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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 evidence of free air is seen beneath the diaphragms.
<unk>m with upper abd and chest pain // <unk>m with upper abd and chest pain
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The lungs are well expanded and clear. Well-delineated rounded hypodensities in the left mid lung likely represent vessels on end. Pleural surfaces are clear without pleural effusion or pneumothorax. Heart size, mediastinal contour and hila are normal. Visualized osseous structures are unremarkable. Limited assessment of the upper abdomen is unremarkable without free intraperitoneal air.
history of asthma presenting with intermittent sharp left-sided chest pain. assess for acute process.
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Pa and lateral views of the chest. No prior. The lungs are clear of consolidation. Nodular opacity projecting over the right lung base is most suggestive of a nipple shadow. There is no effusion. Cardiomediastinal silhouette is within normal limits. Hypertrophic changes are seen in the spine. Osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old female with c<num>-<num> disc herniation, preop.
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Again seen is a left chest dual lead pacemaker which appears unchanged. No focal consolidation is identified. There is stable moderate cardiomegaly. There is a small left and possible trace right pleural effusion. There is no pneumothorax.
<unk>f with vomiting, weakness, evaluate for acute process
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There is a dual-lead pacemaker/icd device with leads again terminating in the right atrium and ventricle, respectively. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. There has been no significant change.
cough.
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The cardiac, mediastinal and hilar contours are normal. No pneumomediastinum is visualized. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated.
chest pain after vomiting.
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Heart size is normal. The mediastinal and hilar contours are remarkable for unchanged tortuosity of the thoracic aorta. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old smoker with copd, remote hx of sarcoidosis with cough/sob // r/o 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. No radiopaque foreign body seen.
history: <unk>f swallowed a metal pin, feels it in her throat // determine position of foreign body
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As compared to the previous radiograph, the sternal wires are in unchanged position. Unchanged position of the clips after cabg. The right internal jugular vein catheter is in constant position. The pre-existing right pleural effusion now shows a predominantly intrafissural distribution, but the effusion has not increased in the interval. No pneumothorax is present. No evidence of pneumonia or overt pulmonary edema.
evaluation for effusion and pneumothorax. status post redo sternotomy.
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The tip of the left picc line projects over the low svc. There is no pneumothorax or other relevant change. Normal size of the cardiac silhouette. No acute lung changes.
picc line placement.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette, with the heart top-normal in size. Coronary artery stent is noted. There is no focal consolidation, pleural effusion, or pneumothorax. There is a small amount of left base atelectasis. The visualized upper abdomen is unremarkable.
evaluate for pathology in a patient with chest pain and known cad status post stenting x<num>.
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A left dual lead pacemaker is present with tips terminating in the right atrium and right ventricle as expected. Heart size is top normal. Mediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Lungs are well-expanded without focal consolidation concerning for pneumonia. Mild bibasilar atelectasis is present. Pulmonary vasculature is within normal limits. The upper abdomen is unremarkable.
history: <unk>f with confusion // eval for infiltrate
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Prior left-sided central venous catheter is no longer visualized. The lungs are clear. There is no focal consolidation, effusion or edema. The cardiomediastinal silhouette is within normal limits.
<unk>f with chemo, cough, tachy // eval for consolidation
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. A density seen in the anterior lower chest on the lateral view is external to the patient as verified by the technologist.
<unk>-year-old female with chest pain.
