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Opacity in the right lower lobe obscures the spine on lateral view and right heart border on frontal view. Lung volumes are low. There is no pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
history: <unk>m with r sided chest wall pain // ? acute cardiopulm process
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal in size. Mediastinal contours are unremarkable. No pulmonary edema is seen. What appear to be chain sutures are seen overlying the medial left lung apex. Anchor screws are partially imaged overlying the right humeral head.
history: <unk>f with confusion // consolidation
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Partial clearing of retrocardiac opacity with minimal residual opacity remaining. Stable tortuous aorta with mildly enlarged heart and moderate scoliosis. No new focal opacity, pleural effusion, pneumothorax or pulmonary edema. Mediastinal contour and hila appear normal. No additional bony abnormality.
male with history of ischemic/nonischemic cardiomyopathy and copd. assess for retrocardiac density on previous radiograph.
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
history: <unk>m with cough
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Subtle haziness projecting over the mid to lower lung field bilaterally is felt most likely due to overlying soft tissue. There are increased interstitial markings bilaterally which may be due to chronic lung disease or mild interstitial edema. Streaky and bilateral lower lobe atelectasis is seen. No definite focal consolidation is identified. There is no pleural effusion or pneumothorax. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable.
history: <unk>f with sob, tachycardfia // pna?
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The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
cough, high fever. rule out pneumonia.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>f with syncope // cardiomegaly?
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear.
left chest pain for two days.
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The lung volumes are low, which results in crowding of the bronchovascular structures. There is no pleural effusion or pneumothorax. There is prominence of the central vasculature without evidence for overt pulmonary edema. The mediastinal and hilar contours are unchanged, with a tortuous thoracic aorta. The heart size is mildly enlarged.
right-sided chest pain, evaluate for pneumonia or acute process.
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There is no evidence of pneumonia. The lungs are clear. Mediastinal and cardiac contours are normal. There is no pneumothorax or pleural effusion. Three clips are projecting in left mid hemithorax which are not seen on lateral view. This could be in the soft tissue.
asthma, productive cough, shortness of breath, rule out pneumonia.
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In comparison with study of <unk>, there is little overall change. Again there is enlargement of the cardiac silhouette with aortic stent. Minimal atelectatic changes at the bases. Specifically, the pulmonary vascularity is essentially within normal limits.
postoperative shortness of breath, to assess for pulmonary overload.
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There is a moderately displaced mid sternal fracture with posterior displacement of the inferior fracture fragment. There is no pneumothorax or pleural effusion. No displaced rib fracture is seen. There is no focal consolidation or pulmonary edema. The cardiomediastinal silhouette is normal.
<unk>m w/sternal pain after cpr, evaluate for sternal fracture.
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Cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is not engorged. Curvilinear opacity is in the right lung base likely reflects an area of subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is seen. There is no subdiaphragmatic free air.
history: <unk>m with pod <num> inguinal hernia repair, fever, vomiting, abdominal pain, cough
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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. The cardiac silhouette is mildly enlarged. Evidence of a hiatal hernia is seen.
history: <unk>m with cp // eval for pna, cardiomeg, effusion, ptx
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. An opacity in the left lower lobe suggests pneumonia. There is also potentially medial right lower lobe opacity.
cough. question infection.
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Heart size is at the upper limits of normal, but not frankly enlarged. The mediastinal and hilar contours are within normal limits. Probable minimal bibasilar atelectasis. However, no focal infiltrate is identified. No chf or effusion. No pneumothorax detected. .
history: <unk>f with recent influenza injection w/ uri sxs and new ischemic changes on ekg // eval ? cardiomegaly, edema
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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. The lungs are fully expanded without focal consolidation. Views of the upper abdomen are unremarkable. Vascular treatment coils within the upper abdomen are again noted. An <num> x <num> mm irregular opacity projecting over the right first rib anteriorly is sclerosis of the costal sternal as documented by the chest cta performed subsequently, available the time of this final review.
<unk>m with chest pain and cough, evaluate for pneumonia..
