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Linear opacity in the left lung base most likely represents atelectasis. No focal opacity, pulmonary edema, pleural effusion or pneumothorax identified. The heart size is normal. The aorta is unfolded. No rib fractures identified. Hypertrophic changes noted in the spine.
<unk> year old man with trauma <num> days ago. now with right-sided pain over the ribs.
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Single lead left-sided pacemaker is stable in position.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with weakness // eval for infiltrate
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Compared to the prior chest radiograph, the lung volumes are low. Otherwise, the lungs are clear without focal opacity, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. No acute osseous abnormality.
<unk> year old man with shortness of breath and cough.
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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are again noted. The lungs are clear with without focal consolidation, large effusion or pneumothorax. The cardiomediastinal silhouette appears unchanged. No signs of congestion or edema. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with chest pain // r/o acute cardiac process
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. Streaky linear opacities at the left total lung base likely represent atelectasis. The cardiomediastinal silhouette is within normal limits. A moderate hiatal hernia is again noted.
<unk>f with vomiting, dehydration // evaluate for pneumonia
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There are small bilateral pleural effusions. The lungs are otherwise clear without consolidation or edema. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk> year old woman with recent diagnosis of afib, presenting with edema and dyspnea c/f heart failure exacerbation // evaluate for pulmonary edema
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In comparison with the study of <unk>, there is further decrease in the loculated pleural effusion on the right. There is still blunting of the costophrenic angle with some elevation of the hemidiaphragm and streaks of atelectasis or fibrosis at the base. No evidence of acute pneumothorax or acute pneumonia. Left lung remains essentially clear.
pleural effusion.
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. During the examination interval, the previously present right-sided pigtail and pleural drainage catheter has been removed. The previously described extensive parenchymal and interstitial densities occupying the right mid and lower lung zone remain rather unchanged. No new or reoccurring pneumothorax can be identified in the right apical area. Appearance of heart contours is unaltered and thus no evidence of significant cardiac enlargement. This matches the absence of any pulmonary vascular congestion in the left hemithorax. Left-sided basal peripheral plate atelectasis has developed, but no other new significant local abnormalities are seen.
<unk>-year-old male patient with pneumothorax, significant for metastatic lung cancer, admitted with dyspnea and increasing right pleural effusion, now status post chest tube removal, evaluate for pneumothorax.
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Mild cardiomegaly is re- demonstrated. The mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Cluster of calcifications in the right upper lobe are unchanged. Small bilateral pleural effusions, left greater than right are re- demonstrated, with perhaps slight interval improvement in size of the left pleural effusion. Associated left basilar atelectasis is present. No pneumothorax is identified. There are no acute osseous abnormalities. A tips shunt catheter within the right upper abdomen along with embolization coils are again noted.
history: <unk>f with weakness, malaise, history of sbp, recurrent infections
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Lungs are well inflated and clear. Heart size is top normal. Hilar contours are normal. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact.
cough, evaluate for pneumonia.
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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 cp // evidence of pneumothorax or pneumonia
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Cardiomediastinal silhouette and hilar contours are unremarkable. Right greater than left bibasilar opacities are improved compared to the prior examination. The right base opacity corresponds to focal pneumonia or infarct on ct. Pleural surfaces are clear without effusion or pneumothorax.
shortness of breath.
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Upright ap and lateral views of the chest demonstrate a left chest wall pulse generator, with pacing wires terminating in the right atrium and right ventricle, unchanged from the prior study. The lung volumes are somewhat low, with background emphysema and interstitial prominence, similar compared to prior studies; however, there are new left perihilar opacities which are concerning for infection. No pleural effusion or pneumothorax is detected. The cardiomediastinal silhouette is unremarkable.
<unk>-year-old man with known copd, with worsening shortness of breath, cough over the past three to five days. evaluation for pneumonia.
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The cardiac, mediastinal, and hilar contours are normal. Pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
nausea, vomiting, cough.
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Nipple shadow is noted on the right. No displaced fracture is seen.
syncope, head cpr performed.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well expanded and clear. Pulmonary vasculature is within normal limits. No displaced fracture is seen.
right chest discomfort.
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Lungs are mildly underinflated with the increased right infrahilar heterogeneous opacity which could represent developing aspiration, however likely represents atelectasis. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal.
