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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 // ? pna
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As compared to the previous examination, the lung volumes have decreased. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours. No evidence of lung parenchymal disease such as pneumonia or pulmonary edema. No pneumothorax. No pleural effusion.
evaluation for cardiopulmonary disease.
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Again seen is dense retrocardiac opacity compatible with left basilar atelectasis and effusion. On the lateral view, the findings appear to have progressed. Known left hilar mass and mediastinal adenopathy was better seen on prior ct. Left mainstem bronchus stent is again seen. No acute osseous abnormalities. Surgical clips in the right upper quadrant are noted. No acute osseous abnormalities.
<unk>f with tachy and hypoxic, recent lung biopsy // ptx
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There are streaky bibasilar opacities which are confirmed on the lateral view. Superiorly the lungs are clear. Cardiomediastinal silhouette is normal. Lower thoracic dextroscoliosis again noted. Radiopaque substances projects in the left upper quadrant, potentially within the stomach.
<unk>-year-old female with altered mental status, found down with vomitus. question aspiration pneumonia.
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable and stable since the most recent examination. No focal consolidation is present. There is no pleural effusion or pneumothorax. Stable compression deformity of a mid thoracic vertebral body is noted.
<unk> year old woman with recent pna // f/u resolution
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In comparison with the study of <unk>, there is more prominent elevation of the right hemidiaphragm, most likely relating to eventration. However, the heart is normal in size and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
cough.
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Basilar atelectasis 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 r sided rib pain after fx // rib fx
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The lungs are clear. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are normal without effusion or pneumothorax.
evaluate for pneumonia.
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Right-sided central line tip is unchanged and is in the right atrium. The cardiomediastinal silhouette is within normal limits. The lungs are clear. There is no focal consolidation or pleural effusion. There is no pneumothorax.
history of lymphoma on chemotherapy. weakness. evaluate for pneumonia.
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Ap and lateral views of the chest. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. The cardiac silhouette is enlarged but stable. Tortuous descending thoracic aorta with atherosclerotic calcifications is seen. No acute osseous abnormality is detected.
<unk>-year-old female with altered mental status on plavix.
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Since chest radiographs obtained in <unk>, no significant changes are appreciated. There may be minimal bilateral hyperexpansion of the lungs. Lungs are clear without focal nodules, consolidations, or effusions. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal. Pleural surfaces are normal.
<unk> year old woman with remote (<unk> yr history) + ppd, now + ppd, b-hcg vaccine as child, r/o active tb // r/o active tb
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The cardiac silhouette size is normal. The aortic knob demonstrates mural calcifications. Pulmonary vascularity is normal. The hilar contours are unchanged. No focal consolidation, pleural effusion or pneumothorax is present. Multiple right axillary clips are demonstrated. Old fractures of the left eighth and ninth ribs are demonstrated posteriorly. No acute osseous abnormalities are seen.
tachycardia and shortness of breath.
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Bilateral hyperinflated lungs suggest emphysema. No discrete lung opacities concerning for pneumonia. Biapical and minimal scarring at the left lung base is unchanged. There is no evidence of central or hilar lymphadenopathy. Heart size is normal. Biapical scarring is minimal.
<unk>-year-old woman with copd, exacerbation to rule out pneumonia.
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A new right upper lobe hazy opacity is consistent with pneumonia. The cardiomediastinal silhouette is normal. There is no effusion or pneumothorax.
complained of "feeling wheezy" although the lungs clear to auscultation anteriorly. fever to <num> with rigors. rule out acute process.
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Ap and lateral views of the chest are compared to previous exam from <unk>. Right chest wall port is now seen with catheter tip in the proximal right atrium. Slightly low lung volumes. The lungs are grossly clear of consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with questionable seizure activity. history of pancreatic cancer. question acute cardiopulmonary process.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable. Again seen is a healed fracture of the lateral left ninth rib and deformity of the left humeral head, unchanged.
evaluate for pneumothorax or structural process in a patient with chest pain.
