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Allowing for changes due to low lung volumes, the cardiomediastinal silhouettes are within normal limits, reflective of a tortuous thoracic aorta and aortic arch calcifications. The bilateral hila are unremarkable. There are bibasilar opacities, more conspicuous on the right than on the left. There is no evidence of pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or pleural effusion.
<unk>m with fever abdominal pain, evaluate for pneumonia.
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Right picc ends in the low svc. Compared to prior lung volumes are low without focal consolidation. Cardiomediastinal silhouette is unchanged. There is no pleural effusion or pneumothorax.
<unk>-year-old man unresponsive post marked can now with elevated white blood cell count, evaluate for have evidence of 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 palpitations
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Pa and lateral views of the chest demonstrate massively widened upper mediastinum which is not significantly changed since the prior study from <unk>, and likely related to post-surgical changes from recent ascending aortic graft repair. There has been interval removal of right internal jugular central venous catheter. Mediastinal and posterior left lateral chest wall <unk> are again seen. The heart is stable in size. There is atelectasis of the left lung base, with no evidence of pulmonary edema or focal consolidation concerning for pneumonia. There is no pneumothorax.
<unk>-year-old man with type b aortic dissection repair on <unk>, now with chest and back pain.
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Single frontal view of the chest demonstrates a left picc in place with mild kinking projecting over the left upper lung. The tip of the catheter is traceable to mid svc. The cardiomediastinal silhouette is normal. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old female with palpitations status post picc placement. question confirmation of location.
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The known left upper low mass seen on prior exam is less conspicuous when compared to previous exam. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with cp/sob // r/p cardiopulm abnorm
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Frontal and lateral chest radiographs were obtained. A left picc line terminates in the mid svc. There is interval development of moderate bilateral pleural effusions. There is mild pulmonary vascular congestion and prominent interstitial markings. The heart size is difficult to assess due to obscuration by pleural effusions. There is no pneumothorax.
patient with endocarditis on longterm antibiotics now with shortness of breath, rule out chf.
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The heart appears to be at the upper limit of normal in size. The cardiomediastinal contour is unremarkable. The lungs are clear with no evidence of focal consolidations. There is a rounded opacity projecting over the right base, likely the nipple shadow as it does not seem to reproduce in the lateral view. No pleural effusions and no pneumothorax. Surgical clips are again noted in the axilla.
<unk>-year-old lady with melanoma metastatic to lungs and brain, assess for response to drug therapy.
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The lungs are mildly hyperinflated compatible with emphysema. No lobar consolidation or pulmonary edema. Mild cardiomegaly. Diffuse demineralization with old healed fracture of the distal end of the right clavicle. Multilevel degenerative changes of the thoracic spine.
dizziness since several weeks
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Heart size is moderately enlarged but unchanged. The aorta is diffusely calcified. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Minimal streaky opacities in the lung bases likely reflect areas of atelectasis. Scarring is re- demonstrated in the right apex. No pleural effusion or pneumothorax is present. There are moderate multilevel degenerative changes throughout the thoracic spine.
history: <unk>m with fatigue status post renal transplant.
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There are relatively low lung volumes, likely in part due to elevation of the diaphragms from underlying large ascites. Mild right basilar atelectasis is seen. There is blunting of the posterior left costophrenic angle on the lateral view worrisome for a small left pleural effusion. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen.
history: <unk>f with worsening hepatorenal*** warning *** multiple patients with same last name! // ?pna
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Heart size remains mildly enlarged. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is demonstrated. No acute osseous abnormality seen.
history: <unk>f with weakness and nausea
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Ap upright and lateral views of the chest provided. Cardiomegaly is mild. Mediastinal contour is normal. Lungs are clear without focal consolidation, large effusion or pneumothorax. Hilar configuration is unchanged. Bony structures appear intact.
<unk>m with insp wheezing. sickle cell crisis! // eval for pna
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As compared to the previous radiograph, the lung volumes have increased. No evidence of pneumonia on the current image. Minimal bronchiectatic changes at the level of the right lower lobe might be present. No new focal parenchymal opacities. No pulmonary edema. No pleural effusions. Normal size of the cardiac silhouette.
shortness of breath.
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Frontal and lateral views of the chest. The lungs are clear without focal consolidation or effusion. There is a nodular opacity projecting over the left lung base, potentially a nipple shadow. No other focal nodular opacity identified. The cardiomediastinal silhouette is within normal limits. Surgical clips project over the chest wall and right axilla. No acute osseous abnormalities.
