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Pa and lateral views of the chest. No prior. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits, without evidence of cardiomegaly. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with pleuritic chest pain and ekg changes at outside hospital, concerning for pericarditis. question cardiomegaly.
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The pulmonary, pleural, mediastinal and hilar structures are unremarkable. The cardiac silhouette is normal in size.
cough and shortness of breath. rule out pneumonia.
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The lungs are hyperinflated with slight flattening of the bilateral diaphragms suggesting underlying mild copd/emphysema. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. There is mild calcification of the aortic knob. Levoconvex lumbar scoliosis is partially imaged.
<unk>-year-old woman with ruq pain, here to evaluate for cardiomegaly or pneumonia.
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The lungs are clear without consolidation, effusion, or edema. There is likely external material mimicking a pleural reflection at the left lung apex however in combination with lucency below the left hilum, repeat exam in expiratory phase is suggested. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with weakness // weakness
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Heart size is mildly enlarged. Aortic knob calcifications are present. Mediastinal and hilar contours are unremarkable. Ill-defined nodular opacities are seen within the right upper lung field concerning for infection or aspiration. Patchy opacity is also noted within the left lung base which may reflect an additional site of infection. No pleural effusion, focal consolidation or pneumothorax is present there is no overt pulmonary edema identified. Remote bilateral rib fractures are present. There are no acute osseous abnormalities.
history: <unk>m with weakness and chest pain
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The lungs are clear. The cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax. Calcified left axillary lymph projects over the anterior mediastinum on the lateral view.
<unk>-year-old woman with depression.
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Pa and lateral chest radiographs were provided. A right chest port catheter tip terminates in the low svc. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The heart size is normal.
history of breast cancer with malaise, persistent and productive cough and nasal congestion, rule out infectious process.
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Heart size is normal. The aorta is mildly tortuous, unchanged. Mediastinal and hilar contours are similar. Multiple clips are noted within the right neck compatible with prior right thyroidectomy. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion, focal consolidation or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>f with chest pain and dyspnea
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The visualized lung fields are clear of any focal opacities, pleural effusions or pneumothorax. Lung markings in the retrocardiac space are likely atelectasis within the left lower lobe. The cardiac and mediastinal silhouette is unremarkable. Visualized osseous structures are unremarkable.
history of hypertension, hyperlipidemia, stage i breast cancer, presenting with cough and weakness. evaluate for pulmonary infiltrates.
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Cardiac silhouette size is normal. The mediastinal and hilar contours are within normal limits. The pulmonary vasculature is not engorged. Within the right mid lung field is a <num> x <num> cm ovoid opacity. No focal consolidation, pleural effusion or pneumothorax is present. Mild multilevel degenerative changes are noted in the thoracic spine.
history: <unk>m with <num> weeks of exertional dyspnea // evaluate for causes of dyspnea
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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 chest pain
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for acute process in a patient with fever x<num> days.
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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 syncope
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Frontal and lateral radiographs of the chest demonstrate well expanded lungs. The cardiomediastinal and hilar contours are unremarkable. There is no chf, pneumothorax, pleural effusion, or consolidation. A marker overlies the upper abdomen anteriorly near the lower left lung. No displaced rib fractures identified on these long technique films. No basilar atelectasis is seen.
history: <unk>f with rib pain // r/o fx
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Known right perihilar interstitial abnormality better characterized by prior chest ct is not significantly changed. There is no new consolidation or effusion. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>f with ruq pain, hx worsening sarcoid with recent right lung bx // any cpd
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In comparison to <unk>, cardiac enlargement has slightly decreased in extent. Pulmonary vascular engorgement persists, but widespread ground-glass opacities have substantially improved, and apparent pleural effusions have resolved. Residual severe diffuse interstitial pulmonary fibrosis remains and has been more fully characterized on recent chest cta <unk>.
<unk> year old woman with interval desats, thanks // eval for infiltrate
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Lung volumes are low. Cardiomediastinal silhouette grossly stable. A tortuous aorta is again seen. There is no pleural effusion or pneumothorax. There is no focal consolidation.
