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Chronic left lower lobe atelectasis and left pleural effusion persist, unchanged compared to prior studies. The left upper lobe and right lung are clear. Nipple shadow projects over the right lung base. The cardiomediastinal silhouette is unchanged. Aortic arch calcifications are again noted. There is no pneumothorax or pulmonary edema. Resorption of the distal clavicles bilaterally is unchanged compared to prior.
history: <unk>f with weakness // evidence of pneumonia
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The lungs are well inflated and clear. No effusion, pneumothorax, consolidation, or nodule is present. The cardiac and mediastinal contours are normal. No displaced rib fracture is identified.
<unk>-year-old man status post assault.
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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 pa and lateral chest examination of <unk>. The heart size is normal. No configurational abnormality is seen. Thoracic aorta of ordinary <unk> and without local contour abnormalities. No mediastinal abnormalities are present. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are seen, and the lateral and posterior pleural sinuses are free. No pneumothorax in the apical area. Skeletal structures of the thorax grossly unremarkable but noted is a straight back configuration in the thoracic spine resulting in a relatively low depth diameter of the chest.
<unk>-year-old female patient, questionable bilateral pneumonia and new history of left-sided breast cancer.
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The cardiac silhouette is borderline enlarged as on prior. The mediastinal and hilar silhouette is stable. There is chronic collapse of the right middle lobe. There is no pneumothorax or pleural effusion. A nodular opacity is noted in the left midlung. Other, smaller nodular opacities in the left midlung remained grossly unchanged in for the sequela of chronic mac. Again noted is a dual lead pacemaker with the right atrial and ventricular leads in unchanged position.
<unk>f with hx of sss pacemaker, dizziness and shoulder pain this morning // mediastinal widening, source of pleuritic pain, infiltrates
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The cardiomediastinal and hilar contours are within normal limits. There is calcification of the aortic arch. Coarse lung markings are likely related to chronic lung changes. Lungs are otherwise clear. There is no focal consolidation, pleural effusion or pneumothorax.
status post fall. evaluate for pneumonia, recently treated with levaquin for pneumonia.
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Pa and lateral views of the chest. No focal consolidation, pleural effusion, or pneumothorax. Mild cardiomegaly. The cardiomediastinal and hilar contours are normal.
cough, evaluate for pneumonia.
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding portable chest examination of <unk>. The heart size remains normal. Unremarkable findings concerning thoracic aorta and mediastinal structures. No pulmonary vascular congestion. The previously identified round lesion in the right lower lung field projecting into the anterior segment of the right lower lobe on the lateral view, appears unchanged in comparison with previous studies. There is no evidence of pneumothorax or other pulmonary or pleural abnormalities related to the previously performed interventional procedure.
<unk>-year-old female patient with right lower lobe nodule post ct-guided biopsy and fiducial seed placement. evaluate for possible right-sided pneumothorax. new effusion? the patient is in rcu.
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There is no pleural effusion or pneumothorax. There is an apical to basilar gradient of subpleural interstitial opacities. The cardiomediastinal silhouette is similar to prior examination done <unk>. Midline left lateral surgical materials are seen which likely represent hiatal hernia repair as noted in the patient's chart history and seen in ct chest dated <unk>.
<unk> year old woman with cough and right crackles // evaluate evaluate
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Pa and lateral views of the chest. The lungs are clear. There is no evidence of pneumonia. The heart size is normal. The mediastinal and hilar contours are normal. No pleural effusion or pneumothorax. No pulmonary vascular congestion or pulmonary edema.
weakness, evaluate for pneumonia or chf.
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The heart is mildly enlarged. Sternal wires are again visualized. There small bilateral pleural effusions that are similar in size compared to the study from <num> days prior. There is a small amount of volume loss at both bases, however, no focal infiltrate.
