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Pa and lateral views of the chest. The lungs are clear. There is no pneumothorax, consolidation or effusion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities.
<unk>-year-old male with <unk> time seizure.
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. Osseous structures are unremarkable without a fracture visualized. No radiopaque foreign body.
status post fall from bike with pain in the midline scapula and lower lumbar spine tenderness. evaluate for fracture or pneumothorax.
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A port-a-cath terminates in the right atrium. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Streaky left basilar opacity is most consistent with minor atelectasis. Otherwise, the lungs appear clear.
orthopnea and left-sided chest pain.
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Pa and lateral radiographs of the chest were obtained. A moderate right-sided effusion is grossly similar to <unk>. A tiny left effusion has resolved. Bibasilar opacities likely reflect atelectasis, unchanged. The remainder of the lungs are stable with no new consolidations. The heart and mediastinal contours are normal. No pneumothorax or pulmonary vascular congestion.
fever
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Pa and lateral views of the chest provided. Lung volumes are low. The imaged portions of the lungs are clear. Heart size cannot be assessed. Mediastinal contours are normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with hypoxia to high <num>s // acute process?
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Heart size is normal and unchanged. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There are postoperative changes from previous right middle and lower lobe wedge resections. Lungs are clear, except for bibasilar atelectasis. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. There are multiple unchanged right lateral rib fractures, likely secondary to prior lung surgery.
<unk>f with productive cough // ?pneumonia
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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.
<unk> year old man with dyspnea on exertion // evidence of atlectesis vs pulm edema
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The patient is post cabg. The heart size is normal. The aorta is moderately tortuous, unchanged in configuration since the prior chest radiograph. Again seen is a density projecting along the right upper mediastinum, unchanged since the <unk> examination, corresponding to prominent vasculature as confirmed on the chest ct examination from <unk>. The hilar and mediastinal contours are otherwise normal. There is no pneumothorax, focal consolidation, or pleural effusion. Mild degenerate changes of the thoracic spine are stable.
cough and fever.
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Cardiomediastinal contours are stable in appearance. Small right upper lobe nodular opacity at level of second anterior rib is similar compared to earlier radiographs. Minimal bibasilar opacities are improved compared to prior radiographs. Mild elevation of left hemidiaphragm is unchanged. No pleural effusion or acute skeletal findings.
<unk> year old woman s/p renal transplant, aspergillosis on lifelong vori presenting with <num> days cough // acute consolidation
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There are linear bibasilar opacities with blunting of the costophrenic angles. Superiorly, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>m with sob // effusion
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Heart size is normal with trace unfolding of the thoracic aortic arch. Cardiomediastinal silhouette and hilar contours are normal. Questionable <num> cm ovoid density in the left lung base with possible retrocardiac correlate. Lungs are otherwise clear. Pleural surfaces are clear without effusion or pneumothorax. Bones are diffusely demineralized.
hydrocephalus, nausea and vomiting. preoperative evaluation.
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Lungs are hyperinflated. The heart remains enlarged. Prominence of the right lower lobe vasculature is similar to prior studies. A pacemaker device is present, with leads ending in the region of the right atrium and right ventricle. No pneumothorax, pleural effusion or consolidation.
history: <unk>f with history of chf, sob, r/o infectious process and or cardiopulmonary process // pt with sob, r/o infectious process and or cardiopulmonary process
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Cardiomediastinal and hilar contours are unremarkable. Stable positioning of atrial closure device noted. Lungs are clear. No pleural effusion or pneumothorax evident.
chest pain, evaluate for pneumonia.
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No focal consolidation, pleural effusion or pneumothorax identified. The size of the cardiac silhouette is at the upper limits of normal, unchanged.
<unk>-year-old man who is brought in by ems after having a witnessed cardiac arrest w/ekg showing possible signs of ischemia. // pre-cabg
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Increased diffuse bilateral heterogeneous opacities with interstitial prominence and increased heart size is suggestive of mild pulmonary edema. No pleural effusion. Heart may be partially large due to ap technique and patient rotation. Assessment of lower lungs is limited. Right basilar opacity is unchanged and may represent atelectasis. No pneumothorax. Limited assessment of bones is unremarkable.
