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Interval removal of a left-sided pigtail catheter. A tiny left apical pneumothorax is essentially unchanged from the prior examination. There is no evidence of focal consolidation, pleural effusion, or frank pulmonary edema. The cardiomediastinal silhouette is stable.
<unk> year old woman with ptx, pigtail removed <time>am, cxr to be taken at <time>pm // post chest tube pull film, to be taken at <time>pm <unk>
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Lungs are fully expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Hilar structures are symmetric with diameter at the upper limit of normal. Mediastinal contours are normal. Moderate cardiomegaly is unchanged. Prosthetic mitral and tricuspid valves are in place.
<unk> year old man with hx systolic heart failure, presenting with new wheezing. // concern for volume overload
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Pa and lateral views of the chest provided. On the lateral view there is a rounded density projecting over the lower thoracic spine, corresponding to a left paraspinal mass seen on prior ct. This lesion appears relatively stable dating back to prior radiograph from <unk>, suggesting a benign entity. 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 hypotension, wish to r/o pulmonary infection // ? pneumonia
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There is moderate to large left pleural effusion and small right pleural effusion. There is consolidation of bilateral lung bases, left more than right. Cardiac silhouette is obscured by pleural effusion. Mediastinal and hilar silhouettes are normal size.
<unk> year old woman with hx of bc, now cough // infiltrate?
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As compared to the previous radiograph, the signs indicative of pulmonary edema have decreased in severity. Currently, there might be mild fluid overload but no evidence of overt pulmonary edema. Mild right pleural effusion, better appreciated on the lateral than on the frontal radiograph. Moderate cardiomegaly with tortuosity of the thoracic aorta.
history of chronic heart failure, shortness of breath, assessment.
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Compared to most recent prior exam, there is improved aeration of the right lung base. Small bilateral pleural effusions persist. No focal consolidation or pneumothorax is detected. Left basilar subsegmental atelectasis persists. An air-fluid level is again noted within the neo-esophagus. Heart and mediastinal contours are stable. Left-sided port-a-cath appears similarly positioned. Mid-thoracic vertebral compression deformity appears similar.
<unk>-year-old male status post esophagectomy.
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Frontal and lateral views of the chest demonstrate fully expanded and clear lungs. There is no pleural effusion or pneumothorax. The mediastinal and hilar contours are normal.
<unk> year old woman with cough and left-sided chest pain.
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In comparison with the study of <unk>, there has been dramatic clearing of the right basilar opacification. Mild retrocardiac atelectatic streaking is seen.
cardiac arrest with right lower lobe consolidation.
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Chest pa and lateral radiograph demonstrates right-sided tunneled hd line with distal port in the upper right atrium and the more proximal port in the distal svc. No pleural effusion or pneumothorax evident. Mediastinal and hilar contours are unremarkable. Heart size is top normal, though comparable to <unk> chest radiograph.
end-stage renal disease, new tunneled hd line; please evaluate for line placement.
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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old with syncope.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. The mediastinal and hilar contours are stable. There may be minimal left base atelectasis.
cough, shortness of breath.
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>m with r sided chest pain. evaluate for acute cardiopulmonary process.
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Frontal lateral radiographs of the chest demonstrate normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax.
chest pain, question pneumothorax.
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. There are small, bilateral pleural effusions. In the retrocardiac region, there is a streaky opacity. While this may represent atelectasis, aspiration or pneumonia is not entirely excluded.
history: <unk>f with right sided abdominal pain, s/p cholecystectomy // eval for pneumonia
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Chronic changes suggestive of scar seen at the left lung apex. Prominent extrapleural fat versus pleural thickening seen on the right, unchanged. Elevation of the left hemidiaphragm is similar compared to prior. The cardiomediastinal silhouette is within normal limits. There is no consolidation, effusion, or edema. No acute osseous abnormalities identified.
<unk>m with ttp and new-onset sob // is there an acute pulmonary process?
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Right chest wall port is seen with catheter tip at the ra svc junction. The lungs are clear without consolidation, effusion, or edema. Cardiac silhouette is top-normal in size. There is tortuosity of the thoracic aorta. Old healed right posterolateral rib fractures are noted.
<unk>m with fever // fever
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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 pulmonary edema is seen. There is no displaced fracture.
chest pain and shortness of breath.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. Previously identified left picc line is no longer identified. Catheter likely representing a ventricular shunt seen traversing the anterior chest wall. Lungs remain clear of consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old female with fever and abdominal pain. <unk>% oxygen saturation on room air and recent hospitalization.
