Frontal_Image_Path
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable. There is no opaque density in the esophagus.
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<unk>-year-old female with a retained capsule who presents for evaluation.
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The cardiomediastinal and hilar contours are stable. A right-sided picc line is seen terminating below the level of the axilla, possibly within the basilic vein. There is no focal consolidation, pleural effusion or pneumothorax.
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picc, needs removal, position of picc line.
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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 mvc, rear ended
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The lungs are clear. There is no pneumothorax. The heart and mediastinum are within normal limits. Regional bones are osteopenic.
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<unk> year old man with fever, cough // pna/infection
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Low lung volumes cause bronchovascular crowding. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal. The osseous structures and upper abdomen are unremarkable.
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<unk>m with chest pain, evaluate for pneumonia.
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Pa and lateral views of chest demonstrate clear lungs. Cardiac silhouette is normal in size. There is no evidence of pneumonia, pleural effusion or pulmonary edema. Degenerative changes are noted throughout the thoracic spine. There is no abdominal free air.
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<num> days of chest pain
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There is mild vascular congestion on the setting of stable mild cardiomegaly. No focal opacities concerning for pneumonia. A right-sided port-a-cath catheter ends in the lower svc. There is no pleural effusion or pneumothorax.
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<unk>-year-old male with sickle cell anemia and recent rust-colored sputum and cough. evaluate for infection.
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding chest examination of <unk>. The heart size is within normal limits. No typical configurational abnormalities identified. Thoracic aorta of ordinary dimension but some calcium deposits are now present in the aortic wall at the level of the arch. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present, and the lateral and posterior pleural sinuses are free. No evidence of pneumothorax in apical area. Skeletal structures of the thorax are grossly within normal limits.
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<unk>-year-old male patient, former smoker, now with cough for last six months, evaluate for abnormality.
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Rounded <num> cm x <num> cm opacity projecting in the right upper lung may be external to patient and is not seen on prior radiograph. Lungs are otherwise clear and pleural surfaces are normal. Heart size, mediastinal contour and hila are normal.
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female with upper respiratory symptoms with one week of cough, subjective fever, rhonchi, wheezing. assess for pneumonia.
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The lungs are clear. Heart and mediastinal contours are normal. No effusion or pneumothorax is present.
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a <unk>-year-old woman with chest pain, pneumonia, chf.
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The patient remains rotated towards the right. Lung volumes are low, and confound the evaluation of pulmonary edema. Small right pleural effusion. Bibasilar atelectasis is again noted. There is no pneumonia or pneumothorax. Moderate chronic cardiomegaly is present.
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history: <unk>m with ? pna on portable but too rotated, pls eval for pna on ap/lat // history: <unk>m with ? pna on portable but too rotated, pls eval for pna on ap/lat
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Frontal and lateral radiographs of the chest demonstrate moderate to severe pulmonary edema with stable moderate cardiomegaly. Smal bilateral pleural effusions are present. No pneumothorax.
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<unk> year old woman with chf and new o<num> requirement // acute process
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The heart is normal in size, and the mediastinal contours are normal. There is a right subclavian port-a-cath with its tip at the cavoatrial junction.
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<unk>-year-old female with fever. evaluate for acute process.
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Pa and lateral views of the chest provided. Minimal retrocardiac streaky opacity is most compatible with atelectasis in the left lower lobe. Otherwise the lungs are clear. No 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 cough and fever
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
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history: <unk>f with chest pain // evaluate for acute process
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The nasogastric tube remains in place, the tip seen terminating in the expected location of the stomach. Left picc line terminating at the junction of left brachiocephalic vein and svc, but without the expected downward course. As compared to the prior examination, there are now two air-fluid levels seen overlying the left lower lung, consistent with barium from a previous esophagram filling the intrathoracic stomach and likely an additional loop of bowel. There is no overt intrathoracic leak of contrast identified, although this would be better evaluated by a fluoroscopic study. Stable postoperative appearance of the cardiomediastinal silhouette. Drains are again noted overlying the operative site. Findings were conveyed by dr. <unk> to dr. <unk> by telephone at <time> a.m. On <unk>, <num> minutes after discovery.
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status post hiatal hernia repair, hx of esophageal perforation with contained leak.
