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Frontal and lateral chest radiographs demonstrate a heart which is top-normal in size. There is no focal consolidation, pleural effusion, or pneumothorax. Con for loss over the left ventricle and anterior to the heart on lateral view is likely related to insufficient inspiration. The visualized upper abdomen is unremarkable.
evaluate for infiltrate or pneumonia in a patient with chest pain.
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In comparison with the study of <unk>, there is little overall change. Low lung volumes without acute focal pneumonia or vascular congestion. Evidence of previous kyphoplasty and prior rib fractures.
multiple myeloma. pre-bone marrow transplant.
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Left-sided port-a-cath is intact with tip terminating in the lower svc, essentially unchanged. Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities demonstrated
history: <unk>f with left sided port malfunction
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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.
<unk> year old woman with generalized weakness of unknown etiology. evaluate for infectious process.
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Right-sided port-a-cath tip terminates in the lower svc. Heart size is normal. A moderate size hiatal hernia is re- demonstrated. The mediastinal and hilar contours are unchanged. There is no pulmonary edema, focal consolidation or pleural effusion. No pneumothorax is demonstrated. Multilevel degenerative changes are noted in the imaged thoracolumbar spine.
esophageal cancer with progressive weakness.
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The lungs are symmetrically well expanded and well aerated. No focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax is detected. Biapical pleural thickening is noted. The heart is normal in size. The mediastinal and hilar contours are within normal limits. The pulmonary vasculature is not engorged. The visualized upper abdomen is unremarkable.
palpitations, here to evaluate for acute cardiopulmonary process.
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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.
<unk>m w/ fever ivda // eval for pna eval for pna
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Pa and lateral radiographs demonstrate bibasilar atelectasis. No focal consolidation is seen. Calcified aorta is again seen as are multiple prior rib fractures on the right. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is stable.
altered mental status.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. Chronic interstitial opacities are compatible with known additional lung disease. There is bibasilar atelectasis, right greater than left. No focal consolidation, pleural effusion, or pneumothorax is appreciated. Vertebroplasty changes again noted at the lower thoracic/upper lumbar spine.
<unk>m with syncope // fluid? pna?
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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. Pulmonary edema seen on <unk> <unk> resolved. Right-sided healed rib fractures are noted. There is no pleural effusion or pneumothorax. The heart size is top normal.
cough. intoxicated.
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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.
<unk> year old man with new lower extremity swelling // eval for cardiomegaly, signs of pul edema or heart failure
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Right chest wall port is seen with catheter tip in the right atrium. The lungs are clear without focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities identified. No free air seen below the diaphragm. Stent is partially visualized in the upper abdomen.
<unk>m with pancreatic ca on chemo p/w generalized weakness // r/o pna
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The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. There is no pneumomediastinum. There is no visualized radiopaque foreign body. Old healed mid left clavicular fracture is noted.
<unk>m with fb/chicken // fb, perforation
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A left axillary dual lead pacemaker is present with tip terminating in the right atrium and right ventricle as expected. Moderate cardiomegaly is stable. There is no pneumothorax or pleural effusion. The lungs are well expanded and clear without focal consolidation concerning for pneumonia. Surgical clips are present in the upper abdomen.
history: <unk>f with abdominal pain, worse with bowel movements, repeat presentation for same; sob earlier today //
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Scarring at the lung apices bilaterally, right greater than left. <unk> x <num> mm nodular opacity within the right lower lung likely represents a nipple shadow. No focal consolidations to suggest pneumonia. No pulmonary edema. Normal size of the cardiomediastinal silhouette with calcifications of the aortic knob. No pleural effusion. No pneumothorax.
history: <unk>f with chest pain // chest pain
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In the left pneumonectomy space there has been interval expected interval increase in the fluid component when compared to the most recent prior in <unk>. The left hemidiaphragm is elevated, as before. Within the right lung, there is a subtle interstitial prominence, minimally improved from the prior examination. No focal consolidation, pleural effusion or pneumothorax is seen involving the right lung.
<unk> year old woman s/p l pneumonectomy // check interval change
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The heart is normal in size. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear without focal consolidation concerning for pneumonia. A small nodular density at the right lung apex is noted, which may represent costochondral cartilage of the first rib or a nodule. The upper abdomen is unremarkable. There is no acute osseous abnormality.
