Frontal_Image_Path
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. The osseous structures are unremarkable. No radiopaque foreign body.
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<unk>-year-old female with cough and myalgias.
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Pa and lateral views of the chest. The lungs are slightly hyperinflated but clear of consolidation. There is no pneumothorax or effusion. The cardiomediastinal silhouette is unremarkable. There is no free air below the diaphragm. No acute osseous abnormality.
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<unk>-year-old female with chest pain status post egd.
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A dual-lead pacemaker/icd device appears unchanged. The heart is mild to moderately enlarged. The mediastinal contours are stable including a large hiatal hernia. There is a new or increased small right-sided pleural effusion with lateral right-sided pleural thickening, suggestive of a degree of loculation of pleural fluid or new pleural thickening. The pulmonary interstitium is again prominent. There is new widespread opacification in the right lung, particularly in the right upper lobe. Although the possibility of atypical pulmonary edema could be considered for this appearance, this degree of asymmetry would be more typical for an infectious process. Correlation with clinical presentation and laboratory data is recommended.
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shortness of breath, pneumonia and fluid overload.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with l sided vision changes
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Ap upright and lateral views of the chest provided. Lung volumes are low. Heart size is difficult to assess given low lung volumes though appears grossly unchanged. The aorta appears unfolded as on prior. There is no focal consolidation concerning for pneumonia. No large effusion or pneumothorax. No overt signs for edema. Hilar congestion difficult to exclude in the correct clinical setting. Bony structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>m with cough, fevers // ? pneumonia
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Frontal and lateral views of the chest. Leads of a left chest wall pacer terminate in the right atrium and right ventricle. Small right pleural effusion has slightly enlarged since the prior exam. Left pleural effusion is similar to prior. Bibasilar opacities remain consistent with atelectasis. Pulmonary vascular congestion is similar to prior. Cardiomegaly and mediastinal contours are unchanged. An azygos lobe is incidentally noted.
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shortness of breath and history of chf.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. New when compared to prior is an ll defined left basilar opacity, not as clearly seen on the lateral exam. Elsewhere, the lungs are clear. There is no effusion. Cardiac silhouette is enlarged but stable in configuration. The aorta is slightly tortuous. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with atrial fibrillation.
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As compared to the previous radiograph, the patient has received a new lead. The course of the leads is unremarkable. One lead projects over the coronary sinus, one over the right atrium and one over the right ventricle. Status post cabg with unchanged alignment of the sternal wires. No pulmonary edema. No pneumothorax, no pleural effusions.
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new leads, evaluation for pneumothorax and lead placement.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with doe, referral for palptations, possible aflutter // eval ? edema, cardiomegaly
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Pa and lateral views of the chest were obtained. The heart is normal in size and cardiomediastinal contour is unremarkable. Bibasilar opacities most likely atelectasis, alternatively aspiration, as seen on the ct that followed. There is no pleural effusion or pneumothorax. Enlarged spleen displaces stomach medially.
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<unk>-year-old man with shortness of breath, evaluate for pneumonia.
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The cardiomediastinal and hilar contours are within normal limits. As compared to prior examination, lungs volumes are increased and hyperinflated, suggestive of copd. There is no focal consolidation, pleural effusion or pneumothorax.
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hypertension. question infiltrate.
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The heart size is normal. The hilar and mediastinal contours are normal, aside from a mildly tortuous aorta. The lung volumes are low, however there is no evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. Visualized osseous structures are unremarkable.
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history left chest pain. please evaluate for acute process.
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The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
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<unk>m with tia symptoms lasting <unk> min, dysarthria and aphasia, evaluate for acute cardiopulmonary disease.
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Lung volumes are low. The heart size is mildly enlarged with left ventricular predominance. The aorta is tortuous. There is crowding of the bronchovascular structures without overt pulmonary edema. Patchy opacities in the lung bases, more pronounced on the right likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. Degenerative changes are again seen in the thoracic spine with mild loss of height of several vertebral bodies, grossly unchanged.
