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Linear right basilar opacities and hazy opacity at the right lung base correlate with chronic changes on prior ct scan. Elsewhere, the lungs are grossly clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified. Surgical clips project over the upper abdomen.
<unk>m with fevers // infiltrate?
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Single lead left-sided aicd is in place and unchanged. Mild lateral left base atelectasis/scarring is again seen. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are stable.
shortness of breath.
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There is a large right and moderate left pleural effusion, increased since <unk>. Superimposed pna cannot be excluded, but seems unlikely given lateral radiograph demonstrates no definite opacity. The cardiomediastinal shilhouette and hila are normal. No pneumothorax.
<unk>-year-old with coronary artery disease, lymphoma, please assess for pneumonia or effusion.
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The patient is status post median sternotomy with multiple intact appearing wires. The inspiratory lung volumes are appropriate. There is mild pulmonary vascular congestion and interstitial edema. Small bilateral pleural effusion, right greater than the left are similar to <unk>. Opacities at the right lung base are slightly increased from the prior study. The cardiomediastinal and hilar contours are unchanged with top-normal size of the cardiac silhouette and unfolding of the thoracic aorta. Mild calcification of the aortic knob is seen. No acute osseous abnormalities detected.
history: <unk>m with cough // r/o pna
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk> yo m with fever and night sweats. // pna? lymphadenopathy?
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The left upper lobe is collapsed, with hyperexpansion of the superior segment of the left lower lobe. Numerous pulmonary metastases have increased in size compared with prior radiographs, but <unk> metastases in the left lower lobe appear unchanged or slightly smaller.however, differences in lung volumes limit comparison in of the lower lobes. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. A large staghorn calculus is present in the right kidney.
<unk> year old woman with h/o uterine ca with lung mets. // assess for source of dyspnea
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A poorly defined opacity at the left lung base is new compared to prior studies. Appearance of the lungs is otherwise unchanged, and cardiomediastinal contours are also stable.
<unk> year old woman with psc cirrhosis, p/w fevers // r/o 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.
cough and fever
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The lungs are clear and hyperinflated.heart size is top normal. Hilar and mediastinal contours are normal.no pleural abnormality is seen.
+ ppd. no pulmonary or systemic symptoms.
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Right pectoral infusion port terminates in mid svc. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
history: <unk>f with hx of asthma now with cough sob // r/o infiltrate
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Lung volumes are normal. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart is mildly enlarged, as demonstrated on prior pet-ct from <unk>.
history: <unk>f with lt arm pain and swelling // evaluate of lul mass/inflitrate
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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.
eval for pneumonia
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There is a small area of consolidation in the left lower lobe concerning for pneumonia. Scoliosis of thoracic spine. Tortuous aorta. Top normal heart size without evidence of pulmonary edema or pleural effusions. No pneumothorax. Mediastinal borders and hilar structures are normal.
<unk> year old man with lymphoma s/p chemo and currently undergoing xrt. no with fever, sob, cough, concern for pneumonia // <unk> year old man with lymphoma s/p chemo and currently undergoing xrt. no with fever, sob, cough, concern for pneumonia
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Pa and lateral views of the chest. There is streaky right mid-lower lung opacities similar to prior suggestive of atelectasis. Elevation of the right hemidiaphragm is similar to prior. The cardiomediastinal silhouette is within normal limits. Posttraumatic changes in the region of the right coracoclavicular region are again noted.
<unk>-year-old male with shortness of breath.
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In comparison with the study of <unk>, the left basilar atelectasis has essentially cleared. There is no evidence of pneumonia, vascular congestion, or pleural effusion. Minimal streak of atelectasis is seen at the right base.
hiv, to assess for underlying infection.
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Streaky left lung base opacity likely represents atelectasis. There is no other focal consolidation, pleural effusion or pneumothorax. Heart size is mildly enlarged. No acute osseous abnormalities. Cervical fusion hardware is partially imaged. No subdiaphragmatic free air.
<unk>-year-old male with chest pain
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Heart is mildly enlarged. The cardiac, mediastinal and hilar contours appear stable. There is a small new pleural effusion on the left and probably a trace one on the right. A mild interstitial abnormality involves the lower lungs but more suggestive of vascular congestion than pneumonia.
recent cold, cough, and shortness of breath.
