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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. Large air-fluid level is seen within the stomach.
history: <unk>m with chest pain // ? infectious process, effusion
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Compared with prior radiographs on <unk>, there has been interval placement of a right-sided port-a-cath, which terminates at cavoatrial junction.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are normal.
<unk> year old woman with met breast cancer. c/o new pleural pain x <num> days with cough or deep inspiration // please eval etiology of pain c inspiration
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The lungs are normally expanded. There is mild coarsening of interstitial markings similar to the prior study. There is mild bibasilar atelectasis. Opacities projecting over the spine on lateral radiograph likely reflect atelectasis. There is no pleural effusion or pneumothorax. Surgical clips projecting in the left apex are likely from prior wedge resection. Heart size is normal. The mediastinal and hilar contours are normal. Coils are seen in the right upper quadrant.
<unk>m with c/o elevated glucose and some confusion // ? pna
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. Cardiac silhouette is enlarged but unchanged. There is marked tortuosity of the descending thoracic aorta which is unchanged from prior. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with peripheral edema and hypertension. question chf.
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Bilateral lower lobe consolidations are seen, concerning for pneumonia. No large pleural effusion or pneumothorax is detected. Heart and mediastinal contours are within normal limits.
<unk>-year-old male with fever.
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Mild basilar atelectasis is seen without definite focal consolidation. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. Hilar contours are stable.
history: <unk>f with cough // ?pna
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The lung volumes are normal. Normal shape of the hemidiaphragms. No evidence of pleural effusions. Normal structure and transparency of the lung parenchyma. No pneumonia, no pulmonary edema. No pneumothorax. Normal size and shape of the cardiac silhouette. Mild tortuosity of the thoracic aorta. Normal hilar and mediastinal contours.
epigastric and left arm pain. rule out pulmonary pathology.
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Lung volumes are low. Bibasilar atelectasis is similar to <unk>. Mild cardiomegaly is unchanged. Median sternotomy wires and mediastinal clips are unchanged.
<unk>-year-old man with fevers and desaturations lying on the left.
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Ap upright and lateral views of the chest provided. The heart is mildly enlarged. There is mild pulmonary edema. Small effusions likely present. No pneumothorax. No acute bony injury.
<unk>f with dyspnea on exertion // acute cardiopulm disease
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Moderate cardiomegaly is unchanged. Cardiomediastinal silhouette and hilar contours are otherwise normal. Subtly increased opacity compared to prior at the left lung base adjacent to the heart border with the posterior basal lateral correlate. Lungs are otherwise clear. Pleural surfaces are clear without effusion or pneumothorax.
history of sickle cell presenting with chest pain and fever.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture identified.
history: <unk>f with mvc now with pain and tenderness to neck and face // ? fracture
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Frontal and lateral radiographs of the chest demonstrate extensive bibasilar atelectasis, worse on the left, with no evidence of pneumonia. The cardiomediastinal contours are normal, and no pleural abnormality. Of note, a gas-distended stomach in the left upper quadrant.
manubrial fracture from motor vehicle accident. crackles on exam. evaluate for pneumonia.
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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
history: <unk>f with cough // eval for infiltrates
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old male with fever. question infection.
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Pa and lateral views of the chest provided. The lungs are hyperinflated and lucent suggesting emphysema. The heart is mildly enlarged. The mediastinal contour is normal. No convincing evidence for pneumonia or edema. No effusion or pneumothorax. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with <unk>, infx w/u // pna?
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Frontal and lateral radiographs of the chest demonstrate clear lungs. The cardiac and mediastinal contours are normal. No pleural effusion or pneumothorax is seen. Mild biapical pleural thickening is again seen, unchanged.
cough and fever. evaluate for pneumonia.
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As compared to the previous radiograph, there is no relevant change. No evidence of tb. No other or chronic lung changes. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures.
persistent cough, night sweats, evaluation for tb.
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There is mild left base atelectasis. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen. No displaced fracture is seen.
chest pain.
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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax evident. The expansile lytic lesion within the right lateral seventh rib is not significantly changed compared to <unk> and likely represents a plasmacytoma in this patient with known multiple myeloma. No associated displaced pathological fracture evident.
right shoulder pain. evaluate for fracture.
