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In comparison with the study of <unk>, the pulmonary edema has decreased, though there is still evidence of engorgement of pulmonary vessels. Central catheter remains in place. Diffuse chronic interstitial disease is again seen.
lymphoproliferative disorder with productive cough.
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Interval improvement of the diffuse reticular opacities. No acute focal consolidation. The cardiomediastinal silhouette is not enlarged. No pleural effusions or pneumothorax.
<unk> year old man with hiv (cd<num> <num>), possible pcp pneumonia, <unk> chest pain // evaluate pleuritic chest pain
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Right-sided picc terminates in the mid to lower svc without evidence of pneumothorax.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with reported picc in rue // eval picc
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Lungs are well-expanded and clear. Cardiac size is normal. Tortuous thoracic aorta. Hilar and pleural contours are unremarkable. No pneumothorax.
history: <unk>f with ili and cough // r/o pneumonia
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The lungs are poorly inflated. There has been significant interval improvement of interstitial markings and hilar prominence compared with prior exam. A left-sided pleural effusion, better seen in the lateral view, appears significantly improved compared with prior exam. There is no pneumothorax. The cardiomediastinal and hilar contours are unremarkable with the exception of mild aortic tortuosity as well as stable moderate cardiomegaly. Sternotomy wires are intact. Post cabg ring markers and pacer leads are noted.
<unk>-year-old male with previous chest x-ray concerning for trali, now clinically stable. evaluate for interval progression.
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<num> views were obtained of the chest. Thin sliver of intraperitoneal air under the right hemidiaphragm is consistent with recent surgery. The lungs are otherwise clear without pleural effusion or pneumothorax. Linear right basilar atelectasis is noted. The heart is normal in size with normal mediastinal and hilar contours. Dextroscoliosis noted.
abdominal pain after surgery, assess for abnormality.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. The lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
shortness of breath and cough.
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The cardiomediastinal silhouettes are stable and within normal limits. The bilateral hila are unremarkable. There is no pulmonary vascular congestion. Subtle diffuse mild interstitial prominence may reflect some component of underlying mild chronic interstitial lung disease, however this is unchanged in appearance since <unk>. There is no focal lung consolidation. There is no pneumothorax or pleural effusion.
<unk>-year-old man with weakness, evaluate for pneumonia.
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Ap and lateral views of the chest. The lungs are clear without consolidation, effusion, or pulmonary vascular congestion. Cardiomediastinal silhouette is unchanged. Degenerative change is seen at the shoulders. No acute osseous abnormality detected.
<unk>-year-old male with leukocytosis and poor ambulation.
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In comparison with study of <unk>, there is little change. Again there is no evidence of acute focal pneumonia, vascular congestion, or pleural effusion in this patient with previous cardiac surgery and intact midline sternal wires.
cough with left lower lobe dullness.
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<num> views of the chest were obtained. The lungs are lower in volume compared to the previous examination with increased bibasilar predominantly linear opacities consistent with atelectasis. No definite effusion is seen although trace left effusion would be difficult to entirely exclude. There is no pneumothorax. Heart is top-normal in size with normal mediastinal contours.
cough and chest pain.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with dyspnea, equivocal lul findings <unk> // r/o pneumonia
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In comparison with the study of <unk>, there is increasing right pleural effusion with extension into the minor fissure. This is associated with substantial volume loss in the right lower lung. There is some vague increase in opacification in the left lower zone. Although this is not definitely appreciated on the frontal view, in the appropriate clinical setting, this could represent an area of consolidation.
cirrhosis and hcc with effusion.
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Cardiac, mediastinal and hilar contours are normal. No focal consolidation, pleural effusion or pneumothorax is present. The pulmonary vasculature is not engorged. There is minimal subsegmental atelectasis in the lung bases. No acute osseous abnormalities demonstrated.
history: <unk>f with chest pain
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The patient is status post median sternotomy. A left chest wall aicd device is demonstrated with leads terminating in the right atrium and right ventricle, as before. An abandoned lead is the identified over the right superior hemi thorax unchanged in position. The cardiac silhouette is mildly enlarged but stable in size from <unk>. The pulmonary vasculature is prominent however there is no evidence pulmonary edema. Lung volumes are low. There is slightly increased opacity at the base of the left lung which may represent atelectasis or infection in the appropriate clinical setting. There is no pleural effusion or pneumothorax.
