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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema.
altered mental status.
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Heart size is normal. Aorta is mildly tortuous with of the scarring of calcifications. Hilar contours are normal. Lungs are hyperexpanded with a widened ap diameter and mild flattening of the hemidiaphragms suggestive of emphysema. Lungs are clear. There is no pleural effusion or pneumothorax.
recent upper respiratory infection hypoxic on exam. history of asthma.
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Overall no significant interval change from the prior exam. Stable bilateral low lung volumes. Persistent small left pleural effusion with adjacent compressive atelectasis. Persistence of the right plate-like linear atelectasis. Stable small right apical pneumothorax. Stable moderate cardiomegaly. Expected postoperative changes with neo esophagus. Unchanged appearance of the cardiomediastinal silhouette and hila. No focal consolidation to suggest pneumonia or pulmonary edema. No intra-abdominal free air.
<unk> year old man s/p mie // check interval change.
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The lungs are clear without consolidation, pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are normal in size. There is no pulmonary edema. Chronic right-sided rib fractures are again noted, and no acute fracture is seen.
<unk>-year-old male with alcohol intoxication presenting to ed after mechanical fall (on anticoagulation for pulmonary embolism). please evaluate for intracranial have, c-spine fracture. evaluate for thoracic spine fracture.
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The lung volumes are low. The cardiac, mediastinal and hilar contours appear stable. There is a patchy new retrocardiac opacity in the left lower lobe that is best depicted on the frontal view concerning for pneumonia. Lungs appear elsewhere clear. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.
cough and subjective fever.
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Frontal and lateral chest radiograph demonstrates unremarkable cardiomediastinal and hilar contours. Platelike atelectasis is noted within the right mid lung. Otherwise, the lungs are clear without focal opacification concerning for pneumonia. Right-sided chest tube in place with a small residual pleural effusion, decreased compared to prior study. Incompletely visualized percutaneous abdominal drain is coiled anterolateral to hepatic dome. Cbd stent is incompletely visualized. No pneumothorax.
fever, evaluate for pneumonia.
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Right-sided port-a-cath tip terminates in the proximal right atrium, unchanged. A moderate to large right pleural effusion has increased substantially in the interval. Heart size is difficult to assess given the presence of the large right pleural effusion. There is associated right basilar atelectasis. Small left pleural effusion is also demonstrated with left basilar opacity, also likely atelectasis. Mediastinal contour is unchanged. Diffuse interstitial opacities with a somewhat ill-defined nodular component is concerning for worsening lymphangitic spread of tumor with metastatic disease. A left basilar chest tube is re- demonstrated. No pneumothorax is present.
history: <unk>f with dyspnea
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No consolidation. Left hilar and mediastinal regions have normal postoperative appearance unchanged from prior. No pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
<unk> year old man with lung cancer with esophageal involvement now with leukocytosis and mild fever // any evidence of pneumonia?
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There is probable background hyperinflation. The patient is status post sternotomy. Heart size is at the upper limits of normal. There is upper zone redistribution and mild vascular plethora, without overt chf. Focal opacity at the right base laterally appears to represent artifact due to confluence of rib and vascular shadows. There is minimal atelectasis in the right cardiophrenic region, similar to <unk>. Doubt acute infiltrate. No gross effusion identified.
history: <unk>f with hx renal transplant with sepsis // pneumonia?
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old man with hcv cirrhosis of the liver being worked up for liver transplant // cxray to r/o any concerns
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. No rib fractures are identified.
<unk>m with l rib pain // r/o fx, acute process
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Ap upright and lateral views of the chest provided. Cardiomegaly is mild. Lungs are clear. No effusion or pneumothorax. Bony structures intact.
<unk>f with <num> hours of l sided cp + sob // eval for cardiomegaly
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Frontal and lateral views of the chest were obtained. The heart is of normal size with unremarkable cardiomediastinal contours. Lung volumes are low and small right atelectasis is present. Lungs are otherwise clear without focal or diffuse abnormality. No pleural effusion or pneumothorax is identified. The catheter of a right chest wall port, which has been accessed, terminates in the right atrium. The osseous structures are unremarkable.
<unk>-year-old female with small bowel adenocarcinoma. evaluate for pleural effusion.