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is a stable calcified granuloma in the left lower lobe. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.
shortness of breath
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The heart is moderately enlarged. In addition to worsening interstitial abnormality suggesting mild pulmonary edema, also noting thickening of fissures, there are new areas of focal opacification in the left upper and lower lobes suggesting pneumonia. Trace pleural effusions are suspected bilaterally. A picc line terminates at the cavoatrial junction.
hypoxia.
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Frontal and lateral radiographs the chest demonstrate clear lungs. The hilar, cardiac, and mediastinal contours are normal. No pleural abnormality is seen.
neck pain after motor vehicle collision.
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The lungs are clear. There is no focal consolidation or effusion. Cardiac silhouette is top-normal. No acute osseous abnormalities.
<unk>m with cough and fever // pna
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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 chest examination of <unk>. The heart size remains normal. No changes in mediastinal structures. The pulmonary vasculature remains normal. The lateral and posterior pleural sinuses are free and there is no evidence of pneumothorax in the apical area. No new pulmonary parenchymal abnormalities can be identified. Skeletal structures again within normal range.
<unk>-year-old female patient with acute lymphocytic leukemia status post allo stem cell transplant, on immunosuppression with elevated white blood count. evaluate for possible new infectious process.
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Cardiomediastinal silhouette is within normal limits. Opacity in the right midlung is consistent with pleural plaques seen on the prior chest ct. A known, suspicious pulmonary nodule is not definitively seen. A vp shunt is noted. No pneumothorax.
history: <unk>f with pmh stage <num> lung cancer presenting with syncope today // acute cardiopulmonary process
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Frontal and lateral chest radiographs demonstrate a normal mediastinum and heart size. A moderate right pleural effusion has decreased since yesterday, with interval improvement in the right middle lobe consolidation. An opacity in the superior right lower lobe is improved, and given this rapid improvement likely represented atelectasis or major aspiration which is now resolved. There is no convincing evidence of pneumonia. The left lung is unchanged, and there is no left pleural effusion. No pneumothorax is seen.
recent thoracentesis, with subsequent hypoxia and pulmonary edema. evaluate for interval change in right sided opacities.
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In comparison with the study of <unk>, there is little interval change in the degree of bilateral pleural effusions, more prominent on the right. Fluid within the major fissure on the lateral view is no longer seen. Central catheter remains in place. Upper lungs are essentially clear.
pleural effusion.
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There has been prior median sternotomy. Heart demonstrates multi chamber enlargement has increased slightly in size since the prior study. Permanent pacemaker remains in place with leads in the right atrium and right ventricle. . The mediastinal and hilar contours are normal. The pulmonary vasculature is increased but stable since the prior study. . Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with ai, tr, cad // pre-op baseline study
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There are bilateral parenchymal opacities and small left greater than right pleural effusions. Cardiac silhouette is enlarged but stable in configuration. Median sternotomy wires and mediastinal clips are noted. Left chest wall single-lead pacing device seen with lead tip in the right ventricular apex.
<unk>-year-old male with crackles and shortness of breath. question pneumonia or pulmonary edema.
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Mild enlargement of cardiac silhouette is unchanged. The mediastinal and hilar contours are also stable, with prominence of the main pulmonary artery indicative of pulmonary arterial hypertension. Perihilar hazy opacification which is more pronounced on the right likely reflects mild asymmetric pulmonary edema, similar to that seen on the previous exam. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities are demonstrated.
diastolic congestive heart failure, restrictive lung disease, pulmonary hypertension, chest pain.
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There are new small bilateral pleural effusions. The left heart border is obscured. There are new perihilar opacities likely secondary to pulmonary edema. There is evidence of mild pulmonary edema. No evidence of a pneumothorax. Pacemaker leads are seen terminating in the appropriate position.
history of shortness of breath.