<unk> year old man with chest discomfort and fever.
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The cardiac, mediastinal and hilar contours appear stable. Streaky opacities in the left lower lobe appear probably unchanged and suggest minor atelectasis although a small component of suspected lingular atelectasis appears new. However, there is no evidence for congestive heart failure convincing evidence for pneumonia. There is no pleural effusion or pneumothorax.
low-grade fever and productive cough.
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Heart size is mildly enlarged. The aorta is diffusely calcified. Lungs are hyperinflated with scarring noted within the lung apices. Streaky atelectasis is seen in both lung bases as well as more focal linear atelectasis noted in the region of the lingula as seen on the lateral view. Blunting of the costophrenic angles could suggest small bilateral pleural effusions or chronic pleural thickening. Pulmonary vasculature is not engorged. There is no focal consolidation. No pneumothorax is detected. Osseous structures are diffusely demineralized with mild multilevel degenerative changes noted in the thoracic spine.
history: <unk>f with new atrial fibrillation
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
<unk>-year-old male with chest pain. evaluate for pneumothorax.
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Persistent diffuse bilateral micronodular pattern in both lungs is overall unchanged. Sutures, scarring, atelectasis in the left lung remain stable in appearance. Moderate left pleural effusion has increased in size appear. Peaking of the right hemidiaphragm is of uncertain etiology and may represent a small right pleural effusion. There is no substantial change in the lung parenchyma to suggest edema or pneumonia. No pneumothorax.
<unk> year old woman with metastatic nsclc and worsened hypoxia, eval for increase in effusion
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As compared to the previous radiograph, no relevant change is seen. Bilateral pectoral pacemakers. The course of the leads is unremarkable, there is no evidence of lead damage. The lung parenchyma is of normal appearance. No pneumonia, no pulmonary edema. No pleural effusion. Neither the frontal or the lateral radiographs show bony abnormalities. Normal size of the cardiac silhouette.
worsening pain, evaluation for lead fracture.
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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>f with sob s/p smoke inhalation over weekend. evaluate for pneumonitis or cause of shortness of breath.
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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.
fevers, cough, chills.
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Cardiac silhouette size is normal. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. The lungs remain hyperinflated suggestive of copd. No focal consolidation, pleural effusion or pneumothorax is identified. Scarring is seen within the lung apices. The osseous structures are diffusely demineralized. No acute osseous abnormalities otherwise demonstrated.
history: <unk>f with chest pain x <num> days with nausea, shortness of breath, lightheadedness.
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Frontal and lateral radiographs of the chest. Unchanged mild cardiomegaly. Stable postsurgical changes at the left lung base and hiatus hernia. No focal consolidation, pleural effusion or pneumothorax.
achalasia with cough and fever for <num> days. evaluate for aspiration pneumonia.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cough and fever // pna?
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Moderate to large right pleural effusion and moderate left pleural effusion,have increased when compared to <unk> study. There is bibasilar atelectasis which is worsened as well when compared to previous study. The pulmonary vasculature is engorged there is no pulmonary edema. The upper lungs are clear. Cardiac silhouette is obscured grossly stable when compared to previous studies.
<unk> year old man with pleural effusion // eval
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There is mild vascular congestion. Focal opacity obscures the right heart border compatible with right middle lobe opacity. The heart is mildly enlarged. Mediastinal contours are stable. The aorta remains tortuous. There is no pleural effusion or pneumothorax. A right humeral replacement hardware and exaggerated thoracic lordosis are unchanged.
<unk>-year-old man with cough, rule out acute process.
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As compared to the previous radiograph, all pre-existing parenchymal opacities and pleural effusions have completely cleared. The lung volumes are low, but there is no evidence of pneumonia, pulmonary edema or pleural effusions. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures.
prior abnormal chest ct, pneumonia. evaluation.
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Heart size is normal. The aorta is mildly tortuous. Mediastinal and hilar contours are otherwise unchanged. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion, focal consolidation or pneumothorax is present. No acute osseous abnormalities are visualized.
chest pain.
