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In comparison with the study of <unk>, there is no evidence of acute pneumonia, vascular congestion, or pleural effusion. Widening of the right paratracheal stripe persist, consistent with known lymph node enlargement in this region on prior ct. The right upper lung nodule seen previously is difficult to appreciate on the current study.
cough, to assess for pneumonia or collapse.
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The lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Calcific density projects over the spinal canal at the lower thoracic level as seen on prior ct scan.
<unk>f with failure to thrive, difficulty swallowing. fell <num> days ago after prior head ct // r/o pneumonia, ich
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There are subtle bilateral peribronchial opacities, which are new since the cxr dated <unk>. Lateral view also demonstrates a linear opacity projecting over the heart, suggesting a middle lobe process. Lung bases on ct abdomen <unk> are clear. No pleural effusions or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. The right port is unchanged in position and terminates at the cavoatrial junction.
<unk> year old woman with leukemia s/p chemo with sob // pna or pleural effusion
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The heart is again moderately enlarged. The mediastinal and hilar contours appear stable. There is perihilar congestion and a mild interstial abnormality, similar to prior findings. Otherwise, the lungs appear clear. There is no pleural effusion or pneumothorax.
altered mental status and recent urinary tract infection.
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The cardiomediastinal contour appears unchanged. Linear opacity at the right lung base is felt to relate to atelectasis or scarring likely within the right middle lobe. No focal consolidation concerning for pneumonia. There is no pleural effusion or pneumothorax. Degenerative changes are noted in the bilateral acromioclavicular and glenohumeral joints with likely a rotator cuff tear on the right.
history: <unk>m s/p fall, elevated wbc count // pna? pna?
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Frontal and lateral views of the chest were performed. There is bibasilar atelectasis. Obscuration of the left hemidiaphragm is thought to reflect an epicardial fat pad. This appears unchanged from <unk>. A small granuloma is again seen in the right lung base. There is no pneumothorax or focal airspace consolidation to suggest pneumonia. There is a tortuous and calcified aorta which indents upon the trachea. There is no displaced rib fracture.
chest pain, evaluate for pneumonia.
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There are no significant changes compared to the most recent cxr performed yesterday morning. The right apical pneumothorax has remained stable. No evidence of tension. Chest tube is unchanged in position and terminates in the right apex. Linear opacities in rul represent post-surgical changes. There is also a small right pleural effusion with adjacent atelectasis. Within the left hemithorax, there is a small left pleural effusion; otherwise, the left lung is free of consolidations or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk> year old woman with recurrent r ptx post blebectomy // check interval change
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Frontal and lateral chest radiographs demonstrate an unchanged mildly enlarged cardiomediastinal silhouette. Again seen are ill-defined reticular interstitial markings, compatible with mild pulmonary edema. Opacity projecting over the lower thoracic spine on lateral view could represent a left lower lobe pneumonia. There are likely bilateral trace pleural effusions. No pneumothorax is appreciated.
evaluate for pneumonia in an immunocompromised patient with dizziness.
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Chronic changes at the left lung base/left hemidiaphragm and possible trace left pleural effusion. No focal consolidation seen on the right. No pneumothorax. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with cough, hyperglycemia // ?pna
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Mild right middle lobe linear atelectasis is seen with mild elevation of the right hemidiaphragm. There is no definite focal consolidation. The left lung is clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with flank pain, uti // stone vs acute intraabd process
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Two views of the chest provided demonstrate stable mild cardiomegaly. There is no focal consolidation large effusion or pneumothorax. There is no overt edema though mild congestion is difficult to exclude. The imaged bony structures are intact.
<unk>f with ckd present s/p fall with swollen lle + cp
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion, pneumothorax, or evidence of pulmonary edema. No air under the right hemidiaphragm is seen.
history: <unk>f with fever, cough // eval for consolidation
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The lungs are hypoinflated. A granuloma is again noted in the left lower lobe, but no new focal opacities are seen. The patient is status post kyphoplasty of a lower thoracic vertebra. There is mild cardiomegaly, but the cardiomediastinal and hilar contours are unremarkable otherwise. There is no pleural effusion or pneumothorax.
