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Increased, mild to moderate cardiomegaly. Aortic tortuosity. Normal hilar contours and pleural surfaces. Fully expanded, clear lungs. No acute pneumonia.
<unk>-year-old woman with cough and fever. evaluate for pneumonia.
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Frontal and lateral chest radiographs are obtained. Lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Overlying soft tissue structures and osseous structures are normal.
evaluation of patient with cough.
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The tip of the dobhoff tube is seen in the mid esophagus. Lungs are clear. The cardiac size is mildly enlarged. There is no pulmonary edema or pneumothorax.
history: <unk>f with displaced ngt // check ngt position
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Mild enlargement of cardiac silhouette is noted. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is seen. Minimal retrocardiac atelectasis is noted. There are no acute osseous abnormalities.
syncope.
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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. No subdiaphragmatic free air is detected.
right upper quadrant pain with pleuritic component. evaluate for pneumonia, abdominal free air, acute changes.
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The inspiratory lung volumes are slightly decreased. The lungs are clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The trachea is midline. There is no free air beneath the right hemidiaphragm.
lower abdominal pain and vomiting, here to evaluate for acute cardiopulmonary process.
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A right pleural drainage catheter is noted at the lung base. There is a residual small right pleural effusion. There is background is mild interstitial pulmonary edema. The heart size is unchanged. The mediastinal contours are stable. There is no pneumothorax.
<unk>f pod<num> from right pleurex catheter placement for pleural effusion p/w bleeding from site, evaluate for pleural effusion catheter placement.
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Heart size is normal. The aorta remains mildly tortuous. The mediastinal and hilar contours are otherwise within normal limits. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is detected. There are no acute osseous abnormalities.
history: <unk>f with productive cough and chills
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Heart size is normal. The mediastinal and hilar contours are unremarkable. Diffusely increased interstitial opacities bilaterally are suggestive of mild interstitial pulmonary edema. Small bilateral pleural effusions are noted. No pneumothorax is detected. There are no acute osseous abnormalities.
<unk> year old woman with shortness of breath
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A left-sided picc is seen coiled in the region of the left subclavian vein and terminating at the svc/brachiocephalic junction. 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 fever and cough // r/o pna
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable, as are the hilar contours. No pulmonary edema is seen. No displaced fracture is seen.
hiv presenting with <num> weeks of left-sided chest pain radiating to back, worse with exertion and inspiration.
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. There is no pneumothorax or pleural effusion. The lungs are clear. A convex density is noted along the right paraspinal region, and is of unclear etiology.
history: <unk>m with cough // eval for pneumonia, pneumothorax
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Vague opacities over the lung bases are most likely due to overlying soft tissues. There is a <num> mm nodular opacity projecting over the right lung base laterally, overlying the right anterior eighth rib. Elsewhere, the lungs are clear. Cardiac silhouette is mildly enlarged. There is tortuosity of the descending thoracic aorta with atherosclerotic calcifications at the aortic arch. No acute osseous abnormalities identified.
<unk>m with sob // ? pna
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In comparison with study of <unk>, there is persistent and probably mildly increasing left pleural effusion with elevation of the hemidiaphragmatic contour and some volume loss in the left lower lobe. Right lung is essentially clear and there is no evidence of vascular congestion.
fusion.
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A left-sided pacemaker is seen with leads projecting over the right ventricle and left ventricle and unchanged in position from prior radiograph. There is no focal consolidation, pleural effusion or pneumothorax. Cardiac silhouette is enlarged but stable.
<unk>-year-old man with chf, ivcd presents for a left lv lead revision.
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In comparison with study of <unk>, there is increased opacification bilaterally consistent with pleural effusions, more prominent on the right. The region of the azygos vein is somewhat more prominent than on the previous study, raising the possibility of some right-sided heart failure. There is minimal elevation of pulmonary venous pressure. The upper zones are clear. Port-a-cath remains in place.
pleural effusion.