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The heart size top normal and stable. Prominence of the pulmonary vessels is seen without evidence of pulmonary edema. There is a small right pleural effusion. No focal consolidations or pneumothorax are seen. Again seen are surgical clips at the right lung apex that are unchanged in position.
<unk> year old man with doe /multifocal alveolar abnormality seen on recent evaluation; recent pe // r/o chf/multifocal alveolar abnormality seen on recent evaluation; recent pe
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The lungs are clear. Cardiac silhouette is normal in size. There is no pleural effusion or pneumothorax.
tia.
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The lungs are hyperinflated. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen. Dislocated left shoulder with proximal left humeral fracture, better assessed on left shoulder and humerus radiographs.
history: <unk>f with left humerus fracture. // pre-op
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The lungs are clear. There is no consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with history of possible seizure disorder not on meds p/w seizure. // eval for pna
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There is prominence of the pulmonary vasculature consistent with mild pulmonary vascular congestion. There is no focal consolidation, pleural effusion or pneumothorax. The heart is mildly enlarged. The imaged upper abdomen is unremarkable. The bones are intact.
history: <unk>f with shortness of breath // eval for chf or pna
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As compared to the previous radiograph, there is no relevant change. Opacity, associated to volume loss of the middle lobe is constant. No newly appeared parenchymal opacity. No pleural effusions. Moderate cardiomegaly without pulmonary edema. Moderate tortuosity of the thoracic aorta.
possible pneumonia, evaluation.
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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. There is minimal, if any, vascular congestion most prominent in the right lower lung compared to <unk>. No pulmonary edema is appreciated.
evaluate for pulmonary edema in a patient with afib with rvr.
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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.
<unk>f with chest pain // ? infectious process, effusion
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Lungs are well inflated and clear. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax.
<unk>-year-old man with syncope and dizziness, evaluate for pneumonia.
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In comparison with study of <unk>, there is now a dual-channel pacer device in place with leads extending to the right atrium and region of the apex of the right ventricle. Cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia.
increased shortness of breath.
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Pa and lateral views of the chest demonstrate well-expanded and clear lungs. The heart is normal in size. Cardiomediastinal contour is notable for widening of the mediastinum, probably related to lipomatosis or lymphadenopathy. There is no pleural effusion or pneumothorax.
<unk>-year-old man with history of all, hypoxia, tachycardic, evaluate for pneumonia.
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As compared to prior chest radiograph from earlier today, pulmonary vascular congestion has improved. The cardiac silhouette is mildly enlarged. There is no focal consolidation or pneumothorax. Previously identified density projecting over the spine beneath the left hemidiaphragm, is not seen on current examination. Trace effusions are seen bilaterally.
shortness of breath, status post diuresis. evaluate resolution of calcified lesion.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits with calcified mildly tortuous aorta. There has been interval placement of a right-sided port-a-cath, which terminates in the low superior vena cava.
<unk>-year-old male with pancreatic cancer, now with fever.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.
syncope.
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Frontal and lateral views of the chest were obtained. There is no focal consolidation, pleural effusion or pneumothorax. Mild enlargement of the cardiac silhouette is increased since <unk>, with right heart enlargement. Mild aortic tortuosity is unchanged. Hilar contours are normal.
intermittent chest pain and dyspnea for five days.
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Frontal and lateral views of the chest demonstrate left pectoral cardiac pacer in place with leads terminating in the right atrium and right ventricle. Mild cardiomegaly is new. The thoracic aorta is tortuous with calcifications in the arch and along the aorta. Moderate right pleural effusion with an intrafissural component has developed in the interim, could be infectious. The left lung is well aerated and generally clear. Right glenohumeral and acromioclavicular degenerative changes are chronic as is senile thoracic spine kyphosis.
<unk>-year-old female with congestive heart failure and increased sputum production as well as weakness. question pulmonary process.
