Frontal_Image_Path
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Frontal and lateral chest radiographs demonstrate increased opacity in the left perihilar region extending down into the left lower lobe lung, with corresponding opacity overlying the spine on lateral view. The cardiomediastinal silhouette is normal. There is no appreciable pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable.
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<unk>f w/ili, chest congestion, cough, bibasilar crackles on exam, please eval for pna // <unk>f w/ili, chest congestion, cough, bibasilar crackles on exam, please eval for pna
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Right-sided port-a-cath tip terminates at the junction of the svc and right atrium. Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. No pleural effusion, focal consolidation or pneumothorax is present. Pulmonary vasculature is normal. No acute osseous abnormalities detected. Several clips are again noted projecting over the epigastric and right upper quadrant regions of the abdomen.
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history: <unk>f with hcc, on chemotherapy new clinical trial with fever, rash.
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are present.
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chest pain.
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<num> views were obtained of the chest. The lungs are well expanded and clear with unchanged eventration of the right hemidiaphragm. There is no pleural effusion or pneumothorax. The heart is top normal to mildly enlarged with normal mediastinal and hilar contours.
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weakness.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusions or pneumothorax. The lungs appear clear.
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pre-operative. ankle fracture.
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Left-sided dual-chamber pacemaker is noted with leads terminating in the right atrium and right ventricle. Mild cardiomegaly is similar. Aortic calcifications are most pronounced at the aortic knob. The pulmonary vascularity is not engorged. The lungs are hyperinflated with relative lucency in the apices compatible with emphysema. Minimal patchy opacity in the right lung base likely reflects atelectasis. There is no focal consolidation, pleural effusion or pneumothorax. Diffuse demineralization of the osseous structures is noted with mild decreased height of mid thoracic vertebral body, unchanged. Cholecystectomy clips are seen in the right upper quadrant of the abdomen.
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low blood pressure this morning.
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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. Right-sided porta catheter is unchanged in position and a left site catheter has been removed in the interval. Within the imaged upper abdomen, splenomegaly is noted.
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<unk> year old woman with lymphoma. s/p allo with cough and pancytopenia. please further evaluate. // <unk> year old woman with lymphoma. s/p allo with cough and pancytopenia. please further evaluate.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. There moderate cardiomegaly. The pacer is seen in adequate position.
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<unk> year old man with sob, chest pain // eval for pulmonary edema
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The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with chest pain // evaluate for cardiomegaly, pulmonary edema, acs
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Lung volumes are slightly low. The cardiomediastinal silhouette and pulmonary vasculature a similar to the prior examination, and unremarkable, accounting for low lung volumes. Midline sternal wires are intact and well aligned. Mediastinal clips and anastomotic markers are noted. The lungs are clear. There is no pleural effusion or pneumothorax. Bilateral shoulder prostheses are partially imaged.
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<unk>m with chest pain // ?pneumonia
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Pa and lateral views of the chest provided. A new rounded consolidation is seen in the left mid lung concerning for pneumonia. Given the rounded appearance followup to resolution advised. Minimal scarring persists in the right upper lung at the site of prior pneumonic consolidation. There is a stable appearance of the subtle nodularity projecting over the right upper lung likely corresponding to the anterior right first rib on face. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Patient is status post left mastectomy.
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<unk>f pmhx asthma with <num> week hx of wheezing/sob // eval for consolidation
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The lungs are clear. There is no focal consolidation, effusion, or edema cardiomediastinal silhouette is stable. No acute osseous abnormalities.
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<unk>f with cp // eval pneumonia
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Linear opacities within the lung bases likely reflect areas of subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
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history: <unk>m with cough, fever, hempotosyis
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There are no pleural effusions or pneumothorax. The lungs appear clear. The bony structures are unremarkable. There has been no significant change.
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hypoglycemia. question pneumonia.
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Frontal and lateral chest radiographs were obtained. There is no pneumothorax. The small region of opacification at the base of the left lung has essentially cleared. A tiny left pleural effusion is stable. Normal postoperative cardiomediastinal silhouette.
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status post mitral valve repair, eval for pneumothorax.
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The previously noted right internal jugular catheter has been removed. The heart size, mediastinal, and hilar contours are normal. Except for trace left basilar atelectasis, the lungs are well-expanded and clear without pleural effusion, focal consolidation, or pneumothorax.
