Frontal_Image_Path
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The lungs are well expanded and clear. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Mild degerative changes noted in the thoracic spine.
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<unk>-year-old female with dyspnea on exertion. evaluate for pneumonia.
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The lungs are fully expanded and clear. There is no evidence of pneumothorax or pleural effusion. There is no evidence of focal lung consolidation. There is no acute osseous abnormality.
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<unk>m with chest pain, evaluate for pneumothorax..
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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 // evidence of pneumonia
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The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. There is no pleural effusion or pneumothorax. Incidentally, there are surgical clips in the abdomen.
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chest pain, evaluate for rib fracture or pneumothorax.
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Patient is status post median sternotomy and cabg. There is mild enlargement of the cardiac silhouette which is unchanged. Mediastinal and hilar contours are unchanged. There is no pulmonary vascular congestion. A moderate left pleural effusion appears similar in size compared to the previous exam. There is continued opacification of the left lung base, which could reflect compressive atelectasis. Right lung is clear. No pneumothorax is identified. Multilevel degenerative changes are noted in the thoracolumbar spine with loss of height of a vertebral body at the thoracolumbar junction which is unchanged.
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chest pain.
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The patient is status post median sternotomy, cabg, and mitral valve replacement. Moderate cardiomegaly is unchanged. The aorta remains tortuous and diffusely calcified. There is new mild interstitial pulmonary edema. Lungs remain hyperinflated with flattening of the diaphragms suggestive of underlying copd. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Surgical clips are again demonstrated in the right upper quadrant of the abdomen.
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bilateral rales, dyspnea.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well-expanded and clear without focal consolidation concerning for pneumonia. This a left perihilar opacity seen on prior chest x-ray is not visualized on the current exam. A right picc is with tip terminating in the proximal right atrium, near the cavoatrial junction. The visualized upper abdomen is unremarkable.
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<unk> year old man with diffuse b cell lymphoma s/p methotrexate therapy now w/ persistent mtx levels. eval effusion. // eval pleural effusions.
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Right-sided port-a-cath tip terminates in the lower svc. Heart size is normal. Mediastinal hilar contours are within normal limits. The pulmonary vasculature is normal. Small bilateral pleural effusions are present along with bibasilar patchy atelectasis. Previously noted small nodules concerning for metastases are better assessed on the prior ct abdomen and pelvis. No pneumothorax is seen. Moderate multilevel degenerative changes are present in the the mid thoracic spine.
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history: <unk>m with abdominal pain, increasing white count
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Pa and lateral images of the chest. The lungs well expanded and clear. Several tiny nodular densities, some of which contain calcium, are is again seen scattered throughout both lung fields, similar prior exam and consistent with old granulomatous disease. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
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hyperglycemia, weakness, concerning for pneumonia.
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The lungs are well inflated and clear bilaterally with no masses, lesions, pleural effusion or pneumothorax identified. The cardiomediastinal silhouette is stable and within normal limits. The pleural surfaces are unremarkable. There are mild stable degenerative changes seen within the thoracic spine.
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<unk>-year-old female with cough x<num> days.
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Right chest wall port is again seen with catheter tip projecting over the right atrium. There are low lung volumes with subsequent crowding of the bronchovascular markings. This may also result in atelectasis blunting the posterior costophrenic angles although small effusions are possible. Superiorly, the lungs are clear. The cardiomediastinal silhouette is stable. No acute osseous abnormalities, include a sclerosis of the lumbar vertebral body is partially visualized, compatible with metastases.
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<unk>f with pre op cxr // history: <unk>f with pre op cxr
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified, there no visualized displaced rib fractures on this nondedicated exam. Radiopaque density projects over the lower neck in the midline, potentially external.
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<unk>m with fall pls eval reib fx and pna
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The lungs are symmetrically well expanded and well aerated without focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The trachea is midline. No acute osseous abnormalities detected. The visualized upper abdomen demonstrates no free air beneath the right hemidiaphragm.