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<num> views were obtained of the chest. Metallic densities, likely bullet fragments, project over the right hemithorax, likely in the right back and right lung or mediastinum. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. Heart and mediastinal contours are unremarkable.
chest pain.
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Cardiac silhouette size is normal. The aorta remains tortuous. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. There is minimal atelectasis in the lung bases without focal consolidation. No pleural effusion or pneumothorax is present. Dextroscoliosis of the thoracic spine along with mild to moderate multilevel degenerative changes are again demonstrated.
history: <unk>m with new onset of global weakness.
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Linear lower lung densities best appreciated on the lateral view may represent atelectasis or early bronchitis. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. An accessed right pectoral port-a-cath catheter tip terminates in the low svc. A left pectoral dual-chamber pacemaker and its leads project in unchanged location. The cardiomediastinal silhouette is within normal limits.
<unk>m with fever, evaluate for infection
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with fall at home. low back pan and right subscapular pain and abrasions
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Cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. There is no focal consolidation concerning for pneumonia. Again seen is a right chest port with tip terminating in the mid svc.
neutropenic fever.
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Pa and lateral views of the chest. No prior. Lungs are hyperinflated but clear of consolidation. Mild biapical scarring is noted. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with shortness of breath.
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Chronic severe cardiomegaly is unchanged with stable postoperative mediastinal silhouette. Moderate pulmonary edema is minimally improved with particular note of improvement of previously noted heterogenous opacities in the right upper lobe. There is no pleural effusion or pneumothorax. Left pectoral pacer is unchanged in position.
wegener's, chf, admitted and treated for pneumonia and chf exacerbation with persistent desaturations.
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Pa and lateral views of the chest. No prior. The lungs are clear of focal consolidation. Incidental note is made of an azygos lobe and fissure. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with crohn's on remicade with fever and cough.
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The cardiomediastinal and hilar contours are within normal limits. There is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with cp // eval for infiltrate, pneumo, cm
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Lung volumes are low accentuating the cardiac silhouette and pulmonary vasculature. Heart size is mildly enlarged with unfolding of the thoracic aortic arch. Hilar contours are unremarkable. There is a left lower lobe consolidation with suggestion of subtle air bronchograms. More hazy opacities in the right lower lobe are likely atelectatic. The lung apices are clear. Pleural surfaces are clear without effusion or pneumothorax.
chest pain
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In comparison with the earlier study of this date, there is again the suggestion of a subtle area of increased opacification at the left base. This could well represent merely atelectatic streaks, though in the appropriate clinical setting a developing focus of pneumonia could be considered. Otherwise, the study is within normal limits. There is a small amount of gas beneath the right hemidiaphragm, related to recent catheter placement. A more ominous cause of free intraperitoneal gas, ct could be obtained.
bacteremia with possible pneumonia.
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Pa frontal and lateral chest radiograph demonstrates a right-sided catheter in unchanged position. No definite pneumothorax is identified. Re- demonstration of moderate right-sided pleural effusion which appears decreased in size. There is a smaller left-sided pleural effusion. Bilateral pleural thickening is seen with adjacent atelectatic changes. Left lung is grossly clear with no new focal consolidation. Left lateral increased radiodensity within mid left lung zone corresponds to thickened pleura with effusions and atelectasis seen on recent ct dated <unk>. Heart size is mildly enlarged. Pulmonary vasculature is unremarkable. Hilar and mediastinal contours are stable in appearance.
<unk>-year-old male with pleural effusion and history of mesothelioma.
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The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with lue <unk> and <unk> digit injury after table saw accident // pre-op eval
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Pa and lateral chest radiographs demonstrate clear lungs bilaterally. No focal consolidation concerning for pneumonia is identified. Again noted is a probable mediastinal fat-pad within the right pericardial phrenic angle. There is no pleural effusion or pneumothorax.
history: <unk>m with hx pe p/w dysonea and cp // eval for pneumonia, effusions ptx
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with infectious work-up // eval pna
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Frontal and lateral chest radiographs again demonstrate a left chest wall vagal stimulator, unchanged in position. The cardiomediastinal silhouette is normal and the lungs are well-aerated without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for infection or acute process in a patient with increased seizure frequency.
