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Bilateral pleural effusions are again seen, slightly improved on the left with stable appearance on the right. There is also atelectasis within the right mid lung, likely due to atelctasis, however an underlying infection is also possible. There is no pneumothorax. The heart size is stable, allowing for relatively low lung volumes.
crackles on physical exam. evaluation for pleural effusion or pulmonary edema.
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Compared to prior radiograph from <unk>, there has been interval removal of the left pigtail catheter. There is no pneumothorax. The extent of the left pleural effusion has decreased. A small left sided effusion persists. There is retrocardiac atelectasis. The heart is enlarged. Surgical clips are seen within the left axilla.
<unk>-year-old female patient with pleural effusions, status post thoracocentesis and now removal of pigtail. study requested for evaluation of pneumothorax and interval change of effusion.
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The heart size is normal. Aside from mild widening of the mediastinum, the hilar and mediastinal contours are unremarkable. There is no pleural effusion, or pneumothorax. No other focal consolidations concerning for pneumonia identified. The visualized osseous structures are unremarkable.
history: <unk>m with chest pain // acute process
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs are clear. There are no pleural effusions or pneumothorax. Mid thoracic interspaces are minimally narrowed.
cough and fever. question pneumonia.
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Pa and lateral views of the chest. There is streaky right basilar opacity which may be due to atelectasis versus scarring. Less well-defined opacities at the left lung base are identified, particularly laterally. There is inferior traction of the left hilum suggestive of a component of scarring. On the lateral view, there is increased opacity in the posterior costophrenic sulcus, likely on the left with probable associated bronchiectasis. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected. Old healed right posterior <num>th rib fracture is identified.
<unk>-year-old male with dark vomiting, several episodes yesterday.
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Clear lungs bilaterally without pleural effusion or pneumothorax. Heart size, mediastinal contour and hila are normal. No bony abnormality.
<unk>-year-old female with neurologic complaints. assess for pneumonia.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs. There is trace right pleural fluid. No focal consolidation or pneumothorax is present. The visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with papillary thyroid cancer status post thyroidectomy, presenting with cough and sputum production.
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The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes.
<unk> year old woman with esrd for pre kidney transplant eval // r/o cardiopulmonary abnormalities
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There is a new subtle left upper lobe and right lower lung ground-glass opacities which are worrisome for an infectious process. Left fissure is displaced upward which means that there is an atelectatic component. The mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.
patient with respiratory infection, on chemotherapy, evaluate for infiltration.
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Pa and lateral views of chest. The lungs are clear aside from very minimal dependent atelectasis. There is no pneumonia, pleural effusion, pneumothorax or pulmonary edema. Heart size is normal. Aorta is slightly tortuous. Degenerative changes of the thoracic spine are noted.
left upper lobe wheezing
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Study is somewhat limited due to patient rotation. Heart size is difficult to assess but appears at least mildly enlarged. Opacity adjacent to the aortic knob could potentially reflect a pseudoaneurysm of the aortic arch or other mass lesion. Mild bibasilar atelectasis is demonstrated. No large pleural effusion or pneumothorax is seen. There is no pulmonary edema. There is diffuse demineralization of the osseous structures with loss of height of a vertebral body of the thoracolumbar junction. Mild s-shaped scoliosis of the thoracolumbar spine is present. The right humeral head has been resected.
altered mental status.
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Cardiac, mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormality is visualized.
history: <unk>f with left upper quadrant and left sided chest pain
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As compared to the previous radiograph, there is no relevant change. Unchanged size of the cardiac silhouette. Unchanged course of the pacemaker leads. No evidence of pneumothorax. The leads are in expected position, with one lead projecting over the right atrium and one over the right ventricle.
new pacemaker, evaluation for lead position.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Left lower lobe opacity has resolved. The lungs appear clear. Mild reversed s-shaped curvature is again noted along the visualized thoracolumbar spine.
altered mental status and leukocytosis.
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Pa and lateral views of the chest. The cardiomediastinal hilar contours are normal. There is no focal consolidation, pleural effusion or pneumothorax.
chest pain radiating to back.