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intermittent chest pain for the past two to three months, here to evaluate for acute cardiopulmonary process.
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The lungs are relatively well expanded and clear. Cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pneumothorax, pulmonary edema, or focal consolidation. Dextroconvex thoracic scoliosis is unchanged.
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history: <unk>f with acute sob // acute process
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Lungs are clear without focal consolidation, effusion, or edema. There is mild cardiac enlargement. No acute osseous abnormalities.
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<unk>f with ?seizure, ams // r/o occult infection
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The heart is markedly enlarged. There is moderate pulmonary vascular congestion and mild interstitial edema. No definite focal consolidation is identified. There is no pleural effusion or pneumothorax. Left chest aicd leads terminate within the right ventricle and atrium, in unchanged positions.
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<unk>m with dyspnea, rule out infectious process
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Pa and lateral views of the chest provided. Lung volumes are low. Bilateral, lower lobe opacities are concerning for pneumonia. Prominence of the pulmonary vasculature is consistent with fluid overload. No pneumothorax. Probable minimal pleural effusions. Hilar and cardiomediastinal contours are normal. Moderate scoliosis is unchanged.
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<unk> year old woman de-sat to <unk>'s off o<num>. <unk>'s on <unk>l. // eval for acute pathologies
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Frontal and lateral radiographs of the chest demonstrate stable heart size, cardiac and mediastinal contours. Opacity at the left lung base has improved compared to the prior study. There may be trace bilateral effusions. No pneumothorax is seen. No displaced rib fracture identified.
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altered mental status and crackles in right lower lobe. question pneumonia
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Frontal and lateral views of the chest. Low lung volumes are noted. Streaky bibasilar opacities are seen. There is no effusion and superiorly the lungs are unchanged. There is a relatively stable <num> mm nodule projecting over the right upper lung laterally. The cardiac silhouette is enlarged but likely accentuated by low lung volumes. No acute osseous abnormality is identified. Shunt catheter projecting over the right side of the mediastinum, although not well assessed.
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<unk>-year-old male with dizziness.
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Study is slightly limited due to patient rotation. Additionally the left lung apex is obscured due to overlying soft tissue from the patient's neck and chin. The heart is mild to moderately enlarged. Calcifications of the aortic arch are present. There is mild pulmonary vascular congestion. Patchy opacity in the retrocardiac region could reflect atelectasis, but infection is not excluded. Eventration of the left hemidiaphragm is noted. No large pleural effusion or pneumothorax is seen. There is diffuse demineralization of the osseous structures.
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elevated crp.
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Pa and lateral chest radiographs were obtained. An esophageal stent is new since <unk>, unchanged since pet-ct <unk>. Partial left lower lobe collapse and left lower lobe airspace opacities are new since <unk>. Additional micro-nodular densities are seen in the right lower lobe. No pneumothorax. Bilateral effusions are small and new since <unk>.
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<unk>-year-old man with esophageal cancer with new dyspnea on exertion and cough.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified
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<unk>m with frequent pvcs // acute process?
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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>f with fever // eval for pna
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The cardiomediastinal and hilar contours are within normal limits. Lung volumes are slightly decreased. Left midline linear opacity likely reflects atelectasis. There is however no focal consolidation, pleural effusion or pneumothorax.
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altered mental status. evaluate for pneumonia.
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The bilateral lungs are clear. Mild bibasilar atelectasis is noted. The heart size is normal. No pulmonary edema or pneumothorax. No focal consolidations are seen.
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<unk>m hx of cva in <unk> with subsequent seizure disorder, global aphasia, and r hemiparesis who presented with weakness for past day. // any new consolidation? acute changes?
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Heart size is normal. The aorta is mildly tortuous. Mediastinal and hilar contours are otherwise unremarkable. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is demonstrated. Mild degenerative changes are noted in the thoracic spine.
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chest pain.