<unk>-year-old woman with dementia, cough for <num> weeks, evaluate for pneumonia
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Pa and lateral views of the chest provided. There is right lung base opacity with air bronchograms, with corresponding "spine sign" on lateral projection, findings concerning for pneumonia. In comparison to prior study from <unk>, there is interval improvement of pulmonary interstitial edema. Small residual left pleural effusion is seen. Moderate-to-severe cardiomegaly is stable. The right-sided subclavian line terminates in the low svc. Median sternotomy wires are intact.
<unk> year old man with prosthetic aortic valve endocarditis w/ associated aortic root abscess now with new fevers and cough concerning for pna // eval for etiology of fevers, ?pna
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A hiatal hernia is again present. The heart is mildly enlarged. The mediastinal and hilar contours are unchanged. There is similar unfolding and calcification along the aorta. Basilar opacities in the medial left lung base are probably associated with a hiatal hernia, not significantly changed unchanged. There is no pleural effusion or pneumothorax. The bones appear demineralized. Moderate degenerative changes are similar along the mid lumbar spine.
chest pain.
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The cardiac, mediastinal and hilar contours are normal. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
weight loss, night sweats, productive cough.
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Sternotomy. Tortuous thoracic aorta. Pulmonary vascularity has decreased since prior exam. Shallow inspiration accentuates heart size. Surgical clips upper abdomen. Lungs are clear.
<unk> m s/p bile duct injury after chole in <unk> c/by biliary obstructions requiring ercps admitted now with fever, elevated lfts // assess for infection/pneumonia
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Pa and lateral views of the chest provided. Subtle nodular opacity in the right upper lobe could reflect a very early pneumonia. Otherwise lungs are clear. No pleural 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 cough, severe wheezing // ? pna
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Heart size is normal. Mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. Linear opacities in left lower lobe likely reflect areas of subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
history: <unk>f with syncope, chills
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As compared to the previous radiograph, there is unchanged evidence of a right apical pneumothorax. There also is a small air-fluid level at the right lung base. No evidence of tension. No pulmonary edema. No pneumonia. No hilar or mediastinal changes.
right pneumothorax, evaluation after removal of chest tube.
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Lungs are well inflated and grossly clear. The heart is top-normal in size, unchanged. Aortic arch calcifications are again noted. No pleural effusion, overt pulmonary edema, pneumothorax, or evidence of pneumonia is seen.
history: <unk>f with cough and low grade fevers // r/o pneumonia
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A right chest port-a-cath terminates in the low svc. Bibasilar patchy opacities likely reflect atelectasis. No focal consolidations to suggest pneumonia. Stable appearance of the cardiomediastinal silhouette. No pulmonary edema. Multiple chronic left rib fractures are re- demonstrated, as well as a compression deformity of the l<num> vertebral body.
<unk>f with fever // fever
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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>m with fever , cough and sob x <num> days // r/o pna
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Lung volumes are low, but the lungs are grossly clear without lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>m with weakness and cough productive of dark sputum // any consolidation
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Again seen is the right picc line with tip terminating in the upper svc near the junction with the right brachiocephalic vein. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear.
picc line position.
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The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation.
history: <unk>m with fever, immunosuppresion, purulent drainage from foot. // eval for acute infection, osteo in extremities
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The left lower lobe is better aerated with decreasing retrocardiac opacity compared with <unk>. No new focal consolidation, effusion or pneumothorax. Normal cardiomediastinal silhouette.
left lower lobe carcinoma, currently receiving chemoradiation. new dyspnea on exertion, anemic and receiving radiation to left lung. question infection, inflammation or pneumonitis.
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Ap and lateral views of the chest are compared to previous exam from <unk>. When compared to prior, there has been near complete resolution of previously seen pleural effusions and bibasilar opacities. There is minimal persistet blunting of the right posterior costophrenic angle. There is no pulmonary vascular congestion. Cardiac silhouette is slightly enlarged but stable in configuration. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with shortness of breath, question volume overload.
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The lungs are clear without focal consolidation, effusion, or pulmonary edema. Enlargement of the cardiac silhouette is stable and in part due to prominent mediastinal fat although mild underlying cardiomegaly is also possible. No acute osseous abnormalities.