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The lungs are clear. There is no consolidation, pneumothorax, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cp // r/o chf
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The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. At the basal aspect of the right lung, better seen on the lateral than on the frontal radiograph, is a zone of opacified lung parenchyma with air bronchograms. The findings are consistent with a known recent pneumonia. No evidence of complications or other parenchymal abnormalities. No pleural effusions. No lymphadenopathy. At the time of dictation and observation, <time> p.m. On the <unk>, the referring physician, <unk>. <unk>, was notified by telephone and the findings were discussed.
cough and shortness of breath, evaluation.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Interposition of the colon between the liver and the diaphragm is seen.
nausea.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs remain clear of focal consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits, again noting a tortuous aorta. No acute osseous abnormality detected. Noting hypertrophic changes in the spine.
<unk>-year-old male with feeling unwell. question pneumonia.
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Frontal and lateral radiographs of the chest demonstrates stable mild cardiomegaly. The lower lobes are chronically consolidated consistent with chronic aspiration but an acute pneumonia is possible. No pulmonary vascular congestion.
shortness of breath, question increased pulmonary vasculature.
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Sternotomy wires are intact. Heart size and mediastinal contours are stable. No evidence of pulmonary edema or pleural effusion. No evidence of pneumonia. No pneumothorax. Osseous structures are intact.
<unk>f with history of severe aortic insufficiency with worse paroxysmal nocturnal dyspnea and orthopnea, but without frank signs of volume overload on exam.
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Port-a-cath terminates in the uppermost atrium. Lung volumes are low, obscuring cardiac borders, but there is no clear change in cardiac, mediastinal or hilar borders. There is new opacification at the left lung base suggesting a pleural effusion. There is a small, persistent left-sided pneumothorax, but decreased. On the right, although pleural effusion has decreased, there is new focal opacity at the right lung base in addition to diffuse increased opacification of each lung.
fever, right lower quadrant pain, and vomiting. status post appendectomy. metastatic pancreatic carcinoma.
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There is leftward deviation of the cervical trachea. Mediastinum wires and mediastinal clips are unchanged. Heart size is normal. Postoperative cardiomediastinal silhouette and hilar contours are otherwise unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
chest pain.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with chest pain, left side // eval for pna, cardiomegaly
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There is a new opacity (frontal) at the right lower lung not well seen on the lateral. The heart's size is at the upper limits of normal. There is no pleural effusion or pneumothorax.
<unk> year old man with hemoptysis // pneumonia pneumonia
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Ap and lateral views of the chest. Lower lung volumes seen on the current exam. The lungs superior clear of consolidation or effusion. The cardiomediastinal silhouette is difficult to assess given the positioning. There is no displaced acute fracture. The stomach is moderately distended.
<unk>-year-old female with weakness. abdominal pain.
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The right-sided picc terminates at the cavoatrial junction. There has been interval removal of the ng tube. Bibasilar atelectasis is noted. There is suggestion of a retrocardiac opacification which most likely represents atelectatic changes however in the appropriate clinical settings a superimposed pneumonia cannot be excluded. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. The aorta is tortuous.
<unk> year old man with altered mental status // r/o pneumonia
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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 pneumonia in a patient with cough.
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<num> left chest tubes are unchanged in position, no pneumothorax. Bilateral pleural effusions and bibasilar atelectasis, left greater than right are unchanged. Large hiatal hernia is seen.
<unk> year old woman with pleural effusions, now s/p vats w/ <num> chest tubes in place. has pe in rll. // any changes compared to last cxr? any new consolidative process/smaller pleural effusion? any changes compared to last cxr? any new consolidative proc
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As compared to the previous radiograph, there is no relevant change. Known right rib defect. No pneumonia. No pulmonary edema. No pleural effusion. Widened mediastinum with lobulated border, likely reflecting lymphadenopathy. No pneumothorax.
lymphoma, eligibility for bone marrow transplant.