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Ap and lateral radiographs of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is normal appearing. No rib fractures are identified. The soft tissues are unremarkable.
cough. evaluate for pneumonia.
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Pa and lateral views of the chest (read in conjunction with ct chest from <unk>). Pneumomediastinum is again demonstrated and appears to have slightly progressed. There is slightly more air within the upper mediastinum, subcutaneous soft tissues of the neck bilaterally and axilla. Pneumomediastinum is also tracking into extrapleural space. Tiny biapical pneumothoraces are not significantly changed. There is no focal consolidation or pleural effusion. Heart size is normal.
chest pain, question mediastinal air versus pneumothorax.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. <num> mm nodule in the upper left lung and <num> mm nodule in the left mid lung correspond to pulmonary nodules seen on prior ct. Other scattered nodules including a large nodule in the left lung base are not visualized on plain radiography. Lungs are otherwise clear without dense consolidation. Pleural surfaces are clear without effusion or pneumothorax.
history of metastatic esophageal cancer presenting with thoracic back pain, cough and fever. evaluate for pneumonia.
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Again seen is the right apical pneumothorax that similar in size compared to the study from <num> hr prior
<unk>m with a spontaneous right sided pneumothorax now s/p placement of a pigtail catheter with partial re-expansion of the r lung // please eval for interval change in right apical pneumo. please obtain film at <time>pm, thank you
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. There are streaky basilar opacities most suggestive of minor atelectasis. Otherwise, the lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.
cough and shortness of breath after recent surgery.
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Abnormal opacity in the right lower lobe in this setting is a right lower lobe pneumonia. The left lung is clear. The cardiomediastinal contours are unremarkable. No pleural effusions or pneumothorax.
<unk> year old woman with persistent cough and malaise // ? pneumonia
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The lungs are clear. Mediastinal and cardiac contours are top normal. There is no pleural effusion and no pneumothorax.
patient with history of hepatitis c, hypertension, new crackle, rule out pneumonia.
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Frontal and lateral radiographs of the chest were acquired. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Air-filled small bowel in the upper abdomen measures at the upper limits of normal.
chest pain.
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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 syncope vs seizure, now with l facial numbness // eval for acute process
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A <num>-mm subpleural nodular opacity at the right lung apex could be focal scarring versus a tiny pulmonary nodule. The lungs are otherwise clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
urinary tract infection/pyelonephritis with persistent fevers despite antibiotic therapy. evaluate for evidence of intrathoracic infection.
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Again seen is moderately enlarged heart, pulmonary vascular re-distribution and small bilateral effusions compatible with fluid overload. In addition there is a new right lower lobe infiltrate which could be infectious in etiology.
evaluate for pulmonary edema.
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Right-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle. Heart size remains at least moderately enlarged, although the inferior aspect of the heart is not completely imaged on the frontal view. The aortic knob remains calcified. Mediastinal and hilar contours are relatively unchanged with calcified lymph nodes again likely reflective of prior granulomatous disease. Lung volumes are low. There is crowding of the bronchovascular structures, with probable mild pulmonary vascular congestion. Trace bilateral pleural effusions are noted. Linear opacities within both lung bases likely reflect atelectasis. No pneumothorax is identified. No acute osseous abnormalities are detected.
shortness of breath.
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Cardiomediastinal silhouette is within normal limits. Lungs are clear. There is no pleural effusion or pneumothorax.
history: <unk>m with cp // evidence of pneumothorax
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In comparison with study of <unk>, there is slightly increased prominence of the right pleural effusion with pigtail catheter in place. No evidence of pneumothorax. Mild atelectatic changes are now seen at the left base. No vascular congestion.
pleural effusion after surgery.
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The cardiomediastinal silhouette is at the upper limits of normal and previously visualized apparent bulging of the right upper outer mediastinum is no longer seen, consistent with artifact. A nodule is again noted in the right upper lung. The lungs are otherwise clear without focal consolidation, effusion, or pneumothorax. Mild dextroscoliosis of the thoracolumbar spine with moderate degenerative changes appears stable.
chest pain with possible widened mediastinum on portable radiograph.
