Frontal_Image_Path
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The cardiac, mediastinal and hilar contours are probably unchanged. There is no pleural effusion or pneumothorax. There is a mild interstitial abnormality most suggestive of pulmonary edema. However, opacities are more striking in the right lung, especially the right upper lung.
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urinary infection symptoms, confusion, and right lower lobe crackles.
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Frontal and lateral views of the chest demonstrate low lung volumes without focal consolidation, pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unchanged. Heart size is normal. There is no pulmonary edema.
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chest pain and palpitations.
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There are relatively low lung volumes. Bibasilar atelectasis is seen without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There may be very minimal pulmonary vascular congestion.
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history: <unk>m with sepsis // eval for pulmonary edema
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Frontal and lateral views of the chest were obtained. Lucency in the upper lung zones, right more than left, is compatible with severe emphysema. Linear opacities in the lower lungs are likely due to compression of vessels with areas of linear scarring and a bandlike scar in the right middle lobe, similar to the prior ct. There is no focal consolidation, pleural effusion, or pneumothorax. Heart size is normal. Median sternotomy wires are intact after cabg. Cardiac and mediastinal silhouette and hilar contours are stable.
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copd, bronchiectasis with episodes of fatigue and dyspnea.
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Ap and lateral chest radiographs were obtained. Lung volumes are low, accentuating pulmonary vasculature and interstitial markings. The lungs are clear. No focal consolidation, effusion or pneumothorax is present. The heart and mediastinal contours are normal. A left chest internal jugular approach port-a-cath tip terminates at the cavoatrial junction.
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<unk>-year-old woman with hyperglycemia and fevers.
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There is flattening of the hemidiaphragms, which is consistent with chronic pulmonary disease. The mediastinal and cardiac silhouettes remain stable. There is no pleural effusion or pneumothorax. There is no new parenchymal opacification. Again noted is mild dextroscoliosis.
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<unk>-year-old with increased shortness of breath and history of lung cancer.
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The lungs are well expanded and clear without evidence of interstitial thickening or nodularity. Postoperative mediastinum and cardiac borders are normal. The heart is top-normal in size. No pleural effusion.
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<unk> year old woman with af on amiodarone, screening for toxicity // <unk> year old woman with af on amiodarone, screening for toxicity
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The lungs are well inflated and clear. Calcific density projecting over the anterior heart border on the lateral view corresponds to calcified subpleural plaque seen on ct chest from <unk>. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact.
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<unk>-year-old patient with likely flu, complicated by asthma history, evaluate for acute process
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Left-sided aicd device is noted with single lead terminating in the right ventricle. Moderate enlargement of the cardiac silhouette is unchanged. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Lungs are clear focal consolidation. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>m with chest pain
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The cardiac and mediastinal silhouettes are grossly stable. There are relatively low lung volumes. Calcified bilateral breast implants are noted. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There is minimal to no pulmonary vascular congestion.
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history: <unk>f with fall r ankle and tib fib pain knee lac pls eval fx and cxr for pulm edema // history: <unk>f with fall r ankle and tib fib pain knee lac pls eval fx and cxr for pulm edema
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>m with cough // ? pna
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Lungs are clear. Cardiomediastinal silhouette is normal. Hilar are unremarkable. No pneumothorax, edema, or focal consolidation. Bowel gas pattern is nonspecific. No acute osseous abnormality.
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history: <unk>m with fever and cough. // eval for infiltrate
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Heart size is within normal limits. The aorta remains unfolded. Mediastinal and hilar contours are unchanged, and pulmonary vasculature is not engorged. Low lung volumes are present with patchy opacities in the lung bases, findings which may reflect atelectasis. Infection cannot be completely excluded. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
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history: <unk>m with esrd from osh for hematuria, complaints of cough, on auscultation left posterior rhonchi
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Frontal and lateral views of the chest demonstrate low lung volumes. No large pulmonary mass is identified. There is no focal consolidation, pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. The heart is moderately enlarged. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable. Multiple surgical clips project over right upper abdomen.