<unk>m w/chest pain // <unk>m w/chest pain
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Pa and lateral chest radiographs demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion, pneumothorax, or evidence of pulmonary edema. Imaged upper abdomen demonstrates no air under the right hemidiaphragm.
<unk>f with cough,r shoulder pain // pna? r shoulder fx/dx?
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Lungs: the lungs are well inflated. Minimal patchy density seen in the right base. The right hilus in suprahilar region is not well delineated and there is increased density when compared to the previous study. Pleura: no pleural effusion is seen. Heart: the heart is not enlarged. Mediastinum and hila: there is no mediastinal mass. Osseous structures: the osseous structures are normal for age. Other findings: none
history: <unk>f with sob, cough // ? pneumonia
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Ap and lateral views of the chest are compared to previous exam from <unk> and chest ct from <unk>. Expected post-operative changes of left pneumonectomy are seen. The right lung remains clear. There is no effusion. Osseous and soft tissue structures are unchanged.
<unk>-year-old female with cough productive of sputum and malaise for <num> weeks, now with nausea and vomiting. question pneumonia. additional history from medical record is history of lung cancer and left pneumonectomy.
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Frontal and lateral views of the chest were obtained. The catheter of a right chest wall port terminates in the low svc. The heart size and cardiomediastinal contours are normal. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old male with right upper extremity swelling.
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Lungs are hyperexpanded. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. There are increased opacities at bilateral lung apices with pleural thickening, compared to <unk>.
<unk> year old woman with post breast xrt cop on slow pred taper // assess for any flare in opacities
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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>m with chest pain status post fall with anterior chest trauma
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded. Small focal opacity in the right lower lobe is new since the prior study. Pulmonary vasculature is within normal limits.
history: <unk>m with leukocytosis // eval for pneumonia
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There has been interval placement of a right sided port with distal tip projecting over the superior svc, and a right-sided picc line has been removed. There is again visualized a torturous thoracic aorta without significant interval change. There is no cardiomegaly. The bilateral hila are within normal limits. There is left lower lobe platelike atelectasis. There are no other focal consolidations. There is no evidence of pulmonary vascular congestion. There are no pneumothoraces or effusions.
<unk> year old man with metastatic colon cancer now with fever and cough // please evaluate for pneumonia
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Left inferior lateral pleural thickening and scarring are unchanged. Streaky opacities in the lung bases likely reflect atelectasis. No new focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
<unk>'s disease with increased seizure activity.
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A left picc is present with the tip in the mid svc. The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
recent history of pituitary surgery. presenting with syncope and leukocytosis.
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.
history: <unk>m with dizziness // eval for infiltrate
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Median sternotomy wires appear intact. Again noted is chronic elevation of the left hemidiaphragm with no evidence of a hernia. The lungs are clear. The cardiac and mediastinal silhouettes are stable. No acute fractures are identified.
reflux symptoms with worsening chest pain.
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There is atelectasis versus early infiltrate at the left lung base. Apparent opacification of the left apex is likely due to overlapping structures as there was a similar appearance on the prior radiograph performed <unk>, with no subsequent apical parenchymal abnormalities seen on the subsequent ct dated <unk>. Heart size remains mildly enlarged. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities identified. No subdiaphragmatic free air.
<unk>-year-old male with a history of end-stage renal disease on hemodialysis, presenting for evaluation of hypotension during hemodialysis yesterday. afebrile.
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Pa and lateral views of the chest were obtained. Heart is normal size, and cardiomediastinal silhouette is unremarkable. Lung volumes are low limiting assessment for edema. There is no focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old man with shortness of breath after exposure, evaluate for pulmonary edema.
