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Frontal and lateral radiographs of the chest show small bilateral pleural effusions. The lungs are otherwise clear without focal consolidation or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. Mild bilateral apical pleural thickening is incidentally noted.
<unk>-year-old female with cough and fever, here to evaluate for pneumonia.
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Heart size is top normal. Cardiomediastinal silhouette is unremarkable. Hilar contour is normal. A pacemaker is implanted in the left upper chest with right atrial and right ventricular leads. Lungs are clear without focal consolidation, effusion or pneumothorax. No acute bony abnormality is identified.
chest pain.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with hx copd, sob and productive cough
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Two views of the chest were obtained. Irregular new parenchymal opacities are seen in the right upper lobe, concerning for new infection. Left base is likely clear without correlate findings on lateral view. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.
<unk>-year-old woman <unk> years status post bmt with chronic graft-versus-host of the lungs and skin on prednisone, presenting with shaking chills and low-grade temperature, assess for pneumonia.
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Lungs are moderately well inflated with mild pulmonary edema. Bibasilar opacities seen on both frontal and lateral projection have increased since prior examination with a new right lower lung opacity appearing triangular in shape. A new small right pleural effusion is present. No left pleural effusion. No pneumothorax. Severe cardiomegaly is stable since prior examination.
<unk>m with sob, cp. assess for chf.
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Pa and lateral views of the chest show no consolidation, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
acute chest pain.
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Pa and lateral images of the chest. The lungs are well expanded and clear. There is no pneumothorax or pleural effusion. The cardiomediastinal silhouette is unremarkable.
chest pain.
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable. No acute osseous abnormality. Surgical clips in the right upper quadrant are noted.
<unk>-year-old woman with shortness of breath.
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A left pectoral pacemaker is again seen with the leads in unchanged position projecting over the right and left ventricles. Since the prior exam, there is increased vascular congestion and interstitial opacities, consistent with mild pulmonary edema. There is a persistent opacity on the right, which may reflect atelectasis, although in the proper clinical setting, pneumonia is a consideration. There are small bilateral pleural effusions. There is no pneumothorax. The mediastinal contours are normal. The heart is moderately enlarged, and very slightly increased in size from the prior exam.
hypoxia and tachypnea. evaluate for edema.
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There has been little interval change in comparison to the prior study. The lungs are clear with no evidence of a consolidation, effusion or pneumothorax. Cardiac and mediastinal silhouettes are normal. Atherosclerotic calcifications are again noted at the aortic arch. Diffuse idiopathic skeletal hyperostosis is noted throughout the thoracic spine.
cough and shortness of breath.
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Frontal dance lateral views of the chest. Tracheostomy and left chest wall port are in stable positions. There is no evidence of a new consolidation nor effusion. Cardiomediastinal silhouette is normal. Osseous structures are unremarkable. Prominent gaseous distention of the colon and stomach is again noted.
<unk>-year-old female tracheostomy and pseudomonas.
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In comparison with the study of <unk>, there is no significant change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
fever and cough.
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Slight interval improvement in the bilateral hilar lymphadenopathy. Stable mediastinal widening compared to <unk>. The lungs are well expanded and clear, without focal consolidation or pulmonary edema. There is no pneumothorax or pleural effusion. The heart is normal in size. There is no acute osseous abnormality.
<unk>-year-old man with sarcoid and hilar adenopathy, on slow pred taper; assess for any resolution of adenopathy or any development of infiltrates.
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The frontal view is slightly limited due to lordotic positioning. Heart size is normal. The aorta is tortuous but unchanged. The hilar contours are normal. The pulmonary vascularity is not engorged. No focal consolidation, pleural effusion or pneumothorax is identified. Vp shunt catheter is seen coursing along the left neck and left chest into the left upper quadrant of the abdomen. No acute osseous abnormalities are detected.
hip fracture.
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Pa and lateral views of the chest provided. The lungs appear hyperinflated though there is no focal consolidation, large effusion or pneumothorax. Overall cardiomediastinal silhouette appears within normal limits. No signs of congestion or edema. Bony structures are intact.