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blurry vision and abnormal head mri exam. assess for pulmonary mass.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>m s/p mvc with h/a, neck pain, and left shoulder pain // r/o ich, fracture
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There are low lung volumes, which results in bronchovascular crowding. Bibasilar opacities, which are more conspicuous on the frontal view, likely reflect atelectasis, however aspiration or early pneumonia could be considered in the appropriate clinical setting. The heart is mildly enlarged. There is no pneumothorax or pleural effusion.
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history: <unk>m with chest pain // eval for acute process
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As compared to the previous radiograph, there is no relevant change. The loculated bilateral pleural effusions are unchanged in extent and severity. Adjacent areas of consolidation, likely reflecting atelectasis, are also constant. The only improvement is slightly increase in radiolucency in the right lung, likely reflecting improved ventilation. The appearance of the left lung is unchanged. Unchanged size of the cardiac silhouette. The left pectoral pacemaker and its leads show unchanged position.
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pleural effusion
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.
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chest pain and shortness of breath.
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Frontal and lateral views of the chest were performed. The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures and pleural surfaces are normal. The imaged upper abdomen is unremarkable.
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chest pain.
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The heart size is normal. The hilar and mediastinal contours are normal. No focal consolidations concerning for pneumonia identified. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
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history of dyspnea. please assess for pneumonia.
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Lungs are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.
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rule out chf.
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Compared to <unk>, small bilateral pleural effusions appear stable.previously seen fluid in the right minor fissure is no longer present. Bibasilar atelectasis persists. No pneumothorax is seen. Cardiac, hilar, and mediastinal silhouettes are grossly unchanged. The left pectoral transvenous pacer leads terminate in the right atrium and right ventricle. The right sided port-a-cath terminates in the right atrium.
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<unk> year old woman with pleural effusion // eval
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There are no abnormal lung opacities to suggest amiodarone toxicity. The vascular engorgement from <unk> has resolved, and the lungs are clear. A new bulge in the upper aspect of the left cardiac apex could be a ventricular aneurysm; however, there is no evidence of cardiac decompensation including pulmonary edema and pleural effusions. The mediastinal contours are normal, and there is no pneumothorax. Old left rib fractures are noted.
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evaluation for signs of amiodarone toxicity in a patient with atrial fibrillation.
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Pa and lateral chest radiographs demonstrate clear lungs. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
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chest pain.
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Ap and lateral views of the chest. The lungs are clear. There is no consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected.
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<unk>-year-old male with syncope.
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The heart is top-normal in size but unchanged from the prior exam in <unk>. Bibasilar opacities are demonstrated that likely reflect atelectasis. There is no large effusion or pneumothorax. The left fourth and fifth ribs anteriorly are slightly irregular. Clips project over the right upper quadrant.
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<unk> year old woman with l lat chest pain, tenderness // ? pulmonary, chest wall abnormalities
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac silhouette size top-normal to markedly enlarged. No pulmonary edema is seen.
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history: <unk>m with sickle cell pain crisis // consolidation
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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.
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history: <unk>m with shortness of breath h // r/o acute process
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There is bibasilar streaky atelectasis without focal consolidation. There is mild pulmonary vascular congestion. The cardiac silhouette is mildly enlarged. There is no pleural effusion or pneumothorax. Median sternotomy wires are noted.
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<unk>-year-old male with sepsis. evaluate for pneumonia.
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Frontal and lateral views of the chest demonstrate normal lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. The left hilus is mildly enlarged but as an isolated finding is unlikely to be clinically significant, unless there is good evidence for acute pulmonary embolism. The cardiomediastinal silhouette is normal. There is no pulmonary edema.
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chest pain.
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The lungs are hyperinflated with flattening of the diaphragms. Lungs are clear. No pleural effusion or pneumothorax. There is stable mild cardiomegaly. Mediastinal contour and hila are unremarkable. A left chest wall pacer device lead tips are again noted to be in the right atrium and right ventricle.
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<unk> year old man with cied for mri.
