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There is no focal consolidation, effusion, or pneumothorax. Lungs are hyperinflated. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with left rib pain.
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The lungs appear well expanded and clear. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax, pleural effusion, or focal consolidation. Note is made of calcification of the aortic knob.there is angulation of the anterior cortex of a mid-to-low thoracic body, which is worse since <unk>.
history: <unk>f with weakness // eval for infiltrate
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Better inspiration bilaterally.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unchanged and cardiac size likely exaggerated by low lung volumes. Severely distended stomach with air-fluid level and risk of aspiration
<unk> year old man with uti, fever, initial cxr with poor inspiration // re-evaluate for acute processes with better study
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality identified.
<unk>-year-old female with dyspnea on exertion and cough.
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Pa and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no pleural effusion or pneumothorax. The chest is hyperinflated. Moderate degenerative changes affect each acromioclavicular joint.
cad status post pci, now presenting with chest pain and shortness of breath. evaluate for pneumonia.
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Compared to the previous radiograph, there is no relevant change. Normal lung volumes. No pleural effusion, no pulmonary edema. No pneumonia. No lung nodules or masses. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. Vertebral fixation devices in unchanged position.
cough, smoker.
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No focal consolidation, pleural effusion, or pneumothorax is seen. Heart and mediastinal contours are within normal limits. The lungs are hyperinflated.
<unk>-year-old female with syncope.
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There is an opacity obscuring the inferior right heart border which projects over the anterior heart on lateral view. The left lung is clear. The cardiomediastinal and hilar contours normal. There is no pleural effusion or pneumothorax.
<unk>f with fever, cough, evaluate for pneumonia.
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Frontal and lateral views of the chest. The lungs are clear of consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. Surgical clips project over the anterior neck.
<unk>-year-old male with chest pain.
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The patient is rotated somewhat to the left. Bilateral perihilar opacities are most likely due to mild to moderate pulmonary edema, underlying infectious process is not excluded in the appropriate clinical setting. There are trace bilateral pleural effusions. No pneumothorax is seen. Cardiac silhouette is mildly enlarged. Mediastinal contours are similar to the prior study.
history: <unk>f with c/o sob with hx chf // ? chf or pna
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The lungs are well inflated. No chf, focal infiltrate, effusion, or pneumothorax is detected. Right paratracheal soft tissues could represent vascular structures in someone of this age. Slight leftward displacement of the trachea is noted. While this could be positional, it raises the possibility of displacement by the thyroid. The heart is at the upper limits of normal in size. The aorta is unfolded. The right hemidiaphragm is slightly elevated. No free air is seen beneath the diaphragm. Mild to moderate multilevel degenerative changes are noted in the thoracic spine.
history: <unk>f with pleuritic chest / flank pain // evaluate for acute process
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine. Fiducial seeds in the posterior lower chest are stable
<unk> year old woman with report of dyspnea x<num> weeks // dyspnea
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Ap and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is detected.
<unk>-year-old female with chest pain.
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The cardiomediastinal and hilar contours are normal. The lungs are hyperexpanded but clear. There is no pleural effusion or pneumothorax.
<unk>-year-old diabetic male with left-sided chest pain.
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Post esophagectomy with gastric pull-through. Anterior mediastinal clips. Heart size within normal. No pleural effusions. There is ill-defined linear opacities overlying the inferolateral right hemithorax, similar to multiple prior studies including <unk>, possible chronic scarring.
<unk> year old man with aspiration pneumonia, assess for improvement // improvement from prior
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Compared <num> day earlier, the overall appearance is quite similar. Again seen is a large right and left pleural effusion, both with underlying collapse and/or consolidation. Right picc line is present, tip over distal svc. No evidence of chf. No pneumothorax is detected. A catheter other tubing overlies the upper abdomen.
<unk> year old woman with known pleural effusion, new o<num> requirement s/p thoracentesis // please assess status of pleural effusion, thoracentesis yesterday
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Frontal and lateral views of the chest were obtained. Allowing for differences in technique, cardiomediastinal silhouette is stable. Calcifications are again noted in the aortic arch. Lungs are symmetrically expanded. Previously noted increased opacification at the right base and small right pleural effusion have resolved. Nodular opacity projecting over the upper thoracic spine on the lateral view is likely nodule at the right lung apex seen on neck ct. It is not clearly seen on the frontal likely secondary to rotation. There is no definite focal consolidation, pleural effusion, or pneumothorax. Chronic deformity of the proximal right humerus and exaggerated thoracic kyphosis with degenerative changes are noted.