<unk> year old woman with chest pain // eval infiltrate
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Pa and lateral views of the chest provided. Lungs are hyperinflated and clear without focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette is normal. A chronic right distal clavicle deformity is noted with inferior displacement of the distal fracture fragment. No acute bony findings. Clips in the right upper quadrant noted.
<unk>f with cough x<num> week // eval for infiltrate
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Lung volumes are normal. Calcified granuloma in right lower lung is stable in size from <unk>. . There is no evidence of consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar structures are normal. Cardiac size is top normal with no evidence of pulmonary edema.
<unk> year old man with a few months of cough, previous long hx of smoking.
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As compared to the previous radiograph, the lung volumes continue to be low. There is no evidence of pneumonia, pulmonary edema, or other acute lung disease. Borderline size of the cardiac silhouette. No pleural effusions.
decompensated cirrhosis, mild cough, question of pneumonia.
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Since <unk>, no significant changes are appreciated. Dual chamber cardiac pacemaker leads are intact and unchanged in position, running their expected courses into the right atrium and right ventricle. Heart size is normal. No pulmonary vascular congestion or pulmonary edema. Lungs are fully expanded and clear. No pleural abnormalities.
<unk> year old man with tectal glioma, cardiac pacer // check placement of pacer leads
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There are low lung volumes, which results in bronchovascular crowding. The degree of interstitial prominence, bronchiectasis, and opacification is grossly unchanged. There is no focal consolidation concerning for pneumonia. The cardiac and mediastinal contours are normal. No pleural effusion or pneumothorax.
history: <unk>m with ild and vasculitis presenting with fevers, chills and cough for past <num> days // evidence of infection
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Cardiomediastinal silhouette is unchanged. There is mild tortuosity of the thoracic aorta. There is no focal lung consolidation. There is no pleural effusion or pneumothorax. Nodular left lower lobe opacity <unk>, is seen on the current study, most likely corresponding to lingular atelectasis seen on the ct abdomen from <unk>.
<unk>-year-old woman with chest pain, evaluate for acute process.
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Normal heart size. There is stable prominence of the pulmonary arteries. No focal consolidation, pleural effusion or pneumothorax. There are <num> new compression fractures in the mid thoracic and lower thoracic spine of uncertain chronicity although new from <unk>.
<unk> year old man with h/o <unk>'s disease with new cough, vomiting
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Frontal and lateral views of the chest. There are small bilateral effusions. The lungs are otherwise clear. There is no pneumothorax. Cardiomediastinal silhouette is unchanged. No displaced fracture is identified.
<unk>-year-old male status post fall from standing with bruising. tenderness to palpation on the chest.
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Heart size is top normal. The mediastinal and hilar contours are unchanged. Pulmonary vascularity is normal. No focal consolidation or pneumothorax is present. Minimal blunting of the right costophrenic angle on the lateral view posteriorly could suggest a minimal effusion. No acute osseous abnormalities are detected.
chest pain.
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Linear opacities at the bilateral bases are unchanged from the prior exam, and most consistent with scarring. The lungs are otherwise clear without a focal airspace consolidation to suggest pneumonia. There is no pulmonary edema, pleural effusion, or pneumothorax. The mediastinal contours are normal. The heart is mildly enlarged, and unchanged from the prior exam.
five days of a productive cough. evaluate for pneumonia.
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The lateral view is suboptimal due to the patient's overlying arm. Given this, the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
left upper extremity injury, hand in wood chipper.
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The lungs are clear of focal consolidation. There is however persistent opacity projecting over then lower lungs on the lateral view. This likely correlates to underlying mass involving the right tenth rib with adjacent atelectasis seen on prior chest ct. Cardiomediastinal silhouette is stable. No acute osseous abnormalities identified.
<unk>m with hyperglycemia, confusion // r/o ich
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear without focal consolidation concerning for pneumonia. Pulmonary vascularity is within normal limits.