<unk>-year-old with fatigue and fever.
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The lungs are well expanded and clear. No lesion concerning for nodule is identified. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk> year old man with history of melanoma. please evaluate disease status.
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Pa and lateral views of the chest provided. Right upper extremity access picc line is seen with its tip in the mid svc region. Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk> year old man with picc from osh // eval picc position
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The lungs are well expanded and clear where not obscured by overlying leads. The cardiomediastinal silhouette is within normal limits. Mild atherosclerotic calcifications seen at the aortic arch. No acute osseous abnormalities identified.
<unk>f with cough // eval for infiltrate
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Cardiac silhouette size is minimally enlarged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities present.
shortness of breath and fever
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The cardiomediastinal silhouette and pulmonary vasculature are stable and unremarkable. A right-sided port-a-cath is stable in position. Again seen is a moderate right-sided pneumothorax, unchanged in appearance since recent examinations. Small right pleural effusion and adjacent right basilar atelectasis or scarring are unchanged. Postoperative alterations in the right hemi thorax are unchanged consistent with partial resection involving the right upper lobe and right middle lobe.
<unk>m with stage iv metastatic rectal cancer to lung (rul) now s/p open rulobectomy, rml wedge. // eval for interval change
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Increased anteroposterior diameter of the chest with hyperinflated lungs is consistent with copd. Bibasilar atelectasis is noted. The lungs are otherwise clear without pneumothorax, pleural effusion or focal consolidation. The pulmonary vasculature is not engorged. The cardiac silhouette is top normal in size. The mediastinal and hilar contours are unchanged. The aortic knob is partially calcified.
<unk>-year-old female with cardiac history, now in hypertensive urgency, here to evaluate for acute cardiopulmonary pathology.
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Again seen is a hazy right midlung opacity. Slightly increased opacities at the lung bases may be due to atelectasis. Elsewhere, lungs are clear and the cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with chest pain // evaluate for acs, pulmonary edema
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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. Tiny osteophytes are noted along the thoracic spine.
epigastric pain.
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Moderate cardiac enlargement is unchanged. The aortic knob remains calcified. Mediastinal and hilar contours are normal, and the pulmonary vascularity is not engorged. While there is minimal blunting of the right costophrenic angle posteriorly which could suggest a tiny pleural effusion, no focal consolidation or pneumothorax is identified. There is no acute osseous abnormalities. A compression deformity of a lower thoracic vertebral body is unchanged.
dyspnea.
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. Minimal streaky left lower lobe opacity is concerning for pneumonia. The right lung is clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities detected.
fever.
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There is a focal opacity at the lung bases which suggests pneumonia. No significant pleural effusion is present. No pneumothorax is seen. The heart size is normal. There are multilevel degenerative changes of the thoracic spine with bridging osteophyte formation and calcification of the anterior longitudinal ligament. Distended loops of large bowel are partially imaged in the left upper quadrant.
confusion and malaise.
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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 cough
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Pa and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are unremarkable. There is no free air under the right hemidiaphragm.
<unk>-year-old woman with left-sided chest pain.
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Cardiomediastinal contours are normal. Lungs are hyperexpanded but grossly clear. New minimal blunting of left costophrenic sulcus may represent a small pleural effusion or focal pleural thickening. Scoliosis is noted.
<unk> year old woman with fever and wheeze // r/o pna
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Right picc line terminates over medial left clavicle head. Sternotomy with avr. Right ij central line tip in the low svc. Shallow inspiration. There are tiny bilateral pleural effusions, similar. Minimal bibasilar atelectasis. No pneumothorax. Normal heart size, pulmonary vascularity. Minimal retrosternal air, consistent with recent surgery.
<unk> year old man with s/p avr // eval postop changes
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No definite focal consolidation is seen. There may be pleural thickening at the medial right upper lung, correlate with prior chest ct imaging. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. The aorta is tortuous. Multi-level degenerative changes and diffuse osteopenia along the spine. There may be moderate compression of a mid thoracic vertebral body, not well assessed on this study. Patient has reported bone metastases, better assessed on cross-sectional imaging.
history: <unk>f with nsclc w/ bone mets on chemo // eval for pna
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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 fork lift vs ped // eval for lung contusion
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Ap and lateral views of the chest. Linear opacity at the left lung base laterally may be due to atelectasis given relatively lower lung volumes. Retrocardiac opacity is more conspicuous on today's exam. Blunting of the posterior costophrenic angles may be due to small effusions. The lungs are clear of confluent consolidation. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>-year-old male with fall and right leg injury.
