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Lung volumes are normal. An opacity is located in the superior aspect of the left lower lobe. Cardiomediastinal contours are normal. The left hilar contour slightly enlarged which could be due to reactive lymphadenopathy or less likely a central mass/obstruction. No pleural effusions and the pleural surfaces are normal.
<unk> year old man with fevers, tachypnea, and cough. // eval for pneumonia
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Cardiac silhouette size remains mildly enlarged. Mediastinal contour is unchanged. There is mild pulmonary edema, new in the interval with increased size of small bilateral pleural effusions, right greater than left. Worsening focal opacities in the lung bases may reflect areas of atelectasis, but infection or aspiration cannot be excluded. No pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>f with dchf, assess for volume overload
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Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. Cardiac, mediastinal and hilar contours are unchanged with the heart size within normal limits. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
history: <unk>m with abdominal pain and distension, decompressed bladder on bedside ultrasound
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A large right-sided pleural effusion with balanced mass effect and probable associated atelectasis has developed since the prior radiographs. The left lung remains clear. The lateral view suggests a small pleural effusion on the left. There is no pneumothorax. A healed left posterolateral eighth rib fracture appears unchanged.
known hepatic failure, presenting with shortness of breath.
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Cardiac, mediastinal and hilar contours are unchanged with similar prominence of the main pulmonary artery. Prominent interstitial markings are again demonstrated bilaterally which are similar compared to the previous exam, without evidence of overt pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Remote right-sided rib fracture is again seen.
chest pain and dyspnea on exertion.
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Pa and lateral views of the chest provided. The lungs are hyperinflated and clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with doe, palptiations // r/o pneumonia
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Left-sided dual-chamber pacemaker device leads terminating in the right atrium and right ventricle, unchanged. Heart size remains mildly enlarged. The mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. Patchy opacities in lung bases may reflect atelectasis, slightly worse in the interval. No new focal consolidation, pleural effusion or pneumothorax is seen. Moderate multilevel degenerative changes are noted in the thoracic spine. Fractures of the left sixth and seventh posterior ribs are subacute, seen on the previous examination. No definite new osseous abnormalities detected. Extensive degenerative changes are present involving both glenohumeral joints.
history: <unk>m with fall, head injury
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Pa and lateral views of the chest. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
cough and fever.
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Ap upright and lateral views of the chest provided. Lungs are hyperinflated. There is no focal consolidation, large effusion or pneumothorax seen. Cardiomediastinal silhouette appears normal. Imaged bony structures are intact. No acute osseous abnormality.
<unk>f with vomiting episode during syncope
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Frontal and lateral chest radiograph demonstrates clear lungs. No pleural effusion or pneumothorax evident. Cardiomediastinal and hilar contours are unremarkable. No osseous abnormality evident.
three weeks of cough, evaluate for pneumonia.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
pre-operative for wash-out of abscess.
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Sutures are noted in the left lung apex. Otherwise, the lungs are clear without focal opacity, pulmonary edema, or pneumothorax. Blunting of the left costophrenic angle on the lateral view suggests a trace pleural effusion. No right-sided pleural effusion is demonstrated. The cardiac and mediastinal contours are normal. No acute osseous abnormalities seen.
history: <unk>m with chest pain, dyspnea
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Cardiac, mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Multilevel degenerative changes are noted in the thoracic spine.
chest pain.
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Pa and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
two or three weeks of productive cough.
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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 coarse bs left lung // ? pna
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The previously reported potentially concerning left mediastinal abnormality has resolved. The appearance is now similar to the <unk> radiograph. A small left apical pneumothorax is also similar to that radiograph. Diffuse pulmonary opacities are again demonstrated, and show interval improvement with residual opacities most prominent in the left mid and both lower lungs. Small pleural effusions have also apparently improved.
<unk> year old woman s/p l vats lung bx // check interval change
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There is an interval removal of an endotracheal tube and feeding tube. Again seen is a moderate left pleural effusion and opacification of the left base consistent with collapse. Also seen is a small right pleural effusion and opacification of the right base consistent with atelectasis. The cardiomediastinal silhouette and hilar contours are normal. There is no pneumothorax.
status post lap nissen fundoplication for paraesophageal hernia. evaluation for interval change.
