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Again noted is an electronic device projects over the left mid anterior chest wall. Mild elevation of the left hemidiaphragm persists. The previously seen left upper lobe consolidation has significantly improved since the prior examination. Mild bibasilar atelectasis is noted. The patient is status post median sternotomy and cabg. Median sternotomy wires are well aligned and intact. A clip is noted in the upper abdomen, just right of midline.
<unk>m with recent pna, hyperglycemic // please evaluate for acute infectious process
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Apart from minimal scarring in the left lung base, the lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. Mild multilevel degenerative changes are noted in the thoracic spine.
history: <unk>m with history of epilepsy presents with sudden falls without presyncope
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is a persistent patchy left basilar opacity. Given the lack of change, the appearance may be chronic. More generally, there is mild interstitial prominence, perhaps due to slight fluid overload or congestion, but not specific; other possibilities include atypical infection, airway inflammation, or possibly interstitial lung disease.
shortness of breath and ascites.
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Evaluation is somewhat limited due to low lung volumes. However, there are bibasilar opacities, likely representing a combination of atelectasis and pleural effusions. Additionally, there are bilateral interstitial opacities raising suspicions for mild pulmonary edema. The visualized portions of the upper cardiomediastinal silhouettes are normal. Lower cardiomediastinal silhouette is severely limited on evaluation. There is a lucent focus adjacent to the lower right heart border which may be suggestive of a herniated loop of bowel. Severe kyphosis of the thoracic spine is noted.
dyspnea.
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Heart size is mildly enlarged. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are hyperinflated but clear. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormality is present.
history: <unk>f with shortness of breath and 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 visualized. Old left-sided rib fractures are again noted. Oral contrast material is seen within the colon.
post-op fever.
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The heart size is normal with mild tortuosity of the thoracic aorta. Hilar contours are unremarkable. Subtle increased density of the left lung base compared to prior examination is worrisome for infection. The right lung is clear. There is no pleural effusion or pneumothorax.
syncope and no clear source. evaluate for pneumonia.
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In comparison with the prior study, there may be mild pulmonary vascular congestion. Otherwise, the appearance of the chest is unchanged. Cardiac and mediastinal silhouettes are stable. There is no pleural effusion. No new focal consolidation.
dyspnea and lower extremity edema.
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Pa and lateral views of the chest were provided. No definite consolidation to suggest the presence of pneumonia. No large effusion or pneumothorax is seen. Cardiomediastinal silhouette appears grossly unremarkable. Subtle prominence of the right pulmonary hilum is stable dating back to <unk>. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>-year-old female with fever.
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Frontal and lateral radiographs of the chest demonstrate a tiny persistent right-sided pleural effusion with adjacent atelectasis and small persistent left-sided pleural effusion with adjacent atelectasis. There is stable moderate cardiomegaly. There is no pneumothorax or consolidation.
<unk>-year-old man with shortness of breath status post mitral valve repair, now status post right thoracentesis. evaluate for residual right pleural effusion.
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The lung volumes are low limiting assessment. Bibasilar opacities may represent atelectasis. Coarsened reticular markings are noted with mild hilar prominence which can be seen in the setting of pulmonary interstitial edema. The possibility of underlying fibrotic lung disease is not excluded. No large effusion or pneumothorax is seen. The heart size cannot be assessed. The mediastinal contour is stable with aortic atherosclerotic calcifications again noted. There is no free air beneath the right hemidiaphragm. There is evidence of prior kyphoplasty in the upper thoracic spine with multiple compression fractures in the thoracic spine appearing stable.
<unk>f with sob // acute process
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Compared to the prior radiograph, very subtle increase in pulmonary vascular markings may be due to mild pulmonary vascular congestion. Otherwise, the heart size, mediastinal, and hilar contours are normal, except for enlarged ascending aorta. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.compression deformity of a lower thoracic vertebral body is unchanged.
<unk>f with low o<num> sat. eval for pna.