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Severe cardiomegaly is re- demonstrated. The mediastinal contours are unchanged. There is persistent perihilar haziness and vascular indistinctness compatible with moderate pulmonary edema, similar compared to the previous exam. No focal consolidation, large pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
shortness of breath, history of liver and heart failure.
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The heart is normal. The hilar and mediastinal contours are normal. Lungs are clear without evidence of focal consolidations, pleural effusions or pneumothoraces. The visualized osseous structures are unremarkable.
history of chest pain. rule out 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 pleuritic chest pain // ?ptx
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No focal consolidation, effusion or pneumothorax. No central vascular congestion or overt pulmonary edema. Opacity in the left upper lung corresponds with a prominent osteophyte at the first costosternal junction, better assessed on prior chest ct. Pleural and parenchymal scarring in the right mid and lower lung, as well as associated pleural calcifications, are similar to prior. Mediastinal and hilar contours are stable. Mild cardiomegaly is stable.
<unk> year old man with history of chf, high risk bladder cancer s/p cystoprostatecomy undergoing surveillance, also complaining of cough and crackles on exam // eval for nodules, pleural effusion, pneumonia
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Mild pulmonary vascular congestion is stable since <unk>. There is no overt pulmonary edema. There is no pleural effusion or pneumothorax. The mediastinal contours are normal. Moderate cardiomegaly is stable. Right shoulder arthroplasty again noted.
<unk>f with leg swelling, dyspnea, significant head pressure. says typical of chf exacerbations for her but with significant headache // evaluate for acute process, edema, fluid overload
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Frontal and lateral radiographs of the chest show an opacification projecting over the left heart on the frontal radiograph and the posterior lung base on the corresponding lateral radiograph consistent with left lower lobar pneumonia. No pleural effusion or pneumothorax is present. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits.
<unk>-year-old male with <num>-day history of cough, fever and coarse rales on physical exam, here to evaluate for left lower lobe pneumonia.
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There are streaky bibasilar opacities. Superiorly, the lungs are clear. Cardiomediastinal silhouette is stable. No acute osseous abnormalities identified.
<unk>f with diabetes, weakness, fevers at home // eval for pna
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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>m with jaw, arm pain, orthostatic sxs. // eval ? pneumothorax, effusion eval ? pneumothorax, effusion
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
cough and shortness of breath.
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Left chest wall dual lead pacing device is seen with leads in the right atrium and right ventricular apex. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with cough, chills // eval pna
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In comparison to the prior chest radiograph, the external pacemaker has been removed. There is a aortic stent. There is a diffuse reticular interstitial pattern, more pronounced at the bases, which has improved in comparison to the prior chest radiograph. Heart size is normal. The mediastinal and hilar contours are normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. There is a marker seen within the right lower lung. There are surgical clips seen within the upper abdomen.
<unk> year old man with copd, suspected gi bleed, bibasilar crackles. r/o pulmonary edema. // please evaluate for pulmonary edema.
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The lungs are well expanded and show bilateral reticular nodular opacities similar to prior. There are calcifications in the hila which are reflective of sarcoidosis. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old with known asthma and sarcoidosis presents with several days of fever and right upper lung zone wheezing.
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The lungs remain clear. There is no focal consolidation, effusion, or edema. Cardiomegaly is stable. No acute osseous abnormalities. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>f with new onset afib // eval for acute process
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There is no free air beneath the right hemidiaphragm.
history: <unk>m with chest pain // eval infiltrate
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. There is moderate cardiomegaly without evidence of pulmonary edema. Left basilar opacity correlates to mediastinal fat pad seen on ct abdomen pelvis <unk>. Hilar structures are normal.
<unk>m with hx chf, afib presenting with cough, congestion. // pneumonia, pulm edema?
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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 rash, cough, epigastric cramping
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Frontal and lateral chest radiographs were obtained. The rigth chest tube has been removed. There is now a small right apical pneumothorax. There is no evidence of tension. There is a persistent moderate hydropneumothorax adjacent to anterior right lung base. The left lung is fully expanded and clear. Cardiomediastinal silhouette and hilar contours are stable. There is also increased subcutaneous gas at right lateral chest wall.
patient with right middle lobectomy status post chest tube removal, rule out pneumothorax.
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<num> views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with tortuous aortic contour.
chest pain.
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Pa and lateral views of the chest. The lungs remain clear of consolidation, effusion, or pneumothorax. Cardiac silhouette is enlarged but stable. There is no pulmonary vascular congestion. Multiple bilateral prior anterior rib fractures are again seen.