<unk>-year-old female with left-sided chest pain. please evaluate for pneumonia.
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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 fever // r/o infectious process
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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 chest pain // eval for infiltrates
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The heart is normal in size. There is mild tortuosity along the descending aorta. The arch shows patchy calcification. Within the limitations of technique, the mediastinal and hilar contours appear otherwise within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear.
dysarthria and facial droop.
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There is thickening of the bilateral peritracheal stripe is in the upper mediastinum compatible with the patient's known thyroid mass. The trachea is narrowed at this level appear the cardiac silhouette is normal in size. The hilar contours are within normal limits. Minimal calcification of the aortic knob is noted. Streaky opacities in the bilateral lung bases may reflect atelectasis; however, aspiration or pneumonia is not excluded. There is increase density projecting over the lower thoracic spine on the lateral view. No significant pleural effusion or pneumothorax is detected. The pulmonary vasculature is not engorged and there is no overt pulmonary edema.
dyspnea status post thyroid biopsy, here to evaluate for pneumonia or pneumomediastinum.
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Pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. Several well-circumscribed dense opacities projecting over the anterior aspect of multiple intervertebral disc spaces on the lateral view only, represent osteophytes and calcified disc protrusion.
<unk>-year-old man with chest pain and shortness of breath.
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The cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. <num> cm vague nodular focus is demonstrated projecting within the left mid lung field, at the confluence of the left anterior <num>th rib and the left posterior <num>th rib, not clearly visualized on the prior exam. There are no acute osseous abnormalities.
chest pain and shortness of breath.
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. The lungs are well inflated and clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
left anterior chest pain techniquepa and lateral views of the chest.
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Cardiomediastinal silhouette is within normal limits. Lungs are clear except for linear bibasilar atelectasis or scar. Blunting of the left costophrenic sulcus is unchanged and corresponds to extrapleural fat on recent ct abdomen. There is no large effusion or pneumothorax.
history: <unk>m with tia // ?acute process
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Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate the bronchovascular markings. Mild cardiomegaly is present. Cardiomediastinal silhouettes are otherwise unremarkable. No large pleural effusion or pneumothorax. No focal consolidation is present. Cervical fixation hardware is noted. Partially imaged upper abdomen is unremarkable.
shortness of breath and wheezing.
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In comparison with study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. Specifically, no definite pneumonia, vascular congestion, or pleural effusion.
pancreatitis, to assess for pulmonary edema.
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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. Small osteophytes are present along the thoracic spine.
productive cough. history of hiv.
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Heart is top-normal in size. Mediastinal contour is unremarkable. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. There is mild vascular congestion.
<unk>-year-old man with syncope and hypotension
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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. Bony structures are unremarkable.
malaise.
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Pa and lateral radiographs of the chest demonstrate intact median sternotomy wires. Cardiac size is top normal. The lungs are clear with no vascular congestion or focal consolidation. No pleural abnormality is seen. No pleural effusions are seen. Hilar and mediastinal contours are within normal limits.
aortic valve replacement presenting with shortness of breath.
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The cardiac, mediastinal and hilar contours are probably unchanged, allowing for differences in technique. The heart is borderline in size. There is no pleural effusion or pneumothorax. The lungs appear clear. Mid to lower thoracic interspaces appear moderately narrowed.
shortness of breath.
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Two pa views and a single lateral view of the chest were obtained, for a total of three exposures. The lungs are well expanded and clear, with no evidence of pneumothorax, pleural effusion, pulmonary edema, or focal consolidation. The cardiomediastinal silhouette is unremarkable. There is no evidence of subdiaphragmatic free air. A gastrojejunostomy tube is seen in the left upper quadrant.
<unk>-year-old male with nausea, status post radiation and chemotherapy last week for laryngeal cancer.