<unk> year old woman with chronic regional pain syndrome and hx rotator cuff tendonitis presents with acute onset of l shoulder pain, denies trauma, please ensure no new pna or lung abn that would cause referred pain to shoulder // please evaluate for pna
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The heart is at the upper limits of normal size. There is mild similar unfolding of the thoracic aorta. The mediastinal and hilar contours appear unchanged. There is a newly apparent nodular density at the left lung apex measuring about a centimeter in diameter and of unclear etiology, although potentially a lung nodule. Otherwise, the lungs appear clear. There is no pleural effusion or pneumothorax. Slight degenerative changes are noted along the mid thoracic spine.
status post liver transplant, on immunosuppression, presenting with anemia and fever.
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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 or chronic lung disease.
cough, to assess for pneumonia or bronchiectasis.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen.
<unk>m with cough, leg swelling // ?pulm edema
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Moderate right and small to moderate left pleural effusions are new, with adjacent bibasilar atelectasis and or consolidation. The cardiac silhouette is normal. There is fullness at the right hilus. No pneumothorax is identified. A right chest port-a-cath terminates within the right atrium. Severe l<num> compression fracture is unchanged.
<unk>m with possible pneumonia // eval for infiltrate
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There is redemonstration of a left-sided port-a-cath, ending in the low svc. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Mild sclerosis is seen within the left humeral head, nonspecific in nature.
history of sickle cell disease presenting with right shoulder pain and left hip pain. evaluate for acute intrathoracic process.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. The pulmonary interstitium is mildly prominent, particularly involving the lower lungs, most suggestive of mild fluid overload. There is no discrete focal opacity, however. Fissures are mildly thickened. There is no pleural effusion or pneumothorax. Very small anterior osteophytes are noted along the thoracic spine.
left arm tingling. question pneumonia.
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Frontal and lateral views of the chest. The left chest wall single lead pacing device is seen. Increased interstitial markings and trace bilateral effusions are now seen. Cardiac silhouette is mildly enlarged but accentuated due to low inspiratory effort. No acute osseous abnormalities identified. Surgical clips seen in the upper abdomen.
<unk>-year-old female with worsening shortness of breath.
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Frontal and lateral views of the chest demonstrate normal lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.
fever and cough.
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Right-sided port-a-cath tip terminates in the upper svc, unchanged.the heart size is normal. Aortic knob is calcified. Mediastinal and hilar contours are within normal limits. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Clips are noted within the left upper quadrant of the abdomen.
history: <unk>m with 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>m with elevated d dimer, fatigue // eval for infiltrate
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Pa and lateral views of the chest provided. Lungs appear hyperinflated with flattened diaphragms. There is mild linear atelectasis at the left lung base. There is no worrisome consolidation, effusion or pneumothorax. No congestion or edema. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with cp // eval for cause of cp
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Pa and lateral views of the chest provided. Consolidation in the left lower lobe is concerning for pneumonia. The right lung is clear. A small left pleural effusion may be present. No pneumothorax. No signs of pulmonary edema. The cardiomediastinal silhouette is normal. Bony structures are intact.
<unk>m with c/o fever/chills with cp // ? pna
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The lung volumes are low, with resultant crowding of the bronchovascular structures. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal. Note is made of a large gastric bubble. No bony abnormality is detected.
chest and back pain.
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Frontal and lateral chest radiographs again demonstrate a superior right lower lobe mass, which was recently characterized on ct chest from <unk>. Elevation of the right hemidiaphragm and linear opacities likely represent volume loss and atelectasis. Pulmonary nodules are unchanged. The heart is normal in size. There is a moderate right pleural effusion, and no pneumothorax.
right lower lobe non-small cell lung cancer, undergoing chemotherapy.
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No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema or pneumothorax is present. The heart size is normal.
abdominal pain, nausea and vomiting. skin rash.
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The lungs are clear. There is no effusion, consolidation, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cp, sob // r/o acute process
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The cardiac, mediastinal and hilar contours are normal. Right coronary artery stent is re- demonstrated. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion, focal consolidation or pneumothorax is present. Mild dextroscoliosis is again demonstrated.
cough, fatigue and fever.