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Lung volumes are low. The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. There is no pleural effusion or pneumothorax. No focal consolidation is identified.
history: <unk>f with several days dyspnea, cough, st // eval ? pna, effusion
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The cardiac and mediastinal silhouettes are stable with persistent enlargement of the cardiac silhouette. There is very minimal central pulmonary vascular congestion without overt pulmonary edema. There is possible slight blunting of the posterior costophrenic angles and very trace pleural effusions are difficult to exclude. There is no focal consolidation or pneumothorax.
known biventricular cardiomyopathy presenting with cough, subjective fever and palpitations.
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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.
left arm numbness an ekg changes.
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The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. The lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is identified.
lymph node swelling of the neck.
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There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable. There is a rounded opacity projecting over the right low lung seen only on the frontal view suggesting localization to the chest wall or ribs, possibly an old rib fracture.
palpitations, evaluate for acute process.
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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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The lungs remain hyperinflated. Moderate cardiomegaly persists. Mediastinal and hilar contours are unchanged with mild atherosclerotic calcification noted at the aortic arch. Mild pulmonary vascular congestion appears chronic. There is no pleural effusion, focal consolidation or pneumothorax is seen. Mild multilevel degenerative changes are noted in the thoracic spine. Right humeral head prosthesis is re- demonstrated.
hypertension, chest pain.
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Pa and lateral views of the chest. Comparison is made to previous exam from <unk>. Lungs remain clear. Cardiomediastinal silhouette is normal. Osseous structures are unremarkable.
<unk>-year-old male with tachycardia and chest pain. cough.
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Heart size is normal. Mediastinal contours and hilar contours are radiographically unremarkable. Peribronchial thickening in the right lower lobe appears similar to <unk> radiographs, without a correlate on the <unk> ct. There is no evidence for pulmonary consolidation, pulmonary edema, or pleural effusion. Right port-a-cath remains in place. There is no pneumothorax. Ossification of the anterior longitudinal ligament is again seen in the lower thoracic spine.
cough and fever. evaluate for pneumonia. history of cll.
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The lungs are clear of consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. Median sternotomy wires and mediastinal clips are again noted. No acute osseous abnormality is identified.
<unk>m with unwitnessed loc, fall // eval for trauma, pna
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There is new moderate pulmonary edema with small bilateral pleural effusions, left greater than right. Heart size and mediastinal contours are normal. There is background mild bilateral parenchymal scarring. No evidence of pneumonia. Mid thoracic compression deformity is unchanged.
<unk>f with hx of copd with productive cough and worsening doe // pneumonia or pulmonary edema?
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The cardiac, mediastinal, and hilar contours appear unchanged. The aortic arch is partly calcified. There is no pleural effusion or pneumothorax. The lungs appear clear. Moderate anterior osteophytes are noted along the thoracic spine. Mild pectus excavatum is present.
lightheadedness.
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The cardiac silhouette is mildly enlarged with mild tortuosity of the thoracic aorta. Hilar contours are unremarkable. A left-sided icd is unchanged in position. The lungs are clear. There is no evidence of fluid overload or interstitial edema. There is no pleural effusion or pneumothorax. Degenerative changes are noted throughout the thoracic spine.
exertional dyspnea.
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Ap upright and lateral views of the chest provided. Lung volumes are low. 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 h/o ms presenting with weakness <unk> <unk> b/l
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Again seen is a right upper lobe mass, unchanged, and consistent with known lung carcinoma. A patchy opacity is seen on the lateral view, posteriorly, which is unchanged since recent examination, and in the appropriate clinical context, may represent pneumonia. No definite corresponding abnormalities are seen on the frontal radiograph. The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. No definite pleural effusion is identified.
<unk>f with cp // eval for chest pain
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart is normal in size. The mediastinal contours are normal, and there is no pulmonary edema.
<unk>-year-old female with sensory neuropathy. there is a concern for sarcoidosis. evaluate lungs for sarcoidosis for
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Coronary arteries are heavily calcified. There is a moderate-to-large pleural effusion on the left, new since the prior study. Associated left basilar atelectasis is likely. Patchy right basilar opacity is not specific, but could be explained by atelectasis. There is no pneumothorax. A moderate-to-severe upper thoracic wedge compression deformity appears unchanged. Mild degenerative changes are similar along the lower thoracic spine. A new contour deformity of the left sixth rib is incompletely characterized, but apparently new; however the single image of it is more suggestive of prior than recent injury.
status post fall, on coumadin. question injury.