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There has been no significant change since the prior study. The cardiac and mediastinal silhouettes are stable, with the cardiac silhouette mildly enlarged and the aortic calcified and tortuous. No pleural effusion or pneumothorax is seen. No definite focal consolidation. Hilar contours are stable. Degenerative changes of bilateral shoulder and acromioclavicular joints are seen. There is also stable compression/anterior wedging deformity laterally to the vertebral bodies, <num> in the mid thoracic spine and <num> at the thoracolumbar junction.
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altered mental status.
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Pa and lateral views of the chest provided. Left ij access dialysis catheter is noted with catheter tip in the region of the cavoatrial junction. There is a linear density in the right lower lung which could represent a focus of atelectasis. There is also a linear density in the left mid to lower lung which likely also represents a focus of atelectasis. No signs of pneumonia or edema. No large effusion or pneumothorax. Heart and mediastinal contours appear normal. Bony structures are intact. No free air below the right hemidiaphragm seen.
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<unk>m with bleeding from hd line
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Pa and lateral views the chest provided demonstrate clear well expanded lungs without focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm.
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<unk>f with neuro sxs // ? infectious process
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The lungs are hyperinflated compatible with chronic obstructive pulmonary disease. No focal consolidations are noted. A millimetric calcified nodule in the right lower lobe is noted. Cardiac size is normal. Trachea is midline. No pneumothorax or pleural effusion.
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history: <unk>m with abd pain x <num> weeks
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Increased interstitial markings with some irregularity, particularly left perihilar region, potentially due to a chronic underlying interstitial abnormality. Superimposed consolidation is identified in the right lower lobe worrisome for superimposed infection. Moderate cardiomegaly and median sternotomy wires are again noted. Degenerative changes seen at the left shoulder.
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<unk>m with tachycardia // ?pna
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Pa and lateral views of the chest. The lungs are clear. There is no consolidation or pneumothorax. The cardiomediastinal silhouette is normal. There is no effusion. No displaced fractures seen on this non-dedicated examination.
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<unk>-year-old male hit by car with right thoracic pain.
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Ap upright and lateral views of the chest provided. Clips project over the left hemi thorax. Lung volumes are low limiting evaluation. There is no overt evidence for pneumonia or edema. No large effusion or pneumothorax is seen. Pulmonary vascular congestion is difficult to exclude. Bony structures appear stable with chronic left ribcage deformity again noted.
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<unk>f with dyspnea, chest pain
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Pa and lateral views of the chest. The lungs are clear. The heart, mediastinum, hilum, and pleural surfaces are normal. No pneumothorax or pleural effusion. No evidence of pneumonia. No rib lesions identified and no lytic or sclerotic vertebral lesions.
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right posterior chest pain, rule out lesion.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax.
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chronic gait instability.
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The patient is status post median sternotomy and cabg. Interval removal of the right internal jugular central venous catheter. There are small bilateral pleural effusions with subjacent bibasilar atelectasis. No pneumothorax identified. The size of the cardiomediastinal silhouette is at the upper limits of normal.
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<unk> year old man pod <num> cabg // effusion/atelectasis
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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>m with heart racing sensation several times in the past month evaluate for acute cardiopulmonary process.
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Sutures again overlie the left lung apex. The lungs are hyperinflated consistent with copd. No focal opacities concerning for pneumonia. No pleural effusions or pneumothorax. Vertebral findings compatible with dish are again seen. No free air. Callus formation over the right clavicle and ribs is present.
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<unk>-year-old man with productive cough and shortness of breath. rule out acute process.
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Frontal and lateral chest radiographs demonstrates low lung volumes and mildly engorged pulmonary vasculature compared to <unk>, potentially accounted for by the lower lung volumes. There is increased opacity at the posterior costophrenic angle on the lateral view. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
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fever and cough.
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A vp shunt projects over the mediastinum and upper abdomen. Of note, a radiolucent portion of the vp shunt projects over the right neck. 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>f with chest pain/sob after cpr // eval for rib fracture, ptx
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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
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<unk> year old woman with allergic reaction and chest pain
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Pa and lateral views of the chest provided. In the left lung base, there is a linear opacity that was not previously seen, likely reflecting atelectasis. Repeating study in shallow anterior oblique view is recommended for further evaluation. Pulmonary vasculature is normal. Heart size is normal. Mediastinal and hilar contours are normal. There is no pleural effusion.
