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Frontal upright and lateral chest radiographs demonstrate hyperinflated lungs with flattened diaphragms. Heart is normal in size. Cardiomediastinal silhouette is unremarkable. Lungs are clear. No pleural effusion. No pneumothorax.
productive cough, evaluate for pneumonia or fluid overload.
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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. An old right mid shaft clavicle deformity is noted. No free air below the right hemidiaphragm is seen.
<unk>m with ams, first time seizure, c<num>-c<num> ttp // fracture or bleed
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Heart size top-normal unchanged since <unk>. Mediastinal and hilar contours unremarkable. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
fever. evaluate pneumonia.
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Frontal and lateral views of the chest demonstrate mildly prominent cardiac silhouette. The mediastinal and hilar contours are within normal limits. The thoracic aorta is mildly unfolded. There is no confluent consolidation to suggest pneumonia. Bibasilar trace subsegmental atelectasis is present, with small pleural effusions not excluded. There is no pneumothorax or pulmonary vascular congestion. Surgical clips are seen projecting over the gallbladder fossa. Multilevel mild upper lumbar spondylosis is present.
<unk>-year-old female with cough and hypoxia as was viewed appear question pneumonia.
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The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old woman with chest pain. evaluate for pneumonia.
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Heart size is mildly enlarged. The aortic knob is calcified. Mediastinal contour is unremarkable. Lungs are hyperinflated suggestive of copd. Enlargement of the hila bilaterally suggests dilated pulmonary arteries which can be seen with pulmonary arterial hypertension. Pulmonary vasculature is not engorged. Mildly increased diffuse interstitial opacities may be due to a chronic interstitial lung abnormality, but no focal consolidation, pleural effusion or pneumothorax is seen. There are mild degenerative changes noted in the thoracic spine.
history: <unk>f with copd, dyspnea, weakness
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There moderate pulmonary edema with perihilar opacities as well as vascular indistinctness. There are likely small pleural effusions bilaterally. The heart size is enlarged. Calcifications of aorta are noted. Patchy opacities in the lung bases likely reflect atelectasis though infection cannot be excluded in the correct clinical setting. No pneumothorax. A chronic appearing deformity of the right clavicle involving resorption/resection of the distal aspect is noted along with severe degenerative changes of the right glenohumeral joint.
history: <unk>f with altered mental status and elevated white count
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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. Patient is status post median sternotomy, with the wires appearing intact.
history: <unk>f with shortness of breath. please evaluate.
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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. Widening of the left acromioclavicular joint is noted, likely reflecting an old injury. No free air below the right hemidiaphragm is seen.
<unk>m with chest tightness, lightheaded.
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New dual lead pacemaker with the tip in the right atrium and right ventricle. Moderate cardiomegaly. Linear opacity in the left upper lobe is likely a skin fold as lung markings are seen beyond. No pneumothorax. No new mediastinal widening. No overt pulmonary edema. Healing right-sided surgical neck and proximal humeral fracture again demonstrated.
<unk> year old man s/p dual chamber ppm. // assess lead placement and r/o ptx.
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Indistinct superior segment left lower lobe opacities have resolved. Lungs are fully expanded and clear, excepting mild biapical scarring. No pleural effusion or pneumothorax. Heart size is normal. Cardiomediastinal and hilar silhouettes are unremarkable.
<unk> year old woman with see above. // cxr at osh with left patchy perihilar opacities, recommended f/u to assess for clearance.
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Semi-upright ap and lateral radiographs of the chest are provided. The heart is enlarged. There is a left layering pleural effusion. Kerley b lines and pulmonary vascular redistribution is present. There is no pneumothorax. There is no large airspace consolidation.
dizziness in a patient with a history of congestive heart failure, cardiomyopathy, and atrial fibrillation.
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In comparison with the study of <unk>, the port-a-cath remains in place. Nasogastric tube has been removed. Extremely severe changes in the thoracic and lumbar spine are again appreciated. No evidence of acute focal pneumonia. There is mild prominence of pulmonary vessels, though it is unclear whether this represents vascular congestion or merely crowding of vessels related to the poor inspiration.
shortness of breath.
