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The cardiac, mediastinal and hilar contours appear stable. Streaky opacities in posterior lower lobes appear unchanged. Otherwise, the lungs appear clear. There is no pleural effusion or pneumothorax. Thoracolumbar compression deformities appear unchanged at the thoracolumbar junction.
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status post recent fall with nausea, vomiting, and headache.
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Left-sided aicd device is noted with leads terminating in the regions of the right atrium, right ventricle, and coronary sinus. Heart size remains moderately enlarged. The mediastinal and hilar contours are unremarkable. Mild pulmonary vascular congestion is noted. No focal consolidation is present, and a retrocardiac patchy opacity likely reflects atelectasis. No pleural effusion or pneumothorax is visualized. There are mild degenerative changes noted in the thoracic spine. On the lateral view, <num> rounded densities measuring up to <num> mm are noted within the anterior upper abdomen, likely external to the patient given their relatively uniform appearance.
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history: <unk>f with altered mental status, falls
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Pa and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is normal. Osseous structures demonstrate no acute abnormalities.
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<unk>-year-old female with chest pain.
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Frontal and lateral views of the chest. The lungs remain clear. There is no effusion or pulmonary vascular congestion. Cardiac silhouette is stable. Median sternotomy wires again seen. No acute osseous abnormality detected. Surgical clips seen in the right upper quadrant.
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<unk>-year-old female with chest pain. question pneumonia.
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Ap and lateral chest radiograph demonstrate no focal consolidation convincing for pneumonia. Lung volumes are low resulting in bronchovascular crowding. An elevated left hemidiaphragm is noted with a large air-fluid level noted within the stomach on lateral images. There is no pleural effusion or pneumothorax. Visualized osseous structures are unremarkable.
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<unk>-year-old female with altered mental status.
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The heart is mildly enlarged. The lungs are hyperinflated and the diaphragm is flattened, suggestive of copd. No focal consolidation, pleural effusion, or pneumothorax. Osseous structures are unremarkable. No radiopaque foreign body.
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fever.
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Pa and lateral views of the chest. Left-sided pacemaker wire is in appropriate position. Severe cardiomegaly is unchanged. There is pulmonary vascular congestion and possible mild interstitial pulmonary edema. There are small-to-moderate bilateral pleural effusions, increased from prior study.
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chf and possible effusions. assess for pleural effusions.
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The heart is mildly enlarged, not significantly changed from prior examination. There is redemonstration of a moderate hiatal hernia. Mediastinal and hilar contours are within normal limits. Lungs are hyperexpanded, most likely due to chronic lung disease. There is no pulmonary vascular congestion. Patchy bibasilar and airspace opacities likely reflect atelectasis. There is no pleural effusion or pneumothorax. There is redemonstration of compression deformities of the mid thoracic spine. Old rib fractures are seen on the right.
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syncope. evaluate for acute process.
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Patient is status post median sternotomy, cabg, and aortic valve replacement. Heart size remains mildly enlarged. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Small bilateral pleural effusions are present, increased in size on the left, and similar in size on the right. Patchy opacities in the lung bases likely reflect areas of compressive atelectasis. Previously demonstrated left apical pneumothorax appears resolved. There are no acute osseous abnormalities.
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history: <unk>m with dyspnea
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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
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The cardiac silhouette size is normal. The patient is status post esophagectomy and gastric pull-through as well as right upper and middle lobectomies with expected postsurgical changes noted in the right hilum. Volume loss is again seen right lung with rightward shift of mediastinal structures. Small right pleural effusion is similar compared to the previous exam. No new areas of focal consolidation are demonstrated. There is no pneumothorax. Partial resection of the right <unk> posterior rib is again demonstrated.
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history of lung cancer, shortness of breath.
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Lung volumes are low. There is no focal consolidation, pleural effusion or pneumothorax. Heart is mildly enlarged. Mediastinal contours are normal. No acute osseous abnormalities are identified. There is no subdiaphragmatic free air.
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<unk>f with chest pain
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The cardiomediastinal and hilar contours are within normal limits. There is redemonstration of calcified granulomas in the right upper and mid lung, not significantly changed from prior examination. Biapical opacities are stable, right worse than left, with pleural thickening, scarring, and upward retraction of the pulmonary hila, as seen before. No new focal consolidation, pleural effusion or pneumothorax.