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Lung volumes are low. The heart is of normal size with normal cardiomediastinal contours. Lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body. Medial displacement of the stomach bubble may be seen with ascites or a mass lesion.
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chest pain. history of peritoneal carcinoma.
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The lungs are hypoinflated which might account for observed vascular crowding. Otherwise, there are no focal opacities. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
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<unk>-year-old female with weakness, chills, shortness of breath. evaluate for evidence of pneumonia.
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Ap upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Lungs are hyperinflated which may reflect underlying emphysema. Mild cardiomegaly is noted. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with syncope // acute cardiopulm dsiease
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A substantial right perihilar nodule has substantially improved since the prior radiographs with an area of cavitation seen in lieu of a substantial solid nodule. Other nodules also appear somewhat less distinct including a cavitating nodule in the right upper lobe which seems surrounded perhaps by slightly less opacity than before. There are no pleural effusions or pneumothorax. Mild-to-moderate degenerative changes are similar throughout the thoracic spine.
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cough and previous upper lobe nodular disease.
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Frontal lateral chest radiographs demonstrate multiple intact sternal wires. A fiducial marker in a known right lower lobe nodule is again seen, not well evaluated on chest radiograph. Cardiac size is normal and the lungs hyperinflated. The descending aorta appears slightly larger in caliber compared to <unk>. A retrocardiac opacity with obscuration of the lateral left hemidiaphragm may be secondary to overlapping hilar structures, given slight patient rotation. However, pneumonia is also a consideration. There is no pleural effusion or pneumothorax.
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evaluate for pneumonia in a patient with a history of emphysema, now presenting with dyspnea on exertion.
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As compared to the previous radiograph, no relevant change is noted. The lung volumes are low, the size of the cardiac silhouette is enlarged, notably the size of the left ventricle. The left pectoral pacemaker is in unchanged position. No pleural effusions. No pneumonia. Neither the frontal nor the lateral radiographs show evidence of pulmonary fibrosis. No pleural effusions. No pneumothorax.
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status post ablation, evaluation.
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A left chest wall pacemaker is present leads in the lower right atrium and right ventricle. There is no focal consolidation, pleural effusion or pneumothorax. There is mild cardiomegaly. Degenerative changes are present within the right shoulder.
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<unk>f with infected pacemaker wound // r/o intrathoracic process
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Dual lead left-sided pacer device is stable in position. Patient is status post median sternotomy. There is a small left pleural effusion with overlying atelectasis. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with cough // acute rpcoess?
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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. Mild dextroscoliosis of the thoracic spine is re- demonstrated.
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chest pain.
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Stable enlargement of the cardiac silhouette. There is increased retrocardiac density, which may be artifactual. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. There is a small right pleural effusion. No pneumothorax is seen.
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<unk> year old man with cough, recent bacteremia/cholecystitis // eval for pna
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Pa and lateral chest radiographs were obtained. There is a new subtle retrocardiac opacity that is most obvious as a spine sign on the lateral radiograph. Minimal atelectasis is seen at the left base. There is no effusion pneumothorax. Cardiac and mediastinal contours are normal.
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fevers, myalgias.
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The heart is mildly enlarged, but unchanged compared with prior exams. Sternotomy wires are intact. Prosthetic valve noted. Curvilinear structure overlying the anterior cardiac silhouette on lateral view could represent a calcified coronary artery. Aorta is calcified and slightly unfolded. There is mild upper zone redistribution, similar prior, without other evidence of chf. Hilar contours are within normal limits. Likely small hiatal hernia. There is increased opacity involving the left lower lobe on lateral view which likely represents atelectasis. However, early infectious in filled should be considered in the appropriate clinical setting. Otherwise, no focal infiltrates or consolidation. No pleural effusion or pneumothorax is identified. The right hemidiaphragm is elevated similar to prior. No free air seen beneath the diaphragms.
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history: <unk>f with chest pain // eval for infiltrate
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Pa and lateral views of the chest. There is a new moderate right loculated pleural effusion. There is increased pulmonary vascular congestion suggesting volume overload, but no overt pulmonary edema. There is no left pleural effusion. No pneumothorax. There is no evidence of pneumonia.
