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Substantial persistent pleural space in the anterior hemithorax previously occupied by the right upper lobe, now with increasing fluid of unclear etiology. No interval change in substantial subcutaneous emphysema. Right lung is clear without pneumothorax or pleural effusion. Heart size is obscured, however, right mediastinal contour and hilus are normal. No bony abnormality.
female with left upper lobe non-small cell lung cancer status post sleeve resection. assess interval change.
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The heart size is mildly enlarged. The aorta remains mildly dilated and tortuous. The mediastinal and hilar contours are otherwise unchanged. New focal consolidation within the right lower lobe is compatible with pneumonia. Minimal retrocardiac patchy opacity is also seen. The lungs are hyperinflated compatible with underlying copd. There is no pleural effusion is definitively seen. No pulmonary vascular congestion or pneumothorax is demonstrated. Osteophytic spurring is seen within the thoracic spine.
cough and fever.
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The cardiomediastinal and hilar contours are within normal limits. Right-sided port-a-cath catheter terminates in the lower svc. Increased bibasilar opacities could relate to chronic changes as seen on prior chest ct with superimposed infectious process. There is no pleural effusion or pneumothorax.
colon cancer with chills and rigors.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of pleuritic chest pain. please evaluate for pneumonia or pneumothorax.
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Frontal and lateral views of the chest demonstrate normal lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Multiple surgical clips project over right neck. There is soft tissue edema and an ill-defined lucency projecting over resection bed.
cough, status post thyroidectomy. assess for pneumonia.
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A port-a-cath is in place, with tip over distal svc. There is background hyperinflation, consistent with copd. The cardiomediastinal silhouette is not enlarged. Mild aortic calcification noted. There is slight blunting of the right cardiophrenic angle, consistent with a small amount of pleural fluid or thickening. On the lateral view, there is suggestion of focal nodular density in the lower lobe posteriorly on <num> side. Additional patchy density projects over the cardiac silhouette. Indistinct opacities are seen laterally in both right and left lower zones. These small opacities likely correspond to opacities seen on the <unk> chest ct. No chf or large consolidation is identified. Oral contrast is noted within the bowel.
<unk> year old man with sbo s/p whipple in <unk> and appy in <unk> // eval port-a-cath placement
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There is re-demonstration of pulmonary vascular congestion without frank interstitial edema. Minimal bilateral lower lung atelectasis is again noted. Moderate cardiomegaly is not significantly changed. A trace right pleural effusion is unchanged. There is no definite left pleural effusion. Mediastinal contours are normal. There is no pneumothorax.
history of congestive heart failure, presenting with nausea, vomiting, diarrhea, and cough.
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Pa and lateral views of the chest provided. Mild right basal atelectasis noted. Scattered calcified granulomas again noted in the left lower lung. There is stable prominence of the right hilum which is unchanged over multiple prior imaging studies and likely reflects granulomatous adenopathy. Cardiomediastinal silhouette stable. No pneumothorax or effusion. No edema. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with cough , fever // ? infiltrate
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. No displaced fracture is identified.
history: <unk>m with l back/hip pain, dyspnea/l chest pain, altered mental status s/p assault // ? fractures or acute traumatic injuries
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation, or pneumothorax. Hilar and mediastinal silhouettes are unchanged. There heart size is top normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.
assess for pneumonia or pulmonary edema, patient with crackles.
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The lungs are hyperinflated but clear. Dramatic increase in lung volumes since the prior study raises the possibility of bronchospasm although no bronchial cuffing is seen. Heart size and mediastinal contours are normal. No pleural effusion or pneumothorax. Osseous structures are intact.
history: <unk>m with cough, congestion, chest pain // r/o pneumonia
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Pa and lateral chest radiographs were provided. Lung volumes are low. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The bones are intact.
<unk>-year-old female with chest pain, rule out infectious process.
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Pa lateral images of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
cough and fever.
