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Elevation of the right hemidiaphragm is unchanged. Posterior atelectasis at the left hemidiaphragm. Lung volumes are low accentuating the cardiac silhouette and pulmonary vasculature. Left dual lead pacer is unchanged. Heart size is top normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
syncope and bradycardia.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>f with chest pain // ? pna
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No previous images. The heart is normal in size and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
chest pain, to assess for pneumonia.
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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 fever and cough. rule out pneumonia.
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Lung volumes are slightly low. The lungs remain clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with coughing, sob // pna?
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As compared to the prior examination dated <unk>, there has been no significant interval change. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk>f with h/o asthma, p/w sob // eval for acute cardiopulmonary pathology, pna
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Pa and lateral views of the chest provided. No convincing evidence for pneumonia or edema. No large effusion or pneumothorax. There is subtle increase in reticular markings in the left lower lobe which may reflect the sequelae of chronic aspiration in the correct clinical setting. Cardiomediastinal silhouette appears within normal limits. Bony structures are intact. Mild scarring projects over the left upper lung.
<unk> year old man with new onset afib and right sided chest pain
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The left-sided pacemaker is noted with the leads terminating in the expected position of the right atrium and right ventricle. The cardiomediastinal silhouette is stable. There are bibasilar linear opacities representing atelectasis. There is no effusion or pneumothorax. Degenerative changes of the thoracic spine are noted.
persistent cough. evaluate for cardiopulmonary disease/infiltrate.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with elevated wbc // eval for pna
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A dense retrocardiac opacity persists and is likely in part due to an effusion with possible atelectasis, infection is not excluded. There is moderate pulmonary edema. More conspicuous right basilar opacity is seen on the current exam. Enlarged right hilum and moderate cardiac enlargement is again noted. Median sternotomy wires and mediastinal clips as well as left chest wall dual lead pacing device are unchanged. No acute osseous abnormalities.
<unk>f with fever/cough // r/o pneumonia
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The lungs are relatively hyperinflated, suggesting chronic obstructive pulmonary disease. There is mild bibasilar atelectasis. Medial right lung base opacity is similar to prior and may represent atelectasis or epicardial fat pad. The cardiac and mediastinal silhouettes are stable. There is no new focal consolidation. No pleural effusion or pneumothorax. There may be a hiatal hernia.
altered mental status.
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The lungs are clear without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal.
chest pain, rule out intrathoracic process.
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Enteric tube again courses into the stomach. Left picc line is in the mid svc. Lung volumes are significantly lower with vascular crowding but no frank pulmonary edema. Heart size is exaggerated by low lung volumes and likely top normal. Apparent widening of the mediastinum likely relates to lordotic positioning. Bilateral pleural effusions of present are small. There is no pneumothorax.
<unk> year old woman s/p ascending aorta repair // eval for pleural effusions
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with chest pain
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The lungs are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with chest pain // eval for ptx or cardiomegaly
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. Cardiomegaly is moderate, unchanged. Subtle opacity in the right lung base partially obscures the peripheral right hemidiaphragm and a small portion of the right heart border. There is no pneumothorax or pleural effusion. Mild elevation of left hemidiaphragm is unchanged.
history: <unk>f with altered mental status? // eval for ich/ams nchcteval for pna cxr
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The lungs are clear without consolidation, effusion, or edema. There is a nodule projecting over the lower thoracic spine on the lateral view only. This is unchanged dating back to <unk> therefore of doubtful clinical significance. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormalities.
<unk>m with weakness // eval infection
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Minimal thickening is noted at the bilateral costophrenic angles, likely due to atelectasis versus trace effusion. There is no evidence of focal consolidation, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. A thin linear density projecting over the posterior right fourth rib is unchanged from <unk>.
history: <unk>m with swollen legs no sob // r/o chf
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The right-sided chest tube is again visualized. There is a small right apical pneumothorax which is slightly smaller than on the study from <num> hr previous. A small right pleural effusion is unchanged. The left lung continues to be clear.