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<unk>m with cp. pneumothorax?
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A large left suprahilar mediastinal mass is unchanged in size and configuration since the prior study. Small left pleural effusion with left lower lobe scarring is unchanged since the prior study. The right lung is clear. There is a new right chest wall port catheter tip terminating in the distal svc. There is no pneumothorax or focal consolidation.
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<unk> year old man with pleural effusion // eval
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The heart is mildly-to-moderately enlarged. There is a new hazy bilateral lung opacification with indistinct pulmonary vascularity, most consistent with moderate pulmonary edema. There is no definite pleural effusion or pneumothorax. Moderate degenerative changes involve each shoulder including effacement of the right acromiohumeral interval, which may relate to rotator cuff pathology.
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generalized weakness.
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There is no focal consolidation, effusion, or pneumothorax. Mild subpleural fibrosis in the right lung was better seen on prior ct. The cardiomediastinal silhouette appears widened, but corresponds to mediastinal fat on prior ct. Imaged osseous structures show moderate degenerative changes. No free air below the right hemidiaphragm is seen.
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history: <unk>f with cp, cough // evidence of pneumonia
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The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable.
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shortness of breath.
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There is been interval development of bilateral lower lobe predominant airspace opacities with cephalization likely representing pulmonary edema and vascular congestion. Overall the appearance is unchanged from <unk>. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable. Imaged upper abdomen is unremarkable.
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<unk> year old man with decompensated cirrhosis. eval for infiltrate, fluid.
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There relatively low lung volumes without definite focal consolidation. Minor basilar atelectasis is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with cough // eval for pna
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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. No acute osseous abnormalities are visualized.
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productive cough, thoracic pain, fevers, chills.
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The heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal and the lungs are clear. No pleural effusion, focal consolidation or pneumothorax is seen. No acute osseous abnormalities are visualized.
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chest pain.
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As compared to the previous radiograph, there is no relevant change. Normal lung volumes, moderate bilateral pleural effusions with subsequent areas of atelectasis. Moderate cardiomegaly with mild fluid overload. No pneumonia. Normal position of left pectoral pacemaker.
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chronic heart failure, shortness of breath, evaluation for interval change.
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There is persistent elevation of the right hemidiaphragm. Cardiac silhouette size remains mild to moderately enlarged. Aorta is tortuous and demonstrates atherosclerotic calcifications of the arch. Mediastinal and hilar contours are unchanged. Bibasilar atelectasis is noted without focal consolidation. Crowding of the bronchovascular structures is noted without overt pulmonary edema. No pleural effusion or pneumothorax is identified.
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history: <unk>f with shortness of breath
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Cardiac silhouette size remains mildly enlarged. Mediastinal and hilar contours are unchanged. Minimal atherosclerotic calcifications are noted at the aortic arch. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is visualized. There is minimal atelectasis in the lung bases. No acute osseous abnormality is detected. Severe degenerative changes are noted involving both glenohumeral joints.
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history: <unk>f with altered mental status
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Tracheostomy tube projects over the midline, as before. Compared to the prior radiograph from <unk>, there is increase in interstitial density of the left mid and lower lung, which takes into account the overlying soft tissue. Cardiomediastinal silhouette is normal. Left chest wall port terminates at the upper aspect of the right atrium. Gaseous distention of loops of large bowel are again seen in the left upper quadrant.
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history: <unk>f with tracheostomy, now with cough. evaluate for pneumonia.
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Pa and lateral views of the chest provided. Left chest wall pacer device is seen with leads extending into the region of the right atrium and right ventricle. The heart is mildly enlarged. The mediastinal contour is normal. Lungs are clear without focal consolidation, large effusion or pneumothorax. No signs of congestion or edema. Bony structures are intact. No free air below the right hemidiaphragm.
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<unk>m with sob, history of dilated cardiomyopathy
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Cardiac silhouette is top normal in size. Mediastinal contour is normal. The lungs are grossly clear. There is minimal scarring at the left lung base. There is no evidence of pulmonary edema. There is no pneumothorax. Median sternotomy wires and mitral valve replacement are noted. There is a moderate hiatal hernia.