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Right middle lobe lung collapse and consolidation secondary to biopsy has improved. There is still some residual linear opacitie that seems better on the lateral view than the exam done on <unk>. The left lung is unremarkable except of a very small left basal atelectatic band. The mediastinal and cardiac contours are within normal limits. There is no pleural effusion or pneumothorax.
patient with history of pneumonia. assess for interval change.
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Cardiomediastinal contours are normal. The lungs are hyperinflated and clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old woman with cough // r/o pna
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. <num> mm rounded nodular opacity in the right mid lung medially most likely represents a vessel on end or possibly a granuloma.
chest pain.
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The lungs appear hyperinflated. The 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. Thoracolumbar scoliosis is noted.
history: <unk>f with cp, hx btl // cardiopulm process?
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Assessment of the lateral view is limited due to the patient's inability to raise her arms. There are low lung volumes. This accentuates the size of the cardiac silhouette which is normal. Mediastinal contours are unchanged. Crowding of the bronchovascular structures is demonstrated. No overt pulmonary edema is present. Mild bibasilar patchy opacities likely reflect atelectasis in the setting of low lung volumes. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen.
seizure.
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In comparison with the study of <unk>, there is little change. Mild hyperexpansion of the lungs is again seen, though there is no evidence of acute focal pneumonia or vascular congestion or pleural effusion. The bronchiectatic changes in the middle lobe seen on ct are not appreciated on plain radiographs.
prior <unk> with night sweats.
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There is moderate pulmonary edema and small bilateral pleural effusions. Cardiac silhouette is top-normal for technique. Atherosclerotic calcifications are seen at the aortic arch.
<unk>m with shortness of breath // please evaluate for acute cp abnormality
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As compared to the previous radiograph, there is no relevant change. Marked scoliosis with asymmetry of the rib cage. No evidence of pneumonia. No pleural effusions. No changes in size of the cardiac silhouette. No pulmonary edema.
dyspnea, rule out pneumonia.
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Slightly low lung volumes, perhaps related to degree of respiratory effort. The lungs are otherwise clear. No focal consolidation, edema, effusion, or pneumothorax. Scoliosis of the thoracolumbar spine is overall unchanged. The cardiomediastinal silhouette is normal.
<unk>-year-old woman presenting with chest pain. evaluate for acute process.
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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 shortness or breath. evaluate for pulmonary edema.
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The lungs are clear focal consolidation, effusion, or vascular congestion. There is relative elevation of the right hemidiaphragm. The cardiomediastinal silhouette is within normal limits. There is an apparent abandoned wire along the left chest wall projecting in the region of the upper svc. There is a thoracolumbar s-shaped scoliosis.
<unk>f with cough x <num> days // r/o pneumonia
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The cardiac, mediastinal and hilar contours appear unchanged. A large region of irregular opacification in the lingula is similar to the prior examination and most suggestive of scarring perhaps associated with a prior infection. There is a subpleural opacity at the lateral right lung apex which correlates with an irregular opacity on the prior ct. There is also a similar persistent opacity at the left lung apex centered in the parenchyma. Irregular lung architecture and relative lucency at the apices suggesting emphysema. There is no pleural effusion or pneumothorax. Bones appear demineralized.
cough and hemoptysis.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits.
<unk>-year-old male with shortness of breath.
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Blunting of the posterior costophrenic angles suggests small effusions, new since prior. Increased interstitial markings are noted on the current exam, progressed since prior suggesting interstitial edema. Punctate calcific densities over the right lung apex are likely calcified granulomas. Mild cardiac enlargement is again noted. Relative elevation of the left hemidiaphragm is again seen. Severe compression deformity of likely t<num> is unchanged.
<unk>f with sob and weight gain, <unk> of chf // chf?
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs. There is no focal consolidation or pneumothorax. There trace bilateral pleural effusions. Linear opacities in the right lower lobe are suggestive of scarring. The visualized upper abdomen is unremarkable.
evaluate for infiltrate in a patient with rigors.