<unk> year old man s/p avr // eval for pleural effusions
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Frontal and lateral radiographs of the chest were acquired. Lung volumes are slightly low, causing exaggeration of the heart size and accentuation of the pulmonary vasculature. There is subsegmental left mid and lower lung linear atelectasis. The lungs are otherwise clear. Mild-to-moderate cardiomegaly is not significantly changed compared to the radiographs from <unk>. There are no pleural effusions. No pneumothorax is seen. Aortic calcifications are re-demonstrated. Multilevel degenerative changes of the thoracolumbar spine are again seen. Heterotopic calcification in the left cervical region could be within the left common carotid artery, unchanged.
syncope, dizziness, right leg swelling and pain. assess for acute cardiac or pulmonary process.
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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 and stable. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with st depression // ?cpd
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In comparison with the study of <unk>, there is continued enlargement of the cardiac silhouette with improving pulmonary edema. Bilateral pleural effusions and compressive atelectasis at the bases. No discrete focal pneumonia is appreciated. Central catheter tip extends to the lower svc.
hiv with leukocytosis.
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Pa and lateral views of the chest were obtained. Cardiomediastinal silhouette is stable. There is subtle increased retrocardiac opacification anterior to the spine, which may represent atelectasis; however, very early consolidation cannot be excluded. Pulmonary vasculature is normal. No pleural effusion or pneumothorax.
<unk>-year-old woman with leukocytosis and cough for <unk> weeks, evaluate for pneumonia.
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The cardiomediastinal silhouette is normal. The bilateral hilar structures are normal. The lungs are well expanded and clear. No pleural abnormalities. No pneumothorax. The visualized bones and soft tissues are normal.
<unk>-year-old female presenting with chronic cough.
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A left picc is seen best on the lateral view, likely in the low svc. Allowing for differences in positioning, the moderate right pleural effusion is unchanged. There is associated right middle lobe atelectasis. There is no focal consolidation or pneumothorax. The cardiomediastinal silhouette is within normal limits.
history of melanoma and cll. right pleural effusion, evaluation for interval change.
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There is a small right and possible small left pleural effusion. Superimposed bibasilar opacities may be secondary to atelectasis, infection not excluded. Indistinct pulmonary vascular markings with mild edema is also noted. Cardiac silhouette is difficult to assess given silhouetting bilaterally.
<unk>m with sob, hx chf // ? effusions, cnosolidation
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. There is mild flattening of the hemidiaphragms common which appears unchanged since at least <unk>. Heart and mediastinal contours are stable; slightly globular cardiac contour appears unchanged since at least <unk>.
<unk>-year-old female, <unk> weeks pregnant with shortness of breath and left shoulder pain.
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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>m with tobacco use, chronic cough, confused // pna
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Cardiac silhouette size is slightly increased since the prior study appearing moderately enlarged. Mediastinal contours unchanged. Mild pulmonary edema is present with perihilar haziness and vascular indistinctness. More focal opacity is seen within the right upper lobe which is concerning for pneumonia. Small bilateral pleural effusions are present. No pneumothorax is identified. No acute osseous abnormalities demonstrated.
history: <unk>f with worsening shortness of breath. // ? pulmonary changes
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Frontal and lateral chest radiographs were obtained. Bilateral perihilar regions appear less well aerated with slightly increased opacification. The heart is mildly enlarged. The mediastinal and hilar contours are stable. There is no pleural effusion, pneumothorax, or pulmonary edema.
patient with cough, rule out pneumonia.
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Minimal patchy opacity at both lung bases medially is suggestive of atelectasis. No focal consolidation identified. There is no pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is stable. Mild unfolding of the aorta is similar to the prior study. Increased lung volumes on the lateral view radiograph compared with the prior study are associated with improved aeration in the lung bases.
<unk>m with decline in mental status, report of confusion, evaluate for pneumonia
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Lung volumes are slightly diminished. No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema, or pneumothorax is present. The heart size is normal.
history of mitochondrial disease with worsening pain. evaluation for evidence of infection.
