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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.patient has had partial left mastectomy, denoted by multiple surgical clip in the left axilla.
<unk>-year-old woman with chest pain and shortness of breath. evaluate for opacities.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with left sided chest pain // please evaluate for acute intrathoracic process
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Pa and lateral chest radiograph demonstrates an enlarged heart. Lungs appear clear. Right hilar prominence appears to open present on chest ct dated <unk> as a confluence of prominent vascular structures. Eventration of the right hemidiaphragm is incidentally noted. There is no pleural effusion. Blunting of bilateral costophrenic angles likely reflects scarring. No overt pulmonary edema.
<unk>-year-old female with question of pulmonary hypertension.
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Pa and lateral views of the chest were obtained. There is a new ill-defined opacification in the lingula, which could represent pneumonia in the appropriate clinical setting. There has been interval resolution of the previously demonstrated right lower lung consolidation since the prior study. The lungs are hyperinflated and there is flattening of the diaphragm, suggestive of copd changes. The heart is top normal in size. There is no evidence of pleural effusion, pneumothorax, or pulmonary edema.
<unk>-year-old male with copd and two weeks of cough. evaluation for pneumonia and/or chf.
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No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema, or pneumothorax is present. Streaky opacity at the left base likely represents subsegmental atelectasis and there is thickening along the left major fissure. Calcified granulomas appear unchanged. The heart size is normal.
hepatitis c with cirrhosis. abdominal pain.
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Heart is top-normal in size. The mediastinal contour is unremarkable. Lungs are clear. Scattered small round lucencies most notable at the right base may represent dilated airways or bronchiectasis. There is no pleural effusion or pneumothorax. Degenerative changes in the thoracic spine are noted.
history: <unk>m with altered mental status // eval for pna
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The heart is borderline enlarged. The aortic arch is calcified. There is no pleural effusion or pneumothorax. A mild interstitial abnormality could be seen with pulmonary edema or atypical infection.
generalized weakness and cough.
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Ap upright and lateral chest radiograph demonstrates low lung volumes. No focal opacity convincing for pneumonia is present. Relative to prior examination, the cardiomediastinal silhouette is stable. Heart is top normal in size. No overt pulmonary edema, pneumothorax, or large pleural effusion is present. A posterior fifth right rib deformity is noted, likely chronic fracture. No acute osseous abnormality is detected.
<unk>-year-old female with cough and weakness.
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Pa and lateral chest radiographs were obtained. Lung volumes are mildly decreased. Despite this limitation, the lungs are clear, without consolidation, effusion or pneumothorax. The cardiac and mediastinal contours are normal.
<unk>-year-old with new onset shortness of breath in the setting of <num> weeks of cough.
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Pa and lateral chest views were obtained with patient in upright position. The heart size is within normal limits. No typical configurational abnormality is present. The thoracic aorta is mildly widened and elongated, but there are no local contour abnormalities. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax in the apical area on frontal view. Skeletal structures of the thorax demonstrate mild demineralization of the vertebral bodies in the thoracic spine but no evidence of local vertebral body compression fracture. Our records do not include a previous chest examination available for comparison.
<unk>-year-old female patient with cirrhosis, admitted with decompensation and also being evaluated for liver transplantation. assess for evidence of pneumonia or underlying malignancy.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with left-sided chest pain. evaluate for evidence of pneumothorax.
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Unchanged compression fracture of one of the lower thoracic vertebral bodies. The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion or pneumothorax.
<unk>-year-old with shortness of breath.
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Cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Elevation of the right hemidiaphragm is noted with associated right basilar atelectasis. A small right pleural effusion is demonstrated. Minimal streaky left basilar atelectasis is also demonstrated. No pneumothorax is seen. Oral contrast material seen within the colon. There are no acute osseous abnormalities.
history: <unk>f with shortness of breath
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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. However, left hilum is mildly prominent and may include a calcified lymph node. Cardiomediastinal silhouette is normal. No acute fractures are identified.
evaluation of patient with bilateral rib pain.
