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On the initial view of the chest, the right heart border appears to be obscured however on repeat imaging the right heart border is not obscured. There is however increase in the central bronchiovasculature which persists on both exposures. The lateral film is unremarkable. Cardiac size is normal. No pleural effusion or pneumothorax.
cough.
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Pa and lateral views of the chest. Mild bibasilar atelectasis is seen. Query subtle posterior opacity on the lateral view, not well substantiated on the frontal view, may be due to atelectasis, but early infectious process or aspiration can not be excluded in the appropriate clinical setting. There is no pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
sore throat and cough. evaluate for infiltrate.
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There is a <num>-mm granuloma at the left lower lung, unchanged from <unk>. There is no evidence of pneumonia, pneumothorax or pleural effusion. The cardiomediastinal shilhouette and hila are normal.
<unk>-year-old woman with cough. please assess for pneumonia.
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Pa and lateral views of the chest provided. Lung volumes are low. The heart is top-normal in size. There is pulmonary vascular congestion and probable mild interstitial pulmonary edema. Mild bibasilar atelectasis without large effusion or pneumothorax. A stent projects over the heart along the left aspect. The mediastinal contour appears grossly unremarkable. Bony structures are intact.
<unk>f with shortness of breath // eval for pna
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As compared to the previous radiograph, the right chest tube has been removed. There is no right pneumothorax. Normal appearance of the right apical post-surgical site, with correct alignment of the <unk>. Unchanged appearance of the left lung and of the cardiac silhouette.
status post right vats blebectomy. rule out pneumothorax after chest tube removal.
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Platelike bibasilar atelectasis is seen. There is no definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen.
history: <unk>f with dyspnea, leg swelling // eval for evidence of pna, pulm edema
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There is apparent elevation of the right hemidiaphragm associated right basilar atelectasis. The lungs are otherwise clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. No free intraperitoneal air.
<unk>f w/ hx of etoh abuse presents with abd distention, pain, and jaundice // eval for pna
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In comparison with the outside image of the same date, there is little change. There is hyperexpansion of the lungs raising the possibility of some underlying chronic pulmonary disease. Mild enlargement of the cardiac silhouette is seen. Some indistinctness of pulmonary markings could reflect mild elevation of pulmonary venous pressure, chronic lung disease, or a combination of both. No evidence of acute focal pneumonia.
cough and fever.
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Pa and lateral views of the chest provided. A picc line is seen extending from the right arm through the right subclavian vein into the mid svc region. Perihilar opacities, left greater than right are again noted compatible with known atypical mycobacterial infection. There is also mild left basal opacity which is not significantly progressed. No large effusion or pneumothorax. The cardiomediastinal silhouette appears unchanged. Bony structures appear intact.
<unk>f with picc in place fro mac pna, with fever and tachycardia x<num> hrs
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Frontal and lateral chest radiographs are obtained. The lungs are clear with no evidence of consolidation, effusions or pneumothorax. Cardiomediastinal silhouette remains normal. Widening of the right ac joint is again noted, chronic, and compatible with prior trauma or surgery. Eventration of the right hemidiaphragm is present.
cough.
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Pa and lateral views of the chest show clear well-expanded lungs with no nodules or areas of focal consolidation. Heart mediastinal contours are within normal limits in size and shape and no focal suspicious bony abnormality is seen.
<unk> year old man with renal cell carcinoma // evaluate for mets or other abnormalities
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Mild hilar enlargement is unchanged since <unk>, and is not likely to represent an active clinically significant problem. The lungs are clear. No effusion, consolidation or pneumothorax is present. Heart and mediastinal contours are normal.
<unk>-year-old man with dyspnea, intoxicated.
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The lungs are clear. Slight hyperinflation as evidenced by flattened diaphragms. Cardiac silhouette is normal in size. There is no pleural effusion, pneumothorax, or pneumonia.
chest pain.
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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. There are no acute osseous abnormalities.
history: <unk>f with fever and productive cough
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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are noted. Lower lung and perihilar opacities are noted which could reflect aspiration/pneumonia. Lung volumes are low limiting assessment. Suture material in the right lung is again noted likely related to a prior resection. No large effusion or pneumothorax. Cardiomediastinal silhouette is stable. Mild hilar congestion is present. Bony structures appear intact. No free air below the right hemidiaphragm.