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette and clear lungs. There is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old female with cough and right shoulder pain. question pneumonia.
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Frontal and lateral radiographs of the chest were acquired. The lungs are clear. The heart size is normal. Mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
cough since <unk> with <num> pounds of weight loss. evaluate for pneumonia or evidence of sarcoid.
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In comparison with the study of <unk>, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
cough, wheezing and edema.
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Compared to the prior exam, bilateral multifocal opacities are new and more prominent, suggesting multifocal pneumonia or possibly emboli in the appropriate clinical scenario. No pleural effusion, pulmonary edema, or pneumothorax. The heart is normal in size. The mediastinum is not widened. The hila are within normal limits. Degenerative changes in the visualized thoracic spine are prominent to with loss of intervertebral disc height, similar to the prior exam.
<unk> year old man with mild hypoxia, fluid overload and significant leukocytosis // ?pneumonia
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A right chest port is present with distal tip in the proximal right atrium. Cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Atelectatic changes are present in the right lung base. The lungs are well expanded without focal consolidation. The upper abdomen is unremarkable.
<unk>-year-old male with fever of unknown origin, on chemotherapy.
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Moderate enlargement of the cardiac silhouette is increased in size compared to the prior study. There is mild pulmonary edema with perihilar haziness and vascular indistinctness noted. Re- demonstrated is a focal opacity in the right upper lobe peripherally, as seen on the prior radiograph, likely an area of scarring. The mediastinal contour is unremarkable. Thoracic aorta is diffusely calcified. Lungs are hyperinflated without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormalities present. No subdiaphragmatic free air is present.
history: <unk>f with vomiting.
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Heart size is mildly enlarged. Atherosclerotic calcifications are noted at the aortic knob. Mediastinal contour is unchanged. There is mild pulmonary vascular congestion. No large pleural effusion, focal consolidation or pneumothorax is present. No acute osseous abnormality is detected. Surgical anchor projects over the right humeral head.
history: <unk>f with malaise
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Bibasilar linear opacities are consistent with platelike atelectasis. Otherwise the lungs are clear. No focal consolidation, effusion, edema, or pneumothorax. The heart size is normal. The thoracic aorta is slightly tortuous. Aortic knob calcifications are mild. Segmental fractures of the left posterior <unk>th rib fractures appear chronic and healed.
<unk>m with chest pain // eval for infiltrates
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The pulmonary architecture appears somewhat irregular, which may reflect underlying pulmonary obstructive disease. Streaky opacities in each costophrenic sulcus suggest minor scarring or atelectasis. Otherwise, the lungs appear clear. There are no pleural effusions or pneumothorax. An expanded anteroposterior dimension of the chest suggests mild hyperinflation. Small osteophytes are noted along the thoracic spine.
fever and shortness of breath.
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The heart size is normal. Mediastinal and hilar contours are stable with the thoracic aorta appearing mildly tortuous. Pulmonary vasculature is normal. Atelectasis or scar in the right lung base is unchanged, and the remainder of the lungs are clear. No pleural effusion or pneumothorax is seen. Eventration of the right hemidiaphragm is unchanged. Marked degenerative changes of the left glenohumeral and ac joints are noted. Old right-sided rib fractures are again seen.
productive cough times fevers with chills.
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Pa and lateral radiographs of the chest show a small right pleural effusion. Heart size is mildly enlarged. Hilar and mediastinal contours are normal. The lungs are clear and there are no increased interstitial markings or bronchovascular crowding. Noted is unfolding of the aorta and a calcified aortic knob. No evidence of pneumothorax.
abdominal distention and shortness of breath.
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Frontal and lateral chest radiograph demonstrates a left chest mediport with its tip unchanged in position at the cavoatrial junction. The lungs are clear without pleural effusion or pneumothorax. The cardiac silhouette is normal in size, the mediastinal contours are normal. Embolic coiling material was unchanged in appearance in the right upper quadrant, as is a single surgical clip.