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The heart size is normal. The hilar and mediastinal contours are normal. Streaky right basilar, and left mid lung opacities secondary to atelectasis, are overall unchanged compared to the prior exam. Retrocardiac opacity, well seen on the lateral view is new compared to the prior exam. Small right pleural effusion has increased compared to the prior exam. There is no pneumothorax. Visualized osseous structures are unremarkable.
history of hypertension, leukocytosis. please evaluate for pneumonia.
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Lung volumes are low, causing crowding of bronchovascular structures. There is mild cardiomegaly, with mild prominence of the interstitial lung markings, suggesting mild central pulmonary vascular congestion. No focal consolidation or pneumothorax identified. No evidence of pleural effusions. Degenerative changes of the visualized ac joints and bilateral glenohumeral joints are mild to moderate.
<unk>f with fatigue. evaluate for pneumonia.
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Frontal and lateral views of the chest demonstrate post-operative changes of right-sided thoracotomy and lobectomy with stable architectural distortion. A focal right hilar density appears more pronounced as compared to <unk> but similar as compared to <unk>, which may be in part related to rightward patient rotation. There is no additional opacity in the lung. There is no pneumothorax, vascular congestion, or large effusion. Cardiomediastinal silhouette is within normal limits and stable.
<unk>-year-old male with left lower extremity weakness. question pneumonia.
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The lungs remain hyperexpanded. There is no focal consolidation. The heart size is normal. Mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. There is re-demonstration of healed bilateral rib fractures.
shortness of breath.
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Mild enlargement of the cardiac silhouette is unchanged from <unk>. Mediastinal silhouette and hilar contours are unremarkable and stable. There is a subtle right middle lobe opacity on frontal view without definite lateral correlate which likely represents atelectasis however infection cannot be excluded. There is no pleural effusion or pneumothorax.
chest pain and cough.
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No picc is visualized. There is a severe s-shaped scoliosis of the thoracolumbar spine, unchanged from <unk>. The presence of this limits assessment of the cardiac silhouette, although, it appears unchanged. There is no pleural effusion, pneumothorax or focal airspace consolidation. Diffuse interstitial abnormality is likely to reflect changes from chronic lung disease, as there is no convincing evidence for concurrent pulmonary edema, unchanged from <unk>. Sutures are seen in the right midlung. Calcifications are seen within the aortic arch. The known compression fractures of the thoracic spine are not well visualized.
picc line dislodged periareolar position.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The heart size is normal. Aorta is unfolded. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with chest pain
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Heart size is normal. Mediastinal and hilar contours are within normal limits. The pulmonary vascularity is not engorged. Biapical pleural scarring is present. No focal consolidation, pleural effusion or pneumothorax is seen. Subsegmental atelectasis in the left lung base is noted. No acute osseous abnormalities are identified. Clips are seen projecting over the upper lumbar spine on the lateral view.
seizures.
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The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. A coronary arterial stent is noted. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia.
history: <unk>m with dizziness, prior stroke // eval for ich and infiltrate
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Pa and lateral chest radiographs were provided. Lungs were well expanded. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The bones are intact.
history of dyspnea and chills, question pneumonia.
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Pa and lateral views of the chest provided. Cardiomegaly is mild to moderate. Hilar congestion is noted. No overt signs of pulmonary edema. Small bilateral pleural effusions are present. No definite signs of pneumonia. No pneumothorax. Mediastinal contour appears grossly unremarkable. Numerous old right rib deformities are seen.
<unk>m with sob with exertion // eval for chf, known r sided rib fx
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Pa and lateral chest views were obtained with patient in upright position. Marked elevation of the right-sided hemidiaphragm is noted, coinciding with blunting of the lateral and posterior pleural sinus indicative of pleural effusion. The cardiac contours are correspondingly obliterated on the right side and heart size cannot be assessed with certainty. However, the left-sided cardiac contours and that of the thoracic aorta are rather unremarkable. The pulmonary vasculature in the left hemithorax and the accessible areas on the right side do not show pulmonary vascular congestion. Also, the left lateral and posterior pleural sinuses are free from any fluid accumulation. An ng tube can be identified to pass far below the diaphragm and appears unchanged in comparison with the next preceding portable chest examination of <unk>. Comparison of the latest portable examination with the present examination demonstrates that there exists free fluid in the right pleural space as the thickness of the pleural density changes with patient position. The corresponding diffuse densities on the right lung base, most likely represent atelectasis.
