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Frontal and lateral views of the chest. Lungs are clear of consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. Descending thoracic aorta is tortuous. No acute osseous abnormalities identified.
<unk>-year-old female with <num> weeks of chest congestion.
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In comparison to prior study there is little overall change. Redemonstrated is heterogeneous with right basilar airspace opacities likely related to a combination of consolidation, atelectasis, and effusion. Left lung is clear. Cardiomediastinal silhouette is stable. Dual chamber pacemaker leads are unchanged in position.
<unk> year old woman with smoking history, rml scc s/p right thoracotomy with metastatic disease with new cardiomyopathy treated for possible aspiration pneumonia. // possible consolidation
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The lower thoracic spinal fusion hardware is unchanged. The heart size is at the upper limits of normal. Mediastinal contours are within normal limits. Increasing opacity at the right cardiophrenic angle is seen and may correlate to either a dual density projecting over the anterior heart or the spine on lateral view. Additionally a focus of plate atelectasis is seen in the right mid lung. Mild new pulmonary vascular prominence suggests mild congestion. There is no large pleural effusion or pneumothorax.
<unk>-year-old female with altered mental status.
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Ap upright and lateral views of the chest provided. Left chest wall pacer device is again seen with leads extending to the region the right atrium and right ventricle. An aortic core valve is again seen. The heart size appears grossly stable though partially obscured. Low lung volumes limits assessment. There are bilateral pleural effusions, left greater than right, similar to prior. Hilar congestion is noted. Mild interstitial edema is difficult to exclude. Aortic calcifications noted. No pneumothorax. Bony structures are intact though degenerative changes at the shoulders noted with calcific densities projecting over the right scapular neck.
<unk>f with shortness of breath // eval for acute process
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Pa and lateral chest radiographs were obtained. A left-sided picc line terminates in the mid svc. The lungs are well expanded and clear. There is no focal consolidation, effusion or pneumothorax. Cholecystectomy clips are visualized in the right upper quadrant.
neutropenic fever.
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Pa and lateral views of the chest. No prior. The lungs are clear. The cardiomediastinal silhouette and hilar contours are normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with tachycardia and rash.
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A single lead pacemaker device appears unchanged with its lead terminating in the right ventricle. The cardiac, mediastinal and hilar contours appear stable including cardiomegaly. Lung volumes are low. There is no pleural effusion or pneumothorax. The lungs appear clear.
coronary disease and chest pain.
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Frontal and lateral radiographs of the chest demonstrate tracheobronchial calcifications with increased interstitial markings which appear to be chronic. No acute consolidation is identified. The cardiac contour is unchanged since the prior radiograph. A tortuous aorta is noted. No pleural effusion or pneumothorax is appreciated.
cough since <unk>. evaluate for pneumonia.
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In comparison with the study of <unk>, the swan-ganz catheter has been removed. Continued low lung volumes. The left hemidiaphragm is more sharply seen, consistent with some re-expansion of the left lower lobe. There is a small-to-moderate effusion with some residual atelectasis. The right lung is essentially clear. No vascular congestion.
postoperative, to assess for effusion.
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Pa and lateral views of the chest provided. The heart appears top-normal in size with subtle prominence of the left atrial appendage for which clinical correlation is advised. No signs of congestion or edema. No large effusion or pneumothorax. Mediastinal contour appears normal. Bony structures are intact.
<unk>f with cough, dyspnea, cp // eval pna
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There is consolidation at the left lung base, within the lower lobe. Elsewhere, the lungs are clear. There is mild to moderate cardiomegaly. Probable moderate hiatal hernia is noted. No acute osseous abnormalities identified. Chronic posttraumatic changes seen at the proximal left humerus and degenerative changes at the right shoulder.
<unk>f with hypoxia // evaluate for pneumonia
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A nasogastric tube terminates in the gastric antrum. The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is mild volume loss at the left lung base with elevation of the left hemidiaphragm and streaky lingular opacity associated with volume loss. Elsewhere, however, the lungs appear clear. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.
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 s/p mvc // ptx? fx?
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Frontal and lateral views of the chest. The lungs are hyperinflated but clear of consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Hypertrophic changes are seen in the spine. Deformity of the proximal right humerus suggest prior trauma.
<unk>-year-old female with generalized weakness.
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The heart is of normal size with normal cardiomediastinal contours. The lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. A right picc terminates in the lower svc. No new radiopaque foreign body. Osseous structures are unremarkable.
lower extremity edema. status post surgery.
