Frontal_Image_Path
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Moderate anterior osteophytes are present along the lower thoracic spine. There has been no significant change.
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palpitations.
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Pa and lateral chest views have been obtained with patient in upright position. As the two next preceding portable chest examinations of <unk> were obtained to monitor the intubation and extubation, comparison is made with the next preceding pa and lateral chest examination of <unk>. The heart size remains unchanged and is within normal limits. Unaltered appearance of thoracic aorta, mediastinal structures. Again noted are the hyperinflated lungs with increased translucency in the bases coinciding with low positioned and somewhat flattened diaphragms. These findings are again consistent with the clinical diagnosis of copd. Comparison with examination of <unk> and today demonstrates a few linear basal densities on the left side suggestive of peripheral plate atelectasis as well as local thickening of the major pleural fissure. These findings consistent with a inflammatory re-activation in this area and a followup examination to document its resolution is recommended in about a week or two.
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<unk>-year-old male patient with copd, status post intubation-extubation with new productive cough. evaluate for pneumonia.
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The lungs are low in volume but clear. There is no focal consolidation, pleural effusion, or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.
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<unk>-year-old male with palpitations and shortness of breath, assess for intrathoracic pathology.
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The lungs are hyperinflated but clear. The heart size is normal. The superior aspect of the right hilus is asymmetrically enlarged, possibly secondary to bronchovascular structures versus mild lymphadenopathy. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
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chest tightness. evaluate for acute intrathoracic process.
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Lungs well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is top normal in size.
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history: <unk>f with sob, hx of chf // chf?
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The left hemidiaphragm is again elevated with stomach/colon beanth. Mild left base atelectasis is seen. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable. Again partially imaged is a left humeral prosthesis. Multiple old right-sided rib deformities are re- demonstrated with underlying right pleural thickening.
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history: <unk>f with cough, dyspnea, and chest pain // ?pneumonia
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Patient is status post median sternotomy and aortic valve replacement. Heart size is mildly enlarged but unchanged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is identified. Linear opacity within the right middle lobe likely reflects scarring, not substantially changed from the prior ct. No acute osseous abnormality is detected. There are moderate degenerative changes within the thoracic spine.
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history: <unk>f with generalized weakness and cough
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Right-sided port-a-cath tip terminates at the junction of the svc and right atrium. Heart size is mildly enlarged. Aorta is mildly tortuous. Prominence of the distal mediastinal contour at the gastroesophageal junction likely reflects the patient's known adenocarcinoma within this region. Hilar contours are otherwise unremarkable. Pulmonary vasculature is not engorged. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
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history: <unk>f with difficulty swallowing
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Severe cardiomegaly is again noted, similar when compared to prior. Left chest wall dual lead pacing device is again noted. The lungs are clear without focal consolidation, effusion, or pulmonary edema. No acute osseous abnormalities.
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<unk>f with hemoptysis // assessment for infiltrate
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Lower lung volumes seen on the current exam. Streaky right basilar opacity is likely secondary to atelectasis. Lungs are otherwise clear without consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. No displaced fractures identified. Anterior cervical fixation hardware is visualized.
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<unk>f with fall last week with ongoing headache, neck pain, vision changes. seen and imaged @ <unk>. // bleed, fracture, rib fx
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A left-sided picc is identified and terminates in appropriate position. Median sternotomy wires are again demonstrated. Lung volumes are low which accentuates bronchovascular markings. There is patchy right basilar opacification adjacent to a small right pleural effusion. No pneumothorax is identified.
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<unk>f with cough and dyspnea s/p cabg // eval pna, chf
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Frontal and lateral views of the chest demonstrate hyperexpanded lungs. There is no focal consolidation, pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unchanged. Heart size is normal. There is no pulmonary edema. There are prominent interstitial markings, which are unchanged since prior exam.
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difficulty breathing.
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Retrocardiac opacity seen on the lateral views, not well substantiated on the frontal view, may be due to overlapping structures or atelectasis, however underlying consolidation is not entirely excluded. The posterior left costophrenic angle is not well seen and a trace pleural effusion is not excluded. The cardiac mediastinal silhouettes are stable. No displaced fracture is seen.
