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Frontal and lateral views of the chest. The lungs are hyperinflated but clear of focal consolidation. Note is made of an azygos fissure. There is no effusion, consolidation or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.
<unk>-year-old female with altered mental status.
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The lungs remain clear. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes are noted in the spine.
<unk>m with cp // eval for cause of pain
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The lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unchanged. The aorta is tortuous. There is no pneumothorax, pleural effusion or consolidation. No acute displaced rib fractures identified. Known fracture through the distal clavicle demonstrates minimal superior displacement of the distal fracture fragment.
history: <unk>m with mechanical fall, distal clavicle fx and small sah // ?traumatic injuries
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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with leg swelling, compartment syndrome // pre-op
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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 dysphagia, status post choking on food bolus.
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Cardiomediastinal silhouette is normal. Fullness of bilateral hilar contours is stable and compatible with known lymphadenopathy. Lungs are clear. There is no pleural effusion or pneumothorax. Widening of the ap chest diameter is stable.
non-hodgkin's lymphoma presenting with dry cough and febrile neutropenia.
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Enlargement of the cardiac silhouette is unchanged. The mediastinal and hilar contours are also stable with prominence of the main pulmonary artery. Perihilar hazy opacification is once again more pronounced on the right similar to what it was on prior study, such as on the <unk> study, which likely reflects asymmetric pulmonary edema, although an infectious process in the correct clinical setting would also certainly be possible. There may be a small left pleural effusion. There is no pneumothorax.
shortness of breath and chest pain.
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Stable subcutaneous emphysema. Persistent left fluidopneumothorax with stable small pneumothorax and moderate interval increase in left-sided fluid. No signs of tension. Right lung is fully expanded and clear without pleural effusion or pneumothorax. Heart size is obscured by fluid. Right mediastinal contour and hila are normal. No bony abnormality.
female status post left upper lobe sleeve lobectomy. assess for interval change.
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There is a large, rounded, sub- carinal opacity and an additional rounded opacity adjacent the left hilum. Lung volumes are low with crowding of the pulmonary vasculature. The lungs are otherwise clear without focal consolidation. Heart size is normal without pulmonary vascular congestion or pulmonary edema. No pleural effusions. No pneumothorax. Cardiomediastinal hilar silhouettes are normal.
<unk> year old man with seizure events // eval pulmonary process contributing to increased seizure frequency
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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 palpitations and chest pain // pna
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Since the earlier same-day chest radiograph, the right apical pneumothorax is minimally worse but substantially improved compared to <unk> chest radiograph. The heart is now shifted back to the normal position following chest tube insertion. The right pigtail catheter position has been slightly moved. The left lung is clear without pneumothorax. The heart size is normal. No pulmonary edema or pleural effusion.
<unk> year old man with pneumothorax s/p pig tail placement // eval lung reexpansion
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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 numbness // eval infiltrate
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Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs remain clear of consolidation, effusion, or edema. Cardiomediastinal silhouette is unchanged. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with history of diastolic heart failure, presents with shortness of breath. question pulmonary edema.
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The lungs are clear without focal consolidation, effusion, or edema. Cardiomediastinal silhouette is stable with moderate cardiomegaly. Degenerative changes again noted at the shoulders. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>f with ams and vomiting with tachypnea // eval for pneumonia
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There is no focal airspace opacity to suggest acute chest syndrome. There is no pulmonary edema, pleural effusion, or pneumothorax. The mediastinal contours are normal. Mild prominence of the pulmonary vasculature is unchanged. There is unchanged moderate cardiomegaly.
history of sickle cell with chest pain. evaluate for acute chest syndrome.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old male with arm and shoulder pain. evaluate for evidence of mass or other thoracic abnormality.
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The cardiomediastinal silhouettes are stable reflective of a tortuous thoracic aorta. There is no cardiomegaly. The bilateral hila are within normal limits. There are low lung volumes and crowding of normal bronchovascular structures. There is peribronchial cuffing most notable in the lower lobes. There is no focal consolidation. There is no pneumothorax or pleural effusion.
<unk>-year-old man with fevers, bibasilar rhonchi, evaluate for opacity suggestive of pneumonia.