<unk>-year-old female with chest pain.
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Pa and lateral views of the chest demonstrate normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no pleural effusion or pneumothorax.
shortness of breath.
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The lungs are hyperinflated and clear. Emphysematous changes are noted throughout the lungs. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Kyphosis of the thoracic spine is noted.
history: <unk>f with cough // ? pna
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The heart size is normal. The mediastinal contours are unchanged with tortuosity of the thoracic aorta again noted. The hilar contours are normal. The pulmonary vascular is normal. Lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
right-sided numbness, chest pain.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.
shortness of breath. question pneumonia.
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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 hiv, asthma who presents with cough, shortness of breath
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Pa and lateral views the chest were provided. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No free air below the right hemidiaphragm.
evaluate for pneumonia, in a pregnant patient with +flu, productive cough, and fever.
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Moderate cardiomegaly is unchanged. Cardiac conduction device is contiguous with leads which project over the right atrium and right ventricle. Lungs are clear. No pneumothorax. Mild pulmonary edema is noted, new compared to <unk>.
<unk>m w/chest pain and sob, please eval for mediastinal widening, pulm edema // <unk>m w/chest pain and sob, please eval for mediastinal widening, pulm edema
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As compared to the previous radiograph, there is no relevant change. Overinflation without pleural effusions or pulmonary edema. Borderline size of the cardiac silhouette. Mild tortuosity of the thoracic aorta. No evidence of pneumonia.
productive cough, shortness of breath in the setting of copd. evaluation.
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The heart is normal in size. The aorta is mildly tortuous. The mediastinal and hilar contours appear within normal limits. There are no pleural effusions or pneumothorax. There is an irregular density that is new over the short interval projecting over the left upper lobe but only on the frontal view suggesting an artifact; a repeat view was performed with a hair clip removed, showing the area to be clear.
possible posterior transient ischemic attack and fever.
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Right infrahilar opacities may be related to chronic scarring versus atelectasis. Pneumonia is less likely. Left lower lobe atelectasis is present. No pleural effusion, pneumothorax or focal consolidations concerning for pneumonia. Cardiac size is stable.
<unk>-year-old female with fever. please assess for pneumonia.
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There is mild central vascular congestion without frank pulmonary edema. There is no pneumothorax. The cardiomediastinal silhouette is unchanged. The aorta is tortuous and calcified.
<unk>m with bilateral leg swelling // eval for chf.
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Small to moderate right pleural effusion is seen. There may be a trace left pleural effusion. Minimal interstitial edema is seen. The cardiac silhouette is top-normal to mildly enlarged. The aorta is calcified. Evidence of dish is seen along the spine.
history: <unk>m with confusion // pna?
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Upright ap 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.
history: <unk>f with cp // r/o cardiomegaly, abnormalities
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In comparison with study of <unk>, there has been placement of a left subclavian dual-channel pacer device with leads extending to the region of the right atrium and apex of the right ventricle. No evidence of pneumothorax. Otherwise little change.
pacer placement.
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There are relatively low lung volumes. The patient's neck and chin overly the medial lung apices. The lung bases are underpenetrated due to overlying soft tissue. Given the above. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with dizziness // eval for pna
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Frontal and lateral chest radiographs demonstrate mild to moderate cardiomegaly, slightly increased compared to <unk>. The lungs are well-aerated, without focal consolidation, pleural effusion, or pneumothorax. There is again mild vascular congestion and pulmonary edema. The visualized upper abdomen is unremarkable.
evaluate for pulmonary edema in a patient with worsening shortness of breath.
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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 female with chest pain.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion. There is no evidence of a pneumothorax. The visualized osseous structures are unremarkable.
history of chest pain. please evaluate for acute changes.
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The lungs are moderately well inflated and clear. No pleural effusions. Cardiomediastinal silhouette is within normal range. There is diffuse mild demineralization with multilevel degenerative changes of the thoracic spine.
<unk> year old woman with shortness of breath // ? infiltrate
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Frontal and lateral views of the chest. Severe left hemidiaphragm elevation is similar to prior. There is moderate left lung base atelectasis with stable rightward shift of the mediastinum. No focal consolidation, pleural effusion, or pneumothorax. Large calcified mediastinal lymph node is unchanged. Heart size appears stable.
<unk>-year-old female with chest pain.
