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No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen. There is no displaced fracture.
status post syncopal episode.
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Frontal and lateral chest x-rays demonstrates a tunneled right ij port, the tip of which is in the lower svc. The lungs are clear. There is no effusion, or pneumothorax. The cardiac silhouette and mediastinal contours are normal.
<unk>-year-old male with pneumothorax.
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Frontal and lateral radiographs of the chest were acquired. As before, the patient is status post midline sternotomy and cabg. Marked elevation of the left hemidiaphragm is not significantly changed. Heterogeneous opacities in the right mid to lower lung have substantially decreased compared to the prior study from <unk>, likely atelectasis. There is also volume loss at the left lung base. The heart size is difficult to assess but does not appear significantly changed. The mediastinal contours are not significantly changed. Multilevel degenerative changes of the thoracic spine are noted. There is redemonstration of a mitral valve annuloplasty. There may be small bilateral pleural effusions. The air-filled gastric bubble is identified in an appropriate retrocardiac position.
evaluate for effusion and assess gastric bubble.
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The cardiac silhouette is normal in size. The hilar and mediastinal contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with productive cough // pneumonia?
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The heart is at the upper limits of normal size. The aortic arch is partly calcified. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Small anterior osteophytes are present throughout the mid-to-lower thoracic spine. There is an anomalous right eighth rib that appears to bifurcate into two ribs anteriorly.
chest pain.
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There has been interval development of moderate bilateral pleural effusions with adjacent atelectasis. Interstitial abnormality is new, signifying mild pulmonary edema. Cardiac silhouette is slightly increased in size, now top normal. The mediastinal contours are normal.
<unk>-year-old male postop oxygen desaturation and history of pneumonia.
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The lungs are clear without a consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
shortness of breath. evaluate for pulmonary edema.
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Midline sternotomy wires are unchanged. The cardiomediastinal and hilar contours are normal. There continues to be a small-to-moderate pleural effusion on the right with underlying atelectasis. This effusion contains a few locules of air, similar to prior exam. This is confirmed by chest ct from the same day.
<unk>-year-old male with right hydropneumothorax status post drainage.
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There has been interval removal of the left-sided chest tube. There is a small left pleural effusion. The left heart border is very sharp suggesting there may be a small medial pneumothorax. This volume loss at both bases. An underlying infectious infiltrate can't be excluded.
left chest tube pulled.
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Pa and lateral views of the chest provided. Single pacemaker lead is seen terminating in the right ventricle. Heart is borderline enlarged. Lung volume as on the lower side, however appears clear. There is no pleural effusion. No pneumothorax
<unk> year old man s/p icd
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Left-sided dual-chamber pacemaker device is noted with leads terminating in right atrium and right ventricle. The patient is status post median sternotomy and aortic valve replacement. Heart size remains mildly enlarged. The aorta is diffusely tortuous and calcified. The pulmonary vascularity is normal. The mediastinal and hilar contours are stable. Increased interstitial markings are noted along the periphery of the lung bases, likely reflecting nsip, and better assessed on the recent chest ct. Overall, these opacities may be slightly progressed, which suggest perhaps that there is superimposed atelectasis or infection. No focal consolidation or pleural effusion is visualized. Lung volumes are reduced. There is no pneumothorax. Mild degenerative changes are seen within the thoracic spine.
generalized weakness and fever.
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There continues to be plate like atelectasis in the left lower lobe there is also slight increase in the amount of volume loss in the right lower lobe the cardiac and mediastinal silhouettes are unchanged there is a small left effusion
<unk>m w/ polysubstance abuse and h/o pancreatitis presents with acute onset <unk> abdominal pain found to have splenic infarct aneurysm with extrav on ct s/p ir embolization // interval change of lll atelectasis
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The cardiac, mediastinal and hilar contours appear stable. Lung volumes are low. There is no pleural effusion or pneumothorax. Moderate interstitial changes associated with known interstitial lung disease appear not significantly. There is no definite superimposed process.
dyspnea on exertion.
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Mild bronchovascular crowding in the right lower lung is not significantly changed compared to the prior radiograph from <unk>, although increased compared to the radiograph from <unk>. The lungs are clear. Mild cardiomegaly is not significantly changed. Large spinal osteophytes should not be be mistaken for azygos dilatation. The mediastinal contours are otherwise normal. There are no pleural effusions. No pneumothorax is seen.
fevers and cough. assess for pneumonia.