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Heterogeneous opacities in the left lower lobe are highly concerning for pneumonia. Left apical scarring/bronchiectasis was seen on prior ct from <unk>. The right lung is clear. The heart is mildly enlarged. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Multilevel degenerative changes of the thoracolumbar spine are noted. There is a right-sided pacemaker with associated right atrial and right ventricular leads.
fever. assess for pneumonia versus influenza.
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Left perihilar enlargement reflecting left hilar and mediastinal lymphadenopathy appears somewhat more prominent even allowing for differences in technique. There are a number of small-to-medium-sized pulmonary nodules, mostly projecting over the left upper lobe, as seen previously, probably increased. In addition, however, projecting over the right mid lung, there is a potential nodule of substantial size which has no clear correlate on the prior pet-ct. There is no pleural effusion or pneumothorax. The bones appear demineralized.
shortness of breath.
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Patient is status post median sternotomy and aortic valve replacement. Left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle. Severe cardiomegaly is similar compared to the prior study. The aorta remains tortuous and diffusely calcified. There is mild pulmonary vascular congestion with small bilateral pleural effusions, the latter of which appears increased from the prior study. Right upper lobe calcified granuloma is similar. Patchy opacities are seen in the lung bases. No pneumothorax is present. Diffuse demineralization of the osseous structures with multiple compression fractures at the thoracolumbar junction appears unchanged.
history: <unk>f with recurrent weakness, recent admission for pneumonia
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The lungs are well expanded and clear. Emphysema at the right apex is noted. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>f with productive coughing and reason flu admission // pna?
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Aside from left lower lobe atelectasis, the lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal. There is a wedge compression fracture of a lower thoracic vertebra with acute anterior angulation of the spine, likely traumatic in origin.
<unk>-year-old man with intermittent episodes of dizziness. evaluate for cardiomegaly.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with fever, // ? acute cardiopulm process, ? pneumonia
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S-shaped thoracolumbar scoliosis is again demonstrated. Heart size is normal. The mediastinal and hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is identified. Pulmonary vascularity is normal. No acute osseous abnormality is seen.
chest pain.
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The cardiac, mediastinal and hilar contours appear unchanged. There is a persistent diffuse mild interstitial abnormality. This appearance suggests mild vascular pulmonary edema but is less striking than on the prior radiographs. In addition a lingular opacity is seen in two views but better depicted on the frontal view. There is no definite pleural effusion or pneumothorax.
hypotension.
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There is subtle patchy right lower lobe opacity seen on the frontal and lateral views which could be due to pneumonia or possibly atelectasis. No pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with pmh of l ic stroke p/w intermittent chest pain and headache // ?acute cardio/pulmonary process?
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As compared to the previous radiograph, there is no relevant change. The right-sided picc line and the esophageal stent are in unchanged position. Appearance of the lung parenchyma is constant, with known apical scars, left more than right. Very subtle basal parenchymal changes documented on the ct examination from <unk> and likely reflecting the sequela of chronic aspiration are not clearly seen on the chest x-ray.
esophageal carcinoma, recurrent fever spikes, evaluation for pneumonia.
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Pa and lateral views of the chest were obtained. There is a large left pleural effusion with mild mediastinal shift to the right. There is mild prominence of the right hilum. There is no right pleural effusion. There is subtle nodularity in the right lung, with underlying nodules better assessed on ct. There is no pneumothorax. Right-sided chest port is present with tip terminating in the cavoatrial junction.
cough and shortness of breath with history of lung cancer.
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The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Consolidative opacity in the right lower lobe is concerning for pneumonia. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormalities seen.
cough, congestion.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
cough and fever.
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The lungs are clear. Cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax.
<unk>-year-old man with cough and rhonchi in the left lower lobe. assess for infiltrates.
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There is interval development of nodular opacities in the left upper lobe from <unk> concerning for developing infection. There is no significant pleural effusion or pneumothorax. The lungs appear slightly hyperinflated. There is no pulmonary vascular congestion or edema. The cardiomediastinal and hilar contours are within normal limits.
cough and chest congestion for the past four weeks.
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There is new minimal interstitial edema since prior exam and and stable mild-to-moderate cardiomegaly. These findings suggest the patient is in early heart failure. There is no pleural effusion or pneumothorax. There is a possible right lower lobe medial opacity which could represent an aspiration pneumonia versus atelectasis.
