropriate alignment. Heart size normal. Mediastinal and hilar contours are normal. There is no focal consolidation, effusion, or pneumothorax. Specifically, there is no evidence of metastatic disease to the chest.
<unk> year old man with h/o kidney ca // please evaluate for any abnormalities, r/o mets
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Lung volumes are low. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart size appears enlarged, but may be exaggerated by low lung volumes. Pulmonary vasculature appears mildly prominent, but may be exaggerated by low lung volumes.
<unk>-year-old male 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 and unremarkable.
history: <unk>f with dizzyness, slight confusion // r/o pna, acute path
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Frontal and lateral chest radiographs demonstrate stable moderate cardiomegaly. Stable prominence of the asygous vein without overt pulmononary edema. Mediastinal and hilar contours are unchanged. No pleural effusion or pneumothorax identified. Minimal atelectatic changes are noted particularly in the lung bases. No focal opacification concerning for pneumonia identified. Sternotomy sutures are intact.
status post cabg with increased exertional shortness of breath. assess for pleural effusion.
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<num> views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours. Rightward deviation of the upper trachea due to a large dominant left thyroid nodule is unchanged.
chest pain.
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old woman with cough, doe, hx ppd/tst +, current bibasilar rhonchi, distant hx brief tobacco (<unk> yrs) // any worrisome lesion?
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In comparison with study of <unk>, there is again enlargement of the cardiac silhouette without vascular congestion, pleural effusion, or acute focal pneumonia. Atelectatic or fibrotic scar is seen in the left mid zone laterally. No acute focal pneumonia.
dry cough and unintended weight loss.
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Parking cardiomegaly is again seen but not as severe as on previous exam. There has been interval resolution of the previously seen pulmonary edema. There is no focal consolidation or effusion. Left chest wall dual lead pacing device is again seen. No acute osseous abnormality.
<unk>f with presyncope // ? pna
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The cardiac, mediastinal and hilar contours appear within normal limits. An opacity in the lingula has largely resolved. There is also been improvement in some right mid lung opacities, but there is new right middle lobe opacification. Each hilum shows increased congestive changes. There is no pleural effusion or pneumothorax.
altered mental status.
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The patient is status post median sternotomy and cabg. The cardiac silhouette size remains at least mildly enlarged. Mediastinal contours are unchanged, with mild calcification of the aortic arch. Mild pulmonary edema appears slightly progressed compared to the previous exam. Small pleural effusion is again demonstrated, with bibasilar airspace opacities most likely reflective of atelectasis. The left hemidiaphragm remains elevated. No pneumothorax is present. Multilevel degenerative changes are noted in the thoracic spine.
hypoxia.
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Right mid lung opacity has decreased in the interval with possible minimal residual remaining. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Rightward deviation of the trachea is re- demonstrated, possibly due to enlarged left lobe of the thyroid.
history: <unk>f with cough and sob // pna reoccurance
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The catheter of a right subclavian infusion port terminates in the mid svc. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old man with inoperable pancreatic cancer, on chemotherapy, presenting with hypoglycemia.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidation concerning for pneumonia. There is no pleural effusion or pneumothorax.
history of cough and hemoptysis. please rule out tuberculosis or pneumonia.
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Lung volumes are slightly low. No focal consolidation, pleural effusion, or pneumothorax is seen. Heart size is top normal. Mediastinal contours are within normal limits; aortic calcifications are noted. There is no evidence for pulmonary edema.
<unk>-year-old female with two weeks of shortness of breath.
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Lungs are fully expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Mediastinum, hila and pleural surfaces are unremarkable. Heart size normal.
<unk> year old man with ileal crohns considering biologics // active tb
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Pa and lateral views of the chest provided. Lung volumes are somewhat low, though allowing for this, 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 shortness of breath // eval for pneumonia
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There is a new large masslike density adjacent to the left paramediastinal position involving the left hila and medial portion of the left upper lobe measuring <num> x <unk>.<num> cm. The remaining lungs are clear. The heart size is normal. No pleural effusion or pneumothorax is present.
cough, on exam pneumonia in right lower lobe.
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The patient is status post left upper lobectomy with clips noted in the left hilar region. There is unchanged leftward shift of the mediastinal structures with left sided volume loss. There is focal opacification within the left mid lung field, which could reflect an area of pneumonia though recurrent malignancy is not excluded. Blunting of the left costophrenic sulcus is unchanged compatible with a small pleural effusion, similar to prior. There is no pulmonary vascular congestion. The right lung is clear. Cardiac and mediastinal contours are unchanged with a small hiatal hernia re- demonstrated. No acute osseous abnormalities seen.
history: <unk>f with cough
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When compared to prior, the degree of pulmonary edema is worse. Somewhat more confluent regions of consolidation in the left mid lung and right upper lung are noted. There are small bilateral pleural effusions. Enlargement of the cardiac silhouette is similar compared to prior.