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Cardiac silhouette size is top normal. Moderate size hiatal hernia is re- demonstrated. Mediastinal and hilar contours are otherwise unchanged. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. Moderate multilevel degenerative changes are noted in the thoracic spine. Clip is noted within the left upper quadrant of the abdomen.
history: <unk>f with copd, asthma, recent flu-like symptoms and worsening dyspnea, cough
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There is mild pulmonary edema. No focal consolidation. Mild bilateral pleural effusions are present. No pneumothorax. The heart is mildly enlarged. Diffuse osteopenia is noted.hyperinflated lungs consistent with copd.
<unk> year old woman with baseline mci and dhf p/w weakness and confusion. // eval for pna or pulmonary edema
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Pa and lateral chest radiographs were obtained. The heart is top normal in size, and cardiomediastinal contours are unremarkable. Mild deviation of the trachea to the right and widening of the mediastinum is unchanged. Thoracic aorta is tortuous. Lungs are well expanded and clear with minimal basal atelectasis. A small nodule projecting over the fifth posterior rib on the right is unchanged. No pleural effusions or pneumothorax.
<unk>-year-old woman with history of sarcoidosis, some wheezing on exam, assess lungs.
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Heart size is mildly enlarged. Right hilar opacity is compatible with known mass and radiation treatment changes. Previously noted right upper lobe atelectasis has improved though is still present. Small right pleural effusion persists. Left lung is clear. There is no pulmonary edema. No pneumothorax is demonstrated. Mild degenerative changes are noted in the thoracic spine. The patient is status post tracheostomy.
lung cancer, shortness of breath.
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There are coarsened peribronchovascular interstitial markings. Scattered ground-glass opacities are also noted, which appear ill defined. No pleural effusion or pneumothorax is present. The cardiomediastinal silhouette is normal.
history of hiv with cough.
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Chest, pa and lateral. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
dyspnea and stridor.
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Left superior mediastinal widening rightward deviation and narrowing of the trachea is consistent with known history of thyroid goiter. Heart size and remaining mediastinal contours are normal. Lungs are well-expanded and clear. No pleural effusion.
<unk> year old woman with cough and fever // ? pna
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The previous seen right upper lobe opacity has resolved. The lungs are clear. The hila and pulmonary vascular are normal. No pleural effusions or pneumothorax. The cardiomediastinal silhouette is normal. No obvious osseous abnormalities.
<unk> yo f pt with - an apparent opacity in the right upper lobe was not seen on the prior studies and may reflect calcification of the costal cartilage. recommend continued attention on followup with departmental pa and lateral chest radiographs when the patient's clinical condition improves. // eval for opacity seen on cxr from <unk>
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Large right pleural effusion has increased with associated right lung collapse. Small left pleural effusion is also seen. Numerous mediastinal adenopathy consistent with previous tumor burden seen on last ct scan. No focal consolidation or pulmonary edema is seen.
<unk>-year-old woman with history of metastatic rcc, right pleural effusion. presenting with worsening dyspnea.
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Chest, <num> vws inspiratory volumes are slightly low. This may account for apparent slight enlargement of the cardiac silhouette. Within the limits of plain film radiography, no hilar or mediastinal enlargment is detected. Hazy increased opacity projecting over the lower lobe posteriorly is noted, but may be an artifact of underpenetration. No frank consolidation is seen and no ther focal opacities are seen. No chf, effusion, or pneumothorax is detected. No localizing history for the rib pain is available. Allowing for this, no rib fracture is detected on these lung-technique films. On the lateral view, the sternomanubrial junction appears slightly prominent and poorly corticated. If there is focal tenderness, then this could suggest slight distraction of the sternomanubrioial joint, presumably post-traumatic. Small rounded lucencies in the right glenoid could represent screw tracks from prior surgery or, alternatively, subchondral cysts. There is nonvisualization of the right clavicular companion shadow, which can be seen in the setting of right supraclavicular lymphadenopathy. It is otherwise of doubtful clinical significance.