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night sweats, cough, history of tuberculosis. evaluate for infiltrate.
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Pa and lateral views of the chest. The lungs are clear of consolidation, effusion or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected. Degenerative changes seen at the acromioclavicular joint.
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<unk>-year-old female with chest pain.
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Pa and lateral views of the chest provided. Left chest wall aicd with <num> leads extending into the expected location of the right atrium, right ventricle, and coronaries sinus appear unchanged. A coronary stent projects over the right heart. Mild pulmonary edema is noted. There is a small right pleural effusion which is appears minimally increased from prior exam. The overall degree of pulmonary edema is unchanged. The heart remains mildly enlarged. Mediastinal contour is normal. No acute bony abnormalities are seen. No free air below the right hemidiaphragm. Clips are noted in the right upper quadrant.
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<unk>m with recent icd placement, stent placement, w/ dizziness, fall, leg weakness // evaluate effusion, edema, mediastinum
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema.
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chest pain.
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There is mild interstitial prominence consistent with mild pulmonary edema. There is no pleural effusion, consolidation, or pneumothorax. The cardiomediastinal silhouette is normal. There is no free air below the hemidiaphragms.
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urinary incontinence. evaluate for acute intrathoracic process.
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Frontal and lateral views of the chest. Again seen are bibasilar opacities. There is also blunting of the right posterior costophrenic angle, potentially from small effusion. Superiorly the lungs are clear. Cardiovascular cardiomediastinal silhouette is unchanged in size. No acute osseous abnormality detected noting hypertrophic changes in the spine.
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<unk>-year-old male with shortness of breath and cough.
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The cardiac, mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.
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chest pain.
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There is a vague opacity projecting over the right lower lung which on the lateral view demonstrates well-defined posterior margins and is suspicious for pleural-based mass. Rounded nodule over the left lung base is likely a nipple shadow. The lungs are otherwise clear. Mild cardiac enlargement is noted and tortuosity of the descending thoracic aorta. Degenerative changes are noted in the shoulders.
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<unk>m with fever // pna?
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Ap and lateral views of the chest. No prior. There is increased opacity projecting over the right hilum within the right lower lobe. Elsewhere, lungs are clear. There is no effusion. Cardiac silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with bilateral lower extremity edema and tachycardia. question pulmonary edema. recently traeted pneumonia.
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Ap and lateral views of the chest. Bibasilar opacities again noted, potentially due to atelectasis. The lungs are otherwise clear without effusion or pneumothorax. The cardiomediastinal silhouette is unchanged. Surgical clips project over the left upper quadrant. No displaced fractures identified. Healing left lateral <num>th rib fracture is identified.
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<unk>-year-old female with multiple unwitnessed fall and confusion.
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Pa and lateral views of the chest. There is a small right-sided pleural effusion. Right basilar opacity may be due to atelectasis noting infection cannot be entirely excluded. Elsewhere, the lungs are clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected.
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<unk>-year-old male with pancreatic cancer and elevated white blood cell count. question pneumonia.
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There has been interval removal of a left subclavian catheter. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits.
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<unk>-year-old male status post bone marrow transplant, now with cough and dyspnea.
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Cardiomediastinal contours are normal still mildly deviated to the left. The left lung is clear. There is no pleural effusion. Large right pneumothorax is stable. Surgical chain in the right apex is again noted. The osseous structures are unremarkable
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<unk> year old woman with h/o asthma and recurrentright pneumothorax s/p vats rul wedge and apical pleurectomy <unk>, r talc pleurodesis <unk>, and right vats, intrapleural pneumolysis, wedge, mechanical and chemical pleurodesis <unk> by dr. <unk> <unk> admitted to thoracic surgical service with another ptx from <unk>. // assess for interval change
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Cardiac silhouette size remains mildly enlarged but unchanged. The aorta is tortuous. Mediastinal and hilar contours are otherwise unchanged. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. Streaky left basilar opacity likely reflects atelectasis. No acute osseous abnormality is identified.
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history: <unk>m with fever/chills and cough
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The lungs are minimally hyperexpanded. There is possible faint sub-cm nodule at the left apex. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Included osseous structures are grossly intact.
