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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.
dysmetria.
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A right central venous access catheter terminates in the mid svc. Prior imaging taken during placement of port demonstrated tip in the right atrium, however, it is unclear if this represents the final positioning of the tip. The cardiomediastinal and hilar contours are normal. There is persistent elevation of the left hemidiaphragm. Atelectasis at the left lung base has improved since <unk>. Lungs are otherwise clear. No pleural effusion or pneumothorax.
<unk>-year-old woman with hodgkin's lymphoma, poc sluggish in flushing. study requested for evaluation of positioning.
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Left-sided port-a-cath tip terminates in the lower svc. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are stable. Heart size is normal.
<unk> year old woman with breast cancer on chemotherapy // r/o infectious process, fever work-up on chemo
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Right-sided port-a-cath is in adequate position, ending in lower svc. The lungs are clear. There is no pleural effusion or pneumothorax. Cardiac contour is top normal.
patient with port-a-cath, confirm placement.
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Cardiac silhouette size is mildly enlarged. The aorta remains tortuous. Hilar contours are unchanged. Focal consolidative opacity in the right upper lobewith associated elevation of the right minor fissure is relatively unchanged from the most recent prior radiograph, but slightly increased in size compared to the <unk> chest ct. Pulmonary vasculature is not engorged. Lungs are hyperinflated suggesting copd. New patchy opacity within the right lung base could reflect an area of infection. Left lung is clear. There is no pleural effusion or pneumothorax. Osseous structures are diffusely demineralized.
history: <unk>f with shortness of breath/cough
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
<unk> chest pain recent from <unk> with chills this morning. evaluate for pneumonia.
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Triple lead pacing device partially obscures the left lung field. Leads are unchanged in position. Lungs appear hyperinflated. Blunting of the lateral costophrenic angles bilaterally suggest small effusions. There is no focal consolidation or pneumothorax. No overt pulmonary edema. Platelike atelectasis is noted at the bilateral lung bases. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified. Old fractures noted in the left eighth, and probably the left ninth ribs.
<unk>-year-old female presenting with worsening orthopnea and dyspnea on exertion x<num> days, evaluate for evidence of chf.
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The heart appears mildly enlarged. The mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild degenerative changes affect the lower thoracic spine. Thoracic spine curves mildly to the right, as before.
stroke.
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A new moderate to large right pleural effusion is demonstrated with associated right basilar opacification. Patchy left basilar opacity is also demonstrated. Peripheral increased interstitial markings likely reflect underlying chronic interstitial lung disease, as assessed on the previous ct. There is no pneumothorax or pulmonary vascular congestion. Heart size is difficult to determine given the presence of the left pleural effusion. Mediastinal contours are unremarkable with calcification of the aortic knob. Right hilar enlargement is suggestive of underlying lymphadenopathy. There are multilevel degenerative changes in the thoracic spine.
shortness of breath and lethargy.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. Moderate enlargement of the cardiac silhouette is stable.
cough and crackles at the left base.
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The left lower lobe consolidation is improved but still present. No pleural effusion or pneumothorax is seen. Heart and mediastinal contours are within normal limits. Hardware is again noted to be overlying the left lower chest laterally with leads coursing to the neck.
<unk>-year-old male with increasing seizure frequency.
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Patient's unusual habitus required a total of four different frontal images to cover entire chest field as well as one lateral view. The heart size is normal. No configurational abnormalities are identified. Thoracic aorta unremarkable. The pulmonary vasculature is not congested. No evidence of acute parenchymal infiltrates are seen and the lateral and posterior pleural sinuses are free. Apical area excludes presence of pneumothorax. Skeletal structures of the thorax grossly within normal limits. Presence of very large soft tissue masses surrounding the thorax indicative of the patient's morbid obesity. There exists no prior chest examination available for comparison. Review of a torso ct examination of <unk> did not show any pulmonary abnormalities in the basal half of the thorax.
<unk>-year-old male patient, morbidly obese, coming in with cough and subjective fever, evaluate for pneumonia.
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old woman with hx of recent acute ischemic stroke of unknown etiology, as well as reports of <num>mo of persistent shortness of breath // please eval for abnormality. pt scheduled for vq scan and needs cxr prior to imaging
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The heart is at the upper limits of normal size. The aortic arch is calcified. A convex contour to the right uppermost mediastinal contour is most commonly due to tortuosity of the great vessels. There is no pleural effusion or pneumothorax. The lungs appear clear. Mid thoracic interspaces are mildly narrowed.
weakness.