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Frontal and lateral chest radiographs again demonstrate a right pleural pigtail catheter. The right pneumothorax is increased compared to prior radiograph. The remainder of the exam is unchanged.
right pneumothorax with a pigtail catheter in place.
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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 cough and fever. evaluate for pneumonia.
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Previously seen right-sided picc is no longer seen. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable and stable.
febrile neutropenia.
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The cardiomediastinal silhouette is normal. The hila are normal. There is a large region of heterogeneous opacity extending from the mid lower to upper lung zone likely representing pneumonia. No pleural abnormalities. No pneumothorax. The visualized bones and soft tissues are normal. The right port is in satisfactory position.
<unk>-year-old woman with pancreatic cancer now presenting with new fever.
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Pa and lateral views of the chest provided. Lungs remain clear. Cardiomediastinal silhouette is unchanged. No pleural effusion or pneumothorax. Anchors are noted within the humeral heads. No free air below the right hemidiaphragm. No acute osseous abnormalities.
<unk>f with shortness of breath s/p mechanical fall, no hx cardiopulm disease
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Moderate cardiomegaly is unchanged. The aorta demonstrates diffuse calcifications. Mediastinal and hilar contours are within normal limits. The pulmonary vascularity is not engorged. Calcified pulmonary nodules in both lungs are unchanged, reflective of granulomas. No focal consolidation, pleural effusion or pneumothorax is present. The lungs are hyperinflated with flattening of the diaphragms suggestive of underlying copd. Old right-sided rib fractures are re- demonstrated.
end-stage renal disease, nausea, vomiting, diaphoresis and vomiting.
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The patient is severely rotated to the left, resulting in on folding of the mediastinum. Surgical clips are noted in the vicinity of the aortic arch and posterior spine, respectively. . There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. A large hiatal hernia is noted.
history: <unk>f with neutrapenia // evidence of infection
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild to moderate reverse s-shaped spinal curvature is unchanged.
chest pain and abdominal pain.
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Ap upright and lateral views of the chest provided. Interval removal of picc line and dialysis catheter. Extensive ground-glass opacity within both lungs is concerning for edema, less likely diffuse pneumonia. No large effusion is seen. Heart size remains mildly prominent. Mediastinal contour is unchanged. Hila are congested. Bony structures are intact.
<unk>f with new o<num> requirement and sob
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Left-sided pectoral pacemaker leads terminate in standard position. Chronic interposition of the splenic flexure of the colon beneath the left hemidiaphragm with associated atelectasis is unchanged. Mild cardiomegaly is stable. There is no focal consolidation, pleural effusion, or pneumothorax. No rib fractures identified.
recent pneumonia and new fall. evaluation for pneumonia or rib fracture.
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Pa and lateral images of the chest. The lungs are well expanded. Mildly dilated upper lobe vessels are seen. There is no focal consolidation or mass. No pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette is top normal in size.
lightheadedness concerning for pneumonia.
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As compared to the previous radiograph, there is no relevant change. Constant absence of any manifestations potentially suggestive of metastatic pulmonary or thoracic disease. Unchanged appearance of the cardiac silhouette and the lung parenchyma. No pleural effusions.
right partial nephrectomy, evaluation for any abnormalities.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Minimal reticular and linear upper lobe opacities appear unchanged from the previous examination. Remainder of the lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with etoh cirrhosis and elevated bilirubin // assess for pneumonia
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Lung volumes are slightly low, causing mild bronchovascular crowding. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal.
<unk>f with left-sided chest pain. evaluate for left pleural or parenchymal disease.
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f w/syncope // <unk>f w/syncope
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Ap and lateral views of the chest. No prior. There are bibasilar opacities compatible with small effusions, larger on the right than on the left. There is engorgement of the pulmonary vasculature with indistinct vascular markings peripherally. The cardiac silhouette is enlarged. Severe degenerative changes are partially visualized at the glenohumeral joints bilaterally. Osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old male with dehydration and weakness. question pneumonia.