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Pa and lateral views of the chest provided. Overlying ekg leads are present. Clips in the right upper quadrant noted. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with chest pressure and shortness of breath.
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Ap and lateral views of the chest. Linear bibasilar opacities are most suggestive of atelectasis. There may be trace bilateral effusions. The lungs are otherwise clear. The cardiomediastinal silhouette is stable, noting prosthetic aortic valve and median sternotomy wires. Left chest wall dual-lead pacing device is again identified. Anterior right sixth and seventh rib deformities suggest prior fracture and were present on prior. There is no visualized acute fracture based on these non-dedicated films.
<unk>-year-old male with right lateral rib pain status post fall.
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Compared to the prior radiograph, no change in the lead positioning. One lead projects over the right atrium, the other over the right ventricle, and the other in the coronary sinus. Lung volumes have decreased but there is no pneumothorax. Moderate cardiomegaly is stable. Bibasilar atelectasis is noted.
<unk> year old woman with new biv pacemaker upgrade. evaluate for pneumothorax and lead placement.
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The lungs are clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.
history: <unk>f with chest pain // acute process
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The cardiomediastinal silhouette and pulmonary vasculature are normal. There is no pleural effusion or pneumothorax. The lungs are clear.
<unk> year old woman with atypical chest pain. // please evaluate for cardiopulmonary process.
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Two views of the chest demonstrate clear lungs without effusion or pneumothorax. The cardiac silhouette is normal in size. The mediastinal contours are normal. The pulmonary vasculature is normal.
<unk>-year-old female with tibial plateau fracture and hypoxia, rule out infiltrate.
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Pa and lateral views of the chest provided. Lung volumes are low. Bibasilar linear opacities likely represent atelectasis or scarring. There is no effusion or pneumothorax. Unfolded aorta is similar to prior. Cardiomediastinal silhouette is stable. Ossific densities inferior to the humeral heads bilaterally may represent intraarticular bodies. Incidentally noted is colonic interposition between the right hemidiaphragm and the liver.
<unk> year old man with two weeks of prod cough and reported hypoxia // r/o acute process
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Mild pulmonary edema has improved since <unk>, but moderate cardiomegaly is stable. Small pleural effusions are presumed. Mediastinal and hilar contours are normal. Transvenous atrioventricular pacer leads follow their expected courses.
<unk> year old woman with chf exacerbation, not improving // interval changes
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Compared to the prior study from earlier today, there is no interval change in the position of the pacemaker leads or the pacemaker generator. There is no pleural effusion. The cardiac and mediastinal contours are unchanged and the lungs are clear.
new pacemaker lead placement.
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Pa and lateral views of the chest. Even with low inspiratory effort, the lungs are clear. Cardiomediastinal silhouette is normal. No acute osseous abnormality detected.
<unk>-year-old female with <num> weeks of cough and shortness of breath.
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Ap and lateral views the chest were provided for review. The heart size is normal. Mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. There is no focal consolidation concerning for pneumonia.
epigastric abdominal pain, palpitations, and shortness of breath.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax.
shortness of breath and swelling in left lower extremity. rule out pneumonia.
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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax evident. No compression deformities or displaced rib fractures identified.
right upper chest pain after motor vehicle collision. evaluate for pneumothorax or rib fracture.
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally except for minor atelectasis at the lung bases. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion, pneumothorax, or evidence of pulmonary edema. Re- demonstration of right eleventh rib fracture. Twelfth right rib is incompletely imaged. No additional rib fracture is identified. Imaged upper abdomen is unremarkable.
history: <unk>m with recent ed visit found to have r <unk>ths rib fx. coming in with l sided pain with ttp over mid axilla. also with bruising over tender area. // rib fracture or pneumonia?
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Right-sided port-a-cath terminates in the low svc without evidence of pneumothorax. No pleural effusion is seen. There are low lung volumes, which accentuate the bronchovascular markings. Subtle left base retrocardiac patchy opacity could be due to atelectasis, aspiration, or pneumonia.
history: <unk>f with weakness // ? consolidation
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. There is no subdiaphragmatic free air. Dilated air-filled loops of small bowel are seen within the left upper quadrant.
abdominal pain, rigid abdomen.
