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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 cough, chest pressure, congestion
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old woman with cough, fever, wheezing // r/o pna
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The lungs are clear without focal consolidation. There is unchanged unfolding of the thoracic aorta with an an usual contour consistent with prior aneurysm repair. The ascending aorta appears slightly more prominent since the prior study, and this may be due to patient rotation. The cardiac silhouette is within normal limits. There is no pleural effusion or pneumothorax.
<unk>-year-old man with chest pain, evaluate for pneumonia.
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There relatively low lung volumes.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with hyperglycemia // eval for infection
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<num> views of the chest demonstrate mild scarring at the right lung base. Otherwise the lungs are clear and the hilar and mediastinal contours are normal. No pleural abnormality is seen. As compared to the prior radiograph, there has been interval improvement in the right basilar opacity.
shortness of breath and dyspnea on exertion.
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Heart size is normal. Mediastinal widening is unchanged and apparently due to mediastinal lipomatosis based on prior cta chest <unk>. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with cough, h/o sarcoidosis. rhonchi rll. // assess lungs
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The lungs are hyperinflated with flattening of the diaphragms consistent with chronic obstructive pulmonary disease, not effort dependent. The retrocardiac left lower lobe opacity has completely resolved. The mediastinal contours, cardiac borders, and heart borders are normal.
<unk> year old woman with pna on <unk>. ? copd on her xray. non smoker // eval for resolution of infiltrates; is the hyperinflation effort dependent?
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As compared to the previous radiograph, pre-existing opacity at the right lung base has completely cleared. The left picc line has been removed. No new infectious changes. No evidence of pleural effusion. Normal hilar and mediastinal structures. Normal size of the cardiac silhouette. Minimal bilateral apical thickening, healed right-sided rib fractures.
pre-bone marrow transplantation.
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Mild enlargement of the cardiac silhouette is similar to the prior examination. Mediastinal contours are otherwise unremarkable. There is no focal consolidation, pleural effusion, or pneumothorax. Pulmonary vasculature are mildly prominent and there is no pulmonary edema.
history: <unk>f with nausea, vomiting, crackles on exam, new lower extremity edema. // etiology of crackles on exam
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The lungs are normally expanded. There is a rounded opacity at the right base. The lung fields are otherwise clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is calcification of aortic arch.
history: <unk>m with chest pain // evaluaet for acute process
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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.no osseous abnormalities.
history: <unk>f with chest pain sob // eval for pna
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are mild degenerative changes noted in the thoracic spine.
history: <unk>f with nonproductive cough x <num> week, afebrile, pleuritic chest pain.
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Minimal basilar atelectasis is seen. The lungs remain hyperinflated. There are subtle nodular opacities in the right upper lobe, as also mentioned on the prior study, similar, at which time chest ct was recommended. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with weakness // etiology of weakness
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There is a small left pleural effusion with overlying atelectasis. Otherwise, the lungs are clear. No right pleural effusion is seen. There is no evidence of pneumothorax. . The cardiac and mediastinal silhouettes are unremarkable. Anchor screws project over the left humeral head.
history: <unk>f with c/o increased confusion and falls // ? pna
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Pa and lateral views of the chest. Previously seen multifocal pneumonia has significantly decreased with some residual streaky opacities in the right mid lung and left mid lung. No new consolidations. Trace right pleural effusion is new compared to prior study. No pneumothorax. Cardiomediastinal and hilar contours are normal.
recent multifocal and cavitary pneumonia, status post antibiotic course, evaluate for interval resolution.
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Pa and lateral views of the chest. The lungs are clear. There is no effusion, pneumothorax or vascular congestion. The cardiomediastinal silhouette is stable, top normal in size. No acute osseous abnormality is identified.
<unk>-year-old female with hypertension with chest pain.
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. Aortic valve replacement is again noted. There is a prominent contour of the ascending aorta and aortic arch. Cariomediatinal silhouette is otherwise unchanged. No acute osseous abnormality is identified.
<unk>-year-old male with near syncope.
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Patient is slightly rotated. Right-sided dual lumen central venous catheter tip terminates in the right atrium. Left-sided pacer device is noted with single lead terminating in the right ventricle. Mild enlargement of the cardiac silhouette is similar. The aorta is diffusely calcified. Mediastinal and hilar contours are grossly unremarkable. No pulmonary edema is detected. Streaky opacities in the lung bases may reflect areas of atelectasis and scarring. Blunting of the costophrenic angles bilaterally is unchanged, which may reflect chronic pleural thickening. No large pleural effusion or pneumothorax is identified. Remote fracture deformity of the right proximal humerus is noted. Diffuse demineralization of the osseous structures is present.
history: <unk>f with hemodialysis tomorrow // acute process?