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The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. There is an opacity in the right lower lobe, best appreciated on lateral view, which may represent bronchial wall thickening, and/or possibly a focal consolidation. Lungs are otherwise clear. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk>-year-old man with cough, wheeze, evaluate for pneumonia.
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Lung volumes are low compared to the previous study which accentuates the size of the cardiac silhouette which is top normal. The thoracic aorta is mildly tortuous. Pulmonary vasculature is normal and the hilar contours are unremarkable. Streaky opacities in the lung bases likely reflect areas of atelectasis, without focal consolidation. No pleural effusion or pneumothorax is visualized. Partially imaged is cervical spinal fusion hardware. No acute osseous abnormality is detected. No free air is noted under the diaphragms.
history: <unk>m with abdominal pain, back pain for <num> weeks now with persistent abdominal pain, fever
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The heart is at the upper limits of normal size. Mediastinal contours are unremarkable. A left suprahilar mass appears similar allowing for differences in technique. A large right upper lobe nodule also appears unchanged. Band-like opacity in the right middle lobe is compatible with minor atelectasis or scarring. There is no pleural effusion or pneumothorax.
chest pain, shortness of breath and chills. history of metastatic renal cell carcinoma.
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There has been no substantial interval change in the appearance of the chest compared to the previous radiograph obtained earlier in the day. Mild cardiac enlargement is re- demonstrated. Mediastinal and hilar contours are unchanged. Diffuse ill-defined nodular opacities and bronchiectasis with bronchial wall thickening is again noted. No pleural effusion, new focal consolidation or pneumothorax is present. Pulmonary vasculature is not engorged. Mild degenerative changes are present in the thoracic spine.
history: <unk>f with palpitations and hypoxia
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In comparison with study of <unk>, there has been development of increased opacification in the right mid and upper zone consistent with upper lobe pneumonia. There is also opacification at the left base consistent with probable pneumonia and possible pleural effusion in this region as well. This information was telephoned to dr. <unk> at <time> p.m. On <unk>.
pneumonia.
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Pa and lateral chest radiographs were provided. The ivc filter placed three days prior is now seen most likely in the right ventricle. Pacemaker is seen with leads in the right atrium and right ventricle. There is no focal consolidation or pneumothorax. Small bilateral pleural effusions are present. Haziness at the right base may be due to mild interstitial abnormality seen on ct torso. Cardiomediastinal silhouette is otherwise unremarkable. Osseous structures are intact.
<unk>-year-old female with dyspnea, rule out pneumonia.
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable..
history: <unk>m with chest burning and strep throat // eval for pneumonia
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The lungs are clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.
<unk>f with cough, wheezing // r/o acute process
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with fevers, lethargy // please evaluate for infectious process
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No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema or pneumothorax is present. The heart size is normal. Metallic coils projecting over the mid upper abdomen are unchanged.
confusion. history of cirrhosis.
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Frontal and lateral views of the chest were obtained. The heart is of top normal size. Cardiomediastinal contours are stable. The patient's arm is in a sling and projects over the right lung base. The lungs are hyperinflated but clear. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body. A proximal right humerus fracture is incompletely imaged.
<unk>-year-old female status post fall with head trauma.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion or pneumothorax. Mild prominence of the interstitial markings could reflect mild edema. Cardiomediastinal silhouette is stable. Chronic right rib deformity noted.
<unk>m with cough // r/o pna
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A coarsely calcified left lower lobe granuloma is again noted. The lungs are otherwise clear. There is no pneumothorax. The heart and mediastinum are within normal limits. Metallic surgical clips presumably from prior cholecystectomy project over the right upper quadrant.
<unk> year old woman h/o asthma with cough and dyspnea. evaluate for infiltrate.
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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
altered mental status.