<unk>-year-old male patient with alcohol-induced cirrhosis complicated with varices, ascites, jaundice, and recent hyponatremia listed for liver transplant. presents from nursing facility with shortness of breath where he developed pleural effusions.
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Moderate overinflation. Normal contours of the mediastinum. Normal size of the cardiac silhouette. Moderate scoliosis. No focal masses or consolidations. No pleural effusion.
right hemiparesis, evaluation for chest lesion.
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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 acute process
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There is subtle prominence of the central bronchopulmonary markings, possibly reflecting acute airways disease. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette appears normal. The imaged osseous structures are intact. There is no free air below the right hemidiaphragm.
pneumonia two weeks ago with cough. evaluate for persistent pneumonia.
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is not engorged. New patchy ill-defined opacity is noted within the right lower lobe concerning for pneumonia. Left lung is clear. There is minimal scarring within the lung apices. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
renal transplant, fever, cough.
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There is a dual-lead pacemaker/icd device terminating in the right atrium and ventricle. The heart is mild to moderately enlarged. The mediastinal and hilar contours appear unchanged. There is a mild-to-moderate coarse interstitial abnormality which is very similar and suggests a baseline finding, perhaps due to chronic vascular congestion or airway inflammation, but without definite evidence for a superimposed process. There is a vague patchy opacity in the left costophrenic sulcus suggestive of minor atelectasis. There is no definite pleural effusion or pneumothorax.
weakness. question infectious process.
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There is a thin linear radiopaque object within the anterior chest wall overlying the superior aspect of the left breast, which could possibly be related to a surgical procedure. The right breast appears to be smaller than the left breast as seen on the previous study consistent with a history of lumpectomy and possible other interval surgical intervention. Heart appears to be normal in size and configuration. Cardiac and mediastinal contours are unremarkable. Lung fields are clear bilaterally with no evidence of focal consolidation, pleural effusions, or pneumothorax.
<unk>-year-old lady with shortness of breath, evaluate for evidence of infection, effusion, volume overload, or emphysema.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no cardiomegaly. There is no pleural effusion or pneumothorax.
<unk>-year-old female with history of chf now presenting with bilateral lower extremity edema. evaluate for pulmonary edema.
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The heart size is top normal, stable. The mediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. The lungs are well-expanded clear without focal consolidation concerning for pneumonia.
<unk>f with chest pain // any pneumonia/cardiomegaly?
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Ap upright and lateral views of the chest provided. Cardiomegaly is again noted, severe, with mild to moderate pulmonary edema. No large effusion is seen. No pneumothorax. No asymmetric opacity to raise concern for pneumonia. Mediastinal contour is stable. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with new onset weakness and sob /
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The heart size is normal. The mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
smoke inhalation <num> hours ago and shortness of breath.
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Again seen is a small right-sided effusion, which is minimally increased in size from the prior study. There is a triangular opacity at the lower pole of the right hilus that is less prominent on the current study. Atelectasis at the base of the left lung is unchanged in appearance. The cardiomediastinal silhouette and hila are normal. There is no evidence of pneumothorax.
recent vats procedure with decreased air entry at the right base. evaluation for pneumonia.
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Pa and lateral views of the chest demonstrate well-expanded lungs. In comparison to the prior study, there is no focal consolidation. Cardiomediastinal silhouette is stable. There is no pleural effusion or pneumothorax.
<unk>-year-old woman with fevers, cough, rule out pneumonia.
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Lungs are well expanded and appear clear. No pleural effusion or pneumothorax is identified. Cardiomediastinal contours are unremarkable.
<unk>-year-old woman with history of asthma and hypertension with aspergillus exposure in <unk>, presenting with worsening symptoms, assess for acute process.