<unk>-year-old male with altered mental status. assess for pneumonia.
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Right chest tube has been removed. There is a small right apical pneumothorax, measuring up to <num> cm. There is no left pneumothorax. There is no effusion. Stable elevation of right hemidiaphragm. No new opacity to suggest pneumonia. Stable hilar and mediastinal contours, without pulmonary vascular congestion or edema.
<unk>-year-old male status post right upper lobectomy and chest tube removal.
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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 history of epilepsy, now with unsteady gait. evaluate for pneumonia.
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Pa and lateral views of the chest demonstrate unchanged position of pacemaker leads, terminating in the right atrium and the right ventricle. Within the right lung, multiple nodular and branching opacities are identified, which could represent a component of bronchiectasis, although not present previously, and also could be multifocal pneumonia in the appropriate clinical setting. Additionally, there is mild prominence of the right hilar structures, possibly representing lymphadenopathy or vascular structures. There is no pleural effusion or pneumothorax.
<unk>-year-old male with hepatic and renal failure.
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The heart remains moderately enlarged. Dense mitral annular calcifications are re- demonstrated, and there is unchanged enlargement of the main pulmonary artery. Mild pulmonary vascular engorgement appears slightly improved compared to the prior study. Aeration of the lung bases is also improved. No large pleural effusion or pneumothorax is identified, though there is trace blunting of the right costophrenic angle laterally. No pneumothorax is identified. No acute osseous abnormalities seen.
cough and low-grade fever for <num> week.
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As compared to prior chest radiograph from <unk>, lung volumes are decreased, accentuating the bronchovascular structures. Volume loss in the right lower lobe from <unk> is better assessed on that ct, and is difficult to assess on chest radiograph. The cardiomediastinal and hilar contours are normal. There is no focal consolidation, pleural effusion or pneumothorax.
recent admission for copd exacerbation, status post mvc. rule out rib fracture.
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Two views of the chest demonstrate low lung volume. There is no pleural effusion or pneumothorax. Cardiac silhouette remains mildly enlarged with an especially prominent left atrium. The pulmonary vasculature is normal.
<unk>-year-old female with productive cough, question pneumonia.
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Heart size and cardiomediastinal contours are normal. Minimal bibasilar opacities are decreased since the prior exam, likely atelectasis. Lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax. Cervical spine fusion hardware is in stable position.
history: <unk>f with shortness of breath // acute process?
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<num> views were obtained of the chest. Mediastinal vascular engorgement and interstitial abnormality bilaterally is consistent with mild-to-moderate pulmonary edema accompanied by trace pleural effusions. Slightly more focal opacity in the right base could reflect developing infectious process or asymmetric edema. The heart is mildly enlarged with normal cardiomediastinal contours aside for mild aortic tortuosity and calcification. Old right rib fractures are identified. Exaggerated thoracic kyphosis is noted.
elevated white blood cell count, assess for pneumonia.
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The lungs are low in volume but clear. The heart is moderately enlarged. The mediastinal and hilar contours are unchanged. Oblique foreshortened and posteriorly displaced proximal to mid left humeral shaft fracture is noted.
fever and cough. assess for pneumonia.
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The lungs are clear without focal consolidation. There is mild linear atelectasis in the left mid lung. No pleural effusion or pneumothorax is seen. The heart size is mildly enlarged and remains larger than on preoperative radiographs, possibly due to a small postoperative pericardial effusion. Median sternotomy wires are intact.
<unk> year old man s/p cabg with question of pneumonia, no white count or fever // evidence of infection?
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Pa and lateral views of the chest. No prior. The lungs are clear of consolidation or effusion. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with near syncope and palpitations.
