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The lungs are clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
sudden chest pain and dyspnea, here to evaluate for a pneumothorax or pneumonia.
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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> year old woman with fevers, sob, cough // please evaluate for pna
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with chest pain
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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.
history: <unk>f with likely bactrim-related drug rash, fever, recent treatment for uti
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Pa and lateral views of the chest. No prior. The lungs are clear. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with hypoxia.
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Lung volumes are low. There are bilateral increased opacities suggesting atelectasis. Mild increase interstitial findings are noted likely representative of a minimal pulmonary edema. Previously visualized ill-defined radiodensity now projects over the <unk> posterior rib as opposed to <unk> posterior previously and remains nonspecific but the relatively unchanged. Moderate atherosclerotic calcifications of the aortic arch are noted. No acute fractures are identified.
foot ulcer, preoperative evaluation.
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Mild cardiomegaly is stable. Pacer leads are in standard position. Minimal interstitial abnormalities in the bases suggest mild interstitial edema. The lungs are mildly hyperinflated. If any there is a small left effusion. There is no pneumothorax. There are mild degenerative changes in the thoracic spine
history: <unk>m with cough and congestion x <num> days // ? pneumonia
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There is persistent marked tracheal deviation to the right by the known left thyroid mass. The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>m with shortness of breath and wheeze. evaluate for pneumonia.
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A nasogastric tube tip appears coiled within the stomach. Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. Mild left basilar opacity likely reflects a combination of atelectasis with small left pleural effusion. No right-sided parenchymal opacities are present. There is no pneumothorax. No acute osseous abnormalities detected.
hypotension, worsening cirrhosis.
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Pa and lateral views of the chest provided. Lungs are clear. Pulmonary vasculature is normal. Heart size is top normal. Mediastinal and hilar contours are normal. Pleural surfaces are normal.
<unk> year old man with esrd presents for pre kidney transplant evaluation
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Heart size is normal. The aortic knob is densely calcified. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Lungs are hyperinflated with marked emphysematous changes again noted. A fiducial marker in the right upper lobe of the lung is in unchanged position. <num> mm nodule within the right juxta hilar region is unchanged. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities. Marked narrowing of the right acromial humeral interval with sclerosis of the acromion and superior humeral head as well as superior subluxation of the humeral head relative to the glenoid is compatible with rotator cuff disease. Moderate degenerative changes the right glenohumeral joint are also noted.
history: <unk>f with dyspnea, cough
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Partially calcified bilateral breast implants mimic underlying parenchymal opacities in the lungs. There is however no definite consolidation. There is no pleural effusion or edema. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips seen at the lower neck.
<unk>f with dyspnea // evidence of pneumonia
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Cardiac size is top-normal. The aorta is tortuous. Right lower lobe consolidation in is new. Bilateral effusions are small. The lungs are otherwise hyperinflated suggesting copd. There is no pneumothorax. There are mild degenerative changes in the thoracic spine. Calcifications in the left mid lung are again noted. Faint ill-defined left upper lobe rounded opacities that could be part of the infection need follow-up to exclude lung nodules.
<unk> year old woman with cough, fevers // <unk> year old woman with cough, fevers
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The patient is status post median sternotomy and cabg. There is mild enlargement of the cardiac silhouette, unchanged. Mediastinal and hilar contours are similar. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. Minimal atelectasis is demonstrated in the left lung base. There are no acute osseous abnormalities.
history: <unk>m with right-sided weakness
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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk> you f with cough.
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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old with chest pain, please assess for pneumonia.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
altered mental status.
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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. There is no visualized fracture.
<unk>-year-old male with right rib pain status post fall.
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The lungs remain hyperinflated without focal consolidation. Underlying the medial left clavicle, projecting over the interspace between the posterior left third and fourth ribs, there is what appears to be a calcified structure measuring approximately <num> mm. This was not clearly seen on the prior studies. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with chest pain // ? pna
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Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax. No displaced rib fracture.
history: <unk>m with assault to face with bowling ball, obvious dental trauma // r/o fx, r/o foreign body
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The cardiac, mediastinal and hilar contours appear unchanged. Vague upper lung opacities known to reflect architectural irregularity associated with emphysema appear similar to the prior radiographs. There has been no significant change. The lungs appear hyperinflated. There is no pleural effusion or pneumothorax. Mild loss in body heights among several mid thoracic vertebral bodies appears similar to the prior studies.
low-grade fever. history of hiv. increased cough. history of copd on home oxygen.