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Ap and lateral views of the chest. Bilateral deep brain stimulator device pack seen on the chest wall on both sides. Where seen, the lungs are clear. There is no effusion. Prior ng tube is no longer visualized. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old male with elevated white blood cell count and confusion.
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There is a maoderate to large right-sided pleural effusion, similar to exam from earlier the same day but enlarged since <unk>. Bilateral pulmonary nodules are again seen, largest in the left lower lobe medially measuring approximately <num> cm. There is no left-sided pleural effusion. Abnormal mediastinal contour particularly on the right is compatible with known mediastinal adenopathy. No acute osseous abnormalities identified.
<unk>f with r pleural effusion s/p thoracentesis at osh, persistent effusion, tachypnea/sob // extent of pleural effusion, additional acute process
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<num> views were obtained of the chest. The lungs are low in volume with persistent elevation of right hemidiaphragm resulting in mild right basilar atelectasis. There is no focal consolidation, pleural effusion or pneumothorax. The heart is top-normal in size with normal cardiomediastinal contours. Sternotomy wires appear intact with post cabg changes noted.
dka, assess for pneumonia.
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Frontal and lateral radiographs of the chest demonstrate clear lungs. The cardiac and mediastinal contours are normal. No pleural abnormality is detected.
cough. evaluate for infiltrate.
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There is mild diffuse increase in interstitial markings bilaterally suggesting mild interstitial edema. In the left hilar region, is a <num> mm rounded opacity most likely a vessel on end. No pulmonary nodule was seen in this location on chest ct from <unk>. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with ams // pna?
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Ap upright and lateral views of the chest provided. Nipple shadows noted bilaterally. Lungs are clear. 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 chest pain, n/v x<num> day // eval for consolidation
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Left-sided port-a-cath tip terminates in the low svc. Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>f with gastric cancer on chemotherapy with fever
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The cardiac, mediastinal and hilar contours appear unchanged. The left cardiac border is obscured which usually indicates opacity in the lingula, but this appearance is fairly similar to the prior examination and probably represents minor scarring or atelectasis of doubtful significance. There is no pleural effusion or pneumothorax. There is similar mild relative elevation of the anteromedial right hemidiaphragm. The patient is also status post incompletely characterized lower anterior cervical fusion.
fever and chills.
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The patient has had median sternotomy and the wires appear intact and in similar position. Mediastinal clips are unchanged. The patient appears to have had a lap band procedure, projecting over the left upper abdomen. A left pleural effusion is small with mild adjacent relaxation atelectasis. Otherwise, the lungs are clear. No focal consolidation, effusion, edema, or pneumothorax. The heart is normal in size. The mediastinum is not widened. No acute osseous abnormality.
<unk>-year-old woman presenting with cough and fever after recent cabg ; evaluate for pneumonia.
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Left mid lung surgical chain sutures are again seen. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with sudden onset headache, numbness, tingling. // ? sah, abscess
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Frontal and lateral views of the chest. The lungs are clear without focal consolidation. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified. Vertebral body height loss seen in upper to mid and lower thoracic vertebral body which is unchanged.
<unk>-year-old male with hiv and seizure. confusion.
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The lungs are well inflated and clear. Bilateral nipple shadows noted. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
<unk>-year-old woman with lupus presents with cough and fever, evaluate for pneumonia.
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Heart size is top-normal. The mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. The lungs are clear. No pleural effusion or pneumothorax is seen. Clips in the right upper quadrant indicate prior cholecystectomy. No additional radiopaque foreign bodies are seen.
history: <unk>f with chest pain, sensation of foreign body
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The heart is mild to moderately enlarged with dextro positioning. The aorta is moderate a mildly tortuous. There is a diffuse mild interstitial abnormality, probably due to mild pulmonary edema. Lung volumes are low. There is no pleural effusion or pneumothorax.
altered mental status and right facial droop.