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Frontal and lateral views of the chest were obtained. The right middle and lower lobe opacity are unchanged from <unk>. No new opacity is seen. No pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and left hilar contours are normal. The right hilum is obscured by the opacity. A left port-a-cath ends in the mid svc.
<unk>-year-old woman with right lower lobe opacity. evaluate for interval change.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. Lung volumes are low. There is questionable retrocardiac opacity. Minor atelectasis is likely but early developing infection is not entirely excluded. There is no pleural effusion or pneumothorax. The bony structures are unremarkable.
cough. question pneumonia.
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Frontal and lateral views of the chest demonstrate bibasilar opacities, which projects over the spine on lateral view, new since prior exam. No pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Mild tortuosity of the descending aorta is noted. Heart size is normal. Mild pulmonary vascular congestion is present.
crackles at the bases.
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The patient is status post median sternotomy cabg. Moderate cardiomegaly is unchanged. Dual lumen right-sided central venous catheter tip terminates in the proximal right atrium, unchanged. Loculated small right pleural effusion is unchanged compared the prior study induced chronic. Curvilinear opacities are noted bilaterally which are unchanged, compatible with rounded atelectasis. Small left pleural effusion is also stable. There is no pneumothorax. No pulmonary vascular congestion is present. There are no acute osseous abnormalities. Clips are noted within the right upper quadrant the abdomen compatible with prior cholecystectomy.
shortness of breath.
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In comparison to the prior exam, the lung volumes are lower. Bibasilar hazy opacities, which are likely related to atelectasis, but in the proper clinical setting, pneumonia cannot be fully excluded. There is no evidence of pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is normal.
leukocytosis, and poor historian. evaluate for acute pulmonary process.
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The right pleural effusion with pleural thickening is mildly improved. There has been interval removal of a right pleural catheter.no pneumothorax is seen. Mild cardiomegaly is stable. There is <num> mm rounded opacity overlying the right anterior sixth rib not well visualized on prior chest x-ray or seen on most recent chest ct. A follow-up chest x-ray is recommended at <num> months. If the lesion persists, then chest ct is recommended to further characterize.
<unk> yo man with lymphoma, with h/o pleural effusions s/p pleurodesis, need re-eval of pleural effusion // <unk> yo man with lymphoma, with h/o pleural effusions s/p pleurodesis, need re-eval of pleural effusion. compare to prior
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The lungs are well-expanded and clear. The heart is not enlarged. There is no pneumothorax, pleural effusion, or consolidation. The cta of the neck performed subsequently demonstrates pneumomediastinum. In retrospect, areas that appear more radiolucent are seen, especially on the lateral view, consistent with pneumomediastinum.
history: <unk>m with chest pain and sob // eval for pneumothorax or other acute process
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Left-sided pacer device is stable in position. The cardiac silhouette remains mildly enlarged. Mediastinal contours are stable unremarkable. No focal consolidation is seen. There is no pleural effusion or pneumothorax.
history: <unk>f pmh mitral valve replacement and pacemaker presents w fall on <unk> // acute cardiopulmonary change
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Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear without effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with cough. question pneumonia.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Minimal tenting of the left hemidiaphragm is noted with minimal streaky left basilar opacity likely reflective of atelectasis. Remainder of the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with with nonanginal chest pain
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In comparison with study of <unk>, there is little overall change. Again there are bilateral pleural effusions, more prominent on the right, with underlying compressive atelectasis. Pacer devices are essentially unchanged, as is the port-a-cath. No evidence of acute pneumonia or vascular congestion.
pleural effusion.
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Ap and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The heart size is borderline.
shortness of breath.
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The heart is top normal in size. The hilar and mediastinal contours are within normal limits. There is tortuosity of the aorta. Lungs are clear. There is no focal consolidation, pleural effusion or pneumothorax.
<unk>-year-old man with chest pain. rule out cardiopulmonary process.
