Frontal_Image_Path
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Frontal and lateral views of the chest were obtained. Patient is slightly rotated with respect to film. The heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body. Loose bodies in right shoulder redemonstrated.
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<unk>-year-old male with cough.
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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. There is no pneumomediastinum. Vascular stent projects over the upper mediastinum on the right. Surgical clips are seen in the upper abdomen. There is no free intraperitoneal air. No acute osseous abnormalities.
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<unk>f with small bowel enteroscopy yesterday, s/o roux en y bypass presenting with neck and abd pain // c/f abd perforation, subcutaneous emphysema
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. Heart is mildly enlarged. The cardiomediastinal silhouette is otherwise within normal limits.
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history: <unk>f with a fib // eval for pneumonia
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Cardiomediastinal silhouette is within normal limits. Aside from minimal biapical scarring, lungs are clear. There is no pleural effusion or pneumothorax. Bones and the upper abdomen are grossly unremarkable
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history: <unk>f with flu-like illness, cough // eval for pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p10669695/s58812773/c858f416-06d17266-f8bbbb55-dc44b1c2-e20b93b1.jpg
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Frontal and lateral radiographs of the chest demonstrate low lung volumes. Clear lungs. The cardiac silhouette is stably enlarged. Unchanged calcification of the aortic knob and aortic tortuosity. No pneumothorax or pleural effusion.
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fever, question pneumonia.
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Ap and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, pneumothorax. Cardiac and mediastinal contours are normal.
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seizure.
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Pa and lateral views of the chest. Moderate cardiomegaly is increased compared to <unk>. No focal consolidation or pneumothorax. There is slight blunting of the costophrenic angles which may indicate small pleural effusion or scarring. There is increased density at the perihilar regions which may indicate pulmonary vascular congestion.
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cough and chills, evaluate for pneumonia.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
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<unk>-year-old female with confusion and tachycardia. evaluate for cardiopulmonary process.
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Pa and lateral radiographs of the chest. The lungs are clear. Cardiomediastinal contours are normal. No pleural abnormality is seen.
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acute onset atrial fibrillation with rapid ventricular response and dyspnea.
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The lungs are clear. There is no effusion, consolidation, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
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<unk>m with palpitations x<num> days // palpitations
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Ap and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal. Degenerative changes are seen along the spine.
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hip fracture. preoperative study.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of focal consolidation. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Postoperative changes of median sternotomy wires and mediastinal clips are again noted. Osseous and soft tissue structures are otherwise unremarkable.
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<unk>-year-old male with substernal chest pain.
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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.
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<unk> year old man with hx of aml. on immunosuppression. presents today with chest pain and shortness of breath. please further evaluate. // <unk> year old man with hx of aml. on immunosuppression. presents today with chest pain and shortness of breath. please further evaluate.
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As compared to the previous radiograph, there has been a change in hemodialysis catheter. The seating image provides no evidence of left apical pneumothorax. Unremarkable course and position of the catheter.
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hemodialysis catheter, evaluation for left pneumothorax.
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. Specifically, no pneumonia, vascular congestion, or pleural effusion.
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hemoptysis for two weeks.
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Frontal and lateral radiographs of the chest were acquired. The lungs are clear. The heart size is normal. Tortuosity of the descending thoracic aorta is not significantly changed. There are no pleural effusions. No pneumothorax is seen. Lumbar fusion hardware is incompletely assessed. There is re-demonstration of a lap band projecting over the epigastric region, not significantly changed in position. Right upper quadrant surgical clips are noted.
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cough and neutropenia. evaluate for pneumonia.
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The cardiac, mediastinal and hilar contours appear unchanged. Lung volumes are low. There is no pleural effusion or pneumothorax. The lungs appear clear.
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weakness.
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The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Calcified granuloma within the right lower lobe is unchanged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
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chest heaviness.
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The heart size is normal. The aorta is tortuous but unchanged. Mediastinal and hilar contours are otherwise stable. Pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is seen. Biapical scarring is present. There are no acute osseous abnormalities.
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hypertension, hyperlipidemia, with <num> week of intermittent exertional chest pain.
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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 weakness, lethargy // pneumonia?