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Pa and lateral views of the chest provided. Since the prior exam, there is increasing opacity in the right lower lung which is concerning for pneumonia. There is also mild left basal opacity which is minimally increased from prior, also possibly indicative of pneumonia versus atelectasis. No large effusion or pneumothorax. Cardiomediastinal silhouette is stable. No signs of congestion or edema. Bony structures are intact.
<unk>f with persistent cough // eval pna
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In comparison with study of <unk>, there is little overall change. Again there is evidence of chronic obstructive pulmonary disease with bilateral pleural effusions and compressive atelectasis at the bases with unchanged enlargement of the cardiac silhouette. Sternotomy wires are stable. The central venous catheter extends to the right atrium. Relatively mild elevation of pulmonary venous pressure.
shortness of breath and diminished breath sounds.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>f with new onset of epigastric pain. // evaluate for cause of epigastric pain
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Heart size remains mildly enlarged. The aorta is slightly tortuous. The mediastinal and hilar contours are similar with enlargement of the left pulmonary artery suggestive of underlying pulmonary arterial hypertension. Emphysematous changes are most pronounced in the upper lobes. Pulmonary vasculature is normal. Small bilateral pleural effusions are present with patchy opacities in the lung bases most likely reflective of atelectasis. No pneumothorax is present. Moderate to severe multilevel degenerative changes are again noted in the thoracic spine.
history: <unk>m with new onset atrial fibrillation, lower extremity edema
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with chf, dyspnea // eval for pulm edema
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The aortic contour is tortuous. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.
<unk>-year-old female with chest pain.
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Pa and lateral views of the chest demonstrate bibasilar atelectasis and small bilateral pleural effusions, slightly improved since the prior study. The lungs are hyperexpanded, consistent with copd. No pneumothorax is present. Subtle lateral right base opacity may be due to atelectasis. The cardiomediastinal silhouette is stable.
history of chf, cad and mi with chest pain, shortness of breath and orthopnea.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk>f s/p seizure, known seizure disorder. pls eval for cardiopulm change or intracranial bleed // <unk>f s/p seizure, known seizure disorder. pls eval for cardiopulm change or intracranial bleed
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Frontal and lateral views of the chest demonstrate normal lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Osseous structures demonstrate numerous lytic lesions, compatible with known history of multiple myeloma. There are multiple compression deformities, including t<num>-t<num> and l<num> vertebral bodies, of uncertain chronicity.
patient with multiple myeloma and generalized weakness and abdominal pain.
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A repeat pa and lateral chest study has been performed with patient in upright position. The images are better penetrated in particular. The lateral view shows improved demonstration of upper thoracic pulmonary and bony structures. The patient has a mildly accentuated kyphotic curvature in the upper portion of the thoracic spine and mild degenerative changes in the form of osteophytic reactions at the vertebral body anterior edges. No vertebral body compression fracture can be identified. There are multiple overlying external wires on the lateral view. Again there is no evidence of any acute pulmonary infiltrate, pleural effusion or pneumothorax and thus a pneumonia can be ruled out. The technically improved pa and lateral chest view cannot identify any other suspicious pulmonary or skeletal abnormalities as detectable on routine pa and lateral chest views.
<unk>-year-old female patient with seizures, further evaluate alleged small triangular radiodense lesion seen on lateral view only.
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There is no focal consolidation or pneumothorax. Small bilateral pleural effusions are unchanged since the prior exam. Prominence of the hila bilaterally which may be due to hilar congestion is also unchanged. Mitral annular calcifications are noted. The heart remains moderately enlarged. Unchanged degenerative changes of the thoracic spine.
history: <unk>f with weakness // eval for pna
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with cough, msk type chest pain // ? cardiopulmonary process
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Heart size is top normal to mildly enlarged. Mediastinal silhouette and hilar contours are unremarkable and unchanged since at least <unk>. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
chest pain.
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
<unk>-year-old with chest pain, evaluate for acute cardiopulmonary process.
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Frontal and lateral views of the chest. Slightly lower lung volumes are seen on the current exam. There are small bilateral effusions, larger on the left than on the right, perhaps minimally enlarged compared to prior on the left. There is no confluent consolidation. The cardiomediastinal silhouette is top normal in size. Atherosclerotic calcification is seen at the aortic arch.