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Compared to the prior study, the small left pneumothorax is similar, possibly very slightly smaller. Again seen is subsegmental atelectasis and blunting of the left costophrenic angle, very slightly more pronounced. The left-sided pigtail catheter is again seen, similar to the prior study. Relative lucency of the upper and mid zones of the left lung are unchanged. Rightward shift of the cardiac silhouette is also unchanged. The right lung remains grossly clear, without pneumothorax
<unk> year old man with spontaneous pnx // interval change
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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 chest pain // ? pna
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cough, fever, hx pneumonia // pneumonia?
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The cardiac silhouette is borderline prominent. The mediastinal silhouette is unchanged since prior examination. Again noted is a left-sided dual lead pacemaker. The interstitium is prominent, similar to prior examination, and consistent with chronic disease. The difference between the current and previous study likely reflects the ap technique. No pleural effusion is noted. There is no pneumothorax.
<unk>m with falls, weakness // acute process
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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 man with fever, worsening cough, hx of pna in early <unk> s/p levaquin x <num> days // eval for pna
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There is a persistent opacity at the left base, although slightly improved from the prior exam, continues to be concerning for infection. There is no new opacity. There is no evidence of pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The osseous structures are unremarkable.
shortness of breath and dyspnea on exertion.
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The lungs are free of focal consolidations, pleural effusions or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified.
<unk> year old woman with <num> months of cough // please evaluate for a pneumonia
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The lung volumes are normal. Normal size of the cardiac silhouette. No pleural effusions. Normal appearance of the lung parenchyma. No acute or chronic lung disease.
<num> weeks of cough, rule out lung disease.
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The heart is normal in size. The mediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Streaky left basilar opacity suggests minor atelectasis.
epigastric pain.
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The cardiac silhouette is mild to moderately enlarged, stable. Mediastinal knee and hilar contours are stable. There is minimal prominence of the interstitial markings that may be due to slight volume overload. No pleural effusion or focal consolidation is seen. There is no pneumothorax. Some anterior osteophytes are seen along the thoracic spine.
lightheadedness, syncope.
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The lungs are well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the osseous structures are within normal limits. The bowel gas pattern is nonobstructive. No free air under the diaphragm.
<unk>f with abdominal pain with elevated lipase concerning for pancreatitis. assess for cardiopulmonary disease.
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Slight hyperexpansion of the lungs. Small bilateral pleural effusions. No focal pulmonary consolidation or pulmonary edema. The cardiomediastinal silhouette and hila are normal.
<unk> year old woman with multiple myeloma being worked up for auto bmt; r/o cardiac/pulmonary dysfunction.
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There are low lung volumes without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Hilar contours are stable.
history: <unk>f with cp // eval for ptx
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Cardiomediastinal contours are unchanged . Ill-defined left perihilar opacity seen in the lateral view likely corresponds to a pneumonia. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
cough, ?lll pna // r.o pna
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Frontal and lateral views of the chest. The lungs are clear without focal opacities, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There is no free air beneath the hemidiaphragms.
<unk>f with cough, itp.
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There is a large left-sided pleural effusion that has increased when compared to examination from <unk>. Heart size cannot be evaluated due to pleural effusion. The hilar and mediastinal contours are normal. There are ill-defined opacities in the right middle lobe and left upper lobe which are better characterized on prior ct from <unk>. Other small lung nodules seen on prior ct are below the resolution of chest x-ray. There is no pneumothorax. Right supraclavicular central venous infusion port is seen in the upper right atrium. A transverse pacer defibrillator lead is seen within the right ventricle.
<unk>-year-old female patient with large left effusion status post thoracentesis with <num> liters removed. study requested for evaluation of interval change.
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The patient's condition required examination in sitting position using ap frontal and left lateral views. There is status post sternotomy and evidence of bypass surgery with multiple metallic surgical clips in the anterior left-sided mediastinum and ring-shaped graft markers at the anterior wall of the ascending aorta. Heart size cannot be assessed because of right-sided basal pulmonary densities concealing the cardiac contours. Marked cardiomegaly is unlikely. The pulmonary vasculature is not congested. There is mild blunting of the left lateral and posterior pleural sinus, indicating small amount of pleural effusions on that side. Lungs are clear in the left hemithorax. On the right lung base, a diffuse density is observed obscuring completely the contour of the right-sided hemidiaphragm. This finding is identified as lobe collapse and appears to be unchanged. Comparison with a frontal chest examination of <unk>, demonstrates the findings prior to the collapse and showed normal diaphragmatic contours and well ventilated right lower lobe and middle lobe structures with absence of any pleural effusion. Status post bypass surgery existed already at that time.