<unk>-year-old male with leg swelling and known chf.
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As seen on the recent ct there is volume loss and infiltrate in the left lower lobe. The left hemidiaphragm slightly elevated. The mediastinum continues to appear wide secondary to vasculature and patient body habitus. There compressive changes at the right base
<unk> year old woman <num> days status post lithotripsy, now with hypoxia. // pulm edema, pleural effusions
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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 right-sided chest pain // eval for infiltrate vs. other process
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Ap upright and lateral views of the chest provided. There is a layering small right pleural effusion. Mild hilar congestion noted. No convincing signs of pneumonia. No overt edema. No pneumothorax. Heart size is top-normal. Mediastinal contour is stable. Bony structures are intact.
<unk>f with nstemi // eval for pulmonary edema
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Pa and lateral views of the chest. No prior. Lungs are clear. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with hypotension, syncope.
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A dual-lead pacemaker/icd device appears unchanged. The cardiac, mediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. The lungs appear clear. A moderate anterior wedge compression deformity along the lower thoracic vertebral body appears stable. Mid thoracic interspaces are moderately narrowed with small-to-moderate anterior osteophytes, and several mid thoracic vertebral bodies show mild chronic-appearing loss in height.
nausea, abdominal pain, and diarrhea, with headache. extensive past medical history including cardiac disease and prior breast cancer and diabetes.
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Lung volumes are low leading to crowding of the bronchovascular structures. Bibasilar airspace opacities, right greater than left, likely reflecting patchy atelectasis. There is no pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>m with weakness, confusion // eval for infiltrate
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The heart size is mildly enlarged. The aorta is tortuous and demonstrates diffuse atherosclerotic calcifications. There is no pulmonary vascular congestion. Lungs are hyperinflated. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormalities are detected.
altered mental status.
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Tracheostomy tube is in stable position. There is no confluent consolidation or large effusion. There is pulmonary vascular congestion without overt edema. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with cough, ?pneumonia on osh ap // evaluate for pneumonia, please get ap and lateral
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The cardiomediastinal and hilar contours are within normal limits. Lungs are essentially clear. There is no focal consolidation, pleural effusion or pneumothorax. Visualized osseous structures are grossly intact.
<unk>-year-old man with past medical history of hiv, fever, abdominal pain, headache and right lower quadrant pain.
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There small bilateral pleural effusions, larger on the left than on the right and increased since prior. There is no focal consolidation or overt pulmonary edema. There is no pneumothorax. Lungs are hyperinflated. Cardiac silhouette is enlarged but stable. Atherosclerotic calcifications are seen at the arch. There is a new displaced fracture of the distal left clavicle with significant displacement, new since <unk>, potentially recent. Left lateral third fourth and potentially fifth rib fractures are new since <unk>, to be correlated clinically. Chronic right posterior rib fractures are noted. Right shoulder arthroplasty is seen.
<unk>f with cough // eval for pneumonia
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with increased seizure activity x<num> days.
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Patient is status post median sternotomy. Marked enlargement of the cardiac silhouette persists, grossly stable.no focal consolidation is seen. No pleural effusion or pneumothorax is seen. Mediastinal contours are stable. No pulmonary edema is seen.
history: <unk>m with hx avr/cabg, asthma, p/w cough/sob as well as upper back pain // please eval for pna, effusions, ptx, mediastinal widening.
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Patient had a superior segment sparing right lower lobectomy of a congenital bullous anomaly several days ago. The extent of consolidation and volume loss in the remaining lower right lower lung which increased between <unk> and <unk> has been constant since <unk>. There is probably a very small right pleural effusion. Tiny right apical pneumothorax is unchanged. Peribronchial infiltration in the left lower lobe persists following clearing of previous left lower lobe consolidation but should be monitored to detect any pneumonia.
history: <unk>f with ?rll pna on osh cxr pls repeat ap/lat to eval // history: <unk>f with ?rll pna on osh cxr pls repeat ap/lat to eval
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Pa and lateral views of the chest provided. Lung volumes are improved from prior. Lungs are clear without focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact.
<unk> year old man with <num> week history of abdominal burning. // pna or cardiac etiology for chest pain?
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Pa and lateral views of the chest. The lungs are clear. The cardiac silhouette is at upper limits of normal in size. Osseous structures are unremarkable.