<unk>-year-old female with fever, cough, question infiltrate. patient history of crohn's disease.
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The lung volumes are low. Areas of atelectasis are seen at both the left and the right lung base. Borderline size of the cardiac silhouette without pulmonary edema. No larger pleural effusions. No pneumonia, no pneumothorax.
pancreatitis, febrile, rule out acute process.
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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 dyspnea and cough // evidence of pneumonia or pneumo
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Frontal and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. Degenerative changes are noted in the spine. Severe degenerative changes also noted at the left shoulder. Osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old female with lightheadedness and dizziness, bradycardic.
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Frontal and lateral chest radiographs demonstrate low lung volumes. There is slight interval improvement in bibasilar reticular abnormality, without effusion or pneumothorax. The cardiac silhouette and mediastinal contours are unchanged, with note of soft tissue in the ap window compatible with known adenopathy.
<unk>-year-old female with eosinophilic pneumonia and hypoxia, evaluate for interval change.
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External artifact projects over the left upper hemithorax. There are low lung volumes and bibasilar atelectasis. Posterior basilar opacity seen on the lateral view may relate to atelectasis however consolidation due to pneumonia is not excluded. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with copd, cough, dyspnea // eval for pna
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Sternotomy. Right ij central line tip in the mid svc, stable. Right pleural effusion has decreased. Small left pleural effusion is mildly more prominent. Improved right basilar opacity, likely decreasing atelectasis. Improved left basilar opacity. Increased heart size. Normal pulmonary vascularity. Linear scarring right upper lung.
<unk> year old man with s/p cabg // eval postop changes
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable.
history: <unk>m with cough // r/o infiltrate
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Mild to moderate cardiomegaly appears unchanged. The mediastinal and hilar contours are unchanged. Mild upper zone vascular redistribution suggests mild pulmonary vascular congestion. Streaky bibasilar opacities likely reflect areas of atelectasis. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is visualized.
history: <unk>f with chest pain
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.
status post assault.
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The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild loss in a lower thoracic vertebral body height with slight anterior wedging is similar to the prior study.
pre-syncope.
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Pa and lateral views of the chest. There is mild biapical scarring. The lungs are otherwise clear without consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified. Surgical clips are identified in the left upper quadrant.
<unk>-year-old female with syncope.
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Pa and lateral views of the chest provided. New from prior exam, is opacification of the right mid to lower lung which likely represents a combination of consolidation/atelectasis and effusion. The heart is slightly shifted to the left. There is no pneumothorax. Left lung is clear. Right heart border is obscured. Mediastinal contours unremarkable. Bony structures are intact.
<unk>m with etoh cirrhosis and ascites. complaining of sob // pna, hydrothorax
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The lungs remain hyperexpanded. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Scratch the cardiac and mediastinal silhouettes are stable unremarkable.. Stable appearance of the thoracic spine including multiple laminectomies.
history: <unk>f with purulent sacral decub ulcer // eval for acute process
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As previously noted, diffuse bilateral reticular lung markings are again seen, although less conspicuous compared to prior exam, and suggestive of chronic lung disease. No focal consolidations are seen. The heart size is normal. The mediastinal silhouette, hilar contours, and pleural surfaces are remarkable. The aorta is elongated. No pulmonary edema, pleural effusion, or pneumothorax.
history: <unk>m with c/o cp // ? pna
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The lung volumes are low, limiting assessment of the lung bases, although streaky left basilar atelectasis is suspected. Elsewhere, the lungs appear clear. There are no definite pleural effusions or pneumothorax. The stomach is mild-to-moderately distended with an air-fluid level. Characterization of dilated bowel is better depicted on abdominal radiographs that cover the whole abdomen and pelvis from the same day.
nausea and vomiting after recent liver surgery.