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Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. The heart remains moderately enlarged but unchanged. Large hiatal hernia is again demonstrated. Mediastinal and hilar contours are stable. Fat containing posterior diaphragmatic hernia on the right is unchanged. Patchy ill-defined opacity in the right lung base is new with with similar-appearing opacification in the left lung base. No pulmonary vascular congestion is demonstrated. A small right pleural effusion is likely present. There is no pneumothorax. Diffuse demineralization of the osseous structures is seen. Loss of height of a low thoracic vertebral body appears relatively unchanged. Worsening compression deformity of a mid thoracic vertebral body is noted compared to the previous radiograph.
mid right thoracic pain.
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Pa and lateral views of the chest demonstrate the lungs are well expanded, with no evidence of pleural effusion, pulmonary edema, pneumothorax or focal consolidation concerning for pneumonia. A hypoplastic right first rib is again noted. The aorta is mildly tortuous, otherwise cardiomediastinal silhouette is unremarkable.
<unk>-year-old female with chest tightness.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and fairly well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. Sub cm nodular opacities seen in the bilateral apices in <unk> are no longer appreciated. There is improvement of peribronchial cuffing, suggestive of interval resolution of atypical pneumonia. There is no evidence of pulmonary edema or vascular congestion. The visualized upper abdomen is unremarkable.
evaluate for chf in a patient with esrd and shortness of breath.
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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 asthma presents with sob.
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As compared to the previous radiograph, the patient has made a bigger inspiratory effort, the lungs are well ventilated. Borderline size of the cardiac silhouette with tortuosity of the thoracic aorta. Moderate scoliosis causes mild asymmetry of the rib cage. In unchanged manner, there is bilateral apical thickening, with a substantially stronger thickening at the right lung apex, which causes decreased radiodensity in this area. However, there is no circumscribed nodule or mass. No pleural effusions. No evidence of acute lung changes such as pneumonia or pulmonary edema.
history of shortness of breath, rule out lung masses.
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Ap and lateral views of the chest. No prior. The lungs are clear of confluent consolidation or pleural effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are notable for severe degenerative changes at the left glenohumeral joint.
<unk>-year-old female with shortness of breath. question pneumonia or chf.
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Moderate enlargement of cardiac silhouette is again noted. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Minimal linear opacities in the lung bases and periphery of the right upper lobe likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>f with shortness of breath
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Frontal and lateral chest radiographs demonstrate a heart which is again top normal in size and well-aerated lungs which are clear. No focal consolidation, pleural effusion, or pneumothorax is seen. There is again pleural thickening at the bilateral apices, as well as a nodular opacity projecting over the left upper lung, unchanged dating back to at least <unk>. Old fractures of the right fifth and sixth ribs are also unchanged.
chest pain. evaluate for pneumothorax or pneumonia.
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Cardiac silhouette size is normal. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is not engorged. Patchy left lower lobe opacity is concerning for infection. No pleural effusion or pneumothorax is seen. There are mild multilevel degenerative changes noted in the thoracic spine.
history: <unk>m with cough
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As compared to the previous radiograph, there are newly appeared bilateral pleural effusions of moderate extent. In addition, the diameter of the vascular structures has increased, there are bilateral areas of atelectasis and the right aspect of the mediastinum is slightly widened. Altogether, the image is strongly suggestive of moderate cardiogenic pulmonary edema. No evidence of pneumonia. Unchanged left pectoral pacemaker. Referring physician, <unk>. <unk> paged for notification at the time of dictation, <time> a.m., on <unk>.
chronic heart failure, shortness of breath, evaluation.
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Small atelectasis is present in the left lung base. No focal consolidation, pleural effusion, or pneumothorax
dka.