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A right-sided picc line terminates in the lower superior vena cava. A tracheostomy appears unchanged. Are areas of opacification and volume loss in the left hemithorax, as well as the cardiac, mediastinal and hilar contours, appear stable.
picc line placement.
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Pa and lateral views of the chest provided. The lungs are hyperinflated with upper lobe lucency and splaying of bronchovascular markings suggestive of emphysema. No focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact peer
<unk>f with dyspnea, cough x<num> days // eval for pna or acute process
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Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. There is no pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Right lung base opacities are slightly more conspicuous since prior.
patient with shortness of breath.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs remain clear. Cardiomediastinal silhouette is within normal limits. Hypertrophic changes seen in the spine. Surgical clips seen in the right upper quadrant suggesting prior cholecystectomy.
<unk>-year-old female with left rib pain. rule out pneumonia.
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Right-sided pleurx projects in mid hemithorax. Compared to the previous exam, the pneumothorax has decreased in size from <num> to <num> cm. As shown on yesterday pet-ct, there is almost no more pleural effusion left on that side to drain. The increased density of the right lung is mainly explained by the large lung lesion with subsequent atelectasis of right upper lobe and right middle lobe. The left lung is unremarkable and the left pleural effusion is small.
patient with port placement, minimal drainage, interval change.
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The heart is moderately enlarged with a left ventricular configuration. There is mild unfolding along the descending thoracic aorta. There is no pleural effusion or pneumothorax. The lungs appear clear. Small-to-moderate anterior osteophytes are noted along the thoracic spine.
substernal chest pressure. history of diabetes and hypertension.
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As compared to the previous radiograph, the lung volumes have substantially increased, likely reflecting improved ventilation. There is the known <num>-cm lung nodule at the left lung base. No pneumothorax is observed. Moderate tortuosity of the thoracic aorta. Borderline size of the cardiac silhouette without evidence of pulmonary edema.
status post bronchoscopy and ebus, evaluation for interval change.
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Frontal and lateral views of the chest were obtained. Again seen is left upper hemithorax/apical opacity, not significantly changed since the prior study, seen to represent loculated pleural effusion on prior ct. Left base streaky opacity radiating from the left hilum is similar in appearance. Hilar contours are similar. There is blunting of the costophrenic angles may be due to trace effusions. Otherwise, the right lung is clear.
<unk>-year-old female with history of pleural effusions.
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Cervical fusion hardware is present. Sternal wires and mediastinal clips denote cabg. There has been interval removal of a right ij central venous catheter. There is no pneumothorax, focal consolidation, or pleural effusion. The cardiac and mediastinal contours remain within normal limits.
cabg.
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Stable appearance of known cavitary lesions, predominantly in the right lung, and diffuse bilateral opacities since <unk>. The heart size is top normal. Prior biopsy clips are seen projecting over the right upper lung field. No pulmonary edema or pneumothorax.
<unk> year old woman with bronchiectasis and cavities due to mac on triple abx // assess for any obvious progression or regression
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Again noted is dextroscoliosis of the thoracic spine.
tachycardia and shortness of breath.
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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Tortuosity of the descending thoracic aorta is noted. No displaced rib fractures identified.
<unk>m with s/p fall onto ribs, c/o l rib pain // r/o fx
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The heart is mildly enlarged. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs appear clear. The osseous structures are unremarkable.
chest pain.
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Pa and lateral chest radiographs. Median sternotomy wires are intact. Mediastinal clips are again noted. Lung volumes remain low with bibasilar and retrocardiac atelectasis. Small left pleural effusion appears larger than on prior radiograph. There is no focal consolidation or pneumothorax. The heart size is stable.
near syncope. cabg performed approximately one week ago.
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When compared to prior, there has been no significant interval change. Interstitial edema is again noted. There is no focal consolidation nor effusion. Moderate cardiac enlargement is unchanged. Tortuosity of descending thoracic aorta is again noted. No acute osseous abnormalities.