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The lungs remain hyperinflated, consistent with chronic obstructive pulmonary disease. No focal consolidation, large pleural effusion, or evidence of pneumothorax is seen. There is persistent mild blunting of the right costophrenic angle. The cardiac and mediastinal silhouettes are stable and unremarkable. Aortic knob calcification is seen.
copd with shortness of breath.
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The lungs are well expanded. No focal consolidation is seen. There is very minimal lateral left lung base linear atelectasis. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion.
cough.
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The heart size is normal. There is a tortuous thoracic aorta. Again seen are multiple areas of brochiectasis and multifocal scattered reticular opacities previously described as mac, unchanged compared to the prior exam. There is a new right middle lobe opacity suggestive of atelectasis. There is no pleural effusion or pneumothorax. No other focal consolidations are seen.
<unk>-year-old female with a history of mac infection, purulent sputum and cough x<num> days, who presents for evaluation.
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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. There is dextroscoliosis. Imaged osseous structures are intact. .
<unk>m with left-sided chest pain. evaluate for pneumothorax.
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Cardiac and mediastinal silhouettes are stable. Mild prominence of central pulmonary vasculature persists, suggesting central pulmonary vascular engorgement without overt pulmonary edema. Blunting of the bilateral posterior costophrenic angles, new since the prior study, consistent with trace pleural effusions. No definite focal consolidation is seen. There is no pneumothorax.
history: <unk>f with esrd, mi, p/w persistent tachycardia // ? infiltrate, chf
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Compared to <unk> chest radiograph, the bilateral lung volumes are again low. The heart size is top normal. There is mild pulmonary vascular congestion without overt pulmonary edema. There is a possible small left pleural effusion. T<num> vertebral body compression fracture and chronic right shoulder anterior dislocation are stable and unchanged compared to a most recent study.
<unk> year old woman with confusion, cough, ?pna on portable cxr, s/p ivf // eval for pna
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There are relatively low lung volumes. There may be minimal vascular congestion. No definite focal consolidation is seen. Scattered areas of minor atelectasis are noted. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable.
history: <unk>f with left femur fracture requiring orthopedic intervention // pre op clearance
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Lungs are well expanded clear. Mediastinal contours, hila, and cardiac silhouette are normal. No pneumothorax or pleural effusion.
<unk>m with chest pain and cough // ?pneumonia
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Chest pa and lateral radiograph demonstrates unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax evident. No osseous abnormality identified.
shortness of breath and cough. evaluate for pneumonia.
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There is mild cardiomegaly. Lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. Degenerative changes of the thoracic spine are noted. No compression deformities. Limited view of the upper abdomen is unremarkable. No subdiaphragmatic free air.
history: <unk>f with epigastric pain. evaluate for cardiopulmonary process.
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The patient is status post median sternotomy and cabg. Lung volumes are low which accentuates the size of the cardiac silhouette which remains mildly enlarged. Mediastinal and hilar contours are unchanged. There is crowding of the bronchovascular structures due to low lung volumes without overt pulmonary edema. Innumerable basilar predominant nodular opacities are less pronounced on the current study but compatible with known metastases. Patchy opacities are re- demonstrated in the lung bases likely reflective of atelectasis. No new focal consolidation, pleural effusion or pneumothorax is demonstrated. Multilevel degenerative changes are again noted in the thoracic spine.
history: <unk>m with chest pain, confusion
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar pa and lateral chest examination of <unk>. Again, a large-sized left-sided pleural effusion is identified, obliderating the diaphragmatic contours and the density extending along the left lateral chest wall. Comparison with the next previous examination of <unk> suggests that the amount of pleural density has decreased mildly; however, there is a quite large-sized density remaining. No new abnormalities are seen and the right hemithorax shows normal chest findings without evidence of pulmonary infiltrates or pulmonary vascular congestion. Comparison is also made with the next recent portable chest examination dated <unk>. The latter examination was performed following tap of the left pleural effusion showed moderate reduction of the pleural effusion in comparison with a previous pa and lateral chest examination. The present comparison indicates that the pleural effusion appears to be stable between <unk> and today, <unk>.
<unk>-year-old male patient with left pleural effusion, assess for interval change.
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There is a focus of opacity obscuring the right heart border, which localizes to the right middle lobe on lateral projection, and may represent an early pneumonia. A second vague opacity is seen in the left lower lobe, it may represent either atelectasis or a second focus of pneumonia. Biapical scarring is noted. There is no pleural effusion, pneumothorax, or pulmonary edema identified. The heart size is normal. Mediastinal and hilar contours are essentially normal. Findings were entered into the radiology dashboard by dr. <unk> at <time>pm on <unk>, <unk> min after discovery.
history of ms and fever, evaluate for pneumonia.