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Frontal and lateral chest radiographs again demonstrate a right pleural drain in place and the expected postoperative appearance of the mediastinum. Moderate cardiomegaly is unchanged. A small right lower lung opacity likely represents atelectasis, but should continue to be monitored. There are small bilateral pleural effusions. No pneumothorax is seen.
status post minimally invasive esophagectomy. evaluate for interval change.
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There is free air under the right hemidiaphragm compatible with the patient's history of recent colectomy. There is small left pleural effusion. There is no focal infiltrate.
status post colectomy with fever.
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The lungs are hyperinflated but clear. There is mild cardiomegaly. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old man with hypertension. evaluate for acute cardiopulmonary process.
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Ap upright and lateral views of the chest provided. Clips the right upper quadrant noted. The lungs are clear and hyperinflated. No focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact.
<unk>m with s/p fall severl days ago // eval for trumatic injury
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
worsening cough.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac silhouette size is top-normal. Mediastinal contours unremarkable. No pulmonary edema is seen.
history: <unk>f with chest pain // consolidation, fracture
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The lungs are clear. There is no consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No displaced fractures identified.
<unk>f with right-sided chest pain s/p fall // eval for rib fx, pneumothorax
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal.
<unk> year old woman with r sided pleuritic cp, evaluate for infiltrate, edema.
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There are new predominantly perihilar confluent opacities in both lungs, greater on the right. There is no pleural effusion or pneumothorax identified. The size of the cardiac silhouette is unchanged however there is widening of the vascular pedicle which may be seen in the setting of cardiogenic pulmonary edema.
<unk> year old woman with recent cranioplasty now fevers and leukopenia // rule out pna due to leukopenia and fevers.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Patchy right lower lobe opacity is new and accompanied by mild bronchial wall thickening. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Left subclavian catheter is unchanged in position.
<unk> year old woman with plasmacytoma // new fever, r/o pna
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The lungs are well expanded. A small calcified granuloma is seen in the left apex overlying the medial left clavicle. The lungs are otherwise clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.
chest pain, concerning for 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.
history: <unk>f s/p assault with chest discomfort // eval for ptx, fx
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. Retrocardiac region, ct
history: <unk>f with left rib pain status post motor vehicle collision. evaluate for pneumothorax.
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Heart size is normal. The aorta is slightly unfolded. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Subsegmental atelectasis is seen in the left lung base. No focal consolidation, pleural effusion or pneumothorax is present.
history: <unk>m with headache and arm numbness
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There is a large left-sided pneumothorax extending from the apex to the base with rightward shift of the mediastinum, depression of the left hemidiaphragm and expansion of the left-sided ribs. Right side is clear with no evidence of pneumothorax. The heart size is normal. Pleural surfaces are unremarkable.
<unk>-year-old male with first episode of spontaneous pneumothorax, now with chest tube to waterseal.
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Redemonstrated is a right-sided subclavian central venous catheter with the tip terminating in the cavoatrial junction/proximal right atrium. Lung volumes remain low. Redemonstrated is a large loculated pleural effusion noted within the right major fissure. Streaky left retrocardiac opacities likely represent atelectasis, although infection is difficult to exclude. There is no appreciable pneumothorax identified. The right hemidiaphragm is mildly elevated relative to the left. The cardiomediastinal silhouette is unchanged.
history: <unk>m with +blood cultures, h/o lung abscess // evidence of pneumonia, abscess
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The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pneumomediastinum. There is no pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old man with hematemesis after forceful vomiting. please evaluate for any mediastinal free air, evidence of esophageal perforation.
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The cardiac, mediastinal and hilar contours are normal. The lungs are clear. The pulmonary vascularity is normal. No pleural effusion or pneumothorax is identified. There are mild degenerative changes in the thoracic spine. No acute osseous abnormalities are visualized.
<num> weeks of right-sided chest pain after motor vehicle collision.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs remain clear. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with shortness of breath.
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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips again noted. The heart is moderately enlarged and unchanged. There is mild basilar atelectasis. No convincing evidence for pneumonia or edema. No large effusion or pneumothorax. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with hypotension, // r/o pna
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Patient's arm partially obscures the lateral view p the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette top-normal to mildly enlarged. .