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Increased interstitial markings are noted in the lungs. There is no consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Coronary artery stents are noted. No acute osseous abnormalities. No free intraperitoneal air. Surgical material projects over the upper abdomen on the frontal view.
<unk>f with abdominal pain, sore throat, chest pain, diffuse weakness, and pain radiating down r arm.
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Lung volumes are low and exaggerate heart size, which is likely mildly enlarged. There is no focal consolidation or pneumothorax. Trace bilateral pleural effusions. There is mild central vascular congestion without overt pulmonary edema. Mediastinal and hilar contours are stable.
history: <unk>m with cough, retching, rigors x <unk> weeks // ?pna, colitis, diverticulitis, intra-abdominal abscess
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Pa and lateral views of the chest demonstrate the lungs are well expanded with minimal interstitial prominence, which may be artifactual. Otherwise, the lungs are clear with no pulmonary edema, pleural effusion, pneumothorax or focal consolidation. The cardiomediastinal silhouette is unremarkable.
<unk>-year-old male with chest discomfort. evaluation for cardiopulmonary process.
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Compared to prior, there has been worsening bibasilar opacities. Small pleural effusions are again seen, worse on the left. Cardiomediastinal silhouette is unchanged. There is no pneumothorax.
<unk>-year-old man with recent pneumonia with worsening confusion and weakness, evaluate for pneumonia
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The patient is status post median sternotomy and cabg. Moderate to severe enlargement of the cardiac silhouette persists. Previously demonstrated diffuse alveolar opacities have substantially improved in the interval. Linear and increased interstitial opacities within the left perihilar region as well as the right lung base may reflect atelectasis or scarring. No focal consolidation, pleural effusion or pneumothorax is present. Pulmonary vasculature is not engorged. There are extensive degenerative changes of the left glenohumeral joint with milder changes noted in the right glenohumeral joint. Moderate multilevel degenerative changes are also seen within the imaged thoracic spine.
history: <unk>m with weakness and failure to thrive // eval for pneumonia
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Ap and lateral chest radiographs were reviewed. Again seen is mild cardiomegaly with mitral annular calcifications. The mediastinal and hilar contours are stable. Low lung volumes result in bronchovascular crowding. Chronic parenchymal changes are seen. Bibasilar opacities may reflect atelectasis. There is very mild congestion. Degenerative changes are seen in the spine.
shortness of breath.
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Pa and lateral chest radiographs were provided. The lungs are hyperinflated. There is no focal consolidation, pleural effusion or pneumothorax. Mild biapical pleural thickening is noted. Small, subcentimeter calcified nodule in the right upper to mid lung is most consistent with a calcified granuloma. The cardiomediastinal silhouette is normal. No displaced fracture is seen.
chest pain for <num> week. rule out infection.
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The heart size is normal. The aorta is mildly tortuous. The pulmonary vascularity is not engorged. Hilar contours are normal. The lungs are grossly clear. No pleural effusion or pneumothorax is seen. There are mild degenerative changes in the thoracic spine and left glenohumeral joint. No acute osseous abnormalities present. Surgical clips are noted in the right upper quadrant the abdomen compatible prior cholecystectomy.
chest pain.
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There is some volume loss at the right base with a small amount of increased opacity in the lower lobes seen on the lateral film. This could represent early infiltrate. Followup is recommended.
febrile neutropenia and cough.
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There has been interval radiographic resolution of a large right midlung zone opacity. There is a small amount of residual fluid at the posterior aspect of the horizontal fissure, with mild adjacent atelectasis. There is no focal consolidation, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
evaluate for occult pneumonia, signs of immune reconstitutio
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Low lung volumes are present. The cardiac, mediastinal and hilar contours are unremarkable. Atelectatic changes are noted in the lung bases. There is mild elevation of right hemidiaphragm which appears unchanged. No focal consolidation, pleural effusion or pneumothorax is seen. There is no evidence of pulmonary vascular congestion. Diffuse osseous sclerotic metastases are unchanged.
unequal pupils and leftward tongue deviation, history of prostate cancer.
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The aorta is slightly tortuous. The cardiac silhouette is not enlarged. Several old right-sided rib fractures are again seen. Again, there appears to be resorption of the distal right clavicle, not optimally evaluated on this study.
hoarse voice and wheeze greater than <num> week.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. The lungs are hyperinflated, with worsening of diaphragmatic flattening bordering on inversion. Heart and mediastinal contours are within normal limits.
