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The lungs are well inflated and clear. No focal consolidations identified. The cardiomediastinal silhouette hilar contours are stable. There is no pleural effusion or pneumothorax.
<unk>m with chest pain, etoh, evaluate for cardiopulmonary process
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Single ap upright radiograph was provided. An ng tube is seen coursing below the diaphragm. Lung volumes are low. Crowding of the pulmonary vasculature is consistent with pulmonary edema. A radiopaque density over the right hemidiaphragm is likely outside of the patient. Median sternotomy wires are intact. Patient is status post aortic and mitral valve replacement. Cardiomediastinal silhouette is unchanged. Osseous structures are intact.
<unk>-year-old man with recently placed ng tube. evaluate ng tube placement.
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Frontal and lateral views of the chest demonstrate some linear atelectasis on the frontal view not visualized on the lateral, blunting of the cp angles that could be due to a small amount of pleural thickening or small effusion. No focal infiltrate. Mild degenerative changes of the spine with sclerosis and anterior osteophytes. There is residual contrast in the bowel. Tubing projects over the right side of the abdomen.
gallbladder cancer. assess for edema, effusion, consolidation.
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Frontal and lateral radiographs of the chest were acquired. Lung volumes are slightly low. There is an increase in the bronchovascular markings in both lower lungs, best appreciated on the frontal projection, likely secondary to bronchovascular crowding in the setting of low lung volumes. There is no focal consolidation. The heart appears prominent on the frontal projection, although is suboptimally assessed given the low lung volumes. There are no pleural effusions. No pneumothorax is seen. The mediastinal contours are normal.
cough for the past three days as well as right back pain. evaluate for pneumonia and/or pneumothorax.
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Pa and lateral views of the chest provided. Lung volumes are low. Allowing for this, the lungs are clear. No large effusion or pneumothorax. Cardiomediastinal silhouette is grossly unremarkable aside from an unfolded thoracic aorta. Bony structures are intact.
<unk>m with syncope
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Right lower lobe pneumonia is unchanged. There is, however, small new blunting of the costodiaphragmatic angle and loculation in the right major fissure. There is no pneumothorax.
patient with pneumonia, interval change.
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Nasoenteric tube enters the stomach with the tip not well visualized. Lung volumes are low with bibasilar atelectasis. The heart is mildly enlarged. The aorta is tortuous. There is no pleural effusion or pneumothorax.
<unk>-year-old man found to have sbo now with nasogastric tube placement.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
multiple syncopal episodes, end-stage renal disease status post transplant. evaluate for acute changes/injury.
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Pa and lateral views of the chest. No prior. The lungs are clear. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with no past medical history, presents with dyspnea and calf pain.
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Lung volumes are low. The heart size is mildly enlarged but unchanged. The mediastinal contours are similar with tortuosity of the thoracic aorta and diffuse atherosclerotic calcifications again noted. There is no pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is present. Numerous remote fractures of the left-sided ribs and left distal third clavicle are re- demonstrated.
weakness.
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Heart size is upper limits of normal and unchanged. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. Focal left pleural thickening is long-standing and unchanged. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with significant history of asthma, stage iiia vulvar carcinoma s/p left inguinofemoral lymphadenectomy, readmitted for fevers, c/f incisional cellulitis; short of breath this morning with bilateral wheezing // please assess for acute pulmonary process
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The cardiac silhouette remains moderate to severely enlarged. The mediastinal contours are stably widened. There is mild pulmonary vascular congestion. A trace left pleural effusion is likely present. Retrocardiac and right basilar opacities likely reflect atelectasis. There is no pneumothorax. No acute osseous abnormalities identified.
worsening lower extremity edema.
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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 systemic sclerosis p/w <num> day of pleuritic cp worsening with sitting up // r/o pna, cardiomegaly
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The original dictation on this patient was lost. It is being redictated on <unk>. Picc line is seen in the left arm up to the level of the mid humerus but is not in the expected location within the chest. The lungs are clear without infiltrate or effusion. This chest x-ray was taken at <time> a.m. On <unk> morning and this finding was discovered by dr. <unk> at <time> a.m. On <unk> morning at the time the film was interpreted. It is unclear if communication of the abnormal result was performed on <unk> and therefore the id fellow on call, dr. <unk> was notified by phone by dr. <unk> at <time> am on <unk>.
picc line with difficulty infusing, externally more tubing noted.