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injury, unwitnessed fall, trauma to forehead.
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Ap and lateral views of the chest. Linear opacities identified at the lung bases, right greater than left, most suggestive of atelectasis. There is no confluent consolidation worrisome for infection. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormality is identified.
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<unk>-year-old female with altered mental status.
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Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. The hilar contours are also stable. No displaced fracture is seen.
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chest pain x.
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Study is limited due to patient body habitus. Diffuse interstitial opacity appears similar compared to prior. No new focal consolidation or pneumothorax is detected. Heart size is top normal and unchanged.
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<unk>-year-old female with history of heart failure and interstitial lung disease, now with fever and cough.
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The heart is at the upper limits of normal size. The aorta is moderately tortuous. Otherwise, the mediastinal and hilar contours appear unchanged. There is patchy opacification within each costophrenic sulcus suggestive of minor atelectasis, as well as left infrahilar retrocardiac opacity concerning for a focus of bronchopneumonia. There is no pleural effusion or pneumothorax. The bones are probably demineralized. Mild degenerative changes are similar along the mid thoracic spine.
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fever.
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As compared to the previous radiograph, all evidence of preexisting pneumomediastinum has completely resolved. No evidence of pneumomediastinum, pneumopericardium or pneumothorax on the current examination. Normal size of the cardiac silhouette. Normal appearance of the lung parenchyma.
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history of pneumomediastinum, evaluation for interval change.
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The lungs are hyperinflated, with flattening of the hemidiaphragms and attenuation of the peripheral vessels compatible with emphysema. There is no opacity concerning for pneumonia. And unchanged opacity in the left lower lobe is likely to scarring. There is no pleural effusion or pneumothorax. The heart is not enlarged. A moderate hiatal hernia is redemonstrated. Moderate dextroscoliosis centered in the mid thoracic spine is redemonstrated.
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<unk>-year-old male with weakness. evaluate for pneumonia.
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The cardiac silhouette is normal in size. Bibasilar platelike atelectasis is noted. There is no definite focal consolidation. No large pleural effusion or pneumothorax is present. No chf.
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history: <unk>f with upper abd pain, fevers // r/o acute process
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As compared to the prior examination dated <unk>, there has been no relevant interval change. There is no lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. Persistent elevation of the left hemidiaphragm is unchanged. The cardiomediastinal silhouette is within normal limits. Surgical clips overlie the mid left upper abdomen.
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<unk>f with sob x <num> weeks // ? pna, effusions
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As compared to the previous radiograph, the patient has made a bigger inspiratory effort. Borderline size of the cardiac silhouette. No pleural effusions. No focal parenchymal opacity suggesting pneumonia. No pulmonary edema. Normal hilar and mediastinal contours.
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evaluation for pathology.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
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<unk>f with weakness // infiltrate?
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Pa and lateral views of the chest provided. Low lung volumes limits assessment. The lungs appear clear. Cardiomediastinal silhouette appears stable. Bony structures are intact. No free air is seen below the right hemidiaphragm.
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<unk>f with cough and ruq abd pain, vomtiing
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Pa and lateral views of the chest provided. Right pneumothorax has decreased in size. The right chest tube positions are unchanged. Chest subcutaneous emphysema is again seen, extending inferiorly to the abdominal soft tissues and superiorly to the cervical soft tissues. There is no focal consolidation. The pulmonary vasculature is normal, without edema or pleural effusion.
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<unk> year old man status post right middle lobectomy and en bloc upper lobe wedge
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Patient is status post median sternotomy and cardiac valve replacement. Right-sided port-a-cath is seen with catheter terminating in the low svc/ cavoatrial junction. Patchy right base opacity is seen, which may be chronic, could be due to atelectasis, consolidation, but overall appears less extensive as compared to the chest radiograph from <unk>. There is also subtle left base opacity, pneumonia not excluded. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
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history: <unk>f with fever s/p bmt for non-hodkgin's lymphoma // eval for pna
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. Mild loss of height of a mid thoracic vertebral body is unchanged. No displaced rib fractures are identified.