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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 cough x<num> days // pt w/ <num> days cough, chills
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Chronic changes noted at the right lung apex with scarring and volume loss noting rightward deviation of the trachea and superior retraction of the right hilum. Adjacent linear calcifications are noted as well as post thoracotomy changes with right fifth rib resection. The lungs are otherwise clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>m with left sided chest pain, history cad // r/p pna, ptx, cardiomegaly, pulm edema
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Frontal and lateral radiographs of the chest demonstrate small left pleural effusion with left lower lobe opacity, which may reflect atelectasis, however pneumonia cannot be excluded. There is a small right pleural effusion and mild interstitial pulmonary edema. Cardiomediastinal hilar contours are unchanged. No pneumothorax.
history: <unk>m with constrictive cardiomoypathy, increasing fatigue // r/p pulm edema, pna
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There is no focal consolidation, pleural effusion or pneumothorax. <num> cm left lower lung nodules unchanged from prior examinations. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact except for mild degenerative changes of the thoracic spine.
history: <unk>f with recent skin bx requiring intubation p/w dyspnea // r/o pna
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Pa and lateral chest radiographs are provided. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There is mild pleural thickening at the apices. The osseous structures are intact.
<unk>-year-old male with shortness of breath, rule out infiltrate.
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The left-sided picc line is in stable position, with distal tip overlying the mid svc. The cardiomediastinal silhouettes are normal. The bilateral hila are unremarkable. There is a confluent consolidation within the right middle lobe which is more apparent on lateral than on frontal view, consistent with right middle lobe pneumonia. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
a <unk>-year-old woman with a history of bladder cancer currently on chemotherapy, now with fever and cough, evaluate for pneumonia.
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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. No pneumothorax, pleural effusion, or consolidation.
<unk> year old woman with cough ili // chest congestion
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Ap and lateral views of the chest. Again seen is a large left perihilar mass with fiducial marker. The mass obscures the left heart border. The right lung is grossly clear. No acute osseous abnormality is detected.
<unk>-year-old male with cough. history of left lung lesion.
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Ill-defined patchy opacities are seen in the right lung base with an associated small right pleural effusion, which is also confirmed in the lateral view. A dense left-sided retrocardiac opacity abutting the left hemidiaphragm is unchanged since at least <unk> compatible with a bochdalek hernia. A small left pleural effusion is also likely present. There is biapical pleuro-parenchymal scarring, more conspicuous in the left apex. No other focal opacities are identified. Mild cardiomegaly is unchanged from prior. There is no pneumothorax.
<unk>-year-old female with chest tightness and low saturations. evaluate for acute process.
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The cardiac, mediastinal and hilar contours are within normal limits. The pulmonary vascularity is normal. The lungs are clear. There is no pleural effusion or pneumothorax. There are no acute osseous abnormalities.
diabetes and hyperglycemia.
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Pa and lateral views of the chest were obtained. The lungs are hyperinflated, as before, and there is increased ap diameter of the chest, consistent with a history of copd. The right hemithorax is slightly smaller than the left, unchanged. Heart is mildly enlarged, but cardiomediastinal contour is stable. Prominence of the right pulmonary arttery is again seen. There is a small right effusion, perhaps very slightly improved, with some underlying atelectasis. Scarring and volume loss in the right middle lobe appears stable. Again seen is a large irregular density projecting over the right lower lung which corresponds to a large unusual branching calcification or other density in the right breast (<time> on <unk> ct). Minimal blunting of the left posterior costophrenic angle and minimal left base atelectasis/scarring is unchanged. No new infltrate is detected. No obvious ptx. No chf. Degenerative changes are again noted in the thoracic spine. There has been interval removal of the right chest tube.
<unk>-year-old woman with copd, atrial fibrillation, presenting chest discomfort adn shortness of breath with history of pleural effusions.
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Cardiomegaly is chronic. There is pulmonary vascular congestion and minimal, interstitial pulmonary edema. Lungs are otherwise clear. There is no pneumothorax. There is no pleural effusion.
<unk>-year-old woman with renal failure. assess for pulmonary edema.
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No rib fractures identified. No pneumothorax. Heart size is normal. Normal mediastinum. No lung nodules. No pneumonia. No pleural effusion. Minimal scarring is noted in the retrosternal region as seen on the lateral view and is without change from <unk>. Degenerative changes noted in the thoracic spine.
