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There is mild vascular congestion and mild cardiomegaly. The left atrium is more enlarged than prior study. No pleural effusion or pneumothorax is seen. The aorta is tortuous.
<unk> year old woman with <num> weeks worsening productive cough, sao<num> <unk>% // assess for pneumonia
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of <unk>. The heart size is at the upper limit of normal variation. No typical configurational abnormalities identified; however, mild prominence of the left ventricular contour to the left matches the mild degree of general widening of thoracic area compatible with systemic hypertension. The pulmonary vasculature is not congested, and there are no signs of acute or chronic pulmonary parenchymal infiltrates. Lateral and posterior pleural sinuses are free. No pneumothorax exists in the apical area. Mild deformity of seventh rib on the right side in posterior lateral region representing old rib fracture which was described on previous examinations.
<unk>-year-old female patient with seizure, evaluate for pneumonia.
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Frontal and lateral chest radiographs were obtained. Lungs are clear. The cardiac silhouette is mildly enlarged. The hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Atherosclerotic calcifications are again noted at the aortic arch.
patient with nausea and vomiting, evaluate for pneumonia.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with asthma // r/o pna
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Bilateral pleural effusions have resolved. There is continued partial atelectasis of the right middle lobe. Postoperative findings are seen in the left upper lobe. There is no focal consolidation or pneumothorax. The heart is normal in size. The aorta is tortuous, unchanged.
left upper lung resection for adenocarcinoma on <unk>. evaluation for interval change.
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Ap upright and lateral views of the chest provided. Lungs are hyperinflated and clear. No large effusion or pneumothorax. No edema or pneumonia. Heart is top-normal in size. Mediastinal contour is notable for unfolded thoracic aorta. Degenerative spurring in the t-spine noted. High riding right humeral head likely reflect chronic rotator cuff disease. No free air seen below the right hemidiaphragm.
<unk>f with cough // ? pna
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Pa and lateral views of the chest provided. Cervical spinal hardware projects over the lower neck. The lungs remain clear. Heart is top-normal in size though unchanged. The hila are stably prominent. No pneumothorax or effusion. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with chills, cough. history of chf
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Cardiomediastinal contours are stable with mild cardiomegaly. Port cath tip is in standard position. . The lungs are clear. There is no pneumothorax or pleural effusion. There are moderate degenerative changes in the thoracic spine
<unk> year old woman with head/neck cancer and fever // eval etiology of fever
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Pa and lateral views of the chest provided. Bibasilar atelectasis is noted without convincing signs of pneumonia. No large effusion or pneumothorax. No signs of edema. Cardiomediastinal silhouette is stable. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with fever // ?pna
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The heart size is mildly enlarged, but unchanged. Mild prominence of the mediastinum is noted, but likely accentuated by lordotic positioning. There is mild pulmonary vascular congestion, more pronounced than on <unk>. There is no focal consolidation, pleural effusion or pneumothorax detected.
history: <unk>f with recurrent severe chest pain // eval for interval development of ptx in setting of histiocytosis
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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.
history: <unk>f with hld, htn, dm presenting with chest pain // evaluate for intracardiac abnormality
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The heart is mildly enlarged. There is no pneumothorax or pleural effusion. Bibasilar linear opacities likely reflect atelectasis, though a left basilar retrocardiac opacity with small air bronchograms may reflect a small underlying consolidation, difficult to differentiate from focal atelectasis. There is persistent elevation of left hemidiaphragm. The central pulmonary vessels are engorged, without overt edema.
<unk> year old man with dm<num>, cad, htn, afib, ckd, panhypopit, h/o dvt, rcc, here for weakness and general fatigue x <unk> days. // any acute processes (pneumonia, pulm edema, change in cardiac silhouette)
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The lung volumes are low. The patient is status post sternotomy. A dual-lead pacemaker/icd device with leads terminating in the right atrium and ventricle appears unchanged. The heart is again mildly enlarged. The mediastinal and hilar contours appear unchanged. There are no pleural effusions or pneumothorax. Pleural plaques are widespread. On this examination, compared to the prior radiograph, there is vague hazy opacity projecting over the right upper lung. It appears similar, however, to more recent chest ct imaging, however, and probably less severe. Mild superior endplate compression deformity of vertebral body situated at the thoracolumbar junction appears unchanged.
cough and chills.
