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Pa and lateral views of the chest demonstrate the lungs are well-expanded and clear. The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax.
<unk>-year-old female shortness of breath since last night. evaluation for pneumonia.
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal. There is no displaced rib fracture.
<unk>m with s/p mvc, bilateral knee pain, r elbow pain, evaluate for fracture or pneumothorax.
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Left pacemaker with leads in the expected location of the right atrium and right ventricle unchanged. Mild cardiomegaly is unchanged from <unk>. A large hiatal hernia is not significantly changed from <unk>, but larger compared to <unk>. No focal consolidation, pleural effusion or pneumothorax. Interval resolution of pulmonary edema from <unk>.
dyspnea on exertion on amiodarone, rule out amiodarone related changes.
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The cardiomediastinal silhouette is within normal limits. Bilateral perihilar opacities extending into the upper and lower lobes with diffuse prominence of the interstitium and cephalization of the vasculature are consistent with mild pulmonary interstitial edema. Linear opacities at the left base likely represent atelectasis. There is no consolidation or large pleural effusion. No pneumothorax.
history: <unk>m with cp // evidence of pneumothorax
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Extensive pulmonary abnormalities appear unchanged. These are not fully characterized, but suggest extensive scarring or interstitial disease that may also coincide with underlying emphysema and probably bronchiectasis; chronic infection is a differential diagnosis. There is no evidence of superimposed acute disease.
chest pain.
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The heart size is top normal. Mediastinal and hilar contours are unchanged with tortuosity of the thoracic aorta again noted. Low lung volumes cause mild crowding of the bronchovascular structures, though no overt pulmonary edema is seen. Patchy bibasilar airspace opacities most likely reflect atelectasis but infection is not completely excluded. No pleural effusion or pneumothorax is clearly noted. There are no acute osseous abnormalities.
chills.
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There is mild pulmonary edema. Previously noted opacities in the right mid and lower lung are again noted. As compared to the prior exam there is some increased opacity in the right upper lung. No pneumothorax is seen. A small right pleural effusion is unchanged. Mild cardiomegaly is unchanged. The right hilum is prominent suggestive of pulmonary hypertension. The patient is status post median sternotomy and cabg. There is tortuosity of the aorta. A previously placed right-sided picc now courses superior to the right internal jugular vein with tip out of view of radiograph and needs repositioning.
known pneumonia. evaluation for progression or resolution. two views of the chest.
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Pa and lateral images of the chest. Median sternotomy wires and surgical clips in the mediastinum and right axilla are noted. The lungs are well expanded. Pleural calcification is seen along the lateral left lung. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. The aorta is again noted to be markedly tortuous. The left posterior rib defect is seen, likely postsurgical.
s/p vomiting.
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Fiducial marker projects over the right lower lobe with associated consolidation which has not significantly changed since prior. There is persistent small right pleural effusion and thickening or fluid along the fissure. Patchy consolidation is also identified at the left lung base, similar compared to recent x-ray. There is no overt pulmonary edema or large left effusion. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>f with dyspnea, earlier cxr with ?left lower infilarate // eval for pneumonia
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old male with history of hiv with shortness of breath and productive cough.
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There is moderate enlargement of the cardiac silhouette. Prominence of the interstitium with fluid seen in the major fissures is consistent with chronic mild fluid overload. There is no pneumothorax or focal airspace consolidation. The hilar and mediastinal contours are unremarkable.
chest pain shortness of breath. evaluate for pneumonia. on further review of the medical record, the patient is known to have rheumatoid arthritis.
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The lungs are poorly expanded, accounting for some bronchovascular crowding. Minimal interstitial prominence is unchanged likely indicative of mild esema, as on prior. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Surgical clips are noted in the right upper quadrant.
<unk>-year-old male with cough and chest pain.
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Pa and lateral chest radiographs demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. No evidence of pulmonary edema. There is no air under the right hemidiaphragm.