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Right-sided port-a-cath terminates in the cavoatrial junction without evidence of pneumothorax.no focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
<unk> year old woman with neutropenic fever // eval for 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.
<unk> year old woman with cough x<num> week and left lower lung rales not clearing with coughing // evaluate for pneumonia and/or pna complications
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no definite focal consolidation, pleural effusion or pneumothorax. There is minimal pulmonary vasculature engorgement.
altered mental status. question pneumonia.
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Pa and lateral views of the chest show no consolidation, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
chest pain, cough, and recent pneumonia.
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Left-sided port-a-cath is seen with terminating in the low svc without evidence of pneumothorax. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Evidence of a hiatal hernia is again seen. Mild prominence of the left hilum is similar to scout radiograph from chest ct from <unk> and may be due to overlapping structures. No definite lymphadenopathy was seen on that study, although it is noncontrast. .
history: <unk>f with fatigue // eval for infiltrate
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Cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There is continued patchy opacification within the left lower lobe. No new areas of focal consolidation are seen, and the right lung remains clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
shortness of breath, recent treatment for pneumonia.
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Pa and lateral views of the chest provided. Midline sternotomy wires again noted with mediastinal clips and a prosthetic aortic valve. Additionally, clips are noted in the right subclavian region. There is similar overall appearance of the cardio mediastinal silhouette which is prominent and reflects known aortic dissection and aneurysm. Lungs are clear without focal consolidation, large effusion or pneumothorax. No signs of congestion or edema. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with <num> minutes hour of left facial and arm numbness. please scan through aortic arch
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The lungs are well inflated and clear. Small right pleural effusion is noted. No left pleural effusion. Mild cardiomegaly has decreased since prior examination. Mediastinal contour and hila are unremarkable. Aortic arch calcifications are again noted. There are intact median sternotomy wires with clips in the left hilum as well as a partially visualized left upper extremity vascular stent.
<unk>f with pmh cad s/p cabg and stenting p/w heart palpitations since last night. acute cardiopulmonary process.
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Moderate cardiomegaly is stable. The mediastinal and hilar contours are also stable. There is no pneumothorax or pleural effusion. Lungs are well-expanded. New medial right base opacity is noted, which may reflect pneumonia in the correct clinical setting. The upper abdomen is unremarkable. Chronic degenerative changes of the left shoulder with areas of ossification are noted.
<unk>f with cough
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There are relatively low lung volumes. Increased interstitial markings bilaterally suggests mild pulmonary vascular congestion. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette enlarged. No pleural effusion is seen. There is no focal consolidation. Hilar contours are stable. Patient is status post median sternotomy. Evidence of dish is seen along the thoracic spine.
history: <unk>f with abd pain, diffuse tenderness, vomiting, chest pain, recent pna // eval for acute process
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Ap upright and lateral views of the chest provided. Mediastinal widening above the cardiac silhouette and hilar enlargement due to a combination of adenopathy and pulmonary hypertension are similar to prior. There is no focal consolidation, effusion, or pneumothorax. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Compared to the prior exam there are increased interstitaial markings, acute on chronic fluid overload
history: <unk>f with pulm htn, recent cough, fell out of bed with head strike/loc // ct imaging: eval for acute injury
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Moderate bronchial wall thickening suggests small airways disease or bronchitis. Linear opacities bilaterally, particularly within the lingula, probably represent subsegmental atelectasis. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is normal.
<unk>f with cough, and shortness of breath, evaluate for pneumonia.
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In comparison with study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
lymphoma with stem cell transplant, now with fever of unknown etiology.
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour, including mild cardiomegaly, is unchanged.
<unk>m with cough, chills, right chest pain, evaluate for pneumonia.
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Pa and lateral views of chest demonstrate streaky opacities in the left lower lobe which are most likely atelectasis. The right lung is clear. Cardiac size is normal. No pleural effusions or pneumothorax.
<unk>-year-old female left-sided chest pain.
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The heart size is normal. The the hilar and mediastinal contours are normal. Consolidations in the left and right lower lobes and right mid lung, likley upper lobe. There are probable small bilateral pleural effusions. There is no evidence of pneumothorax. The visualized osseous structures are unremarkable.
history of hypoxia. please evaluate for pneumonia.
