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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
chest pain.
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Frontal and lateral views of the chest were obtained. The heart size is mildly enlarged. Mediastinal contours are normal. The right lower lobe heterogeneous opacity could represent atelectasis, but pneumonia is not excluded. Interstitial lung markings are diffusely increased, suggesting pulmonary edema although other diffuse interstitial lung diseases cannot be excluded. Leftward deviation of the trachea is consistent with thyroid goiter. The patient is status post cabg. Pacer leads of a left chest wall generator terminate in the right atrium and right ventricle.
<unk>-year-old male with jaw pain and elevated troponins.
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Subtle opacity projecting over the left lung base on the frontal view, not substantiated on the lateral view, most likely represents atelectasis, early infection is not excluded in the appropriate clinical setting. The right lung is clear. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with sob // eval for infection, acute process
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with shortness of breath.
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Since <unk>, large hiatal hernia and small left pleural effusion are unchanged. Minor bibasilar atelectasis persists adjacent to the hiatal hernia. Heart size is normal. No pnemothorax.
<unk> year old woman with hydropneumothorax s/p chest tube // eval for worsening pneumothorax
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Frontal and lateral views of the chest. As on prior, the lung volumes are low. The lungs are clear of consolidation or pulmonary vascular congestion. The cardiac silhouette is enlarged but stable in configuration. The thoracic aorta is tortuous. Blunting of the posterior costophrenic angle could represent small effusions.
<unk>-year-old male with cough.
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The lungs are well-expanded and clear. No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. The mediastinum is not widened. This exam is not dedicated for imaging the ribs, but slight contour irregularity of the right lateral fifth and sixth ribs could indicate nondisplaced fractures or superimposed normal structures.
<unk>-year-old man presenting after fall with right rib pain.
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Lungs are hyperexpanded. There is no opacity worrisome for an infectious process. Known pulmonary nodules present on ct dated <unk> are not well appreciated and better assessed on ct. There is no pleural effusion or pneumothorax. No evidence of pulmonary edema. Cardiomediastinal silhouette is normal.
history: <unk>f with chest pain // eval for chf/pneumonia
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The cardiac device and wires are unchanged in position. No focal consolidation, pleural effusion or pulmonary edema is seen. The cardiac silhouette continues to be enlarged with no signs of vascular congestion. No pleural thickening is seen.
<unk>-year-old woman with positive ppd, likely future cardiac transplant. evaluate for evidence of active tb.
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Low lung volumes are noted with crowding of the bronchovascular markings. There is no parenchymal opacity seen at right lung particularly at the base laterally on the frontal view. Opacity at the right posterior costophrenic angle as well suggests component of effusion. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>f with cough // eval for pneumonia
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There is a dual-lead pacemaker/icd device with leads terminating in the right atrium and ventricle. The patient is status post placement of both prosthetic mitral and aortic valves. Sternotomy hardware appears unchanged. There is potentially a trace pleural effusion effacing the right posterior costophrenic sulcus, but none on the left. There is moderate unfolding of the thoracic aorta. The heart is again mild-to-moderately enlarged. There is similar mild elevation of the right hemidiaphragm compared to the left. The lungs appear clear.
shortness of breath. question pneumonia.
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The cardiomediastinal silhouettes are within normal limits. The bilateral hila are unremarkable. The lungs are clear. Apparent minimal blunting of the posterior costophrenic angles on lateral view makes it difficult to exclude trace bilateral pleural effusions. There is no evidence of pulmonary vascular congestion. There is no pneumothorax.
<unk>-year-old woman with a seizure, evaluate for pneumonia.