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Lungs are well-expanded. There is no focal consolidation, pleural effusion or pneumothorax. Scarring at the right apex is unchanged. The cardiomediastinal silhouette is unchanged. The imaged upper abdomen is unremarkable. The bones are unremarkable.
history: <unk>f with productive cough, copd // r/o pna
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Pacer leads terminates in right ventricle. The lungs are well expanded and clear. The hila and pulmonary vasculature are normal. No pleural effusions or pneumothorax. The cardiomediastinal silhouette is normal.
<unk> year old woman with new onset cough. eval for abnormality // <unk> year old woman with new onset cough. eval for abnormality
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The cardiac, mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs appear clear.
syncope.
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Redemonstration of complete opacification of the left hemithorax, unchanged in appearance since prior examination, again seen with air bronchograms and an air-filled cystic structure seen within the left lower lobe. There is stable leftward shift of the mediastinal structures. The right lung remains grossly clear and without focal consolidation, pleural effusion, or pulmonary edema. Surgical clips are seen within the right axilla and right upper quadrant.
history of an sc lc status post chemo and xrt, now status post several weeks of necrotic pneumonia.
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As compared to the previous radiograph, there is no relevant change. No evidence of recent or non-recent granulomatous disease. No pleural effusions. No hilar or mediastinal adenopathy.
known positive ppd, evaluation for interval change.
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The lungs are clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.
history: <unk>f with coming with cough and ili // ?consolidation/pneumonia
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Frontal and lateral radiographs of the chest show stable blunting of the right costophrenic angle, also seen on prior chest radiograph and ct, consistent with focal pleural scarring. The lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits and unchanged.
<unk>-year-old female with dyspnea and fatigue, comes here to evaluate for pneumonia or evidence of heart failure.
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Frontal and lateral radiographs of the chest were acquired. Images are slightly limited due to the patient's body habitus. Lung volumes are low. The heart is mildly enlarged, not significantly changed compared to the prior study from <unk>, allowing for differences in patient rotation. There are diffuse bilateral interstitial opacities with a perihilar predominance, most likely mild interstitial pulmonary edema. There is subsegmental bibasilar atelectasis. Elevation of the right hemidiaphragm is similar in appearance to the prior radiograph from <unk>. There are no definite pleural effusions. No pneumothorax is seen. The vascular pedicle is widened.
shortness of breath. evaluate for evidence of pneumonia.
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The lungs are hyperinflated. Left lower lobe atelectasis is noted. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. There are calcifications within the aortic arch. There is a displaced fracture through the midportion of the first right rib.
history: <unk>f with preop for probable percutaneous biliary stent // preop
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Pa and lateral chest radiographs were obtained. No prior study for comparsion. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.
weight loss.
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. Status post sternotomy, previous bypass surgery and permanent pacer in left anterior axillary position with single endovascular electrode unchanged. No pulmonary vascular congestion has developed. Mild blunting of right lateral pleural sinus as before coinciding with multiple pleural scars along the right lateral chest wall. No reoccurrence of pneumothorax. Unchanged appearance of previously identified right posterior lower lobe segment with surgical marker unchanged.
<unk>-year-old male patient with right lower lung mass, status post biopsy, evaluate for recurrence of pneumonia. surgery is scheduled for <unk> (bladder surgery), pre-operative chest examination.
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Cardiac silhouette size is mildly enlarged. The mediastinal and hilar contours are unremarkable. Lung volumes are low which causes crowding of bronchovascular structures without overt pulmonary edema. Minimal patchy opacities are seen in the lung bases which may reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>m with hypoglycemia
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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 cough // r/o pna
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As compared to the previous radiograph, there is no relevant change. Moderate cardiomegaly without fluid overload. Moderate tortuosity of the thoracic aorta. No evidence of atelectasis, pneumonia, or other parenchymal abnormality that could explain the wheezing of the patient. No pleural effusions.
pneumonia, longstanding tobacco use, inspiratory wheeze at the left lung base.