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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>m with new headache, left sided ptosis. // please evaluate for intrathoracic cause for horner's syndrome
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The lung volumes are low. This accentuates the cardiac silhouette size which is top normal. Mediastinal and hilar contours are unremarkable. There is no pulmonary vascular congestion. Mild crowding of the bronchovascular structures is noted. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Partially imaged are distended loops of bowel within the upper abdomen.
history of roux-en-y gastric bypass, large ventral hernia with abdominal pain, nausea, vomiting.
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Redemonstrated is a small, left apical pneumothorax, minimally increased in size from the prior examination and likely secondary to increased inspiration. The cardiomediastinal silhouette is unchanged in appearance. Calcifications are noted within the aortic arch. The right hemidiaphragm is elevated and demonstrates sub-diaphragmatic lucency likely secondary to colonic interposition, stable from the prior exam. Bibasilar atelectasis is noted. The upper lungs are grossly clear.
history: <unk>m with ptx, rib fx // eval ptx change with end exp film
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Ap upright and lateral views the chest. Lung volumes are low limiting assessment. There is bronchovascular crowding which limits evaluation for a subtle acute process though allowing for this, there is no convincing evidence for pneumonia, edema, effusion or pneumothorax. Mild hilar congestion difficult to exclude in the correct clinical setting. Cardiomediastinal silhouette is stable. Bony structures are intact.
<unk>f w/ams, please eval for occult pna
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Heart size is normal. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is not engorged. <num> mm nodular opacity projecting over the left lung base was not clearly seen on the prior examination. Apart from atelectasis in the lung bases, the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are mild degenerative changes noted in the thoracic spine.
history: <unk>f with confusion, lethargy
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There is no evidence of pneumothorax. In comparison with the study of <unk>, there is again some hyperexpansion of the lungs.
biopsy with traversing of needle through the right costophrenic angle, to assess for pneumothorax.
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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 l arm pain.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>m with sob // eval pneumonia
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Patient positioning and slight rotation limits evaluation. The upper trachea is deviated toward the right with fullness of the left superior mediastinum compatible with known goiter. Low lung volumes are present. The heart is moderately enlarged but appears relatively unchanged compared to the prior exam. The aorta is tortuous and calcified. There is crowding of the bronchovascular structures, but no overt pulmonary edema is identified. A clip denoting the previously ablated lesion projects over the left upper lung field with associated linear scarring. There is likely minimal bibasilar atelectasis. No focal consolidation, pleural effusion or pneumothorax is detected. Numerous left-sided rib deformities are again noted.
shortness of breath and chest pain. history of radiofrequency ablation for left upper lobe lesion.
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Compared to prior study, there is new mild to moderate interstitial edema. Tiny bilateral pleural effusions are noted. Cardiomediastinal and hilar contours are normal. No pneumothorax.
shortness of breath.
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Right-sided pacemaker device is noted with lead terminating in the right ventricle. Heart size remains moderately enlarged. The mediastinal and hilar contours are unchanged with tortuosity of the thoracic aorta again noted. Pulmonary vasculature is not engorged. Scarring within the right lung base is re- demonstrated with a right juxtaphrenic peak noted indicative of mild volume loss. Previously demonstrated ground-glass opacities within the left lung, most pronounced in the left upper lobe, as well as multiple pulmonary nodules are better assessed on the prior ct. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with fever/chills
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Ap and lateral views of the chest. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. The cardiac silhouette is enlarged but stable. Atherosclerotic calcifications again noted at the arch. Mitral annular calcifications are also noted. No acute osseous abnormalities detected.
<unk>-year-old female with chest pain and lightheadedness.
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Ap and lateral images of the chest. The lung volumes are low, similar to prior exam. Chronic pulmonary vascular congestion is seen. No focal consolidation or mass is seen. A small left pleural effusion is suspected. There is no right pleural effusion. No pneumothorax is seen. The cardiomediastinal silhouette is mild to moderately enlarged, unchanged from prior exam.
abdominal pain and vague right chest pain with ekg changes in v<num>, concerning for effusion.