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Frontal and lateral radiographs of the chest demonstrate relatively low lung volumes with clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
<unk>f with cp associated with cough/sob/wheezing // eval for bronchitis/pmn/asthma
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Pa and lateral chest x-rays were obtained. Our records do not include a previous exam for comparison. Note is made of sternotomy wires and surgical <unk> related to prior cabg. The heart size is mildly enlarged, and there is moderate widening of the thoracic aorta. There is prominent pleural scarring on the right side and blunting of the right costophrenic sulcus presumably related to prior empyema; however, there is no evidence of free fluid. The lungs are otherwise clear. There is no pneumothorax.
<unk>-year-old with end-stage renal disease status post pneumonia and empyema.
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Lung volumes are slightly low. The lungs are clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.
<unk>-year-old female with weakness concerning for pneumonia.
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Pa and lateral views of the chest. The lungs are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is detected.
<unk>-year-old male with right-sided shoulder and scapular pain.
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Possible mild hyperinflation, which could reflect mild copd. The heart is not enlarged. Aorta is tortuous and minimally calcified. No chf, focal infiltrate, effusion or pneumothorax is detected. Mild t-spine degenerative changes noted.
<unk>m with exertional angina and presyncope today. // <unk>m with exertional angina and presyncope today.
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There are relatively low lung volumes. Mild left base atelectasis is seen without definite focal consolidation. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable.
history: <unk>m with ams // eval for acute process
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A left-sided port-a-cath tip terminates at the lower svc. The heart size is within normal limits. The mediastinal and hilar contours are normal. The lungs are clear of lobar consolidation with plate-like atelectasis or scarring along the major fissure than in the lower lateral lung zones bilaterally. Blunting of the right costophrenic angle likely represents a small-to-moderate pleural fluid versus thickening. There is no pneumothorax. There is no change from prior exams.
<unk>-year-old male with hyperglycemia and altered mental status.
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Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle, unchanged. The heart size is normal. The mediastinal and hilar contours are unremarkable. Mild calcification of the aortic arch is again noted. The lungs are hyperinflated with attenuation of the pulmonary vascular markings towards the lung apices compatible with mild emphysema. Cluster of irregular small opacities in the right upper lung field are unchanged. No focal consolidation, pleural effusion or pneumothorax is present. The pulmonary vascularity is not engorged. There are no acute osseous abnormalities.
dyspnea.
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of <unk>. The heart size is unchanged, the configuration demonstrating a prominence of the left ventricular contour, but no other significant abnormalities are present. Thoracic aorta unremarkable. The pulmonary vasculature is not congested. There is no evidence of a small amount of right-sided pleural effusion blunting the right lateral pleural sinus and extending posteriorly as identified on the lateral view. Some linear parenchymal densities on the right lung base are consistent with plate atelectases. No conclusive evidence for pleural effusion in left hemithorax. No other new parenchymal infiltrates are present. No pneumothorax is seen in the apical area. Position of previously described orthopedic hardware in upper lumbar spine, unchanged. Moderate gas distention of large bowel is noted.
<unk>-year-old female patient with ovarian carcinoma and shortness of breath. assess for pleural effusion, pneumonia or metastatic disease.
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Frontal and lateral views of the chest. The lungs are hyperinflated. Although on the frontal view the right lung base is unchanged, on the lateral there is slightly increased opacity in the retrocardiac region. Blunting of the costophrenic angles suggests small pleural effusions. Cardiomediastinal silhouette is unchanged. Superior retraction of the left hilum with surgical chain sutures in the suprahilar region are again seen. Cardiomediastinal silhouette is unchanged.
<unk>-year-old female with weakness and lethargy.
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A post-pyloric feeding tube is present, although the tip was not included in the field of view. The lungs are clear. No pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. Mediastinal and hilar contours are unremarkable.
cough, fever, and feeding tube. evaluate for pneumonia.
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The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
facial droop with episodes of blacking out. evaluate for acute intrathoracic process.