<unk>-year-old female with acute dyspnea.
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There are low lung volumes and bibasilar atelectasis. No definite focal consolidation is seen. Cardiac silhouette is top-normal. The aorta is calcified and tortuous. Surgical clips are noted overlying the right axilla. Single lead left-sided pacer is seen with lead terminating in the expected location of the right ventricle.
history: <unk>f with sob and fever // eval pneumonia
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Cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. Mild pulmonary edema is present. There is a small to moderate size left pleural effusion. Patchy opacity within the left lung base is concerning for pneumonia in the correct clinical setting. No pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>f with chest pain and productive cough // eval pneumonia
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Pa and lateral views of the chest. The lungs are clear of consolidation or effusion. There has been decrease in the central pulmonary vascular engorgement compared to prior. Moderate cardiomegaly is again noted. Osseous and soft tissue structures are unremarkable.
<unk>-year-old with horner syndrome. question apical tumor.
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The cardiomediastinal and hilar contours are unchanged with the heart size appearing normal. The aorta remains tortuous. Again seen are calcified bilateral pleural plaques, unchanged, compatible with prior asbestos exposure. Lung volumes are somewhat decreased when compared to prior examinations. There is redemonstration of calcified apical granuloma in the right lung apex. No new focal consolidation, large pleural effusion or pneumothorax is identified.
shortness of breath.
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Diffusely airways disease is similar to the prior examination, previously characterized as a combination of bronchiectasis and probable chronic mycobacterium avium infection. There is no evidence of new, superimposed focal consolidation, pneumothorax, or frank pulmonary edema. A spiculated mass abutting the lateral wall of the right lower lobe contains a fiducial marker, and is grossly unchanged from prior examination. Blunting of the bilateral costophrenic angles is unchanged and may represent pleural scarring versus trace pleural effusions. The cardiomediastinal silhouette is unchanged from prior examination. Surgical clips overlie the right upper quadrant of the abdomen.
<unk> year old woman with dementia and white count of <num>. // rule out pneumonia
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Frontal and lateral views of the chest. There are small bilateral pleural effusions, decreased in size on the left when compared to prior. Streaky retrocardiac opacities are less conspicuous and may be due to minimal atelectasis. Elsewhere, the lungs are clear. Degree of cardiomegaly is unchanged. Tortuous thoracic aorta is again noted. No acute osseous abnormality is identified.
<unk>-year-old female with dyspnea.
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In comparison with study of <unk>, there has been an increase in the opacification just above the minor fissure and posteriorly, consistent with worsening right upper lobe pneumonia. Otherwise, little change.
pneumonia.
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Chest, pa and lateral. Lung volumes are low. The hilar and cardiomediastinal contours are within normal limits. No chf, focal infiltrate, effusion or pneumothorax is detected.
chest pain, dyspnea.
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The lungs are clear without focal consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. There is an anterior wedge deformity of likely the l<num> vertebral body which was present on prior. No acute osseous abnormality is identified.
<unk>-year-old male with incarcerated inguinal hernia, pre-op chest x-ray.
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There is a moderate-sized hiatus hernia. The cardiomediastinal silhouettes are stable. The bilateral hila are within normal limits. Lungs are clear without focal consolidation. The opacity projecting over the heart on prior lateral radiograph from <unk> is no longer identified. There is no pulmonary vascular congestion. There is no pleural effusion or pneumothorax. Degenerative changes are noted at the shoulder and hypertrophic changes seen in the spine.
<unk>-year-old woman with unclear findings on recent x-ray, evaluate for pneumonia.
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The heart is mildly enlarged with a left ventricular configuration. The aortic arch shows patchy calcification. There is no pleural effusion or pneumothorax. There is a small eventration of the right hemidiaphragm anteriorly. Streaky opacities in the right middle lobe are more suggestive of atelectasis or scarring than pneumonia or sequela of injury. Background interstitial abnormality is suggestive of a slight fluid overload. Thin anterior flowing osteophytes are noted along the mid thoracic spine.
status post fall with pain in the head.