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Improved bilateral perihilar, bibasilar opacities. Probable tiny bilateral pleural effusions. Increased heart size, pulmonary vascularity, improved. Postoperative changes thoracolumbar spine, with hardware in place. Lucency between pedicular screw and bone at t<num>, stable, suggests loosening follow-up recommended. Stable mild compression fracture lower thoracic spine since <unk>. Thoracic kyphosis.
ms. <unk> is an <unk>f with history of afib on coumadin, cad s/p <unk> <unk> <num> in <unk>, hfpef vs. hfdef(<unk>% vs. <unk>% <unk>), moderate-severe mr, severe pulmonary hypertension, and worsening lbbb who presented with a one-day history of acute onset dyspnea and chest tightness prior to admission and new supplemental oxygen requirement. now w/ no localizing symptoms but increasing leukocytosis. // ?pna
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Cardiac silhouette size is mildly enlarged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Minimal patchy opacities in the lung bases likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. Dextroscoliosis of the thoracic spine is present.
history: <unk>f with chest pain
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Left chest wall pacing device is again noted. There is pulmonary vascular congestion which has progressed since prior. Small bilateral pleural effusions are noted. There is right basilar opacity potentially atelectasis. The cardiomediastinal silhouette remains stable. No acute osseous abnormalities identified.
<unk>m with dyspnea // evaluate for fluid overload, pneumonia
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Small osteophytes are noted along the lower thoracic spine.
chest pain.
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Cardiomediastinal contours are unchanged. Patient is status post cabg. The lungs are clear. There is no pneumothorax or pleural effusion. Sternal wires are aligned
<unk> year old woman with atrial fibrillation on amiodarone // screening for amiodarone toxicity
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In comparison with study of <unk>, the central catheter extends to the right atrium. The degree of pulmonary edema has decreased. Some retrocardiac opacification is consistent with volume loss at the left base. Moderate bilateral pleural effusions. The left subclavian line has been removed.
shortness of breath.
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Cardiac silhouette size remains moderately enlarged. Mediastinal and hilar contours are unchanged. There appears to be mild pulmonary vascular congestion with upper zone vascular redistribution. More focal patchy opacities in the lung bases with peribronchial cuffing are concerning for areas of infection or aspiration. Trace bilateral pleural effusions are likely present. No acute osseous abnormalities demonstrated.
history: <unk>m with shortness of breath, cough
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The heart is mildly enlarged with a left ventricular configuration. Lung volumes are very low, probably accounting for streaky opacities in the posterior lower lobes suggesting minor atelectasis. A mildly prominent interstitial abnormality could suggest mild congestion but is of uncertain significance noting very low lung volumes which may exaggerate substantially exaggerate normal interstitial markings.
chest pain.
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Ap upright and lateral views of the chest provided. The lungs are clear and hyperinflated. No focal consolidation effusion or pneumothorax is seen. No signs of pulmonary edema. Curvilinear coarsened calcification projecting over the heart likely reflect mitral annular calcifications. The heart is not enlarged. Aortic calcification is noted. Bony structures appear intact. Calcifications in the right neck could reside within the right carotid.
<unk>f with ble pain, some difficult breathing at times // pneumonia? copd
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There is no significant interval change compared to <unk>, with persistent small-to-moderate bilateral pleural effusions with adjacent atelectasis. Unchanged postoperative appearance of the mediastinum with a tortuous thoracic aorta with mural atherosclerotic calcifications. Again noted is a severe compression fracture of one of the lower thoracic vertebral bodies.
pleural effusion.
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Mild right base atelectasis is seen. There is no definite focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac silhouette size is top-normal. Mediastinal contours are unremarkable.
<unk>f with cough, evaluate for pneumonia or acute process.
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The lungs are hyperinflated with underlying emphysematous changes. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are stable. Surgical suture material along the right medial upper lung is seen. This study is not optimized for evaluation of the scapula; no acute bony findings are seen. Old l<num> compression fracture is noted. There has been interval compression of t<num>, age indeterminate but new since prior.
<unk>-year-old female with right scapular pain and history of prior compression fracture.
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The lungs are well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.
<unk>m with chest pain, cough. assess for infiltrate.
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<num> views were obtained of the chest. The lungs are well expanded with linear opacities in both lower lung is likely atelectasis. No pneumothorax is seen with blunting of the left costophrenic sulcus perhaps related to trace pleural effusion or pleural thickening. The heart remains enlarged with pacemaker/icd and postsurgical changes noted.
increasing cough and dyspnea. assess for acute process.