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Band-like opacities in both lungs are new compatible with atelectasis. There are no opacities worrisome for pneumonia. Lung volumes are low. There is no pleural effusion or pneumothorax. Cardiac contour is top normal.
patient with bile leak. rule out pneumonia or atelectasis.
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Right-sided dual lumen venous catheter is seen with distal tip in the right atrium. The lungs are clear, there is no effusion. The cardiomediastinal silhouette is stable. Atherosclerotic calcifications are noted at the aortic arch. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>f with cp, sob, doe esrd on hd // r/o pna vs pleural effusion
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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.
history: <unk>m with back and chest pain // 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 cva // eval for cardiomegaly
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Left-sided pacemaker has leads in the right atrium and ventricle. There is no pneumothorax or pleural effusion. The lungs are clear. The patient had prior sternotomy for cabg and mitral valve repair. Bilateral rib fractures are healed with adjacent pleural thickening.
patient with new pacemaker. assess lead position.
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There is no focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal contours are normal. Asymmetric breast contours are stable with a left-sided prosthesis. The patient has had a right axillary dissection. An old rib deformity is noted on the left.
<unk>-year-old female with chest pain, question pneumonia.
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Lung volumes remain low but have improved since <unk>. The lungs are clear. The small left pleural effusion has essentially resolved in the interim. The heart remains mildly enlarged. Median sternotomy wires appear intact and unchanged. No focal consolidation to suggest pneumonia. No pneumothorax.
<unk>-year-old man presenting with dry heaving, nausea status post cabg. evaluate for pleural effusion.
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Left-sided picc tip terminates at the svc/right atrial junction. Lung volumes are low. Heart size is mildly enlarged, unchanged. Mediastinal and hilar contours are similar. Subsegmental atelectasis is noted within the right mid lung field. No focal consolidation, pleural effusion or pneumothorax is present. Patient is status post t<num> through t<num> spinal fusion.
history: <unk>m with picc line // confirm picc line placement
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. The bony structures are unremarkable.
pleuritic chest pain.
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Ap upright and lateral views of the chest provided. Left chest wall pacer device is again noted with leads extending to the region the right atrium and right ventricle. There is diffuse mild pulmonary edema. Heart size remains mildly prominent. Mediastinal contour is unchanged with atherosclerotic calcifications along the aortic knob. Tracheobronchial tree calcification also noted. No large effusion or pneumothorax. Clips in the upper abdomen noted.
<unk>f with sob // eval pneumonia vs chf
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Frontal and lateral views of the chest. Opacity adjacent to the right heart border overlies the lower thoracic spine on the lateral view. Small retrocardiac opacity may represent atelectasis. Heart size and cardiomediastinal contours are otherwise normal. No pleural effusion or pneumothorax.
hiv, cough, and hypoxia.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with chest pain, inspirational, pleuritic
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Slight increased retrocardiac opacity on the lateral view could potentially reflect an early pneumonia. No edema, effusion, or pneumothorax. No pleural effusion. The heart is normal in size. No mediastinal widening. No acute osseous abnormality.
<unk>-year-old man presenting with tachycardia; evaluate for acute infectious process.
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The patient is status post sternotomy and cabg. The size of the cardiac silhouette is normal. Mild tortuosity of the thoracic aorta. No pulmonary edema. No pneumonia. No pleural effusions.
dyspnea, evaluation for thoracic pathology.
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal. No displaced fracture is seen. There is no pulmonary edema.
chest pain.
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. The heart size is within normal limits. No typical configurational abnormalities identified. Thoracic aorta unremarkable. No mediastinal abnormalities are seen. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present, and the lateral and posterior pleural sinuses are free. No pneumothorax in apical area on frontal view. Multiple rib deformities with callus formation in the right upper thorax are consistent with multiple previous old and healed rib fractures. These findings existed already on the previous examination and are unchanged.
<unk>-year-old female patient with cough, evaluate for pneumonia.
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
right abdominal pain and fever.
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.
history: <unk>f with chest pain // r/o pneumothorax
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The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. A mild wedge compression deformity within a mid thoracic vertebral body appears slightly worse since the <unk> examination. No overt malalignment is detected.
chest pain.