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The lungs are clear of consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with tachycardia and lightheadedness. // r/o chf, pneumonia
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Pa and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The bones are intact. The imaged upper abdomen is unremarkable.
history of back pain and dyspnea. rule out acute process.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of focal consolidation. There is no effusion or pneumothorax. The cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.
<unk>-year-old male with near syncope.
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The heart size is normal. The hilar and mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of productive cough. rule out pneumonia.
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
<unk> year old woman with <unk> mts of cough // eval for abnormals.
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Lung volumes are low leading to crowding of the bronchovascular structures. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged. Median sternotomy wires are again noted.
history: <unk>f with h/o asthma c/o sob and doe // c/o sob h/o asthma
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Streaky opacities at the left lung base are seen on the frontal view, with no definite correlate on the lateral view. This most likely represents atelectasis. No other focal consolidation. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits.
history: <unk>m with chest pain and cough // pneumonia?
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Patient is status post median sternotomy and cabg. Linear areas of atelectasis/ scarring are seen at the bilateral mid to lower lungs. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable, given differences in patient position and technique..
history: <unk>m with cp, sob // pna?
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The heart size is within normal limits. The mediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old male with chest pain radiating to the left shoulder.
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Heart size is normal with a left ventricular predominance. The mediastinal contour is unchanged with widening of the superior mediastinum due to a combination of the patient's known right lower paraitracheal/suprahilar mass and lipomatosis as seen on the prior pet-ct. Fullness of the right hilum is compatible with hilar adenopathy. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen.
history: <unk>m with probable lung cancer now with probable metastases to brain. // assess interval change
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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 acute process in a patient with acute left chest pain and hypertension to <unk>.
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Heart size remains moderately enlarged. The mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities seen.
history: <unk>m with productive cough, sick contact with pneumonia
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Right lung volume loss with costodiaphragmatic pleural thickening and atelectasis is stable since <unk>. Left lung is unremarkable. Mediastinal and cardiac contours are unchanged.
patient with abdominal pain and infection, rule out cardiopulmonary pathology.
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Portable ap upright and lateral views of the chest were obtained. Apparent enlargement of the cardiac silhouette is likely related to the ap technique. Cardiomediastinal contour is stable. Lungs are clear. There is no pulmonary edema. There is no pleural effusion or pneumothorax. Prominent anterior osteophytes are noted along the thoracic spine.
<unk>-year-old woman with chest pain and shortness of breath for several hours, evaluate for pneumonia or edema.
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The lateral view is slightly suboptimal due the patient's overlying arm. There is blunting of the right costophrenic angle consistent with a small/trace right pleural effusion. The cardiac silhouette is top-normal to mildly enlarged. No overt pulmonary edema is seen. Aorta is calcified and tortuous. Right paratracheal opacity is stable likely representing prominent vascular structure.
increased shortness of breath, lower extremity swelling.
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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>f with sob // sob
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable. No pulmonary edema is seen. .
history: <unk>m with chest pain, hx of pna <num> month ago // ? pna, consolidation
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The heart is mildly enlarged. The left cardiac contour probably corresponding to the atrial appendage appears somewhat prominent and central pulmonary arteries are probably slightly enlarged. There is a mild interstitial process with kerley b lines, particularly evident in the right lung, and this suggests mild vascular congestion. There is exaggerated kyphotic curvature of the thoracic spine and a lower thoracolumbar mild superior endplate compression deformity that is age indeterminant. The bones appear demineralized.
chills and weakness.
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Frontal and lateral views of the chest. There are multi focal bilateral regions a consolidation scattered throughout the lungs bilaterally which have a somewhat rounded configuration. There is no effusion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.
<unk>-year-old male with likely septic emboli on outside hospital chest x-ray.
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Frontal and lateral views of the chest. Ap projection and low lung volumes exaggerate heart size, which is top normal. Upper mediastinal contours are stable. Small opacity in the right lung base projects over the lower thoracic spine. No pleural effusion or pneumothorax.
syncope and cough for <num> days.
