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Ap and lateral views of the chest. Left chest wall dual-lead pacing device is again seen. The lungs are clear without focal consolidation or effusion. The cardiac silhouette is enlarged but stable in configuration. Hypertrophic changes are noted in the spine.
<unk>-year-old female with cough and hemoptysis.
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The left pleural effusion is overall similar to the chest ct on <unk> and chest radiograph on <unk>. Small right pleural effusion is overall unchanged. Unchanged elevation of the left hemidiaphragm for suggesting volume loss. Stable appearance of the widened mediastinum. Increased diffuse interstitial markings compatible with severe interstitial lung disease is better appreciated on the recent ct. .
<unk> year old man with pleural effusions // has left effusion re-accumulated?
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There is a small right apical pneumothorax, which is decreased from the prior study of <unk>. Note is made of a right-sided chest tube. The mediastinal silhouette is normal. There is no effusion or pulmonary vascular congestion. There is increased sclerosis of the visualized thoracic vertebral bodies, for which correlation with a metabolic process or possible metastatic malignancy is recommended.
<unk> year old man with right pneumothorax now s/p right lateral pigtail catheter placement // interval change
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Pa and lateral radiographs of the chest were taken. Bilateral metallic nipple piercings overlie the inferior aspect of the lungs on the frontal view, obscuring detail behind them. Nevertheless, the lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old woman with fever and leukocytosis. evaluate for pneumonia.
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Lower lung volumes seen on the current exam. The lungs however remain clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with acute onset chest pain with radiation down left arm, multiple previous evals for similar pain // compare with prior
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There is no focal consolidation, effusion, or pneumothorax. Heart size is top normal. The mediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>m with chest pain // eval for rib fx, ptx
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There is a new opacity overlying the midportion the right lung, consistent with developing pneumonia. Otherwise, the remainder of the lungs are clear. Cardiomediastinal silhouette is normal. No acute fractures are identified.
evaluation of patient with cough and weakness.
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There is persistent mild pulmonary edema and increased vascular congestion from <unk>. No pleural effusion, focal consolidation or pneumothorax is present. The inspiratory lung volumes are appropriate. The cardiac silhouette is mildly enlarged but stable. The mediastinal and hilar contours are unchanged. A right-sided stent is unchanged in position, presumably extending from the right subclavian vein into the superior vena cava. Degenerative changes are again noted in the thoracic spine with right-sided bridging osteophytes.
<unk>-year-old female with fever and cough, here to evaluate for pneumonia.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is mild blunting of the right costophrenic angle which could relate to small pleural effusion. There is no focal consolidation or pneumothorax.
chest pain on inspiration. rule out acute process.
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There is elevation of the right hemidiaphragm with adjacent air-filled dilated loop of large bowel. There is mild cardiomegaly and borderline vascular engorgement. There is no pulmonary edema. There is no focal consolidation to suggest pneumonia. The mediastinal contours normal. There is no pneumothorax or large pleural effusion.
<unk>m with <num> days of fever and confusion, evaluate for pneumonia..
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Pa and lateral views of the chest provided. Right chest wall picc pacer device is seen with pacer leads extending into the region of the right atrium and right ventricle. There is bandlike right lower lung opacity most compatible with atelectasis. A rounded density projecting at the right medial lung base on the frontal projection is without correlate opacity on the lateral view and therefore indeterminate. There is a retrocardiac opacity with subtle central air lucency which could represent a hiatal hernia. Cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk> year old woman with new onset paranoid delusions/psychosis now with leukocytosis // evaluate for infiltrate
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The lungs are clear. Mediastinal and cardiac contours are within normal limits. There is no pleural effusion or pneumothorax.
patient with night sweats, atypical chest pain. assess for cardiopulmonary disease.
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The patient is rotated. There is a vague, increased opacity of the right lower lobe. There is no pleural effusion or pneumothorax. The pulmonary vasculature is normal. The cardiac silhouette is normal in size. The mediastinal and hilar structures are unremarkable.
shortness of breath and dyspnea on exertion. evaluate for pneumonia or an acute cardiopulmonary process.
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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 right arm pain. evaluate for acute process.