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chest pain after trauma.
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The lungs are clear without focal consolidation, effusion, or edema. Mild cardiomegaly is noted. No acute osseous abnormalities. Chronic presumably posttraumatic changes seen at the left coracoclavicular region.
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<unk>m with renal xplant, t <num> // r/o pna
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Left chest wall dual lead pacing device is again seen. On the current exam there is more dense consolidation at the left lung base now silhouetting the hemidiaphragm. There is a small right-sided pleural effusion as well. There is no pneumothorax. The cardiomediastinal silhouette is difficult to assess. No acute osseous abnormalities identified.
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<unk>m with pleural effusions, hypotension // eval for pleural effusion
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In comparison with the study of <unk>, there is little change. Cardiac silhouette is within upper limits of normal in size and there is mild tortuosity of the aorta. No evidence of acute focal pneumonia, vascular congestion, or pleural effusion.
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chest pain.
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The lung volumes are low. The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions. Bony structures are unremarkable.
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left-sided chest pain.
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As compared to prior chest radiograph from <unk>, there is persistent airlessness of the left lower lung with elevation of the left hemidiaphragm. There is no pneumonia, pneumothorax or pulmonary edema. There has been no appreciable change in cardiomediastinal silhouette since preoperative evaluation. There has been some displacement of the osteotomy at the fourth posterior right rib, which is not significantly changed since yesterday. Nevertheless, there is no hemorrhage. Adjacent pleural thickening is unchanged. There is subcutaneous emphysema in the upper neck on the right.
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<unk>-year-old male patient status post tracheobronchoplasty. study requested for evaluation of interval change.
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Lungs are hyperinflated. Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. There are mild multilevel degenerative changes in the thoracic spine.
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right upper extremity weakness with head bobbing on exam.
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Lung volumes are low with moderate bibasilar atelectasis. Heart size is top normal. There is no large pleural effusion or pneumothorax. There are distended gas-filled loops of apparent large bowel in the upper abdomen incompletely imaged on this study.
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<unk> year old man pod#<num> lumbar laminectomy w/sob and decreased oxygen saturation into <unk>'s on exertion // r/o atelectasis vs 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.
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chest pain and shortness of breath. question pneumothorax or intrathoracic 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 are no pleural effusions or pneumothorax. No pneumomediastinum is demonstrated. Bony structures are unremarkable.
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chest pain.
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The lungs are clear of consolidation worrisome for pneumonia. There is no large effusion. Linear right basilar opacity suggestive of atelectasis versus scarring. Calcified granuloma seen bilaterally. Cardiomediastinal silhouette is stable, dense atherosclerotic calcifications noted in the aorta. Old right lateral rib fractures are noted.
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<unk>f with weakness, chest pain // eval for structural process
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The lung volumes are low. A small pleural effusion, best seen on lateral views, is of indeterminate laterality. Stable right atelectasis. The right upper lobe lesion consistent with history of adenocarcinoma is of similar size when compared to study from yesterday. Stable mild cardiomegaly. The mediastinal and hilar contours are stable. Interval resolution of small right apical pneumothorax.
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<unk> year old woman with lung cancer and pneumothorax // chest tube?
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Pa and lateral views of the chest. The left chest tube has been removed. The left apical pneumothorax is unchanged. Otherwise, unchanged from study done four hours prior.
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status post right vats and mediastinal biopsy, now with interval removal of chest tube, assess for pneumothorax.
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The patient is status post median sternotomy. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen. No displaced fracture is seen.
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chest pain radiating to left arm, improvement when sitting forward.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable and unchanged. The lungs are clear. Incidental note is made of an azygos fissure. There is no pleural effusion or pneumothorax.
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shortness of breath.
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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. There is no acute osseous abnormality.
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<unk>f with pleuritic chest pain low-grade fever, evaluate for pneumonia.
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Lung volumes are low. Heart size is normal. Rightward deviation of the cervical trachea may be due to a left sided thyroid nodule or goiter. Mediastinal and hilar contours are otherwise unremarkable. Linear opacities in the lung bases are compatible with subsegmental atelectasis. No pleural effusion or pneumothorax is seen. No displaced fractures are identified.