<unk>m with n/v/d // acute process?
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The cardiac, mediastinal and hilar contours appear unchanged. The heart is borderline enlarged. There is no pleural effusion or pneumothorax. The lungs appear clear. There is some chronic-appearing bony fragmentation along the distal right clavicle.
nausea and shortness of breath.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged. <num> endobronchial valves are re- demonstrated in unchanged position. Marked upper lobe predominant centrilobular emphysema is re- demonstrated. Linear opacities in lung bases likely reflect a combination of scarring and atelectasis. No pleural effusion, focal consolidation or pneumothorax is detected. There is no pulmonary edema. Multiple clips project over the left upper quadrant of the abdomen. There are no acute osseous abnormalities.
history: <unk>f with copd status post endobronchial valves placement
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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 except for a distended azygos vein, likely secondary to known svc thrombus on recent ct of same date. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>f with recent chemo and shocky // infectious workup
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiac silhouette remains moderately enlarged, unchanged. The hilar contours are stable. There is no pneumothorax, pleural effusion, or focal consolidation. Note is made of a hiatial hernia.
history: <unk>f with weakness // rule out pneumonia
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The patient is status post median sternotomy. Right upper lobe opacity is worrisome for pneumonia. Trace left pleural effusion is difficult to exclude although no large pleural effusion is seen. There is no pneumothorax. The cardiac silhouette is top-normal to mildly enlarged. Aortic knob calcification is seen. Hilar contours are grossly stable.
history: <unk>m with fever, cough // r/o chf, pna
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There are bibasilar opacities, right greater than left. The opacity at the right base appears slightly increased since the prior chest radiograph in <unk>. There is mild vascular congestion without overt pulmonary edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
altered mental status. evaluate for pneumonia.
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The patient's prior extensive multifocal pneumonia appears to have somewhat improved since the most recent prior studies. No new opacities are seen. The heart size is within normal limits. The aorta is tortuous. There is no pleural effusion or pneumothorax identified.
dyspnea, mechanical fall, question pneumonia.
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Pa and lateral chest views were obtained with patient in upright position. The heart size is within normal limits. No typical configurational abnormality is identified. Thoracic aorta is mildly widened and elongated but no local contour abnormalities are identified. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. Somewhat low positioned and flattened diaphragms suggestive of copd; however, acute infiltrates cannot be identified. There is no pneumothorax in the apical area. Our records do not include a previous chest examination available for comparison.
<unk>-year-old female patient with persistent cough and fever, evaluate for pneumonia.
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The patient is status post esophagectomy and gastric pull-through with multiple clips re- demonstrated in the mediastinum. Left-sided port-a-cath tip terminates within the svc. The cardiac silhouette size is normal. The mediastinal and hilar contours are unchanged. Streaky opacity in the left lower lobe appears slightly worse when compared to the previous radiograph, and could reflect an area of atelectasis but infection or aspiration cannot be excluded. Right lung is clear. There is a trace right pleural effusion. No pulmonary vascular congestion is demonstrated. No pneumothorax is present. Old right-sided rib deformities are again noted.
fever.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. No definite radio-opaque foreign body is identified.
status post fall with fractured teeth. question fractured teeth fragments.
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Heart size is normal. The cardiomediastinal silhouette and hilar contours are unchanged and unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax. Healed left lateral rib fractures are noted.
liver failure status post transplant <unk> years ago. renal failure on dialysis. weakness for four days and crackles on the left lung.
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Heart size is top normal. The aorta is mildly tortuous with mural atherosclerotic calcifications. Hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax. No expansile bony lesions are identified.
locally metastatic renal cell carcinoma.
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Pa and lateral views of the chest. Right picc is no longer seen. The lungs are hyperinflated but clear of confluent consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Degenerative change is seen at the right acromioclavicular joint. No acute osseous abnormality detected.
<unk>-year-old male with chest pain and shortness of breath.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac, hilar and mediastinal silhouettes are unremarkable. Calcification is noted in the aortic arch without aneurysm.