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The patient is status post median sternotomy. The cardiomediastinal and hilar contours are within normal limits. Of note, a linear opacity adjacent to the left heart border likely represents a focus of scarring. Lungs are mildly hyperinflated. No consolidation, effusion or pneumothorax.
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history: <unk>f with mcc with r inferior orbit ttp, r <unk> finger open fx*** warning *** multiple patients with same last name! // eval for fx, ich
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart size is mildly enlarged. The aorta is tortuous and calcified with tortuosity or possible dilation of the ascending aorta. Cardiac pacing hardware appears similarly positioned. Right rib deformities are again noted.
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<unk>-year-old male with ekg changes.
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Frontal and lateral views of the chest. Lung volumes are low, exaggerating the bronchovascular markings. There is mild prominence of the interstitium but no focal consolidation, pleural effusion, or pneumothorax. Heart size and cardiomediastinal contours are normal. A shunt catheter traverses the right neck, chest, and upper abdomen.
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productive cough, tachycardia, and chills.
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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is top-normal in size but stable. The mediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected. The patient is status post median sternotomy. Multiple mediastinal surgical clips are noted.
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<unk>f with t<num>dm, cad, h/o gastroparesis with nausea/vomiting
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Lung volumes are slightly low. Moderate cardiomegaly with left ventricular predominance is re- demonstrated. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Streaky atelectasis is seen in both lung bases without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
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history: <unk>m with shortness of breath without chest pain or cough
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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.
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<unk>m with cp
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The patient is status post median sternotomy with at least two discontinuous wires in the superior sternum, which are unchanged from the prior study. Epicardial wires are seen, as before. There is no new consolidation concerning for pneumonia. The inspiratory lung volumes remain decreased. No significant pleural effusions or pneumothorax is detected. The pulmonary vasculature is not engorged. The cardiac silhouette is mildly enlarged but stable. The mediastinal contours are prominent but unchanged with unfolding of the thoracic aorta. The hilar contours are also stable. Calcification in the posterior upper mediastinum on the lateral view corresponds to the abdominal aorta.
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asthma and cough, here to evaluate for pneumonia.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with productive cough // pneumonia
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Heart size is normal.
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<unk> year old man with lvh on ecg, sob // eval for cardiomegaly
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Pa and lateral views of the chest provided. Cardiomegaly is moderate. Overall contour of the mediastinum is unchanged with prominence of the aortic knob previously assessed by ct. There is no focal consolidation, large effusion or pneumothorax. There are right and left perihilar linear densities which likely represents minimal atelectasis or scarring. There is an azygous fissure. No acute fracture is seen. No free air below the right hemidiaphragm.
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<unk>f with fall, elbow pain
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Pa and lateral views of the chest provided. Airspace consolidation is noted at the right lung base concerning for pneumonia. Left lung is clear. No pneumothorax or large effusion. Cardiomediastinal silhouette is normal. Bony structures are intact.
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<unk>m with fever, cough.
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Cardiac size is top-normal. The aorta is elongated. Enlargement of the right hilum suggests a right hilar mass. There are ill-defined peribronchial opacities in the right lower lobe. There is minimal biapical scarring. . There are mild degenerative changes in the thoracic spine
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history: <unk>f with wheezing and sob // pna
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The heart size is top normal. The mediastinal and hilar contours are within normal limits. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. Degenerative changes of both acromioclavicular joints are present. Anterior cervical spinal fusion hardware is noted.
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asthma, copd, nausea, vomiting, shortness of breath.
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No previous images. The cardiac silhouette is within normal limits and there is no vascular congestion or pleural effusion. There is hyperexpansion of the lungs, consistent with chronic pulmonary disease. However, no convincing evidence of acute focal pneumonia.
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hemoptysis and sinus infection.
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No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable.
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history: <unk>f with ams*** warning *** multiple patients with same last name! // acute process
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Minimal left base atelectasis/scarring is seen. No definite focal consolidation is seen. . No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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<unk>m with weakness eval for cardiopulm change // <unk>m with weakness eval for cardiopulm change
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
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<unk>f with sharp l sided cp. eval for ptx.
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Frontal and lateral views of the chest. The lungs are clear without focal opacity, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There is no free air beneath the right hemidiaphragm. There is no acute osseous abnormality.
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<unk>m with right sided chest pain.