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The patient is status post sternotomy and coronary artery bypass graft surgery. A single lead pacemaker device is present as well as a central venous catheter which is somewhat difficult to follow but probably unchanged, apparently terminating at the cavoatrial junction. There is no definite pleural effusion or pneumothorax. The lungs appear unchanged aside from patchy atelectasis associated with a prominent right-sided cardiac fat pad as well as streaky lingular atelectasis.
shortness of breath and fever.
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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute fractures identified.
evaluation of patient with fevers and chest pain.
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Frontal and lateral radiographs of the chest were acquired. There are new patchy opacities in the right lower lobe, streaky in nature and probably due to minor atelectasis, although not completely specific. The lungs are otherwise clear. The heart size is top normal. The mediastinal contours are normal. There are no pleural effusions. Minimal biapical pleural thickening is noted, unchanged. There is no pneumothorax.
chest pain. evaluate for fluid overload or mediastinal widening.
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Pa and lateral views of chest. The lungs are clear aside from a small nodular opacity seen best on the lateral view at the costophrenic angle. Cardiac silhouette is normal in size. There is no pleural effusion, pneumothorax or pulmonary edema. The hilar contours are normal. Clips are noted in the right upper quadrant. The trachea is again mildly deviated to the left at the thoracic inlet, but this was also present on the prior ct in <unk> without associated mass lesion.
chest pain
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Pa and lateral chest radiographs demonstrate clear lungs bilaterally. There is no focal opacity concerning for pneumonia. The cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Visualized osseous structures are without acute abnormalities.
<unk>-year-old female with chest pain.
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The lungs are clear of consolidation, effusion, or pulmonary edema. Cardiomediastinal silhouette is stable. Trachea is deviated to the right at the thoracic inlet likely due to underlying left-sided thyroid enlargement. No acute osseous abnormalities.
<unk>f with chest tightness, cough, and sob // pneumonia? pulmonary edema?
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The heart is markedly enlarged. A convex contour to the left upper cardiac border suggests the likelihood of left atrial appendage enlargement. The aorta is calcified and tortuous, probably also somewhat ectatic but unchanged. Nodular opacities are again present including one projecting over the left upper lobe measuring about <num> mm in diameter and one projecting over the right mid lung of <num> mm in diameter. These are concerning for lung nodules. There is a background interstitial abnormality, but increased, suggesting superimposed pulmonary vascular congestion. The chest is hyperinflated. Fissures are thickened, a new finding. New small pleural effusions are suspected. Several mid thoracic compression deformities appear unchanged.
acute on chronic delirium.
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The heart is normal in size. The mediastinal and hilar contours are unremarkable aside from patchy atherosclerotic calcification along the aortic arch. There is no pleural effusion or pneumothorax. The lungs appear clear. Moderate anterior osteophytes are noted along the mid thoracic spine, with smaller ones along the thoracolumbar junction.
syncope. question cardiomegaly.
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In comparison with the study of earlier in this date, the right pigtail catheter has been removed. There is a small apical pneumothorax with some persistent subcutaneous emphysema. Otherwise, little change.
chest tube removal, to assess for pneumothorax.
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
cough and shortness of breath.
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The small right pleural effusion is unchanged. Since the prior radiograph performed yesterday, there now appears to be a new small left pleural effusion with adjacent atelectasis. The upper regions of both lungs appear clear. No evidence of pneumonia or pneumothorax. Stable cardiomediastinal silhouette. No acute osseous abnormalities. No free air under the diaphragms.
<unk> yo f with h/o hcv genotype <num>b clinically cirrhotic with h/o oesophageal varices and banding who presents with cough, malaise, loose stools and back pain. // right effusion? improving?
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Again seen are increased interstitial markings within the right lung, consistent with an interstitial pneumonia, improved compared to the prior exam. Paucity of lung markings of the lung apices is consistent with emphysema. Cuffed dilated airways in the upper lobes bilaterally, more so on the right, are consistent with bronchiectasis. The upper abdomen is unremarkable. No acute osseous abnormality is detected.
<unk>m with fever, recent dx of pna // r/o acute process
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Pa and lateral views of the chest provided. Bronchovascular crowding and atelectasis noted at the lung bases without definite signs of pneumonia, effusion or edema. No pneumothorax is seen. Cardiomediastinal silhouette appears grossly unremarkable. Bony structures appear intact. No free air below the right hemidiaphragm.