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Ap upright and lateral radiographs of the chest reveals moderate-to-severe cardiomegaly, more pronounced than on the prior study. There is moderate pulmonary edema, without pleural effusion. There is no pneumothorax. An implantable cardiac pacemaker has appropriately placed, intact leads.
<unk>-year-old woman with shortness of breath.
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The lungs are normally expanded and clear. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.
history: <unk>m with chest pain // eval for cardiopulmonary process
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Pa and lateral chest radiographs. The patient is rotated to the right. There is an inferior approach hemodialysis catheter terminating in the right atrium. The lungs are clear. There is no pleural effusion or pneumothorax. There may be mild pulmonary vascular engorgement, but no interstitial edema. The cardiomediastinal silhouette is stable.
history: <unk>m with fever // eval for pneumonia
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Pa and lateral views of the chest are obtained. The previously identified calcified granulomas in the right lower lobe and left upper lobe are again seen, along with calcified bilateral hilar lymph nodes. These findings are unchanged since the prior study. There is no evidence of focal consolidation, pleural effusion or pulmonary edema. There is no pneumothorax. The cardiac size is normal.
<unk>-year-old female with cough. prior x-ray in <unk> with granulomas and scar. also has high esr.
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Pa and lateral views of the chest. The lungs are clear without confluent consolidation. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
<unk>-year-old male with chest pain.
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There is slightly decreased conspicuity of a small opacity at the right lateral lung base as compared with the prior exam performed on <unk>. There may be a small right pleural effusion. Again seen are bibasilar bronchiectatic changes and slight elevation of the left hemidiaphragm. Lungs appear hyperinflated. The left upper extremity picc has been removed over the interval. The cardiomediastinal silhouette is unchanged. No pneumothorax.
<unk>f with esrd s/p transplant with cough and hypotension
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Heart is upper limits of normal in size in the aorta is mildly tortuous. Lungs are clear except for subsegmental atelectasis in the mid and lower lungs. There are no pleural effusions.
<unk> year old woman s/p <unk>'s,ostomy reversal, new onset of cough // compare to prior x-ray
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Mild prominence of the right hilum is grossly stable.
history: <unk>f with <num>days of non-productive cough and pna exposure ?rll focal findings // r/o pna
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Both lungs are well expanded and clear. There are no lung opacities concerning for pneumonia or pulmonary edema. The heart size is normal. The thoracic aorta is tortuous and shows mild-to-moderate calcification. The hilar contours are unremarkable. The right lateral and posterior costophrenic angle is blunted, unchanged since <unk> and could be effusion or chronic pleural thickening. The left pleural space is normal.
<unk>-year-old man with cough, to look for the cause.
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Frontal and lateral radiographs of the chest demonstrate normal heart size. The cardiomediastinal silhouette and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax. No displaced rib fracture identified. No subdiaphragmatic free air is identified.
status post roux-en-y bypass. question free air
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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are again noted. Persistent right middle and lower lobe atelectasis appears slightly improved from prior with persistent though decreased right pleural effusion. Mild left basal atelectasis noted without pleural effusion. Heart size appears grossly unchanged. Mediastinal contour is normal. Bony structures are intact.
mr. <unk> is a <unk>m with history of hcv (gt<num>b sof+rbv w/svr) cirrhosis c/b recurrent ascites (s/p large volume paracentesis <unk>l), hepatic hydrothorax, he, varices s/p banding, hypertensive gastropathy (last egd <unk>), recurrent hcc s/p tace x<num> and rfa x<num> who presents with dyspnea, fatigue, and coffee ground emesis since last night.
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The cardiomediastinal silhouette is enlarged. The aorta also appears significantly enlarged at the arch. There is mild lobulation of the pleura, suggestive of possible pleural plaques. The lungs are otherwise clear with no evidence of consolidation, effusion, or pneumothorax. No acute fractures are identified.
evaluation of patient status post trauma.
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal mediastinal contours. Lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. No radiopaque foreign body. Pulmonary vascular markings are normal.
<unk>-year-old female with tb exposure.