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The lungs are well-inflated and clear. The heart is top-normal in size. The mediastinal contours are stable. There is no pleural effusion, pneumothorax, pulmonary edema, or evidence of pneumonia. Mild anterior wedging of lower thoracic vertebral bodies is unchanged, along with flowing anterior osteophytes, compatible with diffuse idiopathic skeletal hyperostosis (dish).
history: <unk>m with cp // r/o pna
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
cough and fever.
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Chest, upright ap and lateral. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
evaluate for pneumonia in a patient with recent seizure.
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Pa and lateral views of the chest. The lungs are clear without focal consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is normal. No free intraperitoneal air identified.
<unk>-year-old female with fever and chest pain, left flank pain and pain and tenderness over transplanted kidney.
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The lungs are clear, without effusion or pneumothorax. The heart size is normal. The right paratracheal stripe is ill-defined, especially distally. There is evidence of prior left mastectomy, with axillary lymph node dissection.
<unk>-year-old female with end-stage renal disease, for pre-transplant evaluation.
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The lungs are well inflated and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No subdiaphragmatic free air is noted.
<unk>-year-old male with abdominal lacerations. evaluate for evidence of pneumothorax.
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The heart size appears mildly enlarged. The aorta is tortuous. Masslike opacification within the right lower lobe is noted with widening of the right mediastinal contour suggestive of underlying lymphadenopathy. Additionally, ill-defined nodular opacities are noted within the right lung. The left lung demonstrates mild atelectasis in the left lung base. Small amount of fluid is noted within the minor fissure, with possible trace bilateral pleural effusions. No pneumothorax is identified.
progressive dyspnea and chest pain.
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Pa and lateral views of the chest provided. Cardiomegaly is re- demonstrated with a small left pleural effusion. Associated opacity at the left lung base most likely represents atelectasis versus pneumonia. There is no overt edema. Mediastinal contour is normal. A calcified nodular structure again seen projecting over the right upper lung likely costochondral calcification, as partially seen on a ct c-spine from <unk>. No convincing signs of edema. No pneumothorax. Bony structures are stable.
<unk>f with hx of chf with doe // eval edema, pna
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There is slight blunting of the posterior left costophrenic angle and a trace pleural effusion versus pleural thickening may be present. No focal consolidation is seen. There is no pneumothorax. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable.
history: <unk>f with pre op // pre op
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Stable, top-normal sized heart. Mediastinal and hilar contours are normal. There is chronic, unchanged, mild pleural and parenchymal scarring at the left base with a left juxtaphrenic peak. Pulmonary vasculature is normal. There is no pneumothorax. There is no pneumonia.
<unk>-year-old woman with cough, shortness of breath, and sputum. evaluate for pneumonia.
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Pa and lateral views the chest provided demonstrate no focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette is normal. No congestion or edema. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with chest pain // eval for acute process
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Chest, pa and lateral radiographs demonstrate unchanged moderate cardiomegaly. The mediastinal and hilar contours are unremarkable. The lungs are clear. No pleural effusion or pneumothorax evident. A vagal stimulator is identified. There is mild narrowing of the subglottic region at the level of the thoracic inlet unchanged compared to <unk>. There is a stable s-shaped scoliosis of the thoracolumbar spine with associated degenerative change. No pneumothorax or pleural effusion evident.
prolonged fatigue, r/o lymphadenopathy.
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation, effusion or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires are noted. No acute osseous abnormality is identified.
<unk>-year-old female with cough.
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The lungs are well-expanded and clear. There is no focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. Right infrahilar fullness is of unclear etiology. The cardiac size is normal. There is an old, right eighth rib fracture but no acute osseous abnormality.
<unk> year old man with cad, pvd, carotid artery stenosis p/w chest pain, found to have nstemi, and on cath, <num>-vessel disease; may have cabg; pre-operative evaluation for possible cabg.
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Bibasilar bronchovascular crowding with exaggeration of the heart contour is due to low lung volumes. Under those circumstances, the lungs are otherwise clear. Mediastinal contours are normal. There is no pleural effusion or pneumothorax.
patient with dry cough, evaluate lungs.