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Patient is status post right mastectomy and bilateral axillary lymph node dissection. Additionally, there has been apparent wedge resection in the inferior segment of the lingula. Cardiomediastinal contours are stable in appearance. Heterogeneous opacities in the right mid and lower lung are new compared to the prior chest radiograph and apparently new since a more recent thoracic spine radiograph of <unk>. Several healed rib fractures are present in the right hemithorax and it is possible that a component of the opacities are related to the chest wall and pleura. There is no evidence of pleural effusion or pneumothorax. Severe compression deformity at t<num> has been treated by vertebroplasty in the interval. Mild compression deformities at t<num> and t<num> are radiographically unchanged since <unk>.
<unk> year old woman with h/o asthma/copd with dyspnea, crackles, remote history of breast cancer // any infiltrates or edema
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Pa and lateral chest radiographs demonstrate clear lungs. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
chest pain. evaluation for pneumothorax.
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Pa and lateral image 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 male with recent pneumonia, now requiring followup imaging.
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk> year old woman with chest pain // eval for pna
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion, focal consolidation or pneumothorax is seen. There is no pulmonary vascular congestion. The osseous structures demonstrate no acute abnormalities.
chest pain, cough and shortness of breath.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with chest pain // eval for pna
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A large hiatal hernia is re- demonstrated. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is unchanged.
<unk>f with likely gallstone pancreatitis, evaluate for pleural effusion.
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The cardiac, mediastinal and hilar contours appears stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures appear within normal limits.
chest pain.
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There is mild elevation of the left hemidiaphragm with associated minor atelectasis. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with hx of esld and pulm htn, pls eval cxr for pna and ruq us for portal vein thrombosis // history: <unk>m with hx of esld and pulm htn, pls eval cxr for pna and ruq us for portal vein thrombosis
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A right port-a-cath ends in the low svc, as before. Heterogeneous opacities in the right mid to lower lung are not significantly changed compared to the prior radiograph from <unk>. Additional nodular opacities in the left lower lobe are also unchanged. There is no new focal consolidation. The heart size is normal. The mediastinal contours are unchanged. There are no pleural effusions. No pneumothorax is seen.
lymphoma with increasing cough. assess for abnormality.
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Lungs are clear. Cardiomediastinal silhouette and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old woman with bibasilar rales new since previous exams.
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Pa and lateral views of the chest provided. Midline sternotomy wires again noted. Lung volumes are low. Interstitial opacities are increased from prior which could represent an atypical pneumonia versus interstitial pulmonary edema. Elevated right hemidiaphragm is unchanged. No large effusion or pneumothorax. The heart and mediastinal contours are similar. Mild hilar congestion likely present. Bony structures are intact. Degenerative changes at the ac joints noted.
<unk>f with cough, fever // eval for infiltrate
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In comparison with study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
crackles at the bases and cough, to assess for pneumonia.
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Frontal and lateral views of the chest were obtained. The heart is of top normal size with normal cardiomediastinal contours. The aortic knob is calcified. Patchy opacities in the lung bases are compatible with atelectasis or aspiration. Lung apices are obscured by the patient's chin. No pleural effusion or pneumothorax. Osseous structures are diffusely demineralized. No radiopaque foreign body.
history of esophageal strictures and unable to swallow. evaluate for aspiration.
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Ap and lateral chest radiographs. The right paratracheal stripe is enlarged, which may represent a dilated azygos vein from impeded venous return in the ivc shown on concurrent ct of the abdomen/pelvis. Alternatively, this could be lymphadenopathy in this patient with presumed lymphoma. The left hemidiaphragm is elevated from massive splenomegaly with adjacent atelectasis. There is no focal consolidation, pleural effusion, or pneumothorax. Excreted contrast within hydronephrotic left kidney is partially imaged. There is no free intraperitoneal air.
abdominal pain. evaluation for free air.
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The lungs are moderately hyperinflated with a clear left lung. Tubular and heterogeneous radiopacities within the right lower lobe are consistent with aspirated contrast from prior oropharyngeal video swallow. Right lower lobe atelectasis is noted. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Intact median sternotomy wires and sternal clips are consistent with prior history of cabg.