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The cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
cough.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
history: <unk>m with left thumb and radial hand pain status post motor vehicle collision, right lumbar pain and possible free fluid on fast in right upper quadrant
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Elevation of the left hemidiaphragm with right sided mediastinal shift is unchanged. There is no focal consolidation. There is no pneumothorax. There is blunting of the costophrenic angle which likely represents a small effusion.
<unk>-year-old woman with anterior chest pain, evaluate for pneumonia
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Compared to prior study there is no significant interval change. There is no focal infiltrate or effusion.
fever.
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The heart size, mediastinal, and hilar contours are normal. The aortic knob is calcified, and coronary artery stents and calcifications are noted. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.there are unchanged degenerative changes of the thoracic spine.
<unk>m with sob. evaluate for pneumonia.
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The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Linear foci of gas along the right chest wall is presumably within skin folds.
<unk> year old woman with dyspnea, chest heaviness // rule out pneumonia, pulmonary congestion, acute cardiopulmonary changes
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The lateral view is limited by motion artifact. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.
history: <unk>f with syncope // pna?
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The lungs are relatively well expanded. Linear platelike atelectasis is present in the right lower lung. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia. The cardiomediastinal silhouette is unremarkable.
<unk>f with abdominal pain, jaundice // pneumonia?
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There is no significant change since <unk>. Mildly enlarged heart size is accompanied by upper zone vascular redistribution but no evidence of pulmonary edema. Mediastinal and hilar contours are unchanged from prior. There is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax.
<unk> year old man with history of mi now with progressive sob.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable, with the cardiac silhouette mildly to moderately enlarged. Patient is status post median sternotomy..
history: <unk>f with thoracic back pain. pls eval for pna, ptx // thoracic back pain. pls eval for pna, ptx
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In comparison with study of <unk>, there has been essentially complete clearing of the bilateral pulmonary opacifications. The time course suggests that this reflected elevated pulmonary venous pressure. No acute pneumonia at this time.
pulmonary edema versus pneumonia.
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Pa and lateral views of the chest provided. There is persistent multifocal parenchymal opacities, similar in appearance and distribution compared to prior study. Within the limitations of the patient's complex baseline abnormalities, there are no new focal opacities. Heart size is normal. There are no pleural effusions.
<unk> year old woman with history of aplastic anemia, cryptogenic organizing pneumonia, nocardia s/p allo on immunosuppression with <num> week of cough.
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. The hilar and pleural contours are normal with no evidence of pleural effusion. There is no pneumothorax or pulmonary edema. No focal consolidation is identified within the lungs.
<unk>-year-old female with increasing weakness and light-headedness.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. Aortic arch calcification is seen.
history: <unk>f with weakness // eval for infection
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Exam is limited as patient's right upper extremity overlies the superior and lateral aspect of the right hemi thorax on the frontal view and the arms are down by her side on the lateral view. Where visualized, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with altered ms // r/o acute process
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Lingular consolidation is worrisome for pneumonia. No pleural effusion or pneumothorax is seen. The heart is normal in size. The mediastinum is normal in width.
history: <unk>f with c/o fever and cough // ? pna
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Lungs are well-expanded and clear, with minimal atelectasis in the right lung base. There is mild cardiomegaly. The mediastinal hilar contours are unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation.
history: <unk>f with cough, ili // pneumonia?
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The newly placed left pacemaker defibrillator has <num> tip in the right atrium the other in the expected region of right ventricle. A right ij catheter tip projects over the expected region of the proximal right atrium, unchanged. Lung volumes remain low. A large right pleural effusion with compressive atelectasis has slightly increased in the interim. Left pleural effusion with compressive atelectasis appears to increased in the interim. There may be a tiny right apical pneumothorax. No evidence of tension. Cardiomegaly, unchanged.
<unk> year old man s/p dual chamber icd. // assess lead placement and r/o ptx.
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As compared to the previous radiograph, there is unchanged evidence of multiple rib fractures and rib defects. Bilateral pleural effusions in the interlobar fissures. Moderate cardiomegaly persists. Pleural thickening on the right of unchanged extent. No pneumothorax. No new parenchymal opacities.
status post thoracotomy, evaluation for pneumothoraces.