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The lungs are clear aside from mild left basilar atelectasis. No evidence of pneumonia.the heart is stably and mildly enlarged. Metallic coil shaped radiopaque foreign bodies overlying the right upper and mid mediastinum are likely related to prior surgical procedure. No pleural abnormality is seen.
<unk>m with hematuria, altered mental status // please assess for consolidation or infiltrate
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The previously seen left lower lung opacity seen on comparison is no longer visualized. No pleural effusion, pulmonary consolidation, or pneumothorax is seen. The heart size is at the upper limit of normal.
<unk> year old woman with mds // pre bmt eval
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Pa and lateral views of the chest. The lungs are clear without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is top normal. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormality identified.
<unk>-year-old female status post <unk>.
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Pa and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. Osseous structures are unremarkable.
<unk>-year-old female with chest pain.
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The lungs are clear. There is no focal consolidation,, effusion, or pneumothorax. The trachea is deviated to the left just above the thoracic inlet. There is left paraspinal density inferiorly on the frontal view in the retrocardiac region compatible with lateral osteophytes from the spine confirmed on prior ct. No acute osseous abnormalities.
<unk>m with dyspnea // r/o acute process
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The lungs are well inflated with left lower lobe atelectasis and elevation of the left hemidiaphragm. No pneumothorax. Heart size and hila are unremarkable. Longitudinaly oriented bulbous air-filled structure along the middle mediastinum is seen delineating the right paratracheal stripe.
<unk>f with cough, throat pain s/p intubation earlier today. assess for pneumonia or mediastinal air.
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As compared to the previous radiograph, the guidewire has been withdrawn and, as a consequence, line is more difficult to visualize. However, the tip of the line projects over the lower svc, it appears as if the catheter would have been pulled back by approximately <num> to <num> cm in the interval. There is no evidence of kinking of the catheter. Normal catheter course. No major changes in the appearance of the lung parenchyma, in particular of the known mild retrocardiac and left perihilar parenchymal opacities. No evidence of pneumothorax.
picc line assessment.
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A moderate to large right sided hydro pneumothorax is seen. There is associated contralateral shift of the mediastinum suggesting tension pneumothorax. The left lung is clear. Stable right-sided port-a-cath with the tip in the lower svc.
<unk> year old woman with synovila sarcoma, r thigh,new onset mes to lung and bone, c/o incrase pain mediastinal area // r/o break, pe, mass
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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 intermittent cp radiating into back, dyspnea
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Ap and lateral views of the chest were compared to chest cta from <unk>. The lungs are clear of focal consolidation. Costophrenic angles are sharp and there is no pneumothorax. The cardiomediastinal silhouette is stable given differences in patient positioning. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with chest pain. question chf.
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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
history: <unk>f with cough, green sputum, fever*** warning *** multiple patients with same last name! // pna?
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A moderate to large right pleural effusion is present. Compressive right basilar atelectasis is also demonstrated. Heart size is difficult to assess given the presence of this effusion. Mediastinal and hilar contours are unremarkable. Left lung is clear. No left-sided pleural effusion is present. No pneumothorax or pulmonary vascular congestion is seen. The osseous structures are unremarkable.
history: <unk>m with cirrhosis with abdominal pain
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Mild cardiomegaly, unchanged. Trace reticular infiltrate, peribronchial cuffing, and bilateral pleural effusions are slightly improved from previous examination. No pneumothorax or focal consolidation is seen. Surgical clips overlying the left axilla are unchanged.
<unk> year old woman with cough and dyspnea // please evaluate for pulmonary edema
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Frontal and lateral radiographs of the chest were acquired. Lung volumes are low, causing exaggeration of the heart size and accentuation of the pulmonary vasculature. There is subsegmental left lower lung atelectasis. There is also minimal right lower lung atelectasis. The lungs are otherwise clear. There is no evidence of pulmonary edema. The heart size is top normal. The mediastinal contours are normal. Note is made of a small left pleural effusion, best seen on the lateral projection. No definite right pleural effusion. No pneumothorax is seen.
lower extremity swelling. assess for cardiopulmonary process.