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There is streaky left basilar opacity most likely atelectasis. The lungs are otherwise clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within limits. Lower cervical anterior fixation hardware as well as posterior cervicothoracic hardware is noted.
<unk>m with somnolence, altered mental status // ?pneumonia
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Frontal and lateral radiographs of the chest demonstrate slightly hyperinflated, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with cough, uri sx // eval for pneumonia
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and fairly well-aerated lungs which are without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with fever.
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Ap and lateral chest radiograph demonstrates clear lungs bilaterally. No focal consolidation concerning for pneumonia is identified. The aorta appears tortuous. Otherwise, the cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion. Osseous structures are without acute abnormality.
<unk>-year-old male with leukocytosis.
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Pa and lateral views of the chest provided. The lungs are slightly hyperexpanded. 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. Surgical clips projecting over the left chest are likely related to prior left breast procedure.
history: <unk>f with pleuretic right posterior chest wall pain // ? acute cardiouplm process
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Lung volumes are normal. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal. The patient is status post median sternotomy and cabg. There are degenerative changes of the thoracic spine.
<unk>-year-old woman with presumed als presenting with increased dyspnea for <num> week. evaluate for infection and inspiratory effort.
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Lungs are more hyperinflated with flattened hemidiaphragms, suggesting the patient is acutely bronchospastic. Heart size, mediastinum, and hila are normal. No focal consolidation or effusions. A <num> mm calcified granuloma overlying the left heart border is unchanged.
<unk> year old woman with history of recent rsv. evaluate for consolidation.
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A small right pleural effusion is unchanged. There is persistent collapse involving the right lower lobe. This finding partially counts for the apparent elevation of the right hemidiaphragm. The left lung is clear. There is no pneumothorax. The mediastinal and hilar contours are unremarkable. Fiducial markers are seen in the liver.
fevers, shortness of breath and chest pain. evaluate for pneumonia.
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The lungs are well-expanded and clear. No focal consolidation, edema, effusion, or pneumothorax. The heart size is normal. The mediastinum is not widened. The hilar and pleural contours are normal. No acute osseous abnormality. Dextroconvex scoliosis of the thoracic spine is mild. Vertebral body heights are preserved.
<unk>-year-old woman with a headache and left rib pain after a motor vehicle collision. evaluate for fracture.
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Streaky bibasilar opacities are again noted and likely represent mild scarring versus atelectasis. No focal opacities are visualized. Mild cardiomegaly is again noted. Mediastinal contours appear stable. No acute fractures are identified.
headache, vomiting, and weakness.
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Heart size is top normal. The aorta is tortuous. Calcified mediastinal and bilateral lymph nodes indicate prior granulomatous disease. Pulmonary vasculature is not engorged. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is identified.
history: <unk>f with chest congestion and dry cough for <num> weeks.
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The cardiomediastinal hilar contours are within normal limits. The lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
evaluate for pneumonia.
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The cardiac silhouette is top normal in size. There is no pleural effusion or pneumothorax. Although there is no focal lung consolidation, the lateral view suggests mild peribronchial infiltration in one of the lower lobes, in both the superior segment and projecting over the posterior left ventricle. This does not rise to the level of the diagnosable pneumonia, but could be acute bronchitis. Views of the upper abdomen are unremarkable.
<unk>f with cough sob, evaluate for pneumonia or effusion.
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The heart size is unchanged, appearing mildly enlarged. Mediastinal and hilar contours are stable with calcification of the thoracic aorta again noted. The pulmonary vasculature is normal. Streaky left lower lobe opacity is concerning for an area of infection. No pleural effusion or pneumothorax is present. Clips are noted in the right upper quadrant of the abdomen as well as a biliary stent. There is evidence of prior l<num> kyphoplasty.
fever, on chemotherapy.
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The cardiac, mediastinal and hilar contours appear stable. The lungs appear clear. There is no pleural effusion or pneumothorax. Mild rightward curvature is centered along the mid thoracic spine.
hemoptysis and congestive heart failure.
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Frontal and lateral chest radiograph again demonstrate a normal cardiomediastinal silhouette and a re-expanded right upper lobe with slight improvement of residual atelectasis adjacent to the fissure. The left apical pneumothorax is likely unchanged. Minimal increase may be secondary to changes in patient position. There is no right pneumothorax. Again seen are bilateral pleural effusions, the right effusion similar to slightly decreased and the left effusion increased. There is no focal consolidation.
status post left upper lobectomy with postoperative right upper lobe collapse and left apical pneumothorax. evaluate for interval change.
