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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no evidence for pneumothorax or pleural effusion, and the lungs appear clear. The osseous structures appear within normal limits.
status post stab wound. question pneumothorax.
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The lungs are hyperexpanded with flattening of the diaphragms suggesting copd. A geographic area lucency in the right lateral lung base may represent area of air trapping. Streaky opacities projecting over the spine on the lateral view are concerning for infection. There is no pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. Anterior wedging of vertebral bodies at the thoracolumbar junction are age indeterminate.
history: <unk>m with hypotension, cough, dyspnea // evidence of pneumonia
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The moderate right pleural effusion is unchanged since the prior exam. The air in the pleural space has resolved. Opacity at the left base is stable. The heart size is unchanged. The pacemaker with leads in the appropriate position.
pleural effusion.
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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
<unk> year old man with left lower chets pain // r/o pna, fracture
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In comparison with the study of <unk>, there is little change. No evidence of acute focal pneumonia, vascular congestion, or pleural effusion. Mild hyperexpansion of the lungs raises the possibility of some chronic pulmonary disease. Some probable fibrotic or atelectatic streaks are seen anteriorly at the mid chest level. Blunting of the left costophrenic angle is consistent with some pleural thickening.
metastatic renal cancer with malaise, coughing and phlegm.
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Pa and lateral views of the chest provided. Wispy opacity abutting the left heart border is most likely atelectasis, less likely pneumonia. Otherwise the lungs are clear. No edema, effusion or pneumothorax. The cardiomediastinal silhouette appears normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with intermittent chest pain
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As compared to the previous radiograph, there is no relevant change. Status post open lung biopsy with surgical clips in the right lateral lung. There are scars at the bases of the right lung are unchanged. No interval appearance of new parenchymal opacities. No pleural effusions. Unchanged overall small lung volumes. Unchanged borderline size of the cardiac silhouette with tortuosity of the thoracic aorta, constant. Left pectoral pacemaker with unchanged course of the pacemaker leads.
known cop, evaluation for new changes.
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Pa and lateral views of the chest. There are no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
fever, question pneumonia.
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Heart size and cardiomediastinal contours are normal. Faint right lower lobe opacity persists, though slightly improved since <unk>. No pneumothorax or substantial pleural effusion.
fevers with recent admission for pneumonia.
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Frontal and lateral views of the chest. There is linear opacity in the left mid lung, which appears dense and likely calcified. There are also associated likely calcified left hilar lymph nodes. This is suggestive of previous granulomatous disease. Linear opacity at the right lung base is also identified. Elsewhere, the lungs are clear. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications seen at the aortic arch. No acute osseous abnormality is identified.
<unk>-year-old female with dyspnea and wheezing.
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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 chest pain. evaluate for pneumonia.
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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>f with inc lower extremity edema
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Heart size appears at least moderately enlarged, but assessment is limited due to the presence of small bilateral pleural effusions, left greater than right. Mediastinal and hilar contours are unremarkable. Mild pulmonary vascular congestion is noted with cephalization of pulmonary vascular markings. Bibasilar opacities likely reflect areas of atelectasis. No pneumothorax is identified. Mild to moderate compression deformity anteriorly of an upper lumbar vertebral body is new compared to <unk> but indeterminate in age.
history: <unk>f with dyspnea on exertion, history of congestive heart failure
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The heart size is normal. There is no pneumothorax or pleural effusion. A right chest port ends in the mid svc. There is mild prominence of the pulmonary vasculature.
history: <unk>f with nausea, vomiting, ekg changes // eval for intraperitoneal free air, chf, pneumonia
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The cardiac, mediastinal and hilar contours appear stable. Coronary arteries are calcified versus interval stent placement. There is no pleural effusion or pneumothorax. The lungs appear unchanged
<unk> year old man with cough. concern for pneumonia. // pneumonia?
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Heart size is top normal. Aorta is mildly tortuous but unchanged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Linear opacities in the left lung base reflect areas of subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>f with liver dissease
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Increased opacification in the right upper lung is suspicious for an acute infectious process with both frontal and lateral view revealing an air-fluid level which may reflect fluid in the pre-existing cavity, though the acuity of this finding is uncertain as an air fluid level may have been present on the prior. The focal rounded opacity in the <unk> study is not as well demonstrated on the current examination. There is no pleural effusion or pneumothorax. Heart and mediastinum are unchanged.
<unk>-year-old woman with bronchiectasis, now with right chest pleurisy and increased sputum, history of aspergillosis, assess for pneumonia.
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Pa and lateral views of the chest. The lungs are clear without consolidation or effusion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.
<unk>-year-old female with cough.
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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 cough // r/o acute process
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Cardiac silhouette size remains mild to moderately enlarged. The mediastinal contour is unchanged. Mild pulmonary vascular congestion is re- demonstrated. Lung volumes are low without focal consolidation. Patchy right basilar opacity may reflect atelectasis, but infection cannot be completely excluded. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
history: <unk>f with positive blood culture, malaise, low grade temps
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There has been no significant interval change compared to the prior study performed earlier on the same date. There is platelike atelectasis at the left lung base. No other consolidation, pleural effusion or pneumothorax. Cardiomediastinal contours are normal.
history: <unk>m with concern for pna // eval for acute process
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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. There is no air under the diaphragm. No osseous abnormality is identified.