<unk>-year-old female with <unk> presents with new chest discomfort.
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The patient is status post median sternotomy and cabg with unchanged fracture of the superior most wire. Heart size is normal. The aorta remains tortuous. Pulmonary vasculature is normal. Hilar and mediastinal contours are unchanged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. Vascular stent is re- demonstrated within the upper abdomen.
history: <unk>m with confusion
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Lungs are clear. There is no pneumothorax. The heart and mediastinum are within normal limits. Regional bones and soft tissues are unremarkable.
<unk> year old woman with cough and fevers; ?infiltrate
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There are mild atelectatic changes at the left costophrenic angle. The remainder of the lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old with right-sided rib pain. please assess for fracture.
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.
<unk>f with bradycardia // acute process?
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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. Prominent anterior spurs in the t-spine noted. No free air below the right hemidiaphragm is seen.
<unk>f with htn, dm, ckd presenting with chest pain
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Cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
chest pain.
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There is no focal consolidation, pleural effusion or pneumothorax. Lung volumes are slightly low compared to the prior studies. Cardiac silhouette is mildly enlarged but stable. Mediastinal contour is unremarkable. There are no acute skeletal abnormalities.
<unk>-year-old woman status post fall, lightheadedness, question acute process.
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Cardiac silhouette size remains mildly enlarged. The aortic knob is calcified. Enlargement of the main pulmonary artery and both hila are compatible with the provided history of pulmonary arterial hypertension. No pulmonary edema is noted. Patchy opacities are seen in the right lung base. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities seen.
history: <unk>f with pulmonary arterial hypertension, restrictive lung disease with cough // edema vs. effusion vs. infectious process
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Given mild rotation of the patient to the right, the cardiomediastinal silhouette is likely not significantly changed compared to <unk>. There is mild cardiomegaly, with unfolding of the thoracic aorta. Right hilus is non-evaluable. Left hilus is unremarkable. There is mild central pulmonary vascular congestion without frank interstitial edema. The lungs are otherwise clear without consolidation worrisome for pneumonia. Pleural surfaces are clear without effusion or pneumothorax. Severe degenerative changes are noted in the right glenohumeral joint.
chest tightness and hypoxia.
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As compared to the prior examination, there has been no relevant interval change. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. Mild cardiac enlargement is again noted, stable from the prior examination.
history: <unk>f with chf with cp/sob // eval edema
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There is no pleural effusion or focal airspace consolidation worrisome for pneumonia. Right apical scarring with fibrosis and bronchiectasis is unchanged. The heart is normal size. There is no pulmonary edema. Mediastinal and hilar contours are unremarkable. Right axillary clips are again noted.
history of heart failure presenting with confusion. evaluate for an infiltrate.
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The heart is moderately enlarged, and there is mild pulmonary vascular congestion and interstitial edema. No focal consolidation or pleural effusion is noted. No pneumothorax seen. The visualized bony structures are unchanged in appearance compared to the prior study, a compression deformity at the cervical lumbar junction is similar in degree.
<unk>-year-old female with shortness of breath and chest pain. evaluate for pneumonia.
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The heart is mildly enlarged with a left ventricular configuration. Indistinct prominent pulmonary vascularity suggests mild fluid overload. The lungs are hyperinflated. Small bilateral pleural effusions are suspected. In addition, referring medial right lower lobe, and perhaps with medial left lower lobe opacity as well, there is a fairly confluent opacity suggestiveof pneumonia in the appropriate clinical setting, although substantial atelectasis could be considered. Fissures appear thickened. Findings are new since the recent prior examination.
chest pain.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>f with fever, cough, dyspnea // eval for pna
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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. The lungs appear clear.
cva.
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As compared to the previous radiograph, the right pigtail catheter has been removed. The opacities at the lung bases are constant. There is no larger pleural effusion and no evidence of right pneumothorax. Unchanged appearance of the cardiac silhouette. Unchanged vertebral stabilization devices. No new lung parenchymal abnormality.
right biopsy, recent removal of the right pigtail. evaluation.
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The heart size is top normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is not engorged. Chain sutures are noted within the right upper lobe. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is definitively noted. No acute osseous abnormalities are seen.
chest pain and vision loss.