<unk>-year-old female with a history of tongue cancer who presents with nausea, rule out pneumonia.
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The heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascular is normal. Focal patchy opacity within the right lower lobe is unchanged compared to the prior study. No new areas of focal consolidation are demonstrated. No pleural effusion or pneumothorax is present. There is no acute osseous abnormality.
weakness.
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The heart is moderately enlarged. The hilar and mediastinal contours are within normal limits. Moderate right and small left pleural effusions are stable since <unk>. A left-sided pleurx is unchanged in position. There is no pneumothorax or focal consolidation.
pain at the left pleurx catheter site.
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Minimal right mid lung linear atelectasis/ scarring is again seen. No focal consolidation, large pleural effusion, or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. The aorta is calcified and tortuous. Right paratracheal opacity adjacent to the anterior right first rib likely corresponds to vascular structure as seen on ct from <unk>. Degenerative changes are seen along the spine. No displaced fracture is seen.
history: <unk>f s/p mechanical fall on left side // eval for rib fracture
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Frontal and lateral radiographs of the chest were acquired. There is minimal left lower lung atelectasis. The lungs are otherwise clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Ovoid opacities overlying both lung bases on the frontal projection correspond to the patient's nipples and should not be confused with pulmonary nodules.
fever.
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A new left-sided pacemaker appears in adequate position. Lungs are essentially clear. There is no focal consolidation, pleural effusion or pneumothorax.
<unk> year old man with cll and fever and cough // assess for pna assess for pna
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Lung volumes are low. Mediastinal contours, elevated, distorted left hilus, and cardiac silhouette are stable from <unk>. Calcified pleural plaque adjacent the aortic arch again noted. No pneumothorax or pleural effusion. Elevation of the left hemidiaphragm and left chest wall thoracotomy is stable from <unk>.
<unk>f with epigastric pain // evaluate for acs
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There is mild bibasilar and retrocardiac atelectasis, but the lungs are clear of focal opacities to suggest infection. No evidence of pneumonia, pleural effusion, pneumothorax or pulmonary edema. Heart size is normal. The aorta is unfolded.
<unk>f with weakness, b/l ue pain // pna
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Pa and lateral views of the chest. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal. Again seen is indentation of the right lateral aspect of the trachea at the thoracic inlet which may be due to thyroid enlargement, unchanged.
altered mental status, evaluate for pneumonia.
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Low bilateral lung volumes. There are increased bibasilar opacities which likely reflect atelectasis. No pneumothorax identified. The size of the cardiac silhouette is enlarged but unchanged. Re- demonstrated is a thoracoabdominal aortic stent.
<unk> year old man with fever, decreased breath sounds at the r lower base // opacity
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The pulmonary vasculature is slightly indistinct. Mild bilateral hazy opacities may reflect fluid overload. Heart size is exaggerated by ap technique, however there is likely mild cardiomegaly. There is a left retrocardiac opacity likely atelectasis. There is no definite pneumothorax or pleural effusion.
history: <unk>m with cp // r/o cardiomegaly, ptx, pleural effusion
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Heart size is mildly enlarged. Mild atherosclerotic calcifications are noted at the aortic knob. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Lungs are hyperinflated but clear. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized. Deformity of the distal right clavicle likely reflects prior healed fracture.
history: <unk>f with fall, head strike
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Stable calcified lesion in the left hilar region. The cardiomediastinal silhouette is normal and the lungs are clear and there is no pleural effusion and no pneumothorax. Large hiatal hernia.
<unk>-year-old with hypoglycemia.
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Pa and lateral views of the chest demonstrate well-expanded and clear lungs. The heart is normal in size and cardiomediastinal contour is unremarkable. S-shaped scoliosis and status post fixation rods noted. There is no pleural effusion or pneumothorax.
<unk>-year-old man with cough and aches, evaluate for pneumonia.
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Cardiac silhouette size is mildly enlarged. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with etoh, sister said was diagnosed with pneumonia at outside hospital
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Pa and lateral views of the chest. The lungs are hyperinflated. No focal consolidation, pleural effusion or pneumothorax. There are bibasilar opacities with kerley b lines, consistent with mild pulmonary edema. Moderate cardiomegaly.
chest pressure.
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Pa and lateral chest radiographs were obtained and slightly limited by body habitus. The lungs are well inflated and clear. No focal consolidation, effusion, pneumothorax is present. The cardiac and mediastinal contours are normal. The right hemidiaphragm remains higher than the left.