<unk>m with dyspnea, chf, copd // infiltrate, effusion, edema, pneumothorax
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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 pulmonary edema is seen.
history: <unk>f with acute onset chest pain // eval for acute process
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The cardiomediastinal silhouettes are normal. The bilateral hila are unremarkable. The lungs are clear. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
a <unk>-year-old man with shortness of breath, evaluate for pneumonia.
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A left-sided pacemaker generator with a single lead overlying the right atrium and <num> leads overlying the right ventricle is in appropriate position. The cardiomediastinal and hilar contours are normal. There is no evidence of pneumothorax or pleural effusion. There is no evidence of focal consolidation. There is stable calcification of the aortic arch.
<unk> year old woman with new rv lead // evaluate for lead placement and pneumothorax
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There has been interval removal of a coiled right picc line. The lungs are clear of focal consolidation, pleural effusions or pneumothoraces. The cardiac mediastinal silhouette is within normal limits.
history: <unk>m with weakness, hypotension // eval for pna
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The heart size is slightly larger than prior exam. Although still within normal limits and likely exaggerated due to the lower lung volumes, the mediastinal and hilar contours are within normal limits. The lungs volumes are low, exaggerating the bronchovascular structures, but there is no consolidation. There is no pleural effusion or pneumothorax. There is no subdiaphragmatic free air.
<unk>-year-old female with acute onset of nausea, vomiting and abdominal pain.
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Prior small bilateral pleural effusions have since resolved. The lungs are clear of consolidation or pulmonary vascular congestion. The cardiomediastinal silhouette is stable. Left chest wall dual lead pacing device is unchanged. Degenerative changes seen at the shoulders bilaterally.
<unk>m with confusion // eval infiltrate
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The lungs are hyperinflated, reflective of chronic pulmonary disease. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.
<unk>-year-old male with palpitations and shortness or breath. evaluate chest.
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Right picc tip remains within the upper svc. Mild enlargement of the cardiac silhouette is similar compared to the previous study. Mediastinal and hilar contours are unchanged. Streaky opacities within the lung bases persist, though appear slightly improved compared to the prior exam likely reflecting improving atelectasis. Small bilateral pleural effusions are noted on the lateral view. The pulmonary vasculature is not engorged. No pneumothorax or acute osseous abnormalities demonstrated.
<unk> year old man with dyspnea status post recent tips // acute pulm process
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. Mild degenerative changes are seen in the thoracic spine.
altered mental status.
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The heart is mildly 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.
syncope.
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The lungs are hyperinflated. Biapical scarring is again noted. No consolidation, pleural effusion or pneumothorax is noted. There is no pulmonary edema. The heart is normal in size, and the mediastinal hilar contours are normal.
<unk>-year-old female with history of prior stroke and tia symptoms. evaluate pneumothorax, effusion or consolidation.
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The cardiomediastinal shilhouette and hila are normal. The lungs are clear. There is no pleural effusion and no pneumothorax.
<unk>-year-old with chest pain.
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The lungs are chronically hyperinflated with biapical scarring. There is improvement in the left lower lobe opacification without complete resolution. The mediastinal contours, cardiac borders, and lungs are otherwise unchanged.
<unk> year old woman with h/o pneumonia // assess for resolution of pneumonia
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As compared to the previous radiograph, there is a new parenchymal opacity in the right upper lobe and the right lower lobe. The right lower lobe opacity is better visualized on the lateral than on the frontal image. The patient shows no pleural effusions. No other changes are seen. Known mild cardiomegaly, constant alignment of the sternal wires with a ruptured apical wire.
hemoptysis and right-sided crackles, evaluation.
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Pa and lateral views of the chest demonstrates the lungs are relatively well expanded and clear. No pleural effusion, focal opacity or pneumothorax is present. There is no evidence of pulmonary edema. A large retrocardiac hiatal hernia is again seen. The heart size is stable. There are no signs of aspiration.
confusion. evaluation for acute cardiopulmonary process.