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A right double lumen hemodialysis line terminates in the lower right atrium, overall unchanged compared to the prior exam. Left-sided pacemaker leads terminate in the right atrium and right ventricle unchanged in position compared to the prior exam. Mild cardiomegaly is been stable compared to exams dated back to at least <unk>. The hilar and mediastinal contours are normal. Obscuration of the left hemidiaphragm is concerning for a left lower lobe consolidation. There may be a small left pleural effusion. There is no evidence of a pneumothorax. The visualized osseous structures are unremarkable.
history: <unk>m with pmhx including copd, chf s/p aicd, cad, mi, ckd on hd, now with cough and sob // pleave eval for fluid overload, pneumonia.
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The patient is status post median sternotomy and cabg. Heart size remains mildly enlarged. The mediastinal contours are unchanged with tortuosity of the thoracic aorta again noted. The right picc has been removed. Pulmonary vasculature is normal. Lung volumes are low. Patchy opacities in the lung bases may reflect areas of atelectasis. No pleural effusion or pneumothorax is present, but assessment of the lung apices is limited as the patient's soft tissues of the neck project over and obscure these regions. No acute osseous abnormality is identified.
history: <unk>m with fever, cough, recent pneumonia
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Again seen are multifocal patchy airspace opacities in a similar distribution to the prior study, predominately in the left base. The appearances are consistent with a multifocal pneumonia. Some of the nodular opacities may represent metastases. Persistent left basilar atelectasis and small bilateral pleural effusions. No pneumothorax seen.
<unk> year old man with diffuse bilateral pneumonia, increased dyspnea // interval change
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with fever
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Left-sided dual lumen central venous catheter tip terminates at the junction of the svc and right atrium. Moderate enlargement of cardiac silhouette is re- demonstrated. The aorta is mildly tortuous and diffusely calcified. The pulmonary vasculature is normal. Calcified granulomas are again seen in the lung bases along with several calcified mediastinal and hilar lymph nodes. Lungs are otherwise clear without focal consolidation. No pleural effusion or pneumothorax is visualized. No acute osseous abnormalities demonstrated.
chest pain.
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Ap upright and lateral views of the chest provided. Right upper extremity picc line is noted with its tip in the region of the cavoatrial junction. Lungs remain clear. No focal consolidation effusion or pneumothorax is seen. The cardiomediastinal silhouette is stable. Bony structures are intact.
<unk>f with fever // acute 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 displaced rib fracture is seen. No free air below the right hemidiaphragm is seen.
<unk>f s/p seizure // rib fx? pna?
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs volumes are low, but lungs are grossly clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with several days of intermittent sharp chest pains // r/o abnormality
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There are new vague opacities in the right mid to lower lung, probably for the most part within the lower lobe. Elsewhere the lungs appear clear. There is no pleural effusion or pneumothorax. The cardiac, mediastinal and hilar contours appear stable.
pre-operative planning.
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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.
history: <unk>m with chest pressure // acute cardiopulm process
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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.
chest pain and difficulty breathing.
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In comparison with study of <unk>, there is some clearing of the bibasilar areas of opacification consistent with pneumonia. The area just above the minor fissure also is seen, consistent with some residual consolidation in this region as well. There is some contrast material in what appears to be the distal esophagus as well as in the colon as well as what appears to be the stomach. Whether this reflects any degree of obstruction is difficult to assess on a single static image.
gerd and obesity post-operatively, to assess for pneumonia.
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Heart size is normal. A coronary artery stent is demonstrated. Left-sided pacer is noted with leads terminating in the right atrium and right ventricle. The aorta is tortuous and diffusely calcified. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. The lungs are clear. No pleural effusion or pneumothorax is visualized. Clips in the right upper quadrant indicate prior cholecystectomy. There are mild degenerative changes noted in the thoracic spine. Sclerotic focus measuring <num> mm projects over the left first rib anteriorly.
history: <unk>m with failure to thrive, nausea, vomiting, transaminitis, elevated alkaline phosphatase for <num> week
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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
history: <unk>m with cough // pna?