<unk>-year-old male with elevated lactate, nausea, vomiting and diarrhea.
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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified.
evaluation of patient with fever.
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Left lower lobe consolidation is consistent with pneumonia. The lungs are moderately hyperinflated. Seventh left rib fracture is healed. There is no pneumothorax or pleural effusion.
patient with history of ppd positive, inh treatment, potential exposure, two-week history of cough, sweats; evaluation for pneumonia, tb or other acute process.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The appearance of the thorax is unchanged from <unk>.
<unk>-year-old female with chills. evaluate for pneumonia.
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The patient is status post median sternotomy and cabg. Heart remains moderate to severely enlarged but unchanged. The aorta is tortuous and diffusely calcified. There is mild pulmonary vascular congestion. Small bilateral pleural effusions are re- demonstrated, not significantly changed from prior, right greater than left. No pneumothorax is identified. Mild bibasilar atelectatic changes are seen. There are no acute osseous abnormalities.
anterior left chest pain.
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Lateral view is suboptimal due to overlying arms. No focal consolidation or pneumothorax is seen. Blunting of the right costophrenic angle is seen on lateral view, which may represent tiny pleural effusion or scarring. Compared to prior exams, there is slight increased pulmonary vascular prominence, which may be predominantly technical. Few bibasilar linear opacities may represent atelectasis. Heart size is top normal to mildly enlarged. Aortic calcifications are again noted. Mitral annulus calcification is again noted.
<unk>-year-old female with cough and increased oxygen requirement.
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Lungs are fully expanded and clear without consolidations or suspicious pulmonary nodules. A very intense, round opacity projecting over the posterior third rib is likely a bone island. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal. No pleural abnormalities.
<unk> year old man with new onset muscle weakness // assess for lung mass
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Patient is status post median sternotomy cabg. Left-sided pacer device is noted with leads in unchanged positions. Moderate cardiomegaly is similar. Mediastinal and hilar contours are unchanged. There is mild pulmonary vascular congestion without overt pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with presyncope today
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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
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Patient is status post median sternotomy and cabg. There is cardiomegaly. Prominence of the main pulmonary artery raises concern for pulmonary arterial hypertension. Fluid is seen along the right major fissure, likely loculated. There are small bilateral pleural effusions. Right perihilar opacity may be due to vascular congestion and/or atelectasis, although focal consolidation is difficult to exclude. No evidence of pneumothorax is seen.
history: <unk>m with doe, fall, orbital ecchymosis, on warfarin // eval for acute trauma, evidence of chf
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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 persistent cough // ? infectious process
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Cardiac silhouette size is mildly enlarged but unchanged. The mediastinal and hilar contours are similar. There is no pulmonary edema. Minimal streaky bibasilar opacities are felt to reflect atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. Anterior compression deformities of <num> adjacent vertebral bodies within the mid thoracic spine with focal kyphosis are unchanged.
cough.
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Lung volume is low. Left lower lobe opacity is likely atelectasis. There is no pleural effusion or pneumothorax. Substantially enlarged cardiac silhouette is similar to before. There is pulmonary vascular congestion.
history: <unk>f with ruq and r shoulder pain // eval pneumonia, other acute process
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Heart size is normal. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. Cervical spinal fusion hardware is incompletely assessed. A gastric band is noted within the left upper quadrant of the abdomen as well as clips in the right upper quadrant of the abdomen.
<unk> f with chest pain radiating to the back
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Frontal and lateral radiographs of the chest demonstrate interval resolution of left apical pneumothorax with mild left apical pleural scarring. Otherwise, the lungs are clear. The mediastinal and hilar contours are normal. No pleural effusion is detected.
recent left pneumothorax after a motor vehicle accident two weeks ago. follow up on pneumothorax.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures appear within normal limits.
chest pain.