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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal contours are normal. No acute osseous abnormalities. No subdiaphragmatic free air.
<unk>-year-old female with congestive heart failure and increasing shortness of breath
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The lungs are well expanded. Minimal engorgement of the right hilum is not significantly changed from prior. Otherwise, there are no focal opacities. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Sternotomy wires and surgical clips in the mediastinum from prior surgery are unchanged in appearance.
patient with chest pain. evaluate for pneumonia or chf.
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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>f with fatigue, lightheadedness, and nausea for the past <num> weeks // ? pneumonia
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There has been no significant interval change. Right-sided pleural thickening/chronic changes are stable. Persistent mild elevation of the anterior right diaphragm. No new focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Severe compression of a mid to lower thoracic vertebral body is grossly stable.
history: <unk>m with palps // please eval for pna
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Frontal and lateral views of the chest demonstrate low lung volumes. Moderate cardiomegaly. There is mild interstitial pulmonary edema. No pleural effusions. There is no pneumothorax. Right lung base opacities are slightly more conspicuous since prior. Hilar and mediastinal silhouettes are unchanged. Partially imaged upper abdomen is unremarkable.
patient with dyspnea and fever. assess for pneumonia.
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The lungs are clear. There is no pleural effusion or pneumothorax.
history: <unk>f with left sided chest pain // r/o acute process
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As compared to the previous radiograph, the position of the right pleurx catheter is unchanged. Overall, the effusion on the right minimally progressive as compared to the previous image, the progression is better appreciated on the lateral than on the frontal radiograph. The parenchymal opacities in the right lung are not substantially changed as compared to the previous image. There is no evidence for the presence of pneumothorax. On the left, the effusion is constant in appearance. Also constant is the subsequent atelectasis in the retrocardiac lung areas. The cardiac silhouette remains unchanged and slightly enlarged. Unchanged appearance of the mediastinal contours.
chronic heart failure, recurrent pleural effusion, right pleurx placement.
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Frontal and lateral views of the chest were obtained. Low lung volumes result in bronchovascular crowding. There is no focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. Dilation of small bowel loops in the upper abdomen is incompletely evaluated.
hypotension.
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The lungs are clear. There is no consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with l flank pain // eval for ptx, pleural effusion
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Pa and lateral views of the chest. The lungs are clear. There is no large effusion, consolidation or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.
<unk>-year-old female with chest pain.
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Frontal and lateral views of the chest were obtained. The heart is mildly enlarged, similar to prior, and exaggerated by technique and low lung volumes. The thoracic aorta is unfolded. Pulmonary vasculature is unremarkable. The lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax is noted. Osseous structures are unremarkable. No radiopaque foreign body.
<unk>-year-old female with cough. evaluate for pneumonia.
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The mediastinal and hilar contours are stable, with expected postsurgical changes post cabg. There has been interval increase in the left pleural effusion with suggestion of a loculated component and rounded atelectasis at the left base. There is a small right pleural effusion. There is no pneumothorax. There is no pulmonary edema or focal consolidation concerning for pneumonia. Cholecystectomy clips are seen in the right upper quadrant.
recurrent pleural effusions.
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Frontal and lateral views of the chest were performed. There is no pleural effusion or pneumothorax. There is equivocal opacification of the right middle lobe, best demonstrated on the lateral view. The cardiac and mediastinal contours are normal. The hilar and pleural structures are normal. The imaged upper abdomen is unremarkable.
cough and wheeze, rule out pneumonia.
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Frontal and lateral views of the chest demonstrate increased lung volumes. There is blunting of the left costophrenic angle suggestive of pleural thickening. There is no right pleural effusion. No pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is top normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable. Surgical clips project over right upper abdomen. There is compression deformity of the lower thoracic vertebral body, better assessed on dedicated thoracic spine radiographs of the same date of uncertain chronicity.
patient with copd and shortness of breath.