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Pa and lateral views of the chest provided. There has been interval removal of a implanted device previously noted within the anterior chest wall. Left chest wall pacer device is again seen with leads extending to the region the right atrium and right ventricle. Lungs are 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 sob/doe x <num> days, chest heaviness // ? chf
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with crackles in right mid-lung field on exam // please assess for pna
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Pa and lateral views of the chest provided. Lung volumes are low. Allowing for this, there is no definite sign of focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable with top-normal heart size. Aortic atherosclerosis is again noted. Imaged osseous structures are intact. High riding right humeral head suggests chronic rotator cuff disease. No free air below the right hemidiaphragm is seen.
history: <unk>f with fever, dyspnea // acute cardiopulm disease
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The lungs are hyperinflated but clear without consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Old healed right lateral rib fractures are noted.
<unk>m w/shortness of breath, cough, please eval for occult pna
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Patient is status post median sternotomy and cabg. Heart size is normal. Mediastinal and hilar contours are unchanged. Large calcified granulomas in the right upper lobe as well as calcified lymph nodes within the mediastinum and hila bilaterally are compatible with prior granulomatous disease. There is interval development of a small left pleural effusion with left basilar opacification. Right lung is clear. No pneumothorax is identified. Pulmonary vasculature is normal. Multilevel degenerative changes are again seen within the imaged thoracic spine with several clips noted in the upper abdomen.
history: <unk>m with chest pain
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Pa and lateral views of the chest are provided. There is no focal consolidation, pleural effusion or pneumothorax. The lungs are well expanded. The cardiomediastinal silhouette is unremarkable.
<unk>-year-old man with chest pain and left shoulder pain with intervening shortness of breath, evaluate for acute process.
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There relatively low lung volumes but no focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with crohn's disease, recently discharged after medically managed sbo. here with worsening abd pain, nausea. // please evaluate for obstruction, free air
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The patient is status post coronary artery bypass graft surgery. Posterior basilar opacity in the left lower lobe has largely, but not entirely, resolved. New patchy opacities are noted in the lingula. Band-like new opacity in the right lower lobe is probably due to minor atelectasis. There is a small pleural effusion on the left, probably decreased somewhat. No definite pleural effusion is visualized on the right side.
shortness of breath after cabg.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax.
history of chest pain. please evaluate for pneumonia.
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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified.
chest pain.
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Left pleural catheter remains in place, with unchanged small left pleural effusion and no visible pneumothorax. Large left juxta hilar mass is similar to the prior study. Widespread interstitial opacities have improved, suggesting a or due to pulmonary edema given the rapid change since the recent study of earlier the same date. No other relevant changes.
<unk> year old man with small cell lung cancer, s/p pleurex placement for recurrent effusion, reporting deep pain with breathing // ?catheter placement, ptx
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The heart is borderline enlarged. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
congestive heart failure and worsening shortness of breath.
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As compared with the prior chest radiographs from <unk>, there has been no relevant interval change. The lungs remain hyperexpanded, compatible with emphysema. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is stable. A moderate hiatal hernia is noted with an air-fluid level. The patient is status post vertebroplasty for wedge-shaped compression deformities of multiple adjacent vertebral bodies in the lower thoracic spine. Orthopedic hardware is incompletely visualized in the right glenohumeral joint.
history: <unk>f with weakness, nausea // eval for pneumonia
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There is new increased opacity in the right lower lobe compatible with an infiltrate. The cardiac and mediastinal silhouette are unchanged. There is a tiny left effusion. There is no right effusion. The upper lungs are clear.
<unk> year old man with hx of nhl. temp <unk>, bandemia. please r/o pna. // <unk> year old man with hx of nhl. temp <unk>, bandemia. please r/o pna.