<unk>m with dyspnea // eval pna, fluid overload
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with weakness // eval for pna
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The lungs are well expanded without opacities concerning for pneumonia or inflammatory process. Linear atelectasis in the left lung base is present. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion pneumothorax. No rib fractures are identified.
<unk>m with right chest pain, s/p fall onto right side of chest <num> days ago. evaluate for any injuries, pneumonia.
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Frontal and lateral views of the chest demonstrate normal lung volumes. Linear opacity involving the left lung base likely represents atelectasis. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. No pneumothorax is seen. Partially imaged upper abdomen is unremarkable.
patient with hyperglycemia.
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Ap upright and lateral views of the chest provided. Overlying ekg leads are present. The heart is mildly enlarged. Mild right basal atelectasis is noted. No convincing evidence for pneumonia or edema. No large effusion or pneumothorax is seen. There may be mild hilar congestion. Bony structures are intact. No free air below the right hemidiaphragm is seen peer
<unk>f with ams // eval for consolidation, ich
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Pa and lateral views of the chest. The heart size is slightly bigger than prior study, and there is increased pulmonary vascular engorgement. No overt pulmonary edema. No focal consolidation, pleural effusion, or pneumothorax.
cough and shortness of breath.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with cough // cough
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures demonstrate no acute abnormality.
<unk>-year-old female with presyncope and palpitations.
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The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pneumothorax, pleural effusion, pulmonary edema, or focal consolidation.
history: <unk>f with shortness of breath // eval pna
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The lungs are hyperinflated but clear without consolidation, effusion, or edema. Calcified granuloma identified at the left lung base. Cardiac silhouette is enlarged but not significantly changed given differences in technique. No acute osseous abnormalities, pectus deformity again noted.
<unk>f with weakness // pna?
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As compared to the previous radiograph, there is no relevant change. Marked overinflation and known scarring at both lung apices. Mild right pleural thickening, caused by potential right rib fractures. No evidence of recent pneumonia. Unchanged normal size of the cardiac silhouette. No pleural effusions. However, a rounded dense approximately <num> cm structure is still seen in the rul. The structure was visualized on yesterday's film, but not several months ago. Ct should be performed to excluded the potential presence of a malignancy.
severe copd, evaluation for pneumonia.
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The lungs are clear, and the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old with chest pain.
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In comparison with the study of <unk>, the cardiac silhouette remains mildly enlarged. However, there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
uri symptoms with worsening cough.
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Pa and lateral views the chest provided. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. No signs of congestion or edema. The cardiac and mediastinal silhouettes are unremarkable. No displaced rib fracture seen. Bony structures appear intact.
<unk>m with chest pain, s/p fall
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The lungs are mildly hypoinflated with crowding of vasculature. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is stable with prominence of the superior mediastinum due to a a previously characterized thoracic aortic and left subclavian artery aneurysm. Visualized osseous structures are unremarkable without displaced rib fracture.
<unk>m with syncope, headstrike. assess for fracture or bleed.
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There is mild pulmonary vascular congestion and interstitial edema. The cardiomediastinal silhouette is normal. Calcifications of the aortic arch are present. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact.
nausea vomiting and diarrhea, leukocytosis, evaluate for consolidation.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear. Pulmonary vasculature is within normal limits.
chest discomfort.
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The lungs are well-expanded and clear. The cardiac silhouette remains enlarged. The aorta is tortuous. There is no pneumothorax, pleural effusion, consolidation, or evidence of interstitial lung disease.
<unk> year old woman on amiodarone // assess for interstitial lung changes
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Lungs remain hyperinflated. The heart size remains within normal limits. Mediastinal and hilar contours are unchanged. New consolidative opacities are seen within the left upper lobe as well as both lung bases compatible with multifocal pneumonia. Mild pulmonary vascular engorgement is also demonstrated. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with history of hiv+ with cough and fever/chills and shortness of breath
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The lungs are clear without focal consolidation, effusion, or edema. Cardiac silhouette is top normal in size. Tortuosity of the descending thoracic aorta is noted with atherosclerotic calcifications at the arch. No acute osseous abnormalities identified.