<unk> year old woman with <num> days of worsening doe // r/o acute process
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As compared to the previous examination, the preexisting right lower lung pneumonia has completely resolved. There is no evidence of remnant parenchymal opacities suggestive of an infectious process in the chest. Unchanged bilateral calcified hilar lymph nodes and bilateral calcified apical thickening and small calcified granulomas. No acute changes. Borderline size of the cardiac silhouette, tortuosity of the thoracic aorta. No pleural effusion.
recent pneumonia, questionable resolution.
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Moderate cardiomegaly has been stable compared to exams dated back to at least <unk>. There is mild pulmonary vascular congestion, otherwise the hilar and mediastinal contours are unremarkable. Mild bibasilar atelectasis is persistent. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of renal transplant, on steroids. please evaluate for pneumonia.
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The patient is status post median sternotomy and cabg. Moderate enlargement of cardiac silhouette is unchanged. The mediastinal and hilar contours are stable. Mild pulmonary vascular congestion is noted. No pleural effusion or pneumothorax is present. Multilevel degenerative changes within the thoracic spine are re- demonstrated. There are several clips are noted within the upper abdomen.
recent hospitalization now with nausea, vomiting, epigastric pain.
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There is new focal opacity at the right lung base with blunting of posterior costophrenic angle on the lateral view. Additional linear opacity slightly more superiorly is suggestive of atelectasis. The left lung is clear. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>m with hepatocellular carcinoma s/p rfa <unk> presenting with cough and epigastric pain. diffuse rhonchi on exam. // evidence of focal infiltrate? effusion?
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<num> views of the chest demonstrate clear lungs. The cardiac, hilar, and mediastinal contours are normal. No pleural abnormality is seen.
chest pain and dyspnea.
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Chest, portable upright. There is a small left pleural effusion. There is bilateral lower lobe atelectasis. The lungs are otherwise clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. Calcifications of the aortic arch are noted. An implanted pacemaker features intact, appropriate position lesions.
right upper quadrant abdominal pain.
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The lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. There is no pneumomediastinum. No acute osseous abnormalities, no visualized displaced fractures. There is no free intraperitoneal air.
<unk>m with hit to epigastrium playing hockey yesterday, epigastric pain, worse with breathing, involuntary cough // eval for rib fracture, ptx, free air under diaphragm, mediastinal widening
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Lungs are fully expanded and clear. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. The mid esophagus is mildly distended with air, not necessarily clinically significant.
<unk>-year-old female status post assault.
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Mild cardiomegaly is re- demonstrated. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. Mild degenerative changes are noted in the thoracic spine.
dyspnea.
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A small right pleural effusion is noted. The left lung is clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pneumothorax, pneumonia, or pulmonary edema.
<unk> year old man with bladder cancer // question of disease recurrence
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Pa and lateral views of the chest provided. Low lung volumes. 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 chest pain, cough
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Frontal and lateral chest radiographs redemonstrate the right humeral surgical neck fracture. Cardiomediastinal and hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax identified.
fall two weeks ago, now with right shoulder pain. evaluate for fracture or dislocation.
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Previously seen left mid lung consolidation has resolved in the interval with possible minimal residua remaining. Slight prominence of the hila is similar as compared to <unk> and may indicate mild central pulmonary vascular engorgement. No definite new focal consolidation seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable. Right-sided port-a-cath terminates in the low svc without evidence of pneumothorax.
history: <unk>m with anc <num>, dyspnea and productive cough for several days // eval for pna
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Low lung volumes are again noted. There are persistent increased interstitial opacities throughout the lungs. Findings are slightly more prominent when compared to the exam with similar inspiratory effort from <unk>. Increased opacity in the costophrenic angles posteriorly is compatible with atelectasis and possible small effusions. Compression deformities in the lower thoracic and upper lumbar spine are as seen on prior scout film from recent ct scan.