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Ap upright and lateral chest radiographs were obtained. The lungs appear well expanded and clear without pleural effusion or pneumothorax. No overt edema is seen. The heart is stably and severely enlarged with unchanged tortuous aortic contour. The width of the mediastinum appears grossly unchanged from prior ap chest radiograph. Right neck plastic cannula is presumed to be for iv access.
chest pain.
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Subtle opacity projecting over the right upper lobe adjacent to the level of the anterior right second rib, likely corresponds to right upper lobe nodular opacity seen on a prior chest ct and recommendation for follow-up chest ct as per the prior chest ct report, remains. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. Extensive mitral annulus calcification is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture identified.
history: <unk>f with fall, left hand pain, on antcoagulation // ?fx
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The lungs are clear, and the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax. There is a compression fracture of a mid thoracic vertebral body, slightly progressed since <unk>.
<unk>-year-old with fever.
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The heart size is normal. Aorta remains unfolded. Mediastinum and hilar contours are unremarkable. Pulmonary vascularity is normal. Except for mild subsegmental left basilar atelectasis, the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are detected.
productive cough and fever.
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No focal consolidation concerning for pneumonia. Mild cardiomegaly is again seen, with mild pulmonary edema and central pulmonary vascular congestion. No pneumothorax or pleural effusions.
<unk> year old woman with severe htn, sob.
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The cardiac silhouette is significantly enlarged. A retrocardiac opacity likely relates to a combination of pleural effusion and volume loss, as seen on prior chest ct examination. Increased opacity at the right lung base is also likely due to a combination of pleural fluid and atelectasis. However, an underlying infectious process cannot be excluded. There is no pneumothorax. Bilateral shoulder prostheses are noted.
history of aspiration. rule out pneumonia.
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. Elevation of the right hemidiaphragm persists.
<unk>-year-old male with cough, wheezing, and left-side rhonchi. assess for pneumonia.
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal. Mild elevation of the right hemidiaphragm is stable with associated bibasilar atelectasis.
<unk> year old man with cough, crackles left base, evaluate for consolidation.
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The lungs are well expanded. There is possible background copd, with mild parenchymal scarring. No chf, focal infiltrate, effusion, or pneumothrax is detected. Heart size is borderline, with mild unfolding of the aorta. No subdiaphragmatic free air is identified.
severe epigastric pain. evaluate for acute cardiopulmonary process, subdiaphragmatic free air.
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Again the radiodensity of the ribs and vertebral bodies as well as the other bones are diffusely increased likely secondary to renal disease. Again seen is slight scoliosis of the thoracic spine with resulting asymmetry of the rib cage. The lungs are slightly hyperinflated. There are no focal consolidations, pleural effusions or pneumothorax. The hilar and mediastinal contours are normal. The heart size is normal.
<unk>-year-old male with a history of night sweats who presents for evaluation.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of left facial twitching. rule out chest pathology.
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There are multifocal opacities seen in the right lung within the upper and lower lobes and likely within the middle lobe as well. There is also subtle opacity in the left mid lung. Costophrenic angles are sharp. The cardiomediastinal silhouette is within normal limits. Nipple rings are seen bilaterally. The soft tissues are otherwise unremarkable as are the osseous structures.
<unk>-year-old female with acute shortness of breath.
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Lungs are well inflated and clear bilaterally with no evidence of masses, lesions, pleural effusions or pneumothorax. The cardiomediastinal silhouette is within normal limits. Hila are unremarkable with no evidence of adenopathy. Pleural surfaces are unremarkable. No osseous abnormalities are identified.
<unk>-year-old female with leukemia, status post transplant, on high-dose immunosuppression, now with productive cough and upper respiratory symptoms.
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Right picc line terminates in the proximal right atrium. Lung volumes are low. There is no focal consolidation or effusion. No pneumothorax or pneumomediastinum. Mediastinal and hilar contours are stable. Heart size is normal. Anterior compression fracture of l<num> vertebral body is unchanged.
<unk> year old woman with hx of aml, neutropenic with vague chest pain. please further evaluate. // <unk> year old woman with hx of aml, neutropenic with vague chest pain. please further evaluate.