<unk>-year-old man status post mva one week ago, now presenting with shortness of breath and rib pain, rule out pneumothorax or other acute process.
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Pa and lateral chest radiographs. Moderate pleural effusion is similar to prior radiograph. The lateral view also shows a small right effusion. There is no pneumothorax. The heart size is normal. Diffuse sclerotic osseous metastases are most visible in the proximal humeri, clavicles and right scapula.
history of diffusely metastatic breast cancer with left pleural effusion and possible pneumonia. better characterization needed.
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Fine detail is limited by the overlying soft tissues. The cardiac silhouette is unchanged and normal. Mediastinal contours are unremarkable. There is no pleural effusion, pneumothorax or airspace consolidation. The lung volumes are slightly lower than prior, resulting in crowding of the bronchovascular structures.
syncope, evaluate cardiomegaly.
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The heart size is normal. The mediastinal and hilar contours are within normal limits. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are identified. Scoliosis of the thoracolumbar spine is unchanged.
right chest pain.
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Frontal and lateral views of the chest demonstrate low lung volumes, lungs are clear without pleural effusion, focal consolidations or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Free intraperitoneal air is seen under the left hemidiaphragm. Ng tube terminates in the stomach.
patient with recent bowel surgery, now with abdominal pain and distention.
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Borderline cardiomegaly. Pulmonary vascular congestion, but no frank edema. Lungs are clear. No pleural effusion or pneumothorax.
history: <unk>m with weakness and cirrhotic // ?pneumonia
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Heart size is normal. The aorta is mildly tortuous. Hilar contours are normal, and the pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is visualized. Moderate multilevel degenerative changes are seen in the thoracic spine.
altered mental status.
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The lungs are well-expanded and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. The aorta is mildly tortuous.
<unk> year old woman with right blurry vision, right sided numbness. any masses? acute cardiopulmonary process?
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with chest pain, sob // eval for infiltrates
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Leftward deviation of the trachea at the thoracic inlet is noted. No acute osseous abnormalities. Surgical clips noted in the right upper quadrant.
<unk>f with fever // eval for pna
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The lungs are hyperinflated with flattening of the diaphragms and increased ap diameter, suggesting chronic obstructive pulmonary disease. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. Some degenerative changes are seen along the spine, right acromioclavicular joint and right glenohumeral joint. The right humeral head is high-riding which can be seen in rotator cuff disease.
history: <unk>m with recent fall, pending infectious w/u // eval ? infection
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Frontal and lateral radiographs of the chest were acquired. Lung volumes are low, causing exaggeration of the heart size and accentuation of the pulmonary vasculature. There is subsegmental bibasilar atelectasis. No focal consolidation is seen. The mediastinal contours are not significantly changed, with stable ectasia of the thoracic aorta. The heart size is normal. There are no pleural effusions. No pneumothorax is seen. No free air is seen under either hemidiaphragm.
abdominal bloating. assess for free air.
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unchanged. Mild aortic tortuosity is unchanged since prior. There is no pulmonary edema. Heart size is normal. Multiple surgical clips project over right upper abdomen. Partially imaged upper abdomen is unremarkable.
cough and fever.
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Frontal and lateral radiographs of the chest demonstrate stable moderate enlargement of the cardiac silhouette. No pleural effusion or pneumothorax. Unchanged mild pulmonary vascular congestion. No focal consolidation.
chest pain. question pneumonia.
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Frontal and lateral radiographs of the chest demonstrate increased diffuse interstitial lung markings, consistent with the patient's known diagnosis of interstitial pulmonary fibrosis. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax or pleural effusion. .
<unk> year old man with ipf and acute superimposed sob // any evidence of an exacerbation/infection?
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The lungs are hyperinflated, with flattening of the diaphragms. The cardiac and mediastinal silhouettes are unremarkable. There is a minimal biapical pleural thickening. No overt pulmonary edema is seen.
dyspnea, chest pain.