<unk>f with cough, malaise // ? pneumonia
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Pa and lateral chest radiographs were provided. The lungs are well expanded. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The bones are intact.
history of malaise, question infection.
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Lungs are clear of consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities
<unk>m with pe on xarelto, discharged wk prior, now w/chest discomfort // eval interval changes, new effusions, infarctions
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There is no focal lung consolidation. Cardiac silhouette is normal. There is no pleural effusion or pneumothorax. Known mediastinal lymphadenopathy better seen on recent pet ct.
<unk>m with neutropenic fever, evaluate for pneumonia
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiac and mediastinal contours are normal. There is no intraperitoneal free air.
severe abdominal pain and chills, evaluate for pneumonia or free air.
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Pa and lateral views of the chest provided. Left-sided cardiac pacing device with leads following the expected course to the right atrium and right ventricle. Right lung is clear, though there is possible emphysema in the upper lung. There is chronic left pleural thickening, which could be fissural, with left lower lobe atelectasis and possible pleural effusion. Heart size is normal. There is displacement of bowel away from the left upper quadrant, which could be due to splenomegaly.
<unk> year old man with cirrhosis and hx of aspiration with copd and egophony in lll // lll pna?
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There is at prominence of the interstitial markings although less extensive when compared to prior. There is no confluent consolidation or effusion. The heart size is normal. No focal consolidations concerning for pneumonia. No pneumothorax. A tips is identified in the right upper quadrant.
<unk>m with confusion // acute cardiopulm disease
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The cardio mediastinal and hilar contours are stable, with hear size in the upper limits of normal. Tortuous thoracic aorta is unchanged. The lungs are clear, without consolidation, pulmonary edema, pleural effusion or pneumothorax. Linear right lower lobe scarring is unchanged.
<unk>-year-old woman with chest pain.
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The lungs are mildly hyperexpanded. The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion, pulmonary edema or pneumothorax.
history: <unk>m with chest pain // acute process
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal.
<unk>f with cough and fever, evaluate for pneumonia.
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Pa and lateral views of the chest. There is faint right basilar opacity likely localizing to the middle lobe based on the lateral exam. Elsewhere the lungs are grossly clear. There is no effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.
<unk>-year-old female with kidney transplant on immunosuppression with cough and subjective fevers.
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of <unk>. Moderate cardiac enlargement similar as on preceding examination. Configuration suggests a relative prominence of the left ventricular contour, a finding which in conjunction with the moderately widened thoracic aorta raises the possibility of systemic hypertension. There is no evidence of advanced pulmonary congestive pattern, but a mild degree of upper zone re-distribution is identified. No interstitial or alveolar edema is present and the lateral and posterior pleural sinuses are free. No pneumothorax in apical area on frontal view. Skeletal structures of the thorax grossly unremarkable.
<unk>-year-old male patient with history of fatigue and malaise, history of bilobar pneumonia in past, increased esr and ck, questionable pneumonia.
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The lungs are well inflated. The left lung demonstrates some linear basilar opacities suggesting discoid atelectasis. An ill-defined opacity in the right lung base is not significantly changed compared with prior exam on <unk>, and might represent an area of atelectasis or scarring. This area of ill-defined opacity was also present on <unk>. Otherwise, the cardiomediastinal and hilar contours are unchanged. There is mild cardiomegaly. A moderate-sized hiatal hernia is again seen. There is no pleural effusion or pneumothorax. Sternotomy wires are intact. A prosthetic aortic valve is unchanged in position. Dual lead pacemaker is noted in the left chest with leads ending in expected position in the right atrium and ventricle.
<unk>-year-old male with shortness of breath. evaluate for acute cardiopulmonary process.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
epigastric pain. rule out pneumonia, pneumothorax.
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Frontal and lateral radiographs of the chest were acquired. Within the left upper lobe there is a <num> x <num> cm opacity, concerning for a neoplastic process. The lungs are otherwise clear. The heart size is top normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Multilevel degenerative changes of the thoracolumbar spine are noted.
right first mtp pain, found to have bibasilar crackles and coarse breath sounds diffusely. evaluate for pneumonia.