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The heart size is top normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Minimal patchy opacities are seen within the left lung base as well as within the peripheral aspect of the right mid lung field, likely involving the right upper lobe and right middle lobe. These findings appear improved compared to the prior radiographs obtained in <unk>. Atelectatic changes are also seen within the right lung base. No additional areas of focal consolidation are present. No pleural effusion or pneumothorax is seen. There are multilevel degenerative changes within the thoracic spine.
fever and cough.
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In comparison with the study of <unk>, there is little overall change in the appearance of post-operative changes in the right upper abdomen with decreased volume of the right lung. Low lung volumes may account for much of the prominence of the transverse diameter of the heart. Mild atelectatic or fibrotic streaks are seen. No acute focal pneumonia or vascular congestion.
right diaphragmatic hernia repair with chest tube removal.
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Low lung volumes are present. This accentuates the size of the cardiac silhouette which is top normal with a left ventricular predominance. Mediastinal and hilar contours are unremarkable. Crowding of bronchovascular structures is present without pulmonary edema. Minimal patchy opacities in the lung bases likely reflect areas of atelectasis, and no focal consolidation is present. No pleural effusion or pneumothorax is demonstrated. Moderate hypertrophic changes are again demonstrated within the thoracic spine.
history: <unk>f with history of kidney transplant presents with increased generalized weakness, dyspnea on exertion, fevers
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Heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with productive cough and fevers
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There is blunting of the right lateral and posterior costophrenic angles suggesting small effusion. Adjacent right lung base is also noted. On the lateral view, there is a linear opacity projecting over the cardiac silhouette as on prior suggesting scarring. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits given low lung volumes on the frontal view. No acute osseous abnormalities.
<unk>m with liver transplant presenting with leukopenia // ?consolidation
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The heart size is normal. The cardiomediastinal silhouette and hilar contour is stable. There is bibasilar atelectasis. The lungs are otherwise clear without focal consolidation, effusion or pneumothorax. Post-surgical changes in the right axilla.
chest pain.
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Diffuse increase in interstitial markings bilaterally suggests mild to moderate interstitial edema versus less likely atypical infection. No pleural effusion or pneumothorax is seen. The cardiac silhouette is mildly enlarged. Mediastinal contours are stable.
history: <unk>f with cough // sob/doe
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The lung volumes are exceedingly low. There is no pleural effusion, pneumothorax or focal airspace consolidation. Bibasilar atelectasis is noted. Calcifications are seen within the aorta.
chest pain now resolved. evaluate for acute process.
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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 hyperglycemia and diffuse wheezing in lower lung fields
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The lungs are clear without evidence of focal consolidation. There is no pleural effusion, pulmonary edema, or pneumothorax. Again seen is a left pectoral pacemaker with transvenous leads in unchanged position. Mild cardiomegaly is stable.
history: <unk>f with abd pain, nausea andemesis // please evaluate for acute abnormality
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Frontal and lateral radiographs of the chest. Postsurgical changes are seen in the right upper hemithorax which are grossly stable but there is possible slight increase in opacification in the right upper upper hemithorax since the prior study. Volume loss related to the prior lobectomy is noted with elevation of the right hemidiaphragm and the right hilus. The left lung is clear. No pleural effusion or pneumothorax. Normal heart size.
history of right upper lobe resection for mycobacterium pneumonia here with fever and cough. question pneumonia.
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Numeral bilateral pulmonary nodules/masses are again seen. The largest is located within the right lower lobe with some areas of central lucency better seen on the lateral view and prior chest ct. Small bilateral pleural effusions are noted. There is a moderate hiatal hernia. Cardiomediastinal silhouette is otherwise unremarkable. No acute osseous abnormalities.
<unk>m with incr dyspnea, lung mass on ct // pna?
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Ap upright and lateral views of the chest provided. A tracheostomy tube is in place with with an overlying oxygen mask. The lung volumes are quite low. Bibasilar opacities are seen most suggestive of atelectasis versus scarring at the right lung base and atelectasis and probable small effusion on the left. The possibility of a superimposed pneumonia is difficult to exclude. The mid to upper lungs appear well aerated. Heart size appears grossly stable. The mediastinal contour is unchanged. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with dyspnea, increased mucus production - eval for pna
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Retrocardiac opacification is evident both on frontal and lateral radiographs, concerning for pneumonia. Cardiomediastinal and hilar contours are unremarkable. No overt pulmonary edema identified. No pleural effusion or pneumothorax present. No osseous abnormalities identified.
slowly worsening cough, fever. unremarkable physical exam. hypertensive urgency with blood pressure of <num> systolic. evaluate for pneumonia or other acute process.