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There is no pleural effusion, pneumothorax or focal airspace consolidation. The heart size is normal. The mediastinal and hilar structures are unremarkable.
left-sided chest pain.
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A linear streaky opacity at the left base is most consistent with plate-like atelectasis. In comparison to the prior exam, bilateral atelectasis is improved and the lung volumes have increased. There is no dense consolidation, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Surgical clips are noted in the left upper quadrant.
history of rheumatoid arthritis. severe fatigue. evaluate for pneumonia.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Streaky opacity projecting over the left mid lung suggests minor scarring or atelectasis. Otherwise, the lungs remain clear.
chest pain and shortness of breath.
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There are increased opacities in the right lower lobe concerning for pneumonia. Left lung is clear. Cardiac silhouette is normal. A dual lumen port terminates in appropriate position.
<unk> year old woman with glioblastoma who has a cough. // is there pneumonia?
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The lungs are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.
chest pain? rule out pneumonia.
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There has been interval resolution of the right medial lung base opacification. The lungs are otherwise well expanded and clear. The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax.
<unk>-year-old with right medial lung base changes status post antibiotic treatment.
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Ap upright and lateral views of the chest provided. Patient's chin obscures the left apex. There is mild hilar congestion. A subtle opacity is seen in the right lower lung which could represent pneumonia in the correct clinical setting. No large effusion or pneumothorax. Cardiomediastinal silhouette appears unchanged. Bony structures appear intact.
<unk>f with stroke // eval for pna
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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.
<unk> year old man with hiv on haart and diabetes presenting with hyperglycemia unknown trigger // evaluate for pna
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There has been interval increase in cardiomegaly with increased prominence of mediastinal veins and prominence of peripheral interstitium consistent with pulmonary edema. There is a homogeneous opacity seen in the left lower lobe concerning for infection. Seen again is left pectoral implant pacer device with leads in unchanged position terminating within the right ventricle and atrium. There is no pleural effusion or pneumothorax. The patient has significant pectus excavatum, otherwise, the osseous structures are unremarkable.
<unk>-year-old male with shortness of breath.
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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.
<unk>f with left arm weakness fatigue cough
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal. The right apical infarct seen on prior ct is not well seen on this study.
saddle pes.
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
history: <unk>m with sob // eval acute process
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs remain clear of consolidation. Note is made of bilateral nipple shadows at the lung bases. There is no effusion or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unchanged, noting degenerative changes at the left glenohumeral joint.
<unk>-year-old male with altered mental status. question infiltrate.
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Pa and lateral views of the chest provided. Hyperinflated lungs noted with left basal linear density likely representing atelectasis. Cardiomediastinal silhouette is normal. Bony structures are intact. No picc line is seen.
<unk>f with right arm pain in the setting of a picc line.
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Frontal and lateral chest radiographs demonstrate well-expanded and symmetric lungs bilaterally. Heart is normal in size and cardiomediastinal contour is within normal limits. Lungs are clear. There is no pleural effusion and no pneumothorax.
cough, shortness of breath, evaluate for pneumonia.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs remain clear. Costophrenic angles are sharp. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with history of asthma presenting with chest tightness.
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The cardiomediastinal silhouette and pulmonary vasculature are normal. There is no pleural effusion or pneumothorax. The lungs are clear.
<unk> year old woman playing soccer and got hit in the chest with soccer ball. trouble breathing // chest trauma
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The cardiomediastinal silhouette is stable, reflective of a mildly tortuous thoracic aorta. The hila are unremarkable. New since prior is a right lower lobe opacity concerning for pneumonia. The lungs are clear elsewhere. There is no pulmonary venous congestion or pulmonary edema. There is no pneumothorax or pleural effusion.