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history lymphoplasmacytic lymphoma, hypoxia and shortness of breath with diminished lung sounds on the right. assess for chf, pleural effusion, or pneumonia.
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Lung volumes are persistently low. Heart size is accentuated as result with mild to moderate enlargement, similar to that seen previously. Mediastinal and hilar contours are unremarkable. Crowding of the bronchovascular structures is present without overt pulmonary edema. Patchy opacities in the lung bases may reflect areas of atelectasis in the setting of low lung volumes, and do not appear substantially changed in the interval. No pleural effusion or pneumothorax is present. There are mild degenerative changes in the thoracic spine.
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history: <unk>m with lethargy, hiv
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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 dyspnea, worse with exertion
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<num> views were obtained of the chest. The lungs are hyperexpanded with interstitial abnormality suggesting emphysema. Blunting of the left costophrenic angle reflects unchanged localized pleural and parenchymal scarring with volume loss. Biapical scarring is similarly unchanged. There is no pneumothorax. The heart is normal in size with tortuous aortic contour. Mild height loss of the vertebral bodies in the mid thoracic spine is unchanged.
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epigastric abdominal pain.
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is no pulmonary edema.
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history: <unk>f with tachycardia // eval for consoldiation
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Pa and lateral chest radiographs were obtained. Lungs are well expanded. There is mild atelectasis at the right base. Otherwise the lungs are clear. There is no focal consolidation, effusion or pneumothorax. Cardiac and mediastinal contours are normal. There is no displaced rib fracture.
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traumatic subcapsular liver hematoma and pneumoperitoneum status post washout presenting with worsening pleuritic right chest pain.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged. The aortic arch is partly calcified. There is again a prominent epicardial fat pad about the apex of the heart. The lungs appear clear. There are no pleural effusions or pneumothorax. Mild degenerative changes along the mid-to-lower thoracic spine, including slight loss of superior endplate height along the mid thoracic vertebral body, appear unchanged.
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fatigue, pallor and decreased exercise tolerance. question lymphoma recurrence.
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Lung volumes are mildly reduced. The heart size is top normal, unchanged. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Patchy left basilar opacity likely reflects atelectasis. No pleural effusion or pneumothorax is visualized. Previously noted nodules within the lungs on ct are not clearly demonstrated on the current radiograph. There are no acute osseous abnormalities.
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dyspnea.
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Right-sided dialysis catheter is again seen extending into the right atrium. There are moderate to large right and moderate left pleural effusions, new since the prior study, with overlying atelectasis. Basilar consolidation is difficult to exclude. There is also mild pulmonary edema. The patient is rotated to the right. Due to the bibasilar opacities, accurate assessment of the cardiac silhouette is difficult but it may be mildly enlarged. The aorta is calcified. The bones are osteopenic with vertebral body heights in the thoracic spine grossly maintained on the lateral view.
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altered mental status, decreased breath sounds on right.
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The patient is rotated and bending to the right, severely distorting the thoracic cage and appearance of mediastinal structures. Visualized portions of the lungs are essentially clear other than lower lobe platelike atelectasis and are scarring bilaterally, similar to prior exam. The heart size appears normal. Thoracic aortic calcifications are unchanged. No pneumothorax or pleural effusion. No evidence of an acute osseous abnormality.
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<unk>-year-old man with parkinsons with garbled speech and right sided facial droop. evaluate for any acute process, please perform prior to transfer to the floor.
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Pa and lateral chest radiographs are provided. A right chest wall port catheter tip terminates in the distal svc. There is no focal consolidation, pleural effusion or pneumothorax. There is bibasilar atelectasis. There are degenerative changes in the thoracic spine. Bones are intact.
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<unk>-year-old woman with ovarian cancer, sluggish port, confirm placement.
