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As compared to the previous radiograph, there is unchanged evidence of a left-sided chest tube. The left pleural effusion has almost completely resolved. There is a minimal left apical pneumothorax. On the right, the pleural effusion has minimally increased, but is still restricted at right lung bases and to the area of the costophrenic sinus. No evidence of tension. The well-inflated areas of the lungs are unremarkable.
pleural effusion, evaluation.
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
chest pain and shortness of breath for <num> days.
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The lungs are mildly hyperinflated. The cardiac silhouette is stable. Again noted is right hilar prominence. There are stable, diffuse, primarily reticular opacities, primarily affecting the lung bases consistent with underlying with chronic lung disease. Again seen is a large retrosternal bulla, best visualized on the lateral radiograph. No focal consolidation is seen. There is no pleural effusion or pneumothorax.
<unk> year old man with stroke // eval for pna
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>f with cough, hemoptysis // ? acute process
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The lungs are clear with no evidence of consolidation, effusions, or pneumothorax. Cardiomediastinal silhouette is normal. Osseous structures are normal.
palpitations.
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Frontal and lateral radiographs of the chest were acquired. A left picc ends in the low svc, not significantly changed. Moderate bilateral pleural effusions, left greater than right, are both decreased compared to the prior radiograph from <unk>. Consolidation at the left lung base is likely compressive atelectasis. The lungs are otherwise clear. The heart size is normal. The mediastinal contours are normal. There is no pneumothorax.
history of cll and large pleural effusions, now with cough. please reassess pleural effusions and also evaluate for pneumonia.
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Calcified left basilar pulmonary nodule is noted, likely granuloma. Lungs are otherwise clear without consolidation, effusion, or edema. Moderate to large hiatal hernia is noted. Cardiomediastinal silhouette is otherwise unremarkable. No acute osseous abnormalities.
<unk> year old woman with word finding difficulties // r/o pna
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Mildly prominent lung markings particularly at both lung bases is likely due to vascular crowding in the setting of suboptimal inspiratory effort. There is no new consolidation to suggest pneumonia. The cardiomediastinal silhouette is stable. Aortic arch calcifications are incidentally noted.
<unk> year old man with wheezing. former long term smoker. // r/o mass, infiltrate
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The lung volumes are low. The cardiac, mediastinal and hilar contours appear stable. Nipple shadows are visible bilaterally. Opacity projecting over posterior lower lungs on the lateral view is probably due to stable atelectasis in the medial right lower lobe, as seen previously. There is no pleural effusion or pneumothorax.
metastatic renal cell carcinoma, presenting with fever. question pneumonia.
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The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Old healed left lateral fifth rib fracture is noted.
<unk>m with recent cap admission, presenting for ftt // any acute process
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Heart size is normal. The aorta is tortuous. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. Subsegmental atelectasis is demonstrated in both lung bases. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormalities identified.
history: <unk>f with confusion // acute process?
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The cardiomediastinal and hilar silhouettes are normal. There is no focal consolidation, pleural effusion, or pneumothorax. Mild bilateral pleural parenchymal scarring in the lung apices is unchanged.
<unk>f with cough. evaluate for acute process.
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There has been further aeration of the left lung base. Increased patchy opacification of the right lung base is noted. There is no pleural effusion or pneumothorax. The appearance of the mediastinum is unchanged with dense calcifications in the aortic arch. The cardiac silhouette remains mildly enlarged.
altered mental status, dementia and ligated with difficulty ambulating. evaluate for an acute process.
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The heart size continues to be enlarged, but is stable compared to prior study. The mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
a <unk>-year-old female with cough and night sweats.
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Upright ap and lateral views of the chest provided. Right ij access dialysis catheter again seen with catheter extending into the region of the right atrium. Is subtle opacity projecting over the left anterior lung base likely representing a focus of scarring better assessed on prior ct torso. Retrocardiac hazy opacity is only seen on the lateral projection and may reflect underpenetration. No convincing evidence for pneumonia or edema. No large effusion or pneumothorax is seen. Overall cardiomediastinal silhouette is unchanged.
<unk>f with hypotension.
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There is elevation of the left hemidiaphragm, posterior eventration. Mild basilar atelectasis is seen without focal consolidation. No large pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with syncope // eval for pna
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Heart size is moderately enlarged. There appears to be a large hiatal hernia. Mediastinal and hilar contours are grossly unremarkable. Mild upper zone vascular redistribution is seen. Patchy atelectasis is seen in the lung bases. No pleural effusion or pneumothorax identified. No acute osseous abnormality is detected
history: <unk>f with fall
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Frontal and lateral views of the chest demonstrate normal cardiac and mediastinal silhouette. The lungs are well expanded and clear. There is no pneumothorax or pleural effusion.