<unk>-year-old man with cough and shortness of breath, evaluate for pneumonia.
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Right sided picc is seen with tip projecting over the upper svc. Degree of pulmonary edema has improved since prior. The lungs are now clear besides probable left basilar atelectasis seen on the frontal view, not confirmed on the lateral. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>m with burning at picc insertion. // ?picc line placement
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Dual lead left-sided pacemaker is seen with lead extending the expected positions of the right atrium and right ventricle. Mild bibasilar atelectasis is seen. No focal consolidation is seen. There is no large pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are grossly stable.
history: <unk>f with bedside ultrasound ?free air, bacteremic and febrile // ? free air under diaphragm
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Right shoulder arthroplasty is noted. No acute osseous abnormalities are seen.
<unk>f with recent fall, pleuritic pain in side. // please assess for rib fracture or other abnormality
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Pa and lateral chest radiograph demonstrates no focal consolidation convincing for pneumonia. Lungs are hyperinflated. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Visualized osseous structures demonstrates no acute abnormality.
<unk>-year-old female with chest pain status post fall.
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Pa and lateral views of the chest were obtained. There is now increased right pleural effusion compared to <unk>, with consolidation at the right base. There is preservation of right upper lobe aeration. The left lung is clear. The cardiac silhouette remains enlarged. There is no pneumothorax. There are no acute skeletal abnormalities.
<unk>-year-old man with history of right pleural effusion, now with dyspnea x <unk> days, right lower lung fields diminished breath sounds, evaluate for infectious process for recurrent effusion.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are hyperinflated but clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. No subdiaphragmatic free air is present.
history: <unk>m with vomiting, chest and abdominal pain
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In comparison to the most recent prior <unk> study, there is interval development of a moderate to large sized left pleural effusion with underlying atelectasis or consolidation at the left lung base. Patchy opacification at the right lung predominantly in the lower lung zones most likely represents mild to moderate pulmonary edema, although opacities in the right mid to lower lung are somewhat nodular. No significant pleural effusion is seen in the right hemithorax. No pneumothorax is detected. The pulmonary vasculature is moderately engorged compatible with underlying pulmonary vascular congestion. The cardiac silhouette is incompletely evaluated but likely remains enlarged as seen on the <unk> study. Increased prominence of the right paratracheal stripe is likely related to prominent mediastinal vasculature. Aortic calcifications are re-demonstrated. The trachea is midline. Diffuse degenerative changes of the thoracic spine are noted with exuberant costochondral calcification.
cardiac history and history of diabetes and hypertension, now with chest pressure and crackles on pulmonary exam, here to evaluate for pleural effusion or pulmonary edema.
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Ap and lateral views of the chest. The lungs are clear. There is no effusion or consolidation. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications seen in the aorta. Calcific densities also project over the left axilla. High density projects over the heart on <num> view likely artifactual given repeat film without this finding and lack of findings on the lateral exam. No acute osseous abnormalities detected.
<unk>-year-old female with altered mental status.
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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.
<unk>m with prior mi and onset cp <num>pm substernal
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Lung volumes are low which accentuates bronchovascular markings. A right-sided picc terminates in the mid svc. A left chest wall pacer defibrillator with single lead is in unchanged position. The right internal jugular swan-ganz catheter has been removed. The heart is enlarged which may reflect cardiomegaly, less likely pericardial effusion. The mediastinal and hilar contours are within normal limits. Increased opacity at the base of the right lung may reflect subsegmental atelectasis. There is no pneumothorax or pleural effusion. There is mild prominence of the vasculature likely reflective of a fluid replete state.
history: <unk>m with accidental partial picc removal // eval picc line placement
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Frontal and lateral chest radiographs were obtained. Lung volumes are low, which leads to bronchovascular crowding. No focal opacity is noted. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
status post mechanical fall, evaluate for rib fractures.