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<unk> year old man with esrd s/p kidney/pancreas transplant, evaluate for cardiopulmonary abnormalities.
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Postoperative mediastinal widening is unchanged after initial improvement. Small bilateral effusions are unchanged. Bibasilar atelectasis is improved. The right ij central line terminates in the lower svc. There is no pneumothorax. Median sternotomy wires are intact.
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<unk> year old man with s/p cabg // f/u effusions, atx
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Pa and lateral views of the chest provided. Bilateral breast implants are noted accounting for increased density projecting over the mid to lower lungs. Streaky lower lung opacities may represent pneumonia or atelectasis. No pneumothorax or effusion. Cardiomediastinal silhouette is normal. Bony structures are intact.
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<unk>f with chest pain
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The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
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cough for the past week as well as shortness of breath. assess for infiltrate.
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Frontal and lateral chest radiographs were obtained. Lungs are well expanded and clear. Cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. No bony abnormality is detected.
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recent pneumonia, eval for resolution of infiltrate.
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<num> views of the chest demonstrate a new left basilar opacity which is doubtful to represent pneumonia and is likely a prominent epicardial fat pad. There is no pleural effusion or pneumothorax. The heart size, hilar and mediastinal contours are normal.
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cough and body aches.
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As compared to the previous radiograph, the pre-existing picc line has been removed. Otherwise, the radiograph is unchanged. There is no evidence of pneumonia or other lung parenchymal abnormalities. Normal size of the cardiac silhouette. Normal appearance of the mediastinum.
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hairy cell leukemia, cough, assessment for abnormality.
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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Moderate cardiomegaly is stable. No acute fractures identified.
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evaluation of patient with hyperglycemia and altered mental status.
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Ap and lateral views of the chest are compared to previous exam from <unk>. Again seen are left greater than right pleural effusions. Indistinct pulmonary vasculature markings, particularly on the left are seen. There is no large confluent consolidation. Cardiac silhouette is enlarged but stable in configuration. Single-lead pacing device is seen with the lead tip in the right ventricle apex. Hypertrophic changes seen in the spine. Osseous and soft tissue structures are otherwise notable for left shoulder arthroplasty.
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<unk>-year-old female with wheezing and dyspnea.
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Frontal and lateral views of the chest were obtained. The heart is mildly enlarged. Lobulated bilateral hilar opacities are compatible with bilateral lymphadenopathy, particularly given history of known sarcoidosis. No focal consolidation, pleural effusion or pneumothorax. A moderate-sized hiatal hernia is present. No radiopaque foreign body.
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<unk>-year-old female with cutaneous sarcoid. rule out hilar lymphadenopathy or pulmonary involvement.
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The lungs are clear, however overinflated. The cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
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history: <unk>m with question of pneumonia.
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Heart size is normal. The aorta is mildly tortuous. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>f with cholecystitis; pre-op
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There are low lung volumes. Cardiomegaly is a stable. Small bilateral effusions are associated with adjacent atelectasis are larger on the right side. Vascular congestion has resolved. There is no pneumothorax. Spinal hardware is in place
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<unk> year old woman with exertional dyspnea, mild hypoxia // eval for acute process
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There is no focal consolidation, pleural effusion or pneumothorax. No overt pulmonary edema. There is likely atelectasis at the left lung base. Heart size is moderately enlarged. Calcifications are noted at the aortic arch. No acute osseous abnormalities detected.
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history: <unk>f with ams // please eval for pneumonia
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The heart again appears mildly enlarged. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. A pair of the lung nodules projects over the left upper lung, the larger perhaps as much as <num> mm in diameter and the smaller <num> mm, both with irregular contours. Otherwise, the lungs appear clear aside from streaky minor atelectasis or scarring that is unchanged in the left lower lobe.
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left-sided chest pain, nausea and vomiting.
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Heart size is normal. Mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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hemoptysis.
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The patient is significantly rotated, limiting assessment of the mediastinum. Given this limitation, the cardiomediastinal and hilar contours appear stable. The heart size is mildly enlarged. The aorta is tortuous. There is no pneumothorax or large pleural effusion. The lungs are well expanded. There is no focal consolidation concerning for pneumonia. A hiatal hernia is again noted.