<unk> year old woman with h/o asthma, <unk>% ra, r sided chest pain // r/o rib fracture ; <unk> year old woman with h/o asthma, <unk>% ra, r sided chest pain // r/o pna
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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Bibasilar linear opacifications likely reflect atelectasis. No focal opacification concerning for pneumonia identified. No pleural effusion.
hypoxia, assess for pneumonia, edema or effusion.
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Pa and lateral views of the chest provided. Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Old left rib cage deformities are again noted. No free air below the right hemidiaphragm is seen.
<unk>m with pain in back // acute process in chest?
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Frontal and lateral chest radiograph demonstrate new large left pleural effusion with diffuse bilateral pulmonary nodules better seen on ct dated <unk>. There is additional shift of the mediastinum to the right with an enlarged heart. Question pleural effusion. No evidence of tamponade. There is collapse of the left lower lobe. There is no pleural effusion on the right. There is no pneumothorax. A single chamber pacemaker is identified with its tip terminating in the right ventricle in standard position.
<unk>-year-old female with metastatic melanoma. now with decreased breath sounds on the left.
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The heart is mildly enlarged and there is mild pulmonary vascular redistribution and a small left effusion that is new compared to the prior study. There is no focal infiltrate. Compared to the prior exam, the fluid status is slightly worse. Degenerative changes are again seen in both the shoulders.
cough and shortness of breath with new crackles.
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Pa and lateral chest radiographs. Lung volumes are very low with small bilateral pleural effusions and mild pulmonary vascular engorgement, as well as bibasilar atelectasis. There is no pneumothorax. The cardiac silhouette is enlarged. The aorta tortuous. Severe degenerative changes of the thoracic spine with exaggerated kyphosis are noted.
hypoxia, cough and weakness.
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The lateral view is limited due to the patient's inability to position his arms above his head. The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are visualized.
trauma and pain.
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Pa and lateral chest radiographs demonstrate median sternotomy wires which appear intact. Several clips project over the left mediastinal border. A left dual lead pacing device is present, its leads which are intact and in unchanged position relative to examination dated <unk>. Heart size is stable, within normal limits. There is no evidence of pulmonary edema. Lungs are clear without a focal opacity convincing for pneumonia. There is no pleural effusion or pneumothorax.
<unk>-year-old female with syncope.
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The cardiac and mediastinal silhouettes are stable. Right perihilar fullness has increased since the prior study from <unk> although is more similar in appearance compared to <unk>, which may represent increase and adenopathy in this patient with history of sarcoidosis. Right lung nodular densities are grossly stable. However, there appears to be increase in conspicuity and possibly number of left-sided pulmonary nodular opacities ; as also suggested on the prior study, correlation with chest ct would be recommended. No pleural effusion or pneumothorax is seen.
history: <unk>f with cough for <num> weeks. hx of sarcoidosis // eval for pna
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Bibasilar linear opacities likely reflect areas of atelectasis.no evidence of focal consolidation. No pleural effusion or pneumothorax is seen. Moderate cardiomegaly is noted without evidence of pulmonary edema.
<unk>f with cad, ild on o<num> at home, p/w <num>d substernal cp // any pna? any acute process?
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with chest pain
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Pa and lateral views of the chest. There is a subtle opacity in the left lower lung sillouhetting the left heart border, possibly representing early pneumonia in the lingula. Otherwise, lungs are clear. There is no pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal.
fever.
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No focal consolidation is seen. There is persistent subtle tenting of the left hemidiaphragm. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with left shoulder pain, some difficulty breathing. // please evaluate for infectious process
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There is moderately worsened low lung volumes with stable vascular congestion and enlarged right hilar vessels. No atelectasis is observed. There is stable cardiomegaly. Small left pleural effusion cannot be excluded.
<unk>-year-old female with pe and acute renal failure presents with orthopnea.
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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. No displaced rib fractures are visualized.
history: <unk>m with eval for traumatic injury // eval for traumatic injury
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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 chest pressure // r/o chf/pneumonia
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Pa and lateral chest radiographs are provided. There is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Osseous structures are intact.
<unk>-year-old female with presyncope, acute 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. There is a mild anterior wedge compression fracture, likely chronic, involving an upper thoracic vertebral body with mild degenerative changes.
chest pain.