<unk>-year-old male with history of iv drug use, presents with fever. question pneumonia.
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There is a small region of patchy density in the left lower lobe in the retrocardiac region. . The cardiomediastinal and hilar contours are within normal limits. There is no effusion or pneumothorax. Again demonstrated is a spinal stimulator, unchanged in position.
history: <unk>f with cough // infiltrate
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When compared to <unk> chest radiograph, there are no new findings. . The lungs are well expanded and clear. The cardiomediastinal silhouette, hila, and pleural surfaces are normal.
<unk> year old man with cough, left basilar rhonchi. // ? pneumonia
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Lung volumes are low, resulting in bronchovascular crowding. Linear bibasilar opacities are consistent with scarring. Cardiomediastinal and hilar contours are unremarkable. No pneumothorax, pleural effusion, or consolidation. Unchanged appearance of old fracture of the midshaft of the left clavicle. Stable mild anterior wedge compression deformity of a lower thoracic vertebral body.
history: <unk>m with cough and shortness of breath // eval for chf/pneumonia
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Pa and lateral views of the chest provided. Lung volumes are low though allowing for this, 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 fall // eval for ptx, rib fx
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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. There is no radiopaque foreign body. There is no evidence of pneumomediastinum. No acute osseous abnormalities.
<unk>m with throat tightness / globus // r/o intrapulm process, foreign body
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Left-sided pacemaker device is noted with single lead terminating in the right ventricle. The heart size is mildly enlarged. The aorta remains tortuous. The pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is seen. There are mild to moderate multilevel degenerative changes noted in the thoracic spine. Partially imaged is a surgical anchor projecting over the left humeral head.
congestive heart failure with shortness of breath.
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. No pulmonary nodules are identified within the limits of conventional radiography. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits.
positive ppd with prior inh therapy, now with another positive ppd test, here to evaluate for cavitating lesion or evidence of tuberculosis.
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Lungs are clear. There is no consolidation, edema, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cp // eval pna
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Stable cardiomegaly and upper zone vascular redistribution. Improvement in pulmonary edema, with residual mild interstitial edema remaining. A more confluent opacity at the right base has also improved and likely reflects resolving asymmetrical of alveolar edema. Small pleural effusions are present, right greater than left.
<unk> year old man with liver disease and sob ? new heart failure. // please assess for volume overload vs pna.
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A small right pleural effusion with mild adjacent basilar atelectasis is seen. Moderate cardiomegaly is stable. Left pectoral pacemaker is unchanged with a transvenous lead seen in the right ventricle. No pneumothorax or pulmonary edema. A fiducial marker is seen adjacent to the known left upper lobe adenocarcinoma with expected surrounding post-radiation changes.
<unk> year old man with systolic heart failure s/p lvad recent rfa ablation for adenocarcinoma -lul // hemoptysis
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Minimal left base atelectasis is seen. There is no focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with dizziness // consolidation
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Frontal and lateral views of the chest. Previously seen pulmonary edema has resolved. The lungs are clear. There is no effusion or consolidation. Cardiomediastinal silhouette is top normal. Median sternotomy wires and mediastinal clips are again noted. Chronic right lateral rib fractures are identified.
<unk>-year-old male with chronic appendicitis status post cabg, preop chest x-ray.
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Pa and lateral views of the chest. The lungs are clear. There is no consolidation or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
<unk>-year-old female with chest pain.
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A small to moderate sized right hydropneumothorax is demonstrated with minimal leftward shift of the heart when compared to the prior exam. The heart size is normal. The mediastinal and hilar contours are otherwise unremarkable. The left lung is clear. There is no focal consolidation. No acute osseous abnormalities are seen.
chest pain, noncardiac for <num> days.
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The lungs are hyperinflated. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable.
chest pain. evaluate for 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 right lower anterior chest pain
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Frontal and lateral views of the chest. No prior. There are bibasilar opacities, somewhat more confluent on the left than on the right with silhouetting of the hemidiaphragm, particularly in the retrocardiac region. Superiorly, the lungs are clear. Cardiac silhouette is difficult to assess given silhouetting. Lower thoracic dextroscoliosis is noted. Upper thoracic laminectomies are suspected.
<unk>-year-old with dyspnea and fever and abdominal distention.