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The lungs are well-expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal. Osseous structures are unremarkable.
history: <unk>m with cough // eval pnuemonia
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Port-a-cath in place. Borderline heart size. Normal pulmonary vascularity. No edema. Thoracic curve convex the right. Stable right rib deformities. No effusion.
<unk> year old woman with fever and neutropenia, history of mds on <unk> // evaluate for pneumonia
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Pa and lateral views of the chest provided. As compared to prior study from <unk>, the extent of right pleural effusion has substantially increased with perhaps a loculated component. Right pleural catheter position is grossly unchanged. Right lung is compressed. Left lung is clear. Cardiac silhouette is stably enlarged. Mediastinal contour is normal. There is no pneumothorax.
history: <unk>m with dyspnea // eval for effusion pna
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Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax. Evidence of prior mastectomy.
history: <unk>f with malaise. general infectious w/u. // 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>m with chest pain // presence of ptx, pneumomediastinsum
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Mild enlargement of the cardiac silhouette is unchanged. The mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Minimal loss of height of a mid thoracic vertebral body is unchanged.
history: <unk>m with <num> days dyspnea on exertion, paroxysmal nocturnal dyspnea, substernal chest pain
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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified.
history: <unk>f with dizziness, chest pain // eval for cardiomegaly, pna
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The patient is status post median sternotomy and cabg. Fracture of the <unk> most superior mediastinal wire is re- demonstrated. The heart size is mildly enlarged but unchanged. The aorta remains mildly tortuous and diffusely calcified. The pulmonary vascularity is mildly prominent but no overt pulmonary edema is noted. Small bilateral pleural effusions are noted, with adjacent bibasilar atelectasis. No pneumothorax is seen. Diffuse demineralization of the osseous structures is noted.
cough, nausea, vomiting, diarrhea. recent pneumonia.
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The lungs are hyperexpanded and there is flattening of the diaphragms consistent with emphysema. There is chronic bibasilar atelectasis. There are no focal consolidations. No pleural effusion or pneumothorax is seen. The cardiac, hilar and mediastinal silhouettes are unremarkable.
<unk> year old man with cough and expectoration // does this pt have pneumonia?
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There is hazy opacification of the medial right base which is likely atelectasis, but an early consolidation is difficult to exclude. There is no pulmonary edema, pleural effusions or pneumothorax. The cardiac silhouette is mildly enlarged, and stable from the prior exam. There is a stable small calcified pulmonary nodule consistent with a granuloma in the right mid lung.
cough. evaluate for pneumonia.
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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 identified.
hx of seizures, increased seizure frequency; also with ruq pain, worse with eating/drinking //
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Compared to the prior chest radiograph of <unk>, there has been relatively no change. There is persisting crowding of the bronchovascular structures. No new opacity, pulmonary edema, pleural effusion or pneumothorax.
<unk>m with several days of cough and fever // eval for infiltrate, edema.
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Pa and lateral views of the chest. The lungs, heart, mediastinum, abdomen and pleural surfaces are normal. There are no nodules or masses identified. No evidence of pneumonia.
history of endometrial ca, evaluate for abnormalities.
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No focal consolidation is seen peer there is no large pleural effusion or pneumothorax peer the cardiac and mediastinal silhouettes are stable.
history: <unk>m with ams // ? infectious process
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There is a right-sided picc in-situ, this terminates in the mid svc. There is a small to moderate right-sided pleural effusion with fluid extending into the horizontal fissure. No definite left-sided pleural effusion seen. Bilateral lower lobe airspace opacities likely reflect the consolidation seen on the prior ct and chest radiographs. No pneumothorax seen.
<unk> year old woman with malignant pleural effusion, recovering from pneumonia, mild hypoxemia new lung adenoaca dx // is there recurrence of effusion to degree we may need to re drain it
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The lungs remain clear with no new focal areas of opacification concerning for pneumonia. There are no pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are stable demonstrating mild tortuosity of thoracic aorta. Heart size is normal. Pulmonary vascularity is not increased. There is stable mild wedging of a lower thoracic vertebral body.