<unk> year old man s/p mvc with r ptx and persistent leak s/p r vats pleurodesis/blebectomyplease get cxr @<unk>, <unk> <unk>/ ? pneumothorax with <num>h chest tube clamp trialplease get cxr @<unk>, <unk>
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The lungs are well inflated and clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.
history: <unk>m with dyspnea on exertion // pna? cardiomegaly
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There is a right infrahilar and a right lung apex opacity, possibly representing multifocal pna. The cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax. Dw dr. <unk> at <num>.<unk> am by dr. <unk> <unk> the phone.
<unk>-year-old with mental status change.
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The cardiac silhouette is normal in size. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with ams // pneumonia?
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Pa and lateral views of the chest. There are low lung volumes on the frontal film with crowding of the bronchovascular markings. There are bibasilar opacities that may represent atelectasis from low lung volumes, however, infection cannot be entirely ruled out. There is no pneumothorax. There is mild cardiomegaly, with slight unfolding of the aorta.
asthma, presenting with cough and wheezing. evaluate for pneumonia.
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The heart size is top normal. The mediastinal contour is unchanged. Right hilar lymphadenopathy appears similar when compared to the prior studies. Pulmonary vascularity is not engorged. Previously noted right lower lobe ill-defined opacity has improved. No pneumothorax or pleural effusion is detected. There is no acute osseous abnormality including a displaced rib fracture identified.
rib pain.
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Compared to the study from the prior day, there is no significant interval change in the left-sided loculated pneumothorax with pigtail catheter and pleural effusion. The right lung is clear.
follow up loculated pneumothorax.
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Right upper mediastinal widening, at the level of the manubrium, and increased soft tissue in the right tracheobronchial angle could represent adenopathy that has developed or increased since <unk>. The hila are not clearly enlarged. Widening of the apparent left lower paraspinal stripe is probably a retrocardiac soft tissue abnormality such as a hiatus hernia or an esophageal mass. Of note the lowest images on the neck ct showed upper paratracheal mediastinal adenopathy as well as severe esophageal thickening. The lungs are clear and the pleural effusion is minimal on the left if any.
<unk> year old man with lymphadenoatphy on ct neck // please eval for any lung processes or mediastinal lymphadenoapthy
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The lungs remain hyperinflated with flattening of the diaphragms, suggesting chronic obstructive pulmonary disease. There is mild basilar atelectasis/scarring without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. The aorta is somewhat tortuous. The left humeral head appears slightly inferiorly subluxed in relation to the left glenoid although not well assessed on this study.
history: <unk>f with syncope // syncope
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The lungs are well-expanded. No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. The mediastinum is not widened. No hilar lymphadenopathy. No acute osseous abnormality. There may be an <num> mm pulmonary nodule projecting between the fifth and sixth left posterior rib space versus is a but did not from overlying clothing.
<unk>-year-old woman with substernal chest tightness. evaluate for pneumonia, fracture, mediastinal widening.
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There is mild dextroscoliosis of the thoracic spine. The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>f with pain at sternum // eval for fx
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Ap upright and lateral views of the chest were obtained. Cardiomediastinal silhouette including tortuosity of the thoracic aorta is stable. Lung volumes are low. Streaky bibasilar opacities likely represent atelectasis. Lungs are otherwise clear. There is no large effusion or pneumothorax.
<unk>-year-old man with fall and head strike.
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Cardiomediastinal silhouette and hilar contours are normal. Lungs are extremely hyperinflated with flattening of the hemidiaphragms compatible with copd. A small right apical granuloma is unchanged since <unk>. Lungs are otherwise clear without evidence of fibrosis. There is no pleural effusion or pneumothorax. Healed fractures of the lateral left <unk> and <num>th ribs are noted.
amiodarone presenting with dyspnea. evaluate for amiodarone toxicity.
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Pa and lateral chest views were obtained with patient in upright position. The heart size is within normal limits. No configurational abnormality is present. Thoracic aorta and mediastinal structures are unremarkable. The pulmonary vasculature is normal. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax in the apical area. Skeletal structures of the thorax grossly unremarkable. There exists no prior chest examination in our records available for comparison.
<unk>-year-old female patient with history of positive ppd, evaluate for specific tb infection.