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Patient is status post median sternotomy and aortic valve replacement. Left-sided aicd device is again noted with lead terminating in the region of the right ventricle. Moderate enlargement of the cardiac silhouette is unchanged. The aorta remains unfolded, and the mediastinal and hilar contours are similar. Chronic diffuse interstitial opacities are most pronounced within the upper lobes, not substantially changed in the interval. No new focal consolidation, pleural effusion or pneumothorax is identified. There are mild to moderate degenerative changes seen in the thoracic spine.
history: <unk>m with cardiomyopathy status post fainting, concern for chest pain
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Frontal and lateral radiographs of the chest demonstrate a moderate-sized right apical pneumothorax with rightward shift of the mediastinum, which is likely due to prior surgery. There is substantial collapse of the remaining right lung with minimal pulmonic gas seen in the right lung field. Left lung is essentially clear. Heart size is normal.
<unk>-year-old female status post right lower lobectomy. evaluate for interval change.
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Heart size is normal. The right heart border is not well seen; however, this is unchanged from prior exam and is likely due to mediastinal fat. The hilar contours are unremarkable. The lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
fever, copd.
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Lung volumes are low, and the cardiac silhouette is mildly enlarged. There is mild central vascular congestion, and no pleural effusion or focal consolidation is seen.
<unk>-year-old female with dyspnea. evaluate for acute process.
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The cardiomediastinal and hilar contours are normal. The lungs are well expanded. Again seen are numerous tiny lung nodules scattered throughout both lungs, consistent with a miliary distribution of bcgosis. These findings have progressed since the prior study of <unk>. No pleural effusion or pneumothorax is seen.
<unk>-year-old man with bladder cancer status post bcg treatment with disseminated bcgosis.
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Left-sided port-a-cath is again seen terminating in the proximal right atrium. Patient is status post median sternotomy and cardiac valve replacements. Enlargement of the cardiomediastinal silhouette is grossly stable. Loculated moderate to large right pleural effusion and consolidation in the right mid to lower lung is grossly similar in appearance compared to the prior study with possible slight improvement in aeration of the right lung. There appears to be mild to moderate interstitial edema. No pneumothorax is seen.
history: <unk>m with ams increase fatigue // eval for infection cxr pna ct ab/pelvis acute abdomen pathology
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No previous images. Low lung volumes probably account for some of the prominence of the transverse diameter of the heart. No vascular congestion, pleural effusion, or acute focal pneumonia.
flank pain.
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<unk>, there has been interval accumulation of now moderate pleural effusion on the left with associated left basal atelectasis. The right pleural effusion also has increased since <unk>. The upper lungs are clear. The hilar and mediastinal silhouettes are unchanged. Right-sided infusion port terminates cavoatrial junction. A biliary is seen.
<unk>f with fever and sob and chest pain // pna?
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There are multiple nodular opacities bilateral lung bases, similar to <unk>. There is trace bilateral pleural effusions. There is no pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
<unk> year old woman with fever pleural efussion and pulmonary nodules // interval changes
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The lungs are well inflated and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal and unchanged. Pleural surfaces are unremarkable. There has been interval placement of a right-sided port-a-cath terminating in the mid to low svc.
<unk>-year-old female with fap presents with hypotension and fevers.
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The lungs are clear without focal consolidation, effusion, or edema. Tracheostomy tube is stable in position. Cardiomediastinal silhouette is within normal limits. There is no visualized pneumomediastinum. Left chest wall port catheter tip seen at the ra/svc junction as on prior. No acute osseous abnormalities.
<unk>f with chest pain similar to prior episodes of tracheitis // eval for pneumonia
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Pa and lateral views of the chest were provided. Widened ap diameter of the chest suggests hyperinflation. No radiopaque foreign body is seen. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged bony structures are intact. No free air is seen below the right hemidiaphragm. Clips in the right upper quadrant noted.
<unk>-year-old female with nausea, feeling of something stuck in her esophagus, assess for acute intrathoracic process.