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Moderate retrocardiac atelectasis is unchanged. A moderate-to-large left pleural effusion is unchanged. Hilar contours are normal. The heart is moderately enlarged unchanged from <unk>. Patient is status post median sternotomy. The wires are properly aligned and intact. A left central venous line ends in the mid svc unchanged from prior.
<unk> year old man s/p cabg // predischarge eval
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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are unchanged. A portion of the left fifth rib is again absent. The median sternotomy wires, mediastinal clips, and anterior right chest wall clips are again noted.
<unk>m presenting after house fire. shortness of breath.
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The lungs are clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Degenerative changes are noted at the shoulders.
<unk>m with ams and hyperglycemia, weakness, n/v // any consolidation
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Two views of the chest demonstrate a right chest hemodialysis catheter with its tip located at the expected position of the right atrium. Low lung volumes are present. The pulmonary vasculature is mildly engorged. There is no pleural effusion or pneumothorax. The cardiac silhouette is top normal, the mediastinal contours are normal. Incidental note is made of a stent graft within the right arm.
<unk>-year-old male with cough and fevers on dialysis. assess for infiltrate.
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The cardiac, mediastinal, and hilar contours are normal. The lungs are clear, and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
chest pain.
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Pa and lateral views of the chest were provided. The heart is top-normal in size. The lungs appear clear. No pleural effusion or pneumothorax. Mediastinal contour is normal. Bony structures are intact. There is no free air below the right hemidiaphragm.
<unk>-year-old female, immunosuppressed, near syncopal episode with left lung crackles.
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Right-sided port-a-cath tip terminates at the junction of the svc and right atrium. Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Previously demonstrated pulmonary nodules on ct are not well assessed on the current exam. Lungs are clear. Trace left pleural effusion is similar compared to the prior ct and chest radiograph. No pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with altered mental status
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>m with <num> days chest tightness, cough, recent plane flight. evaluate for focal consolidation or infarction.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with htn, hld, dm type ii with sudden onset chest pain with radiation to the back. // any evidence of pneumonia? widened mediastinum? any evidence of pneumonia? widened mediastinum?
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There is left apical scarring, better demonstrated on the prior cta chest dated <unk>. The lungs are otherwise free of focal consolidations, pleural effusions or pneumothorax. Cardiomediastinal silhouette is within normal limits.
<unk> year old woman with cough for <num> weeks, on ethanercept due to rheumatoid arthritis, prior +ltbi treated with inh for <num> months // r/o infiltrate
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Pa and lateral views of the chest provided. There is no significant interval change. Scarring at the right lung base is unchanged. 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 <num> day of l shoulder pain with movement // eval for dislocation.
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A punctate calcified granuloma at the right lung base is unchanged. The lungs are hyperexpanded bilaterally. Bibasilar atelectasis again noted. There is no large consolidation, pleural effusion, or pneumothorax. Moderate cardiomegaly is unchanged.
<unk>f with altered mental status, ?infection
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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 s/p fall // eval for injuries, eval for infiltrates
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The lungs are well-expanded without focal consolidation. Moderate cardiomegaly and pulmonary vascular congestion are slightly increased from <unk>. No pulmonary edema or pleural effusions. Unchanged right chest dual lumen pacemaker.
<unk> year old man with worsening cough, decreased bs lll, history of chf // ? effusion ? pna
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In comparison to the prior study of <unk>, the cardiac silhouette has slightly decreased in size. Pulmonary edema and right pleural effusion have resolved. Linear opacities at the left base likely represent atelectasis. No pneumothorax.
history: <unk>m with cp // infiltrate
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The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
syncope. evaluate for pneumonia.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with sc crisis // eval for consolidation
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Pa and lateral views of the chest. Increased reticular markings in the lung bases compatible with extensive left greater than right bronchiectasis identified on previous exam and could explain patient's physical exam findings. There is no confluent consolidation, effusion or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. The right <num>st rib sclerotic focus is again seen.
<unk>-year-old female with dyspnea and chest pain. crackles on exam.
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The cardiac, 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 detected.
right chest pain.
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Again seen are extensive bilateral bronchiectatic changes. There is no focal lung consolidation; however, atypical superimposed infection cannot be excluded on chest radiographs. Ct might be considered if clinically indicated. Cardiomediastinal silhouette and hila are normal. There is no pleural effusion or pneumothorax.