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The heart is normal in size. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs appear clear. There is no free air.
epigastric pain.
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New left chest subclavian atrial ventricular defibrillator leads follow their expected courses. There is no pneumothorax, pleural effusion or mediastinal widening. Lungs are clear. Moderate to severe cardiomegaly is unchanged. There is no pulmonary edema or pulmonary vascular congestion.
<unk>-year-old man with new pacemaker.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with shortness of breath, cough // eval for acute process
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Lung volumes are within normal limits. The trachea is central. The cardiomediastinal contour is normal. The heart is not enlarged. No blunting of the costophrenic angles to suggest a pleural effusion. No consolidation or pneumothorax seen. The visualized bony structures are unremarkable in appearance.
history: <unk>f with chest discomfort and cough // evaluate for pneumonia
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The cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is visualized. No acute osseous abnormalities seen.
chest pain.
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Consolidation in the left lower lobe appears more conspicuous when compared to previous exam from <unk>. There is no new focal consolidation, the lungs are otherwise clear. Tracheostomy tube remains in place. The cardiomediastinal silhouette is within normal limits. Vascular stent seen over the neck. Right axillary/chest wall surgical clips are noted.
<unk>m with h/o thyroid ca, tracheostomy, sob and dyspnea x <num> week // eval lung fields, pt w/tracheostomy
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The cardiac, mediastinal and hilar contours appear stable including borderline cardiomegaly. Lung volumes are low with persistent mild relative elevation of the right hemidiaphragm. There is no definite pleural effusion or pneumothorax although posterior costophrenic sulci are somewhat difficult to assess on the lateral view. Allowing for technique, aside from mild atelectasis at the lung bases, the lungs appear clear. There is no evidence of free air.
history of diabetes with two weeks of upper respiratory symptoms, now with nausea, vomiting, and abdominal pain.
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Lungs are fully expanded and clear. Patient is status post cabg with median sternotomy wires in situ, unchanged. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal. Surgical clips are noted within the left upper quadrant.
history: <unk>f with cough // eval for pna
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Lungs are clear. The cardiomediastinal silhouette and hilar contours are normal. There is mild bilateral apical pleural thickening. No pneumothorax, pulmonary edema, pleural effusion, or pneumonia.
history: <unk>f found down, now febrile.
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Patchy opacity is demonstrated within the left lung base. Right lung is clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
fever.
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Frontal and lateral radiographs of the chest show bibasilar linear atelectasis on the left greater than the right. No pleural effusion, focal consolidation, or pneumothorax is present. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. Moderate degenerative changes of the thoracic spine are noted.
<unk>-year-old female postop day <num> with fevers, here to evaluate for pneumonia.
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Left-sided picc terminates in the upper svc. Heart size is normal. Mediastinal and hilar contours are unchanged. Lungs appear hyperinflated. Streaky opacities in the lung bases likely reflect atelectasis. No pleural effusion or pneumothorax is seen. There is no pulmonary vascular congestion. Mild degenerative changes are noted in the thoracic spine.
new fever and leukocytosis.
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No focal consolidation to suggest pneumonia is seen. No pleural effusion or pneumothorax is present. There are findings consistent with copd including increased ap diameter of the chest and flattening of the diaphragms. Prominent reticular markings at the bases may indicate pulmonary fibrosis. There is moderate cardiomegaly, as previously seen. A mid thoracic wedge compression deformity appears unchanged from the radiographs of nine days prior though no remote examinations are available for comparison.
hypoxia and cough.