<unk>f with fatigue and leukocytosis // eval for pna
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Postoperative changes status-post right pneumonectomy include posterior right fifth and sixth rib osteotomies, surgical clips projecting of the lateral right seventh rib, and complete opacification of the right hemithorax, similar in appearance to the most recent radiographic examination. The left lung is fully expanded and clear without focal consolidation. There is no left pleural effusion or pneumothorax. The left cardiomediastinal silhouette is unremarkable.
history: <unk>m with lung ca, seizure, worsening cough // r/o pna
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Frontal and lateral views of the chest demonstrate hyperexpanded lungs. There was no focal consolidation, pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unchanged. Heart size is normal. Biapical scarring is stable.
cough. assess for pneumonia.
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The when compared to <unk> chest radiograph, both lung volumes are low. There is interval development of small (left greater than right) pleural effusions. However there are no consolidations nor opacities to suggest pneumonia. The cardiomediastinal and hilar contours are normal. There is no pneumothorax.
<unk> year old man with pancreatitis and new hypoxemia // eval for acute process
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality identified.
<unk>-year-old male with shortness of breath.
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Motion degradation on the lateral view limits assesment. The cardiomediastinal and hilar contours are unchanged with mild cardiomegaly. A left pacemaker defibrillator is present with tips terminating in the right atrium and right ventricle as expected. There are small bilateral pleural effusions and pulmonary vascular congestion, similar compared to the most recent prior study. There is no pneumothorax.
dyspnea, rule out chf.
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The lungs are hyperexpanded. Endobronchial valve projects over the left hilum with expected collapse of the left upper lobe. There is persistent herniation of the right lung leftward. Heart size is normal. The mediastinal and hilar contours are normal. Prior left chest tube has been removed. There is no pneumothorax. There is no pleural effusion.
<unk> year old woman with severe copd s/p lul endobronchial valves with ptx x<num>, last chest tube removed <unk>, with increased sob. // eval for ptx on left
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A left port-a-cath catheter is stable in position, terminating in the mid svc. The cardiomediastinal and hilar contours are within normal limits. There is redemonstration of prominent bronchovascular markings. No focal consolidation is identified. There is scarring at the lingula. There is no pleural effusion or pneumothorax.
history: <unk>m with mild chest pain and sob // eval for acute process eval for acute process
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The lungs are clear. There is no consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with chest pain/l arm pain intermittently x <num> week // eval for acute process
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The cardiomediastinal and hilar contours are within normal limits. The lungs demonstrate an ill-defined opacity in the left lower lung with air bronchograms which was not present on prior exam and is concerning in this clinical setting for pneumonia. There is no pleural effusion or pneumothorax.
<unk>-year-old female with fever and chills.
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There is symmetric expansion and aeration of both lungs without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is normal. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The trachea is midline. No acute osseous abnormality is detected.
history of hiv, hcv and diabetes, now with weight loss and fatigue, here to evaluate for acute cardiopulmonary process.
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The patient is status post coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours appear unchanged. The heart is again mild-to-moderately enlarged, but appears decreased in size. Streaky opacity at the left lung base suggests minor atelectasis. A right-sided pleural effusion has resolved. A convex opacity appears to refer to the posterior right costophrenic sulcus and suggests a small residual subpulmonic effusion, possibly loculated and likely with associated atelectasis. There is no evidence for pulmonary edema. The bones appear demineralized.
atrial fibrillation, congestive heart failure and weakness.
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Lungs are hyperinflated. The previous ground-glass opacity surrounding the fiducial marker in the left upper lobe has improved, reflecting partial resolution of hemorrhage. Small to moderate left pneumothorax is new since the prior exam. Left pleural effusion has increased since the prior study, now small to moderate. The right lung is grossly clear and known nodules are better evaluated on prior ct.
<unk> year woman with known lung cancer with shortness of breath.