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history: <unk>m with cough
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Pa and lateral views of the chest provided. Right lung is clear. Subtle opacity in the left lower lung could represent a very early pneumonia in the correct clinical setting. No large effusion or pneumothorax. The heart appears top-normal in size. Mediastinal contours unremarkable. Bony structures are intact. No free air below the right hemidiaphragm.
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<unk>f with copd, with cough and sob, by report found to have pneumonia on outside ct
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There is hazy opacity in the infrahilar region on the right. Elsewhere, lungs are clear. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. No evidence of pulmonary edema. Imaged osseous structures and upper abdomen demonstrate no acute abnormality.
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<unk>m with cough x <num> weeks, now blood-tinged sputum // eval for pna or other acute process
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There is minimal bibasilar atelectasis. The lungs are otherwise clear. There is no evidence of pneumonia, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. In a mid thoracic vertebral body, there is a compression deformity. Since the prior exam, in <unk>, the loss of height appears to have worsened. In an upper lumbar vertebral body, there is mild compression deformity, which is stable from <unk>.
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cough. evaluate for pneumonia.
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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 a small right-sided pleural effusion. There is no pneumothorax or consolidation. A port is seen projecting over the right lung with the tip terminating in the distal svc.
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<unk>-year-old man with chest pain. evaluate for pneumonia.
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Frontal and lateral radiographs of the chest demonstrate clear lungs with left basilar atelectasis, unchanged. The nodular density seen in the right middle lung field on the prior radiograph is again noted. No pleural abnormality is noted and the cardiomediastinal contours are unchanged.
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questionable pulmonary nodule on previous radiograph. evaluate pulmonary nodule.
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. No pleural effusion or pneumothorax is detected. Osseous structures are without an acute abnormality. No air to the right hemidiaphragm is seen.
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<unk>-year-old male with altered mental status.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with epigastric pain, fever // fever, epigastric pain; eval for pna
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Frontal and lateral views of the chest. The lungs are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
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<unk>-year-old male with left chest pain.
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Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
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history: <unk>m with chest pain // ? ptx
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The cardiomediastinal silhouette is within normal limits. No osseous abnormalities are noted. The lungs are clear. There is no pneumothorax or pleural effusion. There is no free air below the diaphragm.
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<unk>m with <num> week of chest pain // eval for acute process
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Frontal and lateral expiratory chest radiographs again demonstrate a left chest tube, which is in the fissure. The small left apical pneumothorax is unchanged. The cardiomediastinal contour remains normal, with persistent mediastinal air. A left midlung opacity representing the known laceration is again seen. Increased opacity of the lingula represents continued hemorrhage, as seen on recent ct. A larger left posterior pleural fluid collection is concerning for increased hemothorax. The right lung remains well expanded and clear.
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stab wound to left chest and neck, status post left chest tube. evaluates for interval change in the left pneumothorax.
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As compared to the previous radiograph, there is no relevant change. Moderate asymmetry of the rib cage, due to healed rib fractures and marked scoliosis. Normal size of the cardiac silhouette. Marked tortuosity of the thoracic aorta. No evidence of hilar or mediastinal lymphadenopathy. Lung parenchyma appears normal, without signs of nodular or fibrotic changes. No pleural effusions.
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rule out sarcoid.
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Pa and lateral chest radiographs were obtained. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. No free air under the hemidiaphragm. Osseous structures are intact.
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<unk>-year-old male with new onset chest pain radiating to the back, rule out dissection.
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There are low lung volumes, however the lungs are clear. Cardiomediastinal silhouette is normal. No pleural effusion or pneumothorax.
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history: <unk>f with concern for infection // pna?
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Moderate cardiomegaly is unchanged. Lung fields are clear. Patient is status post median sternotomy with wires intact.the aorta is tortuous.