<unk> year old woman with h/o hcv cirrhosis and hcc // new evaluation for liver transplant, assess for cardiopulmonary abnormalities
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Frontal and lateral chest radiographs demonstrate slightly low lung volumes, which exaggerates cardiac size and bronchovascular crowding. Allowing for this, the cardiomediastinal silhouette is within normal limits. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
<unk>m with cough // r/o infiltrate
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Frontal and lateral views of the chest were obtained. A <num>cm nodule in the right upper lobe and a left lower lobe mass are again seen, as noted on prior pet ct, compatible with patient's known lung cancer. There is no new consolidation, pleural effusion or pneumothorax. Heart size is markedly enlarged, in part due to known pericardial effusion. Pulmonary vasculature is within normal limits. No acute osseous abnormality is identified. There is no free air under the diaphragm.
<unk>-year-old woman with leukocytosis and fever. evaluate for pneumonia.
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The left heart border is not well-defined, perhaps due to an epicardial fat pad. Lung volumes are also low, causing bronchovascular crowding and accentuation of the heart size. No definite focal consolidation identified. No pleural effusion or pneumothorax.
<unk>f with sob, ruq pain. evaluate for pneumonia.
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There is a tiny left pleural effusion. No focal consolidation concerning for pneumonia. Cardiomediastinal silhouette is normal. No edema. Imaged bony structures are intact.
<unk>f with pna for <num> weeks evaluate for interval change.
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There is severe kyphosis which limits the assessment. Cardiac size appears normal. No pleural effusion or pneumothorax is appreciated. No focal consolidation concerning for pneumonia. Streaky opacities at the right hilum as well as the base consistent with atelectasis. Suprahilar opacities projecting over the right upper lobe are thought to represent costochondral degenerative changes rather than parenchymal changes. Generalized bony demineralization is present. There is no evidence of pulmonary edema.
chf now with desats. pulmonary edema or infiltrates?
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Heart size is normal. Aorta is tortuous. Mediastinal and hilar contours otherwise are unremarkable. Pulmonary vascularity is normal. Minimal patchy opacity in the left lung base is nonspecific and could reflect atelectasis or infection. Blunting of the right costophrenic angle posteriorly on the lateral view may reflect a small pleural effusion. There is no pneumothorax. No acute osseous abnormalities are visualized.
cough and fever.
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There is mild bibasilar atelectasis; otherwise, the lungs are clear. There is a linear density lateral to the descending aorta of unclear etiology. Additionally, there is a second density lateral to the aortic arch of unclear etiology. Cardiac and mediastinal silhouettes are otherwise within normal limits. Diffuse osteopenia is noted with no evidence of acute fracture.
left lower lobe crackles with elevated white count.
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Frontal and lateral chest radiographs. Severe cardiomegaly includes marked dilatation of the left atrium. There is no pulmonary edema, pleural effusion, or pneumothorax. Lungs are clear.
hypertension. evaluation for cardiomegaly.
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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. There are no acute osseous abnormalities.
<unk> year old woman with sinonasal malignancy // h/o head neck cancer, now with cough congestion
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Interval removal of left chest tube. Median sternotomy wires intact and aligned. Unchanged, mild cardiomegaly. Stable, small left pleural effusion with underlying basilar atelectasis. No pneumothorax.
<unk> year old man s/p ct removal // eval for effusion
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The lungs are essentially clear. There is no effusion or edema. Tortuosity of the descending thoracic aorta is noted, particularly on the lateral view. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Median sternotomy wires are intact.
<unk>f with cough, abdominal pain in llq // eval for pna, diverticulitis
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Frontal and lateral radiographs of the chest. The moderate right pleural effusion is unchanged with associated atelectasis. There is interval improvement in pulmonary edema. Stable mildly enlarged cardiac silhouette. No right pleural effusion. No pneumothorax.
leukocytosis evaluate for pneumonia.
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There is crowding of the pulmonary vasculature with mild engorgement, consistent with mild pulmonary congestion. Focal opacity at the lung bases seen on the lateral projection is most likely atelectasis; however, infection cannot be excluded. There is blunting of the costophrenic angles bilaterally likely due to small pleural effusions. The cardiomediastinal silhouette is top normal. Left chest wall pacemaker is seen with lead in the right ventricle. Median sternotomy wires are intact. Osseous structures are unremarkable.