<unk>m with cough, fatigue. assess for aspiration or pneumonia
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Pa and lateral views of the chest demonstrates the lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no evidence of focal opacification, pneumothorax, pleural effusion or pulmonary edema.
<unk>-year-old male status post assault.
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Pa and lateral views of the chest provided. Airspace consolidation is noted in the right lower lobe. There may also be consolidation in the left lower lobe in the retrocardiac space. No large effusion is seen. No pneumothorax. Cardiomediastinal silhouette is stable. Bony structures remain intact.
<unk>m with hiv and cough // ?pneumonia
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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>m with chest pain // ? acute cardiopulm process
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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.
<unk>m with chest pain.
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Mild interval improvement of right upper lobe consolidation. The right lower lung opacifications are unchanged. Stable appearance of linear atelectasis or scarring in the left mid-lung zone. No new consolidations are identified. Normal appearance of the cardiomediastinal silhouette. No evidence of pleural effusions or pneumothorax. Port-a-cath is unchanged.
<unk> year old woman with asthma, pneumonia, now with worsening dyspnea // please eval for progression or resolution of pneumonia, trying to determine if infectious vs asthma driver
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The cardiomediastinal and hilar contours are within normal limits. There is no focal consolidation, pleural effusion or pneumothorax. A rounded opacity at the base of the right lung is consistent with a <num> cm nodule within the right lower lobe as demonstrated on the chest cta from <unk>.
<unk> year old woman with prior pe, needs vq // pre vq
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Pa and lateral views of the chest. No prior. The lungs are clear. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with subjective fevers.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of consolidation or effusion. Right lower lung nodule is as previously detailed. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with productive cough and night sweats. question pneumonia or fluid overload.
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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>m with chest pain // eval for pna
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The heart size is normal. The mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. A linear lucency is noted involving the distal left clavicle, suspicious for nondisplaced fracture. No displaced rib fractures are demonstrated.
struck by car
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Heart size is borderline enlarged though this is likely accentuated due to low lung volumes. The mediastinal contour is unremarkable. There is crowding of the bronchovascular structures, without overt pulmonary edema demonstrated. Streaky opacities are noted in both lung bases. No pleural effusion or pneumothorax is present. A vp shunt catheter is partially imaged, projecting over the right chest.
history: <unk>f with hcv, cirrhosis, dm<num>, htn, polysubstance abuse presenting with ams, fall today, leukocytosis, troponin elevation, new <unk>. // please evaluate heart size and for consolidation
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A dual lead pacemaker is again seen with the tips in the right atrium and right ventricle. The heart remains mildly enlarged. Mild pulmonary vascular congestion, is chronic and unchanged. No pleural effusions or pneumothorax no acute focal consolidation. The bone mineral density is diffusely reduced with mild wedging of the lower thoracic vertebral body height and multiple healing rib fractures are seen on the right.
<unk> year old woman awaiting mri who has a pacemaker // please evaluate placement and lead positioning
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As compared to the previous examination, the patient has received the left pectoral pacemaker. The pacemaker leads are projecting over the right atrium and the right ventricle respectively. There is no evidence of pneumothorax or other complication. Normal size of the heart, no pulmonary edema.
<unk> year old woman with new pacemaker // pneumothorax and lead placement
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Mild cardiomegaly has been stable compared to exams dated back to at least <unk>. The hilar and mediastinal contours are normal. No focal consolidation turning for pneumonia are identified. Diffuse bilateral interstitial abnormality has been stable compared to exams dating back to at least <unk>. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history: <unk>f with dyspnea and chest pain // eval for pulm edema
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In comparison with study of <unk>, the area of suspected opacification at the right base medially is not definitely appreciated. No convincing evidence of acute pneumonia at this time. Hyperexpansion of the lungs persists along with a small-to-moderate hiatal hernia.
peribronchiolar opacity in <unk>, to assess for resolving pneumonia.