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of <unk>. Heart size is at the upper limit of normal variation, but unchanged in comparison with the preceding examination. Unchanged appearance of thoracic aorta, no new mediastinal abnormalities are seen. Right-sided hemithorax comparably small in volume related to previous right upper lobectomy with scar formations surrounding the apical area. Pleural scars also blunt the right lateral pleural sinus and exist along the right lower lateral chest wall. In the left hemithorax, no pulmonary vascular congestion can be identified. A previously identified <num> mm diameter rounded lesion overlying the second anterior intercostal space laterally appears unchanged. It has not increased in size and there are no new additional round lesions that are suggestive for pulmonary secondary metastasis in this elderly patient with clinical history of renal cell carcinoma.
<unk>-year-old female patient with history of renal cell carcinoma, evaluate for disease status, rule out pulmonary metastases.
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The lungs are well-expanded and clear. No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. The mediastinum is not widened.
<unk>-year-old woman with acute onset epigastric pain presenting with nausea vomiting. evaluate for pneumonia.
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The cardiomediastinal and hilar contours are stable and within normal limits. Pleural calcifications are again demonstrated suggesting prior asbestos exposure. There is no focal consolidation, pleural effusion or pneumothorax.
<unk> year old man with sebaceous carcinoma involving head and neck, receiving weekly chemotx and radiation to l side of his neck. reporting worsening cough productive of brown sputum. // assess for pneumonia
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The lungs are hyperinflated. Minor basilar atelectasis is seen without focal consolidation. Minimal blunting of the posterior left costophrenic angle may be due to slight pleural thickening of the trace effusion is not excluded. There is no pulmonary edema or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable.
history: <unk>m with weakness // r/o pneumonia
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The previously seen right-sided chest tube has been removed. There has been interval resolution of small right apical pneumothorax. The cardiomediastinal silhouette is within normal limits with no significant interval change. The lungs are clear without evidence of focal consolidation. There is no evidence of pulmonary vascular congestion. There are small bilateral pleural effusions with no significant interval change.
<unk> year old man with ptx. // please eval upright pa and lateral films to assess ptx s/p removing chest tube. exam to be done at midnight on <unk> thanks
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Frontal and lateral views of the chest demonstrate normal lung volumes. Small pleural effusions are evident on the lateral view. No focal consolidation or pneumothorax. Mild pulmonary edema is present. Hilar and mediastinal silhouettes are unchanged. Heart is mildly enlarged.
chest pain and shortness of breath.
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Frontal upright and lateral chest radiographs demonstrate well-expanded lungs. Cardiomediastinal contours are normal. Lungs are clear, without focal consolidation. There is no pleural effusion and no pneumothorax.
chest pain, evaluate for acute process.
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The lungs are clear. Cardiomediastinal silhouette is within normal limits. There is no pneumomediastinum. There is no radiopaque foreign body. No acute osseous abnormalities.
<unk>f with chicken fb, question aspiration // fb in lungs?
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There is some further interval reexpansion of the right lung, although right pleural effusion remains. There is no pneumothorax. Surgical clips superimposed upon the right chest are again noted. Chain suture in the bilateral lung apices is unchanged. The cardiac silhouette and mediastinal contours remain normal.
history of multiple spontaneous pneumothoraces, status post right chest tube removal.
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female <num> weeks of cough and shortness of breath.
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Frontal and lateral views of the chest were performed. The lung volumes are low. The cardiac silhouette is mildly enlarged, with a very large aggregate of calcium in the mitral annulus, but unchanged. The mediastinum is not widened. There is no pleural effusion or pneumothorax. There is no focal airspace consolidation to suggest pneumonia. There is no evidence of pulmonary edema. A focus of scarring is again seen in the left lung base. The imaged upper abdomen is unremarkable.
history of coronary artery disease and pulmonary embolism presenting with chest pain. evaluate for pneumonia or a widened mediastinum.