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motor vehicle collision, unrestrained, struck chest on steering wheel with chest wall pain.
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Moderate cardiomegaly and moderate pulmonary edema as well as a large layering right pleural effusion are compatible with cardiac failure. The patient is status post median sternotomy. Hyperinflation is noted as well.
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history: <unk>m with cp, shortness of breath // infiltrate?
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Heart size and cardiomediastinal contours are normal. There is mild hyperinflation consistent with emphysema. No focal consolidation, pleural effusion, or pneumothorax. Retrocardiac opacity is consistent with a moderate sized hiatal hernia.
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<unk> year old woman with cough, fever, ? pneumonia
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The small right apical pneumothorax has not increased in size and is perhaps minimally decreased from the prior exam. No evidence of tension. The size of the pneumothorax does not appreciably change with inspiration and expiration. The lungs are otherwise clear. No focal consolidation, pleural effusion, or pulmonary edema. The heart is normal in size. The mediastinum is not widened. Multiple right lateral rib fractures are unchanged.
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<unk> year old man w pneumothorax. // eval interval change please standing end expiratory. please complete at <num> am prior to rounds.
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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.
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history: <unk>f with chest pain // ? ptx
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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>. The heart size remains normal. No 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. Skeletal structures of the thorax grossly unremarkable.
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<unk>-year-old male patient with cough for one month. evaluate for pneumonia.
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There has been no significant interval change. The lungs remain hyperinflated and there is minimal basilar atelectasis/scarring. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable. Bilateral spine hardware is again seen. Right port-a-cath terminates in the low svc.
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history: <unk>f with productive cough // ? pna
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There is a dense left alveolar infiltrate most marked in the lower lobes but extending to the mid lung with some hazy alveolar infiltrate in the left upper lung there is increased lung markings at the right base. Compared to the film from <num> days ago of the extent of the alveolar infiltrates increased on the left patient's history bronchiectasis and these dilated airspaces are seen within the lung parenchyma on the left
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<unk> year old man with copd and pna // assess for interval change
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Frontal and lateral views of the chest demonstrate low lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema.
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chest pain. assess for pneumonia.
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Pa and lateral views of the chest provided. Lung volumes are somewhat low. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable with an unfolded thoracic aorta again noted. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>m with dizziness, nausea
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Lung volumes are slightly low. Linear opacity at the left base is unchanged since <unk> and may reflect scarring. There is no evidence of pneumonia. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax. There are surgical drains in the right upper quadrant.
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<unk> year old man with complex hx related to acute pancreatitis now with fever and 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.
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history: <unk>f with exertional chest pain and shortness of breath
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A large right pleural effusion displaces the lower mediastinum to the left. Bulging contour of the anterior aspect of the hilar structures on the lateral radiograph raises concern for central adenopathy, which may be substantial. The left lung is clear. There is no pneumothorax.
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<unk> year old woman with r lower chest pain and decreased breath sounds on r, egophony; ? pleural effusion. evaluate for possible r pleural effusion
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Frontal chest radiographs demonstrate the heart which is top-normal in size and low lung volumes. No focal consolidation, large pleural effusion, or pneumothorax is identified. Again seen is a <num> cm nodule projecting over the right upper lobe, unchanged.
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dyspnea and cough.
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Heart size is enlarged but stable. Mediastinal silhouette and hilar contours are normal. There has been significant decrease in right pleural effusion, now with small remnant amount of fluid. There is mild bibasilar atelectasis. Lungs are otherwise clear. There is no pneumothorax.
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pleural effusion.
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.the thoracic aorta is elongated and mildly tortuous, unchanged.
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<unk>f with ? cva . presents with gait instability. eval for consolidation.
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There has been interval removal of the left picc. The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. The lungs are well expanded without new focal consolidation concerning for pneumonia. Vague increased interstitial markings at the right lung base are chronic and most likely indicative of a nonspecific chronic interstitial process. The upper abdomen is unremarkable in appearance. Multilevel degenerative changes are seen in the thoracic spine.