<unk>f with vt yesterday, preop // eval cpd
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Heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Small left pleural effusion is re- demonstrated along with left basilar opacity, likely atelectasis. A trace right pleural effusion is also demonstrated, new in the interval. Remainder of the lungs are clear without focal consolidation. No pneumothorax is identified. Moderate multilevel degenerative changes are seen in the thoracic spine.
history: <unk>m with fever and cough
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Lung volumes are low, particularly on the frontal view. Otherwise, the lungs are clear. No pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. No pulmonary edema. Mediastinal and hilar contours are unremarkable. Incidental note is made of carotid artery calcifications.
chest pain. evaluate for a cardiopulmonary process.
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Moderate cardiomegaly is a stable. Pulmonary edema has almost completely resolved. Small bilateral effusions larger on the left side have decreased in size. Marked improved aeration of lower lobes. There is no pneumothorax. Biapical asymmetric right greater than left pleuro parenchymal scarring is noted
<unk> year old woman with htn, hld, hospitalized for hypertensive emergency with flash pulmonary edema now s/p diuresis, continues to be wheezy // ?pna
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In comparison to radiograph from <unk>, the cardiomediastinal silhouettes are stable, within normal limits. The bilateral hila are within normal limits. There has been interval improvement in lung aeration and a decrease in pulmonary vascular engorgement. Linear opacities within the bilateral lower lung zones likely represent platelike atelectasis. There is no focal lung consolidation. There has been improvement in the moderate left pleural effusion, now small, with likely adjacent compressive atelectasis best appreciated on lateral view. Again seen is a small right pleural effusion. There is no pneumothorax.
an <unk>-year-old woman with hypotension, evaluate for infection.
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Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
chest pain.
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In comparison to prior chest x-ray of <unk>, there appears to be resolution of prior vascular congestion. There is no consolidation, pneumothorax, or pleural effusion appreciated. The cardiomediastinal silhouette and hilar silhouettes are normal size. There is no acute bony abnormalities nor evidence of acute fracture. Dense aortic arch calcification is noted.
<unk> year old woman with hx of myeloma currently receiving treatment. cxr for shortness of breath. chest xray before vq scan.
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Lung volumes are low. There is no new lung consolidation. Cardiac contour is top normal. There is no pleural effusion or pneumothorax.
patient with cough since a week, diagnosed with pneumonia on <unk>, please evaluate.
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Chain suture projects over the right upper hemithorax. There is persistent linear atelectasis in the left mid lung and worsening atelectasis at the left base. Opacity projecting just anterior to the spine at the lung base on the lateral radiograph is not appreciably changed since <unk>. There is no airspace opacity worrisome for pneumonia. The cardiomediastinal silhouette and hilar contours are stable. The heart is not enlarged. There is no pleural effusion or pneumothorax.
febrile neutropenia. rule out pneumonia.
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In comparison to the chest radiographs obtained <unk>, no significant changes are appreciated. Lungs are fully expanded and clear without consolidations or suspicious pulmonary nodules. No pleural abnormalities. Severe cardiomegaly is unchanged. No pulmonary vascular congestion or pulmonary edema. Cardiomediastinal hilar silhouettes otherwise normal. There is partial opacification of the thoracic anterior longitudinal ligament. In the mid thoracic spine, there is either disruption of this ossified ligament or incompletely joined bridging syndesmophytes.
<unk> year old man with sob // r/o acute cp process
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Mild to moderate cardiomegaly re- demonstrated, with diffuse calcification and tortuosity of the thoracic aorta. Graft stent within the descending thoracic aorta is in unchanged position. Opacity within the right paramediastinal upper lung is unchanged compatible with known radiation changes for non-small cell lung cancer. No overt pulmonary edema is identified. Moderate right pleural effusion appears relatively unchanged. Left basilar opacification is new, and is compatible with the presence of a small to moderate left pleural effusion and probable adjacent atelectasis. A left basilar infectious process is not excluded. No pneumothorax is identified. No acute osseous abnormalities are seen.
fever, shortness of breath.
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The lungs are well-expanded and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.
<unk>f with cough. assess for pneumonia.
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The lungs are fully expanded and clear. Cardiomediastinal and hilar silhouettes are normal. Pleural surfaces are normal.
<unk> year old man with cough ><unk>mos // pneumonia? mass?