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Pa and lateral views of the chest were provided. The lungs are clear bilaterally without focal consolidation, effusion or pneumothorax. There is no edema or pneumonia. The cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with chest pain
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Heart size is normal. Mediastinal and hilar contours are unchanged, and known enlarged ap window lymph node is not well visualized on the current examination. Pulmonary vasculature is not engorged. Emphysematous changes are again noted with lung hyperinflation. Previously demonstrated spiculated nodule in the right upper lobe is also better appreciated on the prior ct examinations. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
history: <unk>f with shortness of breath, wheezing, tachycardia // evaluate for pneumonia
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Right chest wall port is new since prior. Catheter tip at the ra/svc junction. The lungs are clear without consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with hypoxia and cp // pna?
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Lungs are mildly hyperinflated. A heterogeneous airspace opacity is seen on the lateral view in the upper lung does not have a clear correlate on the frontal view. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax or pleural effusion.
history: <unk>m with sob // ? chf
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Coronary artery stenting is noted. Mediastinal contours are unremarkable. The aortic knob is calcified. No evidence of free air is seen beneath the diaphragms.
<unk> year old man with chest pain/epigastric pain, h/o duodenal ulcer // eval for cardiopulmonary process, obtain view below diaphragm to look for free air
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The patient is status post median sternotomy, and tricuspid and mitral valve replacements. Heart size remains moderately enlarged. The mediastinal and hilar contours are unchanged. Mild pulmonary vascular congestion is slightly improved compared to the prior study. Streaky atelectasis is seen in the lung bases. No pleural effusion, focal consolidation or pneumothorax is present. There are mild multilevel degenerative changes noted in the thoracic spine.
history: <unk>f with bleeding hematoma over pacemaker site // evidence of infection
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The heart appears mildly enlarged. The aorta is mildly tortuous. There is no pleural effusion or pneumothorax. At the left lung base there is minor volume loss with streaky opacities, probably minor atelectasis. The right lung appears clear. There is no pneumothorax. No rib fracture is identified.
right-sided rib and back pain.
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Pa and lateral views of the chest provided. Surgical clips project over the left chest wall. There is a small right pleural effusion. No convincing signs of pneumonia or edema. No pneumothorax. Cardiomediastinal silhouette appears normal. Imaged bony structures are intact.
<unk>f w/htn, asthma presenting with <num>-wk hx of doe, <num>-lb weight gain, hand/periorbital swelling // eval for chf vs pna
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Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle, unchanged. Lung volumes are low which accentuate the size of the cardiac silhouette which appears moderately enlarged. Aorta remains tortuous and calcified. There is crowding of the bronchovascular structures with probable mild pulmonary vascular congestion. Patchy opacities in the lung bases likely reflect areas of atelectasis. A small left pleural effusion may be present. No pneumothorax is demonstrated. Multilevel degenerative changes are seen in the thoracic spine.
history: <unk>f with chest pain and weakness
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The heart is of normal size with normal cardiomediastinal contours. The lungs are clear without focal or diffuse abnormalities. No pneumothorax or pleural effusion. The pulmonary vasculature is unremarkable. The osseous structures are unremarkable. No radiopaque foreign body.
shortness of breath, diffuse abdominal pain. rule out acute process.
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The heart size, mediastinal, and hilar contours are normal. There are possible mild chronic bronchiectatic changes involving the right lower lung. However, lungs are otherwise clear without focal consolidation, pneumothorax, or pleural effusion.
<unk> year old man with esrd for pre kidney transplant evaluation. evaluate for cardiopulmonary abnormalities.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormality seen. Levoscoliosis of the thoracic spine is unchanged.
history: <unk>f with ? seizures, ? infectious or other etiology as cause // ? acute cardiopulmonary process
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The lateral radiograph shows minimal flattening of the hemidiaphragms, potentially suggesting mild overinflation. Otherwise, the lung parenchyma is unremarkable, in particular there is no evidence for pulmonary edema and no evidence of pulmonary fibrosis. Borderline size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta. The hilar and mediastinal structures are unremarkable.
amiodarone toxicity.
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Ap and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of new consolidation. Calcified nodule again seen in the left mid lung. Elevation of the left hemidiaphragm is noted. Cardiomediastinal silhouette is stable, notable for a triple-lead pacing device with leads in similar position compared to prior. Hypertrophic changes are noted in the spine. Osseous and soft tissue structures are unremarkable.