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Pa and lateral views of the chest provided. Cardiomegaly is mild. Hila appear congested and there is mild interstitial edema. No focal consolidation concerning for pneumonia. No pneumothorax. Bony structures appear intact. No free air below the right hemidiaphragm.
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<unk>m with cough, sob. // pneumonia?
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Pa and lateral views of the chest provided. There is mild right basal atelectasis likely accounting for the subtle retrocardiac opacity on the lateral projection. Otherwise, no convincing signs of pneumonia, edema. No large effusion or pneumothorax. The cardiomediastinal silhouette appears normal. Subtle prominence of the right hilum may reflect bronchovascular crowding. Imaged bony structures appear intact.
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<unk>f with weakness, elevated lactate
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The heart size is normal with prominent fat pads re- demonstrated. Mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen. Minimal degenerative changes are noted in the thoracic spine. Deformity of the distal left clavicle indicates prior trauma.
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cough, homeless.
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Frontal and lateral views of the chest were compared to previous exam from one day prior. Again, lung volumes are low. That being said, there is no focal consolidation identified. There is no effusion or pneumothorax. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with cough, question infiltrate.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Biapical pleural parenchymal scarring is noted. Lucent appearance of the lungs likely reflects known emphysema. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with persistent cough, lll rhonchus // eval for pna
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Frontal and lateral views of the chest. No pleural effusion, pneumothorax, or focal airspace consolidation. Normal heart size, mediastinum, and hilus. Pleural structures are unremarkable.
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wheezing on exam with shortness of breath.
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The heart is moderately enlarged, and there is mild pulmonary vascular congestion/edema. On the lateral view, there is increased opacity projecting over the posterior costophrenic angles. Lung volumes are decreased, and no other focal consolidation or pneumothorax is seen. No large pleural effusion is seen.
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<unk>-year-old man with shortness of breath. evaluate for pneumonia.
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Frontal and lateral views of the chest were obtained. Diffuse micronodularity is consistent with patient's known lch. However, since <unk>, the interstitial abnormality has increased with new right basilar opacity and perihilar fullness. The heart appears slightly larger. Small bilateral pleural effusions are similar. The findings suggest mild heart failure superimposed on patient's known chronic lung disease/lch. No pneumothorax. Mediastinal silhouette is normal.
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dyspnea and pleuritic chest pain.
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Patient is status post median sternotomy and cabg. Coronary artery stenting/calcification is seen. The cardiac silhouette is top-normal to mildly enlarged. No focal consolidation is seen. There is perihilar, peribronchial wall thickening which can be seen in small airways disease. No pleural effusion or pneumothorax is seen. Degenerative changes are seen along the spine.
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history: <unk>m with chest pain and cough // ? pna
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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.
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<unk>m with s/p assault // eval for fracture, eval for trauma
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Right-sided rib deformities appear unchanged.
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dysarthria. chest pain and shortness of breath. history of stroke.
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Ap upright and lateral views of the chest provided. Lung volumes are markedly low which limits assessment. The heart is mildly enlarged. There is hilar congestion with probable mild interstitial edema. Basilar atelectasis noted. No large effusion or pneumothorax. Unfolded thoracic aorta likely accounts for prominence of the mediastinum. Bony structures are intact.
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<unk>f with hypoxia, productive cough, prior hx copd // eval ? pna
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Lung volumes are normal. Small to moderate bilateral pleural effusions are unchanged since yesterday. Left retrocardiac opacity likely reflects atelectasis. There is no new worrisome pulmonary opacity. Mild cardiomegaly is unchanged. As before the main pulmonary artery is enlarged. There is no pneumothorax.
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<unk>f with l chest pain, c/f pe // eval for acute process
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Pa and lateral images of the chest. The pacemaker is seen overlying the left anterior chest with intact leads in appropriate position. The lungs are well expanded and clear. The right hemidiaphragm is a little higher on this exam than on prior, likely representing increased eventuration. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unchanged from prior exam.
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history of extensive cad, now with pleuritic left flank pain and arm pain.
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Pa and lateral views of the chest provided. Spinal hardware projects over the lower t-spine and upper lumbar spine and is only partially imaged. Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>m with several episodes syncope, palpitations over prior month
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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>m with ulcerative colitis flare, dyspnea on exertion
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The lungs are clear besides streaky bibasilar linear opacities which are likely atelectasis versus scarring. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. No free intraperitoneal air.