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There is stable moderate enlargement of the cardiac silhouette. Mild pulmonary edema is not significantly changed from <num> days prior. Continued interval improvement of pleural effusions now likely small bilaterally. Atherosclerotic calcification aortic arch is stable. Degenerative changes of both shoulders. No displaced rib fracture.
history: <unk>f with fall, abrasions over scapula and left elbow, pls eval for fx //
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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 evidence of pneumothorax, pleural effusion, pulmonary edema, or focal opacity. The bony structures are intact.
<unk>-year-old man with left-sided mid back pain, worse with inspiration. evaluation for pneumothorax.
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In comparison with study of <unk>, with the chest tube on pneumostat, there is little change in the substantial pneumothorax in the right upper zone. Post-surgical changes are again seen at the right base. The left lung is clear.
post-vats, to assess for pneumothorax.
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As compared to chest radiograph from <num> day prior, small bilateral pleural effusions and basilar atelectasis have not substantially changed. No overt pulmonary edema. Heart size is normal. No pneumothorax.
<unk>m w cad s/p stent (asa, plavix), pancreatitis, etoh abuse pw traumatic splenic rupture, liver lac, hypotensive with hct <unk> s/p embo sa and lha via l cfa approach. // eval for interval change
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Pa and lateral views of the chest were reviewed. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear. Pulmonary vasculature is within normal limits.
chest pain, query infection or cardiomegaly.
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Lung volumes are low with bronchovascular crowding. The heart is top-normal in size/mildly enlarged. No focal consolidation, edema, effusion, or pneumothorax.
<unk>-year-old woman with chest pain and shortness of breath in the context of new right leg swelling.
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Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. There is no 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.
acute decompensation of suspected cirrhosis and cough.
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Fully expanded lungs are clear with normal pleural surfaces. Heart size, mediastinal and hilar contours are normal.
<unk>-year-old female with fever and productive cough. assess for pneumonia.
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Frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. The cardiomediastinal and hilar contours are unchanged. There is no consolidation, pneumothorax, or pleural effusion.
altered mental status.
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Pa and lateral chest radiographs. The lungs show subtle interstitial opacities and at least one perihilar bronchus is thickened. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
dyspnea.
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Patient's condition required examination in sitting upright position using ap frontal and left lateral views. Comparison is made with the next preceding portable chest examination of <unk>. The heart size remains unchanged and is mildly enlarged. There is relative left ventricular contour prominence. Presently, no evidence of significant pulmonary vascular congestion. Thoracic aorta unchanged without local contour abnormalities. The previously described right-sided internal jugular approach double-lumen line remains in unchanged position terminating in the mid portion of the right svc at the level of the carina. The previously identified and suspected pulmonary infiltrates in the left upper lobe area have further regressed and are practically resolved. There remains a small detectable fluid blunting of the right lateral pleural sinus and the lateral view discloses small amounts of fluid blunting the posterior pleural sinuses in the lower posterior region. No new pulmonary parenchymal abnormalities are seen and no pneumothorax is present. When comparison is extended to the pa and lateral chest examination of <unk>, the amount of pleural effusions in the posterior sinuses remains stable and unchanged.
<unk>-year-old male patient status post right-sided nephrectomy with lnd and liver wedge resections, assess for interval findings and for left upper lobe pneumonia.
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Lung volumes are slightly low. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
increased weakness over the past four days. assess for pneumonia.
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New since the prior chest ct is increased interstitial opacities compatible with pulmonary edema. Better appreciated on the chest ct from <num> day prior, there is biapical pleural-parenchymal scarring. There are bilateral pleural effusions. . Cardiomediastinal silhouette is enlarged. No strong evidence for pneumonia. Right chest wall dual-chamber pacemaker leads are in appropriate position.
history: <unk>f with dyspnea // r/o pna, effusion
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The cardiomediastinal and hilar contours are normal. The lungs are clear except for subtle biapical scarring. There is no pleural effusion or pneumothorax.
<unk>-year-old male with sinus tachycardia.