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Pa and lateral views of the chest provided. Left chest wall pacer device is again noted with pacer leads extending into the region the right atrium and right ventricle. Midline sternotomy wires again noted. Patient is known to have extensive calcified pleural plaque likely accounting for the areas of hyperdensity projecting over the left lung. Since the prior exam, there is perhaps slight decrease in right pleural effusion. Otherwise, no significant change in the appearance of the chest. Cardiomediastinal silhouette is stable. Bony structures appear grossly intact.
<unk>m with sob/cough // sob, recent pna
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The known, nondisplaced rib fractures involving the left ninth and eleventh ribs are not well appreciated on this study. There is no pleural effusion or pneumothorax. There is bibasilar atelectasis, however, there is no focal airspace consolidation worrisome for pneumonia. Heart is normal size. Mediastinal and hilar contours are unremarkable.
low back pain. evaluate for a rib fracture.
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Cardiac, mediastinal and hilar contours are normal. Punctate calcified granuloma is seen within the medial aspect of the right lung base. Lungs are otherwise clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities demonstrated. Screw is noted within the right proximal humerus. Degenerative changes are seen involving both ac joints.
history: <unk>m with fatigue, fevers
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lung volumes are low, but the lungs appear clear. No pleural effusion or pneumothorax is seen.
<unk>m with chest pain // eval for pneumonia, pnuemothorax
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A left pectoral dual-chamber pacemaker has been placed with dual leads terminating in the right atrium and right ventricle. The right ventricular lead is oriented superiorly with the tip projecting towards the free wall of the right ventricle. The course of the leads is unremarkable. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. There is no overt pulmonary edema. The cardiomediastinal and hilar contours are within normal limits.
status post dual-chamber pacemaker placement, here to evaluate repositioning.
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There is increased airspace opacification at the right base. A new band-like opacity at the left base is likely due to worsening infection or atelectasis. Over although the fine reticular nodular pattern of abnormality is not appreciably changed since the radiograph of <num> days prior. There is no new pleural effusion or pneumothorax. The heart and mediastinum are within normal limits.
<unk> year old woman with atpyical vs viral pna // assess for interval radiographic change
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Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. Mild enlargement of the cardiac silhouette is unchanged. Atherosclerotic calcifications are noted at the aortic knob. Mediastinal and hilar contours are similar, and pulmonary vasculature is not engorged. Subsegmental atelectasis is seen within the right lower lobe. No focal consolidation, pleural effusion or pneumothorax is demonstrated. There are multilevel mild to moderate degenerative changes within the thoracic spine. Clips are demonstrated in the right upper quadrant compatible prior cholecystectomy.
history: <unk>m with hypoxia, altered mental status
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The lungs are clear without focal consolidation, effusion, or edema. Cardiac silhouette is moderately enlarged. Tortuosity of the descending thoracic aorta is noted. Left shoulder arthroplasty changes are noted. No acute osseous abnormalities. Hypertrophic changes are seen in the spine.
<unk>f with ?ams infection // eval for infection
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The lungs are clear of consolidation, effusion, or pulmonary edema. Prominent extrapleural fat is seen bilaterally. The cardiac silhouette is stable. Right shoulder arthroplasty changes are noted in addition apparent dislocation or subluxation of the left glenohumeral joint.
<unk>f with <num>xwk lle ttp, now w/ calf ecchymosis, fullness // r/o pleural effusion
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<num> views of the chest demonstrate a right pacemaker generator with atrial and ventricular leads. Bibasilar opacities are seen which correlate with areas of consolidation on the concurrently obtained ct of the abdomen and pelvis which may represent atelectasis or infection. The cardiac and mediastinal contours are normal. No pleural abnormality is perceived, although a small left pleural effusion was seen on the concurrently obtained ct of the abdomen and pelvis.
hypotension elevated lactate. evaluate for pneumonia.
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Pa and lateral views of the chest. No prior. The lungs are clear. There is no evidence of overt volume overload. Costophrenic angles are sharp. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with cirrhosis and ascites, malaise. question volume overload or occult pneumonia.