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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 and stable.
history: <unk>m with syncope // acute process
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Frontal and lateral radiographs of the chest demonstrate well expanded lungs. Again seen is blunting of the bilateral costophrenic angles, which may represent trace pleural effusion/pleural thickening, and is unchanged from the most recent prior study. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax, or focal consolidation.
history: <unk>m with hiv not on haart p/w n/v, wheezing/ rhoncorous bs on exam. // r/o pneumonia
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Frontal and lateral views of the chest. Increased interstitial markings are seen throughout the lungs which are hyperinflated. There is no focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified. Mild vertebral body height loss seen in the mid vertebral body, age indeterminant.
<unk>-year-old male with wheezing and dyspnea.
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Chest radiograph dated <unk>. Pa and lateral chest radiograph demonstrates no focal consolidation convincing for pneumonia. Elevation of the left hemidiaphragm is stable in appearance. There is no pulmonary edema or pleural effusion identified.heart is top normal in size. A left pectorally placed pacer is in standard position. No acute osseous abnormality is seen.
<unk> year old woman with persistent cough x <num> weeks, mucous. fever three weeks ago. rule out pna // dough, ? pneumonia
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with cough and chest pain // ?pna
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
history: <unk>m with cad s/p pci here with cp and dizziness // source of cp
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The patient is status post cabg and valvular surgery with intact and appropriate line sternotomy wires. There is a right picc, which terminates in the mid svc. There is a new round opacity with in the right lower lung measuring approximately <num> cm, which should be further evaluated with a ct. There is mild pulmonary edema which has improved compared to prior. The pulmonary arteries are enlarged, suggesting pulmonary hypertension. The lungs are otherwise clear. The cardiomediastinal silhouette is stable. No pleural effusion or pneumothorax is seen. A right-sided diaphragmatic eventration is re- demonstrated.
<unk> year old woman with infective mrsa endocarditis, on antibiotics and clinically improving, with worsening leukocytosis. // please evaluate for pneumonia
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Icd in situ with the lead tip in the right ventricle. No cardiomegaly. Atherosclerotic changes of the aortic arch. No pulmonary edema. No pleural effusions. No airspace consolidation. Spondylotic changes of the thoracic spine.
<unk> year old man with cied. // <unk> year old man with cied. please assess for mri.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with chest pain with back pain. pain radiated to right arm.
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Lungs are clear. There is no pneumothorax or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m w/chest pain
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No pneumothorax or pleural effusion. Right upper lobe mass is again demonstrated. Minimal subsegmental atelectasis the lung bases. Heart size is top normal.
<unk> year old woman with right ptx anfter lung biopsy // evaluate for interval change. please do at <num>pm. patient in rcu
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In comparison with the study of <unk>, there is again enlargement of the cardiac silhouette with tortuosity of the aorta. No evidence of acute pneumonia or vascular congestion. Sclerotic foci are again seen bilaterally, consistent with known metastatic disease. This appears somewhat more prominent on the current study. Port-a-cath extends to the lower portion of the svc.
cough and shortness of breath.
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
history: <unk>f with ruq vs lower thoracic pain // eval ? rll effusion, pathology
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No rib fractures are identified. Surgical clips along the left upper paratracheal station are unchanged from prior exam. Compression deformity of a mid thoracic vertebral body is unchanged.
<unk>-year-old female with syncope and epigastric pain. evaluate for acute process.
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Ap upright and lateral chest radiographs demonstrate clear lungs bilaterally. Heart is moderately enlarged, though this appears similar relative to prior examination and probably exaggerated by technique. There is no evidence of pulmonary edema. There is no pleural effusion or pneumothorax. No air under the right hemidiaphragm is identified.
<unk>f with dyspnea on exertion // evaluate for pulmonary edema, acs
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Two views of the chest show an opacity within the left lingula. In the lateral projection only, there is a small rounded opacity which likely represents a pleural abnormality. The cardiomediastinal contours are normal. There is no evidence of interstitial edema. There is mild dextroscoliosis of the thoracic spine.
cough and fever.