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Pacemaker overlying the left chest with leads in the expected position of the right atrium and right ventricle, unchanged from prior exam. The lungs are clear bilaterally with no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is unchanged from prior exam. Bony structures appear intact.
history of sick sinus syndrome, afib status post pacemaker placement, presenting with near syncopal episode. rule out acute process.
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Pa and lateral chest views were obtained with patient in upright position. Poor inspirational effort explains high position of diaphragms obscuring lung bases and lower half of cardiac contours. Crowded appearance of basal pulmonary vasculature is noted. There is mild blunting of the left lateral pleural sinus, but the right lateral pleural sinus is free. No evidence of acute pulmonary parenchymal infiltrates are seen. No pneumothorax exists in the apical area. The lateral view confirms the left-sided pleural effusion with moderate blunting of the posterior pleural sinus. The right lateral pleural sinus is free. When comparison is made with the next preceding portable chest examination of <unk>, the patient had remarkable high positioned diaphragms as well which was not unexpected in this patient with clinical history of acute pancreatitis. At that time, the chest examination demonstrated the presence of a right-sided picc line. This line remains visible on today's examination, and the line is seen to terminate in the lower third of the svc.
<unk>-year-old male patient with fever and right lower lobe rales. evaluate.
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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. Hilar contours are stable.
history: <unk>f with sob // r/o pna
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The cardiomediastinal hilar contours are within normal limits. The lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
chest pain. evaluate for fluid, pneumonia.
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The lungs are clear. But hyperinflated. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.
patient with positive quantiferon gold tb infection.
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There are low lung volumes. Given this, lingular opacity seen on both the frontal and lateral views could be due to pneumonia in the appropriate clinical setting. The right lung is clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with chest pain // pls eval for pna
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. Heart size, thoracic aorta and mediastinal structures are unchanged. Pulmonary vasculature is not congested. No new acute infiltrates identified. Comparison with the preceding study again demonstrates again the previously identified hazy density in the mid lung field on the right side, projecting over the posterior portion of the right-sided eighth rib on the frontal view. This density is difficult to identify on the lateral view conclusively. No other new abnormalities can be identified on the pa and lateral chest examination. Review is extended to the next preceding chest examination of <unk> and it is noted that no suspicious density could be identified at that time.
<unk>-year-old male patient with abnormal chest findings, evaluate further.
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The lungs are well-expanded. No focal consolidation, effusion, edema, or pneumothorax. The heart remains top-normal in size. The thoracic aorta is tortuous, also unchanged. Mild rightward curvature of the thoracic spine is unchanged. Degenerative changes in the visualized thoracic spine are mild.
<unk>-year-old man with cough and dka; evaluate for pneumonia.
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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. Deformity at the right ac joint is noted.
history: <unk>m with <unk> with acute movement changes // r/o pneumonia
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. There is no pleural effusion or pneumothorax. Patient is status post median sternotomy. There is no evidence of pulmonary edema. Cardiomediastinal and hilar contours appear within normal limits. Aortic valve replacement again seen. Right picc is no longer visualized. Osseous structures are without an acute abnormality.
<unk>-year-old male with elevated blood glucose.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations, pneumothoraces or pleural effusions.
history of right lower rib pain. rule out pneumothorax.
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Frontal and lateral radiographs of the chest show clear lungs without focal consolidation, pleural effusion, or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. Asymmetry of the clavicles is noted with anterior displacement of the right medial clavicle relative to the left corresponds to abnormality seen on ct with anterior displacement of the right medial clavicle from the sternum with widening at the sternoclavicular interval.
<unk>-year-old female with history of cholangiocarcinoma, now with congestion and cough, here to evaluate for pneumonia.
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
acute appendicitis.
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A small to moderate right pleural effusion has increased compared with the prior study. A small left pleural effusion is unchanged. Markedly enlarged and tortuous aorta is similar to recent prior studies. Severe right acromioclavicular degenerative changes and glenohumeral degenerative changes are noted. There is no focal consolidation, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is stable.
<unk>f with t<num> rib fx with hemothorax, evaluate interval change.