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The heart is mildly enlarged. There are enlarged hilar structures bilaterally, previously shown to reflect lymphadenopathy, which appears similar in extent. Streaky left retrocardiac density suggests atelectasis. There is a patchy new perihilar nodular area of opacification nodular component of <num> mm. There is no pleural effusion or pneumothorax.
tachycardia.
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As compared to the previous radiograph, there is no relevant change. Moderate cardiomegaly without pulmonary edema. No pneumonia, no pleural effusions. Moderate tortuosity of the thoracic aorta. The sternal wires are in unchanged alignment.
status post liver transplant and copd. evaluation for pneumonia.
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In comparison with the earlier study of this date, there is little change in the degree of right apical pneumothorax despite the presence of two chest tubes. The subcutaneous gas along the chest wall appears to be stable. Left lung is essentially clear except for atelectatic changes at the bases.
to assess for right pneumothorax.
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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. Mild tortuosity of the thoracic aorta is redemonstrated with minimal calcification of the aortic knob. There is minimal dextroconvex scoliosis of the thoracolumbar spine and multilevel mild degenerative changes.
syncope, here to evaluate for acute cardiopulmonary process.
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Heart size is top normal. The mediastinal and hilar contours are within normal limits. The lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is visualized. Diffuse idiopathic skeletal hyperostosis is re- demonstrated in the imaged thoracic spine.
history: <unk>f with severe headache/ altered mental status, left shoulder pain after fall.
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Again seen is blunting of the right costophrenic angle and slight elevation of the right hemidiaphragm which may represent a combination of extrapleural fat and mild elevation of the right hemidiaphragm. This appears similar to <unk>. No definite focal consolidation is seen. No left pleural effusion. No pneumothorax. The mediastinal and hilar contours are normal. Heart size is normal.
cough, immunosuppressed, status post renal transplant. evaluate for pneumonia.
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Heart size is mildly enlarged. Aorta is slightly unfolded. Mediastinal and hilar contours otherwise are unremarkable. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities detected.
fall, hit head with loss of consciousness.
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No consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal. No rib fractures are visualized.
<unk>-year-old man with cough, production of rusty sputum. tenderness and pain in the right rib cage. assess for pneumonia.
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There is no focal consolidation, pleural effusion, or pneumothorax. Linear opacity at left base is likely atelectasis or scarring. The cardiomediastinal silhouette is unremarkable.
<unk>-year-old woman with fever to <num>, cough, rule out pneumonia.
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Pacer unit projects over the left chest with leads in the right atrium and right ventricle. The heart size is at the upper limits of normal. The mediastinal contours demonstrate mildly tortuous aorta with calcified atherosclerotic disease of the aortic knob. The lungs demonstrate bibasilar atelectasis with small right and moderate left pleural effusions; this may represent a component of inflammatory reaction from rib lesions or the pathologic fracture seen at the left costophrenic angle. Additionally, an area of lentiform pleural thickening is seen along the right mid chest wall in the area of a rib irregularity either representing a fracture or metastatic lesion. There is no pneumothorax.
<unk>-year-old male with pleural effusion.
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The lungs are well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.
<unk>f with fever. assess for pneumonia.
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The cardiomediastinal silhouette and hila are within normal limits. There are mild diffuse bilateral reticular opacities which likely reflect underlying chronic interstitial changes. There is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with n/v/d, general body aches // eval for consolidation
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Ap and lateral views of the chest. The lungs are clear of focal consolidation or effusion. Opacity in the left posterior costophrenic angle is compatible with previously identified bochdalek's hernia. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with altered mental status. question pneumonia.
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No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema, or pneumothorax is present. The heart size is within normal limits.
recent seizures. malaise.
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There is a small area of opacity at the left base, slightly more prominent on today's study that may represent an area of focal atelectasis. Otherwise, the lungs are clear and are unchanged compared to the prior exam.
end-stage renal disease, kidney transplant, preop.