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The lungs are clear, with mildly low lung volumes.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>f with fever, cough. evaluate for pneumonia
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Pa and lateral views of the chest are compared to previous exam from <unk> and pet-ct from <unk>. The lungs are clear. Cardiomediastinal silhouette is within normal limits. Hypertrophic changes are seen in the spine and there is evidence of prior anterior right sixth rib fracture as seen on prior pet scan. Osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old male with elevated white blood cell count. question infection.
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Continued loculated pleural effusions are seen bilaterally, which are unchanged in size. An air-fluid level may be seen on the lateral chest radiograph view. Right upper lobe pneumonia is improving but continued opacification is seen. Left cardiac pacemaker is in stable position with leads ending appropriately in the right atrium and right ventricle. The cardiac silhouette is normal.
<unk>-year-old man with right upper lobe pneumonia, loculated pleural effusions status post right chest tube placement now with pneumothorax versus trapped lung. assess for interval change.
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The patient is status post median sternotomy and cabg. Moderate enlargement of cardiac silhouette is unchanged. Mediastinal contours stable. Mild pulmonary vascular congestion persists, and may be slightly improved compared to the previous exam. No pleural effusion or pneumothorax is seen. There is minimal atelectasis at the lung bases. Multilevel degenerative changes are noted in the thoracic spine.
recent stroke with worsening symptoms.
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Ap upright and lateral chest radiographs were obtained. The lungs are low in volume but clear aside from minimal basal/retrocardiac atelectasis or scarring. Interstitial prominence is likely due to chronic changes related to the congestive heart failure. No overt pulmonary edema or vascular congestion seen currently. The heart remains moderately enlarged with tortuous aortic contour. Dual lead pacemaker is noted. No pneumothorax or pleural effusion is seen.
fever, chills and back pain.
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The heart and mediastinal contours are within normal limits. The lungs are clear. A retrocardiac triangular-shaped opacity correlates with fluid in the left major fissure, and is unchanged from prior exam. There is no pneumothorax.
<unk>-year-old male with right-sided pleuritic chest pain.
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Pa and lateral views of the chest. The lungs are clear. There is no consolidation or pneumothorax. Blunting of one of the posterior costophrenic angles could be due to bochdalek hernia given configuration. The cardiomediastinal silhouette is normal. No displaced fractures identified on this non-dedicated exam.
<unk>-year-old male with chest pain status post fall. question pneumothorax.
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lung volumes are low, although otherwise clear. There is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old female with ms, presents with muscle spasm. question pneumonia.
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Lung volumes are low which accentuates bronchovascular markings. There is pulmonary vascular congestion and mild pulmonary edema. A more focal consolidation at the base of the right lung could reflect an area of infection in the appropriate clinical setting. No pleural effusions are seen. There is no pneumothorax.
<unk>m with ms, hypoxia // ?acute cardiopulmonary process
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Pa and lateral views of the chest provided. Surgical clips are noted in the left neck base. Cardiomegaly is again noted with a left ventricular configuration. Mild hilar congestion is noted without overt pulmonary edema. No large effusion or pneumothorax. No convincing evidence for pneumonia. No pneumothorax or effusion. Severe degenerative disease of the right shoulder appears unchanged. Chronic right rib cage deformity is re- demonstrated.
<unk>m with cough, dehydration // pneumonia?
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Right convex scoliosis. Heart size is normal. No pneumonia or lung nodules. Spiral density projected in the right midlung is seen to overlie the anterior chest wall soft tissues on the lateral view and may be related to external artifact.
history: <unk>f with cough // eval for infiltrate
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Frontal and lateral views of the chest demonstrate low lung volumes, but clear lungs. The cardiomediastinal hilar contours are unchanged. There is no pneumothorax or pleural effusion. Pleural surfaces are unremarkable. A thoracic vertebral body compression deformity is unchanged.
multiple myeloma, assess for pneumonia.
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The lungs are hyperinflated with biapical scarring, more extensive on the left. There is no focal consolidation, effusion, or edema. Cardiac silhouette is moderately enlarged. Atherosclerotic calcifications are noted in the thoracic aorta. Lucencies within the left humeral head are likely degenerative. There is also expansion of the marrow space in the proximal left humerus.