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The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded with no new focal consolidations. A vague opacity in the right upper lobe is unchanged since <unk>. There is no pulmonary edema.
fever, myalgias.
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There is patchy opacification of the right base, which may reflect atelectasis, but is concerning for pneumonia. Linear opacities within the left mid to lower lung likely reflect atelectasis. No additional focal consolidations. No pulmonary edema. Stable appearance of the cardiomediastinal silhouette. No large pleural effusion. No pneumothorax.
history: <unk>f with dyspnjea // eval for ptx
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Lungs are without focal consolidation, pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.
<unk>-year-old woman with right shoulder pain and weakness, assess for pneumonia.
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The heart size is normal. Mediastinal contours are unchanged with right mediastinal bulge compatible with known neoesophagus. Previously noted air-fluid level within the neoesophagus is not seen on the current exam. Patchy opacities in the lung bases likely reflect atelectasis. No focal consolidation is demonstrated. A small right pleural effusion persists, unchanged. No pneumothorax or pulmonary vascular congestion is identified.
fever, history of esophageal cancer.
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Ap and lateral views of the chest are compared to previous exam from <unk>. There are ill-defined, right greater than left, increased interstitial markings throughout the lungs. There is no definite large confluent consolidation. Cardiomediastinal silhouette is within normal limits and unchanged. Median sternotomy wires again noted. Probably post-traumatic changes at the lateral right clavicle are again seen in addition to old posterior right sixth rib fracture.
<unk>-year-old male with shortness of breath. question fluid overload.
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. There is no free subdiaphragmatic gas. The cardiomediastinal silhouette is stable.
<unk>f with abd pain and history of pancreatitis, evaluate for effusion.
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The right pigtail catheter has been removed in the interim. Complete opacification of the right lower and mid hemithorax with silhouetting of the right heart border and right hemidiaphragm is new. There is associated rightward shift of the cardiomediastinal silhouette. These findings suggest volume loss. However, superimposed pneumonia cannot be excluded given the clinical history. The heart appears enlarged, overall similar to the prior exam. Streaky retrocardiac opacities are most likely reflective of atelectasis. No pneumothorax. There is a small effusion extending in the minor fissure seen on both the frontal and lateral views.
history: <unk>m with ams. evaluate for pneumonia.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are hyperinflated but remain clear of confluent consolidation or pleural effusion. Suprahilar nodular opacity in the right is again seen and unchanged. Cardiac silhouette is within normal limits. Osseous structures again notable for old, healed left lateral rib fractures.
<unk>-year-old male with shortness of breath, cough, history of copd. lung sounds with crackles and rhonchi.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with seizure. evaluate for evidence of aspiration.
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The lungs are well inflated. No chf or infiltrate detected. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
chest pain.
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Frontal and lateral radiographs of the chest demonstrate well expanded lungs. Cardiomegaly is stable. The trachea remains stably deviated to the right. There is no pneumothorax, pleural effusion, or consolidation. Vertebroplasty changes are noted in the lumbar spine.
history: <unk>f with altered mental // r/o acute process
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As compared to prior study of <unk>, cardiomediastinal contours are stable. Lung volumes are lower, and the left hemidiaphragm contour appears less distinct on the lateral view compared to the previous exam. Saber sheath trachea configuration is consistent with provided history of copd.
<unk> year old male smoker with copd, osa, and chronic cough who presents with increase of chronic cough with intermittant production of white/yellow sputum. // pneumonia?
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. A calcification projecting over the lateral right mid lung may be due to a bone island in the adjacent seventh rib or a parenchymal granuloma but in any case appears as a benign finding and unchanged. Otherwise the lung fields appear clear.
shortness of breath.
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Lung volumes are normal, and lungs are better expanded compared to the prior study. Sternotomy wires and surgical clips overlying the heart shadow are again noted. Left lower lobe opacity seen previously has improved, and the left-sided pleural effusion appears to have resolved. Cardiomediastinal contours are stable.
<unk>-year-old gentleman with left vats left upper lobe wedge resection, evaluate for interval change.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures appear within normal limits.
esophageal foreign body sensation. question pneumomediastinum.