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Frontal and lateral chest radiographs. Top normal size of the heart, unchanged from prior chest radiographs. A left pectoral dual-chamber pacer is again noted. There is no focal consolidation, pleural effusion, or pneumothorax. Low lung volumes causes crowding of the bronchovascular structures, but no frank pulmonary edema is present. Atherosclerotic calcifications are again noted in the aortic arch. Severe degenerative changes are partially imaged in the upper lumbar spine.
cough and fever. evaluation for pneumonia.
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The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. The hilar and pleural surfaces are normal.
history: <unk>f s/p renal and pancreas transplant here with fevers // evaluate for infiltrate
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There is no focal consolidation, pleural effusion or pneumothorax. Linear opacity at the posterior costophrenic angle likely atelectasis. The cardiomediastinal silhouette is normal. No acute fractures.
<unk>-year-old female with lactate <num> with generalized weakness, question pneumonia.
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Frontal and lateral views of the chest demonstrate interval development of dense retrocardiac consolidation with a moderate left pleural effusion, concerning for infection. Within the right hilar region is a new mass-like opacity, which could alternatively represent adenopathy or consolidation. The upper lungs remain well aerated. There is no pneumothorax or right effusion. The heart is top normal in size. A right-sided port-a-catheter is in place.
<unk>-year-old female with shortness of breath.
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Lungs are better expanded compared to the previous study. In particular, left base is better aerated. There is a significant decrease in bilateral pleural effusions. Heart is top normal in size, and anterior mediastinal mass appears to have decreased in size. No pneumothorax.
<unk>-year-old gentleman with an anterior mediastinal mass status post left vats biopsy and drainage of pleural effusions, evaluating for interval change.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with cp
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Volume loss in the right hemithorax is again noted. Pleural thickening seen laterally and inferiorly on the right. There is no pneumothorax. The lungs are clear of consolidation. Cardiomediastinal silhouette is stable. Median sternotomy wires and mediastinal clips are again noted in severe degenerative changes seen at the right glenohumeral joint.
<unk>m with new renal failure and sob // eval pulm edema
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>m with chest tightness, sob. evaluate for pneumothorax or cardiac pathology.
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Frontal and lateral views of the chest. The lungs are well expanded and clear. Nipple shadows project over the lower lungs bilaterally on one of the two frontal views. The lungs are clear of consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes seen in the spine.
<unk>-year-old male with chest pain.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with fever // eval infiltrate
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Cardiac silhouette size is normal. The aorta is mildly tortuous but unchanged. The mediastinal and hilar contours are similar. Pulmonary vasculature is normal. Minimal patchy opacity in the left lung base with peribronchial cuffing could reflect atelectasis, though infection is not completely excluded. No focal consolidation, pleural effusion or pneumothorax is visualized. There are multilevel degenerative changes are seen in the imaged thoracolumbar spine. S-shaped scoliosis of the thoracolumbar spine is also demonstrated.
history: <unk>f with new onset atrial fibrillation
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Cardiac silhouette size is top normal. The aorta is tortuous. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Minimal atelectasis is seen in the lung bases, and the lung volumes are low. No focal consolidation, pleural effusion or pneumothorax is present. Moderate multilevel degenerative changes are seen in the thoracic spine. Deformity of the seventh right lateral rib appears chronic. Clips are noted within the upper abdomen.
history: <unk>m with fever
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Obscuration of the left heart border by left upper lobe atelectasis is chronic. Lateral view shows a small region of atelectasis or pneumonia in the right middle lobe. No pleural effusion or pneumothorax is seen.
<unk>m with shortness of breath and cough // r/o chf/pneumonia
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Apparent increased opacity at the lateral aspect of the left lung base is less apparent on the current exam and is likely due to overlying soft tissues in combination with prominent pericardial fat which obscures the left costophrenic angle. The appearance has not dramatically changed since prior portable film from <unk>. Old thoracolumbar compression deformities again seen as well as a hiatal hernia.