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<unk> year old man with hx of lymphoma, chf, pulm htn. on chemo, immunosuppressed with pain in bilateral lateral ribs/flank area r > l. ? pna. // <unk> year old man with hx of lymphoma, chf, pulm htn. on chemo, immunosuppressed with pain in bilateral lateral ribs/flank area r > l. ? pna.
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Pa and lateral views of the chest provided. Port-a-cath positioned over the right axilla with catheter tip in the region of the mid svc. The heart is mildly enlarged. The hila appear engorged. There is a tiny right pleural effusion. Retrocardiac linear density is likely indicative of subsegmental atelectasis. There is no convincing evidence for pneumonia or edema. No pneumothorax. Mediastinal contour is unchanged. Bony structures are intact.
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<unk>f with hct <unk>.<unk> s/p port placement
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Pa and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion or pneumothorax. Again seen is biapical scarring within the lungs. The cardiomediastinal silhouette is normal. There is dextroscoliosis of the thoracic spine. There are no displaced fractures.
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<unk>-year-old female with dyspnea and fatigue. question cause of shortness of breath.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Thickening is noted along the right major fissure on lateral view corresponding to nodularity seen on prior ct. Pleural surfaces are otherwise clear without effusion or pneumothorax.
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shortness of breath for <num> week and upper back pain for <num> weeks with elevated d-dimer.
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Frontal and lateral views of the chest. The lungs are clear. There is no effusion. Cardiomediastinal silhouette is stable. No acute osseous abnormalities detected.
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<unk>-year-old male with right shoulder pain and cough for <num> days.
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Heart size is top normal. Mediastinal and hilar contours are within normal limits. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
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chest pain.
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The lungs remain hyperinflated. No focal consolidation, pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Evidence of hiatal hernia is seen.
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history: <unk>f with cough // r/o acute process
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Ap upright and lateral views of the chest provided. Lung volumes are low. Bronchovascular crowding and/or atelectasis at the lung bases noted. Mid upper lungs appear well aerated. No pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>m with worsening <unk> edema in setting of torsemide noncompliance, pain, cirrhosis // evaluate infiltrate, effusion
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The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
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<unk>-year-old female with cough and low-grade fevers.
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In comparison with study of <unk>, there is no change or evidence of acute cardiopulmonary disease. Specifically, no evidence of pulmonary or skeletal metastasis.
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melanoma, for disease status.
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The patient is status post coronary artery bypass graft surgery. There is a moderate-sized hiatal hernia, as before. The cardiac, mediastinal and hilar contours appear stable. Calcified pleural plaques are discernible at the base of the right chest, as before. The lungs appear clear. No fracture is identified.
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fall, headache, right flank pain and tenderness at the mid clavicular line along the lower right leads.
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Heart size is within normal limits. Aortic calcifications and prominence of the central pulmonary arteries are again noted. The lungs remain hyperinflated with flattening of the diaphragm, prior chest ct confirms emphysema. Linear scarring is again seen in the right middle and left lower lobes. There is no evidence for pulmonary consolidation, pulmonary edema, or pleural effusion. There is no pneumothorax. Degenerative changes, mild dextroconvex scoliosis, and ossification of the anterior longitudinal ligament are again seen in the thoracic spine. Minimal anterior wedging of several mid thoracic vertebral bodies is unchanged.
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cough, earlier with chest pain. assess for infiltrate.
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Ap upright and lateral views of the chest provided. Overlying ekg leads are present. There is persistent cardiomegaly with hilar congestion and worsening pulmonary edema compared with prior radiograph. Bilateral pleural effusions are small to moderate in size. Difficult to exclude a superimposed pneumonia in the lower lungs given increased lower lung opacity. No large pneumothorax. Severe degenerative disease at both shoulders, right greater than left.
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<unk>f with hypoxia // eval for acute process
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. Streaky opacity at the right lung base is consistent with minor atelectasis. There is otherwise no focal opacity. The chest is hyperinflated. There is no pleural effusion or pneumothorax.