<unk>-year-old male with cough.
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Pa and lateral views of the chest provided. The heart appears mildly enlarged. There is hilar congestion without frank pulmonary edema. No large effusion or pneumothorax is seen. No convincing signs of pneumonia. Mediastinal contour is normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with right leg weakness and paresethesias x <num> days. r>l leg swelling
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well-expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
pre op.
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Frontal and lateral views of the chest. Multifocal regions of consolidation are compatible with known metastatic lesions throughout the lungs. Overall the size and distribution has not significantly changed. Cardiomediastinal silhouette is stable. No acute osseous abnormality is identified.
<unk>-year-old female with shortness of breath. additional history from prior radiology report reveals breast cancer with pulmonary metastases.
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The heart size is within normal limits. The mediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No displaced rib fracture is present.
<unk>-year-old female status post fall.
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There are bilateral airspace patchy opacities, more pronounced in both lower lung fields, more specifically in the right middle and right lower lobe as well as in the left lower lobe in the retrocardiac region. No pleural effusion or pneumothorax is identified. The heart is mildly enlarged.
<unk>-year-old male with dyspnea, cough, fever.
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Low lung volumes are noted on both frontal lateral views. Superiorly the lungs are clear. There is blunting of the lateral and posterior costophrenic angles with increased opacity projecting over the lower lungs. Moderate cardiac enlargement is stable. Atherosclerotic calcifications again noted.
<unk>m with sob // pna?
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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 // ?cpd
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Once again demonstrated is right basilar atelectasis, not significantly changed from <unk> study. The left lung is essentially clear. There is continued elevation of the right hemidiaphragm. An ng tube is seen coursing into the stomach on the lateral view primarily. Cardiac size is normal. Hilar contours are unremarkable.
gallbladder carcinoma. question ng tube placement.
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Increased heart size, pulmonary vascularity, more prominent compared the prior exam. There is new small right pleural effusion. Mildly prominent interstitial markings peripherally, suggest edema. There are surgical clips in the upper abdomen.
<unk> year old man with systolic chf, cad, diabetes type <num> presenting with orthopnea and weight gain, concerning for chf exacerbation // please assess for pulmonary edema or pleural effusion
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Frontal and lateral views of the chest. There is no region of focal consolidation. There is however diffusely increased interstitial markings seen throughout the lungs. Cardiomegaly is now seen and there is mild prominence of the azygos vein. There is no pleural effusion.atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormalities identified. Pagetoid changes at t<num>. Surgical clips seen in the upper abdomen.
<unk>-year-old male altered mental status.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Large lung volumes are not new. Heart and mediastinal contours are stable. Dual-lead pacemaker appears similarly positioned with hardware projecting over the left upper outer chest, slightly limiting evaluation of the underlying lung parenchyma. Sternal wires appear intact. Right upper rib deformity is again noted.
<unk>-year-old male with chest pain.
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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. Surgical clips are noted in the upper abdomen.
<unk>f with chest pain // r/o ptx,
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Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. The hilar contours are normal.
shortness of breath and tachycardia.
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As compared to prior chest radiograph from <unk>, there has been no significant change. Moderate cardiomegaly is stable and there is redemonstration of prominent pulmonary vascular markings, consistent with congestion. No overt pulmonary edema, pleural effusion or pneumothorax is identified. No focal consolidation concerning for pneumonia is seen.
chest pain. question pneumonia.
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The heart remains moderately enlarged. The aorta is unfolded. The mediastinal and hilar contours are unchanged. There is no pulmonary vascular congestion. No focal consolidation, pleural effusion or pneumothorax is seen. Mild asymmetric haziness overlying the left hemithorax compared to the right may be attributable to overlying soft tissue structures. No acute osseous abnormalities are identified.
fever and cough.
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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. There has been no significant change.
fever.
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There is a new, small, right-sided pleural effusion, and likely a trace left-sided effusion. Heart size and pulmonary vascularity remain within normal limits. The diffuse lower lung predominant septal thickening is present as well as poorly defined lower lung peribronchiolar opacities centrally in the infrahilar areas appear
<unk> year old man with crohn's and cmv viremia // please eval for pleural effusions or interstitial abnormalities
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There is mild elevation left hemidiaphragm. The thoracic aorta is enlarged and tortuous. There is mild atelectasis at the lung bases. The lung fields are clear. There is no pneumothorax, fracture or dislocation. There is mild scoliosis of the thoracic spine.
history: <unk>m with shortness of breath // eval for infiltrate
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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>f with fever, cough // eval for acute process
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There is a vague, asymmetric opacification of the right lower lobe, seen both on the frontal and lateral projections, which may represent an early consolidation. There is no pleural effusion, pneumothorax, or pulmonary edema identified. The heart size is normal. The mediastinal contours are normal.
bronchitis, rule out infiltrate.