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Ap upright and lateral views of the chest provided.overlying ekg leads are present. The lungs are clear bilaterally without focal consolidation, large effusion or pneumothorax. No signs of congestion or edema. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with l sided weakness after vomiting
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Frontal and lateral radiographs of the chest compared to the prior study again demonstrate right basilar and lingular opacity which are chronic and are better seen on the prior ct. The bronchiectasis in the right middle lobe is less prominent compared to the prior ct. The remainder of the lungs are clear. The cardiac and mediastinal contours are normal. No pleural effusion or pneumothorax is seen.
night sweats, fever and cough with a history of abnormal chest x-ray. evaluate for pneumonia or tuberculosis.
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Lung volumes are relatively low. Right chest wall port is seen with catheter tip at the ra/svc junction. The lungs are clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with breast cancer, c/o sob // eval for pna, pulmonary edema
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Left upper lobe opacity suggests pneumonia in the given clinical history. Retrocardiac opacity is most likely atelectasis from lack of full inspiration. No pulmonary edema, pleural effusion or pneumothorax. The heart size, hila, and pleura are normal.
<unk>-year-old man presenting with cough and fever.
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Right lower lateral chest is excluded from the examination. Other pleural surfaces are normal. The lungs are moderately well inflated and clear of acute abnormality. The constellation of bronchiectasis and infectious nodules in the right middle and lower lobes seen on chest cta most recently <unk> is no worse, but has not been reevaluated here by subsequent chest ct. No pleural effusion. No pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Visualized osseous structures are notable for mild degenerative changes of the mid thoracic spine with anterior osteophytes.
<unk>m with hx cf, anxiety, medication noncompliance who presents after accidental overdose of medications, including benadryl and trazodone. assess for cardiogenic sequelae.
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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. No subdiaphragmatic free air is detected.
abdominal pain. evaluate for free air.
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The lungs are clear without consolidation, effusion, or edema. Moderate cardiomegaly is again as well as a prosthetic aortic valve and metallic device with lead projecting over the left chest. Median sternotomy wires are intact. Resorption of the distal right clavicle is chronic.
<unk>m with hemoptysis // hx endocarditis and valve replacements with hemoptysis
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The lungs are clear. No effusion or pneumothorax is present. A <num>-cm density adjacent to the right anterior first rib is most likely costochondral calcification but the presence of a pulmonary nodule in this region cannot be excluded. Heart and mediastinal contours are normal.
<unk>-year-old male with cough. evaluate for pneumonia.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with chest pain and back pain. question widened pneumomediastinum, pneumothorax, or pneumonia.
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Frontal and lateral views of the chest. Left chest wall pacing device again seen with leads in stable position. The lungs are clear of focal consolidation or effusion. Mild to moderate cardiomegaly is unchanged. No acute osseous abnormalities detected.
<unk>-year-old male with history of dilated cardiomyopathy presents with palpitations and bring syncope.
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The heart is enlarged, not significantly changed from prior examination. There is tortuosity of the descending aorta. There is no evidence of focal consolidation, pleural effusion or pneumothorax. There is no overt pulmonary edema. Degenerative changes are noted in the thoracic spine and there is bilateral ac joint arthropathy.
upper abdominal pain. rule out acute cardiopulmonary problems.
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Pa and lateral views of the chest. No prior. The lungs are clear of focal consolidation. Left apical calcified scarring is seen as well as a calcified ap window node suggestive of previous granulomatous disease. There is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with fevers and history of splenectomy. rule out pneumonia.
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Frontal and lateral chest radiograph demonstrates well expanded and clear lungs. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. There is a right upper lobe <num> mm nodule seen on prior chest ct. No focal consolidation identified. Limited assessment of the osseous structures are notable for degenerative changes of the thoracolumbar spine. Visualized upper abdomen is unremarkable.
<unk>f on chemotx for metastatic melanoma, on prednisone for colitis, s/p fever x<unk> yesterday and overall worsening clinical status, w/u for infection. assess for pneumonia.
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The patient is rotated to the right and there are low lung volumes. No large pleural effusion is seen although trace pleural effusion be difficult to exclude. There is no pneumothorax. There may be mild vascular congestion. No definite lobar consolidation is identified. Multi-level degenerative changes are seen along the spine. The cardiac silhouette is enlarged.
history: <unk>f with weakness // pneumonia?
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Frontal and lateral views of the chest. Linear bibasilar opacities may be due to atelectasis versus scarring. Thelungs are clear of confluent consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with chest pain.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac size is top normal. Extensive calcifications of the tortuous but not dilated ascending and descending aorta as well as the aortic knob.