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Frontal and lateral chest radiographs demonstrate mildly low lung volumes with increased prominence of the cardiac silhouette and bronchovascular crowding. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
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>m with weakness
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Pa and lateral images of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history of aaa, cad, hypertension, hyperlipidemia with <num> day history of chest pain.
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The lung volumes are low, resulting in crowding of bronchovascular structures. There is no pleural effusion, pneumothorax or focal airspace consolidation. Heart is mildly enlarged. There is no evidence of pulmonary edema. The mediastinal and hilar contours are unremarkable.
shortness of breath and chest pain. evaluate for an acute process.
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The lungs are well-expanded and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.
<unk>m with chest pain. assess for pneumothorax
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Sternotomy wires are intact. Prosthetic aortic valve appears in unchanged position. No consolidation, pleural effusion, or pneumothorax is identified. Previously seen pleural effusions have resolved. Cardiomediastinal silhouette is normal size.
history: <unk>f with recent open heart surgery <num> weeks ago for as presenting with "pulling" chest pain. // ?acute cardiopulmonary process
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The lungs are clear. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are normal without effusion or pneumothorax.
chest pain
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Frontal and lateral chest radiographs demonstrate well-expanded clear lungs. The mediastinal and hilar contours are normal. There has been progressive increase in heart size over the past <unk> years. The pleural surfaces are normal without pleural effusion or pneumothorax. Multilevel degenerative changes of the thoracic spine are noted.
erythema nodosum. evaluate for hilar lymphadenopathy.
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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.
history: <unk>f with uc, psc, on steriods, p/w ili, difficulty swallowing // eval for pna eval 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. Mildly elevated left hemidiaphragm and minimal left lung base opacity, likely atelectasis, are again noted. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with stroke evaluate for pulmonary edema.
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The lungs are well expanded, without focal opacities. A triangular opacity obscuring the right cardiophrenic angle is compatible with a prominent epicardial fat pad, confirmed on the lateral view. Otherwise, cardiomediastinal and hilar contours are unremarkable. The sternotomy wires and mediastinal clips are likely from prior cardiothoracic surgery. There is no pleural effusion or pneumothorax.
<unk>-year-old male with chest pain and shortness of breath. evaluate for evidence of pneumonia.
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. The heart size is mildly enlarged. The mediastinal contours are unremarkable. There is no evidence of widened mediastinum. No free air.
history of cocaine use, chest pain, evaluate for dissection. evaluate for widened mediastinum.
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The lungs are mildly hyperinflated but clear. There is no pneumothorax. The heart and mediastinum are magnified by the projection. Regional bones and soft tissues are unremarkable.
<unk>-year-old patient with cough and chest congestion for <unk> days with diffuse rhonchi and intermittent wheezes in both lungs. evaluate for interstitial pneumonia.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well-expanded. A small focal opacity in the right lower lung is again noted, similar in location and appearance to that seen on the chest radiograph and ct from <unk> but improved compared to chest ct from <unk>. No other focal opacities are present. A coronary stent is noted.
<unk>f with weakness, dehydration.
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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. No radiopaque foreign body or signs of pneumomediastinum. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with <num>d n/v/d now w/ gastritis vs fb sensation after eating apple // eval ? mediastinal abnormalities
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. There are no pleural effusions or pneumothoraces. No acute osseous abnormality is seen. Pulmonary vascularity is normal.
tachycardia and dyspnea.
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Since <unk>, no significant changes are appreciated. Substantial right lung volume loss with rightward mediastinal shift and right hemidiaphragm elevation is unchanged. The right mediastinal mass with adjacent radiation fibrosis is unchanged. Postsurgical right apical scarring is similarly unchanged. The left lung is fully expanded and clear. No pleural effusion or pneumothorax. Heart size is normal. No pulmonary vascular congestion or pulmonary edema.
<unk> year old woman with cough // eval for pna
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There is area of increased density seen at the right lung base without correlation on the lateral view, which represents dense breast tissue. The lungs are otherwise clear. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with fever of unknown origin. // please assess for pulmonary process.