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Moderate cardiac enlargement appears similar. Prominent mediastinal contours are also unchanged. Background prominence of the pulmonary vascularity is also quite similar to the prior study. There is probably minimal right basilar atelectasis, but otherwise the lungs appear clear. There is no pleural effusion or pneumothorax.
cough and fever.
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Small right apical pneumothorax measuring up to <num> cm in greatest extent has slightly increased in size compared to the previous study. Remainder of the lungs are clear. The cardiac, mediastinal and hilar contours are unchanged, and no leftward shift of mediastinal structures is present. There is no pleural effusion. No acute osseous abnormality is visualized.
history: <unk>m with spontaneous pneumothorax. admitting to thoracic // enlargement of pneumothorax?
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Pa and lateral views of the chest. The lungs are clear of confluent consolidation or effusion. There is no pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected. Surgical clips identified in the right upper quadrant.
<unk>-year-old male with chest pain and productive cough.
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is top normal in size. The mediastinal contours are normal. Subtle changes of biconcavity of the thoracic vertebral bodies is reflective of the patient's known clinical history of sickle cell disease.
<unk>-year-old female with fever, persistent cold. evaluate for pneumonia.
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Pa and lateral views of the chest are compared to previous exam from <unk>. Indistinct pulmonary vascular markings are again seen as well as more confluent infrahilar opacity on the right suggesting pulmonary edema. There is a small right-sided pleural effusion. Cardiac silhouette is enlarged but unchanged from prior.
<unk>-year-old male with orthopnea and chest pain, history of end-stage renal disease, on dialysis. question chf, question 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. No evidence of pneumomediastinum is seen.
<unk> year old woman with etoh withdrawal, vomiting // evaluate for esophageal trauma, rupture
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Pa and lateral chest radiographs were provided. Widespread bilateral pulmonary metastases are again demonstrated. There is no evidence of pneumonia. There is a small left pleural effusion. There is no pneumothorax. A right chest wall port catheter tip terminates at the cavoatrial junction. Cardiomediastinal silhouette is stable. Imaged upper abdomen is unremarkable.
<unk>-year-old woman with metastatic leiomyosarcoma and fever. question pneumonia.
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Mild cardiomegaly is re- demonstrated. Thoracic aorta is diffusely calcified. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is mildly engorged, unchanged. Lungs are hyperinflated. Minimal blunting of the costophrenic angles posteriorly may suggest the presence of trace pleural effusions. Patchy opacity in the left lung base likely reflects atelectasis. No pneumothorax. Osseous structures are diffusely demineralized.
history: <unk>f with hfpef presenting with shortness of breath, +fatigue+cough // evidence of heart failure? other acute cardiopulmonary pathology?
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. The right-sided central venous line is in unchanged position, with the tip in the distal svc. Multiple fixation screws are partially imaged in the right humerus.
<unk> year old woman with gnr bacteremia. // please eval for e/o pneumonia
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Cardiomediastinal silhouette is enlarged, which is of very similar to prior studies. There is enlargement of the main pulmonary artery mogul. There is no strong evidence for pneumonia. There is mild hilar congestion with probable mild intersitial edema. No pleural effusion or pneumothorax.
<unk>f with dizziness, worse with exertion
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Scarring along the right mediastinal border is consistent with postradiation change, not significantly changed from prior radiograph. No focal consolidation, effusion or pneumothorax is present. Cardiomediastinal silhouette is unchanged. Elevation of the right hemidiaphragm is also unchanged. There is no evidence of pulmonary vascular congestion. A rounded density in the left hila likely represents a pulmonary vesse;l however, it has a slightly different appearance from the prior radiograph.
cough, productive of green secretions, denies fevers but complains of "being sweaty" at times. question bronchitis. of note the patient has a history of small cell lung cancer status post radiation therapy.
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Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax. The stomach is very distended with an air-fluid level.
history: <unk>m with chest pain sob // eval for pna
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The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pleural effusions. No fibrosis, no micronodules in the lung parenchyma. Minimal tortuosity of the thoracic aorta.
new onset of sarcoid.