<unk>f with fever cough // r/o infiltrate
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Pa and lateral views of the chest were reviewed and compared to the prior studies. Multiple new rounded opacities are scattered throughout both lungs, the largest is located in the left lower lung. The smaller ones are located in the right lung apex and left mid lung. Given the clinical history of cancer and the rapid rate of growth, these lesions are consistent with metastatic disease. Assessment of the cardiac and mediastinal contours is limited due to these lesions; however, both are relatively unchanged. There is no vascular congestion, pleural effusion, or pneumothorax. No definite rib fracture.
evaluation for new pulmonary nodules.
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Heart is mildly enlarged and note is made of pulmonary vascular congestion and persistent distension of the azygos vein. Multifocal poorly defined opacities in both lungs show interval improvement, and no new areas of abnormal lung opacification are identified. There are no pleural effusions.
<unk> year old woman with new multifocal lung infiltrates on last cxr but no sx of pna. // eval for progression of infiltrates. please instruct good inspiratory effort if possible, thanks!
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Patchy ill-defined opacity is seen within the left lower lobe concerning for pneumonia. No pleural effusion or pneumothorax is present. No acute osseous abnormalities detected. Punctate calcifications in the spleen are re- demonstrated compatible with prior granulomatous disease.
history: <unk>m with cough and 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. There are no acute osseous abnormalities.
history: <unk>m with no past medical history with high fever and cough.
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Frontal and lateral views of the chest were obtained. The lungs are hyperinflated. There is no focal consolidation, pleural effusion or pneumothorax. Small rounded opacities projecting over the lower lungs are likely nipple shadows. Heart size is normal. Mediastinal silhouette and hilar contours are normal. Old left rib fractures are unchanged from <unk>.
exertional chest pain.
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Lung volumes are low. There are small bilateral pleural effusions with adjacent atelectasis. No focal consolidation in the upper lungs. No pneumothorax. Heart size is mildly enlarged. No acute osseous abnormalities identified.
<unk>-year-old female with leukocytosis, found to have intra-abdominal fluid collections. evaluate for pneumonia.
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The lungs are well expanded, without focal opacities. There might be mild bilateral hilar vascular engorgement but no focal opacities. Cardiomediastinal contour is unremarkable. There is no pleural effusion or pneumothorax. No subdiaphragmatic free air is identified.
<unk>-year-old male with epigastric pain. evaluate for pneumonia.
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The lungs are clear without consolidation, effusion, or edema. Cardiac silhouette is mildly enlarged. Median sternotomy wires and mediastinal clips are noted. Hypertrophic changes noted in the spine without acute osseous abnormality.
<unk>m with naseous, presyncope // acute process
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The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes. Cervical hardware in the lower spine appear unremarkable.
<unk> year old woman with cough and chest discomfort for a week. no fever // r/o infiltrate
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Cardiac silhouette size is borderline enlarged. The mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is seen.
history: <unk>m with chest pain, worse on exertion.
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A left port-a-cath is unchanged in position with the tip terminating in the proximal right atrium. The lungs are symmetrically well expanded and well aerated without focal consolidation, concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
fever, here to evaluate for pneumonia.
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Heart size and cardiomediastinal contours are normal. Lung volumes are low and there is bibasilar opacities most compatible with atelectasis, but no focal consolidation, pleural effusion, or pneumothorax.
<unk>m with confusion // eval infiltrate
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Lungs are again hyperinflated with flattening of the diaphragms consistent with obstructive lung disease. Chronic interstitial markings bilaterally are again seen, consistent with chronic lung disease. Right apical thickening pleural thickening is stable. The heart size is normal. The hilar and mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion or pneumothorax.
history of cough. please evaluate for pneumonia.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>f with visual aura and dizziness // ? lung pathology
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. No evidence of pneumomediastinum. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with acute onset nausea/vomiting since <unk>. has been vomiting streaks of blood after forceful retching. has low-grade temp plus leukocytosis. // evaluate for free air
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The cardiomediastinal and hilar contours are within normal limits. There is no focal consolidation, pleural effusion or pneumothorax.