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<unk>f with multiple medical problems with dysphagia and <unk> lb weight loss // please assess for pneumonia or malignancy
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Lung volumes are low. There is opacification of the right lower hemi thorax. The right hemidiaphragm appears elevated and the mediastinum appears slightly shifted rightward, suggesting volume loss. On the lateral view, no definite large pleural effusion is identified. There is increased opacification on the lateral view of the lower portions of the spine. No pneumothorax. The left lung is clear. The heart appears slightly enlarged. Exaggerated rightward deviation of the thoracic trachea on the frontal view may be positional. The descending aorta appears slightly tortuous. Multilevel degenerative changes are mild of the visualized thoracic spine. There is nonspecific gaseous distension of visualized bowel loops in the left upper quadrant. No acute osseous abnormality.
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history: <unk>m with dyspnea, lle swelling // evidence of dvt or effusion
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Frontal and lateral views of the chest were obtained. Flattening of the hemidiaphragms is compatible with copd. There is no focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Increased density along the right heart border is likely due to exuberant osteophytes and superimposition of structures in combination with patient rotation. Pulmonary vasculature is normal. No change from <unk>.
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weakness.
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The lungs are clear of focal consolidation, effusion, or pulmonary edema. The cardiomediastinal silhouette is unchanged. Median sternotomy wires are again noted with fracture of the lowest wire. No acute osseous abnormalities.
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<unk>m with weakness // eval pna
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Cardiomediastinal and hilar contours are normal. Minimal streaky atelectasis at the left base is stable. There is no focal consolidation, pleural effusion or pneumothorax.
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<unk> year old woman s/p hernia repair // check interval change
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As compared to the prior examination dated <unk>, there has been no relevant interval change. The lungs appear well expanded and clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. Known left upper lobe pulmonary nodules are better seen on concurrent ct cervical spine. Scarring seen left midlung compatible with postradiation changes. The cardiomediastinal silhouette is unchanged appearance.
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<unk>f with shoulder/humeral pain s/p fall // acute process
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Tip of the right port-a-cath terminates in the low svc. Lung volumes are lobe, status post left lower lobectomy. Streaky bibasilar opacities may represent atelectasis or scarring. There is no developing focal consolidation. No pleural effusion or pneumothorax. Heart size is top-normal. No acute osseous abnormalities identified. Cervical fusion hardware is partially imaged. No pneumothorax.
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history: <unk>m with lung cancer status post left lower lobectomy , now presenting with chest pain and shortness of breath// eval for pna
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There is a left-sided dual lead cardiac pacer is in appropriate position. There are no focal pulmonary consolidations, pleural effusions or pneumothoraces. The cardiac and mediastinal silhouette is unchanged. Calcifications are noted within the aortic arch.
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<unk>-year-old with pacer with pre-syncope. evaluate for acute process.
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Frontal and lateral views of the chest demonstrate consolidation of the right upper lung, consistent with infection. There is apparent associated perihilar prominence suggestive of reactive lymphadenopathy. The cardiac silhouette is prominent, accentuated by low lung volumes. The thoracic aorta is slightly unfolded. There is no pneumothorax or pleural effusion. Trace subsegmental atelectasis may be present at the left base. The left lung is otherwise clear.
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<unk>-year-old female with productive cough. question infection.
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Frontal and lateral chest radiographs. There is no focal consolidation, pleural effusion, or pneumothorax. The lungs are hyperinflated. Top normal heart size is exaggerated by pectus excavatum. Coronary artery stent is in stable position.
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fall.
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Frontal and lateral views of the chest demonstrate normal lung volumes, which extends with bronchovascular markings. There is a <num> x <num> cm perihilar opacity which projects over spine on the lateral view. The lungs are otherwise clear without pleural effusion, consolidation or pneumothorax. Hilar and mediastinal silhouettes are unchanged. There is prominence of the ascending aorta. The heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.
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assess for mass.
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On the initial frontal image, there is a subtle opacity projecting over the right mid lung which is not present on the <unk> frontal view and was likely overlap of structures. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
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chest pain x.
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Patient is status post median sternotomy and cabg. Heart size is normal. Mediastinal and hilar contours are unchanged with tortuosity of the thoracic aorta again noted. Lungs are clear. There is no pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is seen. Lungs remain hyperinflated. No acute osseous abnormalities demonstrated.