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<unk>f with hx of atrial fibrillation with shortness of breath, evaluate for pulmonary edema..
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
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chest pain.
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Lungs are well-expanded. On the background of coarse interstitial thickening, there is an opacity in the left lower lung which is more conspicuous than in the previous exam from <unk>. There is also a new dense retrocardiac opacity as well as opacities in the left costophrenic angle partially obscuring the left hemidiaphragm margin. Layering left-sided effusion is present. There is no right sided effusion. There is no pneumothorax. The heart is not enlarged.
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<unk>-year-old male with cough and fever.
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The lungs are well-expanded and clear. No focal consolidation, effusion, edema, or pneumothorax. The cardiomediastinal silhouette is normal. The hila are normal. No evidence of an acute osseous abnormality on this nondedicated exam.
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history: <unk>m with chest pain // eval for acute process
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The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion.
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<unk> y/o woman with chest pain. // r/o chf, pneumonia
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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified. Surgical clips are noted in the right upper abdomen.
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right lower rib pain.
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The heart size is normal. The hilar and mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion or pneumothorax. Multiple lytic lesions within the ribs, including a subtle nondisplaced fracture of the posterior left seventh rib is better evaluated on the recent pet-ct from <unk>.
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history: <unk>m with cancer on chemo, fever cough // infiltrate. history of osseous lymphoma.
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There has been interval improvement in the appearance of the lingular infiltrate. There still some streaky opacities in this region. However, there is a new area of increased opacity in the right lower lobe medially which may represent a new developing infiltrate
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<unk> year old woman with bronchitis, hypoxia. // worsening cxr, ?lobar collapse
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Minimal, if any improvement compared to the prior exam. Persistent small right pleural effusion that is perhaps minimally decreased and persistent stable right lower lung atelectasis. Stable right pleural thickening. The previously noted right lower lobe opacity slightly obscuring the right hemidiaphragm, best seen on the lateral view, is slightly improved and less conspicuous today. Right lung pulmonary vascular congestion is better today. Trace left pleural effusion is best seen on the lateral view. Mild cardiomegaly is unchanged. The mediastinum and hila are unchanged. No pneumothorax or frank pulmonary edema. Calcification of the aortic knob is again noted. Surgical clips project over the right upper quadrant are unchanged. Degenerative changes in diffuse bony mineralization in the thoracic spine are also unchanged with some vertebrae demonstrating chronic appearing anterior wedge compression deformities.
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<unk> year old woman s/p tracheobronchoplasty // interval change, please evaluate
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Frontal and lateral chest radiographs demonstrate a subtle density at the medial right lung base. In the right clinical setting, this could represent an early right middle lobe pneumonia. The cardiomediastinal silhouette is normal. Median sternotomy wires are intact. There is no pleural effusion or pneumothorax.
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evaluate for pneumonia in a patient status post lobectomy with cough.
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These are the first chest x-rays from this institution. Comparison is made to chest ct from <unk> which showed multiple predominantly pleural-based focal masses/infiltrates. The current chest x-ray demonstrates irregular opacities, most marked on the right, the largest of which is <num> cm in the right mid lung laterally with other pleural-based lesions lower on the right. There is a small right-sided pleural effusion. The other lesions are better detected on the chest ct. Mild degenerative changes of the thoracic spine with anterior osteophytes. The heart is mildly enlarged.
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multiple focal predominantly pleural-based pulmonary infiltrate seen on prior chest ct.
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Frontal and lateral chest radiographs were obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.
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chest pain, evaluate for cardiomegaly or effusion.
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There is focal anterior elevation of the right hemidiaphragm, suggestive of eventration or liver abnormality. No focal pulmonary consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits. Dilated proximal esophagus may represent focal dilation or zenker's diverticulum.
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<unk>-year-old female with cough.
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There is a tortuous thoracic aorta, with a calcified aortic arch, similar to prior exam. Otherwise the cardiomediastinal silhouettes are stable and within normal limits. The bilateral hila are unremarkable. The lungs are clear. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion. Multilevel thoracic spine degenerative change is again seen, with unchanged mild wedging of several mid thoracic vertebral bodies.
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<unk>-year-old woman with shortness breath, evaluate for acute intrathoracic process.
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
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right rib pain with cough.