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A biventricular icd pacing device is in place and unchanged in position. Heart size is enlarged and the aorta is mildly tortuous. The hilar contours are normal. There are new interstitial opacities suggestive of mildly worsened pulmonary edema. There are small bilateral pleural effusions. Additionally, there is a more focal opacity in the right infrahilar region, which could represent atelectasis or an early focus of pneumonia. No pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with fever and hypotension, concerning for pneumonia. // evaluate for pneumonia
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Ap upright and lateral views of the chest provided. Cardiomegaly with moderate pulmonary edema noted. Hilar engorgement is noted. Small bilateral pleural effusions are present. No pneumothorax. Difficult to exclude a superimposed subtle pneumonia. Bony structures intact
<unk>f with shortness of breath // eval for chf or pna
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Patient is status post esophagectomy with gastric pull-through. Large right superior mediastinal mass is re- demonstrated, unchanged from the previous exam, with deviation of the trachea leftward. Heart size appears unchanged, and within normal limits. The mediastinal and hilar contours are similar. There is a small to moderate right and small left, partially loculated, pleural effusions, not substantially changed in the interval. Bibasilar airspace opacities also persist, more pronounced on the right, likely reflective of atelectasis. No pulmonary edema or pneumothorax is identified.
history: <unk>m with tachycardia
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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion or pneumothorax.
<unk>-year-old with kidney transplant.
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There has been no interval change compared to the prior radiograph performed earlier on the same date. There is no pleural effusion or pneumothorax. There is biapical scarring, right greater than left. Prominent bilateral interstitial markings is more pronounced at the left lung base, which may reflect a component of chronic lung disease/fibrosis. Superimposed acute findings in the left base cannot be excluded. Mild cardiomegaly. No acute osseous abnormalities identified.
<unk>-year-old female for preoperative evaluation
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well expanded and clear. Pulmonary vasculature is within normal limits.
syncope, query pneumonia or edema.
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Subtle opacity at the lateral left lung base appears new since the prior study and may be due to a subtle pneumonia versus atelectasis. No pleural effusion is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen.
history: <unk>m with chf shortness of breath crackles on exam*** warning *** multiple patients with same last name! // eval for pulmonary edema
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The cardiac, mediastinal, and hilar contours are normal. Pulmonary vascularity is normal. Lungs are clear without focal consolidation, pleural effusion or pneumothorax. Clips in the right upper quadrant of the abdomen indicate prior cholecystectomy. There are no acute osseous abnormalities.
fevers, left upper quadrant abdominal pain.
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Frontal and lateral radiographs of the chest demonstrate a large right-sided pleural effusion with compressive atelectasis. The left lung is clear. There is no pneumothorax. Assessment of the cardiomediastinal and hilar contours is limited given the large right-sided pleural effusion.
<unk> year old man with son and deceased breath sounds. h/i pleural effusion // please assess for infiltrate. if significant page dr. <unk> as pt may need to be admitted
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. Cardiac size is top normal, unchanged from prior. There is no pleural effusion or pneumothorax.
<unk>-year-old female with fever and cough.
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Lung volumes are slightly reduced compared to the previous study. Moderate cardiomegaly appears mildly increased, potentially accentuated by wound lower lung volumes. Re- demonstrated is enlargement of both pulmonary arteries compatible with underlying pulmonary arterial hypertension. Mild pulmonary edema is demonstrated, without focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormality is visualized.
history: <unk>f presents with hypoxia from assisted living. denies infectious symptoms but questionable historian.
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The heart size is within normal limits. The mediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No subdiaphragmatic free air is present.
<unk>-year-old male with chest and abdominal pain.
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The right lung and upper third of the left lung are clear. Heart size is indeterminate. Interval worsening of left lower lobe atelectasis with associated left mediastinal shift. Left pleural effusion, however the interval change and amount is difficult to assess due to concurrent atelectasis. No focal consolidation suggesting pneumonia. No pneumothorax. The osseous structures are stable.
<unk> year old woman with pleural effusion from bc // level of effusion, other consolidations, increased sob
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Pa and lateral views of the chest. Low lung volumes. The cardiac, mediastinal, and hilar contours are normal. The lungs are clear. There is no evidence of pneumonia. The pleural surfaces are normal. No pneumothorax.
fever, evaluate for pneumonia.