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confusion and head trauma.
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The lungs are hyperinflated.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with cough // pna?
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Stable post cabg changes. No features of cardiac decompensation. No airspace consolidation. No suspicious pulmonary nodules or masses. Interval decrease in size of left-sided pleural effusion. No pneumothorax. Spondylotic changes of the thoracic spine. Mild background of pulmonary hyperinflation.
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<unk> year old man with pl effusion post cabg. s/p tap // eval pleural effusions recurrence
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Lung volumes remain low and exaggerate mediastinal and cardiac size. There is no evidence of active or latent pulmonary tuberculosis. Mediastinal and hilar contours are stable. Moderate cardiomegaly is unchanged with intact median sternotomy wires.
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<unk> year old man with ?history of positive tb skin test in the past. needs chest radiograph to clear for group daycare program. patient is asymptomatic. // r/o active tb
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Pa and lateral views of the chest were obtained. The heart is normal in size and cardiomediastinal silhouette including tortuous appearance of the thoracic aorta is unchanged. Lungs are well expanded and clear. Pulmonary vascularity is within normal limits. There is no focal consolidation, pleural effusion, or pneumothorax. The upper abdomen is unremarkable and bones are grossly intact.
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<unk>-year-old female with nausea and lightheadedness, rule out pneumonia.
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Compared with prior radiographs on <unk>, there is no significant changethe lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Heart size is top-normal..
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<unk> year old woman with chronic left lateral chest wall discomfort // please assess cardiopulmonary architecture/compare to <unk> study
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Streaky lateral left base opacity is most likely due to atelectasis/ scarring. There is slight blunting of the posterior costophrenic angle on the lateral view which may be due to trace pleural effusion. No pneumothorax is seen. Cardiac and mediastinal silhouettes are stable.
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history: <unk>m with increasing jaundice // pna
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Lung volumes are low, however the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. A rounded calcific density projecting over the heart on the lateral view is unchanged from prior and may represent a coronary stent.
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<unk> year old man with chest pain // r/o infection
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Right-sided port-a-cath tip terminates at the lower svc/right atrial junction. Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is normal. Multiple pulmonary nodules in both lungs are better depicted on the same day chest cta. Trace right pleural effusion is noted. There is no pneumothorax. There are no acute osseous abnormalities.
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shortness of breath.
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The persistent left pleural effusion has decreased in size since the prior exam, now small to moderate. There is no focal consolidation or pneumothorax. The right lung is clear. Mediastinal clips and median sternotomy wires are intact. A clip in the left upper quadrant is noted.
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history of left pleural effusion.
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As compared to the prior examination dated <unk>, there has been no significant interval change. Again, a diffuse background interstitial abnormality is noted. Multiple opacities within the right upper lobe, predominantly noted peripherally, are unchanged from <unk>. No lobar consolidation definitive for pneumonia is identified. Left lower lobe atelectasis is slightly improved from the prior examination. The cardiomediastinal silhouette is unchanged.
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history: <unk>m with chest pain // ?pna
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Right lung base airspace opacities appear new from prior studies and may represent atelectasis, aspiration, or early pneumonia. Bilateral upper lobe predominant reticular opacities are grossly unchanged from prior studies suggests the possibility of chronic lung disease such as hypersensitivity pneumonitis or sarcoidosis. . There is no pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is normal.
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<unk>m with cirrhosis incr abd distention, evaluate for cardiopulmonary disease.
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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. Screws within the right humeral head partially imaged. No free air below the right hemidiaphragm is seen.
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<unk>m with cp + elev trop // acute process for cp.
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The inspiratory lung volumes remain low. There is horizontal streaky opacification of the bilateral lung bases and right middle lobe, most compatible with atelectasis. There is no focal consolidation. A tiny calcified granuloma projecting over the right mid lung is unchanged. There is no significant pleural effusion or pneumothorax. The cardiac silhouette remains mildly enlarged but stable. The thoracic aorta is tortuous. The mediastinal and hilar contours are otherwise stable. Biapical scarring on the right greater than the left is again noted.