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Lung volumes are low, which leads to bronchovascular crowding. No focal consolidation is seen. The heart is moderately enlarged, as before. The hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Embolization coils and tips stent are identified in the upper abdomen.
<unk>m with altered mental status, decompensated liver disease. evaluate for pneumonia
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine and healed right rib fractures
<unk> year old woman with hx appendectomy, ct w ateletasis, hx tobacco and distant exposure to asbestos // any worrisome lesion?
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There is mild left basilar atelectasis; otherwise, the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Atherosclerotic calcifications are noted at the aortic arch. No acute fractures are identified.
evaluation of patient with fever.
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Pa and lateral chest radiograph demonstrates overall unchanged appearance of a right upper lobe paramediastinal mass with associated volume loss in the right lung consistent with known lung carcinoma. No developing opacity is identified worrisome for an infectious process. New relative to prior examination is a small right-sided pleural effusion. Cardiomediastinal contours are stable. There is no evidence of pulmonary edema. No pneumothorax.
history: <unk>f with stage iv nsclc s/p chemo with n/v/decreased po // evidence of pneumonia
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The cardiac, mediastinal and hilar contours are unchanged and within normal limits. The pulmonary vasculature is normal. Lungs are mildly hyperinflated but clear. No pleural effusion, focal consolidation or pneumothorax is present. Multilevel degenerative changes are noted in the thoracic spine.
history: <unk>f with copd, now chest pain
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of <unk>. Chest findings are grossly unaltered. The left-sided apical small pneumothorax is still present, although it has diminished in size again. The maximal pleural layer separation in the apical area is about <num> cm. Pulmonary parenchyma appears clear and the post-operatively small remaining hematoma has now formed into a linear scar as can be identified on the lateral view.no new abnormalities.
<unk>-year-old male patient status post vats with left upper lobe wedge resection and left apical pneumothorax with repeat small left pneumothorax on <unk>.
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. The mediastinal and hilar contours are normal.
<unk>m with seizure, distant history of lyme meningitis, encephalitis. evaluate for infectious process.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
chest pain. rule out acute process.
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Pa and lateral views of the chest. The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
<unk>-year-old female with cough and shortness of breath.
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Pa and lateral views of the chest. Similar to prior plain film are increased interstitial markings throughout the lungs without a superimposed consolidation or effusion. The cardiomediastinal silhouette is unchanged. No acute osseous abnormalities detected.
<unk>-year-old female with failure to thrive. question pneumonia.
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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 chest pain. evaluate for pneumothorax.
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Pa and lateral views of the chest provided. Left chest wall pacer device is seen with leads extending into the right atrium and right ventricle region as on prior. The heart size is unchanged appearing top-normal. The aorta is markedly unfolded as on prior with atherosclerotic calcification at the knob. There is no focal consolidation, large effusion or pneumothorax. No signs of congestion or edema. Bony structures are intact.
<unk>f with presyncopal event // pna?
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The lungs are clear. A spinal cord stimulator is incidentally noted. There is no pleural effusion or pneumothorax.
<unk>f w/dyspnea, please eval for occult pna
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Bibasilar streaky opacities likely reflect atelectasis. The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal. No displaced rib fractures are noted.
<unk>-year-old man with fall onto left lateral rib with significant pain. evaluate for rib fractures or pneumonia.
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Lung volumes are low, leading to crowding of the bronchovascular structures. The persistently asymmetric prominence to the right hilus is likely secondary to accentuation of the pulmonary vasculature. There is no lobar consolidation, significant pleural effusion, pneumothorax, or frank pulmonary edema identified. Moderate cardiomegaly is stable. The descending thoracic aorta is calcified and otherwise unremarkable.
history: <unk>m with ams // eval pna
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits. There is mild levoconvex thoracic scoliosis.
<unk>-year-old female with chest pain and possible syncope.
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. Mild blunting of the left aortopulmonary window is consistent with thymic tissue better assessed on recent ct.
<unk>f with chest pain, l arm pain, evaluate for acute cardiopulmonary process.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There is no pleural effusion or pneumothorax. The chest is mildly hyperinflated. A prominent anterior osteophyte is noted along a lower thoracic interspace; mid thoracic interspaces appear mildly narrowed.
intermittent shortness of breath.