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Pa and lateral chest radiographs demonstrate opacification of the left lower lobe with air bronchograms. The patient has been entubated. There is also bibasilar atelectasis. The heart size is mildly enlarged. Prominence of the azygos vein and pulmonary vasculature is unchanged from <unk>.
cirrhosis, now ongoing alcohol abuse with a resolved upper gi bleed. new fevers and shortness of breath. concern for pneumonia.
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Frontal and lateral views of the chest demonstrate evidence of prior lobectomy. There has been volume loss within the left hemithorax with resultant leftward shift of the mediastinum. The right lung is clear. There is a small-to-moderate left pleural effusion, which is new compared to prior film. No pneumothorax is evident. Unchanged nondisplaced fifth rib fracture. Surgical clips are noted.
status post left upper lobectomy <unk>, evaluate interval change.
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Pa and lateral views of the chest provided. Moderate left pleural effusion and small right pleural effusion are increased in size from chest radiograph <unk>. Bibasilar atelectasis is noted. There is no pneumothorax or evidence of pulmonary edema. Evaluation of the cardiomediastinal silhouette is limited by left-sided pleural effusion. Sternotomy wires and surgical clips overlying the upper mediastinum are again noted.
history: <unk>m with recent cabg, here with orthopnea // assess for pulmonary edema
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. No displaced rib fractures.
history: <unk>m with mvc // eval for rib fractures, ptx
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The lungs are free of focal consolidations, pleural effusions or pneumothorax. There is no pulmonary edema. Cardiomediastinal silhouette is within normal limits.
<unk> year old woman with multiple myeloma. cough for <num> weeks with no improvement with antibiotics. // multiple myeloma. cough. r/o pneumonia.
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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 a small right pleural effusion, with adjacent mild atelectasis. Note is also made of mild blunting of the left costophrenic angle. There is no evidence for pneumothorax. The visualized osseous structures are unremarkable.
history of fever. please evaluate for pneumonia.
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The prior radiographs from <unk> showed extensive pulmonary pathology. The radiograph on <unk> is considered to be the patient's baseline appearance. When compared to baseline there are bilateral patchy opacities, more prominent in the region of the right cardiophrenic angle, the right mid lung and the periphery of the left mid lung suggesting an infectious/inflammatory process. There is also bilateral diffuse increased interstitial thickening, vascular upper redistribution and hilar indistinctness suggesting interstitial pulmonary edema and vascular congestion. A small right-sided pleural effusion is present. There is no pneumothorax. Moderate cardiomegaly is unchanged.
<unk>-year-old female with shortness of breath, hypoxia, recent cardioversion. evaluate for acute process.
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There is a new opacity in the right upper lobe with air bronchograms. Remainder the lungs are clear. Cardiomediastinal silhouette is normal. No pleural effusion or pneumothorax.
<unk> year old woman with fevers // r/o pneumonia
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The lungs are clear of focal consolidation. There is however new nodular opacity projecting over the left upper lung not clearly seen on the previous exam. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities are identified.
<unk>m with confusion // ? pna
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There has been interval increase in lung volume bilaterally with improvement in aeration. There is improved persistent left lower lobe atelectasis with a small amount of adjacent pleural effusion. There are no areas of focal consolidation. There is no pulmonary edema or pneumothorax. Moderate-to-severe cardiomegaly is comparable to preoperative appearance. Median sternotomy wires are seen in alignment with no evidence of failure. There is a retroxiphoid gas collection which may be infiltrating the mediastinal fat, however, this is not typical in appearance and should be evaluated clinically to detect infection. Pleural surfaces are unremarkable.
<unk>-year-old male status post bentall procedure.
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Lung volumes are somewhat low though allowing for this, the lungs appear clear. There is no focal consolidation, large effusion or pneumothorax. The cardiomediastinal silhouette appears grossly within normal limits and unchanged. Mediastinal contour is normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with chest pain. eval for infiltrate, widended mediastinum.