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The cardiomediastinal and hilar contours are within normal limits. There is relative narrowing of the transverse dimension of trachea as seen on prior ct, and compatible with copd. Lungs are hyperinflated consistent with known diagnosis of chronic obstructive pulmonary disease. There is biapical scarring. Right mid lung opacity is likely related to scarring as seen on prior chest ct and is not definitely changed given difference in techniques. There is no new focal consolidation, large pleural effusion or pneumothorax. Previously described <num> cm nodular opacity in the left lung is not clearly visualized on today's examination.
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<unk>-year-old man with history of copd, with shortness of breath. evaluate for pneumonia.
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Frontal and lateral radiographs of the chest again demonstrate a left chest wall port with a catheter terminating in the high right atrium. Bilateral hilar lymphadenopathy is again seen and unchanged. No focal consolidation is identified. The cardiac silhouette is unchanged since the prior study. No pleural abnormality is seen.
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hodgkin's with a temperature of <num>. evaluate for signs of infection.
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Pa and lateral views of the chest provided. Midline sternotomy wires and aicd are unchanged. 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 cough, hypotension // acute process?
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The patient is status post sternotomy and cabg. The lung volumes are low, resulting and mild bibasilar atelectasis. The hilar and mediastinal structures are normal. No focal consolidations concerning for pneumonia are identified. There is pulmonary vascular congestion with no overt pulmonary edema. There is no pleural effusion, pneumothorax. No free air is seen below the right hemidiaphragm.
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<unk>m with epigastric pain constant. please evaluate for pneumonia.
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The heart is normal in size. The aortic arch is partly calcified. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The chest is hyperinflated. The lungs appear clear.
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reproducible sternal pain.
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal. There is no free air under the right hemidiaphragm. Calcifications within the correspond with carotid bulb.
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<unk>f with abdominal pain. evaluate for pneumonia.
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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
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shortness of breath.
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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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<unk>m preop
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The lung volumes are normal. There is no evidence of pleural effusions. No focal parenchymal opacity suggesting pneumonia, no pulmonary edema. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. A <num>-<num> mm right medial basal calcified granuloma was present at the last examination and is unchanged.
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recent history of pneumonia, shortness of breath.
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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. There has been no significant change.
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fatigue.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
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<unk>m with palpitation, shortness of breath // eval for acute process
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Pa and lateral views of chest. The lungs are clear. Cardiac silhouette is normal in size. There is no pleural effusion pneumothorax or pulmonary edema.
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chest pain
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The heart size is normal. The mediastinal and hilar contours are unremarkable. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. A gastric lap band is imaged in the left upper quadrant of the abdomen.
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asthma.
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The heart is mildly enlarged. There is persistent right perihilar opacity and opacification at the right base, corresponding to the right lower lobe on the lateral view which may represent atelectasis or infection. The left lung appears clear. There is no evidence of pleural effusion or pneumothorax. There is persistent subcutaneous there in the right lateral chest wall and right neck, which is minimally decreased.
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<unk> year old man s/p rul // check interval change
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The lungs are well-expanded and clear. The cardiomediastinal silhouette is stable. Median sternotomy wires and post cabg changes are again noted. A left lateral rib deformity is well healed. The pleural and hilar surfaces are unremarkable.
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history: <unk>f with chest pain // ?pneumonia
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Lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.
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dizziness, chronic immunosuppression status post renal transplant
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Interval worsening of interstitial pulmonary edema, now moderate. Mild cardiomegaly is new. There is no focal consolidation, pleural effusion, or pneumothorax. Biapical pleural thickening is noted.
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history: <unk>m with aortic stenosis, weakness // please eval for interval worsening in pulmonary edema
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Pa and lateral chest radiograph demonstrate clear lungs. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Visualized osseous structures are unremarkable.
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<unk>-year-old female preoperative examination.
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No focal consolidation, pleural effusion, pneumothorax or pulmonary edema is detected. Heart and mediastinal contours are within normal limits. Clip projecting over the right upper quadrant is seen.
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<unk>-year-old female with chest and abdominal pain.