<unk>f with hip pain, back pain s/p fall // evidence of fracture or bleed
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The patient is status post left upper lobectomy, apparently partial, as before, with associated volume loss including leftward shift of mediastinal structures and elevation of the left hemidiaphragm. A left apical cavity containing air and fluid appears similar in size although probably with more fluid and less air content than on the prior examinations. Persistent posterior basilar consolidation is noted but similar to the recent prior examinations allowing for differences in technique.
recent admission for pneumonia, now presenting with fever.
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Severe rotary dextroscoliosis of the thoracolumbar spine limits assessment of the chest. Cardiac, mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Linear opacities are demonstrated in both lower lobes, likely reflective of atelectasis. No focal consolidation, pleural effusion or pneumothorax is clearly visualized. Pulmonary vasculature is not engorged. Cervical spinal fusion hardware is incompletely imaged.
history: <unk>m with productive cough
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Patient is status post median sternotomy and cabg. Heart size is normal. Mediastinal and hilar contours are unchanged. There is no pulmonary edema. Lungs are hyperinflated without focal consolidation. No pleural effusion or pneumothorax is demonstrated. There are no acute osseous abnormalities. Mild widening of the right acromioclavicular joint appears unchanged.
history: <unk>m with cough
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Left chest wall dual lead pacing device is again noted. The lungs are clear of consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Coronary stents are identified. Median sternotomy wires and mediastinal clips are again noted. No acute osseous abnormalities identified.
<unk>f with cad/multiple stenting, aortic replacement after dissection presenting with incr sob and left arm pain. // pneumonia, pulmonary edema?
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The lungs are clear. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with sob // eval for ptx
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No previous images. The heart is normal in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia. No pulmonary mass is identified.
hyponatremia, to assess for mass.
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No picc line is identified within the chest. There is minimal right basilar atelectasis, which is unchanged from prior exams. The lungs are otherwise clear without any new consolidation or pulmonary edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
status post picc line placement one year ago. the patient thinks the line outside of his arm is longer than it was yesterday. evaluate placement.
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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.
<unk>m with aml and myeloid sarcoma. evaluate for pneumonia.
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The heart size is mildly enlarged. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal and the lungs are clear. There are no pleural effusions or pneumothoraces. No acute osseous abnormalities identified.
chest pain for <num> days, pleuritic in nature.
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The cardiomediastinal silhouette is normal. The lungs are clear without consolidations or edema. There is no pleural effusion or pneumothorax. There are no pulmonary masses. Again noted is mild calcification of the intervertebral discs in the mid thoracic spine.
history of smoking and weight loss.
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Patient is rotated to the left. Subtle opacity is seen projecting over the medial left lung apex. The right lung is clear. No pleural effusion or pneumothorax is seen. The right hemidiaphragm is mildly elevated. The cardiac silhouette is not enlarged. There may be mild enlargement of the main pulmonary artery.
<unk> year old man with ?schizophrenia presenting with ha, presyncope, and chest pain // evaluate for pneumonia or intrapulmonary processes
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Pa and lateral views of the chest. In the right lower lobe, there is a new opacity. In the left lower lobe, there is a smaller and more subtle opacity adjacent to the apex of the heart. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There is increased ap diameter consistent with copd.
<unk>-year-old female with shortness of breath.
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There is no pneumomediastinum. No acute osseous abnormalities are detected.
pain after vomiting.
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Ap and lateral views of the chest demonstrates low lung volumes. The heart is normal in size, and the mediastinal contours are unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax or focal consolidation. Mild peribronchial cuffing is noted, particularly on the right.
<unk>-year-old male with fever.
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Linear scarring in the right mid lung has a more nodular appearance compared with prior,. No pleural effusion or pneumothorax is seen. Heart and mediastinal size are slightly exaggerated by the low lung volumes, however the trachea appears more anteriorly displaced on the lateral view compared with prior, may suggest underlying lymphadenopathy. The thoracic aorta is either dilated or tortuous, similar to prior.
history: <unk>m with seizure, // ? acute cardipulm procss
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Since <unk> the moderate right pleural effusion has resolved, with an underlying heterogeneous opacity in the right lower lobe that has increased in density, concerning for pulmonary parenchymal contusion/hemorrhage or developing pneumonia. Heart size is normal and the lungs are otherwise clear. Trace left pleural effusion is again seen.