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There is a small right apical pneumothorax, slightly smaller than on the film from the prior day. There is also a right pleural effusion that is larger than on the study from the prior day but is still relatively small. The right ij line is unchanged. There is volume loss and subsegmental atelectasis in both lower lungs.
<unk> year old man with cabg r ptx // *please check at noon on <unk>*predischarge exam follow up on r pneumothorax
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Cardiac, mediastinal, and hilar contours appear unremarkable. There is no evidence for pulmonary consolidation or pleural effusion. Interstitial markings are slightly more prominent than on the <unk> pa chest radiograph, but this could be related to slightly lower lung volumes. Visualized bones are essentially an
history: <unk>f with irregular heartbeat and remnants of breath. evaluate for pneumonia.
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Left port-a-cath tip projects over the expected region of the proximal right atrium, unchanged. The left ij catheter has been removed in the interim. A small right pleural effusion is new. A left pleural effusion is also small. No focal consolidation, edema or pneumothorax. The heart normal in size. Aortic knob calcifications are unchanged. No mediastinal widening.
<unk> year old man with mds <unk>/p allo transplant who presents with shortness of breath. assess for abnormalities.
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The cardiac silhouette size is normal. The mediastinal and hilar contours are normal. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is demonstrated although the extreme right costophrenic angle is excluded from the field of view. There is no acute osseous abnormality.
seizure.
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No interval change in position of left chest tube. No subcutaneous emphysema. Persistent moderate-sized left pleural effusion with moderate left lower lobe atelectasis. Small right pleural effusion with minimal right lower lobe atelectasis. No new focal opacity, pneumothorax or pulmonary edema. Heart size is partially obscured by pleural parenchymal process; however, mediastinal contour and hila are normal. No bony abnormality.
<unk>-year-old male status post fall and hemothorax with chest tube placement.
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The inspiratory lung volumes are decreased with streaky opacification at the bilateral lung bases compatible with atelectasis. There is no focal consolidation concerning for pneumonia. No pleural effusion or pneumothorax is detected. The pulmonary vasculature is not engorged. The cardiac silhouette is accentuated in size, partially due to under-inflation of the lungs, but likely within normal limits. The thoracic aorta is unfolded with prominence of the mediastinum, but no change from the prior study. The trachea is midline. There is no free air beneath the right hemidiaphragm.
dyspnea, here to evaluate for pneumonia.
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Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion, pulmonary edema or pneumothorax.
history: <unk>f with polyarthritic pain, hx of ra // please evaluate 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.
<unk>f w/fever, please eval for occult pna
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Ap and lateral views of the chest. Indistinct pulmonary vascular markings are seen bilaterally. There are moderate bilateral pleural effusions. The cardiomediastinal silhouette is not well assessed due to the bibasilar opacities but is at least slightly enlarged. Surgical clips project over the mid upper abdomen.
<unk>-year-old male with increasing shortness of breath and leg swelling, question congestive failure.
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Pa and lateral views of the chest were obtained. Heart is normal in size and cardiomediastinal contour is unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old man with cough, rule out pneumonia.
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No focal consolidation is seen. There is persistent blunting of the left costophrenic angle, likely chronic a low a very trace underlying left pleural effusion is not excluded. No right pleural effusion is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. Surgical clips are again noted overlying the lateral left hemithorax. Chronic left-sided rib deformities are again seen. Surgical clips are also noted in the upper abdomen. Compression deformities at several levels along the thoracic spine were better assessed on prior ct from <unk>
history: <unk>m with alcohol abuse and falls with head injury, also with cough // eval fro ich and pneumonia
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There is no focal consolidation, pleural effusion or pneumothorax. Mild cardiomegaly, otherwise the cardiomediastinal and hilar contours are normal.
history: <unk>m with sob, <unk> swelling // overload
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The lung volumes are normal. There is no evidence of pleural effusions. No focal or diffuse lung parenchymal abnormalities. In particular, no atelectatic changes or nodules are seen. Normal size of the cardiac silhouette. Normal appearance of the hilar and mediastinal structures.
renal cell carcinoma, six weeks of cough, dyspnea on exertion, evaluation.