<unk>-year-old with recent pneumonia.
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The patient is status post sternotomy and aortic valve replacement. The heart is mildly enlarged with a left ventricular configuration. There is no discrete focal opacity but fissures are thickened with a mild interstitial abnormality and pulmonary vascular indistinctness, suggesting mild pulmonary edema. Opacification of posterior costophrenic sulci suggests small pleural effusions and perhaps coinciding atelectasis.
shortness of breath, dyspnea, cough.
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Frontal and lateral chest radiographs demonstrate a central catheter terminating in the upper right atrium. There is a large right pleural effusion with associated lower lobe consolidation favoring compressive atelectasis, although underlying pneumonia cannot be excluded. There is also a small left pleural effusion. No pneumothorax is seen. The visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with cough and chest pain.
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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. Mild degenerative changes are similar along the lower thoracic spine.
increased seizure frequency.
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There is mild diffuse increase in interstitial markings bilaterally consistent with mild interstitial pulmonary edema. There is slight blunting of the bilateral costophrenic angles which may be due to very trace pleural effusions. The cardiac silhouette is top-normal to mildly enlarged. The aorta is slightly tortuous. There is no pneumothorax.
chest pain.
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The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk>f with cough and bloody sputum, evaluate for infiltrate.
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No new consolidations concerning for infection are identified. The heart size is normal. There is no appreciable change in the severe bilateral apical scarring and right apical pleural thickening. As to the extent of the pericystic consolidation in the right upper lobe and the contents of the large cystic spaces in both apices there are no clear radiographic changes. Severe hilar retraction is a longstanding feature; however, there are no changes in the contours of the central structures to suggest new adenopathy or any changes in the cardiac or vascular appearance to suggest cardiac decompensation. There is no pleural effusion or pneumothorax.
history of aspergillosis, pneumonia with purulent sputum for two weeks. please assess.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Heart size is normal. Mediastinal and hilar contours are normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk> year old woman with asthma and one week of dyspnea, cough, wheeze. .
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Bilateral chest tubes appear in unchanged positions. There is also a peritoneal drain projecting over the right upper quadrant of the abdomen as well as multiple surgical clips. A small-to-moderate right-sided pneumothorax appears probably increased slightly. Near the entry site of the chest tube on the right, a small quantity of emphysema is probably unchanged in extent. Opacification of the right lower and right middle lobes is probably due to substantial atelectasis which has not improved. Streaky left mid-to-lower lung opacities are also unchanged, suggesting a lesser degree of atelectasis. There is no definite pleural effusion on the left or persistent pneumothorax on that side.
trauma with liver laceration and diaphragmatic rupture status post repair and right rib fractures.
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Frontal and lateral radiographs of the chest were acquired. As before, there is a left-sided pacemaker with associated right atrial and right ventricular leads. Heterogeneous opacities in the right lower lobe are new compared to the prior radiographs from <unk>, concerning for either aspiration pneumonitis or pneumonia. There is minimal left basilar atelectasis. A small right pleural effusion is not significantly changed in size. The heart size is top normal. The mediastinal contours are normal. Aortic knob calcifications are seen. There is no pneumothorax. There is evidence of a calcified left ventricular aneurysm, better seen on prior ct from <unk>.
history of congestive heart failure, presenting with shortness of breath. evaluate for chf or pneumonia.
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Right chest tubes remain in place. There is persistent moderate-to-large right pneumothorax with unchanged right apical pneumothorax component and slight increase in basilar hydropneumothorax component. Cardiomediastinal and hilar contours are stable. Note is made of prior left upper lobe and partial chest wall resection. Multifocal atelectasis in the right lung and in the left mid lung area remain unchanged. Widespread subcutaneous emphysema is again demonstrated in the right chest wall and both supraclavicular regions. Mediastinal gas has improved.
<unk>-year-old man with right lower lobe wedge. check interval change.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with epigastric pain s/p colonoscopy <num> days prior // eval ? free air, atelectesis
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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. Note is made of previous median sternotomy and cabg.
<unk> yo male with a history of a nonischemic dilated cardiomyopathy, s/p lvad placement in <unk> as btt which he underwent at <unk> on <unk> c/b retained drive line fragment now presents with new onset hip pain and progressive doe. // please get for comparison to vq scan, thanks!
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Linear left basilar opacity is most likely atelectasis. Chain sutures seen at the right lung laterall. Right lung opacity abutting the hemidiaphragm have improved since prior and may be due to atelectasis versus scarring. There is no consolidation worrisome for pneumonia. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with crackles, weakness // eval for pna
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Heart size is normal. Mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
chest pain.