<unk>f with weakness // please eval for pna
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Cardiac silhouette size is normal. The mediastinal and hilar contours are unchanged with diffuse atherosclerotic calcification of the aorta noted. Pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is detected. Multiple clips are noted at the gastroesophageal junction and left upper quadrant of the abdomen. Left shoulder arthroplasty is incompletely imaged. Degenerative changes in the right glenohumeral joint are severe.
history: <unk>m with nausea, dizziness // evaluate for pneumonia
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The heart size is top normal. The aorta is unfolded. The mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities detected. No subdiaphragmatic free air is visualized.
history: <unk>m with abdominal pain
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Frontal and lateral chest radiograph demonstrates well expanded lungs with bibasilar atelectasis. No focal opacity. Mild prominence of the left hilum is stable from previous examinations. No pleural effusion or pneumothorax. Stable mild cardiomegaly. Mediastinal contour and hila are otherwise unremarkable. Left mid lung laterally pleural based density is unchanged since <unk>. Tortuous aorta again noted. Limited assessment of the osseous structures demonstrate right-sided dextroscoliosis as well as kyphosis of the thoracic spine. Visualized upper abdomen is within normal limits.
<unk>f with shortness of breath, chest pain. assess for pneumonia and pulmonary edema.
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Frontal and lateral chest radiographs again demonstrate bilateral perihilar and left lower lobe opacities, similar in distribution compared to <unk> but increased compared to the most recent chest radiograph on <unk>. Mild blunting of the left costophrenic angle with obscuration of the left hemidiaphragm is suggestive of a trace pleural effusion.
evaluate for pneumonia in a patient with cough and fever.
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Pa and lateral chest radiographs. There is a new moderate left pleural effusion with associated atelectasis. The right lung is clear. The cardiomediastinal silhouette is not well delineated due to the pleural effusion. There is no pneumothorax.
ascites with decreased breath sounds in the right base.
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Ap and lateral views of the chest are compared to previous exam from <unk>. Exam is limited secondary to ap technique and patient body habitus as well as low inspiratory volume. Increased bibasilar opacities, left greater than right, may be due to atelectasis. There is no effusion. Cardiac silhouette is prominent but potentially accentuated for the reasons above. Hiatal hernia is better seen on the lateral exam.
<unk>-year-old female with right leg cellulitis with brief hypotensive episode. question pneumonia.
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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. Small osteophytes are present along the mid thoracic spine.
epigastric discomfort.
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Ap and lateral views of the chest are compared to previous exam from <unk>. Again low lung volumes are seen. The lungs, however, are clear of consolidation. There is no effusion. Increased opacity projecting over left upper lung is compatible with asymmetric degenerative changes at the costochondral junction of the first rib which is more clearly delineated on prior exam secondary to different technique. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old male with fatigue and lightheadedness.
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Frontal and lateral views of the chest. Lungs are clear without consolidation, effusion, or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. Surgical clips project over the left axilla. No acute osseous abnormality is detected.
<unk>-year-old male with weakness.
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The left hilus is mildly lobulated, lumen of the left main bronchus is obscure, and the lower trachea is indented more than the degree expected by aortic deflection. These findings should be evaluated by chest ct (with intravenous contrast, if tolerated) to look into possible malignancy. Pulmonary vascular congestion and mediastinal venous dilatation are mild, but there is no edema or pleural effusion and heart size is normal for the ap projection. Aicd leads project end in the right atrium and right ventricle. Sternotomy wires are intact.
hypotension and fever.
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In comparison with the study of <unk>, there is little change. No acute pneumonia, vascular congestion, or pleural effusion. Old healed rib fracture is unchanged.
liver transplant with shortness of breath.
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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified.
evaluation of patient with blood tinged sputum.
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Pa and lateral views of the chest provided. Tracheostomy tube projects over the superior mediastinum. Sternotomy wires, fragmented, again seen with clips in the superior mediastinum. Lungs are clear. No signs of pneumonia or edema. No large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact.
<unk> year old man with cough, hemoptosis, chronic tracheostomy //
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.
<unk>-year-old female with chest pain and shortness or breath.
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Again, there is a calcified lesion projecting over the right breast. This is unchanged from the prior radiograph. There is no pulmonary edema or focal airspace consolidation. The right pleural effusion appears slightly larger in comparison to prior exam. The right hemidiaphragm remains slightly elevated in comparison to the left. There is no left pleural effusion. There is biapical pleural scarring. There is no pneumothorax. The mediastinal contours are normal. The cardiac silhouette is mildly enlarged, and stable.
palpitations.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
weakness. evaluate for pneumonia
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Lateral left base linear atelectasis/scarring is noted and is mild. No focal consolidation is seen no pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with uri // eval for pna
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The previously seen left pneumothorax has resolved. The lungs are otherwise well expanded and clear. The hila and pulmonary vasculature are normal. No pleural effusions. The cardiomediastinal silhouette is normal and unchanged. The left posterior eighth rib healing fracture is again seen.