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Frontal and lateral views of the chest were obtained. Lung volumes are low, exaggerating heart size. The cardiomediastinal contours are normal. The lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. Metallic surgical clips are seen in the right upper quadrant. Osseous structures are unremarkable.
<unk>-year-old female with chest pain and shortness of breath.
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No convincing evidence of pneumonia, vascular congestion, or pleural effusion. Nodular opacification in the left upper zone is again seen.
neutropenic fever.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with htn presents with intermittent cp
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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size.
<unk>f with fever, cough, tachycardia // infitrate?
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable and stable. No overt pulmonary edema is seen.
history shortness of breath today.
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Heart size is top normal. The aorta is slightly unfolded. Mediastinal and hilar contours are otherwise unremarkable. There is no pulmonary edema. Patchy opacities are demonstrated in both lung bases, without a focal consolidation seen. No pleural effusion or pneumothorax is present. Linear opacity within the right upper lobe may reflect scarring or subsegmental atelectasis. No acute osseous abnormality is identified.
history: <unk>m with recent seizure activity likely
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In comparison with the study of <unk>, there is little change. Continued enlargement of the cardiac silhouette with some indistinctness of engorged pulmonary vessels suggesting elevated pulmonary venous pressure. No acute focal pneumonia.
fever postoperatively.
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The heart size is top normal. Mediastinal and hilar contours are unremarkable with calcification of the aortic arch again noted. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Multilevel degenerative changes are noted in the thoracic spine.
transient ischemic attack symptoms.
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Assessment slightly limited by patient rotation and low lung volumes. Heart size appears mildly enlarged. Aorta is slightly unfolded. The mediastinal and hilar contours are grossly unremarkable otherwise. Pulmonary vasculature is not engorged. Apart from minimal atelectasis in the lung bases, lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. There are mild to moderate multilevel degenerative changes seen in the thoracic spine.
history: <unk>m with syncope
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Lateral view is limited due to patient motion. The right-sided port-a-cath tip terminates in the upper svc. Cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
shortness of breath, cough.
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A large right pleural effusion has increased substantially from <unk>, but was seen on the prior ct abdomen from <unk>. There is associated right basilar atelectasis. Heart size is difficult to assess given the presence of the right pleural effusion. There is mild leftward shift of mediastinal structures as a result of the large right pleural effusion. Left lung is clear. There is no pulmonary vascular engorgement. No pneumothorax is seen. No acute osseous abnormalities are detected.
history: <unk>f with severely decreased breath sounds on the right.
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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 man with chest pressure, arm "coolness."
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Cardiac silhouette size is normal. Mediastinal and hilar contours are within limits. Pulmonary vasculature is not engorged. <num> mm nodule within the right lower lobe was better visualized on the previous pet-ct. Lungs are otherwise clear. No focal consolidation pleural effusion pneumothorax is present. Mild degenerative changes are noted in the thoracic spine.
history: <unk>m with altered mental status
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
<unk>-year-old female with cough, evaluate for acute process.
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Frontal and lateral views of the chest. There is increased opacity in the right lower lobe. The left lung is clear. There is no pleural effusion or pneumothorax. The heart size is top normal. The mediastinal and hilar contours are normal. There is no free air beneath the right hemidiaphragm or acute osseous abnormality.
<unk>m with cp & dyspnea s/p pna.
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Frontal and lateral views of the chest demonstrate normal lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. Heart is mildly enlarged. Fullness of the ap window. Otherwise, the hilar and mediastinal silhouette is unremarkable. Mitral valve prosthesis is in place. Sternotomy wires are noted. Epicardial leads are in place, three of which appear fractured and/or disconnected. Partially imaged upper abdomen is unremarkable.
patient with left ankle fractures. preoperative assessment.
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Small bilateral pleural effusions are seen. Mildly increased interstitial markings bilaterally suggests mild pulmonary vascular congestion. No definite focal consolidation is seen. The cardiac silhouette is mildly enlarged. Mediastinal contours are unremarkable. No pneumothorax is seen.
history: <unk>f with paf, crackles, o<num> requirement // eval for acute process, attn to volume status
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>f with shortness of breath. evaluate for pneumonia.