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Cardiomediastinal contours are stable. There is mild cardiomegaly. Pacer lead is in standard position. The aorta is tortuous. The lungs are hyperinflated. There is increasing atelectasis in the left base. The upper lungs are clear. There is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine
<unk> year old man with asthma, atrial fibrillation, recent pna, presents with doe. // ? cause of dyspnea
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There is severe hyperinflation of the lungs with flattened hemidiaphragms indicative of copd. There is no focal consolidation. The cardiomediastinal and hilar contours are stable. There is no pulmonary edema, pleural effusion or pneumothorax.
<unk>-year-old male with weight loss and cough.
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The lungs are clear besides left basilar atelectasis. The cardiac and mediastinal contours are normal, and there is no pleural effusion or pneumothorax. Percutaneous transhepatic biliary drain is partially imaged in the midline of the upper abdomen. Old healed left posterior rib fractures are noted.
<unk>m with h/o pancreatic cancer s/p whipple and ptbd, p/w fever <unk>f // rule out pneumonia; eval biliary tree
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The lungs are well expanded and clear. There is no pleural abnormality. The heart size is normal. The hilar and mediastinal contours are unremarkable.
<unk> year old man with hx of aml, s/p allo with progressive cough and diffuse rhonchi. please assess for pna. // <unk> year old man with hx of aml, s/p allo with progressive cough and diffuse rhonchi. please assess for pna.
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In comparison with study of <unk>, the left basilar opacification has essentially cleared. Blunting of the costophrenic angle persists. The remainder of the study is essentially within normal limits.
hiv with worsening ataxia, to assess for pneumonia.
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Frontal and lateral views of the chest demonstrated right pic catheter projecting over mid svc. Low lung volumes without pleural effusions, focal consolidation or pneumothorax. Linear opacity in the left lung likely represents atelectasis. Hilar and mediastinal silhouettes are unchanged. Heart size normal. No pulmonary edema.
patient with fevers. assess for pneumonia.
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Bilateral multifocal parenchymal opacities persist. Subpulmonic fluid collection at the left lung base has increased. Sutures s/p left wedge resection are again noted. No pneumothorax is seen. The cardiac, hilar and mediastinal silhouettes are unremarkable. Right ij catheter is stable in position.
<unk> year old woman with cough and chronic active ebv. // evaluate for interval change.
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Lungs are fully expanded and clear. A nasogastric tube coils in the stomach with tip terminating in the proximal stomach. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal.
history: <unk>m with hypotension // eval for acute infectious process
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Pa and lateral views of the chest. The lungs are clear consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. Mild midthoracic dextroscoliosis is noted. No acute osseous abnormalities detected.
<unk>-year-old female with vomiting.
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There is increased right basilar atelectasis. Otherwise, mild-to-moderate cardiomegaly persists. Pulmonary vasculature appears engorged. There is a likely small right pleural effusion but no pulmonary edema. Tortuosity of the aorta remains unchanged. Severe erosive changes of the humeral heads are again visualized but the shoulders are not dislocated. Multiple wedge deformities of the thoracic vertebral body are again noted.
evaluation of patient with shortness of breath and peripheral edema and history of congestive heart failure.
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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. No overt pulmonary edema is seen.
difficulty speaking.
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Lungs are clear without focal consolidation. The heart is mildly enlarged. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Degenerative changes are seen throughout the thoracic spine.
chest pain, rule out pneumonia.
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The lungs are relatively hyperinflated. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Evidence of a hiatal hernia is seen. The cardiac silhouette is top-normal. The aorta is slightly tortuous and calcified. Partial imaged is right humeral prosthesis. The bones are diffusely osteopenic. Evidence of prior vertebroplasty/kyphoplasty is seen in the lower thoracic spine at the level. There is intervertebral disk space narrowing at the lower thoracic spine as well as moderate to severe anterior wedging of a lower thoracic vertebral body.
cough and generalized weakness.
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As seen on prior, there is diffuse interstitial abnormality compatible with bronchiectasis and scarring. There are more confluent regions of consolidation at the right lung base in the middle lobe and in the right suprahilar region. There is no effusion. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>f with chest pressure, cough, dyspnea // eval for pna
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The lungs are clear without focal consolidation on the frontal view. However, there is increased retrocardiac opacity on the lateral view, likely related to expiratory phase and atelectasis. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are enlarged, unchanged.
history: <unk>f with smoke inhalation, sob // pneumonitis?
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette, including severe cardiomegaly and numerous sternotomy wires, is unchanged.