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<unk>m with epigastric burning // eval for pneumonia, chf
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
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<unk>f with fever, tachycardia, cough, evaluate for consolidation.
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear despite slightly decreased volume. There is no pneumothorax, vascular congestion, or pleural effusion.
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<unk>-year-old female with chest pain. question pneumothorax.
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The heart size is normal. The hilar and mediastinal contours are unremarkable. The lungs are clear of any focal consolidations concerning for infection, pneumothoraces or pleural effusions. Clips are noted in the right upper quadrant. The visualized osseous structures are unremarkable.
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history of upper left-sided back pain, sudden onset. rule out pneumonia, rib fracture.
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Mildly increased density in the left posterior costophrenic sulcus may represent an early consolidation in the proper clinical setting. There is no pneumothorax, pulmonary edema, or pleural effusion. The cardiomediastinal silhouette is normal.
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<unk>m with fever, evaluate for pneumonia.
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There has been interval development of a large right pleural effusion. Right basilar opacification likely reflects compressive atelectasis though infection cannot be excluded. Trace left pleural effusion is also present. Patchy left basilar opacity may reflect atelectasis. Heart size is difficult to assess given the presence of a large right pleural effusion. Aorta is mildly unfolded. No pulmonary edema is identified. There is no pneumothorax. No acute osseous abnormalities present.
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history: <unk>m with dyspnea.
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A moderate to large right pneumothorax is present with atelectasis of the right lung and slight leftward shift of mediastinal structures. Heart size is normal. Mediastinal and hilar contours are unremarkable. No pulmonary edema is present. Left lung is clear. No pleural effusion is present. No acute osseous abnormality is present.
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history: <unk>m with chest pain, painful respirations
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Bilateral lungs are well inflated. There is a stable small calcified granuloma in the left lung apex that is unchanged compared to prior study. There are no opacities, consolidations nor new masses seen. There is no pneumothorax nor pleural effusion. The heart size is top normal. The hilar and mediastinal contour are normal. There is mild stable scoliosis of the lower thoracic spine. There are no acute bony abnormality.
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<unk> year old woman with cough. // please evaluate for thoracic pathology.
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There has been interval development of air-fluid level within the right lower lobe, with large amount of pleural effusion since <unk>. No definite pneumothorax is seen <num> and linear configuration of the fluid is suspicious for a hydropneumothorax.the left lung is clear without focal consolidation. The cardiac and mediastinal silhouettes are stable.
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<unk> year old man with dyspnea and elevated wbc. // recently hospitalized for pna. please evaluate for pna or other acute process.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is normal. Punctate calcification within the right lung base likely reflects a tiny granuloma. Lungs are otherwise clear. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
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chest pain.
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Left pectoral pacemaker and its leads are in unchanged positions. Elevation of right hemidiaphragm and mild atelectasis at the right lung base are similar to before. There is no pleural effusion. Borderline cardiomegaly is similar to before.
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history: <unk>m with shortness of breath // eval for chf/pneumonia
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Pa and lateral radiographs of the chest demonstrate an increase in pleural fluid tracking along the major fissure on the right which may represent redistribution but a total increase in effusion is not excluded. A small amount of pleural air persists at the right base next to a pleural drainage catheter. Bilateral lower lobe atelectasis persist. Moderate cardiomegaly is stable. The hilar and mediastinal contours are unchanged.
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evaluate right upper pleural effusion.
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The lungs are clear without focal consolidation, effusion, or edema. Patient is rotated the left. Within this limitation the cardiomediastinal silhouette is stable. Tortuosity of the descending thoracic aorta is noted. Mid thoracic dextroscoliosis is unchanged. No acute osseous abnormalities.
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<unk>f with shortness of breath // eval for pulmonary edema
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There no pleural effusions or pneumothorax.
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fever and headache.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
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<unk>m with wheezing and cough // r/o pneumonia
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Lung volumes are low. Bilateral, left-greater-than-right, prominent interstitial markings are likely related to known sarcoid and are similar to prior. Postoperative changes in left hemithorax status post wedge resection is similar to prior. There is a persistent left pleural effusion but no pneumothorax. No new focal consolidation. Mild cardiomegaly is stable.