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Again seen bibasilar atelectasis. No large pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Status post median sternotomy and cabg. Midline tracheostomy tube again seen. Interval removal of a right internal jugular central venous catheter. No pulmonary edema.
history: <unk>f with sob // evidence of pneumonia
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Right central venous infusion catheter with its tip unchanged from prior study. A right pleural drainage tube with its tip at the right apex, unchanged from prior. There are bilateral small pleural effusions, slightly improved from prior. There is slightly improved aeration in both lungs with slight improvement in pulmonary edema. There are bilateral patchy opacities in both lungs, consistent with known widespread pulmonary metastases. No pneumothorax.
<unk> year old man with right malignant pleural effusion s/p pleurx catheter // any interval change in effusion?
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There has been interval removal of the left picc line. There is a new right lower lobe opacity. There is residual left lower lobe opacification; however, there has been significant improvement in the upper lobe patchy opacities with only minimal residual somewhat nodular appearing opacities in the upper lobes. There is no pneumothorax. The cardiomediastinal silhouette is stable. There is no evidence of pulmonary vascular congestion. Severe bronchiectasis is noted in the bilateral lower lobes, unchanged from prior exam.
bronchiectasis and right-sided chest pain. outside imaging report showing multifocal pneumonia despite prolonged antibiotic course. evaluate for infiltrate, signs of fungal infection.
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Since <unk> and the removal of the right chest tube, the volume of the moderate size, persistent right pleural space, has decreased, but it now contains a small loculated fluid collection postoperative widening of the apparent right mediastinal contour has been stable since <unk>, probably a fluid collection in the mediastinum or the medial right pleural space. Left basal atelectasis has improved. The lungs are otherwise clear. The heart size is normal.
<unk>-year-old female status post right upper lobectomy on <unk> who presents for evaluation of interval change.
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Pa and lateral views of the chest provided. Lungs are hyperinflated. Lucency in the upper lungs is consistent with known underlying emphysema. No signs of congestion or edema. 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 worsening cough, congestion, change in sputum color despite inhaled steroids // r/o pneumonia
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Evidence of dish is seen along the thoracic spine.
history: <unk>m with chest pain, shortness of breathe // r/o pna
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The lungs are fully expanded and clear. The cardiomediastinal and hilar contours are normal. There is no pneumothorax or pleural effusion. Osseous structures are unremarkable.
<unk> man with lower chest pain .
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The lungs are clear without focal consolidation, effusion, or edema. Cardiac silhouette is top normal. No acute osseous abnormalities. There is no free intraperitoneal air.
<unk>f with ruq and epigastric pain // evaluate for acute process
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Cardiomediastinal silhouette and hilar contours are normal. A subtle right lower lobe nodule is unchanged and was previously determined to be benign with serial ct examination. Lungs are otherwise clear. There is no pleural effusion or pneumothorax.
cough and right lower lung bronchi.
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Cardiac, mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. Radiation fibrotic changes within the left upper lobe are unchanged compared to the previous exam. No focal new focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is seen. Remote left-sided rib fractures are noted.
malaise, hypotension, immunosuppressed for renal transplant.
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Heart size is moderately enlarged. The aorta is markedly tortuous and diffusely calcified, unchanged. Pulmonary vasculature is not engorged. The lungs are hyperinflated but clear. No pleural effusion, focal consolidation or pneumothorax is visualized. No acute osseous abnormality is detected.
history: <unk>f with fall and head strike
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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. Views of the upper abdomen are unremarkable.
<unk>f with fever, evaluate for pneumonia.
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There is mild biapical pleural thickening is again seen. No focal consolidation or pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. The lungs are relatively hyperinflated, with flattening of the diaphragms, suggesting chronic obstructive pulmonary disease.
left upper quadrant pain, leukocytosis.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old male with exertional dyspnea. evaluate for acute process.