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The patient is status post right upper lobectomy and again seen is volume loss in the right hemi thorax. There is a right pleural effusion as well as atelectasis at the right base. The left lung appears clear. The cardiomediastinal silhouette is stable. There are no acute osseous abnormalities identified.
<unk> year old woman s/p rul // check interval change
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Previously seen enteric tube is no longer visualized. Gastrostomy tube is only partially seen. The lungs are hyperinflated with biapical scarring but are clear of consolidation. There is no effusion. Bones are osteopenic but there is no visualized acute osseous abnormality. Cardiomediastinal silhouette is stable. Surgical clips project over the right breast.
<unk>-year-old female with dyspnea and g-tube malfunction. question pneumonia or aspiration.
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Linear, subtle opacity in the right upper lobe is decreased in conspicuity from the prior examination and is most consistent with bronchiectasis. The cardiomediastinal and hilar contours are normal. There is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with sob // r/p pna
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Two views of the chest were obtained. Left-sided dialysis catheter is unchanged in position. Large right pleural effusion is unchanged with interval slight increase in small left pleural effusion. The remainder of the lungs are clear. Cardiomediastinal contours are unchanged.
<unk>-year-old woman with pleural effusion, for followup.
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The heart size is top normal. There is a linear opacity at the left mid lung zone as well as the right mid lung zone with obliteration of the right heart border and downward movement of the right hilus. There is no pleural effusion or pneumothorax. Osseous structures are unremarkable.
<unk>-year-old male with desaturations.
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Frontal and lateral chest radiographs were obtained. A left chest tube remains in place. Persistent small left apical pneumothorax is unchanged from prior study. A small linear density outside the lung parenchyma in left apical area is new and suggests possible extrapleural blood collection. No focal consolidation or pulmonary edema is seen. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal.
patient with bilateral pneumothorax, eval progression.
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An accessed left port-a-cath ends in the mid superior vena cava. The previously seen opacity in the right lung has resolved. The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.
<unk> year old man with vomiting post chemo // evaluate for acute process
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The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with mechanical fall, head strike // eval for injury
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There is a dual lead pacemaker/ icd device that is in changed with leads again terminating in the right atrium and ventricle, respectively. The cardiac, mediastinal and hilar contours appear stable. There is persistent suspected pleural effusion on the left, probably at least small to moderate in size in addition to mild diffuse opacification suggestive of pulmonary edema. This appearance is somewhat heterogeneous, however including the possibility of developing focal opacity in the right upper lobe, in addition to persistent focal lower lobe opacities. Possible nodule appears less distinct on this study; the image is less sharp. There is no pneumothorax.
coronary disease status post myocardial infarction and atrioventricular block with dual-chamber pacemaker placement.
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Pa and lateral upright chest radiograph demonstrates severe scoliosis of the thoracic spine, convex to the left. As demonstrated on ct obtained on the same day, there is a large hiatal hernia accounting for retrocardiac opacity. No focal opacities identified concerning for pneumonia. When compared to prior chest radiograph obtained on a <unk>, there is been little interval change with stable appearance of cardiomediastinal contour, allowing for differences in patient positioning.
history: <unk>m with wheeze.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. Relatively low lung volumes are seen with linear bibasilar opacities suggestive of atelectasis. Superiorly, the lungs are clear. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable. There is no free intraperitoneal air below the diaphragm.
<unk>-year-old female with <num> hours of epigastric abdominal pain.
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The heart is mildly enlarged. There is a retrocardiac opacity obscuring the left hemidiaphragm, suggesting a consolidation in the left lower lobe. Air bronchograms are noted within the opacity. Elsewhere, the lungs appear clear. There are no pleural effusions or pneumothorax.
cough and fever.