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Lung volumes are normal. No pleural effusions. Normal size of the cardiac silhouette. No pneumonia, no masses, no lung nodules. The hilar and mediastinal contours are normal. Normal size of the cardiac silhouette.
adrenal insufficiency, weight loss, rule out granulomatous disease or other process.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion pneumothorax. The lungs are well-expanded and clear without focal consolidation. The upper abdomen is unremarkable.
<unk>f with shortness of breath.
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As compared to the previous radiograph, the lungs are better ventilated, likely as a consequence of a strong inspiration. No pneumonia, no pleural effusions. No pulmonary edema. No pneumothorax. Normal size of the cardiac silhouette.
cough, chest pain, rule out acute process.
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Single portable view of the chest is compared to previous exam from <unk>. Dual-lead pacing device again seen with leads in stable position. As on prior, there is engorgement of the pulmonary vasculature, potentially slightly improved since prior. There is no confluent consolidation. Cardiac silhouette is enlarged but stable. Median sternotomy wires and mediastinal clips are again noted. Osseous and soft tissue structures are grossly unremarkable.
<unk>-year-old female with anasarca. question pulmonary edema or pleural effusion.
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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. There is subsegmental atelectasis at the left lung base. The cardiomediastinal silhouette is normal.
shortness of breath.
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The current study appears to be relatively unchanged compared to the previous. Bilateral pleural effusions are still present. The slightly more blunting of the right costophrenic angle on the pa projection is not not as prominent on the lateral view. Heart size remains unchanged. Aorta is tortuous and again calcifications are noted within the arch. Chronic interstitial changes are seen in the left base. The old rib lesion on the right remains unchanged.
<unk>-year-old gentleman with thyroid cancer and pleural effusion, evaluate for changes.
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As compared to the previous radiograph, there is no relevant change. Normal lung volumes. Normal size of the cardiac silhouette. Status post cabg. Mild tortuosity of the thoracic aorta. No pneumonia.
autoimmune pancreatitis, liver abscess, evaluation.
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In comparison with the study of <unk>, the right ij catheter has been removed. Cardiac silhouette appears less prominent and the pulmonary vascularity is essentially within normal limits. Bilateral pleural effusions persist, more prominent on the left, with some compressive atelectasis at the base.
assess for pneumonia.
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Frontal lateral radiographs of the chest demonstrate hyperexpanded lungs. The cardiomediastinal and hilar contours are unchanged. As before, there is an area of increased opacification projecting over the right <unk> posterior rib arch, which is better evaluated on prior ct of the chest, and is consistent with resolving abscess. Otherwise there is no area of increased opacification. There is no pleural effusion or pneumothorax.
shortness of breath.
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The lungs are normally expanded without focal airspace opacity to suggest pneumonia. There is mild increase in interstitial markings suggesting pulmonary vascular congestion without frank pulmonary edema. There has been interval increase in size of the heart now with moderate to severe cardiomegaly. There are likely small bilateral pleural effusions blunting the costophrenic sulci. There is no pneumothorax.
<unk>m with esrd on hd p/w sob is there a focal pneumonia
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The patient is status post median sternotomy and cabg. There is fracture of the superior most median sternotomy wire. Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
arm numbness, cough.
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Mild enlargement of the cardiac silhouette is present. The mediastinal and hilar contours appear unremarkable. There is mild pulmonary vascular engorgement without frank pulmonary edema. Minimal patchy opacities in the lung bases may reflect areas of atelectasis. No pleural effusion or pneumothorax is present. Multiple remote left-sided rib fractures are noted.
history: <unk>f with hiv and non-compliance presents with chest pain, shortness breath and wheezing on exam. more awake at this time.
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Since <unk>, the patient has been extubated and the bilateral pleural effusions have completely resolved. The lungs are well-expanded and clear. No focal consolidation, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette and hila are unremarkable. Bilateral old rib fractures. Stable surgical fixation bases in the region of the cervical spine.
<unk>-year-old man who is recently intubated for seizure (<unk>) who is presenting with a cough. evaluate for pneumonia.