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The cardiac silhouette is obscured by a moderate right and small left pleural effusion, both of which appear increased since prior chest radiograph. There is associated bibasilar atelectasis. The hilar mediastinal contours are normal. There is no new focal consolidation or pneumothorax. There is no pulmonary edema.
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history: <unk>f with ams, weakness // eval for bleed, infection
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Left-sided dual chamber pacemaker device is re- demonstrated with leads in unchanged positions in the right atrium right ventricle. Cardiomegaly is similar. The aorta remains tortuous with atherosclerotic calcifications noted at the aortic arch. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. There are mild to moderate multilevel degenerative changes seen in the thoracic spine. Clips from prior cholecystectomy are demonstrated in the right upper quadrant of the abdomen. Remote fractures are re- demonstrated on the right.
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history: <unk>f with atrial fibrillation with rapid ventricular rate
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is not enlarged. There is no pulmonary edema.
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history: <unk>f with fatigue and cough // pna?
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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. Numerous surgical metallic clips are present in the lower cervical soft tissues. No free abdominal air or calcific density foreign body.
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<unk>-year-old female with epigastric pain and sensation in throat.
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There is a consolidation in the right lower lobe, consistent with pneumonia. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The left hilus is unremarkable. There is an abnormal contour to the right hilus, indicating some degree of lymphadenopathy.
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pneumonia for <num> days, evaluate progression.
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The cardiac, mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. There is again a small eventration of the anterior right hemidiaphragm. The lungs appear clear. There are no pleural effusions or pneumothorax.
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chest discomfort.
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Compared with the prior study, there has been interval development of a moderate left-sided pleural effusion with adjacent atelectasis or left basilar consolidation. The cardiomediastinal silhouette is normal. No pneumothorax, or free subdiaphragmatic air.
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<unk>-year-old woman with history of an abdominal abscess. evaluate for interval change.
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Since <num> day prior, a small right apical pneumothorax is newly appreciated. Extensive subcutaneous emphysema and pneumomediastinum appear essentially unchanged. Lung volumes are overall improved. There is mild left basilar atelectasis and a new, small, left pleural effusion. Heart size and cardiomediastinal silhouettes are unchanged with right hilar prominence.
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<unk> year old man with high chest tube output // assess lung volumes
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Frontal and lateral views of the chest. No prior. Dual-lead pacing device seen with lead tips in the right atrium and right ventricle. Where not obscured by left chest wall pacing device, the lungs are clear. There is no effusion. Cardiac silhouette is top normal in size, potentially accentuated by low lung volumes. Hypertrophic changes seen in the spine. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with syncope.
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The heart is normal in size. The mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. The upper portions of bilateral ureteral stents are visualized. Similar mild degenerative changes involve mid through lower thoracic levels.
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retroperitoneal fibrosis with bilateral ureteral stents and left upper quadrant pain.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. Mild deviation of the trachea and prominence of the upper mediastinum is most consistent with an enlarged thyroid. The cardiac silhouette is normal.
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cough and sputum production for two weeks.
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Heart size is moderately enlarged. The patient status post median sternotomy with wires intact. A prosthetic mitral valve projects over the heart. A persistent opacity at the right lung base is moderately improved in comparison the prior examination. Mild pulmonary edema is a chronic finding.
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history: <unk>m with bilateral leg swelling and history of chf // eval for chf/pneumonia
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The patient is status post cabg. An aortic valve replacement is unchanged in position. There is a moderate hiatal hernia. Mild cardiomegaly is unchanged. There is mild pulmonary vascular congestion which appears chronic with worsening patchy bibasilar opacities, likely reflecting atelectasis. There is no pleural effusion or pneumothorax. Clips are noted in the right upper quadrant from prior cholecystectomy.
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<unk>f with doe, pnd x <num> week, evaluate for pulmonary edema or pneumonia..
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Frontal and lateral chest radiographdemonstrates hypoinflated lungs with crowding of vasculature. No focal opacity. Small right pleural effusion. Small left pleural effusion is suspected, but no pneumothorax. The cardiomediastinal silhouette is enlarged. Mediastinal contour, and hila are otherwise unremarkable. Limited assessment of the upper abdomen is within normal limits.