<unk> year old man with s/p right radical nephrectomy // please evaluate for any abnormalities
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Ap and lateral views of the chest are compared to previous exam from <unk>. Linear opacities at the lung bases are suggestive of subsegmental atelectasis, especially given low lung volumes. Elsewhere, lungs are grossly clear without confluent consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Osseous structures again notable for degenerative changes at the shoulder joints including evidence of prior surgery at the proximal left humerus. Large air-fluid level identified within the stomach.
<unk>-year-old male with fever and slow speech and weakness. rule out pneumonia.
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The cardiac, mediastinal and hilar contours appear unchanged. There has been an increase in posterior left lower lobe and right middle lobe opacification. There is no definite pleural effusion or pneumothorax. The chest is hyperinflated with irregular bronchovascular markings in the upper lungs.
shortness of breath. question pneumonia.
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Streaky left base retrocardiac opacity could be due to atelectasis or pneumonia. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No evidence of free air is seen beneath the diaphragms.
history: <unk>f with abd pain, n/v, hypotension likely <unk> dehydration, on protonix // eval ? infiltrate, intraabd free air
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Frontal and lateral views of the chest demonstrate focal opacities in the right lower and left upper lobes, with a possible opacity in the left lower lobe. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Pleural surfaces are unremarkable.
postoperative fever, assess for pneumonia.
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Pa and lateral images of the chest show a new <num>cm wide cavity lesion in the apex of the right upper lobe, bronchogenic carcinoma or tuberculosis . The lungs are otherwise clear. There are no pleural effusion. The longstanding saber-sheath deformity of the trachea and hyperinflation reflect copd. The mediastinum is normal. Heart size is top normal.
history of immune suppression due to renal transplant. cough for three weeks.
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Small to moderate left pleural effusion is a persistent finding as well as bilateral pulmonary nodules/masses and foci of post operative scarring related to prior wedge resections in this patient with history of pulmonary metastasis from renal cell carcinoma. Similarly, right hilar lymph node enlargement has been more fully evaluated on the recent ct.
<unk> year old man with pleural effusion // eval
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Frontal and lateral views of the chest were performed. No pleural effusion, pneumothorax or focal airspace consolidation. Heart size is normal. Mediastinal and hilar structures are unremarkable. A laparoscopic gastric band is partially imaged.
abdominal pain.
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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. A <num> mm nodule projecting over the medial left clavicle is noted. The visualized upper abdomen is unremarkable.
chest and epigastric pain.
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Chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar, and cardiac contours. The lungs are clear. No pleural effusion or pneumothorax evident.
fever, abdominal pain; please rule out for pneumonia.
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Left-sided pacemaker device with leads terminating in the right atrium and right ventricle is again noted. There is mild cardiomegaly. The aorta remains tortuous with mild atherosclerotic calcifications. Enlargement of the hila bilaterally is compatible with known pulmonary arterial hypertension. No pulmonary edema is identified. Linear opacities in both lung bases are compatible with subsegmental atelectasis. No pleural effusion or pneumothorax is identified. Diffuse demineralization of the osseous structures with multilevel degenerative changes are present in the thoracic spine.
presyncope symptoms with pacing device.
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Ap supine and lateral views of the chest provided. Cardiomegaly is mild and unchanged. There is hilar congestion and mild interstitial edema. No supine evidence for effusion or pneumothorax. Mediastinal contour is unchanged. Bony structures are intact.
history: <unk>m with sob // sob
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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>m with fevers
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. The cardiac and mediastinal silhouettes are unremarkable. Pulmonary vasculature is not engorged. Multilevel degenerative changes of the thoracic spine noted.
<unk> -year-old female with cough. evaluate for pneumonia.
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The lungs are well expanded and clear. Mediastinal contour, hila, cardiac silhouette are normal. The aorta is tortuous. There is no pneumothorax or pleural. Right humeral internal fixation hardware is partially visualized. Surgical clips in the right upper quadrant are consistent with prior cholecystectomy.
<unk>f with cough // evaluate for pneumonia
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Pa and lateral views of the chest. No prior. Linear left greater than right basilar opacities on the frontal view are most compatible with atelectasis. Elsewhere, the lungs are clear. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are notable for mild hypertrophic changes in the spine.
<unk>-year-old female with left leg weakness and hypertension.
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The cardiomediastinal silhouettes are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion. There is no evidence of a displaced rib fracture.
<unk>f with fall.syncope, pls eval for rib fracture.