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A new patchy right infrahilar opacity is suspicious for pneumonia. Lungs are otherwise remarkable for nonspecific scarring at the lung apices and extreme lung bases. Cardiomediastinal contours are stable in appearance with marked tortuosity and calcification of the thoracic aorta. Note is also made of coronary artery calcifications. No pleural effusion or acute skeletal findings.
<unk> year old man with cough and chills x <num> hours. exam non-focal. hx pneumonia // evaluate for abnormalities
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The cardiomediastinal silhouettes are stable, reflective borderline cardiomegaly. The bilateral hila are within normal limits. There are low lung volumes and crowding of normal bronchovascular structures. Linear opacity in the right middle lobe is similar in appearance to prior exams, most consistent with linear atelectasis. There is no focal consolidation. There is no evidence of pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or pleural effusion.
<unk>-year-old woman with fever and cough, evaluate for pneumonia.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Prominent bridging osteophyte seen in the lower thoracic spine.
history: <unk>f with productive cough and fevers // acute process
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Pa and lateral views of the chest. Lungs, heart, mediastinum, hilum, and pleural surfaces are normal. There is no evidence of pneumonia.
fever and shortness of breath, evaluate for pneumonia.
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Small left apical pneumothorax has slightly improved from <unk>.<num> mm to <num> mm. Right small pleural effusion is unchanged. Left lower lung consolidation has slightly improved. Mediastinal and cardiac contours are normal. Left dialysis catheter ends in the right atrium.
patient with left small apical pneumothorax, evaluation.
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A chronic, displaced fracture of the right mid clavicle is unchanged in comparison to prior studies dating at least in <unk>. The cardiomediastinal silhouette is within normal limits. The hila are unremarkable. There is no focal lung consolidation. Postradiation fibrosis at the lung apices was better evaluated on prior ct. There is no pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or pleural effusion. Surgical chain sutures seen in the lingula, as on prior ct. Surgical clips overlie the left hemidiaphragm and left hemi abdomen, also unchanged.
<unk>-year-old female with shortness breath, evaluate for consolidation or pleural effusion.
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Pa and lateral chest radiograph demonstrates a heart top normal in size. Over pulmonary edema. Hilar and mediastinal contours are unremarkable. There is no pleural effusion or pneumothorax. Osseous structures are without an acute abnormality.
<unk>-year-old male with chest pain.
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The heart size is top normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are mild degenerative changes in the thoracic spine.
lower extremity swelling and shortness of breath.
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Frontal and lateral radiographs of the chest demonstrate asymmetric opacity at the left base, which may represent developing infectious process. Otherwise, the lungs are clear. The cardiac and mediastinal contours are normal. No pleural abnormality is detected.
cough and chills with sweats for <num> week with no sputum. wheezing in right lower lung. evaluate for pneumonia.
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On prior chest, patient had a bilateral bronchiectasis, bronchial wall thickening, and mucoid impaction, most severe in the lower lobes bilaterally. Bibasilar opacities on the current study are similar in distribution in comparison to the prior ct. Cardiac and mediastinal silhouettes are stable. Hilar contours are stable.
history: <unk>m with sob and hx of bronchiectasis // eval pneumonia
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Pa and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion or pneumothorax. Linear opacity in the left lower lobe is likely subsegmental atelectasis. The cardiomediastinal silhouette is normal. Bones are intact.
chest pain, evaluate for widened mediastinum.
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Lung volume is borderline-low. In comparison to <unk> chest radiograph, there is a focal round nodular opacity in the left mid lung measuring <num> cm x <num> cm at the level of the left sixth posterior rib that appears slightly larger in this study. This nodule is also seen in prior <unk> chest ct and is concerning for possible neoplasm. Otherwise, there is no new consolidation, opacification, pneumothorax, or pleural effusion appreciated. The cardiomediastinal silhouette and hilar silhouettes are normal size. The heart size is normal. No acute bony abnormalities nor evidence of acute fracture.