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. No focal consolidation convincing for pneumonia is present. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Visualized osseous structures are without an acute abnormality.
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<unk>-year-old male with cough congestion chest pain and fever.
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Mild cardiomegaly is present with a left ventricular predominance. Mediastinal and hilar contours are unchanged with mild atherosclerotic calcifications seen in the aortic arch and descending thoracic aorta. The pulmonary vasculature is not engorged. Increased interstitial opacities are noted diffusely with reticulation and honeycombing at the lung bases, findings compatible with a chronic fibrosing interstitial lung disease, not substantially changed in the interval. No new focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
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history: <unk>m with dizziness, fall
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Ap upright and lateral views of the chest provided. Left lower lobe retrocardiac opacity may represent pneumonia. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bilateral shoulder hardware is seen without complication. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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history: <unk>f with altered mental status, fever // r/o infiltrate
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The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
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<unk>-year-old man with productive cough and night sweats. evaluate for pneumonia.
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There is a new small left pleural effusion. There is a new irregular opacity at the left lung base laterally, which could be an infectious process or atelectasis. A calcified granuloma in the left mid to upper lung is unchanged. Cardiomediastinal silhouette is normal size.
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<unk> year old man with h/o of alports, on immunosup, bk, elevated cr, worsened dry cough overnight. // immunosup, eval acute process
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In comparison to the prior radiograph on <unk>, there are new bibasilar opacities, which may represent infection or aspiration in the appropriate clinical setting. No pleural effusions or pneumothorax. Cardiomediastinal silhouette is normal. No subdiaphragmatic free air.
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history: <unk>m with <num>d of cough // evaluate for pna
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Cardiac silhouette size is mildly enlarged but similar compared to the previous study. The aorta is tortuous. Pulmonary vasculature is not engorged. There is new elevation of the left hemidiaphragm suggestive of a diaphragmatic hernia which contains colon. Minimal atelectasis is noted in the lung bases without focal consolidation. No pleural effusion or pneumothorax is present. There are mild multilevel degenerative changes seen in the thoracic spine. Moderate degenerative spurring is also noted in the right glenohumeral joint.
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history: <unk>f with altered mental status
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Pa and lateral views of the chest were obtained. Lung fields are clear bilaterally with no focal consolidation or pulmonary edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There are no bony abnormalities. There is no free air below the right hemidiaphragm.
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stroke.
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Pa and lateral images of the chest demonstrate a semicircular opacity about <num> mm in diameter superiorly adjacent to the minor fissure. This could represent a nodule versus consolidation versus aspiration. Cardiomediastinal silhouette is unremarkable. The lungs are clear. There is no pneumothorax or pleural effusion. Left subclavian port-a-cath is again seen ending in the svc.
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<unk>-year-old male with colon cancer and renal cell carcinoma, now requiring followup imaging after a portable film demonstrated possible lung nodule earlier today, <unk>.
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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. The visualized osseous structures are unremarkable.
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history: <unk>f with acute on chronic chest pain now radiating to her back // ? widened mediastinum, other acute pathology
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Frontal and lateral views of the chest demonstrate normal lung volumes. Small right pleural effusion persists and cardiac silhouette is larger. There is no left pleural effusion. Right infrahilar peribronchial opacification is either early edema or mild pneumonia. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Imaged upper abdomen is unremarkable.
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patient with fever and neutropenia. assess for pneumonia.
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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.
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chest pain. evaluate cardiopulmonary process.
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A moderate right pleural effusion is minimally increased compared with the immediate prior study with unchanged associated compressive atelectasis and rounded right midlung atelectasis. Small amount of air at the level of the horizontal fissure is unchanged from prior studies. There is no left-sided pleural effusion. No pulmonary edema. Biapical scarring is similar. The cardiomediastinal silhouette is stable. A left pectoral dual-chamber pacemaker and its leads project in unchanged location. There is no pneumothorax.
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<unk>m with hemoptysis evaluate for pneumonia or mass.
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Ap and lateral views of the chest. The lungs are clear of consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality identified.
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<unk>-year-old female with leukocytosis, unclear infectious source.
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As compared to the previous radiograph, no relevant change is seen. Normal structure and transparency of the lung parenchyma. Normal appearance of the mediastinum and the cardiac silhouette. No parenchymal abnormalities.