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Lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with persitant productive cough // r/o pna
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There is persistent elevation of the right hemidiaphragm with overlying atelectasis. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Lingular atelectasis may be present appear the cardiac and mediastinal silhouettes are stable.
history: <unk>f with sob // eval pneumonia
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The patient is rotated which slightly limits assessment. Allowing for this, the heart size is grossly normal. Mediastinal and hilar contours are grossly unremarkable. No focal consolidation, pleural effusion or pneumothorax is seen. The pulmonary vasculature is normal. Lungs are hyperinflated with flattening of the diaphragms compatible with copd. Mild compression deformity of a low thoracic vertebral body is unchanged.
history: <unk>m with history of copd presenting with cough and shortness of breath
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Left-sided port-a-cath terminates in the expected location of the superior cavoatrial junction. Right axillary surgical clips are noted. Lungs are clear of focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal contours are normal. No subdiaphragmatic free air. No acute osseous abnormalities identified.
history: <unk>f with port in place // assess port for use
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A dual lead pacemaker is unchanged in position when compared to the prior study. A surgical pin transfixes the right clavicle. There is moderate cardiomegaly with a left ventricular enlargement pattern. The right peritracheal lymphadenopathy is difficult to evaluate on these radiographs, there is no significant interval change in terms of the mediastinal contour when compared to the prior study. Lung volumes are within normal limits. No consolidation, pneumothorax or pleural effusion seen.
<unk> year old man with right lower paratracheal lymph node mass and mediastinal/hilar lymphadenopathy // any change in mass size?
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The heart remains mildly enlarged but unchanged. The aorta is tortuous. The mediastinal and hilar contours are within normal limits. Pulmonary vascularity is not engorged. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormalities detected.
fevers.
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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Multiple previously visualized sub-<num>-mm nodules in the left lung are better delineated on prior ct.
evaluation of patient with aml with fever and neutropenia.
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In comparison with the study of <unk>, there is little overall change. Post-surgical changes are again seen at the left base, but there is no evidence of acute pneumonia, vascular congestion, or pleural effusion. Cardiac silhouette appears at the upper limits of normal in size on this study.
excision of chest wall mass.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Lower thoracic dextroscoliosis is again noted.
<unk>m with hx of afib presenting with palpitations found to be in aflutter // any evidence of pneumonia?
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Subsegmental atelectasis is noted in the right lower lobe. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
history: <unk>f with dyspnea, cough
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The patient is status post median sternotomy and cabg, with wires and surgical clips that appear unchanged in comparison to the prior chest radiograph. Moderate cardiomegaly. Moderate interstitial edema. Bilateral pleural effusions, right larger than left, with fluid in the minor and major fissures. The linear opacity in the left upper lung represents scarring and appears unchanged in comparison to the prior chest radiograph. No pneumothorax is seen. There is diffuse heterogeneous increased density of the the bones.
<unk> year old man with copd, chf, with worsening pfts and shortness of breath // any infiltrate or chf
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There are bilateral increased interstitial opacities with an upper lobe predominance. The heart is normal in size. Right-sided port-a-cath is visualized with the catheter tip terminating in the mid svc. Cardiomediastinal silhouette is within normal limits. There are no acute fractures.
chest pain.
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Pa and lateral views of the chest. The lungs are clear. Nodular opacities over the lung bases are most compatible with nipple shadows. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
<unk>-year-old male with fever and recent hospitalization.
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In comparison to the chest radiographs obtained <unk>, no significant changes are appreciated. Lungs are fully expanded and clear without focal consolidation or suspicious pulmonary nodules. No pleural effusions. Mild cardiomegaly is unchanged without pulmonary vascular congestion or pulmonary edema. Descending thoracic aorta is tortuous, but unchanged. Median sternotomy wires are well aligned and intact.
<unk> year old woman with increased cough // r/o lesions
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Pa and lateral views of the chest provided. The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is unchanged with an unfolded thoracic aorta. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m w/ weakness, tremor. on peritoneal dialysis. ?cardiopulm change
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Pa and lateral views of the chest provided. On the frontal view only, subtle opacity is noted in the left mid and lower lung which could in the correct clinical setting represent pneumonia. The right lung is clear. There is no 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 dyspnea // acute process?
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Lung volumes are slightly reduced. The heart size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is visualized.
shortness of breath.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits and unchanged in configuration compared to prior. No acute osseous abnormality detected. Hypertrophic changes are seen in the spine.
<unk>-year-old female with diabetes and history of mi, presents with chest pain radiating to the back.
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Sternotomy wires are unchanged. There has been interval removal of the right ij central venous catheter. The heart and mediastinal contours are stable. The lungs demonstrate bibasilar atelectasis and bilateral pleural effusions, right slightly greater than left but both small. Vascular congestion is present. There is no pneumothorax. Fluid is seen tracking into the minor fissure.
<unk>-year-old female with cabg.