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There is a left pectoral pacemaker with its leads terminating at right atrium and right ventricle. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
patient has a pacemaker, check for lead position. <unk> year old woman awaiting mri. // patient has a pacemaker, check for lead position.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with chest malaise body aches // eval for pna
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Lung volumes are low. The cardiac silhouette is enlarged with moderate pulmonary edema and central pulmonary vascular congestion. There are possible small bilateral pleural effusions. There is no pneumothorax.
<unk>-year-old female with diastolic congestive heart failure presenting with increased shortness of breath, orthopnea and weight gain. evaluate for pulmonary edema and consolidation.
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Pa and lateral chest radiographs. Median sternotomy wires are intact. Retrosternal air is post-surgical. Small left pleural effusion has developed. However, there is no pneumothorax. The heart size is normal.
post-cabg. evaluation for effusion.
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The lungs are well inflated and clear. Heart size and mediastinal contours are normal. Noted is a discontinuity in the inferior-most sternal wire, of doubtful clinical significance. There is no pleural effusion or pneumothorax. Contrast from a prior ct scan is noted in the large bowel.
history: <unk>f with l flank/back pain // eval for pulmonary edema, consolidation
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Lung volumes are somewhat low which accentuates bronchovascular markings. The cardiomediastinal and hilar contours are within normal limits. The aorta is minimally calcified. Subtle bibasilar opacities suggest atelectasis however infection should be considered in the appropriate clinical setting. There is no pleural effusion or pneumothorax identified. The stomach is moderately distended with gas and fluid.
<unk>m w/weakness // <unk>m w/weakness
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A left port-a-cath is seen terminating in the upper to mid svc. There is no evidence of pneumothorax. The lungs are well-expanded and clear. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion. There are no acute osseous abnormalities.
<unk> year old man with rectal cancer // eval portacath position
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No focal consolidation is seen. There is mild left base atelectasis. No pleural effusion or pneumothorax is seen. The aorta is tortuous. The cardiac silhouette is not enlarged.
history: <unk>m with fall // eval for pneumonia
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Pa and lateral views of the chest. The lungs are clear without consolidation, effusion, or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the arch. No acute osseous abnormalities identified.
<unk>-year-old female with cough for two weeks, now productive.
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The cardiac, mediastinal and hilar contours appear stable. There is a trace pleural effusion on the left, but none on the right. Minimal left basilar atelectasis is noted, but otherwise, the lung fields appear clear. There is no parenchymal edema.
bilateral lower extremity swelling and known pelvic fractures.
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is present.
history: <unk>m with chest pain
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Right lower lobe consolidation is worrisome for pneumonia. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with ili, productive cough // ? pna
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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.
weakness.
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The patient is apparently status post coronary artery bypass graft surgery, as well as bilateral total shoulder replacement surgeries. The heart is normal in size. There is moderate unfolding along the thoracic aorta. Central pulmonary arteries, particularly the right main, appear prominent. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony demineralization and loss in height among mid thoracic vertebral bodies, as well as moderate degenerative changes, show no change.
weakness.
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The heart size is normal. The mediastinal and hilar contours are within normal limits. Within the left lung base, a new streaky airspace opacity is demonstrated and is nonspecific, and could reflect an area of infection and/or atelectasis. No pleural effusion or pneumothorax is present. The right lung is clear. There is minimal scarring within the lung apices. There are no acute osseous abnormalities.
pleuritic chest pain and shortness of breath.
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Frontal and lateral chest radiograph demonstrates unremarkable mediastinal and hilar contours. Heart size is enlarged with left ventricular configuration. No evidence of overt pulmonary edema. No focal consolidation is evident. No pleural effusion or pneumothorax. Mild multifocal degenerative changes noted along the thoracic spine.
cough for three weeks. evaluate for pneumonia versus congestive heart failure.