<unk>m with <unk> a fib, valve replacement, asthma, with sob and wheeze, evaluate for pulmonary edema.
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Subcentimeter rounded density projecting over the lateral left lung base is most likely a vessel on-end versus granuloma. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is no pulmonary edema.
history: <unk>m with chest pain and shortness of breath // pneumonia pneumothorax
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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>f with r orbital swelling s/p fall // evidence of fracture or bleed
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Pa and lateral chest views were obtained with patient in upright position. The heart size is within normal limits. No configurational abnormalities identified. Thoracic aorta unremarkable. There exist old parenchymal abnormalities and pleural scar formations in the left lower hemithorax including sizable linear calcifications in the left-sided diaphragm. All these changes existed already on the next preceding chest examination of <unk>. Now and apparently after performance of an interventional procedure there is a <num> to <num> cm wide apical pneumothorax. A tiny fiducial mark is seen to overlie the anterior lateral portion of the fourth rib on the left side. No other new abnormalities are identified. There is no evidence of significant mediastinal shift in comparison with the previous study. Telephone contact was established with referring physician <unk>. <unk>. A tiny pneumothorax was seen earlier during an interventional procedure where chest cts have been performed. Apparently the pneumothorax is getting somewhat larger.
<unk>-year-old male patient status post procedure with small left apical pneumothorax. examine for interval change in signs of pneumothorax, is status post fiducial seed placement in left upper lobe.
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The patient is status post median sternotomy and mitral valve replacement. The cardiomediastinal and hilar contours are stable. Chronic upper zone vascular redistribution without overt edema. Lung volumes are low resulting in crowding of bronchovascular structures, particularly at the lung bases. No effusions or pneumothorax.
history: <unk>f with afib , palpitations. // pna?
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Pa and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
chills and cough.
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In comparison to <unk> radiograph, heart is increased in size and is accompanied by a new pulmonary vascular congestion, as well as new heterogeneous opacities in the right lung with both alveolar and interstitial features. Small bilateral pleural effusions are also new. Known intrathoracic lymphadenopathy is seen to better detail on prior pet-ct of <unk>.
<unk>-year-old man with hodgkin's lymphoma fever and lethargy. evaluate for infiltrates.
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The heart size is normal. The aorta is mildly unfolded with mild atherosclerotic calcifications. Mediastinal and hilar contours otherwise are within normal limits. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acutely displaced rib fractures are seen. Remote left <unk> lateral rib fracture is present.
right rib pain and abrasion after fall.
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The lung volumes are low. There are vague basilar opacities, most consistent with bibasilar atelectasis. The lungs are otherwise clear without consolidation or edema. There is no pleural effusion or pneumothorax. The bilateral hila are prominent. The hila were previously evaluated on the prior ct, and appear prominent due to the configuration of the normal vasculature. The mediastinal contours are normal. The heart size is normal.
history of coronary artery disease, congestive heart failure, and shortness breath. evaluate for pneumonia.
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Pa and lateral views of the chest. The lungs are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is detected.
<unk>-year-old male with chest pain.
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Frontal and lateral views of the chest demonstrate low lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Small to moderate hiatal hernia is seen with air-fluid level projecting over cardiac silhouette. Partially imaged upper abdomen is unremarkable.
cough.
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In comparison with chest radiograph from <unk>, there is little overall change. There is no focal consolidation, effusion, or pneumothorax. There is no vascular congestion or pulmonary edema. Heart size is normal. Bullous emphysema in the upper lobes is substantial. Three endobronchial valves to project over the right hilus, most likely in the segmental divisions of the downward displaced right upper lobe bronchus. There has been no loss of volume of the hyperinflated upper lobe.
<unk> year old woman s/p ebv x<num> to r lung. post procedure (done on <unk>) study. // evaluate for ptx, acute change; please perform at <num>am
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The lungs are hypoinflated, but do not demonstrate any focal opacities. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The aorta is mildly tortuous.
<unk>-year-old female with chest pain. evaluate for presence of pneumonia.
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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>m with fever left foot osteo // ? pna, free air
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal. The right hemidiaphragm remains elevated. There is normal pacing leads project over the left chest. Vertebra plana of t<num> is stable since at least <unk>.
atrial fibrillation
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Heart size is moderately enlarged but unchanged. The mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. Minimal atelectasis is noted in the lung bases without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities detected.
history: <unk>f with c<num>-<num> tenderness to palpation, pain radiating down left arm; pain down back; right hip pain
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Lung volumes are low.the lungs are clear without focal consolidation or overt edema. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No acute osseous abnormality.