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The cardiac, mediastinal, and hilar contours appear unchanged. There are patchy basilar opacities with similar distribution which suggests atelectasis associated with low lung volumes. The lateral view suggests patchy posterior left lower lobe opacity and flattening of hemidiaphragms. Although it is difficult to exclude that a posterior opacity may represent an effusion, it probably represents atelectasis. An ultrasound from the prior day showed no evidence for fluid.
question extent of pleural effusion.
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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 hemoptysis, fever
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Left basilar opacity which silhouette the hemidiaphragm is compatible with previously seen loculated effusion with adjacent atelectasis/ scar. There is slightly increased opacity in the retrocardiac region when compared to prior which could represent progressive atelectasis/ scarring. The right lung cardiomediastinal silhouette is unchanged. Median sternotomy wires and atherosclerotic calcifications noted at the aortic arch. Compression deformity in an upper lumbar vertebral body is unchanged.
<unk>f with h/o cad s/p mi, cabg c/b cardiomyopathy, afib on warfarin, dm, presenting s/p fall // please eval for rib fx
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Cardiac silhouette size appears moderately enlarged, perhaps slightly increased from the previous chest radiograph. Fiducial markers are again seen in the left perihilar region. Previously noted right lower lobe fiducial marker is not clearly visualized. The mediastinal and hilar contours are relatively unchanged with post treatment changes noted in the left hilar region appearing similar. Pulmonary vascularity is not engorged. A moderate left pleural effusion has increased in size compared to the previous chest radiograph with associated left basilar opacity, potentially compressive atelectasis, but infection is not excluded. Small right pleural effusion is likely present and new from the prior exams. Minimal patchy right basilar opacity may reflect atelectasis but infection or aspiration cannot be excluded. There is no pneumothorax. No acute osseous abnormality is visualized.
history: <unk>f with history of lung cancer presenting with dyspnea since last night. decreased breath sounds left lung
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The patient is status post sternotomy. A dual-lead pacemaker/icd device appears in place with leads again terminating in the right atrium and ventricle, respectively. The lungs appear clear. There is no pleural effusion or pneumothorax.
foot drop. question infection.
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion. There is no evidence of free air in the mediastinum. Moderate bridging osteophytosis is seen in the lower thoracic spine.
<unk>-year-old male with cough and vomiting. question pneumonia or free air.
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with chest pain // r/o ptx
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Lungs are clear and well expanded bilaterally with no focal consolidations, lesions, or masses. There is no pleural effusion or evidence of pneumothorax. The aorta is slightly tortuous; otherwise, the cardiomediastinal silhouette is within normal limits. Pleural surfaces are unremarkable. There are moderate degenerative changes seen along the thoracic spine.
<unk>-year-old female with increased shortness of breath and dyspnea on exertion, history of smoking and cocaine use.
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Lungs are well inflated and clear. No pleural effusion or pneumothorax. The aorta is mildly unfolded with curvilinear aortic knuckle calcification. Heart size, mediastinal contour, and hila are unremarkable.
<unk>f with headache/weakness. assess etiology.
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Previously noted opacity overlying the right mid lung appears relatively stable. Previously noted bilateral pleural effusions have decreased in size. Previously noted fluid within the right oblique fissure has also decreased in size. The mediastinal wires appear intact and aligned. Cardiomediastinal silhouette appears moderately enlarged but stable. Mild prominence of pulmonary vasculature is suggestive of mild pulmonary edema.
fever, status post tricuspid valve replacement.
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Hazy perihilar and bibasilar increased interstitial markings are noted. There is no confluent consolidation. Minimal blunting of the posterior costophrenic angles could represent trace effusions. Cardiac silhouette is top-normal in size. Median sternotomy wires are intact. No acute osseous abnormalities.
<unk>m with dypnea // r/o acute process
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The cardiomediastinal and hilar contours are within normal limits. As compared to prior chest cta from earlier today, previously described pneumothorax is not definitely visualized. No new focal consolidation or pleural effusion.
pneumothorax.