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The cardiomediastinal silhouette and pulmonary vasculature are normal. Linear opacity is seen at the bilateral bases, most consistent with atelectasis. Subtle opacity is seen at the left lung base, which, in the appropriate clinical context, could represent pneumonia. There is no pleural effusion or pneumothorax.
history: <unk>f with new acute leukemia // ? acute cardiouplm process
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The lungs remain clear. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. Surgical clips in the right upper quadrant suggest prior cholecystectomy. No acute osseous abnormalities.
<unk>f with weakness, cough // infiltrate?
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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. There is dish. There are surgical clips overlying the right anterior chest wall, secondary to prior partial mastectomy.
history: <unk>f with ruq pain // eval for pneumonia
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Ap upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The lungs appear hyperinflated with prominent retrosternal clear space. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with chest pain, weakness, weight loss, po intolerance x <num> wks
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The patient is head median sternotomy and cabg. Sternal wires are intact. The lungs are hyperinflated but clear without consolidation or pulmonary edema. On the frontal view, the left costal pleural margin is widened, more likely pleural thickening than effusion. On the lateral view widening of the retrosternal soft tissue is probably organized postoperative mediastinal fluid. Cardiomegaly is mild.
history: <unk>m with hx of pleural effus <unk> cabg pls eval effusion // history: <unk>m with hx of pleural effus <unk> cabg pls eval effusion
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Right-sided port-a-cath terminates in the low svc without evidence of pneumothorax.quite upper lobe opacity has improved in the interval, however, with some residual remaining. Left mid lung atelectasis/scarring is re- demonstrated. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Thoracolumbar scoliosis is noted.
history: <unk>f with cough/congestion for approx. <num> days // r/o pneumonia
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Frontal and lateral views of the chest are compared to previous exam from <unk>. Lungs are clear of consolidation or effusion. Calcified granuloma again seen in the right mid lung as well as calcified scarring at the right lung apex. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable. Surgical clip seen in the upper abdomen.
<unk>-year-old male with chest pain.
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There is a moderate-sized right pneumothorax without significant tension component streaky opacification of the right lung base most likely reflects bronchovascular crowding and associated collapse of the lung. Small bilateral pleural effusions are present on the right greater than the left. The lungs are hyperexpanded with flattening of the diaphragm compatible with copd. The pulmonary vasculature is not engorged. Cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. There are minimally displaced fractures of the <unk> anterolateral, <unk> posterolateral, and <unk> anterolateral ribs. Multilevel degenerative changes are noted in the thoracic spine.
right-sided chest pain, dyspnea and cough status post trauma, here to evaluate for rib fracture or pneumothorax.
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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 <unk> rapid onset piercing epigastric pain w/ known hx stomach ulcers, epigastric pain.
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
<unk>-year-old woman with a cough, evaluate for pneumonia.
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Pa and lateral views of the chest provided. Left chest wall pacer device is again seen with leads extending into the region of the right atrium and right ventricle. The heart is mildly enlarged with linear densities in the lower lungs most compatible with platelike atelectasis. No convincing evidence for pneumonia or edema. No effusion or pneumothorax is seen. The mediastinal contour is normal. Imaged bony structures are intact. Metallic embolization coil projects over the right upper abdomen.
<unk>m w/recent admission for pna, rll crackles
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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.
<unk> year old woman with l sided cp and wheezing // assess for cause of lll wheezing
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In comparison with the study of <unk>, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
asthma and fever.
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Lordotic positioning. Again seen is the pigtail catheter overlying the left chest wall and adjoining mid left lung. A catheter position is unchanged. Part of the looped part of the catheter originates immediately outside the left chest wall, although the appearance is similar to chest x-rays from <unk> and <unk> <unk>. No obvious residual left-sided pneumothorax is detected. No right-sided pneumothorax is seen. No subcutaneous emphysema is detected. No free air seen beneath the diaphragm. The cardiomediastinal silhouette is unchanged. No chf, focal infiltrate, or pleural effusion detected.