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Left-sided single-lead pacer is unchanged in position. Severe cardiomegaly appears progressed since <unk>. There is mild prominence of the central pulmonary vasculature, however, without interstitial pulmonary edema. Right upper lung nodule appears larger than on prior exam. Lungs are otherwise clear. There is no pleural effusion or pneumothorax. Dextroscoliosis is redemonstrated.
chf and shortness of breath.
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Mild asymmetric likely pleural thickening right greater than left, has not substantially changed since <unk> and likely benign. The lungs are otherwise clear. The cardiomediastinal silhouette is unchanged. No pleural effusions or pneumothorax.
<unk> year old woman with persistent hyponatremia. // r/o mass
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. In addition to multifocal linear opacities in the left mid and both lower lungs, and more confluent area of opacification is present in the right infrahilar region. . No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Marked scoliosis is noted.
<unk> year old woman pod#<num> after laparoscopy with chest heaviness and decreased bs on rlb // atelectasis? early pneumonia?
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The heart is mildly enlarged. There is a dexropositioning of the heart and mediastinal structures. The heart is moderately tortuous. Calcifications are noted in the arch. There is marked dilatation of the esophagus with air-fluid levels that are prominent along the right upper lateral margin of the mediastinum as well as a large gas bubble protruding into the base of the neck. Aside from a patchy associated right mid lung opacification suggesting minor atelectasis or scarring, the lungs appear otherwise clear. There is no definite pleural effusion or pneumothorax. Mild hyperinflation is present. The bones appear demineralized. There is minimal loss in vertebral body height along the mid thoracic spine.
fever.
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Right-sided picc line terminates in the mid svc. There is new fluid tracking along along the fissures. The cardiomediastinal silhouette and hilar contours are stable. No pleural effusion and no opacities to suggest infectious process.
<unk>-year-old female with neutropenic fever.
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Prominent interstitial lung markings particularly in the perihilar locations with bronchial cuffing are most likely due to pulmonary edema. An asymmetric airspace opacity at the periphery of the right upper low is more confluent, and is worrisome for aspiration versus infection. There are also small bilateral pleural effusions. There is no pneumothorax. The heart is mildly enlarged. The mediastinum is within normal limits.
<unk> year old woman postpartum day <num> with preeclampisa s/p magnesium currently increasing labetalol for bp control, c/o shortness of breath with exertion and laying supine // eval for pulmonary edema or effusions
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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.
history: <unk>f with recent infection with pain. evaluate for infectious process
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The patient is status post median sternotomy. The patient is rotated somewhat to the left. There is right mid and low to lower lung atelectasis. Patchy opacities in the left lower lobe could be due to atelectasis although aspiration or pneumonia is not excluded. Multiple old right-sided rib deformities are again seen. The aorta is tortuous. The cardiac silhouette is top-normal. No large pleural effusion or pneumothorax is seen. There may be a hiatal hernia. Surgical clips are seen projecting over the right axilla.
recent surgery, white blood cell count, rectal bleeding.
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Pa and lateral views of the chest show slightly smaller lung volumes than seen on the prior study from <unk>. Linear perihilar atelectasis noted in the right upper lobe with no consolidation seen suggesting pneumonia. Heart and mediastinal structures and bony structures show no significant interval change.
<unk>-year-old man with leukocytosis. question pneumonia.
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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 patchy left infrahilar opacity with peribronchial cuffing. Potentially, this may be at baseline but prior radiographs are not available for comparison. The possibility of lower airway infection or even early or mild bronchopneumonia should be considered. Slight scarring is present at each lung apex. The osseous structures are unremarkable.
elevated white count and hypoxia. question pneumonia.
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Pa and lateral images of the chest. The right picc terminates in the superior cavoatrial junction. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
cholangiocarcinoma and fevers.
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Lungs are well expanded bilaterally with no focal consolidation, masses, or pleural effusion. There is no evidence of pneumothorax. The cardiomediastinal silhouette is normal. The pleural surfaces are unremarkable.
chest tightness, shortness of breath.