<unk>-year-old male with cough and left basilar crackles. evaluate for pneumonia.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits. Right neck surgical clips likely reflect prior hemithyroidectomy.
<unk>-year-old female with chest pain.
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Frontal and lateral radiographs of the chest demonstrate no evidence of residual hd catheter. There is mild cardiomegaly. Again seen is bibasilar atelectasis with minimal bilateral pleural effusions, which have improved slightly from <unk>. There is calcification of the aortic knob and descending thoracic aorta. Left-sided picc line is seen with the tip terminating in the mid svc. There is no evidence of renal osteodystrophy.
<unk>-year-old man with end-stage renal disease on hd, status post removal of hd catheter. evaluate for residual hd catheter tip.
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Pa and lateral views of the chest demonstrate a <num> mm nodule in the right lower lobe and and a small nodule in the left lower lobe which are unchanged since the prior ct from <unk>. No focal consolidation, pleural effusion, pulmonary edema or pneumothorax is present. The cardiomediastinal silhouette is stable. No new nodules or masses are identified.
history of lung nodules. evaluation for evidence of lung mass or change in nodules.
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There is minimal left base atelectasis. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No overt pulmonary edema is seen. Surgical hardware is seen in the cervical spine. No displaced is fracture seen.
acute onset chest pain x.
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Still moderate to large right pleural effusion has decreased from prior ct, has markedly increased from <unk>. Right perihilar masslike consolidation has worsened. There is no pneumothorax. Cardiomediastinal contours cannot be assessed. The left lung is grossly clear
<unk> year old woman with new effusion s/p <unk> // ? ptx
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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
chest pressure.
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Lung volume is low. Cardiomediastinal and hilar silhouettes are normal size. There is a small area of opacity lateral to the left heart border with otherwise clear lungs.
history: <unk>m with fever // eval infiltrate
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The cardiac silhouette size is normal. Left hilar mass compatible with known lung cancer is relatively unchanged compared to the prior exams. Emphysematous changes are re- demonstrated with hyperinflation of the lungs. Previously seen peripheral left upper lobe nodular opacity on ct is not clearly identified on the current exam. Minimal bibasilar atelectasis is noted. No focal consolidation, pleural effusion or pneumothorax is seen. There are cholecystectomy clips in the right upper quadrant of the abdomen.
dry cough, history of lung cancer.
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Moderate-to-severe pulmonary edema has increased. Left lower lung collapse is unchanged. Right lower lung new opacity could be compatible with dependent edema. Superimposed infection or aspiration could not be excluded in the appropriate clinical setting. Sternotomy was done for avr. Moderate cardiomegaly is unchanged. Ng tube is in the stomach. Right-sided picc line ends in cavoatrial junction. Small-to-moderate bilateral pleural effusions have increased.
patient with new oxygen requirement. pneumonia, atelectasis?
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Pa and lateral chest radiographs were provided. Compared to the most recent prior radiograph, there is no significant change. Again seen are changes of a right upper lobectomy. Chronic pleural abnormality at the right base with some effusion is stable. Prominent right hilus is unchanged. There is no focal consolidation or pneumothorax. The bones are intact.
<unk>-year-old woman with copd and history of chf, now with dyspnea on exertion. rule out chf.
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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are again noted. Lung volumes are low limiting assessment. Lungs are clear without focal consolidation, large effusion or pneumothorax. The cardiomediastinal silhouette is stable. Bony structures are intact. Unchanged mild compression deformity in the lower t-spine. No free air below the right hemidiaphragm.
<unk>m with sob // ? pna
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In comparison with study of <unk>, there is little change. No evidence of acute cardiopulmonary disease. Central catheter remains in place and there is again evidence of a fracture of the proximal right humerus.
trauma.
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As compared to the previous radiograph, the multifocal parenchymal opacities are still clearly visible. They might, however, be minimally less extensive. Distribution and morphology of the opacities is still suggestive of multifocal pneumonia rather than of pulmonary edema. In fact, except for presence of a small left effusion and mild cardiomegaly there are no indicators for pulmonary edema on the current image.
leukocytosis, lung changes.