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There are bibasilar opacities, right greater than left, likely atelectasis. Superiorly, the lungs are clear. Moderate cardiomegaly is again noted as well as tortuosity of the enlarged descending thoracic aorta as on prior. Left chest wall dual lead pacing device is again noted. No acute osseous abnormalities.
<unk>m with sob // r/o acute process
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Pa and lateral views of the chest. The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
<unk>-year-old male with left-sided chest pain.
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Ap upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with dyspnea, recent pe // r/o infiltrate
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Frontal and lateral chest radiographs demonstrate well-expanded lungs. Heart is mildly enlarged. Cardiomediastinal contours are otherwise unremarkable. Lungs are clear with no focal consolidation or edema.
syncopal episode and head strike, evaluate for acute process.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires are noted with fracture of the third highest wire. Mediastinal clips are seen. No acute osseous abnormalities.
<unk>m with palpitations // eval for cardiomegaly
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The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated.
history: <unk>m with diabetes and history of cellulitis presents with sepsis , hyperglycemia
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Pa and lateral views of the chest demonstrates the lungs are well-expanded and clear. The cardiomediastinal silhouette is unchanged since the prior study with stable mild cardiomegaly. There is no evidence of pneumonia, pleural effusion, pulmonary edema or pneumothorax.
<unk>-year-old female with chest pain. evaluation for infiltrate.
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. Stable mild enlargement of the descending aorta without vascular congestion or pleural effusion. No acute focal pneumonia.
cough in a smoker.
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There is no evidence of pneumothorax. There is no pleural effusion. The cardiomediastinal silhouette is normal. Again seen is a lingular opacity, not significantly changed from <unk>. There is no evidence of pneumonia. Views of the upper abdomen are unremarkable.
<unk>m with chest pain // ?ptx .
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Frontal and lateral radiographs of the chest show stable elevation of the left hemidiaphragm. A small left pleural effusion is new from the preceding radiograph. Mild bibasilar atelectasis is noted. The lungs are otherwise clear without focal consolidation or pneumothorax. No pulmonary vascular congestion or edema is present. The cardiac silhouette is top normal in size but unchanged. The mediastinal and hilar contours are within normal limits. Mild s-shaped thoracolumbar scoliosis is also unchanged.
<unk>-year-old female postop day #<num> status post abdominal myomectomy, now with chest pain and shortness of breath, here to evaluate for acute pulmonary process.
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Frontal portable chest radiograph demonstrate left-sided icd placement with single lead terminating within the right ventricle. No pneumothorax, pleural effusion, or mediastinal widening. The lungs are well expanded and clear bilaterally.
<unk>-year-old male status post single lead icd placement <unk>.
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Cardiac silhouette size is normal. Dense atherosclerotic calcifications are noted at the aortic arch. The patient is status post cabg and coronary artery stenting. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is identified.
history: <unk>m with syncope on plavix //
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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.
history: <unk>f with chest tightness now resolved // evaluate for acute process
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Pa and lateral chest radiographs. Median sternotomy wires are intact. Mediastinal clips are again noted. Opacity projecting over the anterior inferior chest on the lateral view only has no correlate other than fat on ct abdomen pelvis from <unk> which included this level. Otherwise, the lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
left-sided weakness and jaw pain.
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As before the lungs are mildly hyperexpanded. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. There is no focal consolidation.
history: <unk>m with c/o cough and fever/chills // ? pna
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Pa and lateral chest views were obtained with patient in upright position. The heart size is at the upper limit of normal variation. No typical configurational abnormality is seen. Thoracic aorta is unremarkable. Pulmonary vasculature is not congested. A hazy density occupies the right lung base is identified on the lateral view as an infiltrate in the posterior portion of the right middle lobe abutting the minor fissure as well as the large fissure. There exist also some hazy densities on the left base, superimposed on the lateral heart border and suspicious for similar infiltrates in the left upper lobe lingula as well. There is a prominence in the right upper mediastinum, specifically occupying the right tracheal bronchial angulation which is up to <num> cm wide. This could be an enlarged lymph node related to the pneumonic infiltrates seen on the present examination. Differential diagnostic possibilities exist such as hilar mass and thus should be followed up. Our records do not include a previous chest examination available for comparison.