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As compared to the previous radiograph, the widespread partly fibrotic and partly hyperlucent parenchymal opacities are unchanged in extent and severity. No substantial decrease or increase in severity can be noted. There is unchanged normal size of the cardiac silhouette and unchanged appearance of the hilar and vascular structures. No pleural effusions. No pulmonary edema. Mild scoliosis.
sarcoid and prednisone taper, dyspnea on exertion.
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There are multiple air-fluid levels in the right lower hemithorax, most likely due to loculated hydropneumothorax. A consolidation at the right base is difficult to exclude. The left lung is clear. There is no left pleural effusion. There is no pulmonary edema or pneumothorax. The mediastinal contours are within normal limits. The heart size is at the upper limits of normal. Sternal wires are intact. Multiple mediastinal clips are likely from a prior cabg.
chest pain; evaluate for dissection.
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There are worsening interstitial opacities in the left upper lobe with relatively stable left lower lobe pleural effusion and lung consolidation. The right lung is unchanged. The aorta is calcified and tortuous. The cardiomediastinal silhouette is stable. There is no pneumothorax.
history of lung cancer, complaining of worsening cough, hemoptysis and weakness. rule out acute process.
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There is moderate pulmonary edema. Small moderate right pleural effusion persist. More focal somewhat rounded opacity at the lateral right lung base may represent combination of pleural effusion and atelectasis, however, underlying consolidation or pulmonary lesion not excluded. Small left pleural effusion is re- demonstrated. The cardiac silhouette remains enlarged. Patient is status post aortic valve replacement. No displaced fracture is identified.
history: <unk>m with fall, r ear laceration // eval for injury
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The patient is s/p right mastectomy. The lungs are well expanded. There is stable right apical scarring with associated ipsilateral hilar traction and diaphragmatic tenting, suggesting loss post-treatment changes with volume loss. There are no focal opacities. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Surgical clips are noted in the right axilla from prior lymph node resection.
<unk>-year-old female with malaise and history of breast cancer. evaluate for pneumonia.
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In comparison with the study of <unk>, there is little change. Apical soft tissue mass is unchanged and shown on the ct and pet to contain fat and soft tissue and have no evidence of malignancy. The remainder of the study is essentially within normal limits.
positive ppd.
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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 free air beneath the right hemidiaphragm.
history: <unk>f with hx bariatric surgery with known marginal ulcer. p/w generalized weakness, abdominal pain // eval for free air
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The lungs are clear, cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old with cocaine abuse.
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The heart size, mediastinal, and hilar contours are normal. A <num>-<num> mm nodule in the right lower lung is unchanged since <unk>. There are no new effusions or focal opacifications concerning for pneumonia. Bibasilar streaky opacities and thickened bronchial walls are unchanged since <unk>, and may reflect chronic bronchitis or bronchiectasis.
<unk> year old woman with prior ?pneumonia on <unk> films, eval for change/clearance. eval for pneumonia.
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Compared to the prior exam there is no significant interval change. There continues to be a small the moderate left pleural effusion. There is a tiny right effusion. There is no pneumothorax. Mediastinal clips are again seen on the left. There is mild cardiomegaly. There is increased hazy alveolar infiltrate in the right lower lung. It is unclear if this is asymmetric pulmonary edema or an early infiltrate.
<unk> year old woman with lung cancer, pleural effusion s/p thoracentesis // f/u thoracentesis
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Frontal and lateral radiographs of the chest show a moderate left pleural effusion obscuring the left hemidiaphragm which is probably unchanged from the supine radiograph of <unk> with the meniscus better visualized on today's upright exam. A small to moderate right pleural effusion is also probably unchanged from the prior radiograph. Associated bibasilar compressive atelectasis is stable. No pneumothorax is present. A right internal jugular central venous catheter has been removed since the prior radiograph. The patient is status post median sternotomy with wires intact. Cardiac silhouette cannot be assessed. The mediastinal contours are within normal limits with calcified aortic knob and deviation of the trachea to the right. A stent is unchanged in position in the midline corresponding to the upper abdominal aorta. Generalized loss of height and kyphosis is noted in the thoracic spine.