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A dialysis catheter terminates in the upper right atrium. The cardiac, mediastinal and hilar contours appear unchanged. There is a small to moderate effusion on the left with volume loss including elevation of the left hemidiaphragm and opacity probably due to atelectasis. A diffuse mild interstitial abnormality suggests mild congestion that is new since the prior examination. There is no evidence for free air or pneumomediastinum. Mild degenerative changes are similar along the mid thoracic spine. The lateral view depicts a tips shunt.
end-stage renal disease, on hemodialysis with alcoholic cirrhosis and ascites. patient presents with anemia and chest pain.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. A coronary stent projects over the heart. Imaged osseous structures are intact. Mild elevation the right hemidiaphragm noted. No free air below the right hemidiaphragm is seen.
<unk>f with cp // chest pain
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The lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. The hilar and pleural surfaces are normal with no evidence of pleural effusion. There is no pneumothorax or pulmonary edema. No evidence of pneumonia.
chest pain.
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The lungs hyperinflated but clear without focal opacity, pulmonary edema or pneumothorax. Minimal left pleural thickening is unchanged since <unk>. The cardiac and mediastinal contours are normal. There is no free air beneath the right hemidiaphragm.
<unk> year old man with orthopnea; recent surgery for pancreatic neuroendocrine tumor; prior pneumonia and hilar adenopathy. evaluate for cv-pulm disease.
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Low lung volumes are noted. The lungs however are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with chest pain and sob // ? pna
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Lung volumes are normal. There is no focal consolidation, effusion or pneumothorax. There is no central vascular congestion or overt pulmonary edema. Mediastinal and hilar contours are normal. Heart size is normal.
history: <unk>m with chest tightness // acute cardiopulmonary abnormality
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The cardiac silhouette size is normal. Mild atherosclerotic calcifications are seen within the aortic arch. Mediastinal and hilar contours are within normal limits. Mild prominence of the pulmonary vascular markings suggest mild pulmonary vascular congestion. Additionally, scattered patchy opacities are seen within the left upper lobe, and both lung bases, findings which are concerning for infection in the correct clinical setting. No pleural effusion or pneumothorax is identified. There are moderate multilevel degenerative changes noted in the thoracic spine.
altered mental status, cough
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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.
cough.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax.
back and chest pain.
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In comparison to the prior radiograph on <unk>, interstitial markings are more prominent, likely reflecting pulmonary edema. Trace pleural effusions are noted bilaterally. No pneumothorax. Previously described right upper lobe pleural thickening is less apparent on the current study. Heart size is mildly larger compared to the prior study. Aortic arch calcifications noted. Unchanged splenic granulomas. No acute osseous abnormalities identified.
history: <unk>f with fall c/o left rib pain // injury
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The cardiac silhouette is mildly enlarged. The aorta is tortuous. There is slight blunting of the posterior right costophrenic angle which may be due to a trace pleural effusion. No pneumothorax is seen. No focal consolidation is seen in the right lung. Subtle opacity at the left lung base may relate to overlap of vascular structures versus early/focal pneumonia.
history: <unk>m on chemo with dyspnea // evaluate for pneumonia
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Cardiac silhouette size appears mildly enlarged with a left ventricular predominance. The aorta is markedly tortuous. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is normal. Calcified nodules within the left lower lobe appear unchanged, likely granulomas. Streaky atelectasis is seen in the left lung base. No focal consolidation, pleural effusion or pneumothorax is identified. The osseous structures are diffusely demineralized with mild compression deformity of to vertebral bodies at the thoracolumbar junction. Soft tissue calcification adjacent to the left humeral head may reflect calcific tendinopathy. Deformity of the right eighth lateral rib appears to be new in the interval, likely a chronic rib fracture.
history: <unk>m with unwitnessed fall yesterday
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Frontal and lateral views of the chest. On the current exam, the lungs are now clear without consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old male with liver disease and weakness.
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The lungs are clear. Cardiac silhouette is normal. Mediastinal and hilar contours are normal. No pneumothorax or pleural effusion.
epigastric pain.
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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The heart size is normal. The cardiac, hilar, and mediastinal contours are within normal limits.
hemoptysis and fever.