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history: <unk>f with chest pain, diaphoresis // evaluate for acute process
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Pa and lateral views of the chest are correlated to ct scan performed the same day. The lungs are clear of confluent consolidation. Increased opacity is identified at the lung bases on the lateral. However, these areas are grossly clear on ct scan, therefore is likely due to atelectasis. Costophrenic angles are sharp. Cardiac silhouette is mildly enlarged for technique. Osseous and soft tissue structures are grossly unremarkable.
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<unk>-year-old male with altered mental status. question infiltrate.
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Cardiomediastinal contours are normal. The lungs are hyper expanded and clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
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<unk> year old man with new onset of digital clubbing. // any intra-thoracic pathology?
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Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. Cervical fixation plate is visualized but not optimally assessed on this study.
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nausea and fatigue.
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Right-sided chest tubes have been removed. Stable appearance of the right lung with right pleural thickening standing along the fissure. No pneumothorax. Moderate cardiomegaly. No overt pulmonary edema.
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<unk> year old man s/p r vats blebectomy, pleurodesis // r/o ptx post ct removal
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Lung volumes are low. Heart size is mildly enlarged. The aorta is tortuous. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is within normal limits. Minimal atelectasis is noted in the lung bases without focal consolidation. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is visualized. Elevation of the hemidiaphragms is again noted.
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history: <unk>m with confusion, on warfarin
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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. The widened right ac interval likely reflect prior resection of the distal clavicle.
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<unk>f with chest pain
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The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with hypothermia/hypoglycemia // eval for pna
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Lung volumes are low. Left lower lobe and middle lobe opacities appear to have essentially resolved. Residual opacity near the left costophrenic angle is minimal in could be atelectasis and/or residual from prior in infection. A right subpulmonic pleural effusion is small. A left pleural effusion if present is trace. The cardiomediastinal silhouette is unchanged. No pneumothorax. No new focal consolidations.
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<unk>-year-old woman with <unk> syndrome presents with dyspnea. evaluate for pneumonia.
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Low lung volumes. The patient is status post median sternotomy and cabg. The sternotomy wires appear intact and in appropriate alignment. The right pleural effusion has decreased in size, and the left pleural effusion has increased in size, however both are small. Bibasilar atelectasis has improved. Heart size is stable. The pulmonary vasculature is normal. No pneumothorax is seen. There are no acute osseous abnormalities.
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<unk> year old man pod<num> cabg // effusion
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As compared to the previous radiograph, there is no relevant change. Relatively extensive bilateral apical bullous destruction of the lung parenchyma. No diaphragmatic flattening. No pulmonary edema. No pleural effusions, no lung nodules or masses. Normal size of the cardiac silhouette.
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knee mass, evaluation for pulmonary mass.
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The aorta is tortuous. Central pulmonary vasculature is mildly engorged without overt pulmonary edema. The cardiac silhouette is top-normal to mildly enlarged. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax.
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history: <unk>m with c/o weakness // ? pna
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The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
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<unk>-year-old man with fever and cough, hiv positive, evaluate for pneumonia.
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As compared to the previous radiograph, the previously placed right internal jugular vein catheter has been removed. There is unchanged moderate cardiomegaly with tortuosity of the thoracic aorta, but without evidence of pulmonary edema. No pleural effusions. No pneumonia. No pneumothorax.
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right axillary chest pain, evaluation.
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Pa and lateral views of the chest. Again seen is a pleural-based opacity abutting the left upper lung laterally. The lungs are clear without consolidation or effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected.
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<unk>-year-old male with cough and chest pain.
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Median sternotomy wires are intact and well aligned. The patient has undergone prior aortic valve replacement. There has been interval removal of a right central venous catheter. The cardiac silhouette is borderline enlarged. The pulmonary vasculature is unremarkable. A right pleural effusion remains. No pneumothorax is present.