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The inspiratory lung volumes are low with resultant bronchovascular crowding. There is no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. No pulmonary vascular congestion or edema is seen. The cardiac silhouette is enlarged, but stable. The mediastinal contours are prominent, with tortuosity of the thoracic aorta, which is unchanged.
chronic diastolic congestive heart failure, weight gain, edema and wheezing.
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Moderate enlargement of the cardiac silhouette is again noted. Low lung volumes are noted with secondary bronchovascular crowding. There is no overt pulmonary edema or large effusion. Mid thoracic vertebral body height loss seen on prior is less clearly delineated on today's exam. Hypertrophic changes noted in the spine.
<unk>m with slurred speech x <num> hour // ct head: eval for
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The heart size is normal. The aorta is mildly unfolded. Mediastinal and hilar contours otherwise are unchanged. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.
weakness, right-sided crackles.
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are seen.
chest pain.
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The lungs are clear. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unremarkable. Calcifications in the aortic knob and unchanged. Stable, mildly tortuous or ectatic descending aorta. No acute osseous abnormality. Postsurgical changes incidentally noted at the left humerus.
<unk>-year-old woman presenting left sided chest pain; evaluate for acute process.
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Pa and lateral views of the chest were reviewed and compared to the prior study. Lung volumes have improved since <unk> and the lungs are clear. Elevation of the left hemidiaphragm is unchanged since <unk>, small bilateral pleural effusions are also unchanged. There is prominence of the ascending aorta. The heart size is normal. Multiple nondisplaced right posterior rib fractures and humeral head orthopedic hardware are unchanged.
assessment for interval change in left-sided chylothorax in a patient status post drainage.
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The lungs relatively hyperinflated. There is subtle patchy right basilar opacity which could be due to atelectasis although aspiration or subtle infection is not excluded in the appropriate clinical setting. The left lung is clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with ams // r/o pna, ich
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Pa and lateral chest radiographs demonstrate slight hyperinflation. However, there is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
chest pain for approximately three hours.
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There is a small to moderate right pleural effusion with overlying atelectasis, which appears smaller in size as compared to the prior study given differences in technique. Retrocardiac air-fluid level is most consistent with a hiatal hernia. There is adjacent bibasilar atelectasis. Small scattered calcified nodular opacities in both lungs are likely due to prior granulomatous disease. Core-valve placement. There is no overt pulmonary edema. The right aspect of the cardiac silhouette is difficult to assess due to the right base opacity. Mediastinal contours are grossly stable.
shortness of breath post valve placement.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
<unk> year old woman with h/o positve ppd or allergy to tuberculin // eval for evidence of tb
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Pa and lateral views of the chest. Sternotomy wires are stable. There is no focal consolidation, pleural effusion or pneumothorax. There is slightly more density in the anterior mediastinum, seen on lateral view. Otherwise, the cardiomediastinal and hilar contours are normal.
chest pain.
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The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Mid to lower thoracic dextroscoliosis is noted. No acute osseous abnormalities. Apparent subglottic narrowing identified more clearly on prior dedicated neck films.
<unk>f with sob // pna
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<num> lead left-sided pacemaker is stable in position, with leads extending to the expected positions of the right atrium and right ventricle. . There is persistent enlargement of the cardiac silhouette. Mediastinal contours are stable. Right base opacity is stable representing combination of pleural effusion and atelectasis, underlying consolidation not excluded. Trace left pleural effusion may be present. Mild interstitial edema noted on the prior study has improved in the interval.
<unk> year old man with new dual chamber ppm // lead placement
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Chronic flattening of right diaphragm with right lower lobe atelectasis and small right pleural effusion. Hyperinflated lungs bilaterally without pulmonary edema or pneumothorax. Clear left lung withouth pleural effusion. Heart size is normal with a mildly enlarged left atrium and calcified mitral annulus. Mediastinal contours and hila are normal. No bony abnormality.
female with cough, fever and decreased breath sounds in the right lower lobe. assess for pneumonia.
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Heart is mildly enlarged. A moderate sized right pleural effusion is present with adjacent peripheral opacification in the right mid and lower lung. Left lung is grossly clear, and note is made of a small left pleural effusion.
<unk> year old man with ex smoker with gib and cough. // evaluate for pna.
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There is unchanged cardiomediastinal and the hilar contours with stable moderate cardiomegaly. There is unchanged right hemidiaphragm elevation. Lungs are clear. No pleural effusion or pneumothorax identified.
hypoglycemia. please evaluate for acute process.