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A central venous catheter ends at the low svc. No focal consolidation is seen. There is no evidence of pneumothorax or pleural effusion. The cardiac silhouette is mildly enlarged. Enlargement of the pulmonary arteries is seen. Views of the upper abdomen demonstrate surgical clips from prior cholecystectomy. No acute osseous abnormalities detected.
<unk>f with uri symptoms, pancreatic cancer on chemotherapy, evaluate for pneumonia.
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There is no pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. Bibasilar atelectasis is noted. The heart is moderately enlarged but unchanged from at least <unk>. The aorta is tortuous. The hilar contours are unremarkable and similar in appearance to the prior ct. Specifically, there is a prominent right pulmonary vein.
altered mental status and syncope, rule out pneumonia.
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The lung volumes are low. Linear opacities at the right base are similar to the prior radiograph, and likely represents atelectasis. There is no focal airspace opacity. There is no pulmonary edema, pleural effusion, or pneumothorax. The mediastinal contours are normal. The heart size is mildly enlarged, and unchanged.
recent stroke and pneumonia. evaluate for pneumonia.
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Ap and lateral views of the chest were obtained. Cardiomediastinal contour is unchanged compared to the prior examination. Lung volumes are slightly low accentuating bronchovascular markings without evidence of focal consolidation. There is no pleural effusion or pneumothorax. Pacer device projects over the left upper chest with leads in stable position.
<unk>-year-old man with shortness of breath, feeling of prior mi, evaluate for acute process.
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Pa and lateral views of the chest demonstrate clear lungs. Cardiac size is normal. No pleural effusion or pneumothorax.
<unk>-year-old man with fever.
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Pa and lateral views of the chest provided. Minimal left basal platelike atelectasis noted. Otherwise lungs are clear. No large 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 pain // ?pna
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The lungs are clear. There is no consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. There is no free intraperitoneal air. Osseous structures are unremarkable.
<unk>f with chest pain epigastric constant // eval for pna
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The heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Small bilateral pleural effusions are noted along with streaky opacities in the lung bases. There is no pneumothorax. No acute osseous abnormalities are seen.
shortness of breath.
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The lungs are clear besides minimal left basilar atelectasis. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with back pain // pre-op cxr, ? pna
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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.
fever.
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Ap upright 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 headstrike // eval for ptx, bleed
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The heart may be mildly enlarged on this ap projection. The mediastinal and hilar contours are within normal limits. There is a subtle retrocardiac opacity, seen better on the lateral view. There is no pleural effusion or pneumothorax identified.
<unk>f with copd // eval ? infiltrate
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Lungs are clear without focal consolidation, effusion, or pneumothorax. Cardiomegaly is similar compared to prior. Tortuosity of the thoracic aorta is noted. Severe degenerative changes noted at the right glenohumeral joint noting an intra-articular body just inferior to the coracoid process. Left shoulder arthroplasty changes are seen on the lateral view.
<unk>m with right knee surgery // preop
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Frontal and lateral views of the chest are compared to previous exam from <unk>. Left chest wall pacing device is again noted. The lungs are clear of consolidation or pulmonary vascular congestion. Cardiac silhouette is slightly enlarged but unchanged. Postoperative changes of median sternotomy wires again noted with fracture of the top and third from the top sternal wires. Osseous structures are unchanged noting possible compression deformity at the lower thoracic level with an acute kyphosis which is unchanged from prior.
<unk>-year-old male with lower extremity swelling and shortness of breath.
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Patient is status post median sternotomy, the wires appear intact. Cardiomediastinal contour is within normal limits. There is no focal opacity convincing for pneumonia. Eventration of the right hemidiaphragm is noted. There is no pleural effusion or pneumothorax. Note is made of significant degenerative changes without bilateral acromioclavicular joints. No acute osseous abnormality is detected.
<unk>-year-old male with dizziness.
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
liver failure and decompensation.