<unk> year old woman with large pleural effusion drained <unk> // <time>am, eval pleural effusion
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As compared to the previous radiograph, there is unchanged evidence of a right upper lobe paramediastinal mass. Surrounding this mass is an area of parenchymal opacity that is, however, less extensive than on the previous image. No new parenchymal opacity. Old right healed rib fracture. Unremarkable left lung. Normal size of the cardiac silhouette. Mild tortuosity of the thoracic aorta. No evidence of pleural effusions.
pneumonia.
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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.
history: <unk>m with leukocytosis // r/o pna
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Frontal and lateral radiographs of the chest demonstrate interval worsening of right pleural effusion which is now moderate. Right-sided pleural masses are again seen, better seen on the recent ct from <unk>. No left pleural effusion is identified. No pneumothorax is seen. The cardiac and mediastinal contours are unchanged.
right pleural effusion, followup.
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Frontal lateral chest radiographs demonstrate low lung volumes with bronchovascular crowding and increased prominence of the cardiac silhouette. Even allowing for this, there is moderate cardiomegaly, unchanged. There is mild pulmonary edema, without definite focal consolidation or pneumothorax. There is bibasilar atelectasis and small bilateral pleural effusions. The visualized upper abdomen is unremarkable.
altered mental status and left-sided crackles. evaluate for pneumonia.
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Moderate cardiomegaly is re- demonstrated. Mediastinal and hilar contours are unchanged. There is mild pulmonary vascular congestion without overt pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
history: <unk>m with tachypnea and fever
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Compared with prior radiographs on <unk>, there is mild vascular congestion and bibasilar atelectasis. There is no pulmonary edema or pleural effusion. There is no new focal consolidation or pneumothorax. Cardiomegaly is unchanged.
<unk> year old woman with metastatic lung cancer, increased sob // <unk> year old woman with metastatic lung cancer, increased sob, ? pna
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Frontal and lateral radiographs of the chest were acquired. The lungs are clear aside from minimal left lower lobe atelectasis. The heart size is normal. The descending thoracic aorta is mildly tortuous. Aortic calcifications are noted. There are no pleural effusions. No pneumothorax is seen. Multilevel degenerative changes of the thoracolumbar spine are again noted.
dementia with worsening agitation. assess for pneumonia.
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The lung volumes are low. Heart size is normal. Aorta remains tortuous. Mediastinal and hilar contours are otherwise stable. Pulmonary vasculature is normal. Streaky opacities in the lung bases are compatible with areas of atelectasis. No large pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with fever
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen.
<unk> year old woman s/p left partial nephrectomy // please evaluate for any abnormalities
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As compared to the previous radiograph, there is a status post thoracocentesis. The chronic pleural and parenchymal changes at both lung bases, right more than left, are constant. There is no evidence of newly appeared opacities or increasing pleural effusion. The extent of the pleural and parenchymal changes is also constant on the lateral view. No change in appearance of the heart and the mediastinum. No acute changes such as pulmonary edema or pneumonia.
left pleural effusion, status post thoracocentesis, evaluation for interval change.
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The lungs are well expanded and clear. There are no focal opacities to suggest pneumonia. There are no significant appreciable changes from next most recent radiograph. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. The ribs are not adequately evaluated on routine radiographs of the chest, however, no gross abnormalities are identified. Tortuousity of the aorta is more prominent than in <unk>.
cough, right anterior rib discomfort. why does this man have a cough? why has he had right anterior rib pain for many months?
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Right chest wall dual lumen central venous catheter is noted. There is pulmonary vascular congestion without overt edema or focal consolidation. There is no effusion. Cardiomediastinal silhouette is stable given differences in positioning. Atherosclerotic calcifications again noted at the aortic arch. No acute osseous abnormalities. Mild height loss of mid thoracic vertebral bodies are unchanged.
<unk>f with sob // ?pna
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Compared to chest radiographs from <unk>, there is new large right pneumothorax with air-fluid level in the posterior right pleural space, consistent with hydropneumothorax. The size of the right pleural effusion, as well as right middle lobe collapse, have improved in the interval. Widening of the mediastinum has decreased and reflects expected postsurgical changes. No focal consolidation. No pneumothorax. Mild cardiomegaly is stable.