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There is new opacity at the left base which appears to localize to the inferior lingula consistent with devloping infection. No pneumothorax or pleural effusion is seen. The heart size is within normal limits.
cough and wheeze.
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes are noted in the spine without acute osseous abnormality.
<unk>m with fever // r/o pna
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and moderately well-aerated lungs. There are persistent but improved left lower lobe opacities, consistent with evolution of known pneumonia. No new focal consolidation is identified. There is no appreciable effusion or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for worsening pneumonia in a patient with chest pain and cough.
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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.
<unk>-year-old woman with chest pain, rule out pneumonia.
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There is a displaced left posterolateral eighth rib fracture, as well as a question of a left-sided ninth rib nondisplaced fracture. Adjacent to the left eighth rib fracture, there is an extrapleural lentiform opacity likely representing hematoma. Additionally, there is suggestion of minimal left-sided effusion with left intrafissural fluid, potentially representing minimal hemothorax. There is left lingular atelectasis which obscures the left heart border. There is no evidence of pneumothorax. It is recommended to obtain dedicated rib films of the bony thorax for further evaluation. If pathologic fracture is suspected, it would be recommended to obtain ct of the chest. There is a rightward rotation of the patient. This, as well as opacification obscuring the left heart border, limits evaluation of cardiac silhouette. The mediastinal silhouette is within normal limits. The bilateral hila appear normal.
<unk> year old man with <unk> weeks cough and left lateral pleuritic chest pain, some dyspnea with exertion, ecg is not diagnostic // evaluate for atelectasis, bony abnormalities, evidence of lung infarction, etc.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Right-sided pleural effusion has resolved. Lungs are clear. Pleural surfaces are clear without large effusion or pneumothorax.
history of cirrhosis with confusion and ataxia.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Small anterior osteophytes are noted along the thoracic spine.
shortness of breath.
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Heart size is mildly enlarged, unchanged. Mediastinal contour similar with tortuosity of the thoracic aorta again noted. Perihilar haziness with vascular indistinctness and increased interstitial opacities are compatible with moderate interstitial pulmonary edema, worse in the interval. Small bilateral pleural effusions persist, not substantially changed. More focal patchy opacities in the lung bases may reflect areas of infection or aspiration. No pneumothorax is present. Degenerative changes are noted within both acromioclavicular joints as well as within the thoracic spine.
history: <unk>m with lethargy, hypoxia, low grade fever // pneumonia?
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Focal deformities are identified posterior right ninth and tenth ribs likely reflecting old healing fractures. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
history: <unk>m with right back pain // possible pna?
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The patient is rotated somewhat to the left. The cardiac silhouette remains mild to moderately enlarged. There is slight increase in central pulmonary vascular prominence suggesting mild pulmonary vascular congestion. There may be slight prominence of the main pulmonary artery which can be seen with underlying pulmonary hypertension. No pneumothorax is seen. The lungs remain relatively hyperinflated, consistent with copd. No discrete focal consolidation is seen to suggest lobar pneumonia. There is slight blunting of the costophrenic angles, also present on the prior study, without large pleural effusion seen.
<unk>f w/history of copd, presenting with fatigue and cough, please eval for pna // <unk>f w/history of copd, presenting with fatigue and cough, please eval for pna
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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax
<unk>m with fever
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. Bilateral pleural effusions are seen, possibly loculated on the right. There is bibasilar compressive atelectasis. Focal consolidation is not entirely excluded.
history: <unk>f with breast cancer, dyspnea, effusion // please evaluate for effusion
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In comparison with study of <unk>, there is again enlargement of the cardiac silhouette as well as hyperexpansion of the lungs consistent with chronic pulmonary disease. Mild blunting of the right costophrenic angle persists. No evidence of acute focal pneumonia or vascular congestion.
severe copd, now with cough and fever.