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Substantial increase in peribronchial opacification in the right lower lung, middle lobe and lower lobe and more modest increase in the chronic abnormality in the left lower lobe is most likely infectious, either pneumonia or inflammation due to a flare of multi focal bronchiectasis lung volumes are chronically low. Heart size is normal and there is no pleural effusion. Severe gaseous distention of the stomach and transverse colon are chronic, suggesting aspiration may contribute to recurrent pneumonias.
<unk> year old man with myasthenia <unk> and bronchiectasis reporting increased secretions. // evaluate for pneumonia evaluate for pneumonia
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Frontal and lateral chest radiographs demonstrate mild cardiomegaly with associated pulmonary vascular congestion. Subtle focal opacity in the right infrahilar region. There is no appreciable pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable.
shortness of breath.
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Lungs are hyperinflated but clear. The cardiomediastinal silhouette is within normal limits. No focal osseous abnormality identified
<unk>m with pituitary macroadenoma p/w ams // ?pna, pulm edema
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Frontal and lateral views of the chest demonstrates fully expanded and clear lungs. The previously noted consolidations have resolved. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Pleural surfaces are normal. L<num> compression deformity is stable.
pneumonia now off antibiotics, interval assessment.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear with no focal consolidation, pleural effusion or pneumothorax. Multiple bilateral chronic rib fractures are stable in appearance from the prior exam and show evidence of bony healing. Elevation of the hemidiaphragms is stable likely due to fibrotic change.
history: <unk>f with ams // acute process?
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Parenchymal scarring related to prior asbestosis exposure is relatively unchanged since <unk>. Pleural plaques are again noted. Blunting of the right costophrenic angle may represent a tiny pleural effusion or chronic pleural scarring. There is no focal opacity, pulmonary edema or pneumothorax.
<unk> year old man with assess right lower and mid lung field rales and rhonchi.
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The lungs are clear. Cardiac silhouette is normal in size. There is no pleural effusion, pneumothorax or pulmonary edema.
question pneumonia.
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Frontal and lateral radiographs of the chest demonstrate an unchanged dialysis catheter with the tip in the right atrium. There is mild left upper lobe scarring as well as a right lower lobe calcified granuloma, both of which are unchanged. No acute consolidation, pleural effusion, or pneumothorax is detected. The cardiac silhouette is slightly enlarged, although unchanged from the prior radiograph.
acute shortness of breath since last night with cough.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. Streaky retrocardiac opacity suggests minor atelectasis or perhaps chronic scarring. Otherwise the lungs appear clear. There is no pleural effusion or pneumothorax.
syncope.
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Pa and lateral radiographs of the chest reveal bilateral lower lobe and lingular atelectasis. The lungs are otherwise clear. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. The hilar and cardiomediastinal contours are normal.
<unk>-year-old woman with fever.
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Low lung volumes with bibasilar atelectasis. No convincing lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. Mild cardiomegaly may be secondary to poor inspiratory effort.
history: <unk>f with cough and fever // r/o pna
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Pa and lateral views of the chest. The lungs are clear of consolidation or effusion. The cardiac silhouette is slightly enlarged and the aorta is tortuous. There is mild vertebral body height loss in the mid to lower thoracic spine. Osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old male with white blood cell count of <num>. question pneumonia.
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There is a right chest pacer device in unchanged position with associated dual leads projecting over the right atrium and ventricle, respectively. Again seen is post cabg change with median sternotomy wires and mediastinal surgical clips. There is moderate enlargement of the cardiac silhouette, unchanged. Diffusely increased interstitial prominence likely reflects mild pulmonary vascular congestion. Retrocardiac opacity likely reflects basilar atelectasis. There is no focal lung consolidation. There is no pneumothorax. Left pleural effusion is small.
<unk>m with hx cad s/p cabg, aaa repair presenting with epigastric pain, evaluate for pneumonia as etiology of epigastric pain.
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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 chest pain.