<unk> year old woman with pleural effusion s/p right thoracentesis // pneumothorax
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The cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. The left hemidiaphragm is mildly elevated.
posterior chest discomfort.
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Lungs are fully expanded and clear. Cardiomediastinal and hilar silhouettes and pleural surfaces are normal. No intra-abdominal free air seen below the diaphragm.
<unk>-year-old male with vomiting and abdominal pain pain. evaluate for pneumonia or small bowel obstruction.
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The cardiomediastinal contours are normal. There has been near complete resolution of the left lower lobe consolidation with minimal persisient residual opacity seen on the on the lateral. The right lung remains clear. No pneumothorax or pleural effusion is detected.
history of pneumonia treated at the end of <unk>. now with increasing shortness of breath and cough, here to evaluate for interval change.
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The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality.
<unk>-year-old man presenting with cough; evaluate for tb.
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In comparison with the study of <unk>, the leads again extend to the right atrium, right ventricle, and region of the left ventricle. Continued opacification at the right base is consistent with fluid (which could be loculated) and atelectasis.
<unk> crt lead position.
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The cardiac, mediastinal and hilar contours appear unchanged. There is a persistent opacity in the medial segment of the right middle lobe with volume loss, probably unchanged since prior examinations. Subpleural opacity at the right lung apex appears also probably unchanged. There are no pleural effusions or pneumothorax.
fever. immunosuppression.
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There has been interval placement of a dual-chamber pacemaker with the leads terminating in the right atrium and right ventricle. There is stable postoperative widening of the cardiomediastinal contours compared to the recent radiographs. There appears to be a small right-sided pleural effusion and moderate to large left-sided effusion with superimposed atelectasis. There is also stable patchy atelectasis in the right lung base. The heart size is stable.
<unk>-year-old female status post recent median sternotomy and cabg, who presents for evaluation of dual-chamber pacemaker lead position.
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Cardiac size is top-normal. The aorta is tortuous. Faint ill-defined opacity in the right lung projecting over the anterior right fifth rib is of unknown etiology could be atelectasis but focal infection cannot be excluded. Left lower lobe atelectasis have increased. Spinal hardware is again noted. Right peripheral catheter has been removed
<unk> year old man with myeloma // low grade fever on immune suppression; assess for infection
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen. There are mild degenerative changes in the thoracic spine.
cough and fever.
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Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. Diaphragmatic contours are unremarkable.
intractable hiccups for three months.
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Frontal and lateral radiographs of the chest again demonstrate a large right subpulmonic effusion. There is no relevant change from the prior radiograph. The heart, hilar, and mediastinal contours are normal. No pneumothorax is detected.
recent pneumonia with large subpulmonic effusion. evaluate for interval change.
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Left-sided cardiac pacing device with dual leads following their expected courses to the right atrium and right ventricle. Lungs are clear. There is no focal consolidation, effusion or pneumothorax. There is no central vascular congestion or overt pulmonary edema. Enlargement of the right paratracheal stripe is stable and may reflect patient's known thyromegaly. Cardiomediastinal silhouette is stable. There is mild unfolding of thoracic aorta with moderate calcification at the aortic knob.
<unk> year old woman with l side pna by cxr in<unk> hosp // f/o pna (no old imaging available)
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The patient is status post wedge resection in the right lower lobe with chronic atelectatic scarring in that region, similar to prior ct examinations. No new focal parenchymal opacity to suggest pneumonia is seen. No pneumothorax is present. There is chronic blunting of the right costophrenic angle. No significant pleural effusion is seen. A dual-lead left-sided pacemaker is in standard position. The heart size is normal. There are calcifications of the aortic arch.
chest pain. history of adenocarcinoma of the lung status post resection.
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The lung bases, particular the left, are underpenetrated due to patient body habitus. There also low lung volumes. No definite focal consolidation is seen, although consolidation at the left base to be difficult to exclude. No pleural effusion or pneumothorax. Anterior wedging of a lower thoracic vertebral body, new since <unk>, but otherwise of indeterminate age.
history: <unk>f with cough // pna?
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Lung volumes are low. No focal consolidation, pleural effusion, or pneumothorax is seen. Mild indentation on the trachea may be secondary to adjacent thyroid nodule. Heart and mediastinal contours are within normal limits. Spinal degenerative changes appear similar, but are incompletely evaluated.