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Heart size remains mild to moderately enlarged. The mediastinal and hilar contours are unchanged. No overt pulmonary edema is demonstrated. Patchy opacities in the lung bases likely reflect atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are moderate degenerative changes noted in the thoracic spine. Rounded calcifications in the region of the right glenohumeral joint may reflect loose bodies.
history: <unk>f with right -sided weakness and altered mental status status post fall
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Pa and lateral chest radiographs demonstrate clear well expanded lungs without focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette is normal. No signs of congestion or edema. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with fever// r/o acute process
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The lungs are clear without focal consolidation, effusion, or edema. Eventration of the right hemidiaphragm is again noted. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cough // r/o acute process
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In comparison with the study of <unk>, there is little overall change. Again, the cardiac silhouette is mildly enlarged and there is some hyperexpansion of the lungs. Prominence of interstitial markings could reflect chronic lung disease, elevated pulmonary venous pressure, or both. If there is any serious clinical concern for mediastinal or hilar adenopathy, ct would be the next imaging procedure.
shortness of breath with lymph node enlargement worrisome for lymphoma.
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Known left and right hilar and mediastinal adenopathy. Post-radiation changes in both lungs. No visible evidence of rib fractures. No pneumothorax. No pleural effusions. Borderline size of the cardiac silhouette without pulmonary edema.
cancer, status post pain after fall.
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Frontal and lateral views of the chest were obtained. The patient is status post resection of a pancoast tumor with partial right lung and chest wall resection. Rightward shift of the mediastinum and postoperative right lung volume loss is similar to prior, allowing for patient rotation with respect to the film. The heart size is normal. No focal consolidation, pleural effusion, or pneumothorax. A displaced fracture of the right clavicle is new since <unk>, but similar to <unk>. No new displaced rib fracture is present.
<unk>-year-old male status post fall with right chest wall tenderness. rule out rib fracture.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. There is a vague left lower lobe opacity although visible in both views. Elsewhere the lungs appear clear.
shortness of breath.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. When compared to prior, there has been interval resolution of the previously seen left-sided effusion. There are persistent changes suggestive of pleural thickening on the right; however, is less extensive when compared to the right, suggestive of prior component of effusion. Underlying scarring is also possible, not significantly changed from prior. There is no new consolidation. Cardiac silhouette is enlarged but stable. Hypertrophic changes are seen in the spine, also unchanged.
<unk>-year-old male with question chf given bilateral lower extremity swelling.
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The lungs are well expanded and clear. The hila and pulmonary vasculatures are normal. No pleural abnormalities. No pneumothorax. The cardiomediastinal silhouette is normal. No fractures.
<unk> year old woman with chest pain. // please evaluate for thoracic pathology.
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidations or pneumothorax. Subtle cystic structures in the mid lung noted (bilat) could reflect summation of bronchovascular markings. Hilar silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema.
shortness of breath. assess for pneumonia.
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Compared with the prior radiograph, the cardiomediastinal silhouette is normal in size and unchanged. Lungs are clear without focal consolidation, effusion, or pneumothorax.
<unk>-year-old man with chest pain. evaluate for pneumonia.
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The lungs are well-expanded. Mild haziness overlying the lower thoracic spine on the lateral view is difficult to localize on the frontal radiograph. There is a small right pleural effusion. There is left no pleural effusion. There is no pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>f with ili, possible pna, pls evaluate // <unk>f influenza like illness for <num> days, crackles on exam, copious mucus, r/o pna
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Ap upright and lateral views of the chest provided. Lung volumes are low with bibasilar atelectasis noted. No convincing evidence for pneumonia or edema. No large effusion or pneumothorax. The heart appears relatively normal in size. Mediastinal contour is unremarkable. The imaged bony structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with abdominal pain and elevated lft's
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Pa and lateral views of the chest were obtained. Heart is normal in size and cardiomediastinal silhouette is unremarkable. On the frontal view projecting over the left anterior sixth and seventh rib interspaces are more small opacities than can be attributed to the left nipple. This conforms to opacity on the lateral view overlying the lowest partially visible thoracic vertebral body, probably pneumonia. There is no pleural effusion or pneumothorax.