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Pa and lateral views of the chest were provided. A left upper extremity picc line is seen with its tip residing in the upper svc region. Midline sternotomy wires and mediastinal clips are again noted. The heart remains markedly enlarged. There is no focal consolidation, or convincing signs of congestive heart failure. There is trace right pleural effusion noted. No pneumothorax is present. The bony structures are intact. An aortic stent is partially imaged in the upper abdomen.
<unk>-year-old female with increased shortness of breath.
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Lung volumes are low and there is left basilar atelectasis. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk>f with cough and sob times <unk> <unk> days // assess for infiltrate
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Probable nipple piercings are noted bilaterally.
<unk>f with brief episodes of chest pain and abd pain today. // <unk>f with brief episodes of chest pain and abd pain today.
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As compared to the previous radiograph, there is unchanged evidence of moderate pulmonary edema and moderate cardiomegaly. A pre-existing zone of opacity along the right heart border is minimally decreased in extent and likely represents atelectasis. No larger pleural effusions are visualized. No evidence of pneumonia.
pre-existing opacity. evaluation.
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In comparison with the study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. There is some hyperexpansion of the lungs suggesting chronic pulmonary disease, but no evidence of acute pneumonia, vascular congestion, or pleural effusion.
smoker with cough, to assess for pneumonia.
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Pa and lateral views of the chest demonstrate basilar-predominent linear opacities consistent with patient's known interstitial lung disease. There is increased opacity at the left base and left hilus concerning for acute infectious/inflammatory process on top of the patient's chronic interstitial lung disease. No pleural effusion or pneumothorax is seen. The cardiac silhouette is normal in size. Mediastinal contours are within normal limits and unchanged. The trachea is midline. There is a deformity of the right lateral <num>th rib which is unchanged from the prior study consistent healed rib fracture.
fever and weakness evaluate for pneumonia.
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The lungs are well expanded and clear. Mediastinal contours, hila, and cardiac silhouette are normal. Metallic density clips overlie the soft tissues superior to the left shoulder.
<unk>m with chest pain // chest pain
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>f with cough, fever // presence of infiltrate
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Minor bibasilar atelectasis is seen. There is no focal consolidation. No pleural effusion or pneumothorax is seen. There is linear atelectasis or scarring at the right lung base, unchanged. Mild cardiomegaly is stable. The aorta is mildly tortuous, with calcifications seen at the aortic knob.
<unk>f w/ delirium vs dementia. please eval for cardiopulm etiology
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In comparison with the study of <unk>, there are lower lung volumes. There is an area of increased opacification at the left base posteriorly suspicious for developing pneumonia. However, the imaged portion of the left lower lobe was clear on the ct of the abdomen obtained earlier today. Followup imaging is suggested by the resident on call with dr. <unk>.
shortness of breath, to assess for pneumonia.
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The lung bases are relatively underpenetrated on the frontal view due to patient body habitus. Given this, prominence of the hila suggests pulmonary vascular engorgement/ mild congestion without overt pulmonary edema. Streaky basilar opacities are seen, left greater than right, which are most likely due to atelectasis. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are grossly stable.
history: <unk>m with dyspnea, increased o<num> need // ? pulm edema vs. pna
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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.
<unk> time seizure and tachycardia.
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Ap and lateral views of the chest are compared to previous x-ray from <unk>. Correlation is also made to ct abdomen from <unk>. Lower lung volumes seen on the current exam. There is somewhat linear opacity identified at the right lung base suggestive of atelectasis. Increased density projects over the posterior costophrenic angles compatible with bochdalek hernia on the left identified on prior ct. Elsewhere, lungs are clear. Cardiac silhouette is within normal limits. Osseous and soft tissue structures are grossly unremarkable.
<unk>-year-old female with fever, question pneumonia.
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
hiv, cough and fever.
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The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion.
new facial droop.
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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 chest pain, abd pain.
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In comparison with the study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. Hyperexpansion of the lungs is again consistent with chronic changes. However, no evidence of old tuberculous disease or reactivation.
latent tb.
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Since <unk>, no appreciable change in the bilateral heterogeneous juxta-mediastinal and peripheral pulmonary parenchymal opacities. Stable appearance of the cardiomediastinal silhouette and hila. Stable bilateral lower lung volumes and slight elevation of the right hemidiaphragm. Stable slightly tortuous or new dilated descending aorta.