<unk>-year-old female with history of left pleural effusion, here to evaluate for recurrence of pleural effusion.
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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. The visualized upper abdomen is unremarkable.
evaluate for pneumothorax in a patient with chest pain.
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Frontal and lateral views of the chest. Left lower lobe opacity highly concerning for pneumonia. No pulmonary edema, pleural effusion, or pneumothorax is seen. The heart size is top normal. The mediastinal contours are normal. Nodular opacity at the right apex.
cough and fever.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Patchy bibasilar airspace opacities most likely reflect atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. Moderate degenerative changes are noted within the thoracic spine.
chest pain.
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Pa and lateral views the chest were provided. Lung volumes are low limiting assessment. There is bibasilar atelectasis. Coarsened lung markings are noted which could reflect a component of fibrosis. There is no convincing evidence for pneumonia or edema. No large effusion or pneumothorax seen. No gross bony abnormalities.
<unk>f with recent fall and shortness of breath
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Left-sided pacemaker device is noted with leads in unchanged positions, in the right atrium and right ventricle. Heart size is mildly enlarged, unchanged. Mediastinal and hilar contours are within normal limits, and the pulmonary vasculature is normal. Lungs are clear without focal consolidation. Slight elevation of the left hemidiaphragm is unchanged. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is detected.
history: <unk>m with dyspnea and chest pain
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Left chest tube has been removed. There is slightly more fluid at the left lung base, which is minimal and loculated also at the left apex. Multiple calcified plaques are related to previous asbestos exposure.
the patient with end-stage renal disease on hemodialysis, systolic heart failure, evaluation of pleural effusion after chest tube removal.
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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. The bony structures are unremarkable.
shortness of breath and cough. question pneumonia.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
<unk>f with doe // r/o acute cardiomyopathy
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Patient is post cabg, with intact median sternotomy wires. Moderate cardiomegaly and left atrial enlargement with splaying of the carina is unchanged. The tortuous aorta is also unchanged. Compared with the prior radiograph there is mild pulmonary vascular congestion. No significant pleural effusions. Remote right sided rib fractures are again identified.
<unk>m with dyspnea. evaluate for acute process.
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Patient is status post median sternotomy. Left-sided pacemaker, dual lead, with leads extending to the expected positions of the right atrium and right ventricle. The cardiac silhouette is mildly enlarged. Mediastinal contours are unremarkable. No large pleural effusion or pneumothorax is seen. There is no focal consolidation. There is central pulmonary vascular engorgement without overt pulmonary edema.
history: <unk>m with syncope // infiltrate?
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Lung volumes are normal. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal. Orthopedic hardware seen in the left glenoid.
<unk>m with nausea vomiting, tachycardia, // pna?
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In comparison with the study of <unk>, the left chest tube has been removed. No evidence of pneumothorax. Residual opacification at the left base related to the surgical procedure. The right lung is essentially clear.
lobectomy with chest tube removal.
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As compared to the previous radiograph, there is no relevant change. The known and pre-described massive bilateral mostly peripheral parenchymal scars and areas of fibrosis, accompanied by areas of pleural thickening are unchanged in extent and severity. The changes are best documented on a ct examination from <unk>. No new parenchymal opacities have appeared. Neither the frontal nor the lateral radiograph show evidence of pleural effusions, but basal pleural thickening is present. No pneumothorax. Unchanged normal size of the cardiac silhouette.
allergic bronchopulmonary aspergillosis. evaluation.
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The cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax. There is left basilar atelectasis.
<unk>-year-old with seizure.
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A right subclavian-approach port-a-cath is accessed and unchanged in position with the tip terminating in the upper right atrium. To place the catheter tip in the low svc, the catheter should be retracted by <num> cm. Small bilateral pleural effusions are new from the most recent prior study with associated basilar atelectasis on the left greater than the right. No focal consolidation or pneumothorax is detected. The heart is normal in size with normal mediastinal contours. Lumbar fusion hardware is again noted.
port dysfunction, here to evaluate port placement.
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The lungs are hyperinflated but clear except for upper lung apex scarring. There is no pleural effusion or pneumothorax. Cardiac size is within normal limits. There is no intra-abdominal free air identified.
evaluate for acute process, abdominal free air. pain and vomiting.
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no focal opacity. There is no evidence of pneumothorax, pulmonary edema, or pleural effusion. No air under the right hemidiaphragm is identified.