<unk>-year-old woman with cough, fever and decreased breath sounds, rule out pneumonia.
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In comparison with the study of <unk>, there is again enlargement of the cardiac silhouette with pulmonary vascular congestion. The degree of bilateral pleural effusions has increased and appears more prominent on the right. Compressive atelectasis is seen at the bases.
heart failure exacerbation.
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Ap and lateral views of the chest provided. There are nodular opacities in the right lower lobe concerning for pneumonia. There is no pleural effusion or pneumothorax. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with sob and mid back pain ?pna // <unk>f with sob and mid back pain ?pna
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion. Visualized osseous structures are without acute abnormality.
<unk>-year-old male with chest pain.
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In comparison with the study of <unk>, the patient has taken a somewhat better inspiration. Continued opacification at the left base is consistent with volume loss in the lower lobe and pleural effusion. Minimal thickening of the minor fissure suggests some pleural fluid on the right as well. No evidence of vascular congestion.
ascending aorta repair, to assess for pulmonary disease.
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Cardiac silhouette size is mildly enlarged but unchanged. The mediastinal and hilar contours are similar with a moderate-sized hiatal hernia again noted. Pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Moderate to severe multilevel degenerative changes are re- demonstrated the thoracic spine. Rounded calcific densities overlying the left glenohumeral joint may reflect calcific bursitis and appear unchanged.
history: <unk>f with fall with head strike on eliquis, left hip deformity
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As compared to the previous radiograph, the patient has received a new left-sided picc line. The tip of the line projects over the mid svc. The course of the line is unremarkable. Normal chest radiograph. Otherwise, no evidence of complications, notably no pneumothorax.
picc line placement, evaluation.
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Pa and lateral chest radiographs. The lungs are hyperinflated and there are numerous paraseptal cystic lesions particularly in the right lung, most consistent with bullae. There is no focal consolidation, pleural effusion, or pneumothorax. The heart size is normal.
shortness of breath.
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Pa and lateral views of the chest. The small right apical pneumothorax is unchanged. There is a possible small left apical pneumothorax, difficult to appreciate on prior studies. Lungs are otherwise clear. No pleural effusion. The cardiomediastinal and hilar contours are normal.
right pneumothorax, status post chest tube, evaluate if stable.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures appear within normal limits.
possible aspiration of tooth.
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Frontal lateral chest radiographs demonstrate unchanged moderate cardiomegaly. The lungs are well aerated and clear, with interval resolution of multifocal opacities seen on chest radiograph in <unk>. No new focal consolidation, pleural effusion, or pneumothorax is present. The visualized upper abdomen is unremarkable.
evaluate for interval change in a patient with multiple airspace opacities in the right upper and bilateral lower lobes, consistent with pneumonia.
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The lungs are clear of consolidation. Calcification at the left lung apex is again noted. The cardiomediastinal silhouette is within normal limits. Filter projects over the region of the ivc. Old healed left rib fractures are identified.
<unk> year old woman with fevers, hypotension // acute cardiopulm disease
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. The lungs are hyperinflated with flattening of the diaphragms suggestive of copd. There is trace, plate like atelectasis at the bases. There is no focal consolidation identified. . No pleural effusion or pneumothorax is seen.
<unk>m with shortness of breath // eval 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 clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with chest wall pain // eval infiltrate, cardiomegaly, effusion
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The lungs are well inflated and clear. The cardiac silhouette is normal. Again noted is prominence of the ascending aortic contour, which on the prior chest ct appears top normal in size. There is no pleural effusion or pneumothorax.
<unk>-year-old woman with cough and chest tightness, rule out pneumonia.
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There is a similar large left-sided pleural effusion with associated atelectasis involving the left lower lobe and probably the lingula. The pleural effusion is similar in size, but there may be increased patchy opacity, probably atelectasis, associated with the lingula projecting over the left mid lung. In the right lower lung, a pleural effusion also persists, although smaller than the one seen on the left, although likely at least moderate in size. Although lung volumes are lower on this study, increased right lower lobe opacification, probably in the left lower lobe, appears new or increased. Otherwise, there has been no significant change.
hyponatremia.