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In comparison to the study from earlier the same day, there is no significant change in the right or left apical pneumothoraces. The right chest tube lies posteriorly likely within the major fissure and does not reach a pneumothorax. Increased retrocardiac linear opacities consistent with left basilar atelectasis. No significant changes compared to prior study.
<unk> year old man s/p mvc with bilateral ptx // interval change w/ clamped l chest tubes
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The moderate size, loculated left basal hydropneumothorax though traversed by a pigtail drain, has increased slightly since <unk>. A small, left fissural fluid loculation is stable. A band of atelectasis persistently distorts the left heart border. The hilar and mediastinal contours are otherwise unremarkable. The right lung and pleural space are normal.
<unk>-year-old male with a left basal loculated pneumothorax who presents for evaluation of interval change after clamping trial of chest tube overnight.
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The lungs are clear of focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with bronchospasm, productive cough // acute process
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The lungs remain hyperinflated, with flattening of the diaphragms and increased ap diameter. The cardiac silhouette is mildly enlarged. The aorta is calcified. Mediastinal contours are unremarkable. No pleural effusion or pneumothorax is seen. Projecting over the right upper lung, there is an ill-defined, possibly spiculated opacity measuring approximately <num> mm, not clearly seen on the prior study. Recommend nonemergent chest ct to further evaluate for underlying pulmonary nodule. No focal consolidation seen elsewhere.
history: <unk>f with subjective fever, weakness, body aches // ?pna
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Pa and lateral views of the chest provided. Linear density at the right lung base is most compatible with scarring given stable appearance from prior. Otherwise, the lungs are clear without 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 epigastric discomfort, please capture diaphragm to eval free air // eval infiltrate, free air
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The heart size is mildly enlarged. The mediastinal contours are unremarkable. There is mild pulmonary vascular engorgement with cephalization, as well as development of small bilateral pleural effusions, new in the interval. Right basilar opacity could reflect atelectasis though infection is difficult to exclude. Left basilar atelectasis is also likely present. No pneumothorax is identified and there are no acute osseous abnormalities.
cough.
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There are low lung volumes. Moderate to severe cardiomegaly is stable. Dual-channel pacer device in place. The aorta is tortuous. No definite vascular congestion or acute pneumonia. Pleural thickening is again seen along the right lateral chest wall. There is no pleural effusion.degenerative changes in the thoracic spine
<unk> year old man with worsening dyspnea over last <num> months. // ? edema or other abnormality
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Bibasilar linear opacities are unchanged from prior radiographs on <unk>, and represent subsegmental atelectasis. The lungs are otherwise clear without new consolidation or edema. There is no pneumothorax or pleural effusion. The cardiomediastinal silhouette is normal. The osseous structures are unremarkable.
altered mental status. evaluate for pneumonia.
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Lung volumes are low leading to crowding of the bronchovascular structures. No appreciable pleural effusion or pneumothorax is identified. Mild cardiomegaly may be projectional an due to low lung volumes.
history: <unk>f with ams // ams?
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Pa and lateral views of the chest provided. Midline sternotomy wires and prosthetic cardiac valves are again seen. Cardiomegaly is re- demonstrated. There is mild interstitial pulmonary edema. No large effusion is seen. No convincing signs of pneumonia. Imaged osseous structures are intact. No free air below the right hemidiaphragm.
<unk>f with chest pain, cough, fevers
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Heart size is mildly enlarged. The hila bilaterally are prominent. Mediastinal contour is 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 shortness of breath
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Ap upright and lateral chest radiograph demonstrates clear lungs bilaterally. Several bilateral healed rib fractures are noted. There is no pleural effusion or pneumothorax. No evidence of overt pulmonary edema. Cardiomediastinal and hilar contours are stable appearance. Degenerative changes at bilateral glenohumeral joints and acromioclavicular joints noted.
<unk>-year-old male with hypoxia.
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The heart the great vessels are normal. The lungs are clear of an active process and well expanded. There is no pleural effusion or pneumothorax.
<unk> year old woman withcough // r/o pna
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Right-sided picc terminates in the upper svc. Cardiomediastinal and hilar contours are normal. Lungs are clear. The pleural surfaces are normal. Sclerotic lesions in the ribs and thoracic spine are consistent with known metastases.
<unk>-year-old woman with ovarian cancer status post picc placement. evaluate picc position.