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There is a vague, rounded opacity projecting over the right upper lobe, which is likely a hair braid. Correlate with presence of this possible external artifact. If the patient has long hair, a repeat film could be considered performed with the braid out of the field of view. If finding persists, cross-sectional imaging considered. Otherwise, the lungs are clear. No pleural effusion or pneumothorax. Heart is normal size. Mediastinal and hilar contours are unremarkable.
left upper quadrant pain. evaluate for pneumothorax or pneumonia.
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As compared to the previous examination, there are no relevant changes. The previously described pulmonary nodules are not visible on today's image. There are minimal bilateral apical fibrotic changes that are completely stable. No evidence of basal lung fibrosis. No pulmonary edema. Normal size of the cardiac silhouette.
atrial fibrillation, known stable pulmonary nodules, rule out amiodarone toxicity.
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Peripheral right upper lung nodular opacities are better assessed on the prior ct and may relate to scarring from prior infectious or inflammatory process. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac, mediastinal, and hilar contours are stable.
history: <unk>f with prod cough, fever/chills and h/o pe // productive green sputum, pleuritic ant cp, fever, chills
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Cardiac silhouette size is normal. Endobronchial valves again are seen projecting over the left hilar region. Mediastinal and hilar contours are unchanged. There is no pulmonary vascular congestion. Lungs are hyperinflated with marked upper lobe predominant emphysema. Left upper lobe atelectasis is re- demonstrated. No focal consolidation, pleural effusion or pneumothorax is present. The osseous structures are diffusely demineralized with similar height loss of a mid thoracic vertebral body.
history: <unk>f with history of pneumothorax, new dyspnea
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with hx asthma, oropharyngeal dysphagia // ? infiltrate, pna, masses
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The patient is status post coronary artery bypass graft surgery. There is a persistent loculated pleural effusion along the minor fissure on the right, but decreased even since the recent chest ct, comparing to scout views from that study. A loculated basilar and lateral pleural effusion, however, is probably not substantially changed since the recent prior ct, with corresponding atelectasis. It is not possible to exclude a persistent small left-sided pleural effusion that may be obscured, but none is clearly visible. The left base appears similar to the prior scout view. The chest is hyperinflated. The bones are probably demineralized. There is similar slight rightward convex curvature centered along the lower thoracic spine.
chest pain.
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The cardiac, mediastinal and hilar contours appear stable. There is a large bulging opacity in the posterior lower right hemithorax which suggests a large loculated pleural effusion. A more free flowing portion of the effusion has also increased more anteriorly with possible patchy coinciding atelectasis. A suspicious nodule persists in the right upper lung. Possibly a right upper lung nodule has increased, but change could be better appreciated by comparing with ct if needed. The left lung remains clear with no effusion. The bones are probably demineralized to some extent.
shortness of breath. question pneumonia.
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Pa and lateral views the chest provided. Right hilar/perihilar opacities unchanged compatible with known malignancy. No pneumothorax is seen. There is a small right pleural effusion. Right chest wall emphysema is noted. Left lung remains clear.
<unk>m with sp ptx, please do film at <time> // ? ptx
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Previously noted subtle opacity at the right lung base appears to have resolved in the interval. The cardiomediastinal silhouette is normal. Imaged osseous structures are unchanged with multiple bilateral rib deformities again noted. No free air below the right hemidiaphragm is seen.
<unk> year old man with rll density on <unk> film. // assess for interval resolution
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The lungs are well expanded and clear. There is a mild cardiomegaly, unchanged from the prior exam. The left atrial appendage is prominent. Otherwise, cardiomediastinal and hilar contours are unremarkable. A left-sided tunneled line is present and ends in the mid svc.
<unk>-year-old female with shortness of breath.
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Permanent pacemaker is in standard position with leads in the right atrium and right ventricle. Cardiomegaly is stable and tortuosity of the thoracic aorta appears unchanged as well. Small left and trace right pleural effusions are new along with nonspecific patchy bibasilar opacity.
<unk> year old man with chest pain and sob // please eval for pna
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
chest pain and shortness of breath.