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Cardiac silhouette size remains moderately enlarged, with prominent epicardial fat pads again noted. Mediastinal and hilar contours are stable, with unchanged widening of the right paratracheal stripe which has been attributed to mediastinal lipomatosis and tortuous vessels, better seen on the prior chest ct. No evidence of pulmonary vascular congestion. Bilateral inferolateral pleural thickening is again seen. There are minimal atelectatic changes in the lung bases, but no focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities are seen. Partially imaged is a nephrostomy catheter within the upper abdomen on the lateral view.
dyspnea.
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Frontal and lateral views of the chest demonstrate normal 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. No acute rib fracture is seen. Partially imaged upper abdomen is unremarkable.
chest pain. patient is status post motor vehicle accident. assess for rib fractures.
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The previously seen left apical pneumothorax is no longer visualized. Again seen is a right ij central line - on the current study, the tip lies near the cavoatrial junction. Inspiratory volumes are improved. Prominent cardiomediastinal silhouette is similar to the prior film, with sternotomy wires again noted. There is upper zone zone redistribution, without other evidence of chf. Retrocardiac opacity is again seen. Additional atelectasis at the left base laterally is improved. Minimal subsegmental atelectasis is present at the right lung base. Equivocal minimal blunting of the right costophrenic angle could be new.
<unk> year old man with s/p cabg // eval postop changes
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There is no consolidation, pleural effusion or pneumothorax. There is focal pleural thickening at left posterior lung base. Cardiomediastinal and hilar silhouette are normal size.
<unk> year old woman with ongoing pneumonia and parapneumonic effusion // interval change
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Small left apical pneumothorax is identified, measuring <num> cm in depth. Small opacity at the left lung apex may reflect post procedural changes. Rest of the lungs are clear without consolidation. There is noted pleural effusion. Cardiomediastinal silhouette is normal size.
history: <unk>f with recent biopsy with chest pain // eval for acute process
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Attenuation of pulmonary vascular markings towards the apices is compatible with centrilobular emphysema. No focal consolidation, pleural effusion or pneumothorax is present. There is no pulmonary edema. No acute osseous abnormality is detected.
<unk> year old woman status post liver transplant presents with acute onset right upper quadrant pain.
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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
<unk>f with diabetic ketoacidosis, evaluate pneumonia.
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In comparison with the study of <unk> and the ct study of <unk>, there is little overall change in the left perihilar mass consistent with recurrent malignancy. Hyperexpansion of the lungs persists. No definite focal consolidation.
copd, to assess for consolidation.
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The cardiomediastinal and hilar contours are within normal limits. The aorta is unremarkable and there is no distention of the azygos vein. The lungs are clear. There are no focal consolidations, pleural effusions, pulmonary edema or pneumothorax.
<unk>-year-old male patient with history of rcc. study requested for evaluation of abnormalities.
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Frontal and lateral radiographs of the chest demonstrate low lung volumes with resulting bronchovascular crowding. Increased opacification of the left base suggests atelectasis. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax, pleural effusion, or consolidation. There are old healed left posterior rib fractures.
left-sided chest pain. evaluate for pneumonia, pulmonary edema, or pneumothorax.
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Overall there is stable appearance of the chest with normal heart size and stable thoracic aortic tortuosity. No focal consolidation, pleural effusion or pneumothorax.
<unk> year old woman with h/o renal cell ca // r/o any changes from previous cxr and ct
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The heart is mild to moderately enlarged. Widespread pleural plaques are noted with calcifications. There is a meniscoid appearance to each costophrenic sulcus, which may reflect pleural thickening or very small effusions. Projecting over the central left lung is patchy opacification. For the most part, this is suspected to represent a pleural plaque but a superimposed parenchymal opacity in the area is suggested on the lateral view without a mass-like appearance and may reflect atelectasis, scarring or even pneumonia.
question pneumonia.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Patchy areas of opacity in the lingula and probably right middle lobe appear unchanged. Right mid lung opacification has decreased substantially however. However, there is streaky new opacity in the right upper lobe. Reverse s shaped moderate s shaped thoracolumbar curvature is observed.
on chemoradiation treatment for cervical cancer, presenting with two days of not feeling well.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
fever.
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. Calcification is seen of the aortic knob. The pulmonary vasculature is unremarkable. The lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax is seen. No radiopaque foreign bodies are present. The osseous structures are unremarkable.