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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 shortness of breath and cough // effusion?
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There is a persistent opacity at the left lung base obscuring the hemidiaphragm, secondary to a combination of a large pleural effusion and atelectasis. The appearance at the left lung base is overall unchanged since radiograph performed one day prior. There is also a small right pleural effusion. Moderate interstitial edema has developed in the interim. Pulmonary nodules are better assessed on the chest ct performed one day prior. The cardiac silhouette is mildly enlarged. There is no pneumothorax. The included upper abdomen is unremarkable.
<unk>f with recent fall, l rib fractures, possible left hemothorax, evaluate for hemothorax.
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Ap upright and lateral views of the chest provided. Lung volumes are low limiting assessment. Lungs appear clear without focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette appears grossly stable. No overt edema. Bony structures appear intact with degenerative changes again noted at the ac joints.
<unk>f with shortness of breath // pulmonary edema
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The lungs are well inflated and clear. Moderate cardiomegaly is unchanged. There is no pleural effusion or pneumothorax.
<unk>-year-old woman with chf, recent shortness of breath. evaluate for pneumonia.
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There is persistent left basilar opacity. , unchanged compared to the prior study. Again this may reflect a combination of pleural effusion and atelectasis versus pneumonia. The right basilar opacities are unchanged. No additional areas of concern are identified in the bilateral lungs. The cardiomediastinal contour is within normal limits. No pneumothorax seen. The free air seen under the right hemidiaphragm, consistent with the patient's recent surgery.
<unk>m s/p lap appy (perf) <unk> p/e postoperative fever // assess interval change
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Cardiac and mediastinal silhouettes are stable with mediastinal and hilar calcified lymph nodes seen. Patient has reported history of sarcoidosis. The cardiac silhouette is stable, borderline in size. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. No overt pulmonary edema is seen.
history: <unk>f with sarcoid and asthma w/mild incr dyspnea // pna
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Pa and lateral views of chest demonstrate left-sided port-a-cath terminating in the right atrium. Tracheostomy tube is in unchanged position. Vague right lower lobe opacities have been present in the past and likely represent chronic atelectasis or vessels. Stable right upper outer chest deformity. Gaseous distention of the colon is again noted.
<unk>-year-old female with cough.
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Lung volumes are low. The heart size is moderately enlarged. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Minimal patchy opacities in the lung bases likely reflect atelectasis. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is detected. Degenerative changes are noted involving both acromioclavicular joints.
right elbow fracture, preoperative assessment.
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Moderate cardiomegaly and tortuous aorta are stable. . The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old man with above // c/o sweats
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The cardiac, mediastinal and hilar contours appear stable. Areas of pre-existing scarring, again most prominent in the right upper and left mid lungs, appear stable. Aeration at the left lung base has improved somewhat, however. There is no pleural effusion or pneumothorax. The heart is enlarged. The aorta is tortuous and calcified. The cardiac, mediastinal and hilar contours appear stable.
worsening dyspnea and leg swelling. history of copd.
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Compared with <unk>, no significant interval change is detected. There are findings consistent with advanced copd, with marked hyperinflation, flattened diaphragms, and extensive bullous change particularly along the right lung laterally. The cardiomediastinal silhouette is unchanged, with unfolding of the aorta. No chf, focal consolidation or effusion is detected. Mild degenerative changes, including slight wedging of some mid/upper thoracic vertebral bodies are unchanged.
copd, cough, dyspnea. rule out pneumonia, pulmonary edema. chest, two views.
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Severe hyperexpansion is consistent with copd. Biapical nodular pleural and parenchymal scarring is similar to the prior chest radiograph chest ct. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Airspace opacity with bronchiectasis in the right middle lobe is unchanged from multiple prior studies and likely related to prior right middle lobe pneumonia.
<unk>f with cough, pleuritic cp, evaluate for pna
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Frontal and lateral chest radiograph demonstrates well inflated clear lungs. No pleural effusion or pneumothorax. Mild prominence of left hilus is noted. Heart size, mediastinal contour, and right hilus are unremarkable. Limited assessment of the upper abdomen is within normal limits.
seizure. assess for pneumonia.
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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.
chest pain.
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Tracheostomy terminates <num> cm above the carina. Sternotomy wires appear intact and appropriately aligned. Biapical pleural thickening. Rounded consolidation in the right upper lung, which is new in comparison to <unk>. The bilateral diffuse interstitial thickening has improved in comparison to <unk>. Elevation of the left hemi diaphragm unchanged since <unk>. Stable mild enlargement of the cardiomediastinal silhouette. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen.