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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 pulmonary edema is seen.
history: <unk>m with new a fib // acute procerss
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The right pleural effusion is redistributed, and there is worsening right lower lobe atelectasis. A small left pleural effusion is unchanged. There is no pneumothorax. The heart and mediastinum cannot be accurately assessed.
<unk> year old woman with pleural effuson s/p drainage // assess interval change
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The heart size is normal. The mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities detected.
chest pain, worse with eating and lying down.
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Lung volumes are low with mild increase in right basilar atelectasis since the prior exam in <unk>. No new focal consolidation is identified. There is no large pleural effusion, pneumothorax, or pulmonary edema. The heart size is top-normal. The mediastinal and hilar contours are unremarkable.
history: <unk>f with seizure // effusion, infiltrate, edema
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As compared to the previous radiograph, there is no relevant change. Borderline size of the cardiac silhouette, mild fluid overload but no overt pulmonary edema. Presence of a small pleural effusion on the left cannot be excluded. No focal parenchymal opacity suggesting pneumonia.
increased rhonchi, questionable pulmonary edema.
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Ap and lateral views of the chest. Linear opacity at the left lung base most suggestive of atelectasis. The lungs are otherwise essentially clear. Blunting of the posterior costophrenic angle on the left may represent trace effusion. Cardiac silhouette is within normal limits noting prominent left cardiophrenic fat pad, unchanged. No acute osseous abnormality detected.
<unk>-year-old male with syncope. question cardiomegaly.
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Lung volumes are normal. There is no focal consolidation, effusion, or pneumothorax. There is no central vascular congestion or overt pulmonary edema. Mediastinal and hilar contours are normal. Heart size is top-normal.
<unk>f with cough and chest pain // signs of pneumonia or aspiration?
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Two views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours. Minimal degenerative change is seen in the mid to lower thoracic spine.
melanoma, assess disease status.
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Frontal and lateral views of the chest were performed. The lungs are better inflated on this study. There is moderate to severe cardiomegaly which, allowing for differences in technique, is unchanged. Prominence of the central pulmonary vessels is noted with mild interstitial edema which is slightly improved. There is no focal airspace consolidation to suggest pneumonia. There is no pneumothorax. The mediastinal contours are normal.
chest pain, evaluate for mediastinal widening or cardiomegaly.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits.
<unk>-year-old female with chest pain.
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As compared to the previous radiograph, there now is an obvious parenchymal opacity in the left lower lobe that is better seen on the lateral than on the frontal radiograph. The opacity shows air bronchograms and has a slightly retractile character, reflected by the partial elevation of the left hemidiaphragm in its posterior portion. There also is a small associated plate-like atelectasis. In light of the clinical history, the presence of pneumonia is likely. No other lung parenchymal changes. Known coronary stent. No pleural effusions. Normal size of the cardiac silhouette. At the time of dictation and observation, <unk>, at <unk>, the referring physician <unk>. <unk> was paged for notification and the findings were discussed over the telephone.
cough and fever, evaluation for pneumonia.
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The lungs are clear. Mild atelectasis blunts the left costophrenic sulcus. The cardiomediastinal silhouette, and hilar contours are normal. There is no pleural effusion or pneumothorax. The aortic arch is calcified. There is minimal pleural thickening at the lung apices.
history: <unk>f with sob and chest pain // evaluate for pneumonia
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are hyperinflated but clear of focal consolidation or effusion. There is no pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.
<unk>-year-old female with diarrhea for three days, no clear infectious source.
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
_upper back pain.
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There is left basilar opacity with obscuration of the left hemidiaphragm. Meniscus sign on the lateral view suggests that there is a pleural effusion with overlying atelectasis, underlying consolidation may also be present. No focal consolidation is seen on the right. No large right pleural effusion. There is mild pulmonary vascular congestion and slight prominence of the vascular hila. The cardiac silhouette is top-normal. The aorta is calcified.
history: <unk>m with hypoglycemia, osh portable with ?pleural effusion vs pneumonia. // eval for acute process
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Again noted is a <num> x <num>-cm right lower lobe nodular density that has been relatively stable in size dating back to <unk>, but new compared to prior ct from <unk>. Otherwise, the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute fractures are identified.
left chest pain.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
asthma with <num> months of right chest pain/tightness. evaluate for infiltrate.