<unk> year old man with ptx // interval eval
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Mild peribronchial opacification in the infra hilar right lung projecting over the cardiac silhouette is long-standing, possibly bronchiectasis. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>m with l-hip pain, ?infection, pre-op // evaluate for acute findings, pre-op workup
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The lungs are well aerated and clear. There is no focal atelectasis or radiopaque density overlying the lung fields to suggest an aspirated tooth. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. The osseous structures are intact.
history: <unk>f with chip tooth s/p drunken fall, ? aspiration of tooth // ? piece of chipped tooth in lung
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The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes.
<unk> year old man with cough, sob, wheezing // evaluate
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. Subsegmental atelectasis is noted in the right middle lobe. No focal consolidation, pleural effusion or pneumothorax is present. There are mild degenerative changes seen in the thoracic spine.
history: <unk>m with cough, fever
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>f with post op fevers // ? process
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Heart size is normal. The mediastinal and hilar contours are normal. Lungs are hyperinflated. There is some flattening of the hemidiaphragms and increased retrosternal space. Bilateral parenchymal scarring, improved on the right. Calcified left apical granuloma was more obvious on the previous film, due to technique. There are areas of decreased lung markings, indicative of emphysema. The pulmonary vasculature is normal. No focal consolidation, pleural effusion, or pneumothorax is seen.
<unk> year old man with copd // renew study screening
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In comparison with study of <unk>, there is continued enlargement of the cardiac silhouette with essentially normal pulmonary vessels, consistent with cardiomyopathy. Minimal atelectatic changes are seen at the left base.
possible left basilar opacity.
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Frontal and lateral views of the chest. Again seen is elevation of the left hemidiaphragm. The lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. Again seen is elevation of the left hemidiaphragm. No acute osseous abnormality detected. Surgical clips seen in the abdomen.
<unk>-year-old male with syncope.
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Minimal atelectasis/scarring is noted in the lingula. Otherwise, lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette remains at the upper limits of normal and stable. Aortic knob calcifications are visualized. Multiple surgical clips are visualized in the left upper abdomen. Visualized osseous structures are unremarkable.
evaluation of patient with malaise and immunosuppression.
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old woman with edema and sob // r/o acute cp process
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Subtle increase in interstitial markings bilaterally may be due to technique or chronic lung disease/fibrosis. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. The patient is status post median sternotomy and cardiac valve replacement..
history: <unk>f with c/o sob // ? pna
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The port-a-cath is again visualized. The heart size is upper limits of normal. There is no focal infiltrate or effusion. There is no significant change compared to prior exam.
<unk> year old woman with aml now new fever // eval for pna
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Left picc tip terminates in the lower svc. The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are present.
picc, chest pain.
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Pa and lateral views of the chest provided. There is unchanged appearance of right moderate pleural effusion with continued compressive atelectasis in the right lung base. There is interval decrease in size of the left pleural effusion. There is no new focal consolidation. Mild cardiomegaly and low lung volumes are again noted. There is no pneumothorax or pulmonary edema. Ossification of the anterior longitudinal ligament is seen.
<unk>m with shortness of breath. evaluate for pneumonia and pulmonary edema.
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Lungs: the lungs are well inflated. There is no consolidation. Pleura: no pleural effusion is seen. Heart: the heart is not enlarged. Mediastinum and hila: there is no mediastinal mass. Osseous structures: the osseous structures are normal for age. Other findings: none
history: <unk>f with cp since <num>am // ? cardiomegaly
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Overall, there is no significant interval change. No focal consolidation, pleural effusion or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. The aorta is calcified.
<unk> year old man with fevers, chills today // eval pna
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Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen.
new onset seizure, headache, neck pain, tachycardia.
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Pa and lateral views of the chest demonstrate an opacity measuring approximately <num> cm overlying the fifth posterior rib which was present in <unk>, but was not present in <unk>. An additional opacity overlying the ninth rib is most likely a nipple shadow. Otherwise, the lungs are clear. Cardiac silhouette is normal. No pleural effusion or pneumothorax.