<unk>-year-old male with shortness of breath, question pulmonary edema.
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Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. There is no pleural effusion or pneumothorax. No focal consolidation is seen. Perihilar vascular congestion is noted. Right lung base opacity is present. Partially imaged upper abdomen is unremarkable.
chest pain.
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The lungs are well inflated. There is no consolidation there is no pleural effusion. The heart size is unchanged.. Hypertrophic changes are seen in the dorsal spine. E a pacemaker is seen.
history: <unk>m with cough, sputum // ? pna
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The patient is status post median sternotomy and cabg. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Left basilar atelectasis is seen. There is mild central pulmonary vascular engorgement. The cardiac and mediastinal silhouettes are stable, as are the hilar contours.
multiple coronary artery disease interventions, spence, presenting with chest pain x.
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There is a moderate to severe cardiomegaly without vascular congestion. The lungs, pleura and mediastinal contours are unremarkable.
<unk> year old woman with sob - prior to v/q scan // prior to v/q scan prior to v/q scan
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Right-sided port-a-cath tip terminates at the junction of the svc and right atrium. The cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged. Multiple masses compatible with the metastatic disease are decreased in size and number compared to the previous study. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormalities are detected.
history: <unk>f with clear cell adenocarcinoma with lung metastases presents with acute pleuritic chest pain and vomiting.
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When compared to prior x-ray, there is more conspicuous opacity at the right lung base medially with a more rounded configuration on the frontal views. Increased less well the found surrounding opacity is also noted at the right lung base as well. There is a small right pleural effusion. Biapical scarring is again noted. The left lung is otherwise clear. There is pulmonary vascular congestion without overt edema. Cardiomediastinal silhouette is stable. No acute osseous abnormalities. Right chest wall dual lead pacing device is again noted. Mid thoracic compression deformity is unchanged from prior ct.
<unk>f with doe // chf exacerbation?
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The lungs are fully expanded and clear. The pleural surfaces are normal without pleural effusion or pneumothorax. Heart size, mediastinal contour and hila are normal.
chest pain. assess for pneumonia.
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Normal heart size, mediastinal and hilar contours. Calcification of the aortic arch is noted. Opacity in the left lower lobe could reflect interstitial lung disease or in the appropriate clinical setting pneumonia. No pleural effusion or pneumothorax. Height loss of multiple mid thoracic vertebral bodies is present.
<unk> year old woman with new diagnosis of crest syndrome // please assess for presence of ild?
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable.
history: <unk>f with chest pain // eval for acute process
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Lung volumes are normal and lungs are clear. No pleural effusion, pneumothorax or focal airspace consolidation. Heart is mildly enlarged but unchanged from at least <unk>. No pulmonary edema. Mediastinal and hilar contours are unremarkable. Cervical fusion hardware is partially imaged.
chest pain and shortness of breath. evaluate for pneumonia.
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Ap and lateral chest radiographs were obtained. Lung volumes are low. Elevation of the right hemidiaphragm is unchanged. A large hiatal hernia is again seen. The cardiac and mediastinal contours are stable including widening of the of the upper mediastinum. Cholecystectomy clips project over the right upper quadrant.
altered mental status and shortness of breath.
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Pa and lateral views of the chest provided. Lungs are clear. 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 hiv/hep c with left <unk> toe abscess, painful/swollen right shoulder (?gonorrhea).
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The heart size is normal. The aortic knob is calcified. The mediastinal and hilar contours are otherwise unremarkable. The pulmonary vascularity is not engorged. The lungs are clear. No pleural effusion or pneumothorax is visualized. Mild degenerative changes are seen in the thoracic spine. Partially imaged is orthopedic hardware within the right humeral head.
recent urinary tract infection with chest pain.
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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. There are no acute osseous abnormalities.
<unk>-year-old woman with dyspnea. evaluate for pneumothorax or pneumonia.
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The cardiac silhouette size is normal. The aorta is mildly tortuous but unchanged. Mediastinal and hilar contours are otherwise within normal limits. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities seen.
chest pain.