<unk>-year-old man with orthostatic hypotension for two weeks with history of cough.
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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.
history: <unk>f with shortness of breath for <num> week
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There is no focal consolidation, effusion, or pneumothorax. Hyperexpanded lungs and attenuation of pulmonary vessels in the upper lobes are compatible with mild centrilobular emphysema as seen on the prior ct chest. The cardiomediastinal silhouette is normal. No free air below the diaphragms seen.
history: <unk>f with weakness
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Cardiomediastinal silhouette and hilar contours are unremarkable. A right internal jugular infusion port catheter terminates at the cavoatrial junction/proximal right atrium, <num> cm cranial to the carina. The lungs are clear. There is no pleural effusion or pneumothorax.
glioblastoma. check port position for avastin treatment.
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Frontal and lateral views of the chest. There is increased perihilar opacity when compared to prior. This could potentially be posttreatment changes noting that underlying mass lesion or infection cannot be excluded. Right pleural thickening is seen circumferentially. Increased opacity projecting over the lower lobes on the lateral could be due to pleural fluid or thickening although underlying consolidation is not excluded. The left lung is clear. No acute osseous abnormality is detected.
<unk>-year-old female with left-sided shoulder and chest pain. history of adenocarcinoma. status post vats with right lower lobectomy and chemoradiation.
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Ap upright and lateral views of the chest provided. Cardiomegaly again noted with mild pulmonary vascular engorgement. No large effusion or pneumothorax. No convincing signs of pneumonia. Mediastinal contour stable. Bony structures are intact.
<unk>f with altered ms // r/o acute process
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There is mild left base atelectasis without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Partially imaged right humeral prosthesis is again seen.
chest pain.
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Minimal basilar atelectasis is seen. There is no definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable and stable.. Partially imaged degenerative change and hardware at the thoracolumbar junction/ upper lumbar spine.
history: <unk>f with chest pain, transient lue numbness // please evaluate for acute intrathoracic process
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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. Sternotomy wires appear grossly intact. Chronic bony changes are noted in the left ribs.
history: <unk>m with dyspnea // acut eprocess
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Lung volumes are low. This accentuates the size of the cardiac silhouette which is likely mildly enlarged. Mediastinal and hilar contours are unremarkable. Streaky bibasilar airspace opacities likely reflect atelectasis. Infection cannot be completely excluded. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
unsteady gait, weakness.
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Compared <num> day prior, bilateral, predominantly perihilar interstitial opacities have increased, more likely pulmonary edema than bilateral pneumonia. Persistent small right apical pneumothorax. A small right pleural effusion has increased and a small left pleural effusion is unchanged. Right pleural drainage catheter is unchanged in position. Subcutaneous emphysema in the right lateral chest wall is similar. Mildly enlarged cardiomediastinal silhouette is unchanged in size. An air-fluid level projects over the expected location of the neo esophagus
<unk> year old woman pod<unk> s/p mie // evaluate for interval change
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No previous images. Hyperexpansion of the lungs is consistent with chronic pulmonary disease. However, no evidence of acute focal pneumonia, vascular congestion, or pleural effusion.
cough, to assess for pneumonia.
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Pa and lateral views of the chest provided. Interstitial edema is noted though somewhat asymmetric involving the right lung more than the left. Probable underlying emphysema is present. No large effusion or pneumothorax. The heart size appears top-normal. Mediastinal contour normal. Bony structures intact.
<unk>m with dyspnea // r/o pna, edema
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No focal consolidation, pneumothorax, or pulmonary edema is seen. Cardiac silhouette and mediastinal contours are normal. Left proximal humeral opacity is noted and marked on chest radiograph. Differential includes benign bone island versus metastatic lesion. Recommend review of previous imaging to identify if new or chronic process.
<unk> year-old woman with subacute hyponatremia with history of breast cancer, evaluate for pneumonia or metastatic lesions.