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chronic cough, evaluation.
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The left-sided port-a-cath terminates in the cavoatrial junction. The cardiomediastinal silhouette is unremarkable. The previously seen retrocardiac opacity has nearly resolved. There are no new focal consolidations. There is no pulmonary edema, pneumothorax, or pleural effusions.
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<unk> year old man with recent admission for febrile neutropenia and presumed taxol reaction/hypersensitivity pneumonitis. bal + for afb // eval progression of pneumonitis. eval evidence of mycobacterial disease
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As compared to the prior examination dated <unk>, there has been no significant interval change. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits. Moderate mid thoracic dextroscoliosis is again noted.
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<unk>f with chest pain // cardiopulm process?
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Cardiac silhouette size appears mildly enlarged with a coronary artery stent again noted. The aorta remains tortuous. Mediastinal and hilar contours are similar, and the pulmonary vasculature is normal. Lungs appear clear, though the medial lung apices are somewhat obscured by the patient's chin projecting over this area. No pleural effusion or pneumothorax is present. Moderate multilevel degenerative changes are noted in the thoracic spine. Prominent gaseous distention of colonic loops of bowel in the left upper quadrant are noted.
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history: <unk>f with falls with pain
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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No displaced fractures identified.
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<unk>m after rear end collision // rule out pneumothorax or hemothorax
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Frontal and lateral views of the chest demonstrate low lung volumes without pleural effusion, focal consolidation, or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. Heart size is top normal. Mild pulmonary vascular congestion is noted. Left cardiac border is obscured, most likely due to overlying soft tissues.
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vertigo for two days.
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Frontal and lateral chest radiographs were obtained. The patient is status post median sternotomy with intact wires for prior aortic valve replacement. A left chest pacemaker has leads terminating in the appropriate locations in the right atrium and right ventricle. There is bilateral interstitial edema and pulmonary vascular congestion that is increased from prior study on <unk>. There is chronic scarring at the left lung base. The heart is moderately enlarged, but stable in size.
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patient with dyspnea, prior mvr/avr, question chf.
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Relatively low lung volumes are noted with bibasilar atelectasis. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>m with fevers // r/o acute infectious process
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Cardiomediastinal silhouette is stable. Heart is not enlarged. Lungs are clear. No acute cardiopulmonary process. There is no pleural effusion or pneumothorax.
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<unk>f with fever and cough // pneumonia?
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Pa and lateral chest radiograph demonstrates no focal consolidation. Diffuse subtle interstitial opacities could reflect ongoing process identified on ct chest dated <unk>. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or evidence of pneumothorax. Osseous structures demonstrates no acute abnormality.
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<unk>m with cough, ha, body aches, on chemo for lymphoma // infectious process
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In comparison with study of <unk>, there is no interval change. Mild hyperexpansion of the lungs with no acute pneumonia. No vascular congestion or pleural effusion.
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hiv with persistent cough, to assess for pneumonia.
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A left pacemaker with right atrial and right ventricular leads is appropriately positioned. The patient is status post midline sternotomy and cabg. There is mild pulmonary vascular engorgement. The lungs are otherwise clear. Mild-to-moderate cardiomegaly is unchanged. There are no pleural effusions. No pneumothorax is seen. Aortic calcifications are noted. The mediastinal contours are normal.
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chest pain, evaluate for acute cardiopulmonary process.
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Pa and lateral views of the chest. The lungs are clear. There is no pneumothorax or pleural effusion. The cardiac, mediastinal, and hilar contours are normal.
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<unk>-year-old male with chest pain, evaluate for acute process.
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The patient is status post sternotomy. The heart is normal in size. Mediastinal and hilar contours are unremarkable. Lung volumes are low. Streaky opacities in the lingula are most consistent with minor scarring or atelectasis. Otherwise, the lungs appear clear. There are no pleural effusions or pneumothorax.
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fever and shortness of breath.
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Pa and lateral chest radiographs are provided. This study is read in conjunction with the ct performed on the same day. The lungs are well expanded. There is no focal consolidation or pneumothorax. There are small bilateral pleural effusions. The cardiomediastinal silhouette is normal. The bones are intact. Mutliple dilated loops of small bowel are partially visualized in the upper abdomen and concerning for small bowel obstruction.