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<unk>m with valve replacement <num> months prior now w/ worsening cp radiating to scapula x <num>d
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Frontal and lateral views of the chest demonstrate interval removal of a right basal pleural catheter. There is similar extent of a right upper lung hydrothorax with decrease pneumothorax components. Extent of aeration in the right lung and left lung appear unchanged. Right shift of the trachea due to volume loss is unchanged. Cardiomediastinal silhouette is within normal limits.
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<unk>-year-old male with a non-small cell lung cancer, on treatment with increased dyspnea. question pneumonia.
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No pleural effusion or pneumothorax is seen. Mild basilar atelectasis is seen without definite focal consolidation. Cardiac silhouette is top-normal in size. Mediastinal contours are unremarkable. The hilar contours are unremarkable. No pulmonary edema is seen.
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history: <unk>f with dyspnea, chest pain, pregnancy // eval for acute process, attn to pna
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There are small bilateral effusions that have increased in size compared to the prior exam. There is no focal infiltrate. The cardiac and mediastinal silhouettes are normal.
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new fever to <num>.
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There are low lung volumes, which accentuate the bronchovascular markings. Given this, questionable right perihilar opacity is no longer appreciated and most likely related to vascular structures. Blunting of the costophrenic angles suggest small pleural effusions. There is likely left base atelectasis. Slight prominence of the vasculature may be due to mild pulmonary vascular congestion.
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new afib.
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Compared to prior, there is significant improved appearance of the bilateral apices with no residual pulmonary edema. However, moderate right worse than left bilateral pleural effusions, and moderate bibasilar atelectasis remain. A moderate hiatal hernia is stable. The heart size is difficult to evaluate. The vascular pedicle is not enlarged. Right picc is unchanged in position. Vertebral compression deformity and free joint body are unchanged. Right clavicular fracture is of unknown chronicity.
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<unk> year old woman with acute heart failure, large pleural effusions, leukocytosis now diuresed // ? improvement in pleural effusions, any underlying infiltrate?
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with dyspnea, chest pain // presence of ptx, infiltrate
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The patient has a single-lead pacemaker which terminates in the right ventricle. The heart is normal in size. The mediastinal and hilar contours appear unchanged. The lungs are clear aside from minimal unchanged left basilar atelectasis or scarring. There is no pleural effusion or pneumothorax. Degenerative changes along the thoracic spine are similar and a thoracolumbar compression deformity, which is partly visualized also appears similar.
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chest pain.
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Compared to prior, cardiomegaly has improved, now mild. Increased interstitial markings have also improved. There is bibasilar, left greater than right atelectasis. There is a small hiatal hernia. There is no pneumothorax. Pleural effusion is small, if any. Sclerosis of the t<num> vertebral body and moderate compression fracture of t<num>, essentially unchanged compared to prior chest ct. Multiple healed right rib fractures are again noted. Median sternotomy wires are intact.
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<unk> year old man with chf and shortness of breath, evaluate for edema.
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In comparison with the earlier study of this date, the cardiac silhouette is slightly less prominent and there may be some improvement in the degree of pulmonary vascular congestion. There is ill-defined area of increased opacification in the left perihilar region. In the appropriate clinical setting, this could reflect a developing consolidation. Central catheter remains in place.
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hypoxia.
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Heart size is mildly enlarged. Aortic knob calcifications are present. The mediastinal contours are unremarkable. There is mild upper zone vascular redistribution suggestive of mild pulmonary vascular congestion, but no overt pulmonary edema. Lungs are hyperinflated. Streaky opacities are seen in the lung bases likely reflective of atelectasis. No focal consolidation, pleural effusion or pneumothorax is seen. There are mild degenerative changes noted in the thoracic spine. No acute osseous abnormalities are visualized.
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history: <unk>f with copd, altered mental status today // please eval for infectious process
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>m with constipation, unsteady gait, weakness // eval for pna; eval for obstruction
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Ap and lateral views of the chest. No prior. Lungs are clear of focal consolidation, effusion, or pneumothorax. Cardiac silhouette is top normal in size. There is irregularity of the lateral left clavicle, which is better characterized on dedicated exam. There is no visualized displaced rib fracture.