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Patient is status post median sternotomy and cabg. Dual lead left-sided pacemaker is stable in position. No pulmonary edema is seen. The cardiac and mediastinal silhouettes are stable. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Soft tissue calcification projecting over the right upper lung is stable.
history: <unk>f with chest pain, dyspnea, dizziness // acutecardiopulm disease
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are detected.
dizziness and headache.
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Since the prior study there is an improvement in aeration of the lungs with slight improvement in heterogeneous bibasilar opacities. Moderate cardiomegaly persists and there is increased opacification in the right lower lobe. Chain sutures are again noted in the right upper lung. There is no evidence of pleural effusion or pneumothorax. Mild central vascular congestion is noted.
<unk>f with fatigue, hematocrit dropped. evaluate for acute process.
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The cardio mediastinal contours are normal without significant interval change. The bilateral hila appear normal. There is an adequate inspiratory effort, and the lungs are clear without evidence of focal consolidation. There is no pulmonary vascular congestion. There is no evidence of pneumothorax or effusion.
<unk> year old woman with severe cough and wheeze // please evaluate for focal opacity (pneumonia)
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Pa and lateral chest radiographs. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
fever.
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal. There is a linear radiodensity projecting over the left neck seen only the frontal view.
<unk>f with lost crown status post mvc. evidence of tooth/crown in lungs
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The cardiac silhouette size remains borderline enlarged. The mediastinal contours are unchanged with marked tortuosity of the thoracic aorta again noted. There are diffuse atherosclerotic calcifications of the thoracic aorta. Diffuse mild to moderate interstitial abnormalities are re- demonstrated in both lungs, similar compared to the previous exam from <unk>. No definite pleural effusion or pneumothorax is seen though assessment of the apices is obscured due to the patient's chin and neck soft tissues projecting over this region. Compression deformity of a mid thoracic vertebral body is age indeterminate.
syncope with recent pneumonia.
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Ap upright and lateral chest radiographs demonstrate a large hiatal hernia and a probable small left pleural effusion. The thoracic spine demonstrates s-shaped scoliosis. The lungs are clear and there is no pneumothorax. The cardiac, hilar, and mediastinal contours are within normal limits.
fatigue and left-sided flank pain.
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The lungs are clear. There is no consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Left-sided nipple ring is identified. There is no acute osseous abnormalities nor free intraperitoneal air.
<unk>m with brbpr, abd pain, chest tightness // any evidence of consolidation or ptx?
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Lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with right arm and chest pain. evaluate for acute intrathoracic process.
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Frontal and lateral chest radiographs again demonstrate moderate cardiomegaly. Coarse interstitial markings are unchanged and again suggestive of chronic interstitial lung disease. Left base atelectasis is again seen, without new focal consolidation. There is no appreciable pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with cough.
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There bilateral pleural effusions, moderate on the left and small on the right, unchanged since <unk>. Superiorly, the lungs are clear. There is no pneumothorax. The cardiac silhouette is moderately enlarged. Atherosclerotic calcifications noted at the aortic arch. Prior left lateral eighth and posterior right seventh rib fractures are noted. No acute osseous abnormalities.
<unk>m with rib pain s/p fall // r/o acute process
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Frontal and lateral views of the chest demonstrate similar configuration as a right basal approach pleural catheter in place. There is a persistent small right pleural effusion with associated atelectasis and a small perifissural component. Previously seen pneumothorax component in the right basal hydropneumothorax is no longer visible. The right upper lung and left lung appear well aerated. There is no pulmonary edema or left pleural effusion. The heart is normal in size. The mediastinal and hilar contours are within normal limits. Multilevel upper thoracic anterior spondylosis is present.
<unk>-year-old male with pleural effusion, here for evaluation.