<unk>f with cad, chf, chest pain // ? pleural effusion
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Cardiac size is top-normal. There is new mild to moderate pulmonary edema. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable central catheter is in standard position
<unk> year old man with productive cough, e. coli in sputum, rhonchi at bilateral bases // eval for pneumonia
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There are no acute skeletal abnormalities.
<unk>-year-old man with psoriatic arthritis, rule out infiltrate.
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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 cough
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Minimal bibasilar atelectasis is seen without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Aortic knob calcification is seen. No pulmonary edema is seen.
history: <unk>f with panic attacks // eval for pna
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Increased interstitial markings, a moderate left pleural effusion, and mild pulmonary edema are compatible with volume overload. Increased retrocardiac opacification may reflect mildly asymmetric pulmonary edema, but small retrocardiac consolidation cannot be excluded. Repeat radiographs following diuresis would be useful in excluding possible consolidation if clinically feasible. The heart size is top normal.
<unk> year old man with aortic stenosis // r/o inf, eff
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There is mild prominence of the pulmonary vasculature without edema, likely due to fluid resuscitation. Minimally increase opacification of bilateral bases is likely due to overlying prominent pulmonary vasculature. The lungs are without focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. Two lead pacemaker appears in place. No acute fractures are identified.
altered mental status.
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Tripolar left chest wall pacer device again noted with leads extending to the region the right atrium, right ventricle and coronaries sinus. The heart is mildly prominent with a small pericardial effusion seen on same-day ct exam. Hila appear mildly congested without frank pulmonary edema. No signs of pneumonia, effusion or pneumothorax. Mediastinal contour is unchanged. No acute bony abnormalities. Compression deformities of the thoracolumbar spine are unchanged.
<unk>-year-old woman with weakness. evaluate for pneumonia.
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In comparison to the prior exam, the lung volumes have improved. There is persistent linear opacification at the right base, most consistent with atelectasis. There is no evidence of pneumonia, pulmonary edema, a pleural effusion, or a pneumothorax. The mediastinal contours are normal. The heart size is at the upper limits of normal.
chest pain with a non-productive cough.
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Patchy right middle lobe opacity is worrisome for pneumonia. No pleural effusion or pneumothorax is seen. The heart is top-normal in size. No pulmonary edema is seen.
history: <unk>f with headache and left chest/arm numbness // eval for ich, chf, pneumonia
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with chest pain // eval for pneumothorax
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A three-lead pacemaker/icd device appears unchanged. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Suture anchors are present in the right humeral head. Surgical clips project over the right upper quadrant.
weakness and hyponatremia.
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The patient is status post coronary artery bypass graft surgery. A dual-lead pacemaker/icd device appears in a similar position. The cardiac, mediastinal and hilar contours appear unchanged, allowing for differences in technique. The lung volumes are very low. Particularly in that setting, minimal left basilar opacities are probably associated with minor atelectasis. The lungs appear otherwise clear. There is no pleural effusion or pneumothorax. The bones are probably demineralized to some degree.
prior pneumonia and feeling poorly.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Trachea is deviated to the right slightly above the thoracic inlet.
<unk>m with cough // eval for pna
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Right-sided pacemaker device is noted with single lead terminating in the right ventricle. Moderate cardiomegaly is re- demonstrated, unchanged. The aorta is mildly tortuous. Mild pulmonary edema is new in the interval. There are likely trace bilateral pleural effusions. No focal consolidation or pneumothorax is present. Mild degenerative changes are seen in the thoracic spine.
history: <unk>f with dizziness and ekg changes
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The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable.
cough, evaluate for pneumonia.
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There is a small ill-defined opacity in the left apex projecting between the posterior <unk> and <num>th ribs; this is only seen on the pa view, and likely represents a vessel. No evidence of pneumonia, pleural effusions or pneumothorax. No pulmonary edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk> year old woman with cough and chest discomfort // r/o infiltrate
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.
<unk>-year-old male with fever, cough and generalized weakness.