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Since <unk>, right moderate pleural effusion is increased and left small to moderate pleural effusion is unchanged. No pneumothorax or pulmonary edema. Cardiac size is normal.
<unk> year old woman with pleural effusion // eval
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Cardiomediastinal contours are unchanged. Small left effusion with adjacent atelectasis have minimally increased. Otherwise the lungs are clear. There is no pneumothorax or right pleural effusion. Elevation of the left hemidiaphragm is a stable. Vertebroplasties are partially imaged.
<unk> year old man with anemia from ? gib, recent nstemi, now with physical exam findings suggestive of volume overload // ? chf
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A small left pleural effusion is new. There is no focal consolidation, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk>m with llq pain and tenderness, lethargy, evaluate for acute process.
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Heart size is top normal. Mediastinal and hilar contours unremarkable. There is no pleural effusion or pneumothorax. Lungs are well-expanded and clear without focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits.
<unk>m with new onset atrial fibrillation and shortness of breath.
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Pa and lateral views of the chest provided. Lungs are hyperinflated and clear without evidence of pneumonia edema 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 discomfort congestion // ? pna
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Pa and lateral radiograph of the chest demonstrates marked reduction in size in the layering, large left pleural effusion, with stability in the mid lung field loculated portion. Overall, the appearance is similar to the radiograph from <unk> prior to exacerbation of this effusion. The opacity overlying the right lower lobe, representing a chest wall mass seen on the <unk> ct, is unchanged. The hilar and cardiomediastinal contours are unchanged. There is no pneumothorax or pulmonary edema. Multiple surgical clips are seen once again in the thorax. The right port-a-cath is appropriately positioned.
worsening shortness of breath and cough in a patient with metastatic ovarian carcinoma and e. coli bacteremia.
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Lung volumes are within normal limits. The trachea is central. The cardiomediastinal contour is normal. The heart is not enlarged. No blunting of the costophrenic angles to suggest a pleural effusion. No pneumothorax or consolidation seen. The visualized bony structures are unremarkable in appearance.
history: <unk>m with nausea/fever. // ?infection
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In comparison to <unk> chest radiograph, the previously seen small left apical pneumothorax and left lower lung atelectasis have resolved. Blunt left costophrenic angle may represent small left pleural effusion versus pleural thickening. The cardiomediastinal and hilar contour are normal.
<unk> year old woman s/p left thoracotomy and sleeve lower lobectomy // check interval change
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The heart is normal in size, and there is a dual lead pacemaker with leads in appropriate position. Suture material is noted along the right mid lung. Lungs are clear of focal consolidation or overt pulmonary edema. There is likely a small left pleural effusion, and bibasilar atelectasis is noted.
<unk>-year-old female with weakness. evaluate for pneumonia.
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As compared to the previous radiograph, there is no relevant change. The extent of the known left pneumothorax is constant. However, there is again flattening of the left hemidiaphragm, potentially caused by tension. No other changes are noted. At the time of dictation and observation, <time> a.m., on <unk>, the referring physician, <unk>. <unk>, was paged for notification.
recurrent pneumothorax, evaluation for interval change.
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Since the prior exam, the medial right base appears slightly more opacified, which is likely due to <unk>combination of superimposed vasculature, prominent mediastinal fat in this region, and lower lung volumes. There is no abnormality in the right middle lobe on the lateral radiograph to suggest this is <unk>pneumonia. There is no edema, pleural effusion, or pneumothorax. The mediastinal contours are normal. The heart is mildly enlarged, and unchanged. Old left-sided rib fractures are again noted.
productive cough. evaluate for pneumonia.
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Heart size is normal with mild tortuosity of the thoracic aorta. Hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. No definite fracture is identified. A fluid level is identified in the upper portion of a dilated esophagus.
chest pain.
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Sternotomy wires are intact and the mitral and tricuspid prosthetic valves are unchanged. The cardiomediastinal and hilar contours are stable. The lungs are clear. Small bilateral pleural effusions with minimal associated atelectasis are present.
<unk>-year-old female with new onset dizziness and ekg changes at outside hospital.