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Pa and lateral views of the chest. The lungs are clear. There is no effusion, consolidation, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified. Evidence of surgical mesh projects over the anterior upper abdominal wall.
<unk>-year-old female with hypertension, presenting with chest pain and shortness of breath.
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The opacity in the anterior right upper lobe is almost completely resolved with a tiny residual focal opacity. There is no new focal consolidation, pleural effusion, or pneumothorax. Peripheral interstitial opacities at the bases are consistent with a previously described nsip. The heart size is within normal limits. The cardiac, hilar, and mediastinal contours are within normal limits.
mild pulmonary fibrosis and history of gerd. pneumonia diagnosed in <unk>. followup chest radiograph.
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There is a moderate thoracic kyphosis which increase in the ap diameter of the chest. The lungs are relatively well inflated and clear. The descending thoracic aorta demonstrates moderate atherosclerotic plaque and is unfolded. Heart size is stable, top normal. No focal consolidation or pleural effusion. No pneumothorax.
<unk>f with chest pain // r/o acute process
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The cardiac silhouette size is top normal with a left ventricular predominance. Mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are noted.
altered mental status, left facial droop and slurred speech.
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The lungs are relatively hyperinflated but clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with dizziness // ?cpd
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In comparison with the study of <unk>, there is little change and no evidence of radiographic abnormality. Mild hyperexpansion of the lungs, but no definite focal pneumonia or vascular congestion.
night sweats and mac.
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A new large right pleural effusion is demonstrated. There is an associated right basilar opacity likely reflecting compressive atelectasis. Left lung is clear. There is mild leftward shift of mediastinal structures as result of the pleural effusion. The right hemidiaphragm appears elevated as an abdominal catheter is seen projecting over the right lung base. No pneumothorax is identified. There are no acute osseous abnormalities.
right upper quadrant pain, right shoulder pain, <num> weeks status post liver surgery.
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Frontal and lateral radiographs of the chest demonstrate normal heart size, mediastinal and hilar contours. The lungs are clear. No pleural effusion or pneumothorax. No displaced rib fracture identified.
chest pain rule out acute process
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The heart appears mildly enlarged. The mediastinal and hilar contours appear unchanged, allowing for low lung volumes. There is a patchy opacity in the left lower lobe suggesting pneumonia. Mild-to-moderate but chronic-appearing loss in two lower thoracic vertebral body heights is not significantly changed since at least <unk>.
cough and tachycardia.
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Cardiac silhouette size appears top normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal and the lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are visualized.
chest pain.
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Pa and lateral views of the chest were obtained. The lungs are clear bilaterally without focal consolidation or congestive heart failure. No pneumothorax or pleural effusion. The cardiomediastinal silhouette is normal. No bony abnormalities. No free air below the right hemidiaphragm.
vomiting.
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Right-sided port-a-cath tip terminates at the cavoatrial junction, unchanged. The heart size is normal. The mediastinal and hilar contours are unremarkable. The lungs are clear. No pleural effusion, focal consolidation, or pneumothorax is present. Eventration of right hemidiaphragm is stable. There are no acute osseous abnormalities. Cholecystectomy clips are noted in the right upper quadrant of the abdomen.
<num> months of progressive cough.
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In comparisons to the prior study, there is interval development of large dense left mid and lower lung opacification consistent with a large pleural effusion and likely increased size of known left juxta hilar mass. This is associated with contralateral shift of the heart and mediastinum. Small right pleural effusion and right basilar atelectasis have increased. No pneumothorax.
<unk> year old woman with met nsclc // r/o acute intrathoracic disease
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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Tortuosity descending thoracic aorta is noted. Old healed anterior rib fractures and degenerative changes at the shoulders are also seen. There is a mid left clavicular fracture, the acuity of which is difficult to assess on this single view.