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history: <unk>f with headache, weakness, fatigue // eval for acute intracranial process, cxr for infection
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Mild cardiomegaly without evidence of pulmonary edema. Moderate tortuosity of the thoracic aorta. No pneumonia. Normal hilar and mediastinal contours. No pleural effusions. No pneumothorax.
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productive cough for the past week, evaluation for pneumonia.
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Pa and lateral images of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
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palpitations concerning for pneumonia.
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The patient is status post median sternotomy with intact wires. Clips are seen within the mediastinum. The lungs do not demonstrate focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is stable. The bony structures are grossly intact.
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fall, question acute cardiopulmonary process, fracture or dislocation.
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When compared to previous exams, there has been no significant interval change. Increased opacity at the left cardiophrenic angle is likely due to prominent fat pad and potentially atelectasis. This is unchanged when dating back to <unk>. Slightly increased opacity in the posterior costophrenic angle is also present on priors, likely due to atelectasis. The cardiomediastinal silhouette is stable. No acute osseous abnormalities
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<unk> year old woman with cugh, hemoptysis // ro pna, chf
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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. Partially imaged fusion hardware at the thoracolumbar junction noted.
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<unk>m with s/p fall // fracture?
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Left chest walled single lead pacing device is again noted. The lungs are clear without consolidation, effusion, or edema. Cardiac silhouette is mildly enlarged. No acute osseous abnormalities.
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<unk>f w/lethargy, please eval for occult pna // <unk>f w/lethargy, please eval for occult pna
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Pa and lateral views of the chest provided. Lung volumes are low. 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 hx of breast cancer s/p l lumpectomy presenting with r and l sided chest pain
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Tracheostomy tube tip terminates in unchanged position. Left-sided port-a-cath tip terminates in the proximal right atrium, unchanged. Lung volumes are low. Heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is demonstrated. No acute osseous abnormalities are detected. Gaseous distention of colonic loops of bowel in the upper abdomen are incidentally noted.
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history: <unk>f with tracheobronchomalacia, green sputum, chronic dyspnea
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Ap and lateral views of the chest are compared to previous exam from <unk>. Lungs are hyperinflated. There is left basilar opacity which silhouettes the hemidiaphragm and is compatible with a small pleural effusion. Diffusely increased interstitial markings are seen throughout the lungs. Cardiac silhouette is enlarged, stable compared to prior. Aortic knob and left hilar contours are now more clearly delineated compared to prior. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with diarrhea and dehydration. evaluate for acute process.
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Pa and lateral chest radiographs were obtained. The tip of a left-sided picc line projects over the mid svc. The lungs are well inflated. No focal consolidation, effusion, or pneumothorax is present. The cardiac and mediastinal contours are normal.
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<unk>-year-old woman with all and leukopenia, new cough.
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Mild cardiomegaly is unchanged from prior study. The cardiomediastinal silhouette and hilar contours are unchanged. As seen on prior examination, there is a suggestion of increased density in the right lower lung without a lateral correlate and this likely represents a summation effect from overlying soft tissues. The lungs are clear. There is no pleural effusion or pneumothorax.
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copd and cough, shortness of breath; evaluate for acute process.
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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 shortness of breath
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Pa and lateral views of the chest. No prior. The lungs are clear of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with chest pressure for eight weeks.
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MIMIC-CXR-JPG/2.0.0/files/p14078931/s56366547/5c5dc4e7-63d317d3-9feb8b7a-20e5be6d-a8afb2cc.jpg
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The lungs are hyperinflated. The cardiomediastinal and hilar contours are within normal limits. Biapical scarring is unchanged, otherwise the lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
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history: <unk>m with ams // pneumonia?
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MIMIC-CXR-JPG/2.0.0/files/p10020852/s58129659/5a4aaa2a-c00f4429-aa96074c-57b5f8a0-9a7ef44d.jpg
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MIMIC-CXR-JPG/2.0.0/files/p10020852/s58129659/36ac19d0-0f74ad5b-2e05452c-4000f29c-2e646e00.jpg
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Mild prominence of the hila is stable.