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Pa and lateral views of the chest were reviewed. The cardiomediastinal and hilar contours are normal. Evidence of prior asd closure is noted. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear. Pulmonary vasculature is within normal limits.
chest pain, query pneumonia.
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<num> there still in infiltrate in the right lower lobe however it is much improved compared to the study from <num> days prior. There is a small right effusion has increased in size. There is a tiny left effusion. The heart continues to be mildly enlarged. There are no new infiltrates.
aspiration pneumonia question change.
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The lungs are well-expanded. Again noted is a vague retrocardiac opacity, stable since the prior chest radiographs. Prominent interstitial lung markings may reflect mild pulmonary vascular congestion, which is not significantly different from prior examination. The cardiac silhouette is mildly enlarged, similar to prior examination.
history: <unk>f with cough // ?pna
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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 present. No acute osseous abnormalities seen.
cough.
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. Patchy linear opacity at the left base is consistent with atelectasis. The lungs are otherwise clear. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.
<unk>-year-old female with productive cough for <num> days.
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Enteric tube terminates in the left upper quadrant. Lungs demonstrate scattered interstitial opacities indicative of edema. Heterogeneous opacities at the lung bases bilaterally likely represent atelectasis. Heart size is mildly enlarged, as before. No pneumothorax or pleural effusion.
<unk>m with frequent aspiration events, altered mental status. evaluate for pneumonia.
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A new pacemaker generator in the right chest connects to leads projecting over expected positions in the right ventricle and right atrium. No pneumothorax is present. The tip of a left chest port-a-cath terminates in the superior right atrium. The lungs are well inflated and clear. Eventration of the right hemidiaphragm is unchanged. Cardiac and mediastinal contours are normal.
<unk>-year-old woman with new pacemaker via right cephalic vein.
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The lungs are clear. Large hiatus hernia, no bigger than it was in <unk>. No pleural abnormality. Heart is probably not appreciably enlarged. Pulmonary vasculature is normal, and there is no pleural abnormality.
<unk>-year-old woman with cough.
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. Left upper chest wall deformity is unchanged.
weakness.
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The lungs are fully expanded and clear. The heart size is normal. There is no pleural effusion or pneumothorax.
<unk>-year-old man with fever, evaluate for pneumonia
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The heart continues to be enlarged with enlarged pulmonary arteries. There is atelectasis at the lung base, and there are no focal consolidations, pleural effusions or pneumothoraces. A left aicd is in appropriate position.
history: <unk>m with weight gain, chf, ams // acute <unk> pulm pathology
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Cardiomediastinal contours are normal. New blunting of the left lateral cp angle could be atelectasis or small area of infection, the upper lungs are clear. There is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine
<unk> year old woman with asthma that had recent cold, decreased at lll base // ? pneumonia
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with intermittent cp // eval for ptx
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is mildly enlarged. No evidence of traumatic injury in the chest.
history: <unk>f who fell yesterday and was on the floor for ><num> hours. <unk> left knee pain, diffuse tenderness // fracture?
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No focal consolidation to suggest pneumonia is seen. No pneumothorax is identified. The lungs are hyperinflated. There is likely trace left pleural effusion though improved from the prior exam. Additional opacities at the left base are felt to likely represent residual atelectasis. There is mild cardiomegaly and tortuosity of the aorta. A previously seen left-sided picc has been removed. A dual-lead pacemaker is unchanged with leads in standard positions. Sternal cerclage wires are intact.
reported hypotension. bronchial breath sounds on the right. no cough.
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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. No subdiaphragmatic free air is demonstrated.
history: <unk>f with abdominal pain and blood in vomitus
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Frontal and lateral views of the chest were obtained. The lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal.
cough.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax.
increasing seizure frequency.
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Frontal and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The heart is mildly enlarged and has been slowly increasing in size when priors from <unk> and <unk>.
syncope and leukocytosis.
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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.
<unk>m with lightheadedness, nausea // evaluate for masses, pulmonary congestion, acs
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with chest pain and cough. evaluate for evidence of pneumonia or effusion.