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ocps, left-sided pleuritic chest pain relieved by sitting forward. assess for effusion, pneumothorax, or pneumomediastinum.
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A right-sided port-a-cath is seen with its tip ending at the cavoatrial junction in appropriate position. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lung volumes are low, however the lungs are clear. No pleural effusion or pneumothorax is seen.
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<unk>f with fatigue // eval for pna
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Left lower lobe opacity obscuring the left heart border is seen only on frontal projection and is likely from the epicardial fat pad <unk> is a <unk> effect from ribs. No additional focal opacity, pneumothorax, pulmonary edema <unk> pleural effusion. Heart size, mediastinal and hilar contours are normal. No bony abnormality.
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<unk>-year-old male status post bone marrow transplant in <unk> and recent pneumonia in <unk>, presents with productive sputum. assess for pneumonia.
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The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild hyperinflation is suspected. Moderate degenerative changes are similar along the thoracic spine. There has been no significant change.
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chest pain.
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. Degenerative changes are noted in the mid thoracic spine with anterior osteophyte formation.
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palpitations, irregular heart beat.
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The left port-a-cath terminates in the mid svc. Lateral view demonstrates an opacity projecting over the lower thoracic spine, which was seen as atelectatic changes on recent ct <unk>. The lungs are otherwise free of focal consolidations, pleural effusions or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk> year old woman with pancreatic cancer // portacath placement
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There is a subtle opacity overlying the mid left lung field, which appears new compared to the prior exam. Right central venous stent is again seen in place. Both lungs demonstrate relatively extensive perihilar areas of atelectasis. There is no large pleural effusion or pneumothorax. The heart size is normal.
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history shortness of breath, anemia. please evaluate for pneumonia.
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Lungs are well inflated. No new focal consolidation, pleural effusions, or pneumothorax detected. Previously described left lung opacities have improved, but an opacity adjacent to the left heart border is likely residual from the earlier process.
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<unk>f with chest pain. evaluate for pneumothorax.
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Pa and lateral chest radiographs are provided. There is a patchy opacity in the left lower lobe on both the frontal and lateral views, new since the prior radiograph and consistent with pneumonia. The right lung is predominantly clear. There is no pneumothorax or pleural effusion. The cardiomediastinal silhouette is unchanged. Again seen are compression fractures of t<num> and l<num>, unchanged.
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shortness of breath, hypoxia and chills, question pneumonia.
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Left chest wall aicd packing is present with leads appearing unchanged in position extending to the region of the right atrium and right ventricle. The heart remains within normal limits of size. There is no evidence of pulmonary edema, pneumonia, effusion or pneumothorax. Mediastinal contour is stable and normal. Bony structures are intact.
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<unk>m with aicd firing
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Frontal and lateral radiographs of the chest demonstrate normal heart size. The cardiomediastinal silhouette and hilar contours are normal. There is a vague opacity projecting over the <unk> anterior rib on the frontal view which may represent overlapping shadows; however, further evaluation with oblique views is recommended. No pleural effusion or pneumothorax. No displaced rib fracture identified.
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confusion. question pneumonia.
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Lungs remain hyperinflated. Increased interstitial markings bilaterally likely due to combination of chronic lung disease and mild interstitial edema. There are small bilateral pleural effusions with overlying atelectasis. Right base opacity may be due to combination of pleural effusion and atelectasis, but consolidation due to infection, aspiration, or pulmonary contusion not entirely excluded. No evidence of pneumothorax is seen. Biapical pleural thickening is again seen. The cardiac and mediastinal silhouettes are stable. Persistent loss of height of the mid to lower thoracic vertebral body. Fracture of a mid posterior right rib, possibly the posterior right sixth rib is of indeterminate age, but appears new since the prior study. Diffuse osteopenia.