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Heart size is mildly enlarged. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Severe upper lobe predominant emphysema is again noted along with lung hyperinflation. No focal consolidation, pleural effusion or pneumothorax is present. Remote right-sided rib fractures are again seen along with a chronic fracture of the right proximal humerus.
history: <unk>f with shortness of breath
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Pa and lateral views of the chest provided. Moderate cardiomegaly is chronic. Mediastinal contour is normal. There is mild interstitial edema with hilar congestion. No focal consolidation, effusion or pneumothorax.
<unk> year old man with hypoxia // fluid vs pna
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As compared to the prior study of earlier today, a right pleural catheter has been removed. Small right apical lateral pneumothorax has slightly decreased in size.
<unk> year old man with right ptx after rib fx // r/o ptx post ct removal
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Compared with prior radiographs on <unk>, bilateral lower lobe consolidations are no worse than prior and possibly represent recurrent chronic aspiration. There is right basilar atelectasis. There is no new focal consolidation. There is stable cardiomegaly, a small left pleural effusion and mild pulmonary edema. No pneumothorax.
<unk> year old man with copd and hx of pneumonias and know lung opacity. // assess interval change? any consolidation?
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There is no significant change since prior radiograph. The lungs are clear. There is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is normal. There are mild degenerative changes in the thoracic spine.
<unk>-year-old man with cough and fatigue, assess for pneumonia.
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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. Anterior osteophytes are noted within the mid thoracic spine.
fevers, weakness
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Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
<unk>m with chest pain.sob // ?pna, pulm edema
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Pa and lateral views of the chest provided. Lungs are clear. Pulmonary vasculature is normal. Mild cardiomegaly appears chronic. Icd leads are in appropriate position. Moderate-sized hiatal hernia is larger since prior study from <unk>, which may account for patient's persistent cough.
<unk> year old woman with persistent cough and congestion, evaluate for pneumonia
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Left port tip is in low svc. Interval increase in moderate-sized left pleural effusion. Right lung is clear without pleural effusion. No pneumothorax. Heart size is obscured by pleural parenchymal process with normal mediastinal contour and hila. No bony abnormality.
<unk>-year-old male with pleural effusion.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac, hilar and mediastinal silhouettes are unremarkable.
<unk> year old man with + ppd read // r/o active tb disease
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Pa and lateral chest radiographs demonstrate a left chest pacer defibrillator, its leads appear intact and in unchanged position relative to prior study. There is mild cardiomegaly without pulmonary edema. Lungs are hyperinflated without opacity convincing for pneumonia. Calcified pleural plaques are visualized as punctate calcific densities over the bilateral lungs. Surgical chain sutures seen in the right upper lung medially. Blunting of the right costophrenic angle is consistent with a small pleural effusion. There is no pneumothorax. No air under the right hemidiaphragm.
<unk>m with cough, dyspnea, cp // ? acute cardiopulm process
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Ap view of the chest provided. Again seen is left apical pneumothorax, unchanged since prior study. There is no right pneumothorax. There is mild left base atelectasis. Left-sided chest tube is in unchanged position.
<unk> year old man with left pneumothorax
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Frontal and lateral chest radiographs were obtained. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal and hilar contours are normal. No bony abnormality is detected.
<unk>-year-old woman with exacerbation of asthma by report, eval for intrathoracic abnormalities.
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There is mild bibasilar atelectasis. No definite infiltrate. No chf, focal consolidation, pleural effusion, or pneumothorax. Heart size is borderline. The mediastinal silhouette is within normal limits for age. Mild elevation of the right hemidiaphragm is present. Degenerative changes are noted at the right shoulder, not fully evaluated.
<unk>f with new hypoxia on <num>lnc. evaluate for acute process.
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A large right pleural effusion is noted, with persistent aeration of rul. This has significantly increased compared with prior exam. There is also a small pleural effusion with basilar atelectasis noted in the left. Moderate cardiomegaly is unchanged. There is no evidence of pneumothorax. Calcifications of the aortic knob as well as surgical clips adjacent to the trachea are noted and unchanged compared with prior exam.
<unk>-year-old male with history of recurrent pleural effusions in the past, now with increasing shortness of breath. evaluate for reaccumulation of effusion or acute cardiopulmonary process.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of focal consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. Osseous structures demonstrate no acute abnormality.