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<unk> year old woman with asthmatic bronchitis. non smoker // r/o infiltrate
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The lungs are well-expanded and clear. No focal consolidation, edema, effusion, or pneumothorax. The heart size is normal. The mediastinum is not widened. The hila and pleura are normal. No osseous abnormality suspicious for malignancy or infection.
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<unk>-year-old woman presenting with increased seizures and coarse left lower lung sounds. evaluate for pneumonia.
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Pa and lateral views of the chest provided. Retrocardiac opacity could represent pneumonia. A small left effusion difficult to exclude. Right lung is clear. Heart size is difficult to assess. Mediastinal contour is normal. Bony structures are intact.
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<unk>m with cough, warm to touch
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There has been interval resolution of right lower lobe pneumonia. The rest of the lungs are well expanded and clear. The cardiomediastinal and hilar contours are normal. The patient is post-cholecystectomy.
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<unk>-year-old woman with previous right lower lobe pneumonia.
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The lungs remain hyperinflated.no focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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<unk>m w/productive cough, fevers, please eval for pna // <unk>m w/productive cough, fevers, please eval for pna
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Subtle opacity partially obscuring the right heart border is compatible with previously seen right middle lobe bronchiectasis and scarring. The lungs are otherwise clear without consolidation, effusion, or edema. The cardiac silhouette is top-normal. No acute osseous abnormalities.
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<unk>f with mmp, psych hx, and cough // r/o pna
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There is interval decrease in size of the posterior left pleural effusion. The study is otherwise unchanged from prior, with hazy opacity on frontal view in the lingular region.
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<unk> year old man with cad s/p cabg c/b persistent left-sided pleural effusion now s/p thoracentesis today // ptx
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The lungs are hyperinflated with associated flattening of diaphragms, suggesting chronic pulmonary disease. The lungs are otherwise clear. No focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. The heart size is normal. Mediastinal contours, hila, and pleura are unremarkable.
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<unk>-year-old woman with lung cancer, recent stent removed, worsening cough; evaluate for collapse s/p stent removal or pneumonia.
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In comparison with study of <unk>, the patient has taken a somewhat better inspiration. There is increased opacification at the left base with obscuration of the hemidiaphragm, consistent with volume loss in the left lower lobe and left pleural effusion. Less prominent changes are seen on the right. In the appropriate clinical setting, the possibility of supervening pneumonia would have to be considered. No evidence of pulmonary vascular congestion.
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post-surgery.
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The cardiomediastinal and hilar contours remain stable. There is no pleural effusion or pneumothorax. The left hemidiaphragm is not as elevated as on the prior study. There has been improvement in the left retrocardiac opacity, consistent with atelectasis. There is no new focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits.
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non-hodgkin's lymphoma with left-sided opacity.
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Pa and lateral views of the chest were obtained. The heart is normal in size and cardiomediastinal contour is unchanged. Eventration of the right hemidiaphragm is again noted. Lungs are clear. There is no pleural effusion or pneumothorax. The sternotomy wires, coronary stent, mediastinal clips, and pacemaker leads are stable in appearance.
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<unk>-year-old woman with abdominal pain, evaluate for pneumonia.
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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size.
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history: <unk>f with elevate wbc and prior pos ppd // pna
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Lungs are fully expanded and clear. Cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
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patient with history of melanoma, eval disease status.
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Low lung volumes contribute to bibasilar atelectasis as well as bronchovascular crowding. The heart size is exaggerated due to the low lung volumes and the ap view. There are no focal opacities concerning for pneumonia. No pleural effusion or pneumothorax. The right paratracheal stripe is noted to be widened, possibly due to a tortuous vessel, however lymphadenopathy is not excluded. Patient status post thoracic spinal fusion.
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history: <unk>m with altered mental status, nonverbal found by family at <num>am, moving all four extremities
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
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status post assault.
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Pa and lateral images of the chest demonstrate well-expanded lungs which are clear. There is no pneumothorax or pleural effusion. There is no obvious consolidation, mass, or volume loss visualized on this exam. There is slight cardiomegaly unchanged from prior exam. Again seen are multiple osteophytes along the spine consistent with dish. Other visualized osseous structures are unremarkable.
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<unk>-year-old male with question of carcinoid on biopsy, now requiring imaging to look for a lung mass.