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history: <unk>f with sarcoidosis, s/p vats x<num>, here w/ pain at site of vats // ptx, infection? bony abnormalities?
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Pa and lateral views of the chest provided. Low lung volumes somewhat limits evaluation. 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.
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<unk>f with chest pain, palpitations // eval for cardiopulmonary process
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The lungs are clear. No evidence of a large hiatal hernia. The cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
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<unk>-year-old with chest pain. please assess for hiatal hernia.
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Partially imaged ventricular peritoneal shunt is seen coursing along the right hemithorax from the neck.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Moderate compression of a lower thoracic vertebral body is stable since the prior study of <unk>.
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history: <unk>f with ams // please evaluate for acute cp process
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There is no focal consolidation or pneumothorax. There is a small left pleural effusion and left basilar atelectasis. Mild cardiomegaly is similar to prior. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk> year old woman with recent gastric sleeve. fever to <num>, dyspneic. // please evaluate for infection
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Frontal and lateral radiographs of the chest demonstrate low lung volumes, which results in bronchovascular crowding. There is a nonspecific chronic interstitial abnormality of uncertain clinical significance. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax, pleural effusion, or consolidation. No acute displaced rib fractures identified.
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history: <unk>f with right sided chest pain // r/o ptx
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality. Old healed right lateral lower rib fractures identified.
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<unk>m with fall etoh occipital hematoma // sdh? c spine fx? rib fx?
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Frontal and lateral views of the chest. There is increased opacity at the left lung base on the frontal view with sublte increased opacity over the lower spine on the lateral view. There is no large effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits.
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<unk>-year-old male with fall. question pneumonia.
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There is a small right-sided pleural effusion, unchanged compared to the exam from <unk>. The lungs are otherwise clear. There is no pneumothorax. The mediastinal and hilar contours are normal. The heart is normal in size.
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<unk>-year-old female with metastatic non-small cell lung cancer with history of pleural effusion, status post thoracentesis, who presents for evaluation of recurrence.
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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. Views of the upper abdomen are unremarkable.
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<unk>-year-old woman with malaise, evaluate for pneumonia.
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Pa and lateral images of the chest. The lungs well expanded and clear. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable.
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cough.
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated.
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hypertension and chest pain.
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Frontal and lateral views of the chest were obtained. The heart is mildly enlarged with otherwise normal mediastinal contours. Lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.
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<unk>-year-old female with history of sickle cell disease, and chest pain.
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There has been interval removal of the left-sided chest drain. There is a persistent small left apical pneumothorax. A small amount of air seen in the mediastinum. Moderate subcutaneous emphysema is also noted. There is partial silhouetting of the left heart border which may be due to consolidation or atelectasis in the lingula. The cardiac shadow is enlarged consistent with the patient's known pericardial effusion. The right lung appears clear.
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<unk> f s/p chest tube removal // pneumothorax
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The left lung is unremarkable. On the right lung, however, there is a large pleural effusion with a probably encapsulated the dorsal portion of pleural fluid. This encapsulated portion has a mass-like appearance and is better appreciated on the lateral than on the frontal radiograph. The changes at the right lung bases also have an atelectatic and, potentially, fibrotic component. The right lung apex is unremarkable. Atelectatic opacities are seen in the right retrocardiac region, the left retrocardiac region is unremarkable. No evidence of nodules or masses. At the time of dictation and observation, <time> a.m., on <unk>, the referring physician, <unk>. <unk>, was paged for notification.
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ulcerative colitis, pleuritic chest pain, questionable pleuritis. no comparison available at the time of dictation.
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Pa and lateral chest radiographs are provided. There is no focal consolidation, pneumothorax or pleural effusion. Cardiomediastinal silhouette is within normal limits. Gastric band is visible. There is no evidence of chf.
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<unk>-year-old woman with epigastric pain radiating to the back x<num> days, question acute intrathoracic process.
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The cardiomediastinal silhouette and pulmonary vasculature are normal. There right middle lobe opacity is more linear in appearance, consistent with atelectasis, though more confluent opacity is seen in the right lower lobe, consistent with pneumonia. Nodular opacity at right lung base is probably a nipple shadow but may be confirmed with nipple marker radiographs. There is no pleural effusion or pneumothorax.