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The heart size is normal. The hilar and mediastinal contours are normal. No focal consolidations concerning for pneumonia identified. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history: <unk>m with cp // eval for cp
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There is a increased airspace opacity in the left lower lobe, likely due to localized atelectasis. However, in the appropriate clinical setting, pneumonia cannot be ruled out. Mild pulmonary venous congestion is grossly stable. No pneumothorax. The cardiomediastinal silhouette is unchanged. The calcified right breast implant is unchanged.
<unk> year old woman admitted for heart failure but has persistent severe cough despite diuresis // ? pneumonia
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No focal consolidation is seen. There is blunting of the costophrenic angles may be due to trace pleural effusions and/or mild atelectasis. No pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. There is prominence of the hila without vascular congestion and underlying lymphadenopathy could be present.
history: <unk>m with hypertension // eval for pna
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Frontal and lateral chest radiographs demonstrate severe emphysema with distortion of pulmonary architecture. The cardiomediastinal silhouette is unchanged, demonstrating a calcified and tortuous aorta, with a heart which is normal in size. Oher than chronic mild bibasilar atelectasis, lungs are clear. Again seen are old right lateral rib fractures with associated traumatic pleural thickening. Small bilateral pleural effusions are either chronic or recurrent. There is no pneumothorax.
cough and hypoxemia. evaluate for pneumonia.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen. There is no pulmonary edema.
psoriasis, atypical chest pain, infertility status post oocyte retrieval <unk> which has been complicated by severe ovarian hyperstimulation syndrome presenting with chest pain.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Right picc is unchanged in position.
<unk> year old man with celiac dz, microscopic colitis, followed by gi // please evaluate for latent tb
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Heart size is normal. Mediastinal and hilar contours are normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Rounded opacity projecting over the superior mediastinum appears to reflect a prominent sternum, and appears grossly unchanged compared to the scout view from the ct cervical spine in <unk>.
history: <unk>f with no past medical history comes in for fever and lower back pain. // ? pneumonia
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Cardiomediastinal silhouette is unremarkable. Surgical hardware is better evaluated on the c spine radiograph from the same date. Platelike atelectasis is noted in the left midlung. No focal consolidation. No pleural effusion. No pneumothorax.
history: <unk>f with headache, n/v s/p acdf <num> days ago. // pneumonia, effusion?
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no evidence of focal pneumonia, pulmonary edema, pleural effusion, or pneumothorax.
<unk>-year-old smoker with chest heaviness and brief episode of left chest pain for two days.
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Bilateral lower lobe opacities most likely represent atelectasis. The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. Mild cardiomegaly is stable. There is no free air beneath the right hemidiaphragm.
history: <unk>f with wbc <num>, weight gain // r/o chf, pneumonia
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. Heart size is normal.
patient with history of prostate cancer, status post robotic radical prostatectomy, who now presents with trouble swallowing. assess for air-fluid level in the esophagus.
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As compared to the previous radiograph, there is no relevant change. The patient continues to be in moderate-to-severe interstitial lung edema and shows bilateral pleural effusions, right more than left. In addition, atelectasis at the lung bases are seen. Finally, there is persistent left upper lobe opacity, mainly perihilar in location, that could represent a focus of infection. The left pic line is unchanged. At the time of dictation and observation, <time> a.m., on the <unk>, the referring physician, <unk>. <unk>, covered by dr. <unk>, was paged for notification.
ascites and shortness of breath, evaluation for interval change.
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Since most recent prior radiograph, there has been development of small bilateral pleural effusions. Increased haziness at the left base is likely atelectasis. There is no other focal consolidation or pneumothorax. Additionally, there has been increase in size of the cardiac silhouette which may be due to a pericardial effusion. The aorta remains tortuous. Osseous structures are normal for degenerative changes of the spine.
<unk>-year-old man with worsening dyspnea on exertion, rule out pneumonia versus pulmonary edema.