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Mediastinal contours are stable, within normal limits. Heart size is top-normal. The bilateral hila are unremarkable. Subtle opacity at the right cardiophrenic angle likely reflects crowding of normal bronchovascular structures, although may be slightly more prominent in comparison to radiograph from <unk>. The lungs are otherwise clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion. Again noted is a tips stent overlying the right upper quadrant.
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<unk>-year-old woman with ascites, weakness, evaluate for pneumonia.
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Heart size is normal. The mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. Ill-defined opacity in the left lower lobe is concerning for pneumonia. The right lung is clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is identified.
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history: <unk>m with cough, chills
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Heart size is normal. The aorta is tortuous. The pulmonary vasculature and hilar contours are normal. Lungs are hyperinflated but clear. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is identified.
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history: <unk>m with subacute cva seen on mri
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The lungs are well expanded. An ill-defined opacity above the left hemidiaphragm and a similar opacity in the left perihilar region may represent early consolidation. The cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. There is no pleural effusion or pneumothorax present.
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influenza like illness, asthma, rule out pneumonia or infection.
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Pa and lateral views of the chest provided. There is mild left basilar atelectasis. Otherwise the lungs are clear. No large 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, pleuritic right sided chest pain // ?ptx, pna
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New left cardiac pacemaker has been placed with leads ending in the right atrium and right ventricle appropriately. No pneumothorax is seen. Previous pleural effusions have resolved, and no consolidation or pulmonary edema is seen. The cardiac and mediastinal contours are normal.
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<unk>-year-old woman status post pacemaker placement.
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Right picc terminates in the right axillary vein, unchanged since <unk>. No pneumothorax. The lungs are well-expanded and clear. Mediastinal contours, hila, and cardiac borders are normal.
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<unk>f with right arm and right upper quadrant pain // eval picc line and for infiltrate.
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When compared to prior, there has been no definite interval change. Linear opacity in the right midlung is again seen as well as linear bibasilar opacities. These may be chronic and due to scarring given persistence over time. Although, there is subtle increased opacity projecting at the right lung base which could represent a superimposed process. Superiorly, the lungs are clear. The cardiomediastinal silhouette is within normal limits. Surgical clips project identified in the upper abdomen. No acute osseous abnormalities.
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<unk>-year-old male with petechiae. evaluate for evidence of pneumonia.
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Mild increased reticular opacities in the right middle lobe, possibly from atelectasis or scarring is persistent and unchanged <unk>. Otherwise, the lungs are well expanded and clear. No pleural abnormality is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with sob // pna
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Posttraumatic deformities of right clavicle and right anterior first and second ribs are similar.
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<unk> year old man with increased seizure frequency? // rule out infection
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The cardiomediastinal and hilar contours are within normal limits. There are small bilateral pleural effusions, best seen on lateral view. There is no definite focal consolidation suggestive of pneumonia. There is no pneumothorax. Subtle opacities over the lower lungs relate to breast implants.
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left chest pain for several hours. evaluate pneumonia, effusion.
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Frontal and lateral views of the chest were obtained. Catheter of the right chest wall port terminates in the low svc. Heart size and cardiomediastinal contours are stable. Right hemidiaphragm elevation is persistent and there is a small adjacent atelectasis. No substantial pleural effusion, focal consolidation, or pneumothorax.
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history of cirrhosis. now with confusion.
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Cardiomediastinal contours are normal. The lungs are hyperinflated, patient has known emphysema. Ill-defined peribronchial opacities in the lower lobes and in the left mid lung likely represent multifocal pneumonia. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
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<unk> year old woman with fever and sob. // please evaluate etiology of fever and sob.
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Ap upright and lateral chest radiograph demonstrates cardiomegaly stable since prior study. A left chest cardiac pacing device is present, its leads which appear in similar positions relative to prior examination. Multiple mediastinal clips project over the left mediastinal border. Median sternotomy wires appear intact. There is mild central vascular engorgement and increased perihilar opacities which suggests mild pulmonary edema. There is no large pleural effusion. There is no pneumothorax. There is no opacity convincing for pneumonia.
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<unk>m with nausea, orthostatic hypotension // edema, infiltrate, effusion
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Right port catheter line ends at the proximal right atrium. The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is a small right pleural effusion and no pneumothorax.
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patient with question pneumonia. she is <unk>-year-old with weakness.