<unk>-year-old male patient status post exploratory laparotomy and right-sided colectomy. several recent portable chest examinations demonstrated evidence of right lower lobe and middle lobe collapse.
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Lung volumes are low. Right upper lobe opacities may reflect atelectasis or scarring. There is no focal consolidation, pleural effusions or pneumothorax. The cardiomediastinal silhouette is unchanged. The imaged upper abdomen is unremarkable.
history: <unk>m with ams // eval for infection
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Lung volumes are low. Evaluation of the right lung apex is obscured due to the patient's chin projecting over this region. The heart size remains moderate to severely enlarged. The aorta is tortuous and aneurysmally dilated, better seen on the prior ct. In the interval, there is worsening pulmonary edema which is now moderate to severe in extent, with increased size of bilateral pleural effusions which are small to moderate on the right and trace on the left. Ill-defined airspace opacities within the lung bases could reflect atelectasis though aspiration or infection cannot be excluded. No large pneumothorax is detected, but again the right lung apex is obscured. Mild compression deformity of a lower thoracic vertebral body is again noted as well as within an upper lumbar vertebral body.
chest pain.
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Slight interval decrease in the overall size of the fluid-filled, distended neoesophagus compared to the most recent exam. No significant change in the moderate right pleural effusion. The left lung remains clear. The heart is normal in size. No pneumothorax. The mediastinal contours are unchanged. Stable and intact right port-a-cath, with the tip ending in the approximate region of the cavoatrial junction. Multiple anterior right rib fractures appear unchanged. Surgical clips are unchanged in position. Bowel with barium.
<unk>-year-old woman status post esophagectomy who has a rising white with found. evaluate for pneumonia and esophageal leak.
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.
history: <unk>f with cough and feverpls eval pna // history: <unk>f with cough and feverpls eval pna
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Pa and lateral chest radiograph demonstrate interval removal of a previously present right picc. Lungs are well inflated. Lungs are clear without an opacity convincing for pneumonia. Cardiomediastinal and hilar contours are within normal limits. There is no pulmonary edema, pneumothorax, or pleural effusion. There is no free air under the right hemidiaphragm.
<unk>m with hx of leukemia and light headedness // r/o pneumonia
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Left-sided port-a-cath is again seen. The lungs are clear besides biapical scarring, similar to prior. There is no effusion or consolidation. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. Multiple compression deformities are noted in the thoracic spine, unchanged.
<unk>f with port not flushing // eval port position
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Pa and lateral views of the chest. Elevation of the right hemidiaphragm is as on prior. The lungs are clear of focal consolidation or effusion. The cardiac silhouette is stable. Atherosclerotic calcifications are again noted at the aortic arch. No acute osseous abnormalities.
<unk>-year-old female with chest pain.
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There is consolidation in the retrocardiac region corresponding to the left lower lobe on the lateral radiograph with air bronchograms, which may represent atelectasis or pneumonia. There is a trace left pleural effusion on the lateral view. No focal consolidation concerning for pneumonia is seen. The right lung is grossly clear. There is no pneumothorax. No pulmonary vascular congestion or edema is seen. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected. Degenerative changes at the acromioclavicular joints, greater on the right than the left are noted.
confusion, here to evaluate for pneumonia.