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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 pa and lateral chest examination of <unk>. The heart size remains unchanged and is within normal limits. Mild widening and elongation of the thoracic aorta is unaltered. No mediastinal masses are seen. Bilaterally, the lungs demonstrate a rather irregular pulmonary vascular distribution coinciding with multiple areas of increased translucency most marked in the lung bases where they coincide with low positioned and flattened diaphragms. These findings are again indicative of rather advanced copd/emphysema. Comparison with the previous examination demonstrates increased local markings on the left lung base can be identified on comparison of the lateral views to involve mostly the anterior basal regions, thus representing infiltrates in the periphery of the upper lobe lingula. No new pleural effusion can be identified as the lateral and posterior pleural sinuses are free and there is no evidence of pneumothorax in the apical area.
<unk>-year-old female patient with severe copd, now with rales on examination. evaluate for any chf.
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Streaky left basilar opacities are likely atelectasis. There is persistent blunting of the right lateral and bilateral posterior costophrenic angles compatible with prominent extrapleural fat as seen on prior ct. The lungs are clear without consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Coronary artery stents are noted. The thoracic aorta is tortuous. No acute osseous abnormalities. Compression deformity of t<num> is chronic. Surgical clips noted in the abdomen.
<unk>m with liver transplant x<num> on immunosuppression now with subjective fever // ?pna
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Opacities in the lower left lung base likely represent mild left basilar atelectasis. Otherwise, the lungs are grossly clear without evidence of focal consolidation, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette and hilar contours are stable compared to multiple prior exams. Mild degenerative changes are seen in the thoracic spine.
history: <unk>m with cp preceding a low speed mvc today. // pna? injury?
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The heart is top normal in size. There is no focal consolidation, pleural effusion, or pneumothorax. Interstitial markings seen on <unk> are no longer present.
crackles on left lung base.
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Pa and lateral views of the chest were obtained. There are background emphysematous changes and scarring of the left apex. Surgical clips are again seen. No focal consolidation, pulmonary edema, or pneumothorax is identified. There is fluid along the fissure of the left lung. The cardiomediastinal silhouette is unremarkable. No free air is identified beneath the diaphragm. No bony abnormality is seen.
chest pain. evaluate for pneumonia.
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In comparison with the study of <unk>, there are better lung volumes. No evidence of acute pneumonia, vascular congestion, or pleural effusion.
possible sarcoidosis with cough and shortness of breath.
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There are small bilateral pleural effusions, larger on the left, with associated atelectasis. Superiorly, the lungs are clear. There is enlargement of the cardiac silhouette with a configuration raising concern for underlying pericardial effusion. No acute osseous abnormalities.
<unk>f hx hiv p/w with <unk> edema, orthopnea, exertional dyspnea. no hx chf. // pulmonary edema? cardiomegaly?
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Frontal and lateral chest radiographs were obtained. A left subclavian terminates in the upper svc. A small calcified granuloma is again seen in the right upper lobe. A small area of opacity in the right lower lung projects over the lower pole of the right hilus. Small right pleural effusion is present. The cardiac silhouette is moderately enlarged. Mediastinal and hilar contours are stable. There is no pneumothorax.
patient with leukemia being treated for latent tb and c. diff, now with pleuritic chest pain, eval for pneumonia and tb.
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There is no focal consolidation. There is no pleural effusion or pneumothorax. Extensive anterior bridging osteophytes in the thoracic spine may represent dish. There is preservation of the disc spaces. The previously seen interstitial lung changes are better seen on ct from six days ago.
cough.
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Pa lateral chest radiographs were obtained. There is bibasilar atelectasis related to low lung volumes. The cardiac silhouette remains moderately enlarged with pulmonary vascular congestion. There is blunting of the right costophrenic angle which may represent a trace pleural effusion. No pneumothorax is seen.
chest pain, rule out pneumothorax or pneumonia.
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Left port-a-cath tip terminates in the distal svc. Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Median sternotomy wires are intact. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
altered mental status.