<unk>f with cough // eval for pna
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There is elevation of the right hemidiaphragm. Bibasilar atelectasis is seen. There are blunting of the right costophrenic angle with chronic right pleural thickening and possible chronic right pleural effusion appears grossly stable. There is also persistent blunting of the left costophrenic angle which may be due to chronic pleural thickening and/or pleural effusion. Calcified mediastinal lymph nodes are again noted. No evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable, more similar compared to <unk> given differences in inspiration. Right axillary vascular stenting is again noted.
history: <unk>m with hx pulm fibrosis, chf, esrd presenting with <num> months increasing sob/doe. // pneumonia/chf?
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The lungs are clear. There is no consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No displaced fractures identified.
<unk>m with rib pain s/p hit to chest // r/o rib fx
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The patient is status post median sternotomy and mediastinal surgical clips reflect prior bypass surgery. There is a right internal jugular dialysis line terminating along the proximal right atrium. A right lower lobe consolidation is better seen on the dedicated chest ct obtained the same day. The heart is normal in size, and there is no pleural effusion, pneumothorax or pulmonary edema. Surgical anchors are noted along the right humerus. There are no displaced rib fractures.
<unk>-year-old male with right great toe and right rib pain status post fall. the patient is on plavix. evaluate for fractures or head bleed.
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Lower lung volumes seen on the current exam with secondary crowding of the bronchovascular markings. Focal left basilar opacity is noted. There is no pleural effusion. The cardiomediastinal silhouette is within normal limits for technique. No acute osseous abnormalities.
<unk>m with rle edema/<unk> edema // acute process
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The lungs are clear of consolidation or effusion. When compared to prior, the degree of pulmonary edema has improved and is now mild. Moderate cardiomegaly is again noted as well as mitral annular calcifications. Tortuosity of the descending thoracic aorta with atherosclerotic calcifications throughout its course again noted. S-shaped thoracolumbar scoliosis is noted.
<unk>f dialysis patient, with altered ms and lethargy // lethargy
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The right pleural effusion is smaller than on the earlier studies. There is no pneumothorax chf or new consolidation.
<unk> year old man with hepatic hydrothorax <unk> alc hep // size of right pleural effusion
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The cardiac silhouette is at the upper limits of normal in size or slightly enlarged. There is some prominence of pulmonary interstitial markings. It is unclear whether this could reflect some elevated pulmonary venous pressure or, in view of the clinical history, possibly increase the pulmonary arterial flow. No evidence of acute focal pneumonia. No evidence of bony stigmata of sickle cell disease.
ss anemia with shortness of breath.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and moderately well-aerated lungs which are clear. A coronary stent is again noted projecting over the left heart border. No focal consolidation, pleural effusion, or pneumothorax is identified. The visualized upper abdomen is unremarkable.
chest pain.
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<num> views were obtained of the chest. The lungs are relatively well expanded and clear. There is no pleural effusion or pneumothorax. Old right rib fractures are noted. The heart is normal in size with prominence of the left atrial contour suggested on the lateral. Surgical clips are seen in the vicinity of the ge junction.
syncope.
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The patient is status post median sternotomy and cabg. Coronary artery stenting/calcification seen on the lateral view. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. There is no overt pulmonary edema.
hyperglycemia, confusion.
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As compared to the previous radiograph, there is no relevant change. Known scar at the right lung bases. No change in appearance of the cardiac silhouette. No evidence of pulmonary edema. No pleural effusions. Moderate tortuosity of the thoracic aorta. No pneumonia. Known vertebral collapse with subsequent severe angulation of the spine.
shortness of breath, questionable chronic heart failure.
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Cardiomediastinal and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
worsening cough and chest pain.
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Frontal and lateral radiographs of the chest demonstrate normal heart size and mediastinal contours. No focal consolidation, pleural effusion or pneumothorax. No displaced rib fracture is identified. Clips are again noted in the right upper quadrant.
fall and loss of consciousness, evaluate for pulmonary process or fracture.
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The heart size is top normal. The mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs remain hyperinflated. Scarring within the lung apices is re- demonstrated. Remainder of the lungs are clear. There is no focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormalities demonstrated.
syncope.