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<unk> year old man with pectus excavatum s/p fall and anterior rib strike // r/o acute pulmonary process
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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal. An old posterolateral right fifth rib fracture is unchanged.
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<unk> year old man with malaise, night sweats // r/o lymphoma
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There has been interval removal of right-sided chest tube. There appears to be a small right apical pneumothorax, measuring less than <num> cm, unchanged since prior study. Surgical suture chains are seen at the right apex, consistent with the recent video-assisted for thoracic surgery. The cardiac and mediastinal silhouettes appear grossly unchanged. No definite pulmonary consolidative process is seen. There does appear to be some pleural thickening along the left chest wall, possibly due to loculated fluid as seen on prior ct imaging. There is a large amount of right-sided subcutaneous gas, consistent with prior vats.
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<unk> year old woman s/p vats rul wedge // r/o ptx post ct removal
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There are bibasilar opacities. Associated linear opacities may be due to associated atelectasis versus scarring. Superiorly the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with fever, sob, cough // evaluate for pneumonia
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The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures and pleural surfaces are unremarkable. There are no acute osseous abnormalities appreciated.
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cough for <num> months. assess lungs.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
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evaluate for pneumothorax in a patient with chest pain.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. Numerous bilateral ill-defined opacities, right greater than left, are concerning for multifocal pneumonia. There has been interval improvement in the left lower lobe consolidation. There is no pleural effusion or pneumothorax.
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recent left apical pneumothorax, now with supplemental oxygen requirement and tachycardia. evaluate for interval change.
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Partially imaged right vp shunt courses over the medial right hemi thorax and into the abdomen. No focal consolidation is seen. There is no large pleural effusion or pneumothorax. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable.
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*** fall precautions *** history: <unk>m with confusion // evaluate for pna
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Ap and lateral views the chest were reviewed. Right picc line is seen with tip terminating the low svc. Cardiomediastinal and hilar contours are stable. There is no pneumothorax. There is a small left pleural effusion. The lungs are well expanded with mild bibasilar atelectasis. The left lower lobe remains partly non-aerated. There is no focal consolidation. Posterior thoracic fixation rods and screws are noted. A left posterior rib resection is noted.
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confusion.
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There are small bilateral pleural effusions. There is no pneumothorax. The cardiac silhouette is moderately enlarged. The pulmonary vasculature is normal. The mediastinal contours are unremarkable.
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aortic stenosis. preoperative evaluation prior to aortic valve replacement.
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Platelike atelectasis or scarring at the lung bases is unchanged from prior. No concerning pulmonary opacities. Left hilar prominence is unchanged from <unk>. The heart size is unremarkable. No pneumothorax.
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history: <unk>f with cough // pna?
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Heart size is normal. Cardiomediastinal silhouette is unremarkable. Mild asymmetry of the hilar structures, with prominent left main pulmonary artery contour is unchanged from prior study. There is subtle increased heterogeneous opacity in the lower posterior lung fields, most clearly on lateral view with possible retrocardiac frontal correlate worrisome for infection. The lung apices are clear. There is no pleural effusion or pneumothorax.
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cough and fever.
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Left-sided dual chamber pacemaker device is noted with leads terminating in the right atrium and ventricle. Moderate enlargement of the cardiac silhouette is re- demonstrated, a component which may reflect a pericardial effusion. The mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. There is a continued moderate right pleural effusion, with trace left pleural effusion, not substantially changed in the interval. No pneumothorax is seen. Mild atelectasis is noted in lung bases. There are mild degenerative changes noted in the thoracic spine with slight loss of height of a vertebral body at the thoracolumbar junction, unchanged.
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history: <unk>f with dyspnea and history of chf
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Lung volumes are low. The heart size is mildly enlarged, unchanged. The aortic knob is calcified. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vascularity is normal. There is minimal atelectasis in the left lower lobe. No focal consolidation, pleural effusion or pneumothorax is present. Anterior flowing osteophytes are noted in the thoracic spine compatible with dish.