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Lung volumes are low. The cardiac, mediastinal and hilar contours are unchanged with the heart size within normal limits. Pulmonary vasculature is normal and the lungs are clear. No pleural effusion or pneumothorax is seen. Previously noted free intraperitoneal air has resolved. Partially imaged is a percutaneous gastrostomy catheter in the left upper quadrant. Mild degenerative changes are noted in the thoracic spine. Remote left-sided rib fractures are seen, but no acute osseous abnormality is identified.
history: <unk>m with fall // r/o injury
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In comparison with study of <unk>, the patient has taken a better inspiration. There are atelectatic changes at the bases with the cardiac silhouette at the upper limits of normal or slightly enlarged. Tortuous aorta is seen. There is some engorgement of pulmonary vessels consistent with elevated pulmonary venous pressure.
gastric outlet obstruction with wheezes, to assess for fluid overload.
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The lungs are mildly hyperinflated. Biapical pleural scarring is are re- demonstrated however an opacity in the right apex is more prominent today. The cardiomediastinal silhouette and hilar contours appear normal. There are no focal opacities concerning for pneumonia. There is no pleural effusion or pneumothorax.
occasional cough, rhonchi at right base that cleared, tobacco x <unk> years. rule out parenchymal abnormality.
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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.
<unk> year old woman with psychosis // eval for consolidation
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Chest, pa and lateral. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old man with a remote history of cardiomyopathy, presenting with chest pain, noted to have st elevations in the anterior leads up on ems arrival.
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The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Surgical clips project over the right mid lung and hilum on the frontal view, potentially within the anterior soft tissues of the chest on the lateral. No acute osseous abnormalities.
<unk>f with sob and chest tightness // pulmonary process
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There is severe cardiomegaly and prominence of the pulmonary vasculature is consistent with pulmonary congestion. The osseous structures are unremarkable. There is no pneumothorax.
history: <unk>f with hypoxia // pneumonia?
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No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema or pneumothorax is present. There is atelectasis at the left base. The patient is status post median sternotomy and cabg with unchanged pleural thickening at the left apex.
substernal chest pain. shortness of breath.
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The lungs are clear. There is no pleural effusion, pneumothorax focal airspace consolidation. Mild cardiomegaly is new since <unk>, but there is no vascular engorgement, edema, or pleural effusion to indicate cardiac decompensation. The hilar and mediastinal contours are unremarkable.
paresthesias. evaluate for pneumonia.
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Mild scoliosis of the thoracic spine with subsequent mild asymmetry of the rib cage. Normal lung volumes. Normal size of the cardiac silhouette. No acute parenchymal changes such as pneumonia, pulmonary edema or atelectasis. The lung parenchyma shows normal structure and transparency on both the frontal and the lateral radiograph. No pleural effusions. No pneumothorax.
orthopnea, history of crohn's disease.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with sob // r/o infectious process
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The cardiomediastinal silhouette is top normal in size. There pulmonary vasculature are stable and shows no significant abnormalities. Calcifications along the aortic arch are unchanged. The lungs are clear aside from bibasilar atelectasis. There is no pleural effusion or pneumothorax. There may be left thyroid lobe enlargement, given mild mass effect on the trachea.
history: <unk>m with suddeon onset chest pain. bibasilar crackles on exam // evaluate for infiltrate or effusion
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Cardiomediastinal contours are similar to prior. There is some subtle areas of increased opacity in the right upper lobe and both lower lobes that could represent areas of volume loss and less likely early infiltrates
<unk> year old woman with fever and worsening cough pod <unk> s/p hip arthroplasty // please assess for consolidation
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No radiopaque foreign body is seen. There is no definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f who ?swallowed retainer // evaluate for foreign body
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The patient is status post median sternotomy and transcatheter aortic valve replacement. Left-sided pacemaker device is re- demonstrated with leads terminating in the right atrium and right ventricle. Heart size remains moderately enlarged. Mediastinal contours are unchanged with diffuse atherosclerotic calcifications again noted. Mild pulmonary vascular congestion is slightly worse in the interval. Small left pleural effusion with associated atelectasis is present. Right lung remains otherwise grossly clear without new focal consolidation present. No pneumothorax is identified. Multilevel moderate degenerative changes are seen in the thoracic spine. Postsurgical changes within the left lower ribs are re- demonstrated with a bridged device again noted.
history: <unk>f with dyspnea, tavr
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The lungs are clear without focal consolidation. The cardiomediastinal silhouette is within normal limits. Tortuosity of the thoracic aorta is noted with atherosclerotic calcifications at the arch. No acute osseous abnormalities.