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The heart is moderately enlarged. The main pulmonary artery contour is markedly enlarged, which raises concern for underlying pulmonary hypertension. Vascular calcifications are noted along the aortic arch. Aside from a similar streaky atelectasis at the left lung base, the lungs appear clear. There is no evidence for congestive heart failure. There are no pleural effusions or pneumothorax. Mild spinal degenerative changes are similar.
dyspnea on exertion. history of congestive heart failure.
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Frontal and lateral views of the chest were performed. The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar and pleural structures are normal. The imaged upper abdomen is unremarkable.
chest pain, rule out pneumonia.
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.
<unk>-year-old male with productive cough. evaluate for pneumonia.
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Frontal and lateral radiographs of the chest again show a right chest wall port with the catheter terminating in the superior to mid portion of the svc. Compared to the prior radiograph, there is slight improvement in the atelectasis at the right base with no new areas of focal opacity concerning for infection. The cardiac and mediastinal contours are normal. No pleural effusion or pneumothorax is seen.
bacteremia and fever on antibiotics. evaluate for pneumonia.
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Previously seen right-sided central venous catheter is no longer visualized. There is subtle nodular opacity projecting over the right posterior third rib not clearly seen on the previous exam. The lungs are otherwise clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with <num> day of chest pain, no sob, no cough, no fever // eval for consolidation
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There is a single-lead pacemaker device terminating in the right ventricle. The heart is mild to moderately enlarged with a left ventricular configuration, as before. The cardiac, mediastinal contours appear stable. The lung volumes are low. Patchy opacities at the lung bases are most consistent with minor atelectasis. There is a mildly prominent appearance of upper zone redistribution of pulmonary vasculature with instinct contours and peribronchial cuffing suggesting mild vascular congestion including <unk> b lines at the lung bases. There is no definite pleural effusion or pneumothorax. Surgical clips project over the left upper quadrant.
shortness of breath.
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Patient is status post median sternotomy and cabg. Left-sided dual-chamber pacemaker device is noted with leads terminating in unchanged positions. Heart size remains mildly enlarged. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Minimal streaky opacities at the lung bases likely reflect areas of atelectasis and or scarring. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>m with shortness of breath, fever
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Moderate cardiomegaly is re- demonstrated. The mediastinal contour is unremarkable. There is mild interstitial pulmonary edema, new compared to the previous exam. Hilar contours are unremarkable. Linear opacity within the right mid lung field is compatible with subsegmental atelectasis. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Multiple remote anterior rib fractures are seen bilaterally.
chest pain, dyspnea.
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In comparison with study of <unk>, there is again enlargement of the cardiac silhouette without appreciable pulmonary vascular congestion or acute pneumonia or pleural effusion. Some streaks of atelectasis are seen at the left base. Of incidental note is a spinal fusion.
hiv, chf and cirrhosis with fluid weight gain.
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Frontal and lateral views of the chest were compared to previous exam from <unk>. There has been no significant interval change. Again seen is cephalization of the pulmonary vasculature. Bibasilar opacities are again seen, potentially due to atelectasis or edema, however, infiltrate is not excluded. There is slight blunting of the posterior costophrenic angles, raising possibility of trace effusions. Cardiac silhouette is enlarged but stable. Osseous structures are unchanged.
<unk>-year-old female with fatigue, question pneumonia.
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Pa and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected noting probable exostosis at the proximal right humerus, unchanged.
<unk>-year-old female with confusion.
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Lines and tubes: partially visualized is a left-sided percutaneous nephrostomy catheter projecting over the left flank. Lungs: low lung volumes with new bibasilar linear opacities, likely linear atelectasis. No lobar consolidation present. Pleura: no large pleural effusion or pneumothorax. Mediastinum: the patient is rotated giving rise to apparent cardiomegaly. Bony thorax: unremarkable
<unk> year old female s/p perc nephrouterral stents and tubes with new leukocytosis of <num> // eval for pna of e/o aspiration
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
<unk> year old man with cough, bibasilar crackles. // ? pneumonia
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In the right upper lung zone, there is an ill-defined dense opacity which correlates to the nodular opacity seen on the prior ct. In comparison to the prior chest radiograph from <unk>, it appears slightly less apparent, but that may be due to patient positioning. Compared to the prior chest radiograph from <unk>, it is not changed. The remainder of the lung fields is clear. There is no pleural effusion or pneumothorax. There is no pulmonary edema. The cardiomediastinal silhouette is normal.
cough and shortness of breath.