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history: <unk>f with sob and cp // r/oinfiltrate
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MIMIC-CXR-JPG/2.0.0/files/p18284271/s59629967/c4c93c97-25d0a1cc-ea5dfdbc-4a40f88f-b13a6f2d.jpg
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MIMIC-CXR-JPG/2.0.0/files/p18284271/s59629967/3904345e-f8ae5787-10b827fd-56f7beb3-e18429cc.jpg
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Patient is status post median sternotomy. Dual lead left-sided pacemaker is seen with leads extending to the expected positions of the right atrium and right ventricle. There is moderate central pulmonary vascular congestion. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is mildly enlarged. Mediastinal contours are unremarkable.
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history: <unk>f with h/o copd, chf, p/w sob and cough // please assess for pulm edema or pna
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The cardiac, mediastinal and hilar contours appear unchanged. Patchy calcifications are noted along the aorta. The lungs appear clear. There are no pleural effusions or pneumothorax. The bones are probably demineralized. Slight degenerative changes are similar along the thoracic spine.
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altered mental status.
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Pa and lateral views of the chest. There is no evidence of intraperitoneal free air. Mild cardiomegaly is stable. There is no focal consolidation, pleural effusion, or pneumothorax.
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<unk>-year-old female with abdominal pain status post endoscopy, evaluate for free air.
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MIMIC-CXR-JPG/2.0.0/files/p15513316/s52227250/a533b808-cf1a20d0-67bdc67e-9d8e5f11-9b01b6f0.jpg
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Cardiomediastinal silhouette is within normal limits. The lungs are clear without focal consolidation, large effusion or pneumothorax. No congestion or edema. There is no fracture or dislocation. No free air below the right hemidiaphragm.
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<unk>m with intermittent palpitations/chest discmofort
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MIMIC-CXR-JPG/2.0.0/files/p18705534/s59456063/4ff141ca-890da396-fb4500b1-64d63546-fa3a2807.jpg
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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 chest pain // pna?
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MIMIC-CXR-JPG/2.0.0/files/p17442326/s55037702/6c9aa926-f0398ae8-5d2be95e-a66eb6d3-4507f96b.jpg
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In comparison with the study of <unk>, there is less opacification at the bases and better definition of the hemidiaphragm. However, on lateral view, there are again substantial bilateral pleural effusions, which suggest their appearance related to differences in patient position. No evidence of acute pneumonia or vascular congestion.
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thymectomy.
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MIMIC-CXR-JPG/2.0.0/files/p13033761/s58748307/d3b70bd9-08d78c20-93e37e97-ba2491c4-dd108cc8.jpg
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There is moderate cardiomegaly with left-sided pacer leads in appropriate position. There is mild pulmonary vascular congestion; otherwise, the hilar and mediastinal contours are unremarkable. There is diffuse mild-to-moderate pulmonary edema as well as small bilateral pleural effusions. There is no evidence of a pneumothorax. The visualized osseous structures are unremarkable.
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history of shortness of breath. please evaluate.
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MIMIC-CXR-JPG/2.0.0/files/p14627594/s54045342/dd3c74f3-1d9d0066-b3b8179a-aee8c1b5-6e6cf66a.jpg
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There are low inspiratory volumes. Heart size is at the upper limits of normal. The aorta is calcified and slightly tortuous. No chf, effusion, or pneumothorax is detected. Streaky bibasilar opacities are again noted, consistent with bibasilar atelectasis. On the lateral view, there is considerable overlap posteriorly, limiting assessment of the lower lobes. No definite focal infiltrate and no definite change compared with <unk> is detected. No frank consolidation is identified.
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history: <unk>f with coughing // ? aspiration
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MIMIC-CXR-JPG/2.0.0/files/p13956237/s57296503/12e5520c-ac88c917-a25bfbf2-3cef416f-9ed153b2.jpg
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No focal consolidation, pneumothorax, or pulmonary edema is seen. A small left pleural effusion is seen. Heart size is normal. Mild aortic tortuosity and calcification is seen.
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<unk>-year-old male with chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p12538793/s55034388/b962f4b7-d123b60e-cf14118a-e78dd4a4-a6eecd76.jpg
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As compared to the previous radiograph, there is no relevant change. The opacity at the right lung base is seen in unchanged manner. The abnormality is better depicted on the frontal than on the lateral image. No newly appeared parenchymal opacity. Unremarkable left lung. Normal size and shape of the cardiac silhouette. Moderate tortuosity of the thoracic aorta.
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right lower lobe opacity on chest x-ray from <unk>. follow up.
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Frontal and lateral views of the chest. No prior. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are grossly unremarkable.