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history: <unk>f with hypoglycemia // eval for pneumonia
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Pa and lateral views of the chest were provided. Lung volumes are somewhat low, though there is no focal consolidation, large effusion or pneumothorax. Faint linear density in the left lower lung likely represents mild subsegmental atelectasis. There is retrocardiac air containing structure likely representing a small hiatal hernia. No large effusion or pneumothorax is seen. No definite displaced rib fracture is seen. Anchors are partially noted visualized at the level of the right shoulder. A chronic compression deformity of t<num> is partially visualized on the lateral view.
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<unk>-year-old man with mva and now with mid thoracic and posterior chest wall pain on the right side.
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In comparison with the study of <unk>, there is better inspiration with no evidence of acute pneumonia, vascular congestion, or pleural effusion. The tip of the port-a-cath lies in the region of the junction of the superior vena cava and right atrium.
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lymphoma, pre bone marrow transplant.
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Lungs are clear. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications seen at the aortic arch. No acute osseous abnormalities.
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<unk>f with ms, chronic indwelling foley w/ confusion, waxing/waning neuro sxs x <num> hrs // eval ? infiltrate
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Assessment is limited by positioning and the patient's chin obscuring the medial aspect of the lung apices. Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are hyperinflated compatible with copd without focal consolidation. Increased interstitial opacities are unchanged, likely reflective of chronic interstitial abnormality. No pleural effusion or pneumothorax is identified. There are mild degenerative changes seen in the thoracic spine.
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history: <unk>m with altered mental status
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The lungs are well expanded and clear. The heart size is normal. The mediastinal and hilar contours are normal. No pleural abnormalities are seen. Nipple markers are seen.
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<unk> year old man with new diagnosis of acute leukemia, planning to initiate chemotherapy // please eval for any cardiopulmonary abnormality pre-chemotherapy
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The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes.
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<unk> year old woman with erythema nodosum // assess for hilar adenopathy
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Surgical clip projects over the right chest wall.
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<unk>f with pain l posterior chest and sob // ? acute process
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Pa and lateral chest radiographs demonstrate clear lungs. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
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cough and fever.
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There are new small bilateral pleural effusions. There is no focal infiltrate. The cardiac and mediastinal silhouettes are unchanged
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<unk> year old woman with l femur fx, now with productive cough, leukocytosis // eval for pna, interval change
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This exam is currently being interpreted on <unk>. The patient is status post median sternotomy and cabg. There is mild enlargement of cardiac silhouette which is unchanged. The aorta is tortuous and demonstrates atherosclerotic calcifications. Mild pulmonary edema is demonstrated. No pleural effusion or pneumothorax is identified. Patchy opacities in the lung bases likely reflect areas of atelectasis, though infection in the right lung base is not completely excluded. There are mild degenerative changes in both shoulders.
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<unk> year old man with diastolic congestive heart failure who presents with worsening ascites and cough
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Heart size is top-normal. Mediastinal contour is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Clips are noted in the right breast.
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<unk>f with cp // r/o acute process
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no pleural effusion or pneumothorax.
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ataxia and dizziness, being admitted to neurology for evaluation. evaluate heart size.
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When compared to recent exam, there has been mild interval clearance of the right middle lobe consolidation and increased opacity in the right hilum are again noted. The left lung is clear. Cardiac silhouette is enlarged but stable. Prosthetic aortic valve is again noted. Median sternotomy wires and mediastinal clips are noted. No acute osseous abnormalities.
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<unk>m with recent dx of right sided pna // r/o acute process
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There is pulmonary vascular engorgement, with mild pulmonary edema. Note is made of small bilateral pleural effusions with adjacent atelectasis. The heart is enlarged, which appears increased from the prior. No pneumothorax.
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history: <unk>f with dyspnea // r/o chf
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Frontal and lateral views of the chest. The lungs are clear of confluent consolidation or effusion. There is mild persistent pulmonary vascular congestion without frank pulmonary edema. Cardiac silhouette is enlarged but stable in configuration. Median sternotomy wires are again noted. No acute osseous abnormality is detected. Surgical clips project over the abdomen.