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.incidental note of increased hydroxyapatite deposition in the bilateral subdeltoid bursae is made.
<unk> year old woman with cough, sweats, feeling feverish. lungs clear. non-smoker. rule out pneumonia.
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The lungs are hyperinflated. There is no consolidation, edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Overall, there is no significant change from the prior radiograph.
chest pain.
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Heart size is normal and unchanged. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. There are bridging osteophytes of the visualized spine.
<unk>-year-old man with intermittent chest pain. evaluate for vs. infiltrate
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Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
shortness of breath and epigastric discomfort.
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Right pectoral infusion port terminates at mid svc. Multiple pulmonary nodules are similar compared to <unk>. Opacity in the retrocardiac region on lateral view which may be due to atelectasis however pneumonia is possible. There is no pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
<unk> year old woman with decreased breath sounds, persistent fevers, neutropenia // infection?
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Again is seen a pacer unit in the right chest with leads terminating in the right atrium and right ventricle. Midline sternotomy wires are unchanged. A left-sided central venous catheter tip terminates in the lower svc. The heart size is enlarged but stable. The mediastinal and hilar contours are unchanged. The lung volumes are low and bibasilar atelectasis is present, but improved. Small bilateral pleural effusions persist, larger on the right than left, but the right-sided pleural effusion has decreased. There is no pneumothorax.
<unk>-year-old male with shortness of breath and cough.
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No previous images. The heart is normal in size and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
atrial fibrillation, to assess for pneumonia.
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The lungs are well inflated. Bibasilar atelectasis, greater on the left is grossly unchanged since prior studies. A subtle increased peripheral opacity in the left lower lobe could be present. Small bibasilar effusions are stable. No pneumothorax is present. The cardiac and mediastinal contours are unremarkable. Right-sided port-a-cath tip is seen in the low svc.
<unk>-year-old woman with neutropenic fever and pancytopenia, hemolytic anemia, splenomegaly, colon cancer status post liver biopsy yesterday.
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. Surgical clips within the right aspect of the neck suggest prior right hemithyroidectomy. Widening of the left acromioclavicular normal suggests interval resection of the distal portion of the left clavicle.
<unk>f with chest pain, evaluate for cause of chest pain
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Mild enlargement of the cardiac silhouette is unchanged. Mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. As seen previously, there is a chronic left anterior shoulder dislocation with remote fracture deformity of the proximal left humerus and surrounding heterotopic ossification. Widening of the ac joints bilaterally persists. Remote left-sided rib fractures are again noted. A right humeral head prosthesis is again noted.
history: <unk>f with fever, pain all over
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The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are hyperinflated with emphysematous changes again seen, most pronounced towards the apices. <num> calcified granulomas in the left upper lobe are unchanged. Scarring within the right upper lobe peripherally is similar to that seen on the prior ct. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen. Multiple left-sided clips are seen in the left neck compatible with prior hemithyroidectomy.
history: <unk>f with right lateral chest wall pain and tenderness, left shoulder pain after being hit by car at low speed // r/o rib fracture, pneumothorax, left shoulder fracture
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The lungs are relatively hyperinflated but clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with chest pain // eval for pneumothorax
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.no air beneath the right hemi-diaphragm.
<unk>f with bilateral upper quadrant pain, r>l // eval for acute process
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac silhouette size is normal. Mediastinal contours are unremarkable.
history: <unk>f with worsening sob // ?infectious process
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Chest, upright ap and lateral. The lungs are clear. Exaggeration of the cardiac silhouette is likely secondary to ap technique. Widening of the upper mediastinum is unchanged from prior examinations. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. The left port-a-cath terminates in the mid svc.
generalized weakness.
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Pa and lateral views of the chest provided. Interval removal of a pigtail catheter from the right hemi thorax. Moderate subcutaneous emphysema along the right chest wall is unchanged. A large left upper lobe mass appears unchanged, however was better evaluated on ct chest <unk>. An additional <num> mm left lower lobe pulmonary nodule is not seen. A tiny right apical pneumothorax appears unchanged. Hilar contours are normal. Mild cardiomegaly is unchanged.