<unk>-year-old female with headache and nausea. evaluate for cardiopulmonary process.
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The heart is mildly enlarged. The aorta is tortuous and calcified to a mild degree. There is no pleural effusion or pneumothorax. There is a mildly prominent central vascular and interstitial opacification, suggesting mild pulmonary vascular congestion. In addition, projecting over the right lateral lung there is a nodular round density measuring <num> mm in diameter, but suspected to represent a nipple shadow. Moderate degenerative osteophyte formation is noted along the anterior thoracic spine, probably unchanged.
shortness of breath and atrial fibrillation. question congestive heart failure.
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The lungs are clear without focal consolidation, effusion, or edema. Streaky left basilar opacity is compatible with atelectasis. Cardiomediastinal silhouette is within normal limits. Dense mitral annular, coronary artery, and aortic arch calcifications are noted. No acute osseous abnormalities.
<unk>f with cp radiating to back today, wet cough w/ r lower posterior ronchi // eval ? pna
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Frontal and lateral views of the chest. New right lung base patchy opacity silhouettes the right heart border and right hemidiaphragm, compatible with right middle and right lower lobe locations. New left retrocardiac opacity is also noted. Bilateral pleural effusions are small. No pneumothorax. The heart is of normal size with normal cardiomediastinal contours. No radiopaque foreign body.
<unk>-year-old male with cirrhosis. chest radiograph needed for liver transplant.
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There is a <num> cm linear foreign body in the midesophagus, consistent with history of ingested pen. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Right basilar atelectasis. Lungs are otherwise clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with ingested foreign body // foreign body
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding pa and lateral chest examination of <unk>. Heart size and mediastinal structures remain unchanged. No evidence of pulmonary vascular congestion. Seen on previous examination, residual air-fluid level in the upper pleural space has disappeared and apparently has been replaced by local minor pleural thickening in the apical area. It is noted that the previously identified pulmonary abnormality presenting left upper lobe carcinoma has not progressed significantly. On the lateral view, we can identify that the previously existing extensive pleural density in the dorsal pleural compartment has regressed and almost disappeared. There is no evidence of any new left-sided pulmonary parenchymal abnormality. The right-sided hemithorax remains unremarkable as before.
<unk>-year-old male patient with lung carcinoma, evaluate.
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Ap upright and lateral views of the chest were obtained. In comparison to the prior studies, lung volumes are lower. New moderate right pleural effusion with possible loculation. New increased heterogeneously dense opacification in the right lower lobe may represent compressive atelectasis or consolidation. Increased bilateral prominent interstitial markening probably represent mild superimposed edema. There left lung is clear. There is no left effusion. There is no pneumothorax. The cardiomediastinal contour is otherwise unremarkable.
<unk>-year-old man with new atrial fibrillation, evaluate for pneumonia.
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar chest examination of <unk>. The previously described two right-sided pleural drainage tubes remain in place. The right-sided pleural density that obscures the right-sided diaphragm appears rather unchanged on both frontal and lateral views. No new parenchymal pulmonary abnormalities are identified. No significant mediastinal shift has developed.
<unk>-year-old female patient with status post liver resection and known right pleural effusion, assess the right-sided pleural effusion.
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The lungs are clear. There is no pneumothorax. The heart and mediastinum are within normal limits. Regional bones and soft tissues are unremarkable.
<unk> year old man with h/o copd complaining of slight dyspnea and productive cough // eval pneumonia
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
<unk> year old man with left lateral chest wall pain // cause of chest pain
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Pa and lateral chest radiographs are provided. There is no focal consolidation, pneumothorax or pleural effusion. There is no overt chf. However, there is linear plate atelectasis and thus concurrent kerley b lines cannot be entirely be excluded. Cardiomediastinal silhouette is unremarkable. There is no free air under the right hemidiaphragm. There are no concerning osseous lesions.
<unk>-year-old man with dyspnea on exertion, lower extremity swelling, question chf.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear. Pulmonary vasculature is within normal limits. Partial diaphragmatic eventration is stable.
cough, fever, prior renal transplant.