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Right picc line located in the lower svc. Seen previously, the loculated right pleural effusion is smaller in size (seen on frontal and lateral views). The cardiomediastinal silhouette is otherwise unchanged. Mild left lower lung linear opacity likely representing platelike atelectasis.
<unk> year old man with picc placed, h/o pleural effusion on right // confirm picc placement, interval change in pleural effusion confirm picc placement, interval change in pleural effusion
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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 chest pain.
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As compared to both the previous ct examination from <unk> and the previous chest x-ray from <unk>, there are newly appeared massive predominantly right-sided mediastinal and hilar lymphadenopathies. The changes were not present on the previous exams. In addition, there is minimal atelectasis at the right medial and right basolateral aspect of the lung. No acute lung changes such as pneumonia or pulmonary edema. Moderate tortuosity of the thoracic aorta. At the time of observation and dictation, <time> a.m. On <unk>, the referring physician, <unk>. <unk> was paged for notification.
right-sided chest pain, history of cll, assessment for pneumonia.
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Ap and lateral views of the chest are compared to previous exam from <unk>. Again seen is elevation of the left hemidiaphragm with eventration posteriorly as previously seen. Streaky right basilar opacity suggestive of atelectasis versus scarring. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is unchanged. Extensive degenerative and potentially post-traumatic changes seen at the left humerus.
<unk>-year-old male with increased confusion.
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In comparison with the study of <unk>, there has been a substantial increase in left pleural effusion with compressive atelectasis at the base. Substantial volume loss is seen in the left lower lobe. The right lung is essentially clear and there is no pulmonary vascular congestion. Of incidental note is a previous fracture of a mid right rib.
pleural effusion.
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Ap upright and lateral views of the chest provided. Chronic left lower lobe consolidation is noted which has been seen dating back to <unk>. Given persistence over time, differential includes pneumonia versus scarring versus malignancy. There is biapical pleural parenchymal scarring. No large effusions. Cardiomediastinal silhouette is stable. Bony structures intact.
<unk>m with cough // eval for pna
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Pa and lateral views of the chest. No prior. The lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable. No free air is seen below the diaphragm.
<unk>-year-old female with splenic laceration, status post egd. question free air.
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As compared to the previous radiograph, there is no relevant change. Moderate partly encapsulated right pleural effusion with subsequent areas of atelectasis at the right lung base and unchanged pre-existing right perihilar parenchymal opacities. Unchanged <num> mm longitudinal parenchymal opacity in the left perihilar lung, along with the anterior portion of the third rib. Minimal left pleural effusion and minimal left retrocardiac atelectasis. Unchanged moderate cardiomegaly with tortuosity of the thoracic aorta.
pleuritic chest pain, history of idiopathic pleural effusion and recent pneumonia. evidence for interval change.
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No significant change compared to the prior exam. Stable bilateral low lung volumes. No focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. Persistent prominent hila, consistent with known history of sarcoidosis. Normal cardiomediastinal silhouette. Stable mildly tortuous descending aorta. Pleura are within normal limits. No radiographic evidence of interstitial fibrosis.
<unk> year old woman with hx of sarcoidosis; cough and worsening dyspnea // ?flare of sarcoid
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Increased leftward rotation of the patient limits the evaluation. Left picc line is likely in stable position in the upper svc. Moderate to large left pleural effusion persists. Worsening opacification projecting over the right lower lung is difficult to completely account for by patient's right breast prosthesis and could reflect combination of right lower lobe atelectasis and pleural effusion. Moderate cardiomegaly persists. Pulmonary edema is minimal. There is no pneumothorax.
<unk> year old woman with w/ carcinomatosis s/p ex-lap, debulking c/b colonic leak s/p <unk>'s s/p ex-lap, washout, hematoma evacuation x<num>, ex-lap washout sbr, washout partial fascial closure // please evaluate for pulmonary edema
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Increased density with well-defined inferior margin projects over the right upper lung laterally which correlates with pleural-based fat in the major fissure seen on prior chest ct. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f withchest pain // pneumonia
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Frontal and lateral radiographs of the chest were acquired. The lung volumes are slightly low. There is mild central vascular congestion without definite mild interstitial pulmonary edema. The heart is top normal to mildly enlarged, not significantly changed. There are no definite pleural effusions. No pneumothorax is seen.
dyspnea on exertion for the past month. evaluate for pneumonia or congestive heart failure.