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Pa and lateral views of the chest provided. The heart is mildly enlarged and the hila appear slightly engorged. There may be mild interstitial pulmonary edema. No large effusion or pneumothorax. No signs of pneumonia. Mediastinal contour is unchanged. Bony structures are intact.
<unk> year old woman with stage iv ckd, microcytic anemia, and new onset worsening shortness of breath and increased <unk> fluid overload over past two weeks
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In comparison with study of <unk>, the left hemidiaphragm is better seen, consistent with improvement in the pleural effusion and volume loss in the left lower lobe. Continued substantial enlargement of the cardiac silhouette in a patient with intact midline sternal wires. No vascular congestion. Central catheter remains in place.
cabg procedure.
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Frontal and lateral chest radiographs demonstrate clear, well-expanded lungs. There is moderate hyperexpansion and lucency consistent with emphysema. There is no pleural effusion or pneumothorax. Minimal linear atelectasis or scar is noted in the left mid lung. The cardiac silhouette is top normal in size, the mediastinal contours are normal, with calcification of the aortic knob present. Pleural thickening or effusion is present on the left.
<unk>-year-old male with cough and shortness of breath. evaluate for infiltrate.
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The heart is moderately enlarged. The aortic arch is calcified. The aorta is also moderately tortuous. The cardiac, mediastinal and hilar contours appear stable. The chest is hyperinflated. There is no pleural effusion or pneumothorax. The lungs appear clear.
shortness of breath. history of congestive heart failure.
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Pa and lateral chest views obtained with patient in upright position again demonstrate unremarkable mediastinal structures. The heart is not enlarged. Pulmonary vasculature is not congested. Somewhat irregular peripheral pulmonary vascular distribution and evidence of hyperinflation exists on the lung bases coinciding with low positioned and somewhat flattened diaphragms. Acute pulmonary abnormalities cannot be identified. Comparison is made with the examination of <unk>, findings are unchanged and no new parenchymal abnormalities are seen. Previously described mild wedge compression of the mid portion of the thoracic spine appears unchanged. The same holds for a previously described more than <num> cm separation in the right acromioclavicular joint area. It can be added that the patient had more recent chest examination of <unk> at our<unk>, and the findings were also unchanged.
<unk>-year-old male patient with known centrilobular emphysema, status post bilateral subsegmental pulmonary emboli in <unk>, on warfarin anticoagulation. assess for interval change in comparison to <unk> study.
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Lungs are hyperinflated but clear. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities detected.
history: <unk>m with dyspnea on exertion, history of multiple pulmonary infiltrates // evaluate for interval change in pulmonary infiltrates
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Lungs are clear without focal consolidation. Scarring within the lung apices is unchanged. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities. Clips are seen projecting over both breasts.
confusion.
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Lungs are hyperinflated. There is no focal consolidation, pleural effusion or pneumothorax. No pulmonary edema. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified. Cervical fusion hardware is partially imaged.
history: <unk>m with going to or for neck wound washout. needs pre op cxr // eval for infiltrates
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No significant interval change. The lungs are clear. No focal consolidation, edema, effusion, or pneumothorax. The heart size is normal. Mediastinal and hilar contours are unchanged. No acute osseous abnormality.
<unk>-year-old woman with cough, post-tussive emesis, fever x <num> days. evaluate for pneumonia.
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In comparison with the study of <unk>, the patient has taken a slightly better breath. Cardiac silhouette remains at the upper limits of normal or slightly enlarged and there is some tortuosity of the aorta. No pulmonary vascular congestion, pleural effusion, or acute focal pneumonia.
cough for one week.
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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. Aside from prominence of the pulmonary arteries, the cardiomediastinal silhouette is normal.
altered mental status.
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The lungs are clear. The cardiomediastinal contours are normal. No pleural abnormality is seen. Right upper quadrant surgical clips are noted.
chest pain and tightness. evaluate for pneumonia.
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Hyperinflation has developed since <unk>. No pleural effusion or pneumothorax. Heart size is normal. Cardiomediastinal and hilar silhouettes are unremarkable.
<unk>m with wbc <unk>.<num>, leg weakness.
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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.
<unk>-year-old female with chest pain.