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Left-sided dual-chamber pacemaker device is noted with leads terminating in right atrium and right ventricle. The heart is moderate to severely enlarged with a left ventricular predominance. The aorta is diffusely tortuous and calcified. There is mild pulmonary edema and small bilateral pleural effusions. More focal patchy opacities in the lung bases could reflect atelectasis though infection or aspiration cannot be excluded. Left apical pulmonary parenchymal scarring appears similar compared to the prior exam. Compression deformities of multiple vertebral bodies at the thoracolumbar junction are noted, some of which appear to have been present on the ct of the lumbar spine from <unk>.
gradual worsening shortness of breath.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits.
<unk>-year-old female with dyspnea and chest discomfort.
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Pa and lateral views of the chest. Previously seen right upper lobe consolidation has resolved. There is no evidence of new consolidation. There is no effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected. Partially visualized ivc filter is identified.
<unk>-year-old male with fevers, chills, and productive cough.
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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. Cardiac and mediastinal contours are normal.
cough.
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There is interval removal of the left-sided chest tube. There is no evidence of a pneumothorax. Sternotomy wires and surgical clips overlying the heart shadow are again noted. Cardiomediastinal contours remain unchanged. There is blunting of the left costophrenic angle with a small amount of pleural effusion, an overlying consolidation cannot be excluded which in the proper clinical context could represent pneumonia. Lung fields are otherwise clear. Bony structures are intact.
<unk>-year-old gentleman status post left upper lobe wedge, rule out pneumothorax post-chest tube removal.
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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 hx htn, t<num>dm p/w sob, weakness after recent admission for gastroenteritis // evidence of worsening pulmonary edema?
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Ap upright and lateral views of the chest provided. Hyperinflated lungs. 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.
history: <unk>f with cough // eval infiltrate
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Minimal basilar atelectasis is seen without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen. It is difficult to evaluate the right glenohumeral joint ; correlate clinically for possible subluxation.
history: <unk>m with opioid use, evidence of chest/l clavicle abrasions, l ankle swelling // eval for trauma
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Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. No mass lesion is identified. Heart size is normal. Mediastinal silhouette and hilar contours are normal. The scapula is not well evaluated on this study.
winged scapula on the right.
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Frontal and lateral views of the chest. The lungs are clear without effusion or pneumothorax. The known pulmonary nodules are not clearly delineated on the current exam. Cardiomediastinal silhouette is within normal limits. There is no displaced rib fracture identified.
<unk>-year-old male with pain in the right flank after fall several days ago. tenderness to palpation.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>f with persistent cough // eval for pna
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with sob, chest tightness x <num> week // eval pna
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The lungs are hyperinflated and flattened diaphragms are seen, consistent with known copd. Bibasilar opacities are seen, consistent with atelectasis. The lungs are otherwise clear. The left costophrenic angle is not included on this exam, but no pleural effusion seen. There is no pneumothorax. Cardiomediastinal silhouette is unremarkable. Orthopedic spinal fusion hardware is noted in the cervicothoracic spine.
brain mass, copd, wheezing.
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The lungs are slightly hyperexpanded, with relative flattening of the bilateral hemidiaphragms. There is enlargement of the ascending thoracic aorta, seen best on the lateral view, compatible with known history of aortic aneurysm. The lungs are clear, with no pneumothorax, pulmonary edema, pleural effusion, or focal consolidation.
history: <unk>m with cp // evidence of infection or effusion
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Opacity at the left lateral cardiophrenic angle likely represents a prominent fat pad and in the area of lingular scarring seen on prior ct. There is no focal parenchymal consolidation concerning for pneumonia. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal.
history: <unk>m with cough. evaluate for pneumonia.
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Pa and lateral chest radiographs were obtained. The lungs are clear. No effusion, pneumothorax or consolidation is present. Heart and mediastinal contours are normal.
<unk>-year-old woman with right hand numbness, evaluate for acute process.
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Chest pa and lateral radiograph demonstrates unremarkable mediastinal and hilar contours. Moderate cardiomegaly evident with crescentic density projecting in the expected location of the mitral valve, likely representing enlarged significantly calcified mitral valve. Lungs are clear. No pleural effusion or pneumothorax evident. No narrowing of the trachea identified.
worsening hoarseness, concerning for malignancy. please include neck and evaluate for narrowing of the trachea.