<unk>f with chest pain // acute process
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In comparison with study of <unk>, the left chest tube has been removed and there is no convincing evidence of pneumothorax. There are lower lung volumes with bibasilar atelectatic changes and possible small pleural effusions. No vascular congestion is appreciated.
segmental left lower lobe resection with chest tube removed.
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The lung volumes are low. The heart is mildly enlarged. The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. Fullness of each hilum and indistinctness of pulmonary vasculature in conjunction with mild interstitial prominence is most often seen with mild pulmonary edema.
cough and rib pain on the right side.
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Pa and lateral chest radiographs through the chest demonstrate clear lungs bilaterally with no focal consolidation identified. The cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion. There is no pneumothorax. Incidental note is made of pectus carinatum. Osseous structures are otherwise unremarkable.
<unk>-year-old female with fever, chills, malaise.
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There is focal opacity at the right lung base laterally seen posteriorly on the lateral view. Elsewhere, lungs are clear. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>f with cp, cough // r/o acute process
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As compared to the prior exam, there has been no relevant interval change. The lungs are hyperinflated. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>m with chest pain, r arm pain // pneumothorax, effusion?
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Heart size remains moderately enlarged. Mediastinal and hilar contours are unchanged with similar enlargement of the hila bilaterally. Mild pulmonary edema is slightly worse in the interval, somewhat exaggerated due to the presence of low lung volumes. No focal consolidation is noted. No pleural effusion appears to be present. There is no pneumothorax. No acute osseous abnormality is identified.
history: <unk>f with overdose, altered mental status
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Mild enlargement of cardiac silhouette is re- demonstrated. The aorta is unfolded. There is mild pulmonary vascular congestion without frank pulmonary edema. Lungs remain hyperinflated. Streaky atelectasis is noted in the lung bases without focal consolidation. Blunting of the costophrenic angles posteriorly on the lateral view may reflect the presence of trace bilateral pleural effusions. No pneumothorax is present, and there is no focal consolidation. Mild moderate multilevel degenerative changes are present in the thoracic spine.
history: <unk>m with cough and fever
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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 smoke inhalation s/p house fire // pls eval for pneumonitis or pna
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. Surgical clips are again noted in the right upper quadrant.
history: <unk>f with cp*** warning *** multiple patients with same last name! // evidence of pneumothorax
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Frontal and lateral views of the chest. Again seen is elevation of the left hemidiaphragm. The lungs are clear of consolidation or effusion. The cardiac silhouette is enlarged, but stable in configuration. No acute osseous abnormality is identified.
<unk>-year-old male with low-grade fevers and leukocytosis.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of chest pain. please evaluate for infiltrate.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are clear. There is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with sob, a fib // pulm edema?
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Frontal and lateral views of the chest demonstrate normal lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Ill-defined lucency projecting over the lateral right <unk> and <num>th ribs.
patient status post fall with back pain. assess for traumatic fracture.
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The cardiac and mediastinal silhouettes are stable. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. No overt pulmonary edema is seen.
history: <unk>f with morbid obesity, asthma with productive cough. // pneumonia
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As compared to the previous radiograph, there is now a <num> mm left apical pneumothorax. No evidence of tension. The pigtail catheter in the left pleural space is unchanged. Normal size of the cardiac silhouette. Normal right lung.
spontaneous left pneumothorax, left pigtail catheter off suction.
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Massive enlargement of the cardiac silhouette is again noted. On prior this had been due to a pericardial effusion. There are increased interstitial markings due to a combination of overlying soft tissues and superimposed pulmonary edema. There is no large confluent consolidation or large effusion.
<unk>f with dyspnea and b/l leg swelling // acute cardiopulmonary process
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The lungs are hyperinflated and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pneumothorax, pulmonary edema, or focal consolidation. There is no radiographic evidence of large hiatal hernia. No subdiaphragmatic free air is noted.
history: <unk>m with epigastric discomfort // eval hiatal hernia
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A right picc ends at the brachiocephalic/svc junction, somewhat high in position. There is no focal opacity to suggest pneumonia. Cardiomediastinal and hilar contour normal. There is a large pleural effusion or pneumothorax.
<unk>-year-old woman with fever to <num>, decubitus ulcer and a recent spine surgery, evaluate for pneumonia.
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Moderate to severe enlargement of the cardiac silhouette is unchanged. The aorta is tortuous. Pulmonary vasculature is not engorged, and hilar contours are within normal limits. No focal consolidation, pleural effusion or pneumothorax is present. Minimal atelectasis is noted in the lung bases. Moderate degenerative changes are seen throughout the thoracic spine
history: <unk>f with preop film