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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
this is a <unk>-year-old with afib.
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In comparison with the study of <unk>, there is no interval change. Specifically, no evidence of pneumonia or vascular congestion or pleural effusion. Supraclavicular subcutaneous gas persists.
stab wound to chest, to assess for pneumothorax.
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Pa and lateral radiographs of the chest demonstrate clear lungs and normal cardiac silhouette. The aorta is unfolded. The hila are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
fever and bacteremia.
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Lungs are clear. There is no pleural effusion or pneumothorax. The heart is normal in size. Normal cardiomediastinal silhouette.
upper thoracic back pain after mvc. assess for injury.
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The heart is mild to moderately enlarged. The patient is status post mitral valve repair. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Peripheral reticulation indicates a mild suspected interstitial abnormality, probably unchanged.
hemoptysis. on anticoagulation.
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. The heart is normal in size. There is no pleural effusion, pulmonary edema or pneumothorax.
<unk>-year-old female with upper respiratory infection and shortness of breath. evaluation for infiltrate.
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Frontal and lateral radiographs of the chest demonstrate increased opacification of the left base, likely secondary to atelectasis. There is a small left-sided pleural effusion. The cardiomediastinal and hilar contours are unchanged. Multiple known left lateral and posterior rib fractures are better assessed on recent ct of the chest. There is no pneumothorax or consolidation.
patient is a <unk> y.o. m s/p mechanical fall down <num> steps in a railyard, no loc. pt struck l arm, chest/back and head. pt with lacteration to r scap and mult left rib fractures: <unk> anterior, <unk> posterior. ct head/neck wnl. ctabd/pelvis with incidental finding of aaa, l renal hypodensity, and <num>mm pulm nodule. // ? hemothorax and rib fractures
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There is marked dextroscoliosis of the thoracolumbar spine. The heart size is within normal limits. The mediastinal and hilar contours are unremarkable. There is an airspace opacity involving the right lower lung, most likely in the right lower lobe. There is no large pleural effusion or pneumothorax.
<unk>-year-old female with <num> days of fever, productive cough, mild dyspnea, and no improvement with azithromycin.
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Ap and lateral chest radiograph demonstrates an enlarged heart, stable in size relative to prior examination. Central vascular prominence as well as perihilar opacities likely reflects pulmonary edema. There is no large pleural effusion. Cervical spine hardware is partially imaged. There is no pneumothorax.
history: <unk>m with h/o heart failure presenting with b/l <unk> edema c/o intermittent sob.decreased breath sounds at bases worse on right // acute cardiopulmonary process
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Pa and lateral radiographs of the chest demonstrate right lower lobe scarring and pleural calcifications. Blunting of the right costophrenic angle may be due to scarring or small persistent chronic effusion. There is no focal airspace opacity. There is stable mild cardiomegaly. Median sternotomy cerclage wires are intact and there are multiple surgical clips in the anterior mediastinum. There is no pneumothorax or left pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old woman with altered mental status. evaluate for pneumonia.
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The heart size is top normal. Aorta is tortuous. The mediastinal and hilar contours are otherwise are unremarkable. The pulmonary vascularity is normal. Subsegmental atelectasis in the lingula is noted. The remainder lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
bradycardia, diaphoresis, nausea and vomiting.
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Frontal and lateral views of the chest were obtained. The heart is of normal size. The heart apex is silhouetted by a prominent pericardial fat pad. Blunting of the left costophrenic angle is compatible with a small pleural effusion. The right lung appears clear without effusion. No radiopaque foreign body. Osseous structures are unremarkable.
<unk>-year-old female status post pneumonia, now returning with shortness of breath and chest pain. evaluate for infectious process or pleural effusion.
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The cardiac, mediastinal and hilar contours appear unchanged. Blunting of the left costophrenic sulcus suggests a small new effusion, with none identifiable on the right side. Streaky basilar opacity seen posteriorly are suggestive of minor atelectasis. Otherwise, lungs appear clear. There is no pneumothorax.
chest pain and cough.