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<unk>-year-old female status post fall.
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The lungs are hyperexpanded, in keeping with copd. Evaluation of the cardiac silhouette and left lung base is limited due to the presence of a large hiatal hernia, unchanged from prior studies, with adjacent atelectasis. Allowing for this, the heart size likely remains mildly enlarged. The mediastinal and hilar contours are within normal limits. There is no overt pulmonary edema. No significant pleural effusion, focal consolidation or pneumothorax is appreciated. A subtle opacity projects just superior to the right clavicle and seen on the prior study of <unk>.
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history of copd with recent treated flare, now with persistent dyspnea.
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As compared to the previous radiograph, there is minimally decreased lung volume on the left. No acute parenchymal changes. No evidence of bleeding or other acute lung parenchymal pathology. Unchanged normal size of the cardiac silhouette with minimal tortuosity of the thoracic aorta. No pneumothorax.
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cirrhosis, hemoptysis. rule out lung bleeding.
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Lungs are fully expanded and clear. No pleural abnormalities. Mild cardiomegaly is unchanged. No pulmonary edema. Cardiomediastinal and hilar silhouettes are normal.
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<unk>m with chest pain
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In comparison with study of <unk>, there is increased opacification at the right base consistent with increasing amounts of pleural fluid with associated compressive atelectasis. Streak of atelectasis is seen at the left base and there may be a small effusion on this side as well. The dobbhoff tube again extends well into the stomach. No convincing evidence of vascular congestion. The previously described fracture of the mid shaft of the clavicle on the right is again seen.
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surgery with diarrhea and perinephric fluid collection.
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The lungs are clear without focal consolidation, effusion, or edema. Moderate cardiomegaly is noted. No acute osseous abnormalities identified. Hypertrophic changes seen in the spine.
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<unk>f with ams, cough, hypotension // ?pna
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Ap upright and lateral views of the chest provided. Patient's known pulmonary nodules are better assessed on recent ct of the chest. There is increased opacity in the right lower lung which could reflect atelectasis versus pneumonia. There is also increasing retrocardiac opacity suggesting left lower lobe atelectasis versus pneumonia. Tiny pleural effusions are likely present. Cardiac silhouette is unchanged. Mediastinal contour is normal. Bony structures are intact.
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<unk>f with hypoxia, metastatic pancreatic cancer
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Heart is at the upper limits of normal size. Mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. A small eventration of the anterior right hemidiaphragm is again present. The lungs appear clear. There has been no significant change.
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chest pain and shortness of breath.
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Right chest wall port is again seen. Lungs remain clear. The cardiomediastinal silhouette is stable. Catheters projecting over the upper abdomen are again noted with additional catheters now seen.
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<unk>m with chest pain // chest pain
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The heart is normal in size. The mediastinal and hilar contours appear within normal range. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild-to-moderate rightward convex curvature centered along the mid thoracic spine.
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pleuritic chest pain.
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Frontal and lateral views of the chest demonstrate low lung volumes. There is left lung base consolidation, unchanged. Small left pleural effusion is present. There is no right pleural effusion. There is no pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There are displaced fractures of the left fourth through eighth ribs.
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patient with traumatic subarachnoid hemorrhage.
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The heart size is normal. Mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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hiv with mild alteration in mental status, coarse breath sounds.
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A left pacemaker with right atrial and right ventricular leads is appropriately positioned. The lungs are clear. Mild cardiomegaly is unchanged. Unchanged mild blunting of the right costophrenic angle may be an a tiny pleural effusion or scarring. The mediastinal contours are normal. There is no pneumothorax. Anterior wedging of a lower thoracic vertebral body is unchanged.
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chest pain, evaluate for acute process.