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The cardiac silhouette is mildly enlarged. The mediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
asthma, presenting with fever and cough.
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The cardiac silhouette size is normal. The aorta is mildly tortuous. Mediastinal and hilar contours are otherwise unchanged. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is identified. Mild degenerative changes are noted in the thoracic spine which demonstrates a mild s-shaped scoliosis.
history: <unk>f with lightheadedness x<num> day
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Pa and lateral views of the chest were reviewed and compared to the prior studies. Unchanged focal calcification overlying the right second rib anteriorly and the left sixth rib posteriorly are likely granulomas. Otherwise, the lungs are clear without pulmonary edema, effusion, or pneumothorax. Mild cardiomegaly is unchanged. Mediastinal contours are normal. Patient is status post cabg. The median sternotomy wires are intact and well aligned and clips are seen overlying the heart. Degenerative changes in the thoracic spine are unchanged.
dyspnea on exertion.
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is slightly enlarged. The imaged upper abdomen is unremarkable. The bones are intact.
<unk> year old woman with copd and bronchiectasis with lll opacity // eval lll opacity seen on previous films
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Moderate cardiomegaly is stable. Pacer leads are in standard position. Small to moderate bilateral pleural effusions larger on the left side associated with adjacent atelectasis are grossly unchanged. . There is no pneumothorax. There are moderate degenerative changes in the thoracic spine.
<unk> year old man with recurrent pleural effusion. pleurax draining ><unk> cc <unk> times/week. // r/o change
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The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
chest pain. evaluate for pneumothorax.
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Pa and lateral views of the chest provided. There is right middle lobe consolidation, concerning for pneumonia. Heart size is top normal. There is no pleural effusion.
<unk> year old woman with cough and chest congestion
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Left-sided port-a-cath tip terminates at the cavoatrial junction. There has been interval removal of the right-sided chest tube. There is minimal residual apical pneumothorax but there is no mediastinal shift or diaphragmatic flattening to suggest tension and the extent of the pneumothorax is unchanged compared to prior exam. The cardiomediastinal contours are within normal limits. The lungs are clear. There is no large pleural effusion.
<unk>-year-old male with right upper lobe wedge resection for metastatic rectal cancer, now with removal of a right-sided chest tube.
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.
<unk>-year-old male with dyspnea and subjective fevers.
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
history: <unk>m with h/o alzheimer's with worsening symptoms over previous <num> weeks // eval pneumonia
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The heart size is normal. Mild calcifications are demonstrated within the aortic knob. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. The lungs are clear. A small left pleural effusion is present, which was visualized on the prior ct abdomen from <unk>. No pneumothorax is identified. No acute osseous abnormalities are seen.
syncope.
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Right-sided port-a-cath tip terminates in the mid svc. Heart size is normal, and the mediastinal and hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is demonstrated. There are multilevel degenerative changes in the thoracic spine.
sinus cancer with acute kidney injury and neutropenia.
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The lungs are fully expanded and clear. No pleural effusion, pulmonary edema, or pneumothorax is seen. The heart, mediastinal and pleural surface contours are normal. A density seen projecting over the region of the bifurcation of the left main stem bronchus could represent a vessel or a possible foreign body, not clearly visualized on the lateral view.
evaluate for evidence of tooth fragments.
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There is bilateral diffuse reticular interstitial thickening, without prior imaging for comparison. The right hila appears prominent. Heart size is normal. The mediastinal contour is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old homeless man with productive cough, rattling breath sounds, <unk> on ra // ?pna
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There has been no significant interval change. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Hilar contours are stable. No pulmonary edema is seen.
history: <unk>m with scapula pain, anginal equivalent for this pt // eval for acute process
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The patient is status post previous right lower lung resection with stable postoperative volume loss and diffuse pleural thickening in the right hemi thorax. Left lung and pleural surfaces remain clear, and cardiomediastinal contours are stable in appearance.
<unk> year old woman with hx rll lung ca, copd // focal wheeze on left - any evidence of bronchial obstruction?
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The patient is status post cabg with sternotomy wires seen well aligned. There is stable, moderate cardiomegaly. Significant bilateral interstitial pulmonary edema is seen with associated septal lines. There are bilateral pleural effusions, moderate of the right and mild on the left. There is a poorly defined opacity seen within the right middle and right lower lobes, and while this may be secondary to asymmetric edema, the localized distribution of the opacification suggests a potential pneumonia. There is no pneumothorax identified. The mediastinal contours are within normal limits. No bony abnormality is detected.
shortness of breath and cough.