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There is bibasilar atelectasis. No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
<unk> year old woman with cough and weakness // r/o acute process
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Pa and lateral chest radiographs. Left-sided picc tip terminates in the lower svc. Mild cardiomegaly and interstitial edema are unchanged from <unk>. There is no pleural effusion or pneumothorax.
fever.
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There are multiple left-sided pulmonary nodules compatible with metastases as previously noted. Known right-sided pulmonary nodules are not clearly delineated. The largest nodule on the left measures <num> cm, previously approximately <num> cm. Diffuse bilateral parenchymal opacities, right greater than left have otherwise not significantly changed. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with fall, chf // eval for structural process, pulmonary edema
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen.
<unk>m with contusion to bil chest s/p fall // r/o fx or ptx
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
<unk>-year-old man with pain on inspiration after fall, evaluate for acute process.
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Ap and lateral views of the chest. Again seen are multiple calcified pleural plaques bilaterally. There are low lung volumes. Mild cardiomegaly. The mediastinal and hilar contours are normal. No evidence of focal consolidation, pleural effusion or pneumothorax.
altered mental status, history of chf.
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No previous images. There is mild hyperexpansion of the lungs raising the possibility of some chronic pulmonary disease. However, no pneumonia, vascular congestion, or pleural effusion. Specifically, no evidence of hiatal hernia.
asthma with subxyphoid pain, to assess for hiatal hernia.
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Again seen, are increased interstitial markings, most pronounced in the subpleural region, not significantly changed from the prior study. There is no focal consolidation. Cardiomediastinal silhouette is stable. There is no pleural effusion or pneumothorax.
<unk>-year-old woman with history of scleroderma w/ <num> hrs exacerbation of vasculitic symptoms, evaluate for infection
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The lungs are clear. No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. The mediastinum is not widened. The hila are unremarkable. No acute osseous abnormality.
<unk>-year-old man with productive cough. evaluate for pneumonia.
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The cardiomediastinal silhouette is unchanged since the prior examination. A left-sided pacemaker device is again seen with leads terminating in the right atrium and right ventricle. Mitral annular calcifications are again noted. The aorta is diffusely calcified. Diffuse interstitial opacities have progressed since <unk>. A small left pleural effusion may be present. The opacity in the retrocardiac region though not correspond to specific findings on the frontal radiograph, but in the appropriate clinical context, may represent pneumonia.
history: <unk>f with ams // eval for pna
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Ap and lateral views the chest were viewed. The cardiomediastinal and hilar contours are stable. There has been decrease in the right pleural effusion following thoracentesis. No pneumothorax is seen. A left picc line is present in the left brachiocephalic vein, but the tip is not well visualized.
status post thoracentesis.
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Pa and lateral views of the chest provided. There is increased opacity in the right middle lobe, concerning for pneumonia. Heart size is normal. There are no pleural effusions.
<unk> year old woman with upper respiratory sx with cough x <unk> weeks, evaluate consolidation for pna
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There is a small to moderate pleural effusion on the left, with adjacent compressive atelectasis. Right lung is essentially clear, without effusion or consolidation. No pneumothorax. Heart size is normal. There is no subdiaphragmatic free air.
history: <unk>m with hcc cirrhosis presents with hepatic encephalopathy // please assess for pna
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Patchy airspace opacities within the right middle and lower lobe are essentially unchanged, and may represent an infectious etiology. New, bilateral streaky opacities within the mid lungs likely reflect multifocal atelectasis. There is no evidence of pleural effusion, pneumothorax, or frank pulmonary edema. The heart size is top normal. Mediastinal contours are stable. No acute bony abnormality is detected.
follow up right lower lobe infiltrate.
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Ap upright and lateral views of the chest provided.underpenetrated technique limits evaluation. Allowing for this, there is no convincing evidence for pneumonia or chf. No large effusions or pneumothorax. The cardiomediastinal silhouette is top 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 the previous radiograph, there is no relevant change. The tip of the right picc line projects over the mid-to-lower svc. There is no evidence of complications, notably no pneumothorax. Course of the line is unremarkable. Minimal linear scar at the right lung apex. Otherwise, normally appearing lung parenchyma without evidence of pneumonia. No pleural effusions.
all, neutropenic fever, cough, picc line placement.
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Bilateral low lung volumes, unchanged from prior exam. New small right pleural effusion with adjacent compressive atelectasis. Mild left basilar atelectasis. No definite focal consolidation. No pneumothorax. Stable appearance of the cardial mediastinal silhouette and hila. Large retrocardiac hiatal hernia.