<unk>-year-old male with seizure.
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Left-sided aicd/pacemaker device is noted with leads terminating in the right atrium and right ventricle. The heart size is top normal. The mediastinal contour is unremarkable. Severe enlargement of the pulmonary arteries bilaterally is compatible with pulmonary arterial hypertension. Lungs are hyperinflated with mild emphysematous changes again seen. Chronic interstitial abnormality is most pronounced within the periphery of the right upper and mid lung fields, slightly progressed compared to the prior radiograph. No focal consolidation, pleural effusion or pneumothorax is identified. There is no pulmonary edema. No acute osseous abnormalities are seen.
mild hypotension.
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No previous images. The heart is normal in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia. Of incidental note is substantial dilatation of gas-filled loops of bowel. This could represent adynamic ileus, though in the appropriate clinical setting an obstruction would have to be considered.
acute hepatitis.
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Pa and lateral views of the chest provided. Left chest wall aicd unchanged with leads extending to the region the right atrium and right ventricle. Lungs are clear without focal consolidation, large effusion or pneumothorax. There is no convincing evidence of congestion or edema. Mild cardiomegaly is noted. Mediastinal contour is normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with weakness // pna?
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Frontal and lateral views of the chest are obtained. Linear opacities in the right lower lobe likely represent subsegmental atelectasis or scarring. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The hilar contours are stable. Mild cardiomegaly which is grossly unchanged from comparison study.
<unk>f with shortness of breath // 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 unremarkable.
history: <unk>f with chest pain // pna?
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The lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation.
history: <unk>f with shortness of breath // r/o infection
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There is no pneumothorax. Lungs are fully expanded and clear. Mediastinal and cardiac contours are normal. There is no pleural effusion. Visualized osseous structures are unremarkable.
<unk> -year-old woman with chest pain, evaluate for pneumothorax.
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Since chest radiographs obtained <num> days prior, no significant changes are appreciated. Moderate right pleural effusion with adjacent atelectasis and small left pleural effusion are unchanged. Lungs are otherwise clear without focal consolidation. Cardiomediastinal and hilar silhouettes are unchanged. Heart size is top-normal.
<unk> year old woman with pleural effusion // eval
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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.
history: <unk>m with cough, sob // r/o pna
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No pleural effusion is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are grossly stable. There is patchy medial right base opacity which most likely represents overlap of vascular structures with possible atelectasis. No definite focal consolidation is seen. Mild anterior wedging of a mid to lower thoracic vertebral body is stable. No overt pulmonary edema is seen. The lungs remain hyperinflated with flattening of the diaphragms.
history: <unk>m with c/o sob // ? pna or chf
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The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear.
hyperglycemia.
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Moderate to severe cardiomegaly is stable. Pacemaker lead tip is in the right ventricle. The lungs are clear. There is no pneumothorax or pleural effusion. \
<unk> year old woman with af, av block s/p single chamber pacemaker via l subclavian vein // lead position, pneumothorax
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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. Degenerative change noted along the thoracic spine.
history: <unk>m with weakness, difficulty ambulating // eval for pna, chf
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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is mildly enlarged.
history: <unk>f with cp and cough // eval cause for cp
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Right lung apical known lucent lesion is again noted. Prominent pulmonary vasculature with increased interstitial markings appears minimally improved compared to prior with persistent alveolar densities in bilateral lower lobes. No pleural effusion or pneumothorax is seen. Cardiomegaly persists. Aortic calcification is seen.
<unk>-year-old male with diabetes mellitus and hyperglycemia.
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Lung volumes remain low. There is mild cardiomegaly with left ventricular predominance. The mediastinal and hilar contours are unchanged, with mild calcification of the aortic knob. The pulmonary vascularity is not engorged. There has been slight interval improvement in aeration of the left lung base, with minimal residual streaky opacities in both lower lung bases likely reflecting atelectasis though aspiration or infection cannot be completely excluded. No pleural effusion or pneumothorax is identified. There are multilevel degenerative changes of the thoracic spine along with a mild to moderate dextroscoliosis. Humeral prosthesis on the right is noted.
shortness of breath.