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Left-sided chest tube is in unchanged position. There is a persistent, unchanged loculated left pleural effusion with patchy aeration of underlying left lung. Right lung is clear. No change in cardiomediastinal silhouette. Bony thorax is unchanged.
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<unk>m s/p l vats hematoma evacuation lul hematoma and mediastinoscopy ln sampling <unk> s/p <num> chest tube removal // please obtain at <time>am, s/p chest tube removal, pneumothorax?
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As compared to the prior exam, there is increased blunting of bilateral costophrenic angles left greater than right related to pleural effusion. The heart size remains mildly enlarged. No focal opacities which are concerning for infection. No pneumothorax. Deviation of the trachea could be due to the aortic knob or simply and patient rotation. Aorta is unfolded.decreased pulmonary edema from <num> days prior.
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history: <unk>f with tachycardia, chest discomfort // eval infiltrate
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Again seen is a well-circumscribed mass in the right middle lobe along minor fissure measuring <num> x <num> cm, mildly increased in size from <unk> (previously <num> x <num> cm) and from <unk> (previously <num> x <num> cm). . There is mild right basilar atelectasis. Persistent cardiomegaly is unchanged from <unk>. There are no pleural effusions or pneumothorax. Cardiomediastinal borders and and hilar structures are normal.
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<unk> year old woman with persistent cough. had "ovoid density" on films at <unk>. hx mva w/ multiple rib fx. please compare. // ?pneumonia? chf, progression o lung mass?
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There are low lung volumes. The heart size is moderately enlarged. Widening of the superior mediastinum is likely due to low lung volumes. Multifocal consolidative opacities within the right lung and left lung base are concerning for multifocal pneumonia. There is crowding of the bronchovascular structures with likely a element of mild pulmonary vascular congestion. No pleural effusion or pneumothorax is identified. There are multilevel degenerative changes in the imaged thoracic spine.
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hypoxia, shortness of breath, rhonchi in the right lung fields.
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There is persistent blunting of the left costophrenic sulcus and the left posterior costophrenic sulcus, compatible with pleural effusion likely with adjacent atelectasis. The remainder of the lung fields are clear, prior retrocardiac opacity has resolved. Moderate cardiomegaly is stable. A left pacemaker/defibrillator has leads terminating in the right atrium via a persistent left superior vena cava and another lead in the right ventricle. There is no pneumothorax.
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fever and chest pain. evaluate for reason for chest pain/fever. ? infection.
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There are relatively low lung volumes. Given this, no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top-normal. The mediastinal and hilar contours are unremarkable. There is gaseous distention of the partially imaged colon in the left upper quadrant.
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fever, sweats.
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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> year old woman with cp, dyspnea
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Cardiac silhouette size is normal. Aorta remains tortuous. Moderate hiatal hernia is noted. Pulmonary vasculature is not engorged. Lungs are hyperinflated without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Mild loss of height of a low thoracic vertebral body remains unchanged. Multiple clips are demonstrated overlying the midline lower neck.
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history: <unk>f with weakness
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There is a loculated pleural effusion at the lateral left lung. There is a hay opacity that overlies the lower and mid left lung. Otherwise, the lungs are clear, the cardiomediastinum is without abnormality and there is no pneumothorax.
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<unk> year old man with left lower lobe pneumonia diagnosed at an outside hospital <unk>, with persistent dullness at left base // assess for persistent consolidation, effusion at left lower lobe assess for persistent consolidation, effusion at left lower
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There is a right-sided picc line which terminates within the brachiocephalic vein. The heart size continues to be at the upper limits of normal. The patient is status post median sternotomy and mitral valve replacement. There is mild vascular congestion and small bilateral pleural effusions, right greater the left.
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<unk> year old man with status post bental // eval picc placement
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The lungs are clear without focal opacities, pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable, however, prominence of the pulmonary arteries persists.
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cough. positive ppd.
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The heart size is normal. The mediastinal and hilar contours are unchanged. The pulmonary vascularity is normal. Lungs are clear. No pleural effusion, focal consolidation or pneumothorax is identified. No acute osseous abnormalities are seen.