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Right-sided port-a-cath tip terminates in the proximal right atrium, newly placed in the interval. The heart remains moderately enlarged. Low lung volumes are present which cause crowding of the bronchovascular structures. There may be mild pulmonary vascular congestion but no overt pulmonary edema is identified. Mediastinal contour is unchanged. Assessment of the lung apices is obscured due to the patient's neck soft tissues projecting over these regions. Again demonstrated, however, is opacification within the left apex corresponding to the known mass in this location. The known right lower lobe pulmonary nodule is not as well assessed on the current exam. Streaky atelectasis is demonstrated in the left lung base. No pleural effusion or large pneumothorax is identified. Pneumoperitoneum is new in the interval.
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history: <unk>f with lethargy // eval for infectious process, volume overload
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Stable large hiatal hernia with esophageal dilatation. Interval resolution of right lower lobe pneumonia. No new focal opacity, pneumothorax, pleural effusion or pulmonary edema. Heart size, mediastinal contour and hila are otherwise normal. No bony abnormality.
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female with endometrial cancer and shortness of breath.
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Hyperinflated with flattening of the diaphragms and increased retrosternal clear space compatible with copd. Linear opacities within the lung bases may reflect areas of scarring or subsegmental atelectasis. The cardiac, mediastinal and hilar contours are normal. No focal consolidation, pleural effusion or pneumothorax is seen. Multiple remote bilateral rib fractures are demonstrated. No acute osseous abnormality seen.
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history: <unk>f with copd, with worsening dyspnea // ? ptx ,effusion, pna
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The heart is borderline in size with a left ventricular configuration. The aorta appears calcified. There are probably trace bilateral effusions. An opacity involves the right upper lung and posterior upper and lower lungs on the lateral view, probably correlating with pneumonia involving the right upper lobe and possibly the superior segment of the right lower lobe. It is difficult to exclude some component of pneumonia at the lung bases, although streaky opacities in those areas may be more attributable to atelectasis. The bones appear demineralized. The left humeral head shows extensive bone destruction with a mixed lytic and sclerotic appearance, not fully assessed here although possibly post-traumatic, including a large loose body projecting below the coracoid. Moderate rightward convex curvature is centered along the upper thoracic spine.
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diffuse body aches. question pneumonia.
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Ap upright and lateral views the chest were provided. Lung volumes are somewhat low. Minimal increased opacity abutting the left heart border could represent a very early pneumonia. Otherwise, lungs appear clear. No congestion or edema. No large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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<unk>m with fever to <num>
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Frontal and lateral chest radiographs again demonstrate low lung volumes, which limit evaluation and results in bronchovascular crowding. However, even given these limitations, there are prominent reticulo-nodular interstitial abnormalities, which could represent pulmonary edema, infection, or a neoplastic process. No pleural effusion or pneumothorax is seen. The right port-a-cath is unchanged in position.
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cough, fatigue, fever, in a neutropenic patient with a history of multiple myeloma. evaluate for acute process or interval change.
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Small left apical pneumothorax is overall unchanged compared to the prior examination. Pigtail pleural catheter and port-a-cath are unchanged in position. Cardiomediastinal silhouette is stable. A small linear opacity along the periphery of the left mid/lower lung likely represents atelectasis. A small left pleural effusion is unchanged.
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<unk> f s/p left portacath placement <unk> c/b iatrogenic ptx, s/p <unk> fr pigtail placement // assess interval change
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Frontal and lateral radiographs of the chest demonstrate hyperinflated, clear lungs. There is no evidence of emphysema or copd, so the presence of hyperinflation is not likely clinically significant. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
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history: <unk>f with chest pain // eval for pneumonia
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Compared to <unk>, there are no new areas of consolidation, and several of the most severely sacculated dilated bronchi in the right lung contain smaller amounts of material. Severe saccular bronchiectasis throughout the right lung and lesser bronchiectasis involving smaller bronchi in the hyperinflated left lung are chronic findings. The heart is normal size and there is no pleural effusion. Overall, radiographic findings suggest some improvement over the past three months.