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<unk>m w/shortness of breath, please eval for occult pna // <unk>m w/shortness of breath, please eval for occult pna
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Patient status post thyroidectomy with numerous surgical clips in the region of the thyroid bed. A generator projecting over the left chest with leads extending off the superior edge of the film is in unchanged position. The cardiomediastinal silhouette is unremarkable. Bibasilar atelectasis worse on the left is unchanged. Bilateral small pleural effusions are mildly increased.
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<unk>f with orthopnea.
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There is a small right pleural effusion. Stable prominence of the perihilar interstitial markings is seen, slightly less conspicuous as compared to the prior study. There may be mild pulmonary vascular congestion. No new focal consolidation is seen. The cardiac and mediastinal silhouettes are stable. Chronic appearing deformity of the posterior lateral left fifth rib is seen. There is an acute appearing fracture of the posterior left fourth rib.
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history: <unk>f with pulmonary fibrosis <unk> radiation in setting of remote hodgkin's dz, thoracic back pain, pleuritic // evidence of effusion, infiltrate, bony lesions
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Left pectoral infusion port catheter is sharply bent at the confluence of left subclavian and superior vena cava, new since <unk>.
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?port tip placement. <unk> year old woman with brain tumor and port. unable to obtain blood return // ?port tip placement.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Minimal streaky opacities in the lung bases likely reflect atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are mild degenerative changes in the thoracic spine. Clips are seen within the upper abdomen.
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cva history,now with symptoms concerning for recurrent stroke.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear without focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits. The upper abdomen is unremarkable.
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history: <unk>m with ble swelling. // pneumonia/fluid?
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No previous images. The heart is normal in size and lungs are clear without vascular congestion or pleural effusion.
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cough for a month.
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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.
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history: <unk>f with chest pain // r/o acute infectious 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.
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<unk>-year-old male with cough.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac silhouette is top-normal.
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history: <unk>f with c/o prod cough and thoracic pain with fever/chills // ? pna
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The lungs are clear. Heart is normal size. The dilated ascending aorta, documented on ct scanning <unk>, is responsible for stable convexity of the mediastinum. Assessing change in the aneurysm would require repeat ct or ultrasound. There are no pleural abnormalities.
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diplopia, noted to have low-grade fever. evaluate for infiltrate.
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Pa and lateral chest views have been obtained with patient in upright position. There is a sizeable left-sided pleural effusion that obliterates the diaphragmatic contour and the lateral portion of the heart shadow. Heart size cannot be accurately assessed, but is probably within normal limits as there is no evidence of pulmonary congestion. A right-sided port-a-cath system introduced via the right internal jugular vein approach is seen to terminate in the lower third of the svc close to the expected entrance into the right atrium. No pneumothorax can be identified. There is evidence of bilateral pleural effusion, more so on the left than the right, where the effusion just blunts mildly the right lateral and right posterior pleural sinuses. On the left side, the pleural effusion reaches along the left lateral wall up to the hilar level. There is no pneumothorax on either side. Our records do not include a previous chest examination available for comparison.
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<unk>-year-old male patient with metastatic cancer, lower extremity edema, evaluate for pleural effusion and cardiomegaly.
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The heart is normal in size. The hilar and mediastinal contours are normal. Previously described heterogeneous opacities in the right upper lung have resolved. The lungs are well expanded and clear. No new focal consolidations are identified. There are no pleural effusions or pneumothorax. Bilateral shoulder prostheses are incompletely imaged.
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<unk>-year-old female patient with recent hospitalization for sepsis and uti, with incidental right upper lobe ground-glass process. study requested for followup of right upper lung process.
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal.
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<unk>f with sob, evaluate for pneumonia
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The inspiratory lung volumes are appropriate. There is bibasilar opacification corresponding to opacity over the spine on the lateral view, which could represent infection. There are diffusely increased interstitial lung markings compatible with mild pulmonary interstitial edema. A small left pleural effusion is possible. No right pleural effusion or pneumothorax is seen. The cardiac silhouette is enlarged. The mediastinal and hilar contours are within normal limits.
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hypoxia, here to evaluate for acute cardiopulmonary process.
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