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influenza likeillness. cough.
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Frontal and lateral radiographs of the chest demonstrate apical scarring in the left lung which may be from prior lobectomy. Otherwise, the lungs are well inflated with no opacities. No pleural effusion or pneumothorax is seen. Cardiomediastinal contour is normal.
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prior left lobectomy for tb in <unk>. now with pressure in left chest. evaluate for pleural effusion or other abnormality.
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Pa and lateral views of the chest demonstrate no focal opacity concerning for pneumonia. Cardiomediastinal and hilar contours are unremarkable. Subtle blunting of bilateral costophrenic angles. Trace pleural effusions are difficult to exclude. There is no pneumothorax. No acute osseous abnormalities identified.
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<unk>-year-old female with fever and fluid responsive hypotension.
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable.
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<unk>m with cp, sob, wheezing. evaluate for consolidation.
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
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chest pain.
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Pa and lateral views of the chest provided. Aicd projects over the left chest wall with leads extending to the region of the right atrium and right ventricle unchanged. The heart is within normal limits of size. There is no focal consolidation, large effusion or pneumothorax seen. No overt edema. Bony structures are intact. Mediastinal contour is normal.
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<unk>m with mvc // injury?
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Pa and lateral views of the chest provided. Port-a-cath remains implanted in the right chest wall with catheter extending to the region of the mid svc. Nipple shadows are noted bilaterally. The lungs are clear without evidence of pneumonia or chf. Hyperinflation of the lungs suggests underlying copd. The heart and mediastinal contours are stable. The bony structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with cough x <num> days, evaluate for pneumonia.
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Lung volumes are normal. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal. A punctate <num> mm round opacity projecting over the left apex is consistent with a calcified granuloma or solitary bone island. Dish is unchanged.
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history: <unk>f with cough // pna?
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The lungs are hyperinflated. There is new patchy consolidation at the right lung base compatible with a right lower lobe pneumonia. Volume loss in the right hemithorax from prior right upper lobectomy again seen with post-thoracotomy changes of the ribs on the right. There is chronic blunting of the left lateral costophrenic angle, potentially due to pleural thickening or scar. Cardiac silhouette is enlarged but unchanged. Median sternotomy wires and mediastinal clips and coronary artery stents again seen as well as atherosclerotic calcifications at the arch. Hypertrophic changes noted in the spine. Surgical clips identified in the upper abdomen.
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<unk>-year-old male with nausea, weakness and history of cancer, status post resection with fever.
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Lungs are fully expanded. No pleural abnormalities. Heart size is normal. Mild prominence of the right hilum is unchanged since at least <unk>. However, there is subtle indistinctness of the hilar borders possibly reflecting edema. Tortuosity of the descending thoracic aorta is again seen.
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<unk>f with weakness, left calf pain // ? pna, left dvt
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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 fracture is seen.
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chest pain.
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart is top normal in size, and the mediastinal silhouette is normal. There is no intraperitoneal free air noted.
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<unk>-year-old female with abdominal pain and chest pain.
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The lungs are well expanded and clear. Minimal blunting of one of the posterior costophrenic sulci could reflect pleural thickening. Heart is normal in size with normal contours.
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<unk>-year-old woman with cough, fever, and fatigue with pleuritic chest pain x<num> days. assess for pneumonia given crackles in right middle lobe.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. Breast implant in place.
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chest pain.
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Right chest wall dual lead central venous catheter is again seen with tip in the right atrium. Low lung volumes are noted with bibasilar atelectasis. There is no focal consolidation worrisome for pneumonia nor effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>m with esrd, esld, w/ new tbili <num> // eval ? effusion, atelectasis, edema
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As compared to the previous radiograph, there is no relevant change. Right pectoral port-a-cath. No evidence of pulmonary edema. No focal parenchymal opacity suggesting pneumonia. Borderline size of the cardiac silhouette. No pleural effusions. No pneumothorax.
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hodgkin's lymphoma, dyspnea on exertion, evaluation for pneumonia.
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