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Pa and lateral views of the chest were reviewed and compared to the prior study. The lungs are mildly hyperinflated and the diaphragms are flattened consistent with the provided history of copd. A suggestion of increased opacity in the right lung base on the frontal view could not be not confirmed on the lateral view. There is no pulmonary edema, vascular congestion, pleural effusion or pneumothorax. Unchanged cardiac and mediastinal contours.
increasing dyspnea on exertion in a patient with a history of copd.
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Frontal and lateral radiographs of the chest were acquired. The lungs are well expanded and clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Mildly distended loops of air-filled small bowel are noted in the left upper abdominal quadrant.
weight loss. assess for 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 free air below the right hemidiaphragm is seen.
<unk>m with chest pain
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The lungs are clear. There is no evidence of pleural effusions. Stable mild cardiomegaly and tortuous aorta. Right-sided port-a-cath terminates in the cavoatrial junction.
<unk>-year-old woman with pleural effusion. please evaluate.
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There is moderate cardiomegaly with indistinctness of the pulmonary vasculature, consistent with moderate pulmonary edema. Pleural effusions are small, if any. No evidence of pneumothorax.
<unk>-year-old female with chest pain and shortness of breath. evaluate for acute process.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are well inflated and clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with hiv. fever
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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>m with seen at outside facility - just need to medically clear // rule out pleural effusion
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Tip of the right port-a-cath has not significantly changed in position, and terminates in the low svc. Lung volumes are normal. There is no consolidation, pleural effusion or pneumothorax. There is an ill-defined sclerotic focus in the proximal right humerus, which corresponds to the previously biopsy-proven langerhans cell histiocytosis lesion.
<unk> year old man with langerhan cell histiocytosis. poc in place, trouble with blood return. please evaluate placement. // <unk> year old man with langerhan cell histiocytosis. poc in place, trouble with blood return. please evaluate placement.
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Pa and lateral views of the chest provided. Hardware in the cervical spine as well as the right humeral head again noted. Elevated left hemidiaphragm is again noted. There is a tiny metallic density projecting in the soft tissues of the mid back posteriorly. Also noted, is evidence of prior vertebroplasty in the mid thoracic spine. No focal consolidation, large effusion or pneumothorax is seen. The cardiomediastinal silhouette appears stable. Bony structures appear grossly intact.
<unk>f with hx acoustic neuroma s/p radiation, dizziness, chest pain, generalized weakness
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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 altered mental status, generalized weakness // evl for acute process
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Tortuosity of the descending thoracic aorta is noted. No acute osseous abnormalities. Chronic likely congenital deformity of the anterior left sixth rib is again noted.
<unk>m with <unk> // ? infectious process
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The lungs are clear with no focal consolidations concerning for pneumonia. There are no pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are normal. Pulmonary vascularity is normal. There is mild s-shaped scoliosis of the thoracolumbar spine.
<unk>-year-old female with ankylosing spondylitis and severe night sweats. evaluate for infection.
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The heart size is normal. The aorta is mildly tortuous and demonstrates mild calcifications. The pulmonary vascularity is normal and the hilar contours are unremarkable. Lungs are clear. No pleural effusion, focal consolidation or pneumothorax is visualized. There are no acute osseous abnormalities identified. Healed left mid clavicular fracture is present.
fall with right facial laceration and right elbow fracture.
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Heart size is normal. The aorta is tortuous. Mediastinal and hilar contours are otherwise unchanged. Pulmonary vasculature is not engorged. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>f with chest pain
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Left chest wall pacing device is again seen, in stable position. Lead tips project over the right atrium and right ventricular apex. There is mild pulmonary vascular congestion which given differences in technique appears improved since prior. There is no effusion or focal consolidation. Moderate cardiomegaly is stable. No acute osseous abnormalities.
<unk>m with pain at icd site // evaluate wire and device positioning, evidence of infiltrate or effusion
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The heart size is mildly enlarged but unchanged. Mitral annular calcifications are noted. The mediastinal and hilar contours are stable, with mild atherosclerotic calcification of the thoracic aorta noted. Mild cephalization of the pulmonary vascular markings may suggest mild pulmonary vascular congestion, similar compared to the previous exam. No focal consolidation, pleural effusion or pneumothorax is present. There is diffuse demineralization of the osseous structures with mild loss of height of a mid thoracic vertebral body which appears unchanged.
confusion.