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The aorta remains calcified and tortuous. The cardiac silhouette is mildly enlarged. Prominence of the right hilum is grossly stable and may be due to prominent pulmonary vasculature. The lungs are hyperinflated. Mild bibasilar atelectasis is seen. No definite focal consolidation. The patient has an azygos lobe. No pleural effusion or pneumothorax is seen. Evidence of dish is seen along the thoracic spine. Likely hiatal hernia.
history: <unk>m with loose cough // ? infiltrate
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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. No free air below the right hemidiaphragm is seen.
history: <unk>f with bilateral leg swelling // eval for dvt, eval for cm on cxr
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As compared to the previous radiograph, the chest tube has been removed. There is a remnant <num>-cm left apical pneumothorax and areas of mild pleural thickening at the region of the left apex. No evidence of tension. Unremarkable appearance of the right lung and of the cardiac silhouette.
pneumothorax on the left, status post chest tube removal. evaluation.
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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 unremarkable. No displaced rib fracture.
<unk>m with cp, assess etiology.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Streaky lingular opacity likely reflects atelectasis. The remainder of the lungs are clear. No pleural effusion or pneumothorax is seen. Blunting of the left costophrenic angle is chronic and may represent pleural thickening. There are no acute osseous abnormalities. Remote left-sided rib fracture is noted.
history: <unk>f with right hip pain and chest pain
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is no pulmonary edema.
history: <unk>m with c/o palpitations and dizziness // ? pna
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As compared to the previous radiograph, there is no relevant change. Normal appearance of the cardiac silhouette. Normal hilar and mediastinal structures. No evidence of mediastinal and hilar lymphadenopathy. Normal transparency and structure of the lung parenchyma. No nodular changes, no pleural effusions, no evidence of fibrosis.
questionable inflammatory arthropathy, smoking history, evaluation for sarcoidosis.
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No significant change from the prior exam other than slight blunting of the left costophrenic angle on the prior exam that is not appreciated on today's exam. The lungs are clear, without focal consolidation or pulmonary edema. Stable bilateral lung volumes. No pleural effusion or pneumothorax. The heart size is normal. Cardiac and mediastinal contours and hila are unchanged. Incidental old left clavicular fracture.
<unk>-year-old man presenting with wheezing. evaluate for pulmonary disease.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No rib fracture is identified.
<unk>-year-old female with motor vehicle accident presenting with neck pain and sternal pain with deep breath. evaluate for injury.
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The aorta is tortuous. The cardiac silhouette is top-normal. No pulmonary edema is seen.
<unk>-year-old male with progressive chest pain with exertion. please evaluate for cardiomegaly, congestive heart failure, pleural effusion or wedge defect.
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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>m with l chest pain // ?rib fracture, pneumonia
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A left chest wall port-a-cath tip ends at the cavoatrial junction. Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
<unk>-year-old man with breast cancer post right mastectomy with chest pain, concern for pneumonia
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The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. Clips in the right upper abdominal quadrant amenable to prior cholecystectomy.
<unk>-year-old female with chest pain and dyspnea on exertion.
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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal silhouette is normal. The right and left hila are unremarkable. Slight leftward deviation of the upper trachea is again noted.
<unk>m with rash and uri
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Elevated left hemidiaphragm is chronic and stable from <unk>. The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pneumonia, no pulmonary edema. No pleural effusions. Mild degenerative changes of the mid and lower pole thoracic spine with anterior bridging osteophytes, stable from <unk>.
<unk> year old woman with right sided cp x a month // assess lungs
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The heart is mildly enlarged, but smaller when compared to the prior examination. The abdominal aorta is tortuous and there is calcification at the aortic knob. The cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion do or pneumothorax identified. The lungs are hyperinflated. Subtle streaky bibasilar opacities are most consistent with atelectasis. No focal consolidations are identified.