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Frontal and lateral radiographs of the chest demonstrate low lung volumes, which results in bronchovascular crowding. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax, pleural effusion, or consolidation. No radiopaque foreign body detected. Note is made of stable left pleural thickening.
history: <unk>m with hx of strictures // eval for fb
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The lungs are well expanded and clear. Prominent right apical pleural cap is present. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Right shoulder hardware is noted without evidence of complication.
<unk>-year-old male with fever and cough.
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Heart size appears mildly enlarged but unchanged. The aortic knob is calcified. Mediastinal and hilar contours are similar. Marked emphysematous changes are again demonstrated. Mild bibasilar atelectasis is noted. No focal consolidation, large pleural effusion or pneumothorax is present. Compression deformities involving vertebral bodies within the mid and lower thoracic spine appear unchanged.
history: <unk>f found down, recent confusion, asymmetric pupils
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Ap upright and lateral views of the chest provided.extensive spinal fusion hardware is again noted along with midline sternotomy wires. Cardiomegaly is again noted with hilar congestion and mild to moderate pulmonary edema. No large effusion or pneumothorax seen. Bony structures appear grossly intact.
<unk>m with hx chf, p/w dyspnea
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The lung volumes are large. The lateral radiograph shows additional flattening of the hemidiaphragms, potentially suggestive of overinflation, as seen in copd or asthma. Borderline size of the cardiac silhouette. Lung parenchyma is unremarkable, notably there is no evidence of pneumonia or other infectious changes. No pleural effusions. No lung nodules or masses.
two weeks of productive cough, assessment for pneumonia.
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The cardiac silhouette is enlarged. The hilar and mediastinal contours are within normal limits. As seen on prior outside chest ct, there is redemonstration of a <num> mm pulmonary nodule in the lingula, which appears minimally enlarged, allowing for differences in technique, also seen on prior outside hospital chest ct from <unk>. There is minimal bibasilar atelectasis. There is no focal consolidation, pleural effusion or pneumothorax.
shortness of breath, chest pain. rule out an acute process.
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Pa and lateral views of the chest. Vague linear opacity persists in the right lower and left mid lung -- likely atelectasis. There is no pleural effusion or pneumothorax. The cardiomediastinal contours are normal.
status post whipple procedure with anastomotic leak, question of intrathoracic process.
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The lungs are well-expanded and clear. The cardiac silhouette is unchanged. The heart remains enlarged. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with chest pain // eval cardiomegaly, infiltrate
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Right chest port-a-cath terminates in the low svc, unchanged from <unk>. Lung volumes are low and there is mild scarring at the lung bases without evidence of opacity concerning for pneumonia. Mediastinal contour, hila, and cardiac silhouette are stable.
<unk>m with fever // eval for pna
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The lungs are clear without focal consolidation, effusion, or edema. Left chest wall port is seen with catheter tip at the lower svc. No acute osseous abnormalities.
<unk>m with pancreatic ca c<num>d<num> of folfirinox p/w fever // r/o pna
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f w/cough and chest pain, please eval for pna
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The lungs appear hyperexpanded. A focal consolidation in the lingula is better seen on ct of the chest performed on <unk>. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax or pleural effusion.
history: <unk>f with left sided chest pain // eval for chf/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. No evidence of free air is seen beneath the diaphragms. Right upper quadrant surgical clips are seen from presumed prior cholecystectomy. Otherwise, no radiopaque foreign body identified.
history: <unk>f with epigastric pain <num>/p swallowing object // eval for fb in abdomen
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Pa and lateral views of the chest were reviewed and compared to the prior studies. The lungs are clear without focal consolidation, pulmonary edema, pleural effusion or pneumothorax. The heart size is normal and a tortuous calcified aorta is unchanged.
right mid back pain in a patient with a history of laryngeal cancer.