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The cardiomediastinal and hilar contours are within normal limits. As compared to prior chest radiograph from <unk>, there has been resolution of previously seen opacities with possible slight residua remaining in the lung bases bilaterally. No new focal consolidation is identified. There is no pleural effusion or pneumothorax.
weakness. rule out pneumonia.
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Frontal and lateral views of the chest. The lungs are hyperinflated but remain clear of focal consolidation or effusion. Dual-lumen central venous line is seen with the distal tip in the upper right atrium. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.
<unk>-year-old male on dialysis with fever for <num> hours.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no focal consolidation, pleural effusion or pneumothorax.
patient with several weeks of cough, diagnosed with chronic bronchitis. now with pain in the left lower hemithorax. evaluate for pneumothorax or rib fracture or any other acute abnormality.
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Pa and lateral views of the chest provided. Right ij access dialysis catheter is seen with its tip likely residing in the low svc. The heart is moderately enlarged. Elevated right hemidiaphragm is again noted. Lungs appear grossly clear. Azygous fissure incidentally noted. No large effusion or pneumothorax is seen. Bony structures appear intact.
<unk>m with no dialysis since <unk>, clotted av fistula, temporary line in place.
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Evaluation is limited due to the patient's head obscuring the lung apices. The visualized lungs are clear without focal consolidation, pleural effusion or pneumothorax. The heart is normal in size, and there is no pulmonary edema. The mediastinal contours are normal.
<unk> year old man with recent pneumonia. follow-up chest radiograph for pneumonia.
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The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>f with chest pain, right sided // ?cardiomegaly,
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The heart size is top normal. Mediastinal and hilar contours are unchanged and within normal limits. Pulmonary vasculature is normal. Linear opacities in the lung bases are compatible with subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormalities are identified.
chest pain for <num> hours.
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Lungs are clear. Mediastinal and cardiac contours are normal. The lungs are moderately hyperinflated which is unchanged since previous exam. There is no pleural effusion or pneumothorax. Biapical scarring is unchanged since <unk>.
patient with <num>-pound weight loss since a year, evaluate.
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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 hiv and hcv with cough, malaise
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Compared to the study from the prior day, there has been a slight interval decrease in the right pleural effusion, but there continues to be a moderate-sized pleural effusion layering posteriorly and patchy areas of alveolar infiltrate, right greater than left.
right lower lobe, evaluate lung reexpansion.
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As compared to the previous radiograph, the patient now has a right-sided picc line. The tip of the line projects over the upper-to-mid svc. There is no evidence of complications, notably no pneumothorax. Minimal plate-like atelectasis at the left lung base. Normal size of the cardiac silhouette. Normal appearance of the lung parenchyma.
pre-existing picc line on the right. assessment.
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Pa and lateral views of the chest provided. Lungs are hyperinflated. 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> year old man with severe asthma and sob // sob
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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
history: <unk>m with rash and chest pain // ?acute cardiopulmonary process
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A right pleural effusion has decreased in size, now very small. Cardiac size remains enlarged. Lung volumes are lower when compared to prior studies contributing to the crowded vasculature. No focal opacities concerning for infection and no pneumothorax.
weakness. treated for pneumonia one week ago. question recurrent infection.
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Pa and lateral views of the chest provided. Low lung volumes limits assessment. 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 epigastric pain // ? acute process
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Heart size is top normal with mild tortuosity of the thoracic aorta. Hilar contours are unremarkable. Lungs are clear with complete resolution of previously identified left lower lobe consolidation. There is no pleural effusion or pneumothorax.
left lower lobe pneumonia in <unk>. followup imaging to ensure resolution.
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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 and fever
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Ap and lateral chest radiograph demonstrates a heart which is upper limits of normal in size. New since prior examination is a right pleural effusion and probable small left pleural effusion. Right hilar opacity as well as retrocardiac nodular opacities are new since prior study performed <unk>. Overall increased opacity projecting over the right lower lung field is additionally noted.
history: <unk>f with sob // pna? pulm edema?
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Frontal and lateral views of the chest demonstrate an opacity in the left upper lobe. The right lung is clear. The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. A lesion in the anterior third rib has been slowly sclerosing since <unk> and is almost certainly benign.
<unk> year old man with cough and fever, assess for pneumonia.
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Moderate levoscoliosis of the thoracic spine is similar to the prior film. Since the prior radiograph, there is increased hazy opacification of the right lower lobe, confirmed on the lateral view. No pleural effusion or pneumothorax. No chf. Cardiomediastinal silhouette is stable.
<unk>f with persistent cough consistent with prior pna. evaluate pneumonia.