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<unk>-year-old male with abnormal stress test. question chf.
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MIMIC-CXR-JPG/2.0.0/files/p11937809/s56901137/542f7999-c0306224-1949e16a-7257ec43-cae34297.jpg
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The heart is normal in size. The hilar and mediastinal contours are within normal limits. Multiple pulmonary nodules are again noted bilaterally. These, however, have increased in number since prior chest radiograph from <unk>. Lung fields are otherwise clear. There are no pleural effusions or pneumothorax. A right-sided port-a-cath tip terminates in the lower svc. The osseous structures are grossly unremarkable.
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<unk>-year-old female patient with metastatic rcc, recent cough without fever.
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MIMIC-CXR-JPG/2.0.0/files/p17234374/s52094035/3602ba2e-2e20e565-132a2466-25689192-2595780b.jpg
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Frontal and lateral chest radiographs demonstrate a smoothly marginated mass measuring approximately <num> x <num> cm in the right upper lung. There is no definite hilar adenopathy, cavitation, or rib abnormality. There is no extension to the pleural surface or displacement of mediastinal contours. The cardiomediastinal silhouette is normal. The remainder of the lungs are clear. There is no pleural effusion or pneumothorax.
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followup chest radiograph for positive ppd.
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MIMIC-CXR-JPG/2.0.0/files/p18001762/s54689402/01bf2870-1d1599ea-e8b67d2e-1df6f4f3-309c855d.jpg
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Frontal and lateral chest radiographs demonstrate a normal cardiac silhouette and lungs which are clear without focal consolidation, pleural effusion, or pneumothorax. A widened mediastinum is likely due to mediastinal lipomatosis and appear similar to prior studies. The visualized upper abdomen is unremarkable.
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chest pain. evaluate for pneumothorax.
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MIMIC-CXR-JPG/2.0.0/files/p18564164/s52551607/96c77490-25eddf19-915ae86c-758ed379-2d1b75b5.jpg
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MIMIC-CXR-JPG/2.0.0/files/p18564164/s52551607/5604e5b4-d4bc9e6c-218f301c-03ccc2ce-50546e9c.jpg
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The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. The aorta is tortuous and the arch is calcified.
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history: <unk>m with chest pain // eval infiltrate
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MIMIC-CXR-JPG/2.0.0/files/p12333740/s50117932/4286db47-70c2653a-a8b1ea14-0dd9caac-057fc5cc.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12333740/s50117932/76225577-6f7d6dab-51166a7c-9a877666-bcbced38.jpg
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The heart size is top normal. The hilar and mediastinal contours are within normal <unk> its the lungs are without chf, focal consolidations concerning for pneumonia, pleural effusion or pneumothorax. Minimal tspine degenerative changes noted.
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history of tia. please evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p15477562/s54295811/b221ba85-c04284c3-c157b879-75803151-fb182fcb.jpg
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MIMIC-CXR-JPG/2.0.0/files/p15477562/s54295811/601502cf-d6afd077-4cb94332-23113cb3-822eaaef.jpg
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There persists an abandoned pacer lead from the right. A left pacer unit demonstrates leads in the right atrium and right ventricle. The heart size is markedly enlarged, but similar to prior study. The hilar contours demonstrate fullness of the vasculature and some there is indistinctness of the pulmonary vessels throughout the lungs, compatible with mild pulmonary edema. There is no large pleural effusion or pneumothorax. Minimal degenerative changes of the thoracic spine are seen.
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<unk>-year-old male with clinical symptoms of chf.
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MIMIC-CXR-JPG/2.0.0/files/p16578063/s55058160/60e448ab-19fdabbc-87936d1f-3a9326a1-717e56aa.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16578063/s55058160/de94a38b-52a666e7-440ce8a6-75f6e148-075d97d5.jpg
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The cardiac silhouette size is normal. The aorta is mildly tortuous and demonstrates minimal aortic knob calcification, unchanged. The mediastinal and hilar contours are stable. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. The pulmonary vascularity is not engorged. The lungs are hyperinflated with flattening of the diaphragms. There are multilevel degenerative changes in the thoracic spine.
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palpitations for <num> hour.