<unk>f with chest pain // eval for pneumothorax
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Dense bilateral <unk>/infrahilar opacities, greater on the right, with diffuse peribronchial thickening is new compared to the prior study. There is no pleural effusion or pneumothorax. Mild thickening of the horizontal fissure on the right is noted. Heart size is stable.
history: <unk>f with cough fever // cough fever r/o pn a
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. There is slight prominence of the bilateral hila and pulmonary arteries. The cardiomediastinal silhouette is otherwise within normal limits. Aortic knob calcifications are noted.
history: <unk>m with prostate ca, hematuria, onc admission, performing infectious w/u // eval ? pna
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Lung volumes are low. Heart size is borderline enlarged. The mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. Patchy left basilar opacity may reflect atelectasis, but infection cannot be completely excluded. No pleural effusion, focal consolidation, or pneumothorax is present. No acute osseous abnormality is visualized.
history: <unk>f with weakness
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The lungs are hypoinflated. In the right lower lobe there are streaky opacities with blunting of both the right cardiophrenic and costophrenic angles by foci of consolidations - as there is no pleural effusion in the lateral view. The right lung is clear. Metallic shrapnel is seen projecting over the left first and second ribs with apparent bony deformities at the site. There is also single metallic foreign body, likely located in the left lower lobe given localization in the frontal and lateral projections. There is no pleural effusion or pneumothorax.
<unk> year old male with cough and sputum and shortness of breath.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with chest pain // r/o acute process
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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.
chest pain worse with inspiration.
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Mild cardiomegaly is unchanged. Mediastinal and hilar contours are unremarkable. The lungs are well inflated without evidence for pulmonary consolidation or pulmonary edema. No pleural effusion or pneumothorax is seen. There are degenerative changes in the thoracic spine.
chest pain.
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Pa and lateral views of the chest provided. Patient is status post right middle lobectomy. Lungs are well inflated and grossly clear. No pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are normal.
<unk> year old woman with a history of rml lobectomy for adenocarcinoma and a pleural effusion that has since been tapped. now with persistent cough and intermittent dyspnea. // evaluate for effusion or infiltrate
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The heart is mildly enlarged. Mild pulmonary edema appears slightly improved since the <unk> examination. The aorta is tortuous and moderately calcified. There is no pneumothorax. A retrocardiac opacity likely represents edema and/or atelectasis. There is a small left pleural effusion. A right picc terminates at the mid to lower svc.
hypoxia.
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Borderline enlargement of the cardiac silhouette is re- demonstrated with coronary artery stents re- visualized on the lateral view. Aorta remains mildly tortuous. Mediastinal and hilar contours otherwise are unchanged. Pulmonary vasculature is normal in the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Lungs are mildly hyperinflated. <num> mm nodular opacity projecting over the right lung apex is noted, which could be within the lung or osseous structures.
chest pain
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Lung volumes are low. Heart size is normal. Mediastinal contours are relatively unremarkable. Streaky linear opacities within both lung bases likely reflect subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There is no pulmonary vascular congestion. No acute osseous abnormalities are demonstrated.
generalized malaise.
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The endotracheal tube, ng tube, left subclavian line have been removed. There is a small right pleural effusion. Compared to the prior study, the alveolar infiltrates and vascular redistribution are much improved.
ards. cardiac arrest. reference
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Compared to the prior chest radiograph performed <num> day prior, there is improved lung expansion. The previously seen small right apical pneumothorax has decreased in size. The previously seen right lower lobe opacity has decreased in extent. There is a right lateral subpulmonic effusion. A right chest tube is unchanged in position. Median sternotomy wires and mediastinal clips are again noted. Two linear densities projecting over the left neck and along the chest may be external to the patient. Right rib deformities are noted as well as residual subcutaneous air. The heart size is normal and the aortic knob is calcified.
<unk> year old man s/p rll // check interval change
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The lungs are well inflated and clear. No pleural effusion or pneumothorax. Heart size is top-normal, unchanged since prior examination. Mediastinal contour and hila are unremarkable. Limited assessment of the osseous structures demonstrates chronic posterior third and fourth right rib fractures. Clips are noted within the upper abdomen, unchanged prior examination.
<unk>f with seizures. assess for pneumonia.
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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. There is no pneumomediastinum. Hypertrophic changes are noted in the spine.
<unk>f with difficulty swallowing x<num> days. // evaluate for mediastinal mass, dilated esophagus
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The lungs are clear. There is no effusion, edema, or consolidation. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips noted in the upper abdomen on the lateral view.