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The patient is status post median sternotomy, cabg, and coronary artery stenting. The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
nausea and vomiting. chills.
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The lungs are low in volume with linear bibasilar atelectasis, but no focal consolidation, pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.
<unk>-year-old woman postop day <unk> from kidney transplant with chills, assess for effusion or infectious process.
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The lungs are well expanded and clear without evidence of lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>f with h/o left sided cp that is "pinching-like", as well as sob, c/f cardiac origin vs spontaneous ptx vs pna // pna vs spontaneous ptx vs pulm edema
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The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with pna // pna?
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Right picc tip terminates in the lower svc. Lung volumes are low. Heart size is accentuated as a result of low lung volumes, and is likely borderline enlarged. The aorta is unfolded. There is no pulmonary edema. Streaky bibasilar airspace opacities could reflect atelectasis though infection, particularly in the right lung base, is difficult to exclude. Blunting of left costophrenic sulcus is similar compared to the prior exam, and likely attributable to mild pleural thickening. No focal consolidation is identified. There is no pneumothorax. No large pleural effusion is identified. No acute osseous abnormality is seen.
fever, shortness of breath, relapsed apml.
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Frontal and lateral chest radiographs demonstrate near total opacification of the left hemithorax, compatible with a large pleural effusion. The left lower lobe is completely collapsed. There is minimal aeration of the apical left upper lobe, in the left lung is otherwise atelectatic. The left pleural fusion exerts mass effect upon the mediastinum, with rightward shift of mediastinal structures. The left lung appears clear, without right pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Surgical clips in the left axilla are consistent with previous axillary lymph node dissection .
evaluate left pleural effusion.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. Calcific densities over the cervical spine are again seen compatible with prior surgery.
<unk>-year-old woman with new cough, shortness of breath and chest pain. rule out infection.
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The lungs are well inflated and clear. No focal consolidation, effusion, or pneumothorax is present. The cardiac and mediastinal contours are normal.
<unk>-year-old man with prolonged cough and right lower lobe crackles.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
dyspnea.
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Frontal and lateral views of the chest were obtained. The lungs are well expanded without focal consolidation, pleural effusion or pneumothorax. Increased interstitial pulmonary markings raises the possibility of chronic lung disease. Heart size is normal. Mediastinal silhouette and hilar contours are normal.
persistent cough after uri.
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Heart size is borderline enlarged. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>m with hiv, low grade fevers
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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. Pectus excavatum deformity of the sternum again noted. No free air below the right hemidiaphragm is seen.
<unk>f with chest pain.
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. Partially imaged is surgical hardware along the cervical spine.
persistent cough.
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In comparison to study from <unk>, the heart is mildly enlarged with left atrial enlargement. There are no pleural effusions or pneumothorax. Median sternotomy wires, mitral valve replacement, and left pectoral transvenous pacemaker device are unchanged in position. Mid thoracic vertebral body compression fracture grossly unchanged compared to prior study.
<unk> year old woman with h/o chf, right sided back pain // evaluate chest
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Ap and lateral views of the chest. The lungs are clear of consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Multiple old left healed rib fractures are identified. No acute osseous abnormality detected.
<unk>-year-old male with cough.
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Pa and lateral views of the chest are compared to previous exam from <unk>. Right chest wall port is seen with catheter tip similar to prior. The lungs are clear of focal consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with cough and dyspnea.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable. There is no pulmonary edema.
history: <unk>f with fevers // acute process
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The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Thickening of the left major fissure is unchanged. Median sternotomy wires are intact. Mediastinal vascular clips are in expected positions. Interval changes to the right ac joint are unchanged.
fever.
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The lungs are clear without focal consolidation, effusion, or edema. Azygos fissure is incidentally noted. The cardiomediastinal silhouette is within normal limits. No free intraperitoneal air identified. Surgical clips seen in the right upper quadrant. No focal osseous abnormality.