<unk> year old man with cough and leukocytosis // pna?
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Central venous catheter tip projects over the expected region of the low svc. The left ij approach central venous catheter has been removed in the interim. External jewelry projects over the upper thorax. No significant pleural effusion. No pneumothorax. Retrocardiac opacity may reflect atelectasis. Pleural thickening on the right is overall similar. Right rib deformities correspond to known pathologic rib involvement seen on prior ct. Expansile soft tissue abnormalities in the left ribs, extending into the pleura are demonstrated and better appreciated on the ct. The cardiomediastinal silhouette is overall unchanged.
history: <unk>m with subjectyive increased wob // r/o pna
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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 seizure. please evaluate.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No focal consolidation, pleural effusion, or pneumothorax.
<unk> year old woman with <num> lb weight loss over the last <num> months // r/o intrapulmonary process
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New moderate right pleural effusion, small left pleural effusion, increased severe cardiomegaly, and mild pulmonary edema since <unk>. Median sternotomy wires are intact and well aligned. Unchanged appearance of aortic valve. No pneumothorax.
<unk> year old man with dyspnea // r/o pna
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The heart is within normal limits in size and there is no vascular congestion or pleural effusion. There is suggestion of some increased opacification posteriorly at the base, though this could well merely reflect pulmonary vessels since the similar opacification is not appreciated on the frontal view.
left chest pain and dullness, to assess 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. Excreted contrast is noted in the bilateral renal collecting systems related to recent contrast injection.
<unk>f with n/v/d and diffuse abd pain // infection, colitis, appendicitis
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A small left pleural effusion and fluid in the major fissure is seen. The cardiomediastinal silhouette and hila are normal. There is no pneumothorax. No pneumonia.
<unk>-year-old with question pneumonia.
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable. No acute fracture is identified.
patient status post assault. assess for fracture.
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The patient is somewhat rotated. The lungs remain hyperinflated. Biapical pleural thickening is noted. No new focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Partially imaged bilateral humeral prostheses noted.
<unk> year old woman with fall found to have elevated wbc. // eval for cardiopulmonary process
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Frontal and lateral views of the chest. When compared to multiple prior exams, there has been no significant interval change and interstitial opacities most notably at the lung bases. More spiculated opacity in the right upper lung is also seen. When compared to remote priors this has not significantly changed and is most suggestive of a chronic process. There is no definite superimposed consolidation. There is no effusion. Moderate cardiomegaly is again seen and unchanged. No acute osseous abnormality detected.
<unk>-year-old male with shortness of breath, nausea and vomiting.
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The lungs are clear without focal consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with rle pain, frequent travel // r/o dvt
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Pa and lateral views of the chest. Left-sided pacemaker ends with its leads in appropriate position. No focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal. Again seen are pleural calcifications along the left mid thorax.
chest pain and hypotension.
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The heart is normal in size. There has been marked improvement of bilateral scattered opacities, with almost complete resolution. Again seen are post-surgical changes in the right lower lung, consistent with post-esophagectomy pull-through. There are no pleural effusions or pneumothorax.
<unk>-year-old male patient status post mie,who aspirated after an esophageal dilatation on <unk>. study requested for evaluation of interval change.
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Pa and lateral views of the chest provided. There is a large right pneumothorax with near complete collapse of the right lung. There is no significant shift of midline structures though decompression is urgently recommended. Left lung is clear though hyperinflated with emphysema. A small right pleural effusion is difficult to exclude. Cardiomediastinal silhouette stable. Hardware in the lower c-spine noted. No acute osseous injury.
<unk>m with hx of pe, having sob.
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The lungs are well expanded, without focal opacities. The cardiac silhouette is enlarged, likely secondary to prominent pericardial fat. There is no pleural effusion or pneumothorax. No rib fractures are identified.
shortness of breath.