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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 non-mechanical fall, rll crackles // eval heart and lungs
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Ap and lateral views of the chest. Low lung volumes are seen on both the frontal and lateral views. Increased interstitial markings are seen throughout the lungs but most notably at the lung bases. There is no pleural effusion or confluent consolidation. The cardiomediastinal silhouette is grossly unremarkable. Atherosclerotic calcifications noted at the aortic arch. No definite acute osseous abnormality identified. Thoracolumbar s-shaped scoliosis is identified with degenerative changes in the spine.
<unk>-year-old male with word finding difficulty.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
cough and fever. evaluate for pneumonia.
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. Bilateral pleural effusions are present. Right pleural effusion is now moderate in size, increased since <unk>. Left pleural effusion is small and similar to prior. No focal consolidation or pneumothorax. No radiopaque foreign body. Osseous structures are unremarkable.
decompensated cirrhosis with decreased breath sounds at bases and dyspnea on exertion. evaluate for pleural effusion.
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There is a focal consolidations involving the posterior basal left lower lobe. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Surgical clips are noted over the visualized portions of the abdomen.
chronic intermittent cough for four to six weeks with new onset fevers past few days. the methotrexate was started four to five weeks ago.
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There are bilateral calcified pleural plaques with some regions projecting over the hemidiaphragms bilaterally as well as overlying the midlung bilaterally. These plaques somewhat obscure the underlying lung parenchyma although there is no large confluent consolidation. There is no effusion or edema. The cardiomediastinal silhouette is within normal limits for technique. No acute osseous abnormalities.
<unk>m with daily alcohol use, altered mental status // eval for chf/pneumonia, intracranial hemorrhage, cspine fracture
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Focal opacity in the left lower lobe is not from nipple shadow and on retrospective review was imaged in the ct abdomen and pelvis on <unk> and likely represents atelectasis or focal scarring. No new focal opacity, pneumothorax, pleural effusion or pulmonary edema. Heart size, mediastinal contour and hila are normal. No bony abnormality.
female with possible pulmonary nodule.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>f with dizziness, weakness
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In comparison with study of <unk>, there is continued enlargement of the cardiac silhouette with evidence of pulmonary vascular congestion and moderate left effusion. Volume loss is seen in the lower lobe on the left.
left effusion versus pulmonary edema.
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Moderate to severe cardiomegaly is unchanged. The mediastinal and hilar contours are stable. There is no pulmonary vascular engorgement. Moderate size right pleural effusion is relatively unchanged compared to the prior study with a trace left pleural effusion also again noted. There is worsening opacification in the right lung base, which could reflect atelectasis though infection cannot be excluded. Retrocardiac atelectasis is also be demonstrated. No pneumothorax is identified.
diastolic congestive heart failure with chronic pleural effusions, recent weight gain weakness.
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Ap upright and lateral views of the chest provided. An ivc filter is again seen at the cavoatrial junction. Previously noted picc line has been removed. Subtle retrocardiac opacity may represent a very early pneumonia. Otherwise the lungs appear clear. Coarsened lung markings suggest underlying interstitial lung disease. No large effusion or pneumothorax. Heart size is normal. Mediastinal contours unremarkable. Bony structures are intact.
<unk>f pmh htn, ckd, dvt p/w <num>d h/o of weakness, audible congestion and rhonchi b/l on exam // eval for pnm, pulmonary edema
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A left chest cardiac device with associated dual leads are seen projecting over the right atrium and right ventricle in grossly appropriate and unchanged location. In comparison to radiograph from <unk>, there has been interval reduction in the size of the cardiac silhouette, now within normal limits. There is no evidence of mediastinal contour abnormality. The bilateral hila are grossly unremarkable. Subtle opacification overlying the lower third of the left lung on ap projection may relate to overlying soft tissue. A <num> mm rounded density adjacent to the right hilum may represent a calcified granuloma or more likely a vessel seen en face. Otherwise, the lungs are grossly clear, without chf, focal consolidation, pleural effusion, or pneumothorax. Minimal atelectasis in the right cardiophrenic region. Is noted. The right hemidiaphragm is elevated, similar to the prior film.
<unk>m with hx of acute pericarditis, cardiac tamponade s/p pericardial drain presenting with a <num> week history of intermittent lightheadedness and chest pain over, evaluate for cardiomegaly, or pulmonary edema.