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Pa and lateral views of the chest provided. Cardiomegaly is mild and unchanged. Hilar congestion is increased with interstitial pulmonary edema which is increased from prior. No large pleural effusion is seen. No pneumothorax. No definite signs of a superimposed pneumonia. Aortic calcification again noted. Bony structures are intact.
<unk>f with chest pain
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The lungs are slightly hypoinflated, and no focal consolidation is seen to suggest pneumonia. No pleural effusion pneumothorax is seen. The cardiac silhouette is normal in size. Postsurgical changes are noted in the right humerus.
<unk>-year-old female with fall. evaluate for fracture.
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Pa and lateral views of the chest. The lungs well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is enlarged. Median sternotomy wires and mediastinal clips are noted.
dizziness, weakness, syncope.
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Cardiac silhouette size is borderline enlarged. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>m with chest discomfort
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Right lower lobe opacification has resolved. The lungs are clear. No pleural effusion or pneumothorax. Normal heart, mediastinum and hila. The persistent hyperinflation of the lungs suggests emphysema.
recent right lower lobe pneumonia, check for resolution.
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Lung volumes are low. The heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is not engorged. Patchy opacities in the lung bases could reflect atelectasis but infection or aspiration cannot be completely excluded. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
cough, hemoptysis.
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old woman with c/o coughing, nasal/chest congestion // chest congestion
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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 chest pain, palps // eval for acute process
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The right pleural effusion and atelectasis noted on the prior study are much improved on today's study. The heart size is borderline enlarged. The mediastinal and hilar silhouettes appear normal. There is no pleural effusion on the left. The lungs are clear.
<unk>-year-old with history of pneumonia three weeks ago, now presenting with right lower back pain and decreased breath sounds at the right base.
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Heart size is decreased, compared to <unk>. 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.
<unk>f with chest pain. evaluate for pneumonia
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Hazy bibasilar opacities right greater than left are suggestive of small effusions. Indistinct pulmonary vascular markings are seen throughout. Cardiac silhouette is enlarged but not significantly changed. Prosthetic aortic valve is noted. No acute osseous abnormalities.
<unk>f with chest pain // acute process?
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal and the lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. No displaced rib fracture is visualized.
history: <unk>f with left rib pain
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There is a <num> cm rounded opacity projecting over the left anterior second rib. The lungs are otherwise clear. The cardiomediastinal silhouette and hilar contours are within normal limits. There is no pleural effusion or pneumothorax.
<unk>-year-old male with diabetes, left lower extremity swelling, dyspnea, evaluate for pneumonia.
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Frontal and lateral views of the chest. Relatively low inspiratory effort seen on the current exam with secondary crowding of the bronchovascular markings. Linear right basilar opacity is seen most likely due to atelectasis. Superiorly the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.
<unk>-year-old male pancreatic cancer and <num> days of fever.
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Ap upright and lateral chest radiographs were obtained. The lung volumes are low. Substantial right upper and right lower lobe consolidation is present as well as asymmetrically distributed diffuse interstitial abnormality, more pronounced on the right. Heart is normal in size. Right mediastinal and hilar contours are difficult to assess due to adjacent consolidation. Tracheoesophageal stripe is thickened on the lateral radiograph. Small right pleural effusion is also noted.
confusion.
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Lung volumes are low. Heart size is normal. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Apart from mild atelectasis at the lung bases, the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormalities detected.
history: <unk>m with end-stage renal disease presenting with chest pain and shortness of breath // ?thoracic process
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Cardiac silhouette size remains mildly enlarged, unchanged. Mediastinal contours are similar with atherosclerotic calcifications noted at the aortic arch. Pulmonary vasculature is normal. Calcified pleural plaques within the left hemi thorax are re- demonstrated as are multiple left axillary clips. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Multilevel degenerative changes are seen in the thoracic spine.
history: <unk>f with dyspnea on exertion
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Bb markers overly the lower chest, at/just below the level of the diaphragm. The nodular opacity is not as well seen on the current study and may have represented anterior rib on-end, nipple shadow not excluded, however, suggest dedicated outpatient chest ct for further assessment to exclude underlying pulmonary lesion. Aside from this, no focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with chest pain after fall, please obtain study with nipple markers // chest pain after fall, please obtain study with nipple markers