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Patchy left mid to lower lung opacities are worrisome for lingular m possible left lower lobe pneumonia. Subtle right mid lung opacity is also seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with report of pna w/ chest pain, dyspnea // ? acute cardiopulm process, ? pna
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Left-sided icd device is re- demonstrated with single lead terminating in the right ventricle. Moderate cardiomegaly is again noted. Mediastinal contours are similar. Previously demonstrated linear lucencies about the mediastinum are not visualized on the current exam, and no definite evidence for pneumomediastinum is present. There is mild upper zone vascular redistribution without overt pulmonary edema, overall improved. Patchy opacities in the lung bases likely reflect areas of atelectasis. No pneumothorax or pleural effusion is demonstrated. There are no acute osseous abnormalities.
history: <unk>m with ventricular tachycardia, hyperkalemia
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In comparison with study of <unk>, the right catheter has been removed and there is no evidence of pneumothorax. Some prominence of the right paramediastinal area is again seen, consistent most likely with tortuosity to the brachiocephalic vessels and the portable technique. Subcutaneous gas is again seen in the right supraclavicular region. No evidence of acute focal pneumonia or vascular congestion.
left vats with chest tube removed, to assess for pneumothorax.
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The heart appears mildly enlarged. The mediastinal and hilar contours appear within normal limits. The lung volumes appear low. There is no definite persistent visualization of a previously noted tiny pneumothorax, although there is persistent but somewhat decreased subcutaneous emphysema lying outside of the chest wall and tracking into the base of the right neck. There is no definite pleural effusion. Thickening of the right major fissure appears unchanged, however. Diffuse hazy and reticular opacities appear unchanged.
status post recent vats surgery, presenting with fever.
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The lungs are clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with midepigastric pain radiating to back. // ? widened mediastinum
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Left-sided picc tip terminates at low svc, unchanged. 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 swollen legs, on antibiotics for mrsa // eval picc placement
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is stable and notable for dense mitral annular calcifications. Accentuated thoracic kyphosis is again noted with hypertrophic changes in the spine.
<unk>-year-old female with new left bundle-branch block. question effusion.
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Pa and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is normal. No acute osseous abnormality detected.
<unk>-year-old male with fever and nonproductive cough.
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Central pulmonary vascular congestion without overt pulmonary edema. No definite focal consolidation is seen. No pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are grossly stable.
history: <unk>m with shortness of breath*** warning *** multiple patients with same last name! // ? infiltrate
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Subcutaneous emphysema along the right lateral chest wall is stable. There is interval placement of a left pectoral single-chamber icd with a right ventricular icd lead terminating in the right ventricular apex. The course of the lead is unremarkable. The inspiratory lung volumes remain low. Retrocardiac opacification and bibasilar atelectasis is unchanged. Small bilateral pleural effusions are noted on the lateral view, which are likely little changed from prior frontal chest radiograph. There is no pneumothorax. The cardiac silhouette remains severely enlarged. The thoracic aorta is dilated and tortuous, as before.
cardiomyopathy and ventricular tachycardia status post single-chamber icd placement, here to evaluate for pneumothorax.
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Pa and lateral views of the chest. The lungs are hyperinflated. The previously seen tree-in-<unk> opacities on chest on the prior most recent chest ct in the lower lobes is still apparent on this study. There is no evidence of pulmonary edema, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
shortness of breath. question chf.
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Lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact.
cough, evaluate for pneumonia
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There is focal consolidation with air bronchograms seen in the left perihilar region, consistent with a pneumonia likely within the superior segment of the lingula. Cardiomediastinal contours are unchanged. No pneumothorax. Persistent elevation of the left hemidiaphragm is stable
history: <unk>m with hx of aids (recent cd<num>s better), fevers, rigors // evaluate for pneumonia, pcp, acute process
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Again seen are extensive fibrotic changes, predominant following the bilateral mid to lower lung this patient with reported history of sarcoidosis. The cardiac and mediastinal silhouettes are stable. Hilar contours are stable. No pleural effusion or pneumothorax is seen.
history: <unk>f with sarcoid, p/w cough and sob // eval for consolidation
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The lungs are well expanded and clear. Cardiomediastinal contours and hila are normal. No pneumothorax or pleural effusion.
<unk> yof with leukocytosis and fever p/w odynophagia and body aches. any intrathoracic process
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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. Aortic stent partially visualized in the upper abdomen on the lateral view.
<unk> year old man with cad, mi s/p pci, aaa s/p endovascular repair, diverticulitis c/b colovesicular fistula requiring brief diverting ileostomy, prior pre diabetes p/w fsbg <num>
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Moderate enlargement of the cardiac silhouette is increased in size compared to the prior study, likely accentuated due to low lung volumes and ap technique. Similarly, the superior mediastinum appears widened and again is likely due to differences in technique and poor inspiratory volumes. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>m with generalized weakness
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The lungs are normally expanded. Faint opacity at the left base is similar to the study of <unk>. There is no convincing evidence of pneumonia. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette hilar contours are normal. Cbd stents are incidentally seen in the right upper quadrant.
history: <unk>f with fever on chemo // eval for pna
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The lungs are clear without evidence of consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
left-sided chest pain. evaluate for infection.