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<unk>-year-old male with abdominal pain status post appendectomy on <unk>, evaluate for obstruction or free air.
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There is mild prominence of pulmonary vasculature and development of bilateral linear interstitial opacities consistent with <unk> b-lines, new as compared to <unk>. There is no focal consolidation. Heart size is within normal limits. There is no pneumothorax. There is multilevel mild loss of vertebral body height in the upper thoracic spine, unchanged.
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<unk>f w/pulm htn, rll crackles, presenting with abdominal pain, please r/o pna, also potential pre-op xray for gallstones *** warning *** multiple patients with same last name! // <unk>f w/pulm htn, rll crackles, presenting with abdominal pain, please r/o pna, also potential pre-op xray for gallstones
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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<unk> year old woman with probably atypical pneumonnia // evaluate for complete resolution
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There is a small left pleural effusion with blunting of the lateral and posterior costophrenic angles. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. Compression deformity of a mid/lower thoracic vertebral body is noted.
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<unk>f with confusion, fever // r/o ich, r/o infiltrate
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As compared to the previous radiograph, two right-sided chest tubes are in unchanged position. Millimetric right apical pneumothorax. Relatively extensive, overall unchanged right pleural effusion with a large intrafissural component. No new parenchymal opacities but areas of atelectasis at the right lung base persist. Unremarkable left lung, unchanged size of the cardiac silhouette.
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status post right-sided vats decortication.
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Patient is status post single chamber icd placement with the lead terminating in the floor of the right ventricle. No pneumothorax, mediastinal widening, or pleural effusions are seen. The heart size top normal. The hila and pleura. No focal consolidations or pleural effusions are seen.
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<unk> year old man s/p single chamber icd implant // check for lead position and pnx
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The lungs are hyperinflated with flattening of bilateral hemidiaphragms, suggesting chronic pulmonary disease. There is no evidence of pneumonia, pulmonary edema or pleural effusions. No pneumothorax. The mediastinum, hila and heart are within normal limits. There is a small bochdalek hernia, better characterized on ct abdomen.
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<unk> year old man with hiv (cd<num> <num>) presenting with duodenitis, also notes new productive cough. // eval for pneumonia
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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. There is minimal right apical pleural thickening. No pulmonary edema is seen. No displaced fracture.
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chest pressure.
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The heart size is normal. The cardiomediastinal silhouette and hilar contour is stable. The lungs are clear without focal consolidation, effusion or pneumothorax. A right-sided port-a-cath is in place and the tip terminates in the mid to inferior superior vena cava unchanged from prior exam. A peg tube projects over the mid abdomen.
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shortness of breath and the right upper quadrant pain.
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In comparison with the study of <unk>, there is slightly better inspiration. Little change in the appearance of the somewhat enlarged cardiac silhouette without evidence of vascular congestion. Blunting of the lower right costophrenic angle with lateral displacement of the dome of the hemidiaphragms suggests some subpulmonic pleural effusion. The degree of gas beneath the hemidiaphragm on the left has substantially decreased. On the lateral view, there is a small amount of gas in this region, consistent with a small amount of postoperative residual pneumoperitoneum. Generalized ileus pattern is noted.
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postoperative persistent oxygen requirement.
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New heterogeneous opacity at the right lung base from <unk> is concerning for pneumonia. The left lung is clear. The heart size is unchanged. There is no pneumothorax or pleural effusion. A gastrostomy tube is incidentally noted.
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<unk> year old woman with chronic aspiration and recurrent pna. now with lower sats and crackles on exam // rule out aspiration pna
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Study is severely limited due to patient's inability to lift either arm. Within this limitation, no focal consolidation is identified, although the right lung base is obscured. The mediastinum appears widened but not fully evaluated. There is no pleural effusion or pneumothorax.
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mechanical fall, evaluate for fracture or pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p17755234/s53317472/3b8d09d5-d2d54c58-d1e6ae4e-0c01e7d3-58da73f8.jpg
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Pa and lateral chest radiographs. Right internal jugular dialysis catheter terminates in the right atrium, unchanged. There are small bilateral pleural effusions. Mild interstitial edema and redistribution suggest mild fluid overload. The cardiomediastinal silhouette is normal.