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Pa and lateral views of the chest. There is focal opacity projecting at the right lung apex. Associated volume loss is seen on the right. Elsewhere, the lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Thoracic aorta is somewhat tortuous with atherosclerotic calcifications at the arch. No acute osseous abnormality is identified.
<unk>-year-old male with subjective fevers.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. There is no evidence of free air.
abdominal pain, vomiting. rule out free air.
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The lungs are grossly clear. The cardiac silhouette is normal in size. There are no hilar or mediastinal abnormalities. There is no evidence of pneumonia, pneumothorax, pulmonary edema, or pleural effusion.
nausea vomiting. question pneumonia.
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The lungs are slightly hyperinflated but clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Old left clavicular head posterior left eighth rib fracture is noted.
<unk>m with dyspnea, hepatomegaly, abd pain // ?pneumonia
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with chest pain
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No previous images. Relatively low lung volumes may account for the mild prominence of the cardiac silhouette. No evidence of vascular congestion, pleural effusion, or acute focal pneumonia. Minimal atelectatic streaks are seen at the left base. Suggestion of a slight impression on the left side of the lower cervical trachea raises the possibility of thyroid enlargement.
persistent chest pain.
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No focal consolidation, pleural effusion, or pneumothorax is seen. Heart size is normal. Left mediastinal bulge probably represents a tortuous aorta.
<unk>-year-old female with abdominal pain.
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Pleural effusions layering along the lateral chest wall are unchanged from the prior study. Pulmonary vascular congestion has increased slightly from the prior study. The cardiomediastinal silhouette is unchanged. There is no focal consolidation or pneumothorax.
<unk>m with shortness of breath, evaluate for acute process.
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Heart size remains top 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 chest pain and dizziness
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The patient is status post pacemaker placement.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac, hilar and mediastinal silhouettes are unremarkable.
<unk> year old woman with igg <unk> deficiency c/b recurrent pna presents w/pna sx. // is there a pna?
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. There is mild scoliosis
<unk> year old man with hcv cirrhosis // new evaluation for liver transplant assess for cardiopulmonary abnormalities
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. An <num> x <num> mm rectangular opacity in the right hilus projects over the setting pulmonary artery and is of uncertain etiology. The imaged upper abdomen is unremarkable. The bones are intact.
history: <unk>f with chest pain // r/o infiltrate
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The lungs are normally expanded and clear. The heart is top normal. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.
dyspnea, chest pain and epigastric pain. evaluate for infiltrate.
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Heart size is mildly enlarged. The mediastinal and hilar contours are normal. The lungs are mildly overinflated with no evidence of pneumonia or pulmonary edema. No pleural effusion or pneumothorax is seen. A small granuloma is seen involving the lateral, upper right lung without suspicious features.
<unk> year old woman with hypoxia // shortness of breath
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Lungs are hyperinflated but clear without focal consolidation, pleural effusion, or pneumothorax.
<unk> pack-year smoking history, recent present stay, cough, night sweats, and decreased tactile femitus at the left posterior lung base.
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The right chest wall port-a-cath in unchanged position ending in the lower svc. Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with dyspnea // ?pna
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Pa and lateral views of the chest. The lungs are clear. Cardiac silhouette is normal in size. Hilar and mediastinal contours are normal. No pleural or pericardial effusion. No evidence of pneumothorax.
abdominal pain and vomiting.
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Again, the overall chest anatomy is distorted by severe levoconvex thoracic scoliosis. Redemonstrated is a left hilar spiculated opacity with evidence of retraction of the adjacent parenchyma and left lung volume loss, demonstrating slight interval progression compared to the prior exam from <unk>. There is a consolidation along the right middle lobe as well as a generalized opacity overlying the left mid-to-lower lung. There may be small bilateral pleural effusions. The cardiomediastinal silhouette is mildly shifted leftward. There is no evidence of a pneumothorax. The visualized osseous structures are unremarkable.
history of cough. please evaluate for pneumonia.