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MIMIC-CXR-JPG/2.0.0/files/p16076346/s51034024/b5043994-86f1551d-37377961-5cb9f2c5-66c217e5.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16076346/s51034024/e2e0e719-eb17c769-d24765b3-0362f222-11e7a47c.jpg
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Right-sided rib fractures including of the right sixth and seventh ribs better assessed on preceding ct. Subcutaneous gas is again seen overlying the right chest wall. No radiographic evidence of pneumothorax is seen, although one was not clearly seen on the prior radiograph. No new focal consolidation is seen. No large pleural effusion. Cardiac and mediastinal silhouettes are stable and unremarkable.
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history: <unk>m with pneumothorax // interval change in ptx, ? expansion, ? interval development of effusion given rib fractures
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MIMIC-CXR-JPG/2.0.0/files/p12961917/s51630054/56340622-1073df08-d9796d8c-7998c25b-82d5a228.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12961917/s51630054/f9ece170-ec55b404-e945972a-a7fa43cc-219edd2f.jpg
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Pa and lateral chest radiographs. There is persistent elevation of the right hemidiaphragm which is more pronounced than on priors. Small right pleural effusion is new. However, there is no evidence of pulmonary edema. The heart size is normal. Again noted is the abnormal contour of the right apex which may represent fibrotic changes.
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dyspnea on exertion and chf. concern for pleural effusion.
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MIMIC-CXR-JPG/2.0.0/files/p18302194/s58033424/8891fb6f-c6cd77fb-4b6eafad-19bc9f8f-798f58f9.jpg
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MIMIC-CXR-JPG/2.0.0/files/p18302194/s58033424/6189517a-9542d7ab-12cc7035-f8c5cd8c-76886456.jpg
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac silhouette size is top-normal to mildly enlarged. Mediastinal contours are unremarkable. No pulmonary edema is seen.
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history: <unk>f with cough // eval for pna
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MIMIC-CXR-JPG/2.0.0/files/p19345192/s56984077/f9e73b75-a8d8543a-d6099210-e8880006-f5679ecc.jpg
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MIMIC-CXR-JPG/2.0.0/files/p19345192/s56984077/bd6e42fc-b2530e79-eb8d716c-2ef3f1ed-afc9b362.jpg
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Rotated positioning. There is stable enlargement of the cardiac silhouette and right hilum. Linear opacity in the lingula likely reflects atelectasis. No gross pleural effusion or pneumothorax. Blunting of the posterior costophrenic angle on the left cannot be excluded, similar to prior. Bilateral percutaneous nephrostomy tubes are partially visualized.
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history: <unk>f with cp // eval for consolidation
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MIMIC-CXR-JPG/2.0.0/files/p10576074/s52239065/c1e9151f-b1919a24-ec86581e-f34bdd74-3372bc22.jpg
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MIMIC-CXR-JPG/2.0.0/files/p10576074/s52239065/816abda6-449956dd-1a34e723-6b1de2f9-709b1af3.jpg
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Pa and lateral views of the chest. There is new right midlung opacity localizing to both the upper and lower lobes on the lateral view. Elsewhere the lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormality is detected. Orthopedic hardware projecting over the right glenoid.
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<unk>-year-old male <num> days of fever to <num>.
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MIMIC-CXR-JPG/2.0.0/files/p19509694/s51837023/f0b6a18f-34a843f2-865d8fe0-c77b4422-ba34c1d7.jpg
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MIMIC-CXR-JPG/2.0.0/files/p19509694/s51837023/cd57f02d-e0575d56-b3330917-8d06d6da-424b904a.jpg
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As compared to the previous radiograph, there is marked improvement with substantial decrease in extent of the pre-existing parenchymal opacities. Relatively large opacities, however, are still seen predominating in the lower lungs, right more than left. There is unchanged borderline size of the cardiac silhouette. A mild fluid overload may not be excluded. No pleural effusions. No pneumothorax.
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crack cocaine lung injury, status post recent hospitalization, resolution of opacities.
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MIMIC-CXR-JPG/2.0.0/files/p12721869/s59303761/8cafbaf6-1abcacc7-1a49b0f7-d54b85ac-31970efc.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12721869/s59303761/fb9e22b4-6c9702a4-a3b7d74a-20c1f2d1-96c46d40.jpg
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The lungs are well expanded appear clear without evidence of focal consolidation. There is no pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette and hilar contours are normal.
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history: <unk>f with fever, infx w/u // pna?
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