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Frontal and lateral chest radiographs demonstrate a normal heart, lungs, mediastinum, hila, and pleural surfaces.
ulcerative colitis flare, with potential to begin immunosuppressive medications. evaluate for infection.
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Lung volumes are slightly low. Heart size is top normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is present. The pulmonary vascularity is normal. There are no acute osseous abnormalities.
shortness of breath, missed hemodialysis today.
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The lungs are relatively hyperinflated. Distortion of the parenchyma suggest chronic underlying fibrotic changes. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. Chronic changes seen at the right humerus which are not fully assessed. Compression deformity of a lower thoracic vertebral body is not well seen due to osteopenia and is age indeterminate. Bilateral posterior rib fractures appear old.
<unk>f with r ankle fracture // pre op
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Ap upright and lateral chest radiograph demonstrates clear lungs bilaterally. There is no pleural effusion. A dilated or tortuous descending aorta is noted. Cardiomediastinal and hilar contours are otherwise unremarkable. No evidence of over pulmonary edema. Osseous structures demonstrates no acute abnormality.
<unk>-year-old male with fever.
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In comparison with the study of <unk>, the abnormal opacification in the right mid zone has cleared. At this time, there is no evidence of acute pneumonia, vascular congestion, or pleural effusion. There is a moderate hiatal hernia, essentially unchanged from the previous study.
cough with history of asthma and right-sided rhonchi.
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Lung volumes are low. Normal heart size, mediastinal and hilar contours. No chf, focal consolidation, pleural effusion or pneumothorax.no displaced rib fracture identified on this lung technique film.
history: <unk>f with ms and congenital deafness p/w <num> hours of chest pain // acute cardiopulmonary process
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Frontal and lateral chest radiographs were obtained. A left chest pacemaker has leads terminating in the right atrium and right ventricle. There is no pneumothorax. The left hemidiaphragm is chronically elevated with mild basilar atelectasis. No focal consolidation, pleural effusion, or pulmonary edema is seen. Heart size is mildly enlarged but stable. Chronic widening of the vascular pedicle secondary to an unfolded aorta is unchanged.
patient with complete heart block status post pacemaker placement, eval pacer leads.
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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. Surgical clips from prior cholecystectomy are demonstrated in the right upper quadrant of the abdomen.
chest pain.
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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 chest pain // ?pneumonia
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Frontal and lateral views of the chest were obtained. Compared to <unk>, lung volumes have increased with mild interstitial pulmonary edema, significantly improved from the prior study. There is no focal consolidation or pneumothorax. A small pleural effusion is probably on the left, with adjacent atelectasis. The heart size is upper limits of normal. Mediastinal silhouette is normal.
dyspnea.
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The heart is at the upper limits of normal size. The contour of the main pulmonary artery is moderately prominent. The mediastinal and hilar contours appear otherwise unremarkable. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
chest pain and shortness of breath.
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The cardiomediastinal and hilar contours are normal. Lungs are hyperexpanded but clear of consolidation. There is a linear atelectasis vs scar at the right lung base. Otherwise, there is no focal consolidation or pneumothorax.
chest pain.
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Frontal and lateral views of the chest were obtained. The lungs are well expanded. Right basilar opacity may be atelectasis but could represent infection in the appropriate clinical setting. There is no pleural effusion or pneumothorax. Blunting of the left costophrenic sulcus is unchanged from prior studies. Cardiac and mediastinal silhouettes are stable.
copd, cough status post renal transplant with acute on chronic productive cough. evaluate for pneumonia.
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The cardiomediastinal and hilar contours are stable, with mild unfolding of the descending aorta. There is no pneumothorax or large pleural effusion. Lungs are well expanded with redemonstration of chronic interstitial abnormality. The previously noted right upper lobe opacity is no longer visualized, and there are no new opacities.