<unk>-year-old female with shortness of breath with chest and abdominal pain.
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Heart size is normal. Again seen is bilateral perihilar and paramediastinal opacity, possibly subtly increased since the most recent prior study, which may reflect superinfection at the site of known bronchiectasis as characterized on the prior chest ct. Additionally, a new right lower lung opacity is also present. Left apical capping is again seen. There is no pleural effusion or pneumothorax.
productive cough.
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Cardiac size is normal. The aorta is tortuous. Ill-defined opacities in the right upper lobe and lingula are grossly unchanged. There are no new lung abnormalities pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine. Ng tube tip is out of view below the diaphragm
<unk> year old man with w/ alcoholic cirrhosis s/p transplant <unk> p/w failure to thrive w/ hx of rul and lingular infiltrate seen on imaging at osh. // size and character of ruq, lingular infiltrate?
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Frontal and lateral chest radiographs demonstrate low lung volumes, which resulted in a heart which is top normal in size. The cardiomediastinal is normal. The lungs are clear without pulmonary edema or focal consolidation. Old left lateral rib fractures are noted, with adjacent pleural thickening. There is no pleural effusion or pneumothorax.
reported bronchitis on prior chest radiograph. evaluate for pneumonia.
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. No effusion or pneumothorax is present. The cardiac and mediastinal contours are normal.
<unk>-year-old man with cough.
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<num> views were obtained of the chest. The lungs are well expanded. A small left pleural effusion has increased over <num> hours. Associated peripheral opacities seen better on outside hospital ct are probably pulmonary infarctions. Heart and mediastinal contours are unremarkable. There is no pneumothorax.
chest pain. assess for acute process.
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The heart size is enlarged. The mediastinal and hilar contours are unremarkable. Subtle bronchial cuffing is present, compatible with inflammatory change. Bibasilar opacities are seen which may be due to atelectasis, but underlying infection is not excluded. There is no pleural effusion or pneumothorax.
<unk>-year-old male with asthma.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Sternal wires are noted.
history: <unk>m with weakness // pna?
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Since the prior radiograph, there has been no significant change. Lung volumes are again low, probably due to poor inspiration. Retrocardiac opacity is similar in appearance to prior on the frontal but improved onthe lateral likely from better inspiratory effort. There is no pneumothorax or pleural effusion. The cardiomediastinal silhouette is unchanged and mildly enlarged. The osseous structures are unremarkable.
<unk>-year-old male with chest pain, rule out infiltrate.
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. No radiodense material suspicious for chipped tooth is identified.
history: <unk>f with chipped teeth in accident // aspirated tooth?
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The lungs are clear. There is no consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities, hypertrophic changes are noted in the spine.
<unk>m with chest pain // please eval for acute cardiopulmonary abnormality
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Cervical spinal fusion hardware is incompletely. Clips are noted in the right upper quadrant of the abdomen. No acute osseous abnormality is visualized.
history: <unk>f status post lap nissen fundoplication with persistent regurgitation and substernal pain for <num> weeks.
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Lung volumes are low, causing exaggeration of the heart size and accentuation of the pulmonary vasculature. Heart size is top normal. The mediastinal contours are normal. There are no definite pleural effusions. No pneumothorax is seen.
fever, evaluate for acute intrathoracic process.
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The cardiac, mediastinal and hilar contours appear unchanged. There is streaky opacity at the left lung base suggesting atelectasis in the lingula, but elsewhere, the lungs remain clear. There is no pleural effusion or pneumothorax.
known coronary artery disease with acute chest pain.
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Mild cardiomegaly is unchanged. Mediastinal and hilar contours are also unchanged, with prominence of the hila suggesting pulmonary arterial enlargement, as demonstrated on the prior ct. Mild pulmonary vascular congestion is noted. The lungs are hyperinflated compatible with underlying copd. No pleural effusion or pneumothorax is identified. Numerous old left-sided rib fractures are demonstrated. Multiple clips are seen within the left upper quadrant of the abdomen.
hypoxia and dyspnea.