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The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen. There is minimal patchy opacity in the lung bases. No acute osseous abnormalities detected.
history: <unk>m with chest pain
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There is mild cardiomegaly. . The lungs are clear. Previously seen nodular opacity in the right lower hemi thorax is not longer visualized, represented the nipple shadow. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old woman with sudden onset inspiratory chest pain // rule out pneumothorax or widended mediastinum
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Frontal and lateral radiographs of the chest demonstrate diffuse bilateral pulmonary nodules which are unchanged from <unk>. There has been interval increase in the size of the large left pleural effusion, now with some adjacent atelectasis in the left upper lung zone. There is no pleural effusion in the right lung. Again seen is a single-chamber pacemaker with tip terminating in the right ventricle, in the standard position. No pneumothorax. Right-ward shift of the mediastinum is unchanged.
<unk>-year-old female with pleural effusion. evaluate for interval change.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. Right hemidiaphragm is mildly elevated, of uncertain chronicity no pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with acute liver failure // evaluate for infection
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There is a granuloma projecting over the heart on the left. Otherwise the lungs are well expanded and clear. No pleural abnormality is seen. The mediastinum and hilar contours are normal. Heavily calcified thyroid nodule is again seen, unchanged from prior. Cardiomegaly appear stable.
<unk> year old woman with positive ppd/tst and hx cough // any sign of active or latent tb?
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Pa and lateral chest views were obtained with patient upright position. The heart size is normal. No configurational abnormality is identified. Thoracic aorta and mediastinal structures are unremarkable. The pulmonary vasculature is normal. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax in apical area. Skeletal structures of the thorax grossly within normal limits. Our records do not include a previous chest examination available for comparison.
<unk>-year-old male patient with positive ppd, evaluate for tuberculosis for health employment form.
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Ap upright and lateral views of the chest provided. Cardiomegaly is noted, mild with bilateral small pleural effusions noted. Suture material is noted in the right mid lung. There is mild hilar engorgement without frank pulmonary edema. Mediastinal contour stable. Bony structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with cva, htn, chf, afib, presenting with worsening <unk> edema and sob.
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Heart size is mildly enlarged with mild hilar congestion. Mediastinal contour is normal. Lung volumes are low with basilar atelectasis and bronchovascular crowding there is no pleural effusion or pneumothorax. There is no acute osseous abnormality.
<unk>-year-old male with chest pain.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with decompensated cirrhosis presenting with failure to thrive // any acute cardiopulm process?
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Heart size remains borderline enlarged. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Minimal streaky atelectasis is seen in the lung bases without focal consolidation. No pleural effusion or pneumothorax is present. Compression deformity of a vertebral body at the thoracolumbar junction appears unchanged. Multiple clips are again noted within the upper abdomen compatible prior cholecystectomy.
history: <unk>f with left flank pain and diffuse abdominal pain, sudden onset
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Lung volumes are low. Vascular crowding is seen in the right infrahilar region. The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. There is no pleural effusion or pneumothorax. No definite consolidation is identified.
<unk>m with fever, needs medical clearance for psych admission // 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 unremarkable.
history: <unk>m with hemoptysis, x <num> month. sore throat, fever. // pneumionia, malignancy
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Four views of the chest demonstrate no focal consolidation, pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema.
fever and cough.
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Pa and lateral chest radiograph demonstrate stable cardiomegaly. Mild central vascular engorgement is not significantly changed relative to prior study. There is interval resolution of previously present right lower lobe opacity as seen on chest radiograph dated <unk>. There is no pneumothorax or pleural effusion.
<unk>m with recurrent exertional syncope // ?cardiomegaly
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Lungs are clear but mildly hyperinflated.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>m with cough, fever. evaluate for pneumonia
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Pa and lateral views of the chest were obtained. Lung volumes are low. Heart is moderately enlarged. Cardiomediastinal contour is otherwise unremarkable. Lungs are clear. There is no pulmonary edema. No focal consolidation, pleural effusion or pneumothorax.
<unk>-year-old man with history of chf and weight gain.