<unk>-year-old man with metastatic bladder cancer, on chemotherapy, for complains of shortness of breath with hypoxia. evaluate for an acute process.
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There are bilateral parenchymal opacities at the bases, more confluent on the left than on the right. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified
<unk>f with pna // pt with bil pna
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormality identified.
<unk>-year-old female with shortness of breath.
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Heart size is normal. The mediastinal and hilar contours are within normal limits, except for minimal unfolding of the aorta. Mild crowding of bronchovascular markings at both bases medially is slightly more pronounced than on <unk>, but could reflect presence of mild bibasilar atelectasis. No frank consolidation is identified. No chf effusion or pneumothorax detected.
history: <unk>f with cough // ?pneumonia
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An apparent new epidural catheter is present. Cardiomediastinal silhouette is probably unchanged allowing for differences in positioning. No chf. The opacity previously seen at the right base has essentially resolved. There is new platelike atelectasis in the right infrahilar region. No right effusion. Again seen is opacity at the left base, with retrocardiac opacity. Small left effusion is new. A left pigtail catheter remains in place. No pneumothorax is detected on either side. On the right, there is a catheter or other tubing overlying the right upper quadrant of the abdomen versus right lung base. Trace subcutaneous air is now seen between the right hemidiaphragm, new compared with the prior film.
<unk> year old woman with metastatic ovarian ca with recurrent pleural effusion s/p right pleuroscopy and tunneled pleural catheter and left chest tube placement // please eval for interval change in pleural effusion
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In comparison with the study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
possible pulmonary pathology.
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Lung volumes are low. The cardiac silhouette is borderline enlarged. Pulmonary vasculature is unremarkable. There is no definite focal consolidation. No pleural effusion or pneumothorax is identified. Chronic thoracic vertebral height loss and left sided rib fractures are noted.
history: <unk>m with cough and fever on chemo // eval pneumonia
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Left pectoral pacemaker is noted with leads terminating in the right atrium and right ventricle. Heart is normal size. There is no evidence of pulmonary edema. The aorta is tortuous . There is volume loss seen throughout the right hemithorax. There is a vague opacification and within the right upper lobe. No well defined masses visualized. The minor fissure appears to be in normal position. There is prominence of the right hilum. No pleural effusion or pneumothorax. Left lung shows minimal bibasilar atelectasis.
questionable apical lung mass from outside hospital chest x-ray. evaluate for pneumonia or mass.
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There is a subtle patchy opacity at the left lung base on frontal view, possibly projecting over the spine on lateral view. This may represent pneumonia in the right clinical setting. There is no pleural effusion. Borderline cardiomegaly is unchanged. Cervical spine fixation device is unchanged.
<unk> year old woman with resp sxs, chest pain, poor air mvmt on pe. // any sign of pna
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The cardiac, mediastinal and hilar contours appear unchanged. There is a new mild interstitial abnormality suggesting vascular congestion in addition to existing pulmonary venous distension. Mild relative elevation of the right hemidiaphragm appears unchanged. There is no pleural effusion or pneumothorax.
seizure-like activity.
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Heart size is borderline enlarged. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion, focal consolidation or pneumothorax is present. No acute osseous abnormality is visualized
history: <unk>f with cough + wheezing
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Lung volumes are low. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart size is exaggerated by low lung volumes and therefore difficult to evaluate.
<unk>-year-old female with chest pain.
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No focal opacity to suggest pneumonia is seen. No pleural effusion or pneumothorax is present. There may be mild vascular congestion; however, no overt pulmonary edema. The heart size is top normal.
cough and mid epigastric pain.
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As compared to prior chest examination, lung volumes are slightly decreased, accentuating the bronchovascular structures and the cardiac silhouette. Lungs are otherwise clear. There is no focal consolidation, pleural effusion or pneumothorax.
<unk>f with intermittent chest pain and hypertension
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No focal consolidation. The cardiac silhouette is mildly enlarged. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. The osseous structures are grossly intact.
chest pain, evaluate for acute cardiopulmonary process.
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The lungs well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>m with hiv, p/w cough, general malaise // eval for pna
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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 vasculature is within normal limits.
<unk>m with cough, fever // ? infiltrate
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The lungs are clear. There is no effusion, consolidation, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
<unk>m with chest heaviness and dyspnea // eval for pna or ptx