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The lungs are clear without focal consolidation, effusion, or edema. The cardiac silhouette is top normal. No acute osseous abnormalities.
<unk>f with rhonci on exam and cough // r/o 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. Pectus deformity of the anterior inferior chest is seen.
history: <unk>m with multiple neuro deficits // ? acute process
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The cardiomediastinal silhouettes are within normal limits. The bilateral hila are unremarkable. There is a right lower lobe patchy opacity with associated signs of volume loss including inferior displacement of the minor fissure and right hilum. Otherwise, lungs are clear. There is no pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or pleural effusion.
<unk>m with ams s/p fall, evaluate for fracture or bleed.
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Pa and lateral chest radiographs again demonstrate the ill-defined opacity in the superior segment of the right lower lobe. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
fever and cough. probable pneumonia described on radiograph of <unk>.
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Ap and lateral views of the chest. Right ij line is no longer visualized. The lungs are clear of focal consolidation or large effusion. Cardiomediastinal silhouette is slightly enlarged, similar to prior. Median sternotomy wires and mediastinal clips are again noted. No acute osseous abnormality is identified.
<unk>-year-old male with altered mental status.
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Since prior exam, the lung volumes are lower. The chest remains hyperinflated with flattening of the diaphragms. There is a diffuse non-specific interstitial abnormality, not significantly changed from the prior exam. There is no focal air space opacity, pulmonary edema, pleural effusion, or pneumothorax. The mediastinal contours are normal. Allowing for technique, the heart size is at the upper limits of normal.
history of copd with worsening shortness of breath and basilar crackles. evaluate for acute process.
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A do lead pacemaker is unchanged in position compared to the prior study. The heart size appears enlarged even allowing for the projection. Lung volumes are within normal limits. There is diffuse prominence of the bronchovascular markings with apparent diffuse reticular opacities. The findings are more consistent with interstitial lung disease than acute infection although this could have a similar appearance. There are small bilateral pleural effusions.
history: <unk>f with ? lll pna from osh, ? worsening infection in r foot // ? pna? signs of osteo in foot
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Pa and lateral images of the chest demonstrate well-expanded lungs. There is a new density shown on the lateral view over the lower thoracic vertebral bodies that suggests the presence of a pneumonia. This finding is new compared to prior imaging. The density is not visualized on frontal exam. Followup chest radiograph is recommended in four weeks after treatment of the pneumonia. Again seen is a wedge shaped vertebral deformity in a mid-thoracic vertebra. Old right rib fractures are again seen. The heart is top normal in size. There is no pleural effusion or pneumothorax.
<unk>-year-old female with two-week history of cough and concern for pneumonia.
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There is moderate cardiomegaly, but no pulmonary edema. Chronic-appearing rib deformities are seen in the right mid and lower ribs. No pleural effusion and no pneumothorax.
<unk>-year-old with shoulder fracture.
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The lungs are clear without any focal consolidation. There is no pneumothorax or pleural effusion. The cardiomediastinal and hilar contours are within normal limits. A cardiac loop monitor is in the anterior chest wall.
<unk>-year-old male with cough x <num> week. evaluate for pneumonia.
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Pa and lateral chest radiographs were provided. The right picc has been removed. There is no focal consolidation, pleural effusion, or pneumothorax. No pulmonary edema is present. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable.
history of liver transplant with fever.
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The lungs are clear without focal consolidation. No pleural effusion, edema or pneumothorax is seen. Mild cardiomegaly is not significantly changed.
history: <unk>m with near syncope // eval for pna
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Pa and lateral views of the chest provided. Patient is slightly leftward rotated limiting assessment. Allowing for this, the lungs appear clear. 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 chest pain // eval for pna
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Left anterior chest wall dual lead pacer is unchanged. Median surrounding wires and anterior fixation plate are unchanged. Right-sided picc tip terminates at the cavoatrial junction. Lung volumes are low. Heart size is top-normal with unfolding of the thoracic aorta. Hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. Sclerotic focus in the proximal right humerus is unchanged, potentially enchondroma versus infarct.
re- adjusted right picc line.
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Mild cardiomegaly has been stable compared to exams dated back to at least <unk>. The hilar and mediastinal contours are normal. Subtle increase in opacification at the right lung base is unexplained. There is a small right pleural effusion. No evidence of pneumothorax. The visualized osseous structures are unremarkable.
history of seconds of chest pain.