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Following removal of right pigtail catheter, the right apical pneumothorax is slightly bigger compared to prior; however, it is still small. The fluid component of the hydropneumothorax is unchanged. Lung parenchymal changes are stable. The heart and mediastinum are unchanged.
history of bronchiectasis, status post bronchoscopy by pulmonary to evaluate hemoptysis on <unk>, found to have right pneumothorax for which pigtail was placed, now status post removal of pigtail. evaluate for change in pneumothorax.
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No new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Mild prominence of the hila is stable. There appears to be bronchial wall thickening, centrally.
history: <unk>f with sob and cough // r/o pna
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Heart size is top-normal. The mediastinum, hila, and pleural surfaces are normal. Lungs are clear without effusion or consolidation.
<unk> year old man with w/ rectal ca s/p chemo/xrt, temporary ileostomy with proctectomy and coloanal anastomosis <unk>; c/b c-diff+, abscesses s/p proctectomy and end colostomy. please evaluate for pneumonia, wbc up to <unk> without clear source.
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A right lower lobe opacity is concerning for pneumonia. A rounded density projecting over the anterior right second rib was not seen on <unk>. Osseous structures are unremarkable. The cardiomediastinal silhouette is unremarkable. There is no pneumothorax.
history: <unk>m with diffuse wheezes, sob // pna
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There has been interval removal of a left-sided picc.no focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with recent osteo of right foot presents with fevers, chills, malaise, increased sputum production // signs of infection
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Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax.
dka and leukocytosis.
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Pa and lateral views of the chest provided. Lungs are clear. Cardiomediastinal and hilar contours are normal. Pleural surfaces are normal.
<unk> year old woman with cough and sob for <num> weeks, evaluate for pna
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Lung volumes are low. Left-sided aicd device is noted with single lead terminating in the right ventricle. Heart size is moderately enlarged. The aorta is unfolded. Mediastinal and hilar contours are otherwise unchanged. Moderate pulmonary edema is asymmetric and more pronounced on the right, new from the previous study. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Multiple clips are seen in the right upper quadrant of the abdomen compatible with prior cholecystectomy.
history: <unk>m with chest pain, shortness of breath
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Pa and lateral views of the chest provided. Lungs are grossly clear. No pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are normal.
<unk> year old woman with recent pneumonia // assess for interval resolution
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As compared the prior study, the appearance of the chest is stable. No pneumothorax is seen. No new focal consolidation is seen. No pleural effusion.
<unk> year old woman with severe copd, lul endobronchial valves, <unk> ptx with ongoing dyspnea and left chest pain. eval for ptx // eval for ptx
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In comparison to the prior exam, there is no significant change. Again, there is left lower lung scarring and thickening of the pleural surface. The lungs are, otherwise, clear without consolidation or edema. There is no pneumothorax. The mediastinal contours are normal. The heart size is at the upper limits of normal. Sternotomy wires are intact. Mediastinal clips reflect changes from a prior cabg.
midsternal chest pressure.
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In comparison with the study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. Given the limitations of plain radiography, there is no evidence of hilar or mediastinal adenopathy or other acute cardiopulmonary disease.
lymphadenopathy on chest ct, to assess for mediastinal lymph nodes.
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As compared to the previous radiograph, there is no relevant change. Normal lung volumes. Normal appearance of the lung parenchyma. No pleural effusions. No pneumonia. No pulmonary edema. Normal size of the cardiac silhouette.
history of cll, persistent cough, evaluation.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>m with back pain w/ inspiration. evaluate for pneumothorax.
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Low lung volumes are noted with crowding of the bronchovascular markings with mild superimposed pulmonary vascular congestion. There is no confluent consolidation or effusion. The cardiomediastinal silhouette is stable. Median sternotomy wires and mediastinal clips are again noted. No acute osseous abnormalities.
<unk>f with choking episode today, with cough // aspiration?
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There are low lung volumes. No definite focal consolidation is seen. No large pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal, likely accentuated by low lung volumes. Mediastinal contours are unremarkable.
history: <unk>f with h/o htn, old cardiac infarct, presenting with dizziness, negative tests for peripheral vertigo // acute intracranial process?