<unk> year old man with known bronchiectasis and myasthenia <unk>, s/p trach (vent at night only), now with lower oxygen levels (<unk>% vs <unk>%) and also feeling of more dyspnea on exertion. on immunosuppressants. // assess for pneumonia
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Frontal lateral views of the chest were performed. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac silhouette is top-normal in size and unchanged. There is no evidence of pulmonary edema. The mediastinal and hilar contours are unremarkable. The imaged upper abdomen is normal. A washed out appearance of the bone is thought to reflect changes of renal osteodystrophy.
fever and cough, rule out pneumonia.
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Low lung volumes are similar to prior. Heart size is normal. The mediastinal contours are normal. Right perihilar linear opacity is likely atelectasis. The pulmonary vasculature plethora may be progressing to congestion. No focal consolidation, pleural effusion, or pneumothorax.
<unk> year old woman s/p open cholecystectomy with new onset productive cough, increase o<num> req, wheeze and dyspnea // evaluate for pneumonia vs effusion
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema or focal consolidation.
<unk>-year-old female with chest pain. evaluation for pneumonia.
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The cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. The pulmonary vascular is normal and the lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
chest pain.
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Moderate enlargement of cardiac silhouette is re- demonstrated. There is mild pulmonary vascular congestion, not changed in the interval, likely chronic. No overt pulmonary edema is present. Minimal atelectasis seen in the lung bases without focal consolidation. No pleural effusion or pneumothorax is present. Moderate multilevel degenerative changes are seen throughout the thoracic spine.
history: <unk>f with sudden onset chest pain/dyspnea
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Pa and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is normal. Osseous structures are unremarkable. No free air seen below the diaphragm.
<unk>-year-old female with sudden onset of upper abdominal and lower chest pain.
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Pa and lateral views of the chest were reviewed. Lung volumes are low and there is segmental or subsegmental right lower lobe atelectasis at the right base. Normal heart, mediastinal and pleural surfaces.
nausea, vomiting and diarrhea in a patient with decreasing oxygen saturation.
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Pa and lateral views of the chest are compared to previous exam from <unk>. Linear opacities at the lung bases suggestive of atelectasis. The lungs are clear of consolidation or effusion. Cardiomediastinal silhouette is stable as are the osseous and soft tissue structures. Relatively curvilinear calcific density projects over the right chest wall and scapula, is stable dating back to <unk> and is likely within the soft tissues. Old right lateral upper rib fractures are again noted.
<unk>-year-old male with seizure.
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Pa and lateral views of the chest. The cardiomediastinal silhouette is normal. There is no focal consolidation. There is no pleural effusion or pneumothorax.
<unk>-year-old male with chest pain, evaluate for pneumothorax or pneumonia.
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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.
<unk>-year-old female with code stroke
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Improvement in bilateral lung aeration since <unk>, although the bilateral lower lobe consolidation persists. Persistent small bilateral pleural effusions. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with multifocal pneumonia on broad spectrum antibiotics recently initiated on steroids for probably organizing pneumonia vs. rheum disease // ? interval improvement/worsening since prior exam
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Pa and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The heart size is top normal.
shortness of breath.
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of <unk>. Heart size and mediastinal structures are unremarkable. Normal appearance of thoracic aorta. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax in the apical area. In comparison with the next previous study at that time questioned pulmonary parenchymal density overlying the left side sixth rib cannot be identified anymore.
<unk>-year-old female patient with history of diabetes, hypertension with chest x-ray of <unk> with questionable nodule and recommendation for repeat examination.
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Focal <num> mm density at the left second rib is again seen, unchanged since <unk>. The lungs are clear. Cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old with fever. please assess for pneumonia.
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Heart size is top normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. Cholecystectomy clips are noted in the right upper quadrant of the abdomen. No acute osseous abnormalities are demonstrated.
history: <unk>f with left leg swellling, chest pain, palpitations
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Cardiomediastinal contours are normal. Opacities in the left base have resolved. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable. Right picc tip remains in standard position.
<unk> year old woman with mitral valve endocarditis with persistent fevers // evidence of infiltrate
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No focal consolidation, pleural effusion, or pneumothorax is seen. Heart and mediastinal contours are within normal limits. Surgical clips are again seen projecting over the right upper quadrant.