<unk>-year-old male with chest pain.
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There is been interval resolution of the previously described subtle opacity in the right lower lobe, consistent with resolved pneumonia. No new areas of consolidation are seen. There is mild bronchial wall thickening and dilatation, consistent with right lower lobe bronchiectasis. The heart is not enlarged. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax or pleural effusion.
history: <unk>m with chest pain*** warning *** multiple patients with same last name! // eval for structural process
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Pa and lateral views of the chest. There is no focal opacity, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There is no free air beneath the hemidiaphragms. No acute osseous abnormality is seen.
tachycardia and lightheadedness.
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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
history: <unk>m with epigastric pain after endoscopy // eval free air
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The lungs are clear. Moderate dextroscoliosis is again noted. The heart size is normal. No pneumothorax, pleural effusion, or pulmonary edema.
<unk> year old woman with night sweats. ? lad // ? lad
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The lungs are clear. There is no consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities.
<unk>m with chest pain // acute process?
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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.
<unk>f with fever // infiltrations
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No previous images. The heart is normal in size and there is no evidence of vascular congestion or pleural effusion. Specifically, no acute focal pneumonia.
persistent cough, to assess for pneumonia.
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Ap upright and lateral views of the chest provided. Lung volumes are low with bibasilar atelectasis noted. Difficult to exclude a component of aspiration or pneumonia at the lung bases. No large effusion or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact. No displaced rib fracture is seen.
<unk>f with etoh cirrhosis with seizure today //
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Frontal and lateral views of the chest demonstrate slightly hyperexpanded lungs. Airspace opacities are seen in the right lung base, which project over the spine on the lateral view. Additional small focus of opacity in the left lung. There is no pleural effusion. No pulmonary edema. Hilar and mediastinal silhouettes are unchanged. Heart size is normal. Partially imaged upper abdomen is unremarkable.
cough for two weeks.
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A <num> x <num> mm radiopaque density, likely metallic , overlies the mediastinum in the midline, posterior to the mainstem bronchus on the lateral view. The shape is compatible with a pen tip. This could lie within the mid esophagus or in the immediately surrounding soft tissues. Compared with <unk>, this radiopacity is new cardiomediastinal silhouette itself is within normal limits. No chf, focal infiltrate, effusion, or pneumothorax is detected. The extreme right costophrenic angle is excluded from the ap view, but there is no evidence of effusion on the lateral view. Minimal degenerative changes noted in the thoracic spine, including possible minimal anterior wedging of a lower thoracic vertebral body, question t<num>. The appearance is unchanged compared with <unk>. At the anteroinferior edge of the lateral view, metallic densities are seen projecting over the upper abdomen.
history: <unk>f s/p "swallowing pen" hx of swallowing foreign objects // ? foreign body - ? placement
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The heart size is normal. The hilar and mediastinal contours are unremarkable. The lungs are well expanded and clear. There is no evidence of a pneumothorax or pleural effusion. The visualized osseous structures are unremarkable.
<unk>-year-old male from <unk>, with a positive ppd who presents for evaluation.
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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. Bony structures are unremarkable.
dyspnea and palpitations.
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As compared to the previous radiograph, there is no relevant change. No evidence of pneumonia. Borderline size of the cardiac silhouette. No pleural effusions. No pulmonary edema. Tracheostomy tube in constant position.
increased tracheal secretions, questionable pneumonia.
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The lungs are mildly hypoinflated with crowding of vasculature and new heterogeneous granular right lower lobe opacity. Persistent left perihilar opacity is unchanged since <unk> consistent with known left lung cancer. Biapical scarring again noted. Heart size, mediastinal contour, and hila are otherwise unremarkable. No pleural effusion or pneumothorax.
<unk>f with dyspnea. assess for acute infectious process
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Sternotomy wires appear intact and appropriately aligned. The lungs are well expanded and clear. No focal consolidations. No pulmonary edema. Stable enlargement of cardiomediastinal silhouette. No pleural effusion. No pneumothorax.
<unk>m with presyncope, fluttering in chest // presyncope, fluttering in chest