<unk>m with alcohol intoxication, s/p fall. // bleed/fracture, pneumonia?
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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. No focal lung consolidation is seen. Views of the upper abdomen are unremarkable.
<unk>m with cough and myalgias, evaluate for pneumonia.
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The cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Apart from subsegmental atelectasis in the left lung base, the lungs are clear. No pleural effusion or pneumothorax is present. Multilevel moderate degenerative changes are noted in the thoracic spine.
history: <unk>m with syncope
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Cardiomediastinal silhouette is within normal limits. Lungs are clear. There is no pleural effusion or pneumothorax. Bones are grossly unremarkable.
history: <unk>f with ? infectious syndrome // ? pneumonia
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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.
history: <unk>f with <num> weeks of cough, chills // pna?
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The lungs are fully expanded and clear. There is no pneumothorax or pleural effusion. Cardiomediastinal contour is normal.
<unk> year old man s/p bmt for lymphoma, hypogammaglobulinemia, with <num> days of productive cough, clear chest on exam // f/o pna .
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The lungs are well-expanded and clear. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with palpitations, hx of svt and cardiac ablation at <unk> // r/o pneumothorax
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There are low lung volumes. The heart is moderately enlarged but unchanged. The aorta is tortuous and diffusely calcified. There is crowding of the bronchovascular structures, with probable mild pulmonary vascular congestion. Small bilateral pleural effusions are noted, with a small amount of fluid in the minor fissure on the right. There are patchy bibasilar opacities most likely reflective of atelectasis. No pneumothorax is present. Compression deformity of the t<num> vertebral body is unchanged compared to the prior mri.
one day chest pain.
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Pa and lateral views of the chest provided. Dual lead pacer is unchanged with leads extending to the region the right atrium and right ventricle. The heart remains mildly enlarged. There is prominence of the right pulmonary hilum which appears new from the prior exam and may in part reflect patient's position. Upper lung lucency suggest emphysema. No focal consolidation, large effusion or pneumothorax is seen. No signs of edema or congestion. Bony structures are intact.
<unk>f with ekg changes. // rule out acs
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As compared to the previous radiograph, there is no relevant change. Normal appearance of the cardiac silhouette. Normal hilar and mediastinal structures. A pre-existing left-sided shadow projecting at the level of the hemidiaphragm is seen in unchanged manner. There is no evidence of nodules or masses. No pleural effusions. Normal hilar and mediastinal contours.
history of cll, progressive cold symptoms, rule out pneumonia.
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Lungs are clear of consolidation. Nodular opacity projects over the left lung base. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with ams // eval for pna
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is a patchy opacity projecting over the left lower lobe suggesting minor atelectasis or scarring. The lungs appear otherwise clear. No discrete lung nodules identified. There are no pleural effusions or pneumothorax. Mild degenerative changes are present along the mid thoracic spine.
prior history of lung nodule, requesting followup radiographs.
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A <num> cm oblong radiopaque structure projecting over the upper lateral right hemi thorax may be external to the patient or possibly a stent.patchy left base retrocardiac opacity seen on the frontal view, not substantiated on the lateral view, may be due to atelectasis. No definite focal consolidation concerning for pneumonia is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable can't not widened as compared to prior studies. The mediastinum is stable since <unk>. There is mild pulmonary vascular congestion without overt pulmonary edema.
history: <unk>m with hx of esrd s/p ddkt p/w acute stabbing l chest pain x <num> day. no cough, dyspnea. no back pain. // please eval for dissection. please eval for pna.
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The lungs are clear. There is no consolidation, effusion, or edema. The cardiomediastinal silhouette is normal. No acute osseous abnormalities.
<unk>f with shortness of breath and chest pressure, cough, no improvement s/p inhalers and azithromycin evidence of pna? other intra-thoracic process to explain sob and chest pressure?