<unk>-year-old female with enlarged lymph nodes and concern for lymphoma.
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The lungs are well expanded and clear. No pleural abnormality is seen. The heart size is normal. The mediastinum and hilar contour are unremarkable.
<unk> year old man with uri sx/diarrhea of <num> days duration, with advent of productive cough x <num> hours; subtle l posterior rales on examination. evaluate for pneumonia.
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The lungs are well expanded. There are subtle open opacities in the mid right lung not definitively identified on lateral radiograph. Hazy opacities symmetrically obscure the inferolateral heart borders bilaterally. No pleural effusion or pneumothorax. Heart size is top normal.
<unk>m with dyspnea. crackles on auscultation.
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Frontal and lateral views of the chest. Again, the patient is rotated to the right. The lungs remain clear. Cardiomediastinal silhouette is within normal limits. Hypertrophic changes are seen in the spine. No displaced fracture is identified on this nondedicated exam.
<unk>-year-old male with past medical history of atrial fibrillation on coumadin status post fall.
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.
chest pain.
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Heart size is top-normal, slightly decreased compared to the prior study. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
productive cough with yellow phlegm here with nstemi.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the arch. No acute osseous abnormalities identified.
<unk>m with hypoxia, lactate // eval for low o<num>
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Pa and lateral views of the chest compared to multiple previous exams including chest cts dating back to <unk>, most recent chest x-ray from <unk>. The known lung mass is again seen in the superior segment of the left lower lobe. Trace right-sided pleural effusion is identified. Previously identified right basilar opacity has improved, potentially due to resolved infection or atelectasis. There is some linear opacity at the left lung base laterally, also potentially due to atelectasis. Vague opacities in the right mid lung can be atributed to healing posterior seventh and eighth rib fractures.
<unk>-year-old male with lung lesion and productive cough. no fever.
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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 tightness, anxiety
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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>m with cough, upper back pain // ? pna
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The lungs remain hyperinflated. No focal consolidation, effusion, pneumothorax, or edema. The heart is likely mildly enlarged given the hyperinflated lungs, unchanged. The mediastinum is not widened. Hilar contours are normal. Aortic knob calcifications and descending thoracic aorta calcifications are mild. Mild dextroconvex scoliosis of the upper thoracic spine and moderate levoconvex scoliosis of the thoracolumbar spine is more pronounced on today's exam and may be positional. Vertebral body heights of the visualized thoracic spine on the lateral view appear unchanged without significant loss of vertebral body height.
<unk>-year-old woman with increasing o<num> requirement and copd. evaluate for pneumothorax.
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The cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax. The aorta is tortuous. Neck soft tissue overlies the lung apex. Loss of height of one of the mid thoracic vertebral body is unchanged from a prior study in <unk>.
<unk>-year-old with shortness of breath.
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There are multiple opacities involving the right middle lobe, lingula, and left lower lobe. The infrahilar calcification noted in <unk> is not full visualized. Hyperinflation is consistent with emphysema. The heart size is normal. There is no pleural effusion or pneumothorax.
cough for two weeks in the setting of asthma. poor air movement on exam. concern for pneumonia.
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Left-sided aicd/ pacemaker device is re- demonstrated with leads terminating in the right atrium and right ventricle. Mild enlargement of the cardiac silhouette is again visualized. The mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is visualized. No acute osseous abnormality is identified
history: <unk>m with chest pain
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with hypoxia // opacity
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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected. The bones appear demineralized with generalized loss of height of several thoracic vertebral bodies.
history: <unk>f with c/o cp since yesterday // ? pna
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As compared to the previous radiograph, there is no relevant change. Normal size of the cardiac silhouette. Normal appearance of the lung parenchyma. No evidence of parenchymal opacities suggestive of infectious changes. No other parenchymal abnormalities. No pleural effusions. No pneumothorax.
increasing wheeze, shortness of breath, evaluation for pulmonary infection.
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<num> views of the chest show clear lungs with no focal consolidation. The cardiac silhouette is enlarged but stable. Tortuosity and enlargement of the thoracic aorta is unchanged. Mediastinal clips and intact median sternotomy wires are unchanged.
chest tightness and dyspnea
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m pmhx htn with episode of amnesia yesterday. // eval for intracranial process
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As compared to the previous radiograph, there is no relevant change. Normal lung volumes. Scarring at the right lung base and bilateral small areas of atelectasis, in part caused by a likely hiatal hernia. No larger pleural effusions. No pneumonia, no evidence of aspiration, no pleural effusions.
questionable aspiration.