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As compared to the previous radiograph, there is no relevant change. Normal lung volumes, no pleural effusions. Normal size of the cardiac silhouette. No pulmonary edema. No pneumonia. No pneumothorax. Normal size of the cardiac silhouette.
pleuritic pain.
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Pa and lateral radiographs of the chest show clear lungs. The cardiac, hilar, and mediastinal contours are normal. Again noted is small hiatal hernia. No osseous abnormality is seen. No pleural abnormality.
chest pain.
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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 with shortness of breath // ?pneumonia
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Frontal and lateral radiographs of the chest demonstrate normal heart size. Stably tortuous aorta. Normal mediastinal contours. Asymetric prominence of the superior right hilus is unchanged from prior; however, a nonemergent ct scan is recommended to exclude a slow growing malignancy. No pleural effusion or pneumothorax. Clear lungs. Telephone notification to dr <unk> by dr <unk> at <num> am on <unk>.
chest pain and left arm tingling. evaluate for pneumonia or other acute process.
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Central pulmonary arteries again appear mildly enlarged. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
weakness.
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There is mild prominence of the contour of the ascending aorta, concerning for aortic aneurysm. The lungs are well inflated appear grossly clear without evidence of focal consolidation. There is no pulmonary edema, pneumothorax, or pleural effusion. The heart size is normal and the hila are unremarkable.
history: <unk>f s/p fall.
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The heart size is normal. The hilar mediastinal contours are normal. No focal consolidations concerning for pneumonia identified. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history: <unk>m without significant medical history presenting with fever // please assess for signs of pneumonia
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Mild streaky right base opacity could be due to atelectasis but infection or aspiration is not excluded in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable and stable.
history: <unk>m with ams. infectious work-up. // eval pna
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The lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pneumothorax, or pulmonary edema. S-shaped thoracolumbar scoliosis is noted, with the thoracic spine convexed to the right.
<unk>-year-old female with chest pain. evaluation for pneumonia.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
chest pain after cocaine use.
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Redemonstrated is a large right lower lobe pulmonary metastases. The cardiomediastinal silhouette and hila are normal. There is no pleural effusion or pneumothorax. There is no new lung consolidation to suggest pneumonia.
mental status change please assess for pneumonia.
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Frontal and lateral views of the chest demonstrate normal lung volumes. No pleural effusion, focal consolidation or pneumothorax is seen. There are prominent hilar opacities, which may reflect lymphadenopathy. Heart is normal in size. No pulmonary edema is seen. Partially imaged upper abdomen is unremarkable.
fever.
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Low lung volumes are re- demonstrated. The cardiac silhouette appears mildly enlarged. The mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. Persistent eventration of the hemidiaphragms are noted bilaterally with associated bibasilar patchy opacities, likely atelectasis. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>m with productive cough, known previous pneumonia treated but not improved
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Cardiac, mediastinal and hilar contours are within normal limits. The pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are detected.
cough, congestion for <num> days.
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The heart is moderately enlarged. There is mild pulmonary edema. As compared to prior chest radiograph from <unk>, there is improved aeration of the right lung base. Persistent bibasilar opacities likely reflect chronic interstitial abnormality as on prior chest ct <unk>. No new focal consolidations are noted. There are improved bilateral pleural effusions. There is no pneumothorax.
chest tightness, dizziness, shortness of breath. evaluate interval worsening or resolution of pna.
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Pa and lateral views of the chest provided. Patient is status post cervical spinal fusion. Fiducial seeds within a right infrahilar mass with adjacent linear scarring are unchanged. Moderate atelectatic changes at the right lung base are unchanged. Mild elevation of the hemidiaphragm is stable. No pleural effusion or pneumothorax.
<unk> year old woman with h/o lung ca s/p cyberknife, copd, with cough/phlegm, r posterior chest discomfort // ?pna
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As compared to the previous radiograph, there is a newly appeared partial lower lobe atelectasis, combined to a small left pleural effusion. No evidence of pneumonia. Borderline size of the cardiac silhouette. No pneumothorax. The right internal jugular vein catheter has been removed in the interval.
status post kidney transplant, rule out pneumonia.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no evidence of pulmonary edema.
<unk>f with chest pain // acute process