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No new focal consolidation is seen. Previously noted focal opacity in the right lung base is less conspicuous as compared to the prior study. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Evidence of hiatal hernia is again seen.
history: <unk>m with seizure activity, recent pna // eval for recurrent pna/resolution
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Pa and lateral views of the chest provided. Bibasilar atelectasis is noted. There is no convincing evidence for pneumonia. No large effusion or pneumothorax. The heart appears within normal limits. The mediastinal contour is normal. A metallic coil projects over the right upper quadrant. No free air is seen below the right hemidiaphragm.
<unk>m with chronic cough in setting of fever, jaundice, xfer for r/o cholangitis // r/o consolidation or thoracic source of infection
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There is no pleural effusion, focal consolidation or pulmonary vascular congestion. There is mild linear atelectasis at the left lung base. There is no evidence of acute infectious process. There is a moderate hiatal hernia, in the thoracic esophagus is mildly distended with air. The aorta is tortuous.
<unk> year old woman with history of smoking, worsening cough for one week increased fatigue ? rll consolidation // pls eval for pna or other infectious 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 cough // evidence of infection
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cirhrhosis p/w n/v and cough // please eval for pneumonia
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In comparison with study of earlier in this date, there has been a thoracentesis on the left with removal of a large proportion of the pleural fluid. No evidence of pneumothorax. Otherwise, little change.
thoracentesis, to assess for pneumothorax.
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Frontal and lateral views of chest demonstrate normal cardiomediastinal silhouette. There is mild unfolding of the thoracic aorta. The lung volumes are slightly decreased but stable. There is no pneumothorax, vascular congestion, or pleural effusion. There is a small opacity obscuring the left posterior costophrenic angle, which is likely due to a bochdalek hernia. Apparent thickening along the left lateral basal pleural space is consistent with extrapleural fat as correlated with ct.
<unk>-year-old woman with chest pain. question pneumonia.
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No previous images. The heart is normal in size and there is no vascular congestion or pleural effusion. Specifically, no evidence of acute pneumonia. Of incidental note is apical pleural thickening bilaterally, possibly related to a prior exposure to tuberculosis.
right upper quadrant pain with pleuritic component, to assess for pneumonia.
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As compared to the previous radiograph, the known pre-existing multiple bilateral lung nodules have not substantially changed in size and distribution. However, there is a massive increase in extent of the left pleural effusion. The effusion now occupies approximately one-third of the left hemithorax. Moreover, areas of basal atelectasis have newly appeared. Unchanged size of the cardiac silhouette. Unchanged left pectoral port-a-cath.
pleural effusion, evaluation.
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Chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. Lungs are clear. No pleural effusion or pneumothorax is evident. Stable degenerative changes are identified within the thoracic spine.
recent bronchitis, history of dilatation of ascending aorta on prior cardiac shadow. please evaluate for aortic aneurysm or infiltrate.
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The heart is mildly enlarged in the thoracic aorta is tortuous. Lungs are clear. There is no pleural effusion or pneumothorax. No displaced fractures are seen.
history: <unk>f with fall. // intrathoracic process
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Frontal and lateral views of the chest. The heart size and cardiomediastinal contours are normal. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old male with hypoglycemia.
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Pa and lateral images of the chest demonstrate well expanded lungs. There is a retrocardiac opacity that is concerning for pneumonia. There is also left pleural effusion and a small amount of fluid located in the right minor fissure. Small granulomas are noted at the right lateral mid lung and left lateral mid lung. There is no pneumothorax. Calcification of the aortic knob is seen. The cardiomediastinal silhouette is partially obscured by the retrocardiac opacity and left pleural effusion, but otherwise is unremarkable. Visualized osseous structures are unremarkable.
<unk>-year-old male with shortness of breath, wheezing, rales and dullness to percussion on the left.
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Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
history: <unk>m with doe // pna?
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine
<unk>m with inflammatory arthritis on methotrexate with dyspnea // eval for ild or other cause of dyspnea
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Lungs remain hyperinflated with flattened diaphragms and extensive emphysematous changes again noted. The heart size is normal. Enlargement of the pulmonary arteries bilaterally is re- demonstrated suggestive of underlying pulmonary arterial hypertension. Mediastinal contour is unchanged. Pulmonary vasculature is not engorged. Small bilateral pleural effusions are demonstrated, mildly increased in size on the right since the prior study. Patchy opacities in the lung bases likely reflect areas of atelectasis. Multiple pulmonary nodules seen on prior chest ct are not as well demonstrated on the current exam. No pneumothorax or new focal consolidation is present. Mild loss of height of a mid thoracic vertebral body is similar.
<unk> year old woman with history of severe copd with newly developed cough and acute onset shortness of breath