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The lungs remain hyperinflated. The cardiac and mediastinal silhouettes are stable. Patchy right base opacity has been present over multiple prior studies and may be chronic, underlying aspiration or infection is difficult to entirely exclude. The left lung is grossly clear. There is no pleural effusion or pneumothorax. The bones are diffusely osteopenic.
history: <unk>f with weakness // ? pna
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Ap and lateral views of the chest were obtained. The exam is limited by low lung volumes and the patient's positioning and kyphosis. The heart is moderately enlarged. There are bilateral perihilar ill-defined opacities, similar in appearance to prior radiograph and consistent with pulmonary edema. The lung bases are poorly assessed secondary to kyphosis. The cardiomediastinal contour appears similar to prior radiograph. No large pneumothorax is seen.
shortness of breath, evaluate for pneumonia.
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Pa and lateral chest views have been obtained with patient in upright position. There is mild cardiac enlargement. The presence of multiple surgical metallic clips mostly in the anterior mediastinal structures is indicative of previous bypass surgery and probably mammary artery anastomosis. The absence of sternotomy wire in this junction is remarkable and indicates the possibility of postoperative problems with sternotomy healing. Thoracic aorta is unremarkable and no evidence of local contour abnormalities is present. The pulmonary vasculature is not congested. No evidence for acute pneumonic infiltrates anywhere in the lungs. On the other hand, there is evidence of pleural thickenings, mostly on the right lung base and along the right lateral chest wall, indicative of old pleural scar formations. Minor scar formations exist also on the left base, but again no evidence of any acute infiltrate in the parenchyma is observed. The lateral and posterior pleural sinuses are free from any fluid accumulation. There is no pneumothorax in the apical area on the frontal view. Skeletal structures demonstrate an accentuated kyphotic curvature in the thoracic spine with moderate degree of degenerative changes in the form of bridging osteophytic reactions, mostly anteriorly to the vertebral bodies. Remarkable is also rather large depth diameter of the thorax. Our records do not include a previous chest examination available for comparison.
<unk>-year-old male patient with productive cough, shortness of breath and chills, evaluate 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.
fever and chemotherapy.
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.
chest pain.
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A calcified nodule projects over the left mid lung, stable likely representing a granuloma. There also stable nodular opacities in the right upper lobe. An azygous fissure is noted. Lungs are clear and hyperinflated. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
<unk> year old man with stage <num> ckd with history of copd with worsening cough and congestion // r/o pneumonia
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The patient is status post median sternotomy and cabg. Mild to moderate enlargement of the heart is unchanged. The mediastinal and hilar contours are stable. There is mild pulmonary vascular engorgement, similar in degree compared to the prior study. Re- demonstrated are areas of linear atelectasis within both perihilar regions and lung bases. Small bilateral pleural effusions persist, relatively unchanged compared to the prior exam. No pneumothorax is identified. Cervical spinal fusion hardware is incompletely assessed.
altered mental status. weakness.
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Frontal and lateral views of the chest. Streaky right basilar opacities are identified. The lungs are otherwise clear besides biapical scarring. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old male with cough and chest pain for four days.
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There is hyperinflation, likely from emphysema. There is no consolidation, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
prostate cancer with mild shortness of breath. evaluate for pneumonia.
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Pa and lateral chest radiographs demonstrate clear lungs. There is no pulmonary nodule. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
history of melanoma. evaluation for evidence of metastatic disease.
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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.
history: <unk>m with cough and shortness of breath
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There is minimal atelectasis at the left base. Cardiomediastinal and hilar contours are unremarkable. No pneumothorax, pleural effusion, or consolidation.
history: <unk>m with fever // eval for infection
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The heart size is at the upper limits of normal but similar to prior exam. The mediastinal and hilar contours are unremarkable. The lungs are clear. Loss of the left hemidiaphragmatic contour is again present on the frontal view with enlarged posterior cardiac silhouette on the lateral view, but no definite focal consolidation and no evidence of pleural effusion; this appearacne is similar to prior exam. There is no pleural effusion or pneumothorax. Minimal degenerative changes seen in the spine. Clips in the right upper quadrant compatible with prior cholecystectomy.
<unk>-year-old female with mental status changes and chest pain.
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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.
<unk> year old woman with chronic cough x <num> weeks. // ? infiltrate
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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.
<unk>m with cp // ?pna
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Pa and lateral radiographs were acquired. The lungs are clear. The cardiac and mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
left-sided pain and fever.
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A bb marker was placed over the site of pain in the lateral inferior right lower ribs. No fracture is identified. The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
rib pain after a fall.