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No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema or pneumothorax is identified. The heart, mediastinal and pleural surface contours are normal.
diagnosis of bronchitis with cough, now with shortness of breath and pain.
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Pa and lateral views of the chest provided. Electronic device is projecting over the mid and lower chest limit evaluation. The heart remains mildly enlarged. There is hilar congestion and mild interstitial pulmonary edema. No large effusion. No convincing evidence for pneumonia. Mediastinal contour is stable.
<unk>m with hypoglycemia // eval for infection
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In comparison a prior study lung volumes are stable with chronic elevation left hemidiaphragm. Again noted, are multiple pulmonary nodules which were better assessed on ct from <unk>. The cardiomediastinal and hilar contours are stable. Pleural surfaces are normal. Median sternotomy wires are intact. Chronic calcification of the aortic arch.
<unk> year old woman with chills x <num> days and mild cough // eval for consolidation
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The cardiomediastinal silhouette is unremarkable. Left lower lobe scarring is unchanged compared to the prior study. There is no pleural effusion, pneumothorax, or focal consolidation worrisome for pneumonia.
history: <unk>f with mild cognitive impairment, h/o cancer, p/w chest pain // r/o pneumonia
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Pa and lateral views of the chest provided. Dialysis catheter projects over the right chest with right ij access and tip in the lower svc. A left chest wall port-a-cath is unchanged with tip also in the lower svc as on prior. The heart is top-normal in size. Lung volumes are low. No convincing evidence for pneumonia or edema. Bony structures appear intact. No free air below the right hemidiaphragm.
<unk>f with cp // eval for ptx
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Heart size is normal. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are detected.
palpitations, lightheadedness.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. There is a streaky opacity in the left lower lobe probably due to atelectasis.
seizure-like activity.
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Cardiomediastinal contours are unchanged with widened mediastinum and moderate cardiomegaly. The upper lungs are clear. There is no pneumothorax. Small bilateral effusions larger on the left side have improved on the left. There is no pulmonary edema. . There are mild degenerative changes in the thoracic spine sternal wires are aligned
<unk> year old man pod<num> asc ao replacement // evaluate for effuson/atelectasis
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. The aortic arch appears enlarged up to <num>cm in diameter. The size is similar to the appearance on chest x-ray <unk>. The subsequently acquired chest cta on <unk> showed a normal caliber aorta. There are no other abnormal cardiac and mediastinal contours.
chest pain.
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When compared to exams over the past few days, there has been interval improvement of the opacity at the right lung base. There is no effusion or pulmonary edema. Cardiac silhouette is mildly enlarged. No acute osseous abnormalities.
<unk> year old man with sickle cell crisis, rll pna vs chest syndrome // eval for infiltrate on am of <unk>
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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.
<unk>f with h/o pud, depression, here with <num> days of chest pain // any evidence of infection, musculoskeletal injury?
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Pa and lateral views of the chest were obtained. Heart is normal in size, and cardiomediastinal contour is unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old woman with chest pain.
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Lung volumes are normal. There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal contours are within normal limits. No acute osseous abnormalities are identified.
history: <unk>f with ili x <num> week not improved with tamiflu // pna
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Pa and lateral chest radiographs demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax or evidence of pulmonary edema. Blunting of the right costophrenic angle may reflect a trace pleural effusion or alternatively focal pleural thickening. No air under the right hemidiaphragm is present.
history: <unk>f with pmh htn, hld presenting c/o chest discomfort associated with shortness of breath and weakness for the past week. intermittent in nature lasting up <num> hour // acute cardiopulmonary process
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New vagus nerve stimulation device has been implanted. Multiple surgical clips are again seen consistent with previous thyroid surgery. No focal consolidation, pleural effusion or pulmonary mass seen, and the cardiac and mediastinal contours are within normal limits.
<unk>-year-old with asthma, cough, shortness of breath. recent vagus nerve stimulation device, evaluate for infiltrate.