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The cardiac, mediastinal and hilar contours appear unchanged. Opacity effacing the right cardiophrenic angle is probably due to minor atelectasis. In the left lower lobe there is persistent opacity but decreased and similar in distribution. There is no pleural effusion or pneumothorax.
chest pain. question pneumonia.
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Compared with the prior chest x-ray, hyperinflated lungs with flattened diaphragms are consistent with copd. Cardiomediastinal and hilar silhouettes are unchanged. Increased opacification in the retrocardiac region could indicate developing consolidation.
<unk> year old woman with increased reticular marking in the left lung base on recent thoracic spine radiograph. evaluate further.
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The patient is status post median sternotomy and cabg. The heart size is borderline enlarged. The aorta is mildly tortuous. The pulmonary vascularity is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities seen.
chest pain.
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion, pneumothorax, or evidence of pulmonary edema.
history: <unk>f with chest pain pls eval for pna vs edema // history: <unk>f with chest pain pls eval for pna vs edema
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The heart is enlarged. A left mid-upper lung mass is again seen with a clip and associated thoracotomy changes. There is mild pulmonary edema. There are small bilateral pleural effusions. No definite focal consolidation or pneumothorax identified.
shortness of breath. recent antibiotics for possible pneumonia, evaluate for infiltrate.
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Pa and lateral views of the chest. The pacemaker with transvenous leads end in the appropriate positions in the right atrium and right ventricle. Sternotomy wires and mediastinal clips are stable. The cardiac, mediastinal, and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax.
pacemaker placement, evaluate lead placement.
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Lungs are low in volume but clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.
<unk>-year-old man with episodic sweating, assess for pulmonary infiltrate or opacity. review of the medical record reveals a history of hiv/aids.
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There is redemonstration of a left apical pneumothorax approximately <num> cm in craniocaudal dimension, previously measuring <num> cm. Allowing for differences in technique and position, this could represent a minimal increase in size. There is no mediastinal shift. No focal consolidation or pleural effusion is identified. The cardiac and mediastinal silhouettes are normal. There is redemonstration of a left clavicular fracture.
history of known pneumothorax, question pneumothorax.
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The lungs are hyperinflated. The cardiomediastinal silhouette is unchanged. There is no pleural effusion or pneumothorax.
<unk> year old man with cough x <unk> months // any evident reason for cough? any evident reason for cough?
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In comparison with chest radiograph from <unk>, there has been interval resolution of a left lower lobe pneumonia. Bilateral pleural effusions and bibasilar atelectasis have also resolved. Hyperinflated lungs and evidence of emphysema. Previous wedge resection in right upper lobe with adjacent scarring. There is no pneumothorax or pulmonary edema. Mediastinal and hilar contours are normal.
<unk> year old woman with cml, copd and pulmonary htn with recent pna // f/u up pna
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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 alcohol abuse with nonproductive cough and tachycardia
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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.
history: <unk>f with l chest pain // eval for etiology of chest pain
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Pa and lateral chest radiograph demonstrate a heart which is upper limits of normal in size. Peripheral prominent interstitial markings are noted particularly at the right lung base suggestive of mild pulmonary edema. Central vascular congestion is additionally noted. Hilar and mediastinal contours are otherwise unremarkable. No large pleural effusion or pneumothorax is present. Visualized osseous structures are an acute abnormality.
<unk>-year-old female with bibasilar crackles.
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Patient is status post median sternotomy and cabg. Left-sided aicd/pacemaker device is noted with leads terminating in the right atrium, right ventricle, and coronary sinus. Heart remains mildly enlarged. The aorta is unfolded. No overt pulmonary edema is demonstrated. Small bilateral pleural effusions, left greater than right are relatively unchanged. Linear opacities within the left lung base likely reflect chronic scarring. No pneumothorax is visualized. No acute osseous abnormalities are present. Previously seen calcified pleural plaques on the chest ct are not clearly visualized on the current exam.
shortness of breath.
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Lung volumes are slightly low with bibasilar atelectasis or scarring similar to prior. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is similar to prior. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>f with cough // eavl for infiltrate
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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 fever. evaluate for evidence of pulmonary infiltrate.
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No focal consolidation is identified. There is mild interstitial edema. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable.
history of splenectomy, cough, chills, rule out pneumonia.