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<unk>-year-old woman with severe mac bronchiectasis and hemoptysis, now on triple antibiotics.
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Distal tip of right central line is at lower svc. Minimal left basilar pleural effusion. Clear lungs bilaterally. Costochondral calcifications along left heart apex should not be mistaken for pneumonia. No bony abnormality.
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female with pleuritic chest pain. assess for pneumonia.
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Ap and lateral radiographs were provided. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Rounded density projecting over the midline over the heart shadow is likely the hiatal hernia as seen on prior ct. There are degenerative changes in the thoracic spine. No free air under the hemidiaphragm. No acute fractures.
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<unk>-year-old female with afib on coumadin, status post fall with head strike, complains of pain in her right shoulder, cough x<num> days. rule out pneumonia.
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Frontal and lateral views of the chest. There are persistent bibasilar opacities which appear more confluent at the right lung base and extends more superiorly on the left to involve the mid lung. There is no effusion. Cardiac silhouette is enlarged but stable in configuration. Tortuosity of the descending thoracic aorta is again seen. No acute osseous abnormality is detected.
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<unk>-year-old male with palpitations and dyspnea.
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Pa and lateral radiographs of the chest depict bilateral small pleural effusions, left greater than right, which were not present on the most recent available comparison study from <unk>. There is marked cardiomegaly, which also appears to be new from <unk>. Multifocal peripheral opacities on both sides may represent a process involving the pleura, parenchyma, or both. There is no pneumothorax or pulmonary edema. Note is made of bilateral widening of the glenohumeral joint spaces, which may be indicative of rotator cuff laxity.
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patient with cirrhosis, previously immune suppressed, but currently with normal white count, presenting with pleuritic 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 unremarkable.
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history: <unk>m with cough and yellow sputum. // r/o pneumonia
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Frontal and lateral views of the chest were obtained. Lung volumes are low, exaggerating the cardiac silhouette, which is mildly enlarged. Cardiomediastinal contours are otherwise stable. Increased hazy opacity at the right lung base is compatible with an enlarged right pleural effusion, now moderate in size. Adjacent linear opacities are compatible with atelectasis. Prominence of the pulmonary vascular markings is compatible with vascular congestion. The wires of a atrio-biventricular left chest wall pacer terminates in similar position. Sternotomy wires and mediastinal clips are intact.
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fever and recent congestive heart failure. evaluate for infiltrate.
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Heart size is normal. The mediastinal and hilar contours are unchanged with calcified mediastinal and hilar lymph nodes again seen compatible with prior granulomatous disease. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion, focal consolidation or pneumothorax is present. No acute osseous abnormalities seen.
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shortness of breath and abdominal pain.
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The lungs are clear without focal consolidation. Slight blunting of the left posterior costophrenic on the lateral view could be due to a trace pleural effusion. No pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Hilar contours are stable.
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history: <unk>m with <unk> edema // eval infiltrate
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Pa and lateral views of the chest provided. Frontal and lateral views of the chest are obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The hilar contours are stable. Cardiac and mediastinal silhouettes are stable.
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history: <unk>m with cough // r/o pna
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Frontal and lateral chest radiographs demonstrate clear well-expanded lungs without pleural effusion or pneumothorax. There is mild cardiomegaly, the mediastinal contour is notable for tortuosity and dilatation of the aorta, unchanged. The right paratracheal stripe is widened by an osteophyte. Minimal right infrahilar peribronchial thickening may reflect chronic aspiration. There is multilevel degenerative change of the thoracic spine. There is no vertebral compression deformity.
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<unk>-year-old female with chest pain and shortness of breath.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with chest x <num> month, intermitted no sob // eval for pna
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The cardiac silhouette is mildly enlarged. An aortic valve replacement is visualized partcularly on the lateral view. The mediastinal silhouette and hilar contours are unremarkable. Mild bibasilar atelectasis is noted. The lungs are otherwise clear. There is no pleural effusion or pneumothorax.