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Frontal and lateral chest radiographs demonstrate a new left chest pacemaker with the lead overlying the right ventricle. There is no pneumothorax. Mild cardiomegaly is unchanged and there is mild bilateral lower lobe atelectasis. The lungs are otherwise clear. There are small bilateral pleural effusions.
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status post pacemaker placement.
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Left apical pleural and parenchymal fibrosis with associated volume loss is consistent with radiation fibrosis in the setting of previous left mastectomy. There is no focal consolidation, pleural effusion or pneumothorax. The heart is mildly enlarged, and mediastinal and hilar contours are normal. Surgical clips projecting over the left axilla and right upper abdominal quadrant are again noted. Scoliosis is noted.
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<unk>-year-old female with dyspnea.
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The cardiac silhouette is moderately enlarged. There is no pleural effusion. There are increased interstitial markings bilaterally, suggesting moderate pulmonary edema, increased from the prior study and/or chronic thromboembolic pulmonary disease seen on prior ct from <unk>. Right upper lobe nodularity better assessed on ct.
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history: <unk>m with syncope, chf // eval for acute process, attn to pulmonary edema
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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> year old woman with cough, doe and sob. evaluate for pneumonia.
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A left picc has been removed. The heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. A new patchy opacity is demonstrated within the left lower lobe, with a small left pleural effusion. Right lung is clear. No pneumothorax is identified. There are no acute osseous abnormalities.
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cardiac lymphoma, chest pain.
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Heart size is normal. Mediastinal and hilar contours are unchanged with architectural distortion, superior bilateral hilar retraction, traction bronchiectasis, nodularity and fibrosis involving both upper lobes. No new focal consolidation, pleural effusion or pneumothorax is present. No pulmonary edema is detected, though there may be mild pulmonary vascular congestion. No acute osseous abnormality is visualized.
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history: <unk>m with hypoxia, oxygen sats mid <num>s
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A right-sided port-a-cath terminates in the upper svc as before. The cardiomediastinal and hilar contours are within normal limits. There is a small right pleural effusion. There is no evidence of pulmonary vascular congestion, focal consolidation or pneumothorax. No frank pulmonary edema. No acute osseous abnormalities. Nodular opacity at the right base is thought to represent a nipple shadow.
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history: <unk>m with worsening edema // evaluate for pulmonary edema
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Upright ap and lateral images of the chest. The lungs are well expanded. The patient again demonstrates signs of early mild cardiac decompensation, consisent with recent exams which have demonstrated persistently engorged pulmonary vasculature and a larger heart than seen on earlier prior exams. There are trace bilateral pleural effusions. There is no pneumothorax. Pacer is seen with intact leads in appropriate position.
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history chf, now with shortness of breath.
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The lungs are hyperinflated. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits with aortic knob calcification and aortic tortuosity. Old left rib fractures are noted.
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<unk>-year-old male with cough.
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Low lung volumes exaggerate the cardiac size, which may still be enlarged, as well as contribute to minimal basilar atelectasis. There is no pleural effusion, pneumonia, pneumothorax or pulmonary edema. No fractures are identified on this nondedicated film.
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assault.
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The heart is moderately enlarged, with central pulmonary vascular congestion and indistinctness of the peripheral pulmonary vasculature, compatible with mild pulmonary edema. No focal consolidation or pneumothorax. There is a small right pleural effusion.
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<unk>m with afib, chf presenting with chest pain. eval for pulm edema, source of chest pain.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable. There has been no significant change.
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shortness of breath.
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Two pa and one lateral chest radiographs were obtained. Compared to the prior study three days ago, there has been improved aeration of the pulmonary opacity in the left anterior lateral base. Minimal atelectasis and small effusion at the right knee are unchanged. Diaphragm flattening consistent with copd is unchanged. No new consolidation, effusion, or pneumothorax is present. The cardiac and mediastinal contours are normal. Degenerative changes in the thoracic spine and wedge deformity of t<num> are unchanged.
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<unk>-year-old woman with pneumonia and new oxygen requirement, evaluate for worsening pneumonia.
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As compared to the previous radiograph, the air inclusion in the left lateral postoperative pleural fluid collection has resolved. The atelectasis at the left lung base has decreased in extent and severity. The right lung base, however, shows minimally newly appeared parenchymal atelectatic opacities. Mild fluid overload is present and unchanged. An air-fluid level is seen projecting over the esophagus, potentially suggesting esophagus motility disorder. Borderline size of the cardiac silhouette.