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As compared to the previous radiograph, the patient has taken a deeper inspiration. As a consequence, the lung volumes are larger than on the previous image. Borderline size of the cardiac silhouette with tortuosity of the thoracic aorta, mild overinflation, but no evidence of lung parenchymal opacities. There is no radiographic evidence of thromboembolic disease, although pe was documented on a ct examination from <unk>. No pleural effusions.
dyspnea, hypoxemia, suspected chronic thromboembolic disease.
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The lung volumes are very low which limits the evaluation. Right perihilar opacity could represent crowding of normal bronchovascular structures or a focal consolidation. No pleural effusion or pneumothorax is identified. There is mild cardiomegaly. Cervical spine hardware is noted. The soft tissues and bones appear normal.
cough. shortness of breath and back pain. evaluation for pneumonia and chf.
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Pa and lateral chest radiographs were obtained. Heart is normal size and cardiomediastinal contours are unchanged. Increased prominence of vascular markings likely suggests pulmonary vascular engorgement and fluid overload. Low volume lungs are clear bilaterally. No significant pleural effusions. Right apical pneumothorax is stable. Extensive subcutaneous emphysema is again noted within the right lateral chest wall and right neck. There is interval removal of the right-sided chest tube.
<unk>-year-old woman status post right upper lobectomy for lung cancer, ? interval change.
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In comparison with the study of <unk>, there is little overall change except for better inspiration. Cardiac silhouette is at the upper limits of normal in size or slightly enlarged with evidence of elevated pulmonary venous pressure and dual-channel pacer with leads extending to the right atrium and apex of the right ventricle. No definite vascular congestion.
dyspnea on exertion.
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There is persistent blunting of the left costophrenic angle. Slight blunting of the right costophrenic angle also persists. Evidence of bronchiectasis is again seen bilaterally, right greater than left, which may be progressed from the prior study. Possible mucous plugging in the right lower lobe. Otherwise, no definite new focal consolidation. No evidence of pneumothorax. The cardiac and mediastinal silhouettes are grossly stable. Hilar contours are stable.
history: <unk>f with cough and dyspnea // eval for pna
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There is a right pleural catheter with tip terminating in the right lung base. There is a slight decrease in the right pleural effusion with atelectasis. There is no left pleural effusion. There is no pneumothorax or focal consolidation concerning for pneumonia. Cardiomediastinal and hilar contours are stable. There is stable appearance of a right upper quadrant abdominal drain.
right pleural effusion.
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Frontal and lateral chest radiographs demonstrate clear lungs, without pleural effusion or pneumothorax. The cardiac silhouette is normal in size, the mediastinal contours are normal. No pulmonary edema.
<unk>-year-old female status post renal transplant with cough and low-grade fever, evaluate for infiltrate.
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The lungs are clear of focal consolidation, effusion, or overt pulmonary edema. The cardiomediastinal silhouette is unchanged given patient rotation to the left. Osseous bridging between the anterior right third and fourth right ribs again noted. No acute osseous abnormality identified.
<unk>m with fever, ams // rule out pna
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The cardiomediastinal and hilar contours are within normal limits. The lungs are mildly hyperinflated but clear. There is no evidence of pulmonary vascular congestion or pulmonary edema. There is no consolidation, effusion or pneumothorax.
history: <unk>f with bilateral leg swelling // eval for chf
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.
palpitations.
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Pa and lateral views of the chest. The lungs are clear of focal consolidation, effusion, or pneumothorax. The cardiac silhouette is moderately enlarged. No acute osseous abnormality is detected.
<unk>-year-old female with chest pain.
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Pa and lateral views of the chest provided. A prosthetic mitral valve is noted. Bibasilar opacities are again seen most compatible with pleural effusions. Underlying consolidation is difficult to exclude. Overall there has been minimal improvement from the prior exam no pneumothorax is seen. The mediastinal contour is stable. Bony structures are intact. No free air below the right hemidiaphragm is seen.