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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> year old woman with cough and abdominal pain // r/o focal infiltrate
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The lung volumes are low resulting in prominence and crowding of the vascular markings. There is atelectasis in the right upper lobe and probable underlying scarring. There is no pleural effusion, pulmonary edema, or pneumothorax. Moderate enlargement of the cardiac silhouette is unchanged.
shortness of breath.
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A portable frontal chest radiograph demonstrates a right chest port with the tip in right atrium. Lung volumes are persistently low, and there is redemonstration of diffuse bilateral opacities, which are increased in the right upper lobe. The remainder of the exam is unchanged, including at least <num> wedge compression fractures, heterogeneous bone density secondary to known metastatic disease, and right scapular and left humeral head fractures, which are unchanged and likely pathologic. There is no pleural effusion or pneumothorax.
metastatic breast cancer. evaluate for worsening opacities or new infiltrate.
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Patient is status post tracheobronchoplasty. Postoperative appearance shows more narrowing in the lower trachea compared to most recent radiograph from <num> day prior but improved appearance of the upper trachea. Bilateral effusions have increased, right greater than left with likely fluid in the right major and minor fissures. Bibasilar atelectasis again noted. No pneumothorax is seen. Postoperative appearance of cardiac and mediastinal silhouettes are unchanged. Left picc tip in low svc. Calcified aortic knob. Vertebral hardware unchanged.
<unk> year old woman s/p tracheobronchoplasty // check interval change
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no evidence of focal consolidation, pleural effusion, pulmonary edema or pneumothorax. There is a surgical plate transfixing a distal right clavicular fracture, which appears healed.
<unk>-year-old man with chest pain. evaluation for opacity or pneumothorax.
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Interval removal of chest tubes. Mildly decreased partially loculated right pleural effusion. Improved right basilar, mid lung capacity. Tiny left pleural effusion, similar. No pneumothorax. Left basilar opacity has cleared. Left mid chest nodular opacity stable. Thoracolumbar curve. Normal heart size, pulmonary vascularity.
<unk> year old woman s/p vats blebectomy // please eval for interval change post pull of chest tube, please perform at <unk>
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Pa and lateral views of the chest provided. Midline sternotomy wires and prosthetic mitral valve again noted. Postsurgical changes involving the right lung again noted with extensive scarring appearing grossly stable from prior. However, on the left, there is subtle increase in overall bronchovascular opacity which could represent an atypical pneumonia in the correct clinical setting. A tiny left effusion is likely new in the interval. No pneumothorax. Overall cardiomediastinal silhouette is stable.
history: <unk>f with lung ca with fever // r/p pna
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Frontal and lateral chest radiographs were obtained. There is a right middle lobe and possibly lingular consolidation. Moderate pulmonary vascular congestion is present with associated small bilateral pleural effusions. No pneumothorax is seen. The heart size is normal. There is tortuosity of the descending aorta.
fever, rule out pneumonia.
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A focal opacity is noted in the right lower lobe, concerning for infection. Mild patchy opacity is also noted in the left lung base, potentially atelectasis or additional site of infection. The cardiomediastinal silhouette and hilar contours are unremarkable. No pulmonary edema or pneumothorax.
history: <unk>m with cough
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Left-sided port-a-cath tip terminates in the proximal right atrium. Heart size is top normal. Aorta remains tortuous. Mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. Lung volumes are low with bibasilar patchy opacities, likely atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. Skin <unk> are seen overlying the upper abdomen as well as intra-abdominal catheters and several clips. No subdiaphragmatic free air is seen.
history: <unk>m with vomiting, upper abdominal pain
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Again seen is the density along the right hilar contour. There is persistent elevation of the right hemidiaphragm. There is no change from <unk>. No focal consolidation or pleural effusion is seen. The cardiomediastinal silhouette is within normal limits.
history of lung cancer, rhonchi, and wheezing.
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The lungs are well expanded. There is well-defined consolidative opacity at the left lung base with obscuration of the left diaphragm. The right lung is otherwise clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>m with productive cough and chest congestion for the past <num> weeks with associated night sweats/chills