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Right upper lobe opacity is again seen; as recommend on the prior study, nonurgent chest ct work above the right upper lobe nodular opacity is recommended. Linear left mid lung atelectasis/scarring is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with cirrhosis bilateral lower leg edema cough // eval for pn
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Lung volumes are low with increased interstitial markings diffusely. Linear opacities at the lung bases likely represent atelectasis. The heart is mildly enlarged. The mediastinal silhouette is normal. There are small bilateral pleural effusions. There is no pneumothorax. Degenerative changes are noted about the right glenohumeral joint. Median sternotomy wires are present.
<unk>-year-old woman with hypoxia, dyspnea, crackles on exam l>r, evaluate for pulmonary edema.
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with progressive doe, fatigue and cp x <unk> year // chf? pe?
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Pa and lateral views are provided. There is no focal consolidation, pneumothorax, or pleural effusion. Heart size is top normal. There is no evidence of chf. There is no free air under the right hemidiaphragm. Osseous structures are unremarkable.
<unk>-year-old woman with persistent afib, chest pressure, question pulmonary edema.
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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. No focal lung consolidation. Slight irregularity of the mid left clavicle, representing a fracture, which is better evaluated on dedicated views. No displaced rib fractures seen.
<unk>m with l shoulder injury while snowboarding.
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<num> views were obtained of the chest. The lungs are mildly hyperexpanded but clear. There is no pleural effusion or pneumothorax. The heart is moderately enlarged with post cabg changes.
infection.
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Slight increase in interstitial markings bilaterally, right greater than left, could be due to minimal interstitial edema versus chronic lung disease, less likely atypical pneumonia. No lobar consolidation seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Hilar contours are stable. Likely left hilar calcified nodes again noted.
history: <unk>m with cough, malaise // pneumonia?
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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 copd, p/w l blurry vision <num> week ago, ?tia // please evaluate for any acute process
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Two pa and <num> lateral view of the chest. Again seen is elevation of left hemidiaphragm. Relatively linear left basilar opacities are most suggestive of atelectasis. Opacity projecting over the right lung base on <num> of the frontal views is due to patient's hand. The right lung is clear. Cardiomediastinal silhouette is unchanged. No acute osseous abnormality noted.
<unk>-year-old male with cough and fever.
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There relatively low lung volumes without focal consolidation. The patient's chin partially obscures the left lung apex. No pleural effusion or pneumothorax is seen. Cardiac silhouette is top-normal in size. Mediastinal contours unremarkable. No pulmonary edema is seen.
history: <unk>f with s/p fall // eval for injuries
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Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax. The osseous structures are grossly unremarkable.
epigastric pain.
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Patchy opacities in the right lower lung with corresponding linear opacities projecting over the lower thoracic spine are likely secondary to subsegmental atelectasis, although an infectious process cannot be excluded. The lungs are otherwise clear. The heart size is top normal. The mediastinal contours are unchanged. There are no pleural effusions. No pneumothorax is seen.
fevers with history of sarcoidosis. evaluate for pneumonia.
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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.
history: <unk>m with shortness of breath
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
<unk>-year-old woman with confusion and dizziness evaluate for acute process.
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Prior left picc is no longer visualized. There is trace left pleural effusion and linear right basilar atelectasis. Lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with pain and swelling in l anterior chest and l arm following picc line removal // any e/o dvt? any acute cardiopulm abnormalities?
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There is a dual-lead pacemaker/icd device in similar position with leads again terminating in the right atrium and ventricle, respectively. The heart is normal in size. The aortic arch is calcified. The mediastinal and hilar contours appear unchanged. The lungs appear clear. There is no pleural effusion or pneumothorax. Mild degenerative changes are similar along the mid thoracic spine, and slight wedging of a mid thoracic vertebral body also appears unchanged.
atrial fibrillation.
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Pa and lateral images of the chest demonstrate well-expanded lungs which are clear. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures are unremarkable.
<unk>-year-old female with right upper quadrant pain status post cholecystectomy, now with fever.
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Pacemaker overlies the left chest wall, leads appear unchanged. Low lung volumes, unchanged. No pneumothorax or pleural effusion is seen. Persistent opacity of the lung bases likely represents atelectasis, although infection can't entirely be excluded. No acute osseous abnormalities. Surgical clips in the right upper quadrant may be from prior cholecystectomy.
<unk>m with fever, confusion // ? consolidation, effusion
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The lungs are well expanded. The bilateral hila are enlarged and indistinct. The cardiac silhouette has enlarged. There is a prominent opacity in the azygos contour. The lungs are clear without focal consolidation, effusion, or pneumothorax.