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Exam is markedly limited by patient rotation and positioning. Heart size is normal, but positioning is distorted due to patient rotation. The mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>f with worsening ms // ? infectious process
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The lungs are clear. Mild to moderate cardiomegaly is chronic. The mediastinal contours are otherwise normal. There are no pleural effusions. No pneumothorax is seen. The bony thorax is grossly intact.
chest pain along the left aspect of the chest as well as within the left shoulder. evaluate for any acute process.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs remain clear. Cardiomediastinal silhouette is within normal limits noting a moderate-to-large hiatal hernia. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with coronary artery disease status post non-st elevation mi, <unk>, now presenting with chest pain.
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No previous images. There is enlargement of the cardiac silhouette. No evidence of vascular congestion, pleural effusion, or acute pneumonia. The relative <unk> of cardiac size and pulmonary vascularity raises the possibility of cardiomyopathy or even pericardial effusion.
dyspnea on exertion.
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The lungs are borderline hyperinflated. The heart is moderately enlarged. The aorta is tortuous. No pneumothorax, pleural effusion, or consolidation. Note is made of scoliosis.
history: <unk>f with epigastric pain and burning, constipation // eval for pulm pathology, signs of constipation or obstruction
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. There is no free intraperitoneal air.
<unk>f with fever, abd symptoms, previous renal transplant // eval for acute processu/
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No change in the position of the left pectoral pacemaker with leads in the right atrium and right ventricle. Median sternotomy wires are intact. Compared with the prior radiograph, mild interstitial pulmonary edema and the right pleural effusion have improved, with better lung aeration. Moderate enlargement of the heart is unchanged. No new focal consolidation or pneumothorax.
history: <unk>f with recent cardiac surgery for hocm, s/s chf. eval for acute process, attn. to chf.
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Ap and lateral views of the chest. The lungs are clear of consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No displaced rib fractures are identified.
<unk>-year-old female with fall. question fracture.
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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.
fever.
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Again visualized is a small-to-moderate right pleural effusion, relatively stable in comparison to prior chest ct from <unk>. Otherwise, the lungs are without evidence of focal consolidation or pneumothorax. Post-surgical changes are visualized with mediastinal clips and intact median sternotomy wires. Cardiomediastinal silhouette remains stable. Visualized osseous structures are grossly normal.
evaluation of patient with chronic right pleural effusion, for interval change.
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As compared to the previous radiograph, the pre-existing right upper lobe pneumonia has completely resolved. No other parenchymal opacities. No scars, no reactive pleural effusions. Low lung volumes. Borderline size of the cardiac silhouette.
followup of 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>f g<num>p<num> at <num> weeks gestation with chest pain
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. Heart size and mediastinal structures unchanged. The previously identified basal pleural densities that obliterate the right-sided lateral pleural sinus has further regressed; some pleural thickening remains. Previously still identifiable contours of the chest tube tract have now resolved completely. Apically located air bubbles in the pleural space have also resolved and an apparent pleural scar cap has developed without evidence of any active pulmonary or pleural abnormalities. Overall appearance of rather advanced emphysematous pulmonary changes persist. No evidence of new pulmonary infiltrates or vascular abnormalities. The previously remaining small amounts of air pockets in the right axillary area have now resolved completely.
<unk>-year-old male patient with lung resection one month ago, evaluate lung.
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The patient is status post cabg with median sternotomy wires. The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. There is no focal consolidation concerning for pneumonia. There are at two displaced left lateral rib fractures. A linear lucency through the left scapular neck may represent a non-displaced fracture.
pain along the left lateral aspect of the thorax following a fall three days ago.
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Mild enlargement of the cardiac silhouette is relatively unchanged from the previous study. Mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormality is clearly visualized.
history: <unk>f with motor vehicle collision. chest pain, right anterior
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Streaky opacities at the left lung base most likely represents atelectasis. There is otherwise no focal consolidation, pleural effusion or pneumothorax. No pulmonary edema. Cardiomediastinal silhouette is normal. No acute osseous abnormalities. No subdiaphragmatic free air.