<unk> year old woman with pleural effusion.
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Pa and lateral chest radiographs were obtained. The lungs are well expanded. There is an airspace opacity in the anterior right upper lobe with air bronchograms. Medial depression of the adjacent minor fissure suggests the possibility of a central mass. There is no effusion or pneumothorax. Cardiac and mediastinal contours are normal.
cough and fever.
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Pa and lateral views of the chest demonstrate normal lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Patient is status post left mastectomy with breast tissue expander in place.
<unk> f with chest pain on inspiration. the patient currently on treatment for breast carcinoma.
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. No acute displaced rib fractures are identified.
history: <unk>m with pain, s/p assault // acute traumatic process
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Frontal and lateral views of the chest. There are patchy regions of consolidation throughout the lungs bilaterally. There is trace blunting of the left costophrenic angle which may be due to a tiny effusion. The cardiac silhouette is mildly enlarged. Median sternotomy wires and mediastinal clips are noted. No acute osseous abnormality is identified.
<unk>-year-old male with coronary artery disease and hypertension with recent diagnosis of pneumonia with abdominal pain, shortness of breath.
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There is interval placement of a left pacemaker with leads terminating in the right atrium and right ventricle. There is no pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are stable. There is no focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits.
new pacemaker.
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Left upper consolidation is completely resolved. Lung fields are well inflated and clear there is no pleural effusion the cardiomediastinal contours are normals
follow up with recent pneumonia.
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Left pigtail pleural drain has been removed. Left pleural effusion is smaller. Reticular opacity at the right base is unchanged. There is no pneumothorax. The heart is not enlarged. Mediastinal contours are normal.
<unk> year old man with chylothorax s/p pleurodesis // effusion f/u
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There is a new right basilar opacity which could reflect aspiration or pneumonia. Lungs are clear of pleural effusions or pneumothorax. The cardiac and mediastinal silhouette is normal.
<unk> year old male with oxygen requirement, productive cough
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Frontal and lateral views of the chest were obtained. Low lung volumes result in bronchovascular crowding. There is no focal consolidation, pleural effusion or pneumothorax. Heart size is normal. The mediastinal silhouette and hilar contours are normal.
cough
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Ap and lateral views of the chest were obtained. Since prior radiograph, the interstitial prominence is decreased, suggesting improvement in pulmonary edema. Mild persistent interstitial prominence could be due to overlying soft tissue or mild residual pulmonary edema. Linear opacities in the right mid lung zone are likely atelectasis. There is no definite pleural effusion. There is no pneumothorax. The cardiomediastinal silhouette is normal and unchanged from prior exams.
shortness of breath and left shoulder blade pain. evaluate for acute process.
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The patient is status post median sternotomy and mitral valve replacement. A left-sided defibrillator/ pacemaker is noted and unchanged. The cardiac silhouette is enlarged. There is no large pleural effusion or pneumothorax. No definite evidence of edema.
history: <unk>f with increasing confusion and cough. on coumadin for valve replacement // eval for ich
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Ap upright and lateral views of the chest were provided. There is improvement in aeration in the left lower lung with persistent linear density likely relating to persistent atelectasis. No effusion. No pneumothorax. The right lung is clear. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>-year-old man with complex past medical history with two weeks of persistent nausea, vomiting, weight loss, recent pneumonia. assess for resolution of pneumonia.
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Lung volumes are normal. The heart is moderately enlarged as before. There is no large pleural effusion and no convincing evidence of pneumonia. As before the main pulmonary artery is enlarged. There is pulmonary vascular congestion without frank pulmonary edema. There is no pneumothorax.
history: <unk>f with hypoxia // eval for pna
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. Redemonstration of prior vertebroplasty.
history: <unk>f with tachycardia. evaluate for infection.
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The heart size is normal. Mediastinal and hilar contours are unchanged and within normal limits. The pulmonary vascularity is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
alcoholic cirrhosis with malaise, jaundice.
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New patchy airspace opacities overlie the right mid and lower lungs. No pleural effusion or pneumothorax. The heart is of normal size with normal cardiomediastinal contours. Osseous structures are unremarkable. No radiopaque foreign body.
shortness of breath and cough.