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Frontal and lateral radiographs of the chest were acquired. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. There is no free air seen under either hemidiaphragm. Suture anchors are noted in the left humeral head.
epigastric pain. evaluate for 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. The vertebral body heights and interspaces appear preserved. No fracture is identified. Cholecystectomy clips project over the right upper quadrant.
schizophrenia status post fall landing on the right side and complaining of 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>m with right rib pain, pain w/ inspiration // ptx? rib fx?
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Cardiac silhouette is moderately enlarged. The aorta is calcified. Patient is status post median sternotomy. Triple lead left-sided pacer device, aicd is stable in position. Pulmonary edema has improved in the interval. Patchy medial right base opacity on the frontal view is not substantiated on the lateral view and may relate to overlap of vascular structures with possible atelectasis. No pleural effusion is seen. There is no pneumothorax.
history: <unk>m with sob // r/o pna
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Pa and lateral chest radiographs demonstrate hyperexpanded lungs and flattening of the diaphragms consistent with emphysema. Lungs are without a focal consolidation convincing for pneumonia. Cardiomediastinal and hilar contours are stable in appearance relative to prior examination. There is no pneumothorax, pleural effusion, or pulmonary edema. Slight asymmetric differences in densities within the hemithoraces thought likely technical. Osseous structures are without an acute abnormality.
<unk>-year-old male with cough and rhonchi.
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As compared to the previous radiograph, there is an increase in extent of the right soft tissue gas accumulation. Today's image shows a <num>-<num> mm apical lateral pneumothorax without evidence of tension. The right chest tube is in unchanged position. Increasing right lateral pleural thickening, minimal right pleural effusion. The mediastinal aspect of the right hemithorax is unchanged. On the left, there is minimally increasing extent of a left hemidiaphragmatic elevation, combined to a small atelectasis. The size of the cardiac silhouette is constant.
status post right thoracotomy, wedge resection in the right lower lobe and right upper lobe, evaluation for interval change.
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, or focal consolidation. No pneumothorax is present.
night sweats and intermittent chest pain.
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In comparison with the study of <unk>, there has been removal of the right chest tube. No definite pneumothorax is appreciated, though a small apical collection of air could be hidden by superimposed ribs on the right. The remainder of the study is essentially unchanged in this patient who has undergone a previous esophagectomy with a pullup procedure.
chest tube removal.
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Pa and lateral views of the chest provided. Cardiomegaly is moderate. Subtle retrocardiac opacity best seen on lateral projection projecting over the lower thoracic spine may reflect a subtle left lower lobe pneumonia. There is no pulmonary edema. No pleural effusion or pneumothorax. Mediastinal contour appears normal. Imaged bony structures appear intact. No free air below the right hemidiaphragm. A focal eventration of the right hemidiaphragm is incidentally noted.
<unk>f with cough // evidence of pneumonia
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Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Patchy retrocardiac and left basilar opacities may reflect atelectasis, but infection is not excluded in the correct clinical setting. No large pleural effusion or pneumothorax is detected. Multiple remote right-sided rib fractures are again noted.
history: <unk>m with infectious workup // infectious workup
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There is no focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Right hilar contour appears prominent, and may reflect lymphadenopathy.
history: <unk>m with hx of hiv who presents with likely sepsis // ? pneumonia, pcp <unk>: chest pa and lateral
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Heart size is mildly enlarged but unchanged. The mediastinal hilar contours are similar. Pulmonary vasculature is normal. Retrocardiac streaky opacity is not substantially changed, likely atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. Lateral pleural thickening versus extrapleural fat is noted bilaterally, unchanged. Mild degenerative changes are noted in the thoracic spine.
history: <unk>m with confusion // evaluate for pneumonia
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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. Mild linear opacity at the right lung base likely represents scarring versus atelectasis. No displaced rib fracture is identified.
<unk>-year- old woman with fall
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Chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar, and cardiac contours. Bilateral low lung volumes causing vascular crowding. Otherwise, lungs are clear. No pleural effusion or pneumothorax evident.
encephalopathy. please evaluate for infectious process.
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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.
evaluate for pneumonia in a patient with chills, leukocytosis, and abdominal pain/ vomiting.