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fever, here to evaluate for pneumonia.
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There is a severe cardiomegaly. The lungs are grossly clear. There is no pneumothorax, pleural effusion, pulmonary edema or pneumonia. Sternal wires are aligned.
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<unk> year old man s/p avr // eval for pleural effusions
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Pa and lateral views of the chest are compared to previous exam from <unk>. Faint left basilar opacity resolved on second frontal view and is therefore likely due to atelectasis. The lungs are clear. The cardiomediastinal silhouette is within normal limits. The osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with generalized weakness.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
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<unk>-year-old female with chest pain. evaluate for acute cardiopulmonary process.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The left hemidiaphragm is slightly higher than the right, possibly due to a diaphragmatic eventration. This is unchanged from the prior exam.
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chest pain. evaluate for an acute process.
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The lungs are poorly inflated. There is bilateral diffuse airspace and interstitial opacities with an apico-basal gradient, vascular cephalization, bilateral hilar prominence, bilateral small pleural effusions in the setting of stable moderate-to-severe cardiomegaly. No pneumothorax.
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<unk>-year-old male with hypoxia and cough. evaluate for acute cardiopulmonary process.
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There is a moderate left and small right pleural effusions have increased since the prior radigraphs. Opacities overlying the left pleural effusion likely represent atelectasis. Additional ill-defined opacity in the left upper lobe, not previously seen, may be infectious. A right chest wall port is seen with catheter tip in the mid-to-low svc. The cardiomediastinal silhouette is unchanged. The bony structures are intact.
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<unk>-year-old man with pseudomonas bacteremia and large pleural effusion. patient to undergo thoracentesis today, would like extent of effusion evaluated.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are hyperexpanded but grossly clear. No pleural effusion or pneumothorax is seen. Bones are demineralized, and note is made of slight decrease in height of a mid thoracic vertebral body.
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<unk> year old woman with intraparenchymal hemorrhage // please evaluate for cardiopulmonary process
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with pericarditis recurrent pericardial effusions p/w chest pain and dyspnea // any cpd
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Improved aeration from the prior exam. Opacification of the right lower lung with silhouetting of the right hemidiaphragm, consistent with right lower lobe pneumonia and/or atelectasis. Small-to-moderate right pleural effusion, largely unchanged. Interval resolution of the left pleural effusion. Interval resolution of pulmonary edema. No pneumothorax. Stable cardiomediastinal silhouette. Stable position of the right-sided central venous catheter and the left pleural drain.
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<unk>-year-old woman with malignant endometrial ca, pleural effusion status post drainage, and a new right pleural effusion. evaluate the right-sided pleural effusion.
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Normal lungs, hila, mediastinum, pleural surfaces. Heart size is top normal. Partially imaged upper abdomen is unremarkable. Mild carinatum configuration upper sternum.
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chest pain. assess for pneumonia.
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Linear streaky bibasilar opacities, likely represents atelectasis. Cardiomediastinal silhouette is stable. Calcified granuloma in the right mid lung is unchanged from <unk>. There is no pleural effusion. Stable multilevel thoracic compression deformities are seen.
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<unk>f with ams, evaluate for pneumonia..
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Pa and lateral views of the chest provided. A left clavicle plate and screw fixation again noted. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No displaced rib fracture is seen. No free air below the right hemidiaphragm is seen.
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<unk>m with reported patellar fxs, rib fxs
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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.
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<unk>m with pancreatitis // pleural effusion** ordered portable by mistake, told tech, did not do portable. re-ordered pa and lateral
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
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history of back pain, positive stress test. please evaluate for cardiac disease.
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Pa and lateral views of the chest are compared to previous exam from earlier the same day and from <unk>. Compared to prior, there is slight increased conspicuity of a vague opacity at the right costophrenic recess best seen on the frontal projection. This opacity may represent an early pneumonia. Tiny bilateral pleural effusions are also noted. Cardiac silhouette is stable as are the osseous and soft tissue structures. Atherosclerotic calcifications again noted throughout the aorta.
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<unk>-year-old female. copd exacerbation, low o<num> saturation.
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