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The cardiomediastinal and hilar contours are within normal limits. The aorta is minimally unfolded. There is mild bibasilar atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. No pulmonary edema. Mild multilevel degenerative changes noted throughout the thoracic spine.
history: <unk>m with sob and chest tightness // ? acute process
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Interval decrease in left pleural effusion. Lungs clear bilaterally without pneumothorax or pulmonary edema. Sternotomy wires are intact. Heart size is top normal with normal mediastinal contour and hila. No bony abnormality.
female with left pleural effusion status post thoracentesis on the left.
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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. The lungs are clear. No bronchial cuffing identified. No pleural effusion or pneumothorax evident. No displaced rib fractures identified.
history of asthma, presents with chest pain. assess for acute process.
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Streaky left lower lobe opacity is present along with a small left pleural effusion. Right lung is clear. No pneumothorax is identified. No acute osseous abnormality is detected.
history: <unk>m with chest pain
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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. Note is made of a thoracic dextroscoliosis.
<unk>m with chest pain // cardiopulm process?
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs are clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.
cough.
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Frontal and lateral chest radiographdemonstrates hypoinflated lungs with crowding of vasculature. A heterogeneous right lower lobe opacity is noted. Subtle blunting of the right costophrenic angle is consistent with a new small right pleural effusion. No left pleural effusion. No pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. A right porta cath tip is deep in the right atrium, unchanged since previous examination.
fever. assess for pneumonia.
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Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Mild interstitial pulmonary edema is likely. Right-sided remote rib fractures are redemonstrated. The imaged upper abdomen is unremarkable.
patient with history of myelodysplasia; now presents with altered mental status.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and hyperinflated lungs, unchanged compared to prior exams. There is no focal consolidation, pleural effusion, or pneumothorax. Mild calcification of the aortic knob is noted and unchanged. The visualized upper abdomen is unremarkable.
shortness of breath. evaluate for pneumonia or pneumothorax.
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The lungs are clear without infiltrate or effusion. The cardiac and mediastinal silhouettes are normal. The bony thorax is normal.
chest pain.
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As compared to the previous examination, the pre-existing right pleural effusion has minimally increased in extent. The lateral image suggests that the effusion is loculated. Also slightly increased is the minimal subsequent atelectasis. Otherwise, there is no relevant change. Unremarkable size and shape of the cardiac silhouette. Unremarkable left lung.
pleural effusion, evaluation.
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Patchy lingular opacity, best seen on the frontal view, pneumonia versus atelectasis. No pleural effusion or pneumothorax is seen. The cardiac right is top-normal. Mediastinal contours are grossly unremarkable. No pulmonary edema is seen.
history: <unk>f with cough, fevers // ? acute process
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A new focal opacity is visualized overlying the left lower lobe. Otherwise, the right hemithorax is clear. The lungs are hyperinflated suggesting underlying copd. Cardiomediastinal silhouette is normal. No acute fractures are identified.
evaluation of patient with fever.
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The lungs are clear without evidence of consolidations or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Mild dextroscoliosis and degenerative changes of the thoracic spine are stable.
acute chest pain.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits. <num> cm ill-defined density projecting over the right upper lung field may represent right <num>st rib costochondral calcification, but small focus of infection, contusion or nodule cannot be excluded.
<unk>-year-old male status post fall.
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In comparison with study of <unk>, there has been virtually complete clearing of the atelectatic changes at the left base. No pneumonia, vascular congestion, or pleural effusion.
left basilar opacity without symptoms of pneumonia.
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Despite moderately severe emphysema, lung volumes are lower compared to <unk>, and crowding of mild pulmonary edema may explain greater opacification in the right lower lobe on the frontal view. Opacification in the left lower lobe could be residual atelectasis, following resolution of prior left pleural effusion, but needs to be followed for possible new pneumonia. Pulmonary arteries are still large, but cardiomediastinal silhouette is normal. Degenerative changes of the ac joints are present.
<unk>-year-old male with shortness of breath. evaluate for acute cardiopulmonary process.
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The cardiomediastinal silhouette and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. Osseous structures are grossly unremarkable. There is no radiopaque foreign body noted.
status post picc removal, now with <num> cm of picc missing. assess for foreign body.
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The lungs are grossly clear without focal consolidation, effusion, or pneumothorax. Lateral view demonstrates low lung volumes with basilar atelectasis. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with dizziness // eval for pneumonia