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Lung volumes remain low with chronic interstitial opacities again noted along the periphery and lung bases with associated honeycombing and fibrosis. Patchy retrocardiac opacity likely reflects atelectasis, however it is hard to exclude slight worsening of interstitial lung disease compared to the previous radiograph. Cardiac and mediastinal contours are similar with the heart size appearing mildly enlarged. Pulmonary vasculature is not engorged. No pleural effusion or pneumothorax is clearly demonstrated. No acute osseous abnormalities seen.
history: <unk>m with history of an arrest like episode <num> weeks ago, history of deep venous thrombosis, chronic kidney disease, copd, interstitial fibrosis // please evaluate for acute process, please evaluate for dvt
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Improved bilateral lung volumes. Linear opacities in bilateral lung bases likely scarring rather than atelectasis and unchanged since <unk>.no focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk> year old woman with metastatic hcc, fever of unknown origin with ?infiltrate on cxr but without symptoms of pna. // ?infiltrate in right lung base
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The appearance of the right sided small pleural effusion remains unchanged. Again seen is minimal retrocardiac opacity. There is no pneumonia or pulmonary edema. Left sided pacemaker is unchanged. There is redemonstration of a sclerotic lesion at the second left rib.
<unk> year old woman with pleural effusion // eval .
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The lungs are clear without focal consolidation, effusion, or edema. Cardiomediastinal silhouette is stable. Left chest wall dual lead pacing device again seen. Hypertrophic changes noted in the spine.
<unk>m with defib s/p shock this am // eval for consolidation, hardware misplacement
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Heart size is normal. The aorta is mildly tortuous. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>f with chest pain
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The lungs are clear without focal consolidation, effusion or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Median sternotomy wires are again noted.
<unk>m with weakness // eval for pna
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The lungs are well expanded. There are prominent interstitial markings, increased from prior exam, consistent with mild pulmonary edema. There is a right apical <num> cm density, potentially within the first rib, but could represent a lung nodule. There is free intraperitoneal air, consistent with peritoneal dialysis. Cardiomegaly is seen. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.
advanced ckd, now with pain and swelling of extremities after missing <num> days of lasix with some subjective shortness of breath.
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In comparison with the study of <unk>, there is little overall change. Areas of fibrosis or atelectasis are seen posteriorly. No acute pneumonia, vascular congestion, or pleural effusion. Port-a-cath remains in good position.
myeloma, for disease status.
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Lungs are well expanded. An eventration of the right hemidiaphragm is better seen in the lateral view. Also in the lateral view, there is a triangular opacity obscuring the posterior right costophrenic sulcus and silhouetting out the posterior margin of the right hemidiaphragm which corresponds to a fat containing bochdalek hernia better characterized in prior chest ct. Linear opacities along the left lung base are compatible with subsegmental atelectasis. Otherwise, no other focal parenchymal opacities are identified. There is no pleural effusion or pneumothorax. Degenerative changes of the thoracic spine with calcification of the anterior longitudinal ligament are present. Cardiac size is normal. The cardiomediastinal and hilar contours are unremarkable.
patient with weakness. evaluate for pneumonia.
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Frontal and lateral chest radiographdemonstrates hypoinflated lungs with new bilateral heterogeneous opacities. Linear plate like opacity within the right upper lobe is most consistent with atelectasis. Again seen are few tiny nodules and increase in lung markings due to bronchiectasis better characterized on ct trachea dated <unk>. <num> x <num> cm hyperdense area lateral to the spine in the upper abdomen is most consistent with previously described contained variant focus. There is a small amount of pleural thickening along right-greater-than-left chest walls may be related to body habitus. Along the no pleural effusion or pneumothorax. No effacement of the costophrenic angles is identified to indicate large effusion the patient is status post sternotomy, with mediastinal clips. The heart is mildly enlarged, but likely accentuated due to low lung volumes and patient positioning. Mediastinal silhouette is grossly unchanged. Extreme posterior portion of the chest excluded from the lateral view.
recent fundoplication with barium swallow concerning for leak with shortness of breath. assess for acute process.
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Pa and lateral views of the chest provided. The lungs are well aerated. 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 fever, cough // ?pna.
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The heart appears mildly enlarged. The cardiac, mediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. Particularly allowing for relatively low lung volumes on the lateral view, the lungs are probably clear. There is no pleural effusion or pneumothorax. Bony structures appear unchanged.
hyperglycemia.
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In comparison with the study of <unk>, the cardiac silhouette is unchanged. No definite vascular congestion or pleural effusion. Minimal bibasilar atelectatic changes without convincing evidence of supervening pneumonia.
symptoms suggesting pneumonia.