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As compared to the previous radiograph, there is no relevant change. Both right paramediastinal and hilar structures could be slightly less dense than on the previous exam. There is no evidence for acute pneumonia. No pleural effusions. Normal size of the cardiac silhouette. Unchanged right pectoral port-a-cath.
mds, progression to leukemia, neutropenic fevers.
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Pa and lateral views of the chest provided. As partially visualized on today's head and neck cta, there is a mass at the right pulmonary hilum. There is associated collapse of the right middle lobe. Lungs are otherwise clear. No pleural effusion. A posterior bochdalek's hernia on the right is unchanged. Heart size is normal. Chronic left distal clavicle fracture is again noted. No acute bony abnormalities.
<unk>f with h/o htn p/w right arm weakness // please evaluate for acute process
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Compared with prior chest radiograph, there is significant interval worsening of the left sided pleural effusion with associated moderate to severe atelectasis. The aerated left lung is otherwise unremarkable. No focal opacities are seen in the right lung. Blunting of the right pleural sulcus is compatible with a small right-sided pleural effusion which is slightly improved from <unk>. The right hilus is unremarkable. The left hilus and left heart border are obscured by the large opacity in the left hemithorax. Sternotomy wires appear intact. Surgical clips in the right upper quadrant may be from prior cholecystectomy.
patient with shortness of breath. evaluate for pneumonia.
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There are mild emphysematous changes; otherwise, no focal consolidations concerning for pneumonia, pleural effusions, or pneumothoraces are identified. The heart and mediastinal contours are stable. There is a pectus excavatum deformity of the sternum.
history of seizure disorder, altered mental status, please evaluate for pneumonia.
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The film is underpenetrated due to the patient's body habitus. There is eventration of the right hemidiaphragm. Heart size is top normal. Normal mediastinal and hilar contours. Lungs are clear without focal consolidation or pleural effusion. No pneumothorax.
<unk>f with acute onset r facial numbness <num> hours ago. evaluate for consolidation.
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In comparison with the study of <unk>, there has been some decrease in the left pneumothorax, which is now quite small and essentially confined to the apical region. Otherwise, little change.
spontaneous pneumothorax, to assess for change.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The left lower hemithorax is opacified with a suspected substantial pleural effusion. Patchy opacities are also noted in the right and left upper lobes, better depicted on the lateral view. Bony structures are unremarkable.
cough and shortness of breath.
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Interval resolution of the pneumonia in the right lung. Increased residual right basilar atelectasis. No new focal consolidation. No pulmonary edema, pleural effusion, or pneumothorax. Stable bilateral low lung volumes. Stable cardiomegaly and mediastinal contours. The cardiac pacemaker device appears intact and unchanged in position. The patient has a hiatal hernia.
<unk> year old man with cough, shortness of breath, recent pneumonia // please eval for interval change
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Assessment is limited by lordotic positioning. Cardiac silhouette remains moderately enlarged. Mediastinal contour appears is similar. There is no overt pulmonary edema. New opacification of the right lower lobe is concerning for collapse. Patchy left basilar opacity is worrisome for pneumonia or aspiration. No large pleural effusion or pneumothorax is demonstrated. Multiple clips are noted within the left upper quadrant of the abdomen. Pronounced s-shaped scoliosis of the thoracolumbar spine is present. No acute osseous abnormalities seen.
history: <unk>m with renal transplant and prune belly presents with cough and malaise.
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There is no focal consolidation, pleural effusion, or pneumothorax. The heart size is normal. The cardiomediastinal silhouette is normal. Cholecystectomy clips are noted in the right upper quadrant.
history of castleman's disease. one week of productive cough, weakness and chills. concern for pneumonia.
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Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax.
substernal chest pain.
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Heart is normal in size. Cardiomediastinal silhouettes and hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.
cough for one week.
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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size. There is mild leftward scoliosis.
history: <unk>f with cp // eval for cause of cp
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As compared to the previous radiograph, there is a mild increase in extent of the bilateral pleural effusions. The effusions are better appreciated on the lateral than on the frontal radiograph. Moderate atelectasis at both lung bases. No new parenchymal opacities have occurred in the interval. Unchanged borderline size of the cardiac silhouette, no pulmonary edema.
persistent cough and wheeze, shortness of breath, evaluation for pneumonia.
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is stable. There is no evidence of overt pulmonary edema, pneumothorax or focal consolidation.
lower extremity swelling. evaluation for pneumonia.