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Lung volumes are low. Heart size is top normal. The mediastinal and hilar contours are within normal limits. There is crowding of the bronchovascular structures. Streaky opacities at lung bases could reflect atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormalities undo present.
intoxication and fever.
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The lungs are hypoinflated with crowding of vasculature. No pleural effusion pneumothorax. Heart size is top normal and accentuated due to low lung volumes. Mediastinal contour and hila are unremarkable. No displaced rib fracture identified.
<unk>f with r rib pain with cough. assess for bronchitis and r rib fx
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Lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. A left chest single lead pacemaker with is in unchanged position.
<unk>m with rle ischemic leg, chest pain, evaluate for acute process.
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Pa and lateral views of the chest provided. Tiny clips are noted in the lower neck. 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 c/o cp and sob with hx thyroid ca
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Bibasilar streaky linear opacities are stable from <unk> and may reflect scarring/atelectasis. There is mild central vascular congestion with possible mild edema. No new focal consolidation, pleural effusion or pneumothorax is seen. The cardiac silhouette is normal, and the mediastinal contours are unchanged. The visualized upper abdomen is unremarkable.
<unk> year female with difficult to control hypertension and chronic kidney disease stage <num> with systolic blood pressures in the <num>s now with upper back pain. please assess for possible mediastinal widening or other acute cardiopulmonary process.
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Right picc tip terminates in the mid svc. Median sternotomy wires and multiple clips in the left upper abdomen are unchanged. Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Minimal patchy opacities are seen within the left mid and lower lung fields, as well as streaky right basilar opacity, findings unchanged from prior, and likely reflective of slowly resolving pneumonia. No new focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>m with anemia
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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. There are no acute osseous abnormalities.
<unk> year old man with cough since last week, low o<num> sat // evaluate for pneumonia
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Pa and lateral chest radiographs are provided. There is no pleural effusion or pneumothorax. Subtle ill-defined opacity is present in the left lower lobe maybe atelectasis but cannot exclude infection. Cardiomediastinal silhouette is normal. Osseous structures are unremarkable.
<unk>-year-old man with fever and cough, rule out pneumonia.
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The lungs are clear of focal consolidation, effusion, or pneumothorax. There is mild cardiac enlargement and tortuosity of the descending thoracic aorta. No displaced fractures seen. Degenerative changes noted at the right glenohumeral joint.
<unk>f with fall // eval for rib fractures
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In comparison with study of <unk>, there is little change in the degree of small right pneumothorax. The patient has taken a slightly better inspiration, with the overall appearance of the heart and lungs essentially unchanged.
right lower lobectomy.
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There is free intra peritoneal air visible under the right hemidiaphragm. This is consistent with patient's known recent laparoscopic intra-abdominal surgery. Multiple median sternotomy wires and mediastinal surgical clips are again seen in stable position. There are low lung volumes are poor inspiratory effort. Allowing for changes due to inspiratory effort differences, the cardiomediastinal silhouette is unchanged. The bilateral hila are normal. There is an increase in retrocardiac radiodensity, which likely represents left basilar atelectasis, however, in the appropriate clinical setting, pneumonia or sequela of aspiration are also considerations. There is likely right basilar atelectasis. There probably are minimal bilateral pleural effusions. There is no evidence of pulmonary vascular congestion or pulmonary edema. There are no pneumothoraces. .
<unk> year old man with esrd // sob, minor o<num> demand
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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 dyspnea. please evaluate.
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Pa and lateral views of the chest. The lungs remain clear. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with cough.
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The heart size remains mildly enlarged. Mediastinal and hilar contours are unchanged with calcification of the aortic knob is again noted. There is minimal bibasilar atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No pulmonary vascular congestion is visualized. Anterior osteophytes are noted within the thoracic spine.
dyspnea since last night.
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Lungs are fully expanded and clear. No pleural abnormalities. Severe cardiomegaly is unchanged. No pulmonary vascular congestion or edema. Cardiomediastinal and hilar silhouettes are normal.
<unk> year old man with sob, decreased bs on lt; pls call dr <unk> with wet <unk> pager <unk> // ? fluid
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Cardiac, mediastinal and hilar contours are normal. The lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history of viral myocarditis with chest pain.