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vats left lower lobe wedge resection, evaluation.
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Heart size is mildly enlarged. Mediastinal and hilar contours are otherwise within normal limits. There is no pleural effusion or pneumothorax. No evidence of pulmonary edema. There is no air under the right hemidiaphragm.
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<unk>-year-old female slurred speech.
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There is moderate to severe enlargement of the cardiac silhouette, new since the prior study, including a prominent left atrium. A wide mediastinum and a prominent right and left main pulmonary arteries are also new since the prior study. No focal opacities concerning for infection. Small bilateral pleural effusions. No pneumothorax.
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history: <unk>m with dyspnea // eval infiltrate
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Frontal and lateral views of the chest. Since prior, there has been interval resolution of the left lung opacities. The lungs are now grossly clear noting some persistent left basilar opacity laterally on the frontal view which could represent residual scarring. Cardiomediastinal silhouette is unchanged. Deformity of the lateral right clavicle may be due to interval fracture. , the timing of which is uncertain. Osseous structures are otherwise unchanged.
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<unk>-year-old male with cough and fever. shortness of breath.
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As compared to the previous radiograph, there is no relevant change. Normal chest radiograph without evidence of pulmonary edema, pleural effusion or pneumonia. Normal size of the cardiac silhouette.
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history of smoking, congestion and cough.
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. Multiple tiny calcified granulomas are noted. The heart size is normal. Mediastinal contours are normal. No bony abnormalities detected.
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positive ppd.
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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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chest pain, shortness of breath
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The lungs are hyperinflated. Bibasilar opacities with blunting the lateral and posterior costophrenic angles are compatible with small effusions. Superimposed right basilar opacity may be due to atelectasis. Superiorly the lungs are clear. The cardiac silhouette is mild-to-moderately enlarged. Atherosclerotic calcifications are noted in the thoracic aorta, and its descending portion is tortuous. Mid thoracic compression deformities are unchanged from <unk>.
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<unk>f with shortness of breath for <num> days and known copd // role pnumonia and volume overload
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The lungs are essentially clear besides streaky left basilar opacity which is most likely atelectasis. There is no effusion or consolidation. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>m with cp // pneumonia?
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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<unk>f with postoperative fever. evaluate for pna.
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Cardiomediastinal silhouette remains moderately enlarged. A single-lead aicd device is noted with the lead terminating in appropriate position. A right-sided picc is noted with the catheter tip at the right superior cavoatrial junction. The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. No acute fractures are identified.
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evaluation of patient with history of congestive heart failure with dyspnea.
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A left-sided picc terminates in the upper svc. 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. Note is made of surgical clips seen in the right axilla.
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<unk>f with picc and black tarry stools // confirm picc placement.
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Stable positioning of the right apical chest tube. Decrease in size of the right basilar pneumothorax no longer well visualized. Stable extensive subcutaneous emphysema and pneumomediastinum. Small left pleural effusion is unchanged.
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<unk> year old woman with s/p mini mvr/subcutaneous emphysema // eval ptx
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Heart size is normal. Symmetric mild widening of the superior mediastinum without tracheal deviation may be due to mediastinal fat or enlarged thyroid gland. The mediastinal and hilar contours are otherwise unremarkable. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Mild loss of height of a mid thoracic vertebral body is of indeterminate age. For mild degenerative changes seen in the thoracic spine.
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history: <unk>m with anxiety, t<num>dm, presenting with weakness, found to have apparent new rbbb, tachycardic and hypoxic to low <unk>'s on ra // assess for etiology of hypoxia, weakness
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Frontal and lateral chest radiograph demonstrates well expanded lungs. There is no focal consolidation or pleural effusion. No mass or nodule is identified. The heart is top-normal in size. The mediastinal and hilar contours are otherwise within normal limits. The visualized osseous structures are unremarkable. No pneumothorax.
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<unk>-year-old female with leukocytosis and new endometrial mass. evaluates for infection or mass.
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The lungs are hyperexpanded. In the right mid lung, there is a <num> x <num> cm cavitary lesion with thick irregular margins. Surrounding this, there is additional irregular opacity with similar appearance at the left base. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.
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syncope with recent treatment for pneumonia with levaquin. evaluate for pneumonia.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are visualized.