<unk>f with fevers // acute process
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Subtle left base opacity is felt to most likely be due to atelectasis rather than infection. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with htn, iddm, and anemia presenting with cough, dizziness, and sob // evidence of infiltrate
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The cardiac, mediastinal and hilar contours appear stable. There is moderate unfolding of the thoracic aorta. The arch is partly calcified. The heart is normal in size. There is no pleural effusion or pneumothorax. Streaky left basilar opacity suggests minor atelectasis. Otherwise, the lungs appear clear. There is mild loss in height of a lower thoracic vertebral body that appears chronic, although new since the remote prior radiographs. A mild anterior wedge compression deformity of t<num> is better depicted on a ct from the same day.
back pain and severe spinal stenosis.
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Ap and lateral views of the chest. Previously seen right picc and enteric tubes are no longer visualized. The lungs are clear without consolidation, effusion or pulmonary vascular congestion. Known interstitial opacities in the lungs are not clearly delineated on these films. No acute osseous abnormality is identified.
<unk>-year-old with shortness of breath.
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Left-sided dual-chamber pacemaker device is re- demonstrated with leads terminating in the right atrium and right ventricle, unchanged. Mild cardiomegaly is again noted. The cardiac and mediastinal contours are unchanged with a tortuous thoracic aorta again noted. Large hiatal hernia is re- demonstrated. There is no pulmonary vascular congestion. Linear opacity in the right mid lung field likely reflects subsegmental atelectasis. No focal consolidation or pneumothorax is present. Minimal blunting of the posterior costophrenic angles on the lateral view is relatively unchanged, and may reflect chronic pleural thickening or tiny amount of pleural fluid. No acute osseous abnormalities identified. Remote right rib fracture is again detected.
history: <unk>f with shortness of breath
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Ap upright and lateral views of the chest provided. Small to moderate left effusion and small right pleural effusion noted. The heart is likely within normal limits of size. Hilar congestion is noted. There is likely a component of compressive atelectasis of the left lung base. No pneumothorax is seen. The mediastinal contour is normal. There is no overt edema. Bony structures are intact.
<unk>m with dm, pvd, esrd on hd referred for gangrenous foot ulcer, incidentally w/ subacute doe x several days
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Significantly increased right lower lung opacities superimposed on chronic interstitial disease. Excepting chronic interstitial findings, the left lung is grossly clear. No pleural effusion. No pneumothorax. Heart size is top-normal. Chronic posterior right third and fifth rib fractures are again noted.
<unk> year old man with cough, sob, hx chf, rales rt base // r/o pna
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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. Apical scarring is noted.
<unk>-year-old male with chest pain. evaluate for cardiopulmonary disease.
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Ap upright and lateral views of the chest provided. Cardiomegaly is unchanged with an lv configuration. There is no focal consolidation, effusion, or pneumothorax. The mediastinal contour is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with nausea and chest pain/sob this afternoon // eval effusion, pna
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There is mild left base atelectasis. No focal consolidation, pleural effusion, or or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. No overt pulmonary edema is seen.
right flank pain for <num> day.
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Frontal and lateral radiographs of the chest demonstrate low lung volumes, which results in bronchovascular crowding. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax, pleural effusion, or focal consolidation.
history: <unk>m with cough, weakness // evidence of pneumonia
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Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. There is no focal consolidation, no pleural effusion or pneumothorax. Bibasilar opacities are noted. Hilar and mediastinal silhouettes are unremarkable. The heart size is normal. The descending aorta is slightly tortuous. A port-a-cath tip projects over mid-to-distal svc. Several surgical clips project over upper abdomen.
patient is status post recent whipple, now with fever.
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Subtle, increased opacity in the left lower lobe with indistinctness of the left hemidiaphragm is more conspicuous compared to the exam in <unk>, while could represent a focal pneumonia. The right lung is clear. No pleural effusion or pneumothorax. No edema. Heart size is normal. The descending thoracic aorta slightly tortuous, unchanged.
<unk> year old woman with asthma, cough // r/o infiltrate
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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. There is mild s-shaped curvature to the thoracolumbar spine.
altered mental status.