<unk>-year-old male patient with chronic cough, evaluate for bronchiectasis or structural lung abnormalities.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with cp
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Compared with the immediate prior study, the heterogeneous opacities at the left base have slightly improved, with only mildly increased opacities remaining. The left chest wall dual-chamber pacemaker leads project in unchanged standard position. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk> year old woman with ?lll atelectasis and dyspnea // f/u on lll infiltrate
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There are moderately low lung volumes bilaterally. Lungs are clear. There is no pneumothorax or pleural effusion. The heart is top normal in size which is somewhat accentuated by low lung volumes. Otherwise, cardiomediastinal silhouette is within normal limits. Hila are within normal limits. The pleural surfaces are unremarkable.
<unk>-year-old female with chest discomfort and chest wall pain x <unk> year.
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Frontal and lateral radiographs of the chest demonstrate low lung volumes. There is new elevation of the right hemidiaphragm. New plate-like atelectasis at the right lung base is likely secondary to the newly elevated right hemidiaphragm. An old right-sided ninth rib fracture is seen. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion, pneumothorax or consolidation concerning for pneumonia. Contrast is seen in the transverse and proximal descending colon with multiple diverticula present.
<unk>-year-old man status post open cholecystectomy and partial duodenectomy, now with productive cough. evaluate for pneumonia.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are hyperinflated but clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with chest pain
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Surgical clips overlie the left axilla.
history: <unk>f with weakness // assess for infiltrate
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
<unk>m with fever; r/o pna for infectious work-up, rule out pneumonia.
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Patient is status post median sternotomy and cabg. Cardiac silhouette size is mildly enlarged, but improved compared to the previous study. The aorta is tortuous. The mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are mild degenerative changes seen in the thoracic spine. Clips are noted in the right upper quadrant of the abdomen.
history: <unk>m with chest pain
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Two views of the chest were obtained. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours. Imaged upper abdomen and osseous structures are unremarkable. Mild rightward curvature of the spine is noted.
<unk>-year-old presents with fever.
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The cardiomediastinal and hilar contours are within normal limits. There is linear atelectasis at the left lung base. Note is made of prominent interstitial markings, not significantly changed since prior examination. There is no large pleural effusion or focal consolidation.
history of cva, presenting with headache and possible worsening left facial droop. rule out pneumonia, mass.
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Multiple time calcified granulomas, more completed evaluated on prior chest ct examination, are seen within the right lung. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal. No bony abnormality is detected.
dyspnea on exertion.
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Frontal and lateral views of the chest show radiopacity in the left lung base that most likely represents atelectasis. Otherwise, lungs are clear, without focal opacity, pleural effusion or pneumothorax. The heart size is normal. Mitral annular calcifications again noted. The aorta is ectatic but relatively unchanged since <unk>. There is no free air beneath the hemidiaphragms. There are degenerative changes in the thoracic spine including anterior osteophytes.
bilateral chest pain radiating to the right.
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The lungs are well inflated and clear. No pleural effusion or pneumothorax. Stable mild cardiomegaly. There is a persistent lobular contour along the right hilum. Mediastinal contour is otherwise unremarkable. Two clips are again seen along the upper hemithorax. Left posterior fifth rib has been resected.
<unk>f with asthma, likely exacerbation. assess for pneumonia or cardiopulmonary process.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No acute osseous abnormalities are present.
<unk>-year-old female with dyspnea and cough. evaluate for evidence of pneumonia.
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Heart size is normal. Calcifications are noted at the aortic knob. Cardiomediastinal silhouette and hilar contours are otherwise unremarkable. Lungs appear hyperexpanded with flattening of the diaphragm. Lungs are grossly clear. Pleural surfaces are clear without effusion or pneumothorax. Bones are diffusely demineralized with mild to moderate anterior wedging of multiple thoracic vertebral bodies.
cough and crackles of bilateral lung bases.