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The lung volumes are low. Within the limitations of technique, there is no definite abnormality of vasculature, but there is patchy opacity in the left mid-to-lower lung, possibly pneumonia in the appropriate clinical setting. The azygos vein appears mildly prominent. There is no pleural effusion or pneumothorax. The bones are probably demineralized. There is a slight s-shaped thoracic spinal curvature.
cough and lower extremity edema.
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Moderate s-shaped scoliosis is of the thoracic spine is noted with bilateral <unk> rods in place. The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities identified.
history: <unk>f with fever to <num>, on immunosuppression // ?pna
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Heart size remains mild to moderately enlarged. The aorta is tortuous mediastinal and hilar contours are unchanged. The pulmonary vasculature is normal. Emphysematous changes are noted within the lung apices. No focal consolidation, pleural effusion or pneumothorax is present. There are mild degenerative changes noted in the thoracic spine.
history: <unk>f with right sided weakness
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Pacer unit projects over the left chest with leads in the right atrium and right ventricle. The heart is large, but stable. Mediastinal contours demonstrate calcified atherosclerotic disease of the aortic knob and a mildly tortuous aorta. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old female with cough.
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. Mild tortuosity is present along the thoracic aorta. The lungs are well expanded. There is no pneumothorax or pulmonary vascular congestion. Minimal blunting of the left posterior costophrenic angle may be related to pleural thickening or trace fluid. Multilevel moderate thoracic spondylosis is present.
<unk>-year-old male with altered mental status. question infection.
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The lungs are well-expanded and clear. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. No acute displaced rib fractures are identified.
history: <unk>m with cp // eval for cp
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The lung volumes are normal and the lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The heart is normal size. There is no evidence for pulmonary edema. The mediastinal and hilar structures are unremarkable.
new atrial fibrillation and cough. evaluate for cardiomegaly or pneumonia.
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Pa and lateral views of the chest. The lungs are clear. There is no effusion, pneumothorax, or consolidation. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.
<unk>-year-old male with <num> recent episodes of chest pain and shortness of breath.
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Evaluation is limited due to soft tissue attenuation. Within this limitation, the lungs are clear without focal consolidation. No large pleural effusion or pneumothorax is detected. The pulmonary vasculature is slightly indistinct without overt pulmonary edema. The cardiac silhouette is enlarged but stable. The mediastinal and hilar contours are within normal limits and unchanged. No acute osseous abnormality is detected.
dyspnea and pedal edema, here to evaluate for acute cardiopulmonary process.
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Lungs: the lungs are hyper inflated. A <num> cm nodular density is seen adjacent to the left heart border. There may been scarring in this region in the past but this represents a significant change. Chest ct recommended for further evaluation. Pleura: no pleural effusion is seen. Heart: the heart is not enlarged. Mediastinum and hila: there is no mediastinal mass. Osseous structures: the osseous structures are normal for age. Other findings: none
history: <unk>m with chest heaviness // r/o pneumonia
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Bilateral low lung volumes. Elevation of the right hemidiaphragm with increased interstitial markings and multiple lung nodules bilaterally, new since <unk> but acuity of findings unclear. No pneumothorax. The cardiac and mediastinal silhouettes areunchanged. Vertebral hardware in cervical thoracic spine partially visualized but appears intact. Compression fracture of the lower thoracic spine with <num>% loss of height in the anterior endplate is seen.
<unk> year old man with productive cough, low grade temp // rule out pna
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The patient is status post median sternotomy with multiple intact appearing sternal wires. Multiple mediastinal surgical clips are compatible with prior cabg surgery. The cardiac silhouette is incompletely evaluated due to obscuration of the left heart border. Calcification of the aortic knob is unchanged. There is interval increased size of a large left pleural effusion with underlying opacification of the left mid to lower lung representing atelectasis or consolidation. Mild interstitial edema is not significantly changed from the most recent prior study. No pneumothorax is detected. Loss of height of a vertebral body at the thoracolumbar junction is unchanged. No acute osseous abnormality is detected.
history of afib, chf and cad, now with paroxysmal nocturnal dyspnea.
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The cardiac, mediastinal and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is seen.
thoracic spine pain after motor vehicle collision.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
hypotension and altered mental status.