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history of avr presenting with shortness of breath.
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The cardiomediastinal and hilar contours are within normal limits. Streaky opacities at the lung bases on the frontal view may reflect minimal subsegmental atelectasis. There is no focal consolidation worrisome for pneumonia, pleural effusion or pneumothorax.
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<unk>m with acute vs subacute subdural hematoma // pre-op evaluation
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Cardiac and mediastinal contours are within normal limits. There is slight upward retraction of the hila bilaterally, unchanged. Pleural parenchymal scarring within the lung apices with calcified nodules is similar compared to the previous exam, and likely reflective of prior granulomatous disease. Lungs remain hyperinflated. No focal consolidation, pleural effusion or pneumothorax is identified. There is no pulmonary edema. Several clips are demonstrated within the left upper quadrant of the abdomen. No acute osseous abnormality is identified.
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history: <unk>m with chest pain // pneumonia, pneumothorax
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Low lung volumes are present. Small left pleural effusion is relatively unchanged compared to the prior study. Left basilar patchy opacity likely reflects atelectasis. Suture material within the left lung apex is unchanged. Mild right basilar atelectasis is redemonstrated. There is crowding of the bronchovascular structures but no pulmonary edema is present. No pneumothorax is identified. There are no acute osseous abnormalities. Subcutaneous gas within the left lateral chest wall soft tissues has decreased in the interval.
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left-sided abdominal pain status post vats, lung biopsy.
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Heart size is seen normal. Mediastinal and hilar contours are unchanged with tortuosity of the thoracic aorta again noted. Pulmonary vasculature is normal. Minimal streaky atelectasis is noted in the right lower lobe. No focal consolidation, pleural effusion or pneumothorax is identified. Moderate multilevel degenerative changes are noted in the thoracic spine. No displaced rib fractures are visualized.
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<unk> year old woman with severe back pain
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Heart size is borderline enlarged but unchanged. 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.
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history: <unk>f with dizziness for <num> weeks
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Pa and lateral views of the chest. The lungs are clear of confluent consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Osseous structures are unremarkable.
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<unk>-year-old male with fever to <num>. question pneumonia.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Minimal patchy opacities are noted in the lung bases without focal consolidation, likely atelectasis. Lungs are otherwise clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>f with cough
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Again seen are dilated loops of bowel with air-fluid levels in the upper abdomen. There is volume loss at both bases. The picc line appears to be in the distal svc.
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small-bowel obstruction. check picc line.
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Pa and lateral views of the chest provided. Lungs are mildly hyperexpanded. Again seen is prominence of interstitial markings, especially in the right mid-lower lung and left upper lung. This finding is largely unchanged since at least <unk>. Otherwise, no alveolar opacities to suggest pneumonia. Heart size is normal. There is no pleural effusion.
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<unk> year old man with cml, presents with increasing cough, assess for infiltrate.
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There is a persistent moderate right pneumothorax, with air collecting at the base and along the anterolateral chest wall relatively stable compared to the prior two studies. Curvilinear opacities in the mid right lung are unchanged and probably represent areas of atelectasis. Surgical chain sutures at the right apex are noted. There is no focal consolidation or pleural effusion. Cardiomediastinal silhouette is stable
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<unk> year old woman with recurrence of pneumothorax // expansion of recurring pneumothorax
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Since chest radiographs dated <unk>, there is been interval resolution of the left apical pneumothorax and moderate right pleural effusion. There is hazy opacification of the ipsilateral left lower lung without air bronchograms or ipsilateral pleural effusion. Lungs are otherwise fully expanded and clear without consolidations. No pneumothorax. Heart size is top normal. Cardiomediastinal and hilar silhouettes are normal. Pleural surfaces are normal.
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<unk> year old woman with cough/blood // hemoptysis
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