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Following removal of the right chest tube, mild-to-moderate right apical pneumothorax is unchanged since yesterday. The upper lobectomy changes with ipsilateral right hemithorax volume loss and mediastinal shift is similar in appearance. Left lung is clear. Diffuse subcutaneous emphysema along the right lateral chest wall, unchanged since prior study.
<unk>-year-old woman with status post vats, right upper lobectomy, rule out pneumothorax post chest tube removal.
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Subcentimeter calcified nodular density projecting over the right upper lung likely represents a calcified granuloma. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Mild compression of the superior endplate of a lower thoracic vertebral body is stable since at least <unk>.
copd exacerbation.
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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size.
<unk>m with couph // role out pneumonia
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>m with headache, leukocytosis // eval for pna
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No previous images. The heart is normal in size and there is no vascular congestion or pleural effusion. No evidence of acute focal pneumonia.
anterior chest pain.
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Compared to the previous radiograph, the extent of the left basal pleural thickening is minimally decreased. Also minimally decreased is the effusion on the right and the subsequent areas of atelectasis. There is no visible pneumothorax. The picc line is unchanged. Moderate cardiomegaly. No pulmonary edema.
cll, status post vats, evaluation.
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Frontal and lateral views of the chest were obtained. There is no focal consolidation or pneumothorax. Blunting of the left posterior costophrenic sulcus may represent a tiny pleural effusion or scarring. Prominent diffuse interstitial markings suggest underlying chronic lung disease. The heart is mildly enlarged. Mediastinal silhouette and hilar contours are within normal limits. Degenerative changes seen in the shoulders bilaterally. No displaced rib fracture is identified. A wedge compression deformity in the lower thoracic/upper lumbar spine is of unknown chronicity. Aortic calcifications are better seen on the prior study.
<unk>-year-old woman with fall and fever.
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities. Multiple punctate radiopaque round densities are seen throughout the chest and primarily the back, compatible with buckshot fragments.
hiv, fever to <num>, dry cough, body aches.
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Chest: no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits. Right ribs: the level of patient's pain is not denoted on these films. Within this limitation, no acute rib fracture is detected on the right. Clips in the right upper quadrant likely reflect prior cholecystectomy.
<unk>-year-old female status post fall with right lateral rib tenderness
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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is enlarged but stable. The thoracic aorta is tortuous with unchanged mediastinal and hilar contours from the prior study.
status post bone marrow transplant <unk> years ago, now with non-productive cough, here to evaluate for pneumonia.
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The lungs are well inflated and clear. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax. No displaced fracture is seen.
<unk>f with shoulder pain and rib pain status post fall, evaluate for acute injury.
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There is bilateral bronchial wall thickening accompanied by areas of airspace consolidation in the lower lobes, involving the left lower lobe substantially more than the right. There is additional small focus of consolidation in the inferior segment of the lingula. There is no pleural effusion, pneumothorax or pulmonary edema. The heart is normal in size, and the mediastinal and hilar contours are normal.
<unk>-year-old male with possible pneumonia, fever and cough. .
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As compared to the previous radiograph, the two right chest tubes are unchanged and in constant position. The pleural fluid collection on the right is also constant. No change in appearance of the left lung and of the cardiac silhouette. No change in appearance of the paramediastinal right-sided increasing perihilar soft tissue density. No pneumothorax.
pleurx catheter placement.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
facial numbness. evaluate for infiltrate.
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The lungs are again noted to be hyperinflated, with flattening of the hemidiaphragms. Bilateral pleural effusions are similar to perhaps slightly increased compared with prior. There is new silhouetting of the right heart border likely reflecting right middle lobar atelectasis. The pulmonary vasculature is normal in appearance. There is mild interstitial thickening consistent with mild pulmonary edema. The cardiac silhouette is normal in size, there is bilateral paratracheal lymphadenopathy, and there is calcification of the aortic knob. A right chest pacemaker is in place, with atrial and ventricular leads in stable and appropriate position. Asymmetry of the breasts is consistent with prior surgery. Poor definition of the lumens of lower trachea and main bronchi suggests airway compromise requiring ct for imaging evaluation.