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chest pain.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are hyperinflated. There is no focal consolidation, pleural effusion or large pneumothorax.
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pain for <num> the past week appear to rule out pneumothorax.
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Pa and lateral views of the chest. Compared to most recent study, the previously seen pulmonary edema has decreased. The bilateral pleural effusions, left greater than right, are unchanged. There is no consolidation or pneumothorax. The mediastinal and hilar contours are stable. Sternotomy wires are in appropriate position and surgical clips in the mediastinum are seen. Aortic valve replacement is in appropriate position.
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post cabg and avr, evaluate effusions.
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In comparison to the prior study, there is little difference in the retrocardiac atelectasis. No focal consolidations. Granuloma is noted in the left upper hemi thorax. Cardiac size is top normal. No pneumothorax. No evidence of free air. Deviated trachea is likely from an enlarged thyroid.
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history: <unk>m with recent cva, vomiting, abdominal pain // evaluate for pneumonia, aspiration, acute process
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Ap upright and lateral views of the chest provided. This patient is known to have a large hiatal hernia which can be seen on this radiograph with gas-filled loops of colon in the retrocardiac space. Bilateral pleural effusions and lower lobe atelectasis versus pneumonia appear slightly progressed from prior. Upper lungs remain well aerated. There is likely a component of mild pulmonary edema. Heart size is difficult to assess. Bony structures appear intact. A catheter projects over the upper abdomen.
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<unk>f with recent pna< pleural effusion // pna?
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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 cough // acute process?
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Compared with the prior study, new left lower lung opacity may be a combination of atelectasis and pleural fluid, however superimposed infection is not excluded. Right basilar opacity is similarly detected. Mild cardiomegaly is unchanged. No pneumothorax. Intact median sternotomy wires and unchanged positioning of multiple mediastinal surgical clips.
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history: <unk>m with progressive doe and sob, presenting with weakness. evaluate for pneumonia, or pulmonary edema.
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MIMIC-CXR-JPG/2.0.0/files/p13111741/s55106476/3eb42b67-bab52ee5-23204718-f3f0a949-d8ad8c47.jpg
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Cardiomediastinal contours are normal. Small bilateral effusions are grossly unchanged, probably loculated on the left side. Stable left perihilar opacities are consistent with atelectasis. Left lower lobe atelectasis has improved. There is no pneumothorax. Sternal wires are aligned. Patient is status post cabg. Degenerative changes in the thoracic spine are again noted. .
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<unk> year old man s/p lll wedge // check interval change
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen. No displaced fracture is identified.
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chest pain.
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Previously seen left lower lobe opacities have essentially resolved. No new acute pneumonia. Bilateral pleural thickening appears chronic. <unk> rod for prior scoliosis has a similar appearance.
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<unk> year old woman with recent pneumonia // ?resolution of infiltrates
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There is eventration of the right hemidiaphragm and mid lung atelectasis is seen. No definite focal consolidation is seen.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable and stable. Degenerative changes are seen along the spine although not well assessed on this study.
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history: <unk>f with orthostatic sxs, persistent cough x <num> month // eval ? subacute infection
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Compared to the study from <num> hours prior, there has been some increase in the bilateral pleural effusions. The heart continues to be moderately enlarged and there is pulmonary vascular redistribution. The impression is that of fluid overload. An underlying infectious infiltrate cannot be excluded.
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left upper lobe opacity of unclear etiology on ct, resolved, now readmitted for sbp with cough and fever, question pneumonia.
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Mild cardiomegaly is stable. There is calcification of the mitral annulus. Calcified granuloma in the left lower lobe is unchanged. The lungs are otherwise clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable. Multiple surgical clips project in the right upper quadrant of the abdomen
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pt with mild worsening of exertional shortness of breath // check for vascular redistribution or pleural effusions
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A large-bore dual-lumen dialysis catheter is in stable course and position from a right internal jugular approach. Lung volumes are diminished. No consolidation or edema is evident. There is hemidiaphragm flattening suggestive of underlying obstructive lung disease. Aortic tortuosity is again noted but stable. The cardiac silhouette remains within normal limits for size. There is subtle blunting of the right costophrenic angle posteriorly which may indicate a small effusion. No large effusion is noted. There is no pneumothorax. Mild degenerative disease is seen in the mid thoracic spine.
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chronic kidney disease with new chest pain.
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