<unk>-year-old man with stage iiib nsclc, status-post chemoradiation in <unk>, with radiation pneumonitis. evaluate for interval change.
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The lungs are well expanded and clear. There is no pleural effusion pneumothorax. The cardiomediastinal silhouette is unremarkable. Three radiopaque connected oblong structures are seen projecting over the expected area of the stomach, likely representing ingested magnets.
history: <unk>f with schizophrenia, reports swallowing magents <num> days ago, initial retrosternal pain, now epigastric and llq pain // eval for ingested foreign body (magnets x<num>)
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
fever, cough. question evidence of infection.
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In comparison with study of <unk>, there is hyperexpansion of the lungs, suggestive of some chronic pulmonary disease. There is left pleural effusion and possible small right effusion, but no evidence of vascular congestion. Specifically, no focal region of consolidation is identified.
resolving sbo with cough, to assess for aspiration.
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The heart appears mildly enlarged. The aortic arch is calcified. There is a mild-to-moderate interstitial abnormality most consistent with congestive heart failure. Lung volumes are low. There is no pleural effusion or pneumothorax. Bony structures are unremarkable aside from mild degenerative changes at the thoracolumbar junction.
altered mental status and slurred speech.
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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. There are no acute osseous abnormalities.
<unk>f with cough, please eval for pneumonia
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The lungs are clear. There is no pneumothorax or large pleural effusion. There is unchanged, minimal blunting of the posterior costophrenic angles. Again noted is moderate kyphosis of the thoracic spine, unchanged since prior examination.
<unk>f with fall, headstrike. feels weak // eval for bleed/fx/infection
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Increased opacification projecting over the right base on the frontal view are not well localized on the lateral view but are suspicious for pneumonia. The remainder of the lung is well aerated. There is no pleural effusion or pneumothorax. The heart is top normal in size and normal cardiomediastinal silhouette. Dual-lead pectoral pacer is seen with leads projecting over the right atrium and ventricle.
shortness of breath. assess for pneumonia.
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The heart is normal in size. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs appear clear.
right shoulder and chest pain.
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The lungs are clear. There is no pleural effusion or pneumothorax.
history: <unk>f with cough // acute process
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The lungs are clear of consolidation, effusion, or pneumothorax. Calcified left base granuloma is again noted. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with cough and chills // eval for pneumonia
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Frontal and lateral radiographs of the chest show multiple surgical clips projecting over the left heart on the frontal radiograph, consistent with prior left lower lobectomy. Coil material is again noted in the right upper abdomen. Low inspiratory lung volumes with associated bibasilar atelectasis are much improved from <unk> but persistent. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. No pulmonary vascular congestion or edema is appreciated. The cardiac silhouette is normal in size. Mediastinal and hilar contours are within normal limits and unchanged from <unk>.
<unk>-year-old male with productive cough and chest pain, here to evaluate for pneumonia.
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Widening of the mediastinum corresponds to a mediastinal vasculature. The aorta is tortuous. There is mild pulmonary edema. No focal consolidation concerning for pneumonia is seen on the frontal view, however, due to underinflation on the lateral view the lung bases are not fully evaluated. No large pleural effusion or pneumothorax. Moderate to severe cardiomegaly is stable.
history: <unk>f with confusion // eval for acute process
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Pa and lateral views of the chest. The lungs are clear. Costophrenic angles are sharp. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male status post seizure, question pneumonia.
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Pa and lateral views of the chest were obtained. The heart is normal in size, and cardiomediastinal contour is unremarkable. Lungs are symmetrically expanded and clear. There is no pleural effusion and no pneumothorax. On the lateral view, multiple clips project over the heart, but are not visualized on the frontal view.
<unk>-year-old female with shortness of breath, evaluate for pneumonia or chf.
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Frontal and lateral radiographs of the chest demonstrate minimal interval change since the prior study. There continues to be a moderate right subpulmonic effusion and minimal left pleural effusion with continued elevation of the right hemidiaphragm. Bibasilar atelectasis is also seen. Otherwise, the lungs are clear. The cardiac and mediastinal contours are unchanged. Aortic valve is again seen and intact median sternotomy wires are noted. No pneumothorax.
history of bilateral pleural effusions. evaluate for change in size after diuresis.