<unk>-year-old female with recent pulmonary stent, presents with productive cough, question infiltrate.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There is no pleural effusion or pneumothorax. Prior right-sided rib fractures appear unchanged without displacement.
dyspnea.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>m with presyncope s/p fall with laceration posterior lobe head. // ruleo out acute pulmonary
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The cardiomediastinal and hilar contours are within normal limits. There is mild tortuosity of the descending aorta. The lungs are well-expanded and clear. There is no evidence of focal consolidation, pleural effusion or pneumothorax.
altered mental status, cough. rule out infiltrate, pneumothorax.
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Frontal and lateral views of the chest. Slightly lower lung volumes seen on the current exam. The lungs however are clear of consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures demonstrate no acute abnormality.
<unk>-year-old male with cough for <num> weeks.
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Ap upright and lateral views of the chest provided. Dialysis catheter resides over the right chest wall with right ij insertion and catheter tip in the low svc near the cavoatrial junction. The heart remains mildly enlarged. There is hilar engorgement with mild interstitial pulmonary edema. No large effusion is seen. There is mild basal atelectasis. No pneumothorax. Aortic calcification again noted with unchanged mediastinal contour. Mild wedging is seen at multiple levels of the mid thoracic spine, grossly unchanged from the prior exam dated <unk>.
<unk>f with chest pain/dyspnea
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The heart size and mediastinal contours are normal. The lungs demonstrate a right infrahilar opacity that localizes to the right middle lobe on the frontal view, but is not apparent on the lateral view. There is no pleural effusion or pneumothorax.
<unk>-year-old male with leukocytosis and night sweats.
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The lungs are clear. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are clear without effusion or pneumothorax.
positive ppd and negative quantiferon gold with recent weight loss and lymphadenopathy.
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The lungs are clear. The cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. No pneumothorax, pulmonary edema, or pneumonia.
<unk> year old woman with a-fib, htn and chronic amiodarone use. shortness of breath on exertion. // assess for amiodarone lung toxicity. also patient has chronic lower cervical pain, assess for any evidence of prior fracture.
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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>f with chest pain radiating to back, htn, ha, cold legs // eval for aortic dissection, ptx, pe.
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Bibasilar streaky atelectasis. No other consolidation. No pleural effusion or pneumothorax. Cardiomediastinal contours are normal. No subdiaphragmatic free air. Imaged osseous structures are intact. Plate and screw fixation of the left clavicle. Median sternotomy wires are intact.
<unk>-year-old male with chest pain
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The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>m with shortness of breath // acute process?
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The lungs are clear. There is no focal consolidation, edema or effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips seen in the right upper quadrant suggesting prior cholecystectomy.
<unk>m with r facial droop, rue/rle weakness on <unk> // eval for consolidation
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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 pod<unk> s/p microdiscectomy, now w/ fever. evaluate for pneumonia.
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The lung volumes are low, limiting evaluation. A linear opacity at the right base is most likely atelectasis. There is no focal airspace consolidation to suggest pneumonia. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
cough and leukocytosis. evaluate for pneumonia.
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The lungs are clear. There is no focal consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits for technique. No acute osseous abnormalities. Degenerative changes are noted at the right acromioclavicular joint.
<unk>m with cough, dyspnea, fever // please evaluate for acute infectious process
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The heart size remains moderately enlarged with a left ventricular predominance. The aorta is tortuous and diffusely calcified. Mediastinal contours are otherwise unchanged. There is worsening pulmonary edema, now moderate in extent. Small bilateral pleural effusions are likely present. There is no pneumothorax. Compression deformity at the thoracolumbar junction is unchanged. There are multilevel degenerative changes within the thoracic spine.
chest pain.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are hyperinflated but clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with productive cough // concerned for pneumonia
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The lungs are well expanded and clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion.
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.
<unk>m with cough and fever // eval for pneumonia
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Top-normal heart size is stable compared to the prior exams dated back to <unk>. The the aorta is tortuous, otherwise the hilar and mediastinal contours are unremarkable. Note is made of mild bibasilar atelectasis. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history: <unk>m with cll and weakness, hx of chf and ostomy s/p sbo pls eval cxr for pna and edema.
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Frontal and lateral radiographs of the chest demonstrate low lung volumes, which results in bronchovascular crowding. A rounded opacity projects over the right base which is likely within the pulmonary parenchyma. There is bibasilar atelectasis. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with sudden onset r sided cp // ptx?