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Pa and lateral views of the chest provided. Port-a-cath resides over the left chest wall with catheter tip in the low svc. The lungs are clear bilaterally. 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 fungal sepsis low grade fevers
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.
<unk>-year-old female with fever. evaluate for pneumonia.
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In comparison with the study of <unk>, there is little overall change. Again there is substantial elevation of the right hemidiaphragmatic contour, but no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
cirrhosis, abdominal distention and dyspnea.
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<num> views of the chest show a left lower lobe opacity with a possible associated effusion. The left mediastinal silhouette appears prominent. The cardiac silhouette is normal. No pneumothorax is present.
upper chest wall pain.
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Heart size is normal. The mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated.
right-sided chest pain, tenderness to palpation to the right upper anterior chest.
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Cardiomediastinal contours are normal. Lungs are hyperexpanded but clear. There are no pleural effusions. Bilateral calcified breast implants are noted.
<unk> year old woman smoker with cough // eval for parenchymal disease
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Bilateral low lung volumes with flattened contours of bilateral bases on the lateral view, possible small subpulmonic effusions.the lungs are clear without focal consolidation. No pneumothorax is seen. The cardiac and mediastinal silhouettes are unchanged. Extensive calcification of the descending aorta and the aortic knob. Gallstones are noted in the right upper quadrant.
<unk> year old man with chronic cough // any evident reason for cough?
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A right chest wall port-a-cath ends in the proximal right atrium. A right sided pneumothorax has not significantly changed in size but there is a new fluid component. The cardiomediastinal silhouette is unchanged. Subcutaneous gas is less conspicuous on the current study. There is no focal consolidation. Linear areas of atelectasis are noted at the left lung base.
<unk> year old woman with pneumothorax, evaluate for interval change..
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits.
<unk>-year-old female with cough and fever.
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Pa and lateral chest radiographs were obtained. Lung volumes are low, but the lungs are clear. No effusion or pneumothorax is present. The heart and mediastinal contour are normal.
<unk>-year-old woman with chest pain.
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Apart from subsegmental atelectasis in the left lower lobe, the lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
cough, fever.
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The lungs are well inflated and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old male with cough. evaluate for acute cardiopulmonary process.
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The cardiomediastinal and hilar contours are within normal limits and stable. Lung volumes are slightly low when compared to the prior exam. There is no focal consolidation. No pneumothorax or pleural effusion is identified.
<unk> year old man with bilateral wheezing, cough, and elevated wbc count. // rule out pneumonia
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.
<unk>-year-old female with lightheadedness. please evaluate for occult pneumonia.
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There is a slight amount of plate atelectasis at the right base. The lungs are otherwise well expanded and clear. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures are unremarkable.
<unk>-year-old female with fever, fatigue, arthralgia, myalgia, sore throat, and urticaria. now requiring assessment for possible pneumonia, hilar lymphadenopathy/sarcoidosis, or interstitial pneumonitis.
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The heart is of normal size with normal cardiomediastinal contours. Lung volumes are low. Lungs are otherwise clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. Pulmonary vasculature is unremarkable. Osseous structures are unremarkable. No radiopaque foreign bodies.
<unk>-year-old man with decreased o<num> saturation on room air and somnolence.
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The lungs are moderately well-expanded. Moderate biapical symmetric scarring is unchanged. Stable bilateral lower lobe nodular opacities, right greater than left with stable representative <num> mm right lower lobe nodule. Coronary artery calcifications are present.
<unk>f with chest pain. assess for pneumonia.
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Lungs are now clear. The large right-sided consolidation has resolved. Cardiac size is top normal. There is no pleural effusion or pneumothorax.
<unk>-year-old man with pneumonia, hemoptysis. followup imaging to document resolution.