<unk>f with abd pain // r/o free air
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Surgical clips project over the right upper quadrant. Bony structures are unremarkable.
fever, shortness of breath and left hip pain.
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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. There is no acute osseous abnormality.
<unk>f with weakness and confusion, evaluate for pneumonia..
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Lower lung volumes seen on the current exam with secondary crowding of the bronchovascular markings and streaky left greater than right bibasilar opacities. Of note, skin fold projects over the right upper lung. There is no large effusion. The cardiomediastinal silhouette is stable. No acute osseous abnormalities. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>m with altered mental status // eval for infiltrate
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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 pneumothorax. No pleural effusion is seen. The visualized osseous structures are unremarkable.
history of primary sclerosing cholangitis with anterior substernal chest pain. please evaluate for focal lung lesions.
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Biventricular icd projects over the left pectoral region with lead tip in the right atrial appendage, left ventricular lead that enters coronary sinus with the tip adjacent to left ventricle, and right ventricle with more anterior posterior change in positioning. Lead wire, likely left ventricular wire, is looped and projects superior to the right hilus. Clear lungs bilaterally without pleural effusion or pneumothorax. Heart is mildly enlarged with mediastinal vein dilatation and normal hila. No bony abnormality.
male with cardiomyopathy status post biventricular icd placement via left axilla. assess for pneumothorax and lead position.
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. There is no overt pulmonary edema.
abdomen fluid, increased sputum.
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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. Mild elevation the right hemidiaphragm again noted. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with retropharyngeal abscess // pre-op
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Study is slightly limited due to patient rotation and the patient's chin and neck projecting over and obscuring assessment of the right lung apex medially. Right picc tip appears to terminate in the mid svc. Lung volumes are reduced compared to the previous study. Moderate enlargement of cardiac silhouette is again noted. The mediastinal contour is unremarkable with minimal aortic knob calcifications. Mild pulmonary edema appears slightly progressed compared to the previous exam. There is persistent left perihilar opacity compatible with pneumonia, which appears unchanged. Right basilar opacification appears slightly progressed and is concerning for pneumonia or aspiration. Small bilateral pleural effusions are noted. No pneumothorax is seen. Chronic fracture deformity of the left humeral neck is re- demonstrated.
cough, fever and fungemia.
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There are small bilateral pleural effusions, which have improved since <unk>. There are no new areas of focal consolidation. No pulmonary edema or pneumothorax. The mediastinum, hila and heart are within normal limits.
<unk> year old woman with cgvhd hx of aml s/p allo transplant with sob and prior pleural effusions. // pleural effusions or sob
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The patient is status post coronary artery bypass graft surgery. There is a dual-lead pacemaker with leads again terminating in the right atrium and ventricle, respectively. The heart is mildly enlarged. The aortic arch is calcified. The cardiac, mediastinal and hilar contours appear unchanged. There is a widespread mild interstitial abnormality which is of uncertain chronicity. This is most confluent in the lower lungs and in subpleural regions. Although a component of this may be due to pulmonary vascular congestion, intrinsic interstitial lung disease is an additional consideration to consider. Streaky left basilar opacities suggest atelectasis, not significantly changed. The bones are probably demineralized. Mild degenerative changes are noted along the thoracic spine.
dyspnea. question acute process.
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Allowing for rotation, the cardiac, mediastinal and hilar contours appear probably unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. There is moderate rightward convex curvature centered along the lower thoracic spine.
chest pain.
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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> year old woman with cough // eval infiltrate
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac size is normal. The aorta is ectatic. There is no free air beneath the right hemidiaphragm.
history: <unk>f with cough*** warning *** multiple patients with same last name! // cough
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Ap and lateral chest radiographs. Median sternotomy wires are intact, and the patient is status post cabg. Moderate cardiomegaly and mild interstitial opacities are unchanged from <unk>. There are small bilateral pleural effusions, not present on most recent prior, and left basilar opacification, possibly reflecting atelectasis. There is no pneumothorax.
shortness of breath. evaluation for pneumonia.