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. There is severe scoliosis. Lumbar spinal hardware is partially imaged. Port a cath is in standard position. . Calcifications in the left axilla are again noted.
history: <unk>f with cough // pna
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Compared to prior, the lung volumes are slightly lower. The increase in ap diameter and mild flattening of the diaphragm are suggestive of copd. Otherwise the lungs are clear. No pleural abnormality is seen. The heart size is mildly enlarged. The mediastinal and hilar contours are normal. Aortic knob calcification is seen.
<unk> year old woman with prolonged cough // r/o pna
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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.
<unk>f with fevers, chest pain // evaluate for pneumonia
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The cardiomediastinal silhouette and pulmonary vasculature are similar to the prior examination. Linear opacities at the bilateral lung bases are most consistent with atelectasis. There is no pleural effusion or pneumothorax.
history: <unk>f with epigastric pain radiating to the back // eval for pna vs ptxeval for pancreatitis vs pyelo vs disection
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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are noted. Mild left basal atelectasis is noted. Otherwise the lungs are clear. No large effusion or pneumothorax. No signs of congestion or edema. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with chest pain
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There is a moderate cardiomegaly and moderate pulmonary edema. Mild blunting of the right cardiophrenic angle, likely due to overlying soft tissue. There is no pneumothorax. The mediastinum and hila are normal.
<unk>-year-old with shortness of breath.
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Pa and lateral views of the chest provided. Faint linear densities in the lower lungs likely reflect platelike atelectasis. The lungs are otherwise clear. There is stable prominence of the mediastinal silhouette, which has been previously assessed by ct chest from <unk>. The heart size is normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with abd pain, n/v, cp hx of pericarditis // acute process
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Lung volumes are low. Heart size is mildly enlarged. Mediastinal and hilar contours are unremarkable. Crowding of the bronchovascular structures is present without overt pulmonary edema. Patchy bibasilar airspace opacities may reflect areas of atelectasis, but infection cannot be completely excluded. No pleural effusion or pneumothorax is present. Several clips are noted the region. No acute osseous is detected.
history: <unk>f with metastatic breast cancer, cough, nausea, vomiting
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Ap and lateral views of the chest. Left-sided pacemaker is in appropriate position. There are low lung volumes. Mildly increased parenchymal opacities bilaterally may indicate mild pulmonary edema. No pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are stable.
hcc, chf, recent fall, evaluate for infection.
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There is again mild prominence of the cardiac silhouette, though no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
dyspnea on exertion with possible cardiomegaly.
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Lower lung volumes seen on the current exam although the lungs remain clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with ams, abdominal pain. wbc <unk> // r/o pneumonia
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Heart size is normal. Mediastinal contours are unchanged with a moderate hiatal hernia re- demonstrated. Hilar contours are unremarkable with no evidence for pulmonary vascular congestion. Bronchiectasis in the right upper lobe is unchanged. Elevation of the right hemidiaphragm is similar. No focal consolidation, pleural effusion or pneumothorax is present. The osseous structures are diffusely demineralized with unchanged height loss of a vertebral body at the thoracolumbar junction.
history: <unk>f with chest pain and shortness of breath
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Postoperative changes are again seen within the right hemithorax. There has been further consolidation at the right lung base which contains locules of air. A small-moderate right pneumothorax is unchanged. There has been improvement in the airspace opacities within the lower lobes. Cardiac and mediastinal contours are unchanged.
postop day <num> from a right thoracotomy and decortication. evaluate for interval change.
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Frontal and lateral chest radiographs demonstrate clear, well-expanded lungs without pleural effusion or pneumothorax. The cardiac silhouette and mediastinal contours are normal.
syncopal fall.
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Pa and lateral radiographs of the chest were obtained. The lungs are clear bilaterally with no focal consolidation or congestive heart failure. There is no pneumothorax or pleural effusions. The cardiomediastinal silhouette is normal. No bony abnormalities. There is no free air below the right hemidiaphragm.
cough and chest pain.
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Frontal and lateral radiographs of the chest demonstrate an esophageal stent in expected position. A left mainstem bronchus stent is in unchanged position. Patchy opacities at the bilateral lung bases consistent with aspiration are somewhat improved compared to the prior radiograph <unk>. No pleural effusion or pneumothorax.
known metastatic esophageal cancer, now with hemoptysis for the last three days.
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Lung volumes are low. There are streaky opacities in the right mid lung and left base, which likely represent atelectasis. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is unchanged.
evaluate for acute cardiopulmonary process.