<unk> year old woman with fall and rib fracture // patient with left pneumothorax after <unk> left posterior rib fracture <unk>. wish to make sure the pneumothorax is fully resolved and atelectasis resolved without evidence of other process
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
<unk>-year-old woman with bilateral clavicular pain, worse on the right for the past three months.
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Severe end stage changes from sarcoidosis are seen, predominantly in the upper lungs. Increased opacification at the left lung base is impossible to discern pneumonia from different inspiratory effort. There is no pleural effusion or pneumothorax. The cardiac and mediastinal contours are unchanged.
cough for <num> weeks with a history of sarcoidosis. evaluate for infiltrate.
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Again seen is of dense retrocardiac opacity. Most compatible with left lower lobe infiltrate. There is probably a small associated pleural effusion. However there is minimal if any vascular redistribution and therefore this is felt to be more likely infectious than due to pulmonary edema. The heart continues to be severely enlarged there is a large bore right ij line with tip in the right atrium
<unk>m with pmhx of htn, hld, dm (cb retinopathy), cad (sp stent x <num>), ckd (<unk>), dvts (on ac, sp filter), systolic dysfunction (ef <unk>%) pw cough and dyspnea. // r/o acute process, assess progression of pulm edema
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A right pleural effusion is increased since the prior study, with associated blunting of the right costophrenic sulcus, and obscuration of the lateral right hemidiaphragm. Otherwise, the lungs are clear, with no focal consolidation or over pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is stable, and the heart is top-normal in size. Partially visualized lumbar spine fusion hardware is noted. In the posterior lateral right upper quadrant, an irregularly marginated densely calcified mass measuring approximately <num> x <num> cm is noted, not significantly changed dating back to the most remote available imaging from <unk> chest radiographs.
<unk> year old woman with pleural effusion // eval
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The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
cough.
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The cardiac silhouette is top-normal in size, stable. The mediastinal silhouette and pulmonary vasculature are unremarkable. The lungs are clear. There is no pleural effusion or pneumothorax.
history: <unk>m with mylagias, chills, hx splenectomy // eval for pna
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There is no consolidation, pleural effusion or pneumothorax. No pulmonary edema. Cardiomediastinal contours are within normal limits for age. Aorta is calcified and minimally unfolded. No acute osseous abnormalities identified.
history: <unk>m with chest pain // mediastinal widening, pna
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As compared to the previous radiograph, the current image is slightly rotated. There is a slight decrease in lung volumes. No evidence of parenchymal opacities suggesting pneumonia. No pulmonary edema. No pleural effusions. Borderline size of the cardiac silhouette.
obesity, high lactate, questionable pneumonia.
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Compared with most recent prior radiograph there has been no significant change. The lungs remain hyperinflated with lucency at the lung bases consistent with emphysematous changes and bulla seen on prior ct. No pleural effusion or pneumothorax is seen. Heart size, mediastinal contours and hilar contours are stable.
myeloma, productive cough, question infection.
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The heart is mildly enlarged with a left ventricular configuration. A port-a-cath has been removed. The mediastinal and hilar contours appear unchanged. There is new moderate relative elevation of the right hemidiaphragm compared to the left side. There is a focal opacity projecting over the lateral right mid lung that is not specific but may correspond to the given history of lung cancer and which persists. In addition, there is superimposed widespread interstitial abnormality with upper zone redistribution of pulmonary vascularity including indistinctness, suggesting pulmonary vascular congestion. There is no definite pleural effusion or pneumothorax. Mild-to-moderate degenerative changes are noted along the thoracic spine.
lung cancer with tachycardia, diaphoresis and crackles in the left lower lobe.
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Heart size is normal. The aorta is tortuous. The mediastinal and hilar contours otherwise are unchanged. The pulmonary vascularity is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
shortness of breath.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable. The patient is status post cabg with sternotomy wires seen in appropriate position.
history of diabetes. shortness of breath. please evaluate.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is identified. Degenerative changes are noted at the thoracolumbar junction with mild focal kyphosis and slight loss of height of a vertebral body.
history: <unk>f with cough and fever
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Ap and lateral views of the chest are compared to previous exam from earlier the same day at <time> a.m. Within limitation of patient body habitus, the lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female status post <unk> x<num> in the past <num> hours. chest pain.
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The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes.
<unk> year old woman with persistent cough // lesions?