<unk>-year-old man with chronic cough on prednisone. question pneumonia.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with right sided chest pain // acute cardiopulmonary process
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Cardiac silhouette size is normal. The mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
history: <unk>m with dizziness, diagnosis of pneumonia this week, on antibiotics
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Frontal and lateral chest radiographs again demonstrate mild cardiomegaly and mild pulmonary vascular engorgement. However, no interstitial edema is seen. Lung volumes are low. There is no pleural effusion or pneumothorax.
cough.
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Left-sided aicd/pacemaker device is noted with single lead terminating in the right ventricle. Borderline enlargement of the heart size is demonstrated with a left ventricular predominance. The mediastinal and hilar contours are unchanged and within normal limits. The pulmonary vasculature is normal. Small left pleural effusion is noted. No focal consolidation or pneumothorax is identified. There are mild degenerative changes in the thoracic spine.
dyspnea.
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No previous films. Hyperexpansion of the lungs is consistent with chronic pulmonary disease. No acute pneumonia, vascular congestion, or pleural effusion. Of incidental note is a right-sided aortic arch.
cough, to assess for aspiration.
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Frontal and lateral views of the chest. Improved inspiratory effort seen on the current exam. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>-year-old male with confusion.
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The heart size is top normal. The mediastinal and hilar contours are unremarkable. There is no pleural effusion and no pneumothorax. Lung volumes are low with mild bibasilar atelectasis. There is no focal consolidation concerning for pneumonia. Calcification of the anterior longitudinal ligament throughout the thoracic spine is noted, consistent with diffuse idiopathic skeletal hyperostosis.
multiple myeloma with increased white cell count.
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Pa and lateral views of the chest provided. Interval removal of a right chest tube. A second chest tube at the right lung base may have been pulled back. The side-hole is likely within the right hemithorax, however it projects over the right chest wall. Right-sided pleural and airspace opacities representing empyema, atelectasis and postsurgical changes are unchanged. Small, bilateral pleural effusions are unchanged. Hilar and cardiomediastinal contours are normal.
<unk> year old man with empyema s/p decortication. // eval post-pull cxr at <unk> today.
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Right-sided port-a-cath terminates in the low svc without evidence of pneumothorax. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable and unremarkable.
history: <unk>f with h/o lymphoma s/p chop x<num> cycles, p/w fever, leukocytosis. // r/o pna
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax, pleural effusion, or consolidation. A right-sided picc line ends in the mid svc. A dual lead pacemaker is present with leads in unchanged position.
history: <unk>m with fever // eval for pna
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There is bibasilar atelectasis, and there is no focal consolidation, pleural effusion or pneumothorax. There is no overt pulmonary edema, and the heart is mildly enlarged. Lucencies in the osseous structures are compatible with known history of multiple myeloma.
<unk>-year-old male with multiple myeloma, neutropenia, vomiting without clear cause. evaluate for acute process.
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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 portable chest examination of <unk>. The heart size is normal. No configurational abnormality is identified. Thoracic aorta unremarkable. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. A right-sided wide caliber double-lumen line has been introduced via the internal jugular vein approach and its tip reaches the upper third of the right atrium. No pneumothorax is seen on either side. Skeletal structures of the thorax quite unremarkable.
<unk>-year-old male patient with neutropenic fever, evaluate for cardiopulmonary process.
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Ap semi-upright and lateral views of the chest were obtained. Moderate cardiomegaly is unchanged. Diffuse bilateral opacification with perihilar predominance is compatible with mild pulmonary edema, slightly increased compared to the prior examination. Linear right basilar opacities adjacent to the right heart border, likely atelectasis; however, superimposed infection cannot be excluded. A small right pleural effusion is present. There is no pneumothorax.
<unk>-year-old woman with right lower quadrant pain and history of chf, evaluate for pneumonia.