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Lung volumes are reduced compared to the previous exam. The heart size is mildly enlarged, but accentuated due to the presence of low lung volumes. Mediastinal and hilar contours are unremarkable. There is crowding of the bronchovascular structures, and possible mild pulmonary vascular congestion may be present. There is no focal consolidation, pleural effusion or pneumothorax identified. Patchy opacities in the lung bases are likely reflective of atelectasis. Diffuse demineralization of the osseous structures is again noted.
chest pressure.
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The lungs are somewhat low in volume. Retrocardiac opacity is not well located on the lateral view but is concerning for left lower lobe pneumonia or aspiration. There is no pleural effusion or pneumothorax. The heart is normal in size with normal mediastinal and hilar contours.
altered mental status, assess for 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.
history: <unk>m with thrombocytopenia //
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Cardiomediastinal contours normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. Left apical thickening, unchanged from prior radiograph. There is no acute osseous abnormality.
<unk>f with r arm clumsiness, word issues, now resolved, also had brief cp // ? acute process .
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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 consolidation in a <unk>-year-old woman with chest pain.
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Lung volumes are slightly lower compared to prior. Otherwise, there is no significant interval change. No focal consolidation, pleural effusion, or pneumothorax is seen. Heart size is mildly enlarged. There is no pulmonary edema. Mediastinal contours are within normal limits.
<unk>-year-old female with palpitations.
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<unk> and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of consolidation or effusion. There is no pulmonary vascular congestion. Mild cardiomegaly is again seen. Osseous and soft tissue structures are unchanged.
<unk>-year-old female status post presyncope. question cardiomegaly.
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Pa and lateral views of the chest provided. The lungs appear hyperinflated without focal consolidation, effusion or pneumothorax. There is linear density abutting the left heart border as well as at the right lung base, likely scarring. No definite signs of edema or congestion. The heart appears mildly enlarged. The mediastinal contour is normal. Bony structures are intact though there is an old right upper rib rib deformity which is chronic.
<unk>m with esrd on dialysis, depression, missed hd today, r basilar crackles
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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 cva status post tpa // pneumonia?
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Pa and lateral views of the chest provided. Lung volumes are normal. Linear opacity in the left lower lobe likely represents scarring, previously seen on chest ct <unk>. There is no focal consolidation, effusion, or pneumothorax. Cardiomegaly is unchanged in chest radiograph <unk>. There is no evidence of mediastinal widening. Median sternotomy wires are again noted. .
<unk>f s/p avr, p/w sob, please eval for mediastinal widening // <unk>f s/p avr, p/w sob, please eval for mediastinal widening
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The lungs are clear aside from linear scarring noted in the left lower lobe. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size.
history: <unk>f with cp // pna?
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Compared to the prior study there has been some minimal improvement in the vascular congestion. The heart continues to be moderately enlarged and there is pulmonary vascular redistribution however of the alveolar infiltrates have decreased. There tiny bilateral pleural effusions.
<unk> year old woman with afib presenting with dyspnea // please eval for effusions/vascular congestion
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion, pneumothorax, or evidence of pulmonary edema. Imaged osseous structures and upper abdomen are without an acute abnormality.
<unk>-year-old female with chest pain and shortness of breath.
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There relatively low lung volumes. No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with ankle fracture // pre-op cxr
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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are again noted. 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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A left port-a-cath tip ends in the right atrium. The lower half of the right hemi thorax is completely opacified with silhouetting of the right hemidiaphragm border and the right heart border. This is consistent with a moderate pleural effusion although there is not significant mass effect, suggesting a component of significant volume loss as well. Any concurrent pneumonia is possible in the appropriate clinical situation but cannot be assessed in the setting of this moderate pleural effusion. No pneumothorax. The left lung is essentially clear.
<unk>-year-old woman with fever cough, metastatic cancer, and history of pleural effusion. evaluate for pleural effusion.
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Frontal and lateral views of the chest. The lungs are clear without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Mid-to-lower thoracic dextroscoliosis is noted. No displaced rib fracture is identified.
<unk>-year-old male with left-sided rib pain.
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The heart is normal in size. The mediastinal and high hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear.
severe epigastric pain radiating to the back.