<unk> year old woman with lung cancer. // eval post chest tube removal change. please do the exam at <time> pm today.
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Low lung volumes are present. Cardiac silhouette size is moderately enlarged, accentuated by the presence of low lung volumes. Mediastinal and hilar contours are unremarkable. Crowding of the bronchovascular structures is present without pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is seen. There is mild atelectasis at the lung bases. Moderate hypertrophic changes are seen within the thoracic spine.
history: <unk>m with lethargy
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and unchanged hyperinflated lungs which are clear. There is no pleural effusion or pneumothorax. Sternal and anterolateral left <num>th rib fractures are better evaluated on recent ct chest.
status post motor vehicle collision with history of copd, now with rib fractures. evaluate for pneumonia.
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Again seen is an area of increased opacity in the retrocardiac region on the frontal film. No infiltrate is seen on the lateral film. This likely represents a small area of consolidation in the lingula. This has not progressed since the prior study.
followup question pneumonia.
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Lung volumes are low. There is no evidence of pneumonia or atelectasis. The heart is mildly enlarged and the aorta is tortuous. The hilar contours are normal. The pleural surfaces are normal without effusion or pneumothorax. There is an old rib fracture on the left, which appears healed.
chronic thromboembolic pulmonary hypertension. evaluation before lung scan.
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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 cough, fatigue // ?pna
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Pa and lateral views of the chest provided. There is no focal consolidation, large effusion or pneumothorax. Mild crowding of bronchovascular markings in the lower lungs is noted. No evidence of congestion or edema. Cardiomediastinal silhouette appears normal. Bony structures are intact.
<unk>m smoker with rle wound. pre-op for tomorrow.
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Give ap technique and the low lung volumes, heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. Lucency under the right hemidiaphragm is once again noted, compatible with pneumoperitoneum, expected in the setting of peritoneal dialysis.
productive cough and malaise for two days.
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Pa and lateral views of the chest provided. Lung volumes are somewhat low. Though, 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>m with palpitations, chest pressure
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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.
chest pain.
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Pa and lateral views of the chest provided. Vp shunt tubing courses over the left hemi thorax. A prominent epicardial fat pad abuts the left heart border accounting for subtle opacity obscuring left heart border. No convincing signs of pneumonia. No edema, pleural 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 ?pna // c/o cough and fevers
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Pa and lateral views of the chest demonstrate hyperexpansion of the lungs bilaterally. The previously seen central venous catheter has intervally been removed. The patient is status post sternotomy and aortic valve graft repair, with a stable postoperative appearance. There has been near complete interval resolution of the previously seen left-sided pleural effusion. There is no focal opacity and no pneumothorax is seen. There is no evidence of pulmonary edema. Degenerative changes are present within the thoracic spine. Clips are noted in the right neck.
pulmonary hypertension and <num> month of shortness of breath. evaluation for fluid overload.
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Cardiac, mediastinal and hilar contours are unchanged and within normal limits. The pulmonary vasculature is normal. There is minimal atelectasis in the left lung base, as seen previously. No new areas of consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
chest pain.
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In comparison with the study of <unk>, the patient has taken a somewhat better inspiration. No evidence of vascular congestion or acute pneumonia. Right subclavian catheter tip lies in the lower svc. Cervical fusion device is again seen.
intermittent shortness of breath with basilar crackles.
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The cardiac silhouette is normal. Improved normal postoperative appearance of the right middle lobe following wedge resection with no volume loss. The lungs are hyperinflated consistent with severe emphysema. No focal opacifications, pleural effusions, or pneumothorax are seen.