<unk>-year-old with shortness of breath, cough and recent pneumonia.
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The lungs are mildly hyperinflated but clear. The heart size is normal. The mediastinum and hilar contours are normal. Pulmonary vasculature is not engorged. No pleural abnormalities are seen.
<unk>-year-old male with cough. evaluate for pneumonia.
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The heart is mildly enlarged. The mediastinal and hilar contours are within normal limits. The lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
worsening fatigue. rule out early consolidation or infiltrate
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In comparison with the study of <unk>, allowing for differences in position, there is probably little change in the extent of the left pleural effusion which is producing a meniscus in the region of the costophrenic angle. Compressive atelectasis is seen at the left base. The endotracheal and nasogastric tubes have been removed. Central catheter remains in place.
post-operative with incidental pleural effusion, to assess for change.
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Pa and lateral views of the chest provided. Overlying ekg leads are present. Cardiomediastinal silhouette is stable. Mild hilar prominence is stable from prior. No focal consolidation, large effusion or pneumothorax. Bony structures are intact.
<unk>m with copd and new neuro deficits // any pna
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The lungs appear clear. Prominent left cardiophrenic fat pad is identified. Linear opacity in the lateral views seen anteriorly is likely atelectasis. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with report dx with pna on <unk> and taking levaquin po and pt states little improvement with cont sob // ? pna
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Frontal and lateral radiographs of the chest demonstrate central pulmonary vascular congestion with mild pulmonary edema. Mild cardiomegaly is stable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with chest pain // eval pneumonia, other acute process
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Mild enlargement of the cardiac silhouette is noted, unchanged. Mediastinal and hilar contours similar. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. Mild multilevel degenerative changes are noted in the thoracic spine. There is a mildly elevated right hemidiaphragm, unchanged. Prior right mastectomy is again seen.
history: <unk>f with cough, dyspnea
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal and the lungs are clear. No focal consolidation or pneumothorax is present. Trace pleural effusion is noted on the right. The lungs are hyperinflated with flattening of the diaphragms. No acute osseous abnormalities demonstrated.
<unk> year old woman with allo transplant/immunocompromised with fever/increased sputum production
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Cervical spine fusion hardware is present and only partially imaged.
multiple strokes with a cough. evaluate for aspiration.
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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. Posterior left fifth rib irregularity represents a healed fracture. No displaced acute rib fracture identified.
history: <unk>m with left sided chest pain // r/o chf, pneumonia
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Top normal heart size, increased from <unk>. Normal mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with chest pain, dizziness // eval for structural process
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal hilar contours are normal. There is slight increase in interstitial markings which may represent chronic interstitial lung disease. There is deviation of the trachea at the thoracic inlet to the right likely from an enlarged left thyroid lobe.
status post fall unclear etiology, assess for acute cardiopulmonary process.
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There is a linear right midlung opacity which could be due to scarring. Lungs are otherwise clear despite low lung volumes. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Hypertrophic changes noted in the spine.
<unk>m with stroke symptoms // evaluate for acs or pneumonia
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax or focal airspace opacity. Bilateral nipple shadows should not be confused for pulmonary nodules.
<unk>-year-old female with chest pain.
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Improvement of mild bilateral interstitial opacities. Moderate cardiomegaly is unchanged. There is no pneumothorax or pleural effusion.
evaluation for congestive heart failure, pneumonitis infiltrate. patient with cardiomyopathy, pneumonitis crack cocaine abuse. increased shortness of breath.
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Pa and lateral views of the chest demonstrate the lungs are well expanded. The heart is normal in size and the mediastinal contours are unremarkable. There is no pleural effusion, overt pulmonary edema, pneumothorax or focal consolidation concerning for pneumonia.
<unk>-year-old male with chest pain. evaluation for evidence of heart failure or other cause of chest pain.