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Pa and lateral views of the chest provided. Airspace consolidation is noted in the left lower lobe compatible with pneumonia. There may also be a small left pleural effusion. The right lung is clear. Cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk> year old man with low <unk> sat cough // low sat
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with cough and chest pain // pneumonia?
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The cardiomediastinal silhouettes are stable, reflective of mild cardiomegaly. The left hilum is within normal limits. The right hilum is obscured. There is complete or near complete atelectasis/collapse of the right upper lobe with associated convex bulging medially (reverse s sign of golden). The remaining right lung appears well-aerated without focal consolidation. The left lung is clear. There is no pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or pleural effusion. Anterior spinal fusion hardware is noted. Cholecystectomy clips overlie the right upper abdominal quadrant.
<unk>f with cough, dyspnea, evaluate for pneumonia or pneumothorax.
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Comparison made to <unk> unchanged position of the right chest tube. The pre-existing right basal parenchymal opacity and adjacent effusion are unchanged. The elevation of the left hemidiaphragm and the diffuse bilateral areas of parenchymal scarring, and nodularity, are constant in extent and severity. Mild to moderate cardiomegaly persists. No pneumothorax.
<unk> year old woman with plural effusion // eval
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion, focal consolidation or pneumothorax is present. Moderate multilevel degenerative changes are re- demonstrated in the thoracic spine. Cervical fusion hardware is partially imaged.
history: <unk>f with <num>rd degree heart block // eval heart and lungs
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The cardiomediastinal and hilar contours remain stable. There is no pleural effusion or pneumothorax. There is no focal consolidation. Pulmonary vasculature is within normal limits.
chest pain in the context of productive cough.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged. There is a mild background interstitial abnormality, but no evidence for acute change or focal consolidation. The lungs are hyperinflated. There are no pleural effusions or pneumothorax. Mild degenerative changes are present along each acromioclavicular joint. Mild osteophyte formation is noted along the lower thoracic spine with slight anterior wedging that appears unchanged among several lower thoracic vertebral bodies.
fever and weakness.
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Frontal and lateral views of the chest demonstrate no acute intrathoracic process. The cardiomediastinal, pleural and pulmonary structures are unremarkable. There is no pleural effusion or pneumothorax. There are no suspicious osseous lesions.
dyspnea and fatigue, evaluate for pneumonia.
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In comparison with the study of <unk>, the monitoring and support devices have been removed. Continued enlargement of the cardiac silhouette with atelectatic changes bilaterally. There is some hazy opacification at the left base with the pulmonary markings intact. However, on the lateral view, there is no definite evidence of pleural fluid. Some of this appearance could reflect soft tissue in a patient with a very lordotic position. A repeat study with encouragement of better inspiration and a clearer lateral view would be helpful for further evaluation.
cardiac surgery, postoperative baseline.
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Ap upright and lateral views of the chest provided. Port-a-cath resides over the right chest wall with catheter tip extending into the region of the low svc. Lung volumes are low and the patient's chin obscures the lung apices. There is a left apical opacity consistent with known necrotic mass, assessed in more detail on prior ct from <unk>. A known mass in the right lower lung appears slightly increased from prior ct though similar tube most recent chest radiograph. No convincing signs of pneumonia or overt chf. Cardiomediastinal silhouette is grossly stable. Imaged bony structures appear intact.
<unk>f with port // port placement?
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Pa and lateral views of the chest provided. As compared to prior study, there is no significant change. There is interval improvement in bibasilar atelectasis. Left pleural effusion is no longer seen. Otherwise, postoperative mediastinal silhouette is stable. There is no pneumothorax.
<unk> year old woman s/p vats lul wedge, evaluate for interval change
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Pulmonary edema and pulmonary vascular congestion have improved, now mild. The right hilum is less prominent, compatible with previous vascular engorgement. There is no evidence for a hilar mass. Overall, the appearance is concerning for pulmonary valvular pathology, and an echocardiogram is recommended for further evaluation if clinically indicated. There is unchanged moderate cardiomegaly. There are probably small bilateral pleural effusions. There is no pneumothorax or focal consolidation.
<unk> year old woman with follow up pa/lat as recommended by radiology. // follow up pa/lat xray