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The lungs are well expanded and clear. No focal consolidation, effusion, or pneumothorax is present. Cardiac and mediastinal contours are normal. Rotator cuff surgery changes are noted in the left humeral head.
<unk>-year-old man with syncope, right lower lobe focal crackles, evaluate for pneumonia.
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There is mild cardiomegaly. Mediastinal contours stable. Calcification is noted at the aortic arch. Bibasilar opacities are noted, most likely representing atelectasis. No focal consolidation is seen. Lung volumes are low with crowding of the bronchovascular markings and probable mild pulmonary vascular congestion. There is no pneumothorax or large pleural effusion. Unchanged dextroscoliosis of the thoracic spine.
<unk>f with altered mental status, chest pain <num> days ago.
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Bibasilar atelectasis is noted. There is no lobar consolidation, pleural effusion, pneumothorax, or overt pulmonary edema. The cardiomediastinal silhouette is unchanged. A large hiatal hernia is again noted.
<unk>f with shortness of breath // eval for pneumonia, chf
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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.
<unk> year old woman with history of asthma, ms with sob, cough. // r/o pna
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and somewhat hypoinflated lungs. There is mildly increased opacity in the left lung base, without definite correlating consolidation on lateral view. This may be atelectasis, but pneumonia cannot be excluded. There is no pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for infiltrate in a patient with cough.
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Pa and lateral views of the chest provided. There is a moderate right pneumothorax with minimal leftward shift of the mediastinum suggesting a component of tension. Left lung is clear. Heart size is normal. Bony structures are intact.
<unk>m with report of ptx at pcp <unk> // ? ptx?
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Pa and lateral views of the chest. Left chest wall port is seen with catheter tip at the ra svc junction. There is a new moderate left-sided pleural effusion. Underlying atelectasis or consolidation cannot be excluded. Elsewhere the lungs are clear. Cardiac silhouette is unchanged. Compression deformity in the upper lumbar spine is unchanged. Anterior left <unk> and lateral right <unk> and <num>th rib fractures are again seen.
<unk>-year-old female with weakness and vomiting.
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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.
history: <unk>f with shortness of breath, weakness
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<num> views were obtained of the chest. Left upper lobe opacification with accompanying volume loss and resultant leftward shift of the mediastinum is noted and suggestive of lingular or segmental left upper lobe collapse. The right lung is comparable a well-aerated. There is no pleural effusion or pneumothorax. The heart size appears normal though obscured by this opacity.
shortness of breath and chest pain assess for pneumonia.
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There is a left retrocardiac opacification, not seen on the frontal view. This is likely pneumonia in appropriate clinical setting. The hila and pulmonary vasculature are normal. No pleural abnormalities or pneumothorax. The cardiac silhouette is enlarged but unchanged. The mediastinum is normal. No fractures.
<unk> year old man with cough // rule out pneumonia
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Lower lung volumes seen on the frontal exam with secondary bibasilar atelectasis. There is a persistent moderate left pleural effusion with which may have marginally increased since prior. Superiorly, the lungs are clear. There is no pneumothorax. Cardiomediastinal silhouette is grossly stable noting lower lung volumes.
<unk>m with cp s/o thorocentesis last month // r/o infectious process v pneumothorax
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The lungs are well inflated with interval improvement of right lower lobe opacity. No pleural effusion or pneumothorax. Stable mild cardiomegaly. Mediastinal contour and hila are unremarkable.
<unk> year old woman with aplastic anemia w/ cough, history of recent pneumonia. assess pneumonia.
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There is stable severe enlargement of the cardiac silhouette. Median sternotomy wires and mediastinal clips are in unchanged position. No focal consolidation, pleural effusion or pneumothorax. Mild pulmonary vascular congestion appears stable.
history: <unk>m with sob*** warning *** multiple patients with same last name! // ? pna
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Ap and lateral views of the chest. There is relative elevation of the right hemidiaphragm. Bibasilar opacities are noted, potentially due to atelectasis, although infection or aspiration is also possible. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old male with altered mental status for one day.
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The lungs are clear. The cardiac and mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
shortness of breath for the past two days. evaluate for chf.