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Ap and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of consolidation or pulmonary vascular congestion. Trace blunting of posterior costophrenic angles may be due to trace effusions. Tortuosity and calcification of the ectatic thoracic aorta is again noted. Cardiomediastinal silhouette is unchanged and notable for a dual-lead pacing device and mild cardiomegaly. Diffuse osteopenia is again noted.
<unk>-year-old female with lethargy, cough and hallucinations.
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Mild cardiomegaly has been stable compared to exams dating back to at least <unk>. The patient is status post right middle lobe wedge resection with chain sutures and scarring seen along the right hilar region. No other nodules concerning for malignancy are identified; however, ct would be a more sensitive exam given the patient's history of malignancy. There is no large pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of right middle lobe wedge resection. please evaluate for interval change.
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There are low lung volumes resulting in crowding of the bronchovascular structures. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal.
fever, evaluate for pneumonia.
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There is moderate cardiomegaly. The lungs are hyperinflated. No focal consolidation to suggest pneumonia. No pleural effusion or pneumothorax. Osseous structures are intact.
history: <unk>m with lightheadedness, chest pain. evaluate for pneumonia.
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. No focal opacity convincing for pneumonia is identified. There is no pleural effusion or pneumothorax. No acute osseous abnormality is identified.
<unk>-year-old female with pleuritic chest pain.
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is normal. No definite hiatal hernia is identified.
<unk>f with abdominal pain, h/o hiatal hernia, evaluate for hiatal hernia
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Left basilar atelectasis is again seen. The lungs are otherwise notable for nodular densities projecting over the bases compatible with nipple shadows. There is no pneumothorax. There is no effusion or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m chest pain frequent flyer pls r/o ptx
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The lungs are well expanded and clear. The pleural surfaces are normal. The cardiac and mediastinal silhouettes are normal. Left lateral lower rib fractures were present in <unk>.
<unk>-year-old male with assault.
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When compared to prior, there has been no significant interval change. Again seen are fibrotic changes throughout the lungs bilaterally compatible with patient's history. There is no superimposed consolidation to suggest infection. There is no effusion. Cardiomediastinal silhouette is within normal limits.
<unk>m pulm fibrosis, bronchiectasis presenting with cough, dyspnea, please eval for pna
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Lungs are well-expanded and clear. No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. No mediastinal widening. No acute osseous abnormality. Degenerative changes in the lower thoracic spine are moderate.
<unk>-year-old woman with multiple seizures. evaluate for pneumonia.
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There is improved aeration compared to the prior radiograph. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.
history: <unk>m with history of pneumonia // eval for pneumonia
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Ap upright and lateral views of the chest provided. No focal consolidation, large effusion or pneumothorax is seen. No signs of congestion or edema. Cardiomediastinal silhouette appears stable and normal. Chronic left ribcage deformities are again noted. Prominent anterior spurs in the mid thoracic spine are noted.
<unk>m with altered mental status // r/o acute infectious process
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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. Remote left-sided rib fractures are again noted. No radiopaque foreign body is seen.
history: <unk>f with dyspnea // evaluate for evidence of pneumonia, foreign body or pneumothorax.
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Patient is status post median sternotomy and heart transplant. The cardiac silhouette moderately enlarged. The hilar and mediastinal contours are unremarkable. No focal consolidations, pleural effusions, pulmonary edema, or pneumothorax is seen.
<unk> year old man with cough, s/p heart transplant // r/u pneumonia
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk>m with positive tb test in basic training, told he had "tb in the lungs" but treated with inh. presents with fever and cough, evaluate for infiltrate or evidence of active tb.
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No focal consolidation is identified. There is linear atelectasis at the left lung base. The cardiomediastinal silhouette and hilar contours are within normal limits. There is no pleural effusion or pneumothorax.
<unk>-year-old man, preop chest radiograph.
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Cardiomediastinal contours are within normal limits considering accentuation by low lung volumes. No focal areas of consolidation are present within the lungs, and there are no pleural effusions.
<unk> year old woman with cough for <unk> weeks, little improvement with <num> courses of antibiotics and steroids. bibasilar end insp crackles // r/o pna