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fever and cough. evaluation for pneumonia.
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An azygos fissure and azygos lobe are noted. The lungs are well expanded and clear without lobar consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. Subtle left basilar airspace opacity likely reflects atelectasis. The cardiomediastinal silhouette is unchanged in appearance.
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history: <unk>f with sob/cough // eval acute 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. Breast implants are noted bilaterally.
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<unk>f with chest pain
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The heart size is mildly enlarged. There is slight increased opacification in the right middle lung field compared to the prior study. There are trace bilateral pleural effusions. There is no pneumothorax. There is mild pulmonary edema. The visualized osseous structures are unremarkable.
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history of severe cough, evaluate for pneumonia.
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A single lead icd with lead terminates at the right ventricle, similar in position to prior. Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
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<unk>m with aicd - ?fire // evaluate bleed.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>f with chest pressure // ? infectious process
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Lungs are well inflated and clear bilaterally with no masses, lesions, pleural effusion, or pneumothorax. Pleural surfaces are unremarkable. Stable degenerative changes of the thoracic spine are noted.
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<unk>-year-old female with history of asthma, now presents with chronic cough x<num> months.
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As compared to the previous radiograph, there is no relevant change. Better inspiration, normal size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta. No pulmonary edema. No pneumonia, no pneumothorax.
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chronic and dry cough, evaluation.
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Lung volumes are low. The cardiac, mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs appear clear.
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weakness.
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Right infrahilar fullness, new since prior exam, may represent mass or adenopathy. Ct chest recommended for further evaluation. Probable benign calcified granuloma right upper lung medially. There is a shallow inspiration the lateral radiograph. No definite infiltrates. No pleural effusions. Normal heart size, pulmonary vascularity. Mid thoracic curve convex to the right, stable. Chest otherwise normal.
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history: <unk>f with fever/cough x <num> weeks and hx of cll // ? pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p11599852/s55238215/e8224c99-a3809e58-3d540157-ef0c597f-f9447d05.jpg
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are overinflated with splaying of interstitial markings and flattened hemidiaphragms, consistent with emphysema. There is no new focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits. Healed rib fractures of right posterolateral ribs <num> through <num> are noted. The upper abdomen is unremarkable.
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vomiting and abdominal distention.
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Pa and lateral views of the chest provided. Lung volumes are somewhat low with streaky lower lobe opacities which could represent an atelectasis versus early pneumonia. No convincing signs of edema, effusion or pneumothorax. The heart size is top-normal. The mediastinal contours unremarkable. No free air below the right hemidiaphragm. Bony structures are intact.
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<unk>m with chest pain, left sided.
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Compared to the previous radiograph, there is a newly appeared left pleural effusion, better appreciated on the lateral than on the frontal radiograph. The effusion occupies about one-quarter of the hemithorax. Unchanged mild elevation of the right hemidiaphragm. Unchanged mild cardiomegaly without pulmonary edema. At the time of dictation, and observation, at <time> p.m., on <unk>, the referring physician, <unk>. <unk>, was paged for notification. Findings were discussed over the telephone.
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metastatic cancer, shortness of breath, evaluation for pleural effusion.
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Top normal heart size noted not significantly changed. Hilar and mediastinal contours are normal. The lungs are clear without focal consolidation, effusion or pneumothorax. Minimal basal atelectasis is noted on the left side. Bony structures are intact. No free air below the right hemidiaphragm.
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<unk>m with fatigue, pain between the shoulder blades // r/o pna, pneumothorax
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MIMIC-CXR-JPG/2.0.0/files/p11301108/s51970381/6807a823-c4881f85-99714264-83df1d12-ef0aa114.jpg
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MIMIC-CXR-JPG/2.0.0/files/p11301108/s51970381/adc13912-112f2716-1def67df-2889e7cd-0861c707.jpg
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Pa and lateral views of the chest. Relatively low lung volumes are noted. The lungs however remain clear without consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.
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<unk>-year-old female with diabetes and possible seizure.
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MIMIC-CXR-JPG/2.0.0/files/p11139947/s50328850/9a86fe9b-9e842110-f51b923c-8a5e1cbf-b23b8dd8.jpg
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
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syncope.
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