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<unk>-year-old female with chest pain and fever. question pneumonia.
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
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history: <unk>m with cp // evidence of pna or pneumo
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen.
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<unk>f with left shoulder pain radiating to chest // eval for pna
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The heart is of normal size with normal cardiomediastinal contours. Increased retrocardiac opacity is most compatible with atelectasis. No diffuse pulmonary abnormality. No pleural effusion or pneumothorax. Osseous structures are unremarkable. No radiopaque foreign body.
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shortness of breath.
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As compared to chest radiograph from <num> day prior, left chest tube has been removed. No visualized pneumothorax. No pleural effusions. No mediastinal widening. Left-sided port terminates in the low svc. Heart size normal.
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<unk> year old man pod<unk> s/p vats lul wedge resection, now s/p ct d/c // evaluate for interval change. please perform at <time>.
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In comparison with the study of <unk>, there is little change. Again there is enlargement of the cardiac silhouette. No evidence of pulmonary edema or acute pneumonia.
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mi.
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There is no focal consolidation, pleural effusion, or pneumothorax. The aorta and mildly tortuous. The cardiomediastinal silhouette is otherwise within normal limits. Trace pleural effusions noted on <unk> are no longer present.
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chest pain.
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There is herniation of intra-abdominal contents into the left hemothorax with moderate gaseous distension of the stomach and/or bowel. No definite focal consolidation is identified. No pulmonary edema. Cardiac silhouette is difficult to assess. No large pleural effusion or pneumothorax is seen.
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<unk>f with ?aspiration from hematemesis, evaluate for pneumonia.
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Pa and lateral views of the chest were viewed. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well expanded without focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits.
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right upper quadrant pain.
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MIMIC-CXR-JPG/2.0.0/files/p16502979/s58645980/9920e9cb-9a9e3f48-b5ba64fe-f2e3df7d-1ac22d9c.jpg
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The lung volumes are noted to be decreased once again. As compared with the prior examination, there has been no significant interval change. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is identified. The heart size is normal. Mediastinal and hilar contours are stable.
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cirrhosis and possible dic, rule out pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p16536624/s56427120/f8d8960d-3bd6ff5e-4e1df120-1dc7fafc-c0abd711.jpg
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Compared to prior, the lung volumes have minimally improved and there is subsequent bronchovascular crowding. Bibasilar atelectasis is greater on the right. There is persistent cardiomegaly. Soft tissue anchors are seen in the left humeral head.
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<unk>m with c/o ble swelling despite increasing lasix. evaluate for chf.
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There is slight eventration of the right anterior hemidiaphragm. The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected. Anterior and posterior cervical spinal fixation hardware is noted. Few surgical clips are noted in the right axilla.
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<unk> year-old woman with vision change and headache, here to evaluate for infection.
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MIMIC-CXR-JPG/2.0.0/files/p12972442/s58611227/f021e80e-7ea8f6f4-c4100bad-fc8b944c-c91e4c26.jpg
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The cardiac silhouette is normal. The aorta demonstrates diffuse calcifications and mild unfolding. Hilar contours are stable. Previous pattern of pulmonary edema has resolved. Previously noted lingular, left lower, and right middle lobe opacities have nearly essentially resolved. Trace bilateral pleural effusions are present. No pneumothorax is identified. No acute osseous abnormalities are seen.
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renal transplant, copd, dyspnea.
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There is mild effacement of the right cardiac border and faint opacification within the right lower lobe, which could relate to resolving/known pneumonia, however recent radiographs are unavailable for comparison. The cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax.
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history of pancreatic and renal transplant for diabetes type <num>, presenting with severe headache, neck pain and nausea with recent diagnosis of pneumonia on <unk> (patient evaluated at urgent care <unk> at <unk>).