<unk>f with cough // eval for pna
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The lungs are clear without consolidation or effusion. Blunting of the right lateral costophrenic angle could be due to pleural thickening or atelectasis. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires are intact.
<unk>f with chest pain // pneumothorax or infiltrate
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Frontal and lateral views of the chest demonstrate normal lung volumes without focal consolidation, pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is minimal interstitial pulmonary edema.
cough, assess for pneumonia.
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The patient is status post median sternotomy and cabg. Left-sided pacemaker device is noted with leads terminating in unchanged positions, within the right atrium and right ventricle. Mild to moderate cardiomegaly is increased in size compared to the previous exam. The aorta remains tortuous. There is mild pulmonary edema, new compared to the previous exam. Small bilateral pleural effusions are also present. Bibasilar atelectasis is visualized. There is no pneumothorax. Mild degenerative changes are visualized within the thoracic spine.
chest pain and palpitations.
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
history: <unk>f with chest pain // r/o infiltrate
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Lungs are clear without consolidation, effusion, or edema. Median sternotomy wires and mediastinal clips are noted. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with psychiatric chief complaint, prior hx dm, cabg undergoing medical clearance // eval ? acute process
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The cardiac, mediastinal, and hilar contours are stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
shortness of breath.
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The cardiac, mediastinal and hilar contours appear unchanged, including mild unfolding of the descending thoracic aorta. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable. There has been no definite change.
chest pain.
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The right picc has been pulled back in interval and now terminates in the low svc. The lungs are well expanded. Prominent pulmonary vasculature and interstitial markings are consistent with moderate pulmonary edema. The lungs are well expanded and clear. Small pleural effusions are present. No pneumothorax is seen. The cardiomediastinal silhouette is stably enlarged.
history: <unk>m with picc respositioning // picc location
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no focal consolidation, pleural effusion, or pneumothorax. Multilevel degenerative changes are noted in the mid to lower thoracic spine. The visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with confusion.
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Frontal and lateral views of the chest were obtained. Thin curvilinear opacities projecting on either side of the cardiac silhouette are compatible with pneumomediastinum. On the lateral view, air is seen along the anterior aspect of the upper abdomen. The heart size is normal. Pulmonary vasculature is unremarkable. The lungs are clear without focal or diffuse abnormality. No emphysema is noted. No pleural effusion or pneumothorax. No radiopaque foreign bodies. Osseous structures are unremarkable.
<unk>-year-old female with chest pain radiating to neck. <unk> films read as pneumomediastinum.
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Ap upright and lateral views of the chest provided. Bibasilar linear densities likely represent atelectasis. There is no consolidation concerning for pneumonia. No effusion or pneumothorax. No signs of congestion or edema. Cardiomediastinal silhouette is stable. Multiple chronic left ribcage deformities again noted. No acute bony injury.
<unk>m with syncopal episode // eval for chf/pneumonia
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Moderate enlargement of the cardiac silhouette is re- demonstrated. The aorta is diffusely calcified and unfolded. The mediastinal and hilar contours appear similar with calcified mediastinal and right hilar lymph nodes compatible with prior granulomas disease. No pulmonary edema is present. A patchy opacity is seen within the right lung base, not present on the recent chest ct, but similar compared to the prior chest radiograph. Left lung remains clear. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities detected.
history: <unk>f with cough, fever // eval for pneumonia
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There is mild pulmonary vascular congestion without overt edema. There is no focal consolidation, pleural effusion, or pneumothorax. There is dextroscoliosis of the thoracic spine. Deformity of the right humeral head is likely related to prior injury. The left humeral head appears normal on limited evaluation.
<unk>f with cough, evaluate for infiltrate.