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Well-expanded lungs are clear. There are no pleural effusions or pneumothorax. The cardiomediastinal and hilar contours demonstrate stable severe cardiomegaly. Since the prior examination, there has been interval placement of a single lead aicd in standard position with tip terminating within the right ventricle. The pulmonary vascularity is not increased.
<unk>-year-old female with single chamber icd. evaluate lead position.
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There is left lower lobe atelectasis. No focal consolidation, pleural effusion or pneumothorax. The patient is status post cabg with mediastinal clips and sternal wires. An aicd is unchanged in position. Mild cardiomegaly is stable since <unk>.
<unk>-year-old man with cough fevers and fall with head strike. evaluate for pneumonia.
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Mild to moderate cardiomegaly persists. The mediastinal and hilar contours are unchanged. There is no pulmonary edema. Small left pleural effusion with left basilar opacity likely reflective of atelectasis is demonstrated, but infection is not excluded in the correct clinical setting. No right-sided pleural effusion is seen. There is no pneumothorax. No acute osseous abnormalities are present.
lethargy, anorexia, dry cough.
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Pa and lateral views of the chest were provided. There has been interval extubation and removal of the ng tube. There are tiny bilateral pleural effusions. The lungs are clear without signs of consolidation. Cardiomediastinal silhouette appears grossly unremarkable. The imaged bony structures appear intact. Surgical drain is partially imaged in the upper abdomen. No free air below the right hemidiaphragm.
<unk>m s/p whipple surgery on <unk>, with fevers.
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There is a left lower lobe airspace opacity partially obscuring the left hemidiaphragm concerning for pneumonia or sequelae of aspiration in the appropriate clinical setting. Otherwise, the lungs are clear. The cardiomediastinal silhouette is stable and within normal limits. The hila are unremarkable. There is no pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or sizable right pleural effusion. Difficult to exclude a trace left pleural effusion. Multilevel thoracic vertebral body wedge deformities with kyphosis is unchanged since at least <unk>.
<unk>-year-old female with cough, fever, evaluate for pneumonia.
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The cardiomediastinal silhouette is normal. The lungs are clear without focal consolidations, pleural effusion, or pneumothorax. The hila and pleura are unremarkable. There are surgical clips located in the left upper quadrant that are unchanged in position from previous studies. There is moderate to severe thoracic scoliosis which distorts the mediastinal anatomy. Right chest central venous access port catheter tip terminates in the right atrium.
<unk> year old man with hx of lymphoma. febrile neutropenia. please r/o pna. // <unk> year old man with hx of lymphoma. febrile neutropenia. please r/o pna.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are slightly low in volume but clear without focal consolidation concerning for pneumonia. Pulmonary vascularity is within normal limits. The upper abdomen is unremarkable. No acute osseous abnormality is detected.
<unk>m with acute chest pain // acute thoracic process
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The lungs are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with tachycardia // acute cardiopulmonary
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There has been a slight interval increase in interstitial opacities involving the lower lobes. Upper lobe scarring with superior retraction of the hila are similar to prior. No new focal consolidation, pleural effusion, pneumothorax. The heart size and cardiomediastinal contours are stable.
<unk>f with chest pain // ?pna
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Bilateral lung opacities have completely resolved. Right upper lobe lobectomy with radiation changes and juxtaphrenic peak sign are unchanged. Mediastinal and cardiac contours are stable. Bilateral humeral prostheses. Left-sided picc line ends in axillary region.
patient with chf, asthma, ckd, tracheobronchomalacia, history tracheal cancer, recently in icu for pulmonary edema, followup.
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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 <num>d sob, substernal cp with pleuritic component, fever
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Pa and lateral chest views have been obtained with patient in upright position. Comparison is made with the next preceding chest examination of <unk>. The on previous examination identified patchy infiltrates in the right lower lobe posterior segment have cleared up and the lungs are now unremarkable without evidence of remaining parenchymal infiltrates, pleural effusions or vascular congestion. The chest findings are now very similar to that obtained on <unk> in which they also were deemed to be within normal limits.
<unk>-year-old male patient with recent pneumonia, status post antibiotic treatment ending on <unk>. assess for resolution of infiltrate.