<unk>f with reduced o<num> sat. previous study with poor effort // characterization for consolidation. emphasize respiratory effort
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A right subclavian central catheter is in unchanged position ending in the lower svc. No focal consolidation, pleural effusion or pneumothorax is present. The cardiomediastinal silhouette is normal. There is no evidence of pulmonary vascular congestion.
patient with lymphoma, shortness of breath. assess for effusion or abnormality.
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There is vague midlung opacity on the left which projects anteriorly on the lateral view within the lingula. The lungs are hyperinflated but otherwise clear. The cardiomediastinal silhouette is within normal limits. Thoracic dextroscoliosis is noted.
<unk>f with ams, cachexia, weight loss // evaluate for acute process
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Frontal and lateral views of the chest demonstrate new consolidation in the posterior right lower lobe, compatible with pneumonia. The lung volume is decreased on the right. There is no large pleural effusion. The heart is top normal in size. The mediastinal and hilar contours are within normal limits. There is no pulmonary vascular congestion. There has been prior cervical fusion.
<unk>-year-old male with diabetes, end-stage renal disease, presents with shortness of breath, increased pedal edema, and abdominal girth as well as decreased breath sounds in the right base. question congestive heart failure.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of focal consolidation. The cardiomediastinal silhouette is stable. Median sternotomy wires and mediastinal clips noted. Osseous and soft tissue structures are unremarkable. Surgical clips seen in the right upper quadrant suggesting prior cholecystectomy.
<unk>-year-old female with chest pain.
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The lungs are hyperinflated, without focal opacities. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. An icd device is seen with leads in unchanged position compared with prior exam. Sternotomy wires and mediastinal clips are also re-identified.
<unk>-year-old male with syncope, pacemaker, defibrillator, and cardiac monitoring. evaluate for pneumonia or pneumothorax.
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Lung volumes are low. The heart size is top normal. Mediastinal and hilar contours are unremarkable, and no pulmonary vascular congestion is present. Low lung volumes limits the assessment of the lung bases, with streaky bibasilar airspace opacities potentially reflecting atelectasis, but infection cannot be excluded, particularly in the right lung base. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities identified.
recurrent seizure.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
<unk> year old woman with dm<num>, smoker with pleuritic chest pain x several months.
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There is a moderate to large right pleural effusion, re- demonstrated, with overlying atelectasis. Mild left base atelectasis is also seen. There is pulmonary vascular congestion. No pneumothorax is seen. The cardiac silhouette is is mildly enlarged. Mediastinal contours are stable.
history: <unk>m with dyspnea, fluid overload on exam // ? pulm edema
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Heart size is mild to moderately enlarged. Aorta is diffusely calcified and mildly unfolded. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. The lungs are hyperinflated. Streaky opacities in the left lung base likely reflect areas of atelectasis. No pleural effusion, focal consolidation or pneumothorax is present. Hypertrophic degenerative changes are seen within the thoracic spine.
history: <unk>f with shortness of breath
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The lungs are clear. The heart size is top normal, not significantly changed. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
history of ulcerative colitis, presenting with fever.
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. Midline retrocardiac opacity is consistent with a moderate sized hiatal hernia. No radiopaque foreign body.
<unk>-year-old female with shortness of breath. evaluate for pneumonia.
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Lung volumes are low, causing crowding of the pulmonary vasculature. The lungs are otherwise clear. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. The cardiomediastinal contours are normal and there is no large mass seen.
hemoptysis.
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Frontal and lateral radiographs of the chest show persistent low lung volumes without pleural effusion, focal consolidation or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is top normal in size but stable. Left hilar densities are unchanged from the preceding radiograph and likely represent calcified lymph nodes. The mediastinal and hilar contours are unchanged. A surgical clip anterolateral to the right hilum is stable. No acute osseous abnormality is identified; however, the lower lateral ribs are excluded from view.
<unk>-year-old male with recent trauma, here to evaluate for traumatic injury.
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The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. The chest is hyperinflated. Moderate degenerative changes are similar along the mid thoracic spine.
shortness of breath and syncope.