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MIMIC-CXR-JPG/2.0.0/files/p15838404/s52114616/234b09ac-885b9a55-28cad679-66171f33-af7590f0.jpg
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Linear bibasilar opacities are suggestive of atelectasis especially in setting of low lung volumes. The lungs are otherwise clear without effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Prominent air-filled loops of colon are noted with multiple air-fluid levels identified. There are no dilated air-filled loops of small bowel or free intraperitoneal air.
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<unk>m with epigastric pain // r/o free air, chf, pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p14640916/s53698647/774cf109-f7316c54-3bde9fa7-446b44d4-642b4456.jpg
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The lungs are clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged in appearance.
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history: <unk>m with lbbb, presenting with dizziness, n/v // eval for presyncope
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MIMIC-CXR-JPG/2.0.0/files/p17787868/s50148586/9ac16de1-76a8c276-776b7b42-3ea1e657-5531e80f.jpg
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MIMIC-CXR-JPG/2.0.0/files/p17787868/s50148586/db991c63-cc69fcb0-7703dfb8-5699a936-8af58ccb.jpg
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. A <num> mm nodule is seen projecting over the posterior third right rib and an additional <num> mm lymph node is seen projecting over the posterior right fifth rib. There is otherwise no focal consolidation, pleural effusion or pneumothorax.
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chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p16314844/s54105896/735a313e-538d937e-f5cf98b0-6e11adcf-dbcb449e.jpg
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There is an increased opacity overlying the right hemithorax; however, the patient has pectus excavatum. Additionally, there is a small nodularity overlying the upper lungs on the lateral view. Otherwise, the remainder of the lungs are clear. Mediastinal silhouette is normal. No pleural effusions or pneumothoraces. The left picc is visualized with the catheter tip at the upper svc.
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evaluation of patient with fever and hypoxia.
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MIMIC-CXR-JPG/2.0.0/files/p16715432/s54590767/47a7b146-be0ed52a-735e8553-d5082606-ab45582c.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16715432/s54590767/dd602140-ec51097e-97c3e118-aa7e25a2-c47ffd35.jpg
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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 present. There are no acute osseous abnormalities.
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fever.
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MIMIC-CXR-JPG/2.0.0/files/p16632462/s57102531/c5136f8a-4f0d6a59-8f5a4a91-7b3d5934-c8888165.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16632462/s57102531/28a27d2d-3d428b52-2af92ca5-8e5e78ac-482ce069.jpg
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Left anterior chest wall biventricular pacer is in place. Heart size is top-normal with mild unfolding of the aortic arch. Hilar contours are unremarkable. There is diffusely increased reticulation compared to prior examination, worse on the right. There is a <num> mm nodule in the right apex. There is no dense consolidation. There is no effusion or pneumothorax.
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<unk> year old woman with recurrent bc crackles in rrl, sob // r/o infection, effusion, nodules. please <unk> <unk> p<unk>with results
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MIMIC-CXR-JPG/2.0.0/files/p18965721/s57612426/f4c16c79-09af7760-2c047055-5b8a2400-47a69b9e.jpg
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MIMIC-CXR-JPG/2.0.0/files/p18965721/s57612426/242153c0-ccc4a8f6-c76831c0-8175b53a-94167ded.jpg
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There is moderate pulmonary vascular congestion. No large pleural effusion or pneumothorax is seen. The cardiac silhouette remains enlarged. Mediastinal contours are stable. Prominence of the right hilum is stable. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with hypotension // eval for pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p19240268/s52771858/10b01033-09f8793e-a547fd4a-19e6160d-20db0cf9.jpg
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MIMIC-CXR-JPG/2.0.0/files/p19240268/s52771858/63bd9e16-1b27dd93-4ce851e0-dc452410-073ab32a.jpg
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Heart size is top normal with a left ventricular configuration, which may be accentuated by lower lung volumes. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Mediastinal and hilar contours are unremarkable.
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<unk>f with pleuritic cp. eval for acute process.
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