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Cardiac silhouette size is normal. Mediastinal and hilar contours are normal. Apart from minimal atelectasis in the right lung base, the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Pulmonary vasculature is not engorged. Diffuse idiopathic skeletal hyperostosis is seen within the imaged thoracic spine.
history: <unk>f with cough
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Heart size is mildly enlarged. Mediastinal and hilar contours are unremarkable with atherosclerotic calcifications again seen in the aortic arch. Mild pulmonary vascular congestion is present. Small left and moderate right bilateral pleural effusions are noted, increased in size compared to the previous radiograph. No pneumothorax is demonstrated. Compressive atelectasis is noted in both lung bases. There are no acute osseous abnormalities.
history: <unk>f with shortness of breath
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Low lung volumes exaggerate the size of the cardiac silhouette which appears mild to moderately enlarged. A moderate size hiatal hernia is again demonstrated. Mediastinal and hilar contours are similar, with crowding of bronchovascular structures. No overt pulmonary edema is demonstrated. Streaky opacities in the lung bases likely reflect areas of atelectasis, with no focal consolidation identified. No pleural effusion or pneumothorax is present. Compression deformities of several vertebral bodies at the thoracolumbar junction remain unchanged.
history: <unk>f with fever
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Two views of the chest were obtained. The lungs are somewhat low in volume but clear. There is no pleural effusion or pneumothorax. The heart is top normal in size with normal hilar and mediastinal contours.
<unk>-year-old man with chest pain.
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Heart size is normal. The patient is status post median sternotomy. Picc line has been removed. No chf, focal infiltrate, effusion or pneumothorax is detected.
prior endocarditis and aortic valve replacement. now with fever.
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The heart size is borderline enlarged. The aorta is mildly tortuous. Hilar contours are unchanged, and no pulmonary vascular congestion is seen. Streaky bibasilar airspace opacities including within the right mid lung field could reflect atelectasis but infection or aspiration cannot be excluded. No pleural effusion or pneumothorax is detected. Compression deformity of a mid thoracic vertebral body is unchanged, with remote right-sided rib and mid clavicular fractures again noted.
syncope.
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There is a small right apical pneumothorax. The left lung is clear. There is mild bibasilar atelectasis. There is no focal consolidation or pleural effusion. The cardiomediastinal and hilar contours are within normal limits. Known right rib fractures seen on prior ct are better evaluated on cervical spine ct exam and not clearly visualized on this examination.
right apical pneumothorax. evaluate for pneumothorax.
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There is opacity in the right lung apex with central lucency raising concern for a cavitary lesion or consolidation around a bleb. No additional consolidation is seen. No pleural effusion, pulmonary edema, or pneumothorax is present. The heart size is within normal limits.
cough.
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There is a <num> cm nodular opacity in the left mid lung (between the <unk> and <unk> anterior rib levels), which is new since <unk>. It has a slightly branching configuration and is smoothly marginated. It is located just above a level of chronic linear scarring at a site of prior pneumonia. There is blunting of the left costophrenic angle, consistent with pleural thickening secondary to previous parapneumonic effusion in this area. The cardiomediastinal silhouette is normal in size with left ventricular configuration. Post-cabg changes are stable since the prior exam. The osseous structures were unremarkable.
<unk>-year-old male with cough.
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The cardiomediastinal and hilar contours are stable. The lungs are hyperinflated, but no consolidation or pulmonary edema seen. Stable bi-apical pleural parenchymal scarring is noted. There are no pleural effusions or pneumothorax. Compression fractures of two lower thoracic vertebral bodies are stable.
<unk>-year-old woman with elevated inr presents with dry heave and emesis.
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Normal heart size, mediastinal and hilar contours. There is a <num> mm calcified granuloma in the left lower lobe and coarse calcifications seen in the left hilus. Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax.
<unk>-year-old male with history of positive ppd in <unk>, asymptomatic.
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The lungs are clear without focal consolidation, effusion, or edema. Calcified granuloma projects over the left lung laterally. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. There is no free intraperitoneal air.
<unk>f with abdominal pain fever hcc cirhosis abdominal pain // eval for pna for cxrultrasound eval for portal vein thrombosis
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Pa and lateral views of the chest demonstrate unchanged left apical opacity with small calcifications, compatible with prior granulomatous disease. Associated fibrosis and slight leftward deviation of the trachea is unchanged since the prior study. There is no evidence of pleural effusion, pneumothorax or focal consolidation concerning for pneumonia. The cardiomediastinal silhouette is stable. Scoliotic curvature of the thoracic spine is unchanged.
<unk>-year-old female with weakness and cough. evaluation for pneumonia.