<unk> year old woman s/p vats rml wedge // please eval for interval change, post-op
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Compared to the prior study, the left chest tube is been removed. There is a new faint focal opacity at the left base laterally, measuring approximately <num> cm in diameter which could reflect localized pleural fluid or pulmonary contusion. No gross effusion and no obvious pneumothorax is detected. Probable atelectasis at the left lung base. The left hemidiaphragm is elevated, similar to prior. Subcutaneous emphysema along the lower left chest wall is slightly increased. There is some residual atelectasis in the right mid zone, but upper zone atelectasis has cleared. Minimal atelectasis in the right cardiophrenic region. Minimal blunting of the right costophrenic angle but no gross effusion. Cardiomediastinal silhouette is unchanged. No chf.
<unk> year old woman s/p l vats wedge biopsy, ct removed // post-pull
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The patient is status post median sternotomy and cabg. Mild enlargement of the cardiac silhouette is slightly increased in size compared to the previous study. Mediastinal and hilar contours are normal. Atherosclerotic calcifications are noted within the thoracic aorta diffusely. Pulmonary vasculature is not engorged. Streaky opacities are demonstrated in both lung bases, most likely reflective of atelectasis. Small bilateral pleural effusions are new compared to the previous exam. No pneumothorax is present. There are no acute osseous abnormalities identified.
history: <unk>f with shortness of breath
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac cell is top-normal. The aorta is somewhat tortuous. No displaced fracture is seen.
history: <unk>f with chest pain // eval for structural process
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Pa and lateral views of the chest provided. Lungs are hyperinflated and lucent suggesting emphysema. The aorta is unfolded as on prior with knob calcifications. The heart is stable and normal in size. Lungs are clear. No large effusion or pneumothorax. No signs of congestion or pneumonia. Bony structures are intact. No free air below the right hemidiaphragm peer
<unk>f with atrial fibrillation, prior pulmonary embolism <unk> years ago, who presents with cough x<num> days and intermittent chest pain
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The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pneumothorax, pulmonary edema, or focal consolidation. There is a slightly displaced fracture of the left lateral seventh rib.
history: <unk>m with c/o left thoracic pain and left arm pain after fall // ? fx
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Pa and lateral views of the chest demonstrates the cardiomediastinal silhouette is normal. The lungs are well expanded and clear. There is no pleural effusion, pneumothorax or evidence of pulmonary vascular congestion.
<unk>-year-old female with syncope and fall. evaluation for cardiomegaly.
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In comparison with study of <unk>, there is decreased opacification at both bases. Mild atelectatic changes persist, but no evidence of vascular congestion or acute pneumonia.
median sternotomy for thymectomy.
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Frontal and lateral views of the chest. On the lungs remain clear. There is no effusion, consolidation, or pulmonary vascular congestion. Cardiomediastinal silhouette is unchanged. Mid thoracic dextroscoliosis is again noted as well as hypertrophic changes in the spine.
<unk>-year-old female with chest pain.
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Ap and lateral radiographs of the chest demonstrates clear lungs. The cardiac and mediastinal contours are normal. No pleural abnormality is seen.
chest pain. evaluate mediastinum.
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Lung volumes are low. Opacity in the right lower lobe and possibly right middle lobe with silhouetting of the right hemidiaphragm consistent with pneumonia. Opacity in the left lower lobe is also consistent with pneumonia. There is mild atelectasis bilaterally. No effusion or pneumothorax. No edema. Heart size is normal.
<unk> year old man with fever // r/o pna
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The lung volumes are low. The heart size is normal. The aorta is mildly tortuous. Mediastinal and hilar contours are otherwise unremarkable. There is crowding of the bronchovascular structures but no pulmonary edema is present. There is eventration of the right hemidiaphragm. No focal consolidation, pleural effusion or pneumothorax is seen. There are mild atelectatic changes noted at the lung bases.
trauma, fall with calcaneal fracture, preoperative assessment.
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized.
history: <unk>m with dyspnea
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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.
leukocytosis and altered mental status. evaluate for acute process.