<unk>-year-old woman with shortness of breath.
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The cardiomediastinal silhouettes are stable and within normal limits. The thoracic aorta is mildly tortuous. The bilateral hila are within normal limits. The lungs are clear without focal consolidation. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk>-year-old man with chest pain, evaluate for acute process.
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The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Focal area of the linear scarring within the right apex is unchanged. Remainder of the lungs are clear. Lungs remain hyperinflated compatible with underlying copd. No pneumothorax or pleural effusion is present. No displaced fractures are visualized.
assaulted with punches to both ribs and shortness of breath.
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The heart is mild-to-moderately enlarged. The mediastinal and hilar contours appear unchanged. There is perihilar fullness and a central widespread diffuse abnormality with indistinct vascularity suggesting mild to moderate pulmonary congestion. There is no definite pleural effusion or pneumothorax.
shortness of breath. history of congestive heart failure.
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There is interval removal of right-sided chest tube. Lungs are better expanded compared to the previous study and with normal volumes. Small right pleural effusion again noted. Right basal atelectasis is improved. Left lung is clear. Heart is normal size and mediastinal contours are unremarkable. No pneumothorax.
<unk>-year-old man with pleural effusions, evaluate.
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There is mild pulmonary edema. Cardiomegaly is moderate. There is no pneumothorax. Regional bones and soft tissues are unremarkable.
<unk> year old man with dilated cardiomyopathy and pulmonry edema // please eval for chf
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Pa and lateral views of the chest provided. Dense overlying breast tissue somewhat limits assessment. Allowing for this, 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 cough, dyspnea // ?pna
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with left sided cp x <num> hours
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Frontal and lateral views of the chest show a right subclavian mediport terminating in the right atrium. The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal.
myelodysplastic syndrome with shortness of breath. evaluate for pneumonia.
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The lungs are clear. The hila and pulmonary vasculature are normal. No pleural effusion or pneumothorax. The left hemidiaphragm is chronically elevated due to eventration, unchanged since <unk>. The heart size is normal and unchanged. The mediastinum is normal.
<unk> year old man with esrd s/p transplant now with chills and fatigue // evaluate for pna
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A left chest wall single lead aicd is in standard position. The heart is moderately enlarged, as before, and is accompanied by mild pulmonary vascular congestion. There is chronic pleural and parenchymal scarring in the lower lungs bilaterally, right greater than left. No focal consolidation to suggest pneumonia. There is no pneumothorax or pleural effusion.
<unk>-year-old man with chest pain, evaluate for pneumonia.
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The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
history: <unk>f with dyspnea and l sided chest pain in setting of uri symptoms. // eval for cardiopulmonary process
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Scarring within the lung apices appear similar. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk>m with cough and body aches, please evaluate for pneumonia
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Frontal and lateral radiographs of the chest demonstrate normal heart size. The mediastinal silhouette and hilar contours are normal. Bibasilar opacities likely reflect atelectasis; although, an underlying infectious process is possible. No pleural effusion or pneumothorax.
shortness of breath and fever question pneumonia
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Pa and lateral chest radiographs were obtained. There is pleural thickening and calcification, with volume loss of the right hemithorax better seen chest ct, <unk> and compatible with calcified fibrothorax. No new focal consolidation is present. No pleural effusion or pneumothorax. Displaced right clavicle fracture is again seen. There are no new abnormal cardiac or mediastinal contours. Aortic tortuosity is unchanged.
<unk>-year-old man with clavicle fracture and acute shortness of breath.
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Moderate cardiomegaly is mildly increased. There is a small left pleural effusion, unchanged. There is no pneumothorax. Osseous structures are unremarkable. Lung fields are clear.
<unk> with cardiac hx on pd p/w sob. any acute intrathoracic process? // <unk> with cardiac hx on pd p/w sob. any acute intrathoracic process?
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Lungs are well expanded. Diagonally oriented linear opacity projecting over the right upper-to-mid thorax, compatible with an unchanged area of scarring or rounded atelectasis as described on prior cts. No other focal consolidation, effusion or pneumothorax is seen. The heart is normal in size and normal cardiomediastinal contours. Bilateral ac joint degenerative changes noted.
<unk>-year-old male with coronary artery disease status post eight stents with afib, presenting with chest pain on exertion, assess for acute process.