<unk>-year-old woman with multiple abdominal surgeries, now presenting with increasing shortness of breath and postpartum cardiomyopathy
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Linear streaky opacity in the left lower lobe is similar to ct chest <unk>, and consistent with linear atelectasis. 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 sob, wheezing // eval for pna
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Heart size is normal. The mediastinal and hilar contours are unchanged, was similar enlargement of the hilar regions bilaterally. Lung volumes are low with patchy opacity in the lung bases likely reflective of atelectasis. There may be mild pulmonary vascular engorgement without overt pulmonary edema. No large pleural effusion or pneumothorax is present. Widening of the right ac joint is unchanged, and may be postsurgical.
history: <unk>m with cough, shortness of breath
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Lung volumes are within normal limits. The trachea is central. The cardiomediastinal contour is normal. Incidental note is made of a pectus excavatum. No consolidation, pneumothorax or pleural effusion seen. No evidence for pneumomediastinum. The visualized bony structures are unremarkable in appearance.
history: <unk>f with pain with swallowing. // mediastinal air?
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Lung volumes are low with resultant vascular crowding. There is no evidence of pneumonia or frank pulmonary edema. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Appearance of the aortic arch is typical for an aberrant right subclavian artery. Cervical spinal fusion hardware is partially seen.
history: <unk>m with cough, coarse breath sounds // pneumonia or other intrathoracic process?
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Ap upright and lateral views the chest were provided. Lung volumes are low limiting assessment. Elevation of the right hemidiaphragm is again noted. There is bibasilar atelectasis. Hilar congestion and mild pulmonary edema is noted. No large effusions are seen. Heart size cannot be assessed. Mediastinal contour appears grossly unchanged with atherosclerotic calcifications of the aortic knob. Bony structures are grossly intact.
<unk>f with dyspnea
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Borderline cardiomegaly is stable. Both lungs are clear with no focal consolidation, pleural effusion or pneumothorax.
<unk>-year-old woman with chest pain, evaluate for pneumonia and congestive cardiac failure.
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The heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. A new focal consolidation in the left lung base is worrisome for pneumonia. There is no pleural effusion or pneumothorax.
two weeks of cough and fever. repeat examination due to persistent symptoms.
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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 cp // r/o acute process
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Frontal and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old male with ili symptoms, fever and cough for one week.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No rib fractures are identified.
left chest wall pain after assault.
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The heart size is normal and the mediastinal and hilar contours are within normal limits. Lungs are clear. The pulmonary vascularity is normal. No pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.
altered mental status.
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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 transient chest pain // eval for acute process
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Frontal and lateral chest radiograph demonstrates a right subclavian line terminating at the level of the mid to lower svc in constant position. Previously identified small right apical pneumothorax persist but is decreased in size. The lungs are grossly clear with no new focal consolidation. There is persistent unchanged large left pleural effusion with associated basilar atelectasis. There is additional right opacification unchanged from prior examination <num> day ago, likely atelectasis although differential includes aspiration pneumonia. Incidental note is made of ivc filter and contrast material within loops of bowel.
<unk>-year-old female status post recent chest tube removal. evaluate for pneumothorax.
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The patient is status post lvad placement, with the cannula in unchanged positions. Left chest wall aicd, with biventricular pacemaker, is unchanged, with the leads in standard positions. Median sternotomy wires appear to be intact. Severe cardiomegaly is unchanged compared to the prior exam. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion, or pneumothorax. The visualized osseous structures are unremarkable.
<unk>m with epigastric pain/fatigue for several days, diarrhea and vomiting this morning. // evaluate for infection
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The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cough // r/o pna
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Pa and lateral chest radiograph demonstrates symmetrically well expanded lungs. No focal opacity is identified worrisome for infectious process. Heart size is normal. There is no pneumothorax, pleural effusion, or evidence of pulmonary edema.
history: <unk>m with liver transplant with headache, chills. // pneumonia?
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Pa and lateral chest radiograph demonstrate mildly low lung volumes. With faint opacity posteriorly on the lateral view which is likely atelectasis. Elsewhere, lungs are clear. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. No air under the right hemidiaphragm.
<unk>f with cough x<unk> year acutely worse x<num>week // any infection
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Pa and lateral views of the chest. The lungs are clear. There is no significant effusion nor pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected. Lower cervical anterior fixation hardware is new since prior.
<unk>-year-old male with chest pain.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. Calcified granuloma at the right lung base is noted.
history: <unk>m with chest pain // r/o pna
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The lung volumes are relatively low and there is lordotic positioning. The cardial mediastinal silhouette is within normal limits for low inspiratory volumes. Slight indistinctness at the right costophrenic angle is noted on the ap view, but there is no gross effusion on the lateral view. . Otherwise, no chf, focal infiltrate, gross effusion or pneumothorax is detected. There is a compression deformity of indeterminate chronicity in the lower thoracic or upper lumbar spine
<unk>m with concern for leukemia vs. ttp vs. mds.