<unk>-year-old man, not feeling well with fever. evaluate for pneumonia.
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Interstitial disease is redemonstrated more prominent in the right upper subpleural location laterally as well as to a lesser extent in the right lower lung. Compared with prior examination there is interval increase in interstitial markings, not specific but suggesting superimposed fluid overload; it may also be the case that underlying interstitial disease has progressed. There are also patchy opacities in the right cardiophrenic angle concerning for infectious or inflammatory process. No pleural effusion is identified. There is no pneumothorax. Aortic vascular calcifications are again seen. The heart is mildly enlarged.
<unk> m with cough, fever.
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Pa and lateral views of the chest. The cardiac, mediastinal, and hilar contours are normal. The lungs are clear. Heart size is top normal. Pleural surfaces are normal. No evidence of pneumonia. No pleural effusions or pneumothorax. No evidence of pulmonary edema.
acute leukemia. question of pneumonia.
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The lung volumes are low. No pleural effusions. Normal appearance of the lung parenchyma. No pneumonia, no pulmonary edema. No other acute changes. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures.
evaluation for acute process.
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old woman with kidney-pancreas transplant a/w ams now improved looking for infectious source // evaluate for pna as cause of ams
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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 nodular focus measuring up to <num> mm which projects along the left lower lung, possibly a nipple shadow but potentially a true pulmonary nodule of substantial size. Otherwise, the lungs appear clear. Bony structures are unremarkable.
chest pain and productive cough.
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with sob, new afib // eval for pna
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are hypoinflated but clear without focal consolidation. Known left humerus fracture is redemonstrated. The upper abdomen is unremarkable. No nondisplaced rib fracture is seen.
left humerus fracture. preoperative study.
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Ap and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. Linear opacities at the right lung base are noted. Mild perivascular congestion is present. Hilar and mediastinal silhouettes are otherwise unremarkable. Heart is mildly enlarged. There is no large pleural effusion. No pneumothorax is seen. Partially imaged upper abdomen is unremarkable.
patient with altered mental status, hypotension in the setting of fall while intoxicated yesterday.
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Pa and lateral chest radiographs were obtained. Low lung volumes accentuate the interstitial markings. There is no focal consolidation, effusion, or pneumothorax. Cardiomegaly is mild. Cardiac and mediastinal contours are normal.
bike accident.
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Frontal ap and lateral views of the chest were obtained. Increased heterogenous opacity at the right lower lobe since <unk> is a pneumonia. There is no pleural effusion or pneumothorax. Moderate cardiomegaly and tortuous aorta are unchanged.
fever and fatigue.
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Pa and lateral views of the chest provided. Lungs are hyperinflated though appear clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with chest pain // eval for cardiopulmonary process
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is not engorged. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
subcostal pain.
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study dated <unk>. The overall heart size is within normal limits. No configurational abnormality is present. The thoracic aorta is generally moderately widened and elongated, but there are no local contour abnormalities and the findings are stable in comparison with the previous examination of <unk>. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free from any fluid accumulation. No pneumothorax is seen in the apical area on the frontal view. In comparison with the previous study, no evidence of new pulmonary abnormalities and specifically no suspicious lesions for pulmonary metastases. The on previous examination identified small bilateral pleural effusions blunting the lateral and posterior pleural sinuses have normalized.
<unk>-year-old male patient with prostate carcinoma. evaluate for any abnormalities such as metastasis.
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Portable ap upright and lateral views of the chest <unk> at <time> are submitted. .
<unk> year old woman with pneumothorax // interval change interval change
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Decreased left pleural effusion with improvement in left basilar atelectasis. Normal cardiomediastinal and hilar contours. Lungs are clear. No acute pneumonia or pneumothorax. Degenerative thoracic spine disease.
<unk>-year-old man with a left pleural effusion. evaluate for interval change.
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There is a small right pleural effusion. Peribronchial cuffing and fissural density suggests fluid overload. Pulmonary vascular cephalization is again noted. Mild cardiomegaly and aortic tortuosity are also again noted. No definite focal consolidation or pneumothorax is detected. The lungs are again noted to be hyperinflated.
<unk>-year-old female with shortness of breath and history of congestive heart failure.
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There are very low lung volumes, but the lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is somewhat enlarged, stable from prior exam.
pleuritic chest pain.
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The lungs are hyperinflated. There is no focal consolidation. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
nausea and vomiting with mid epigastric pain. assess for pleural effusions.
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Heart appears to be mildly enlarged. The calcification within the aortic arch is unchanged from the prior exam. Cardiomediastinal contours are otherwise unremarkable. There is a degree of haziness within the costophrenic angles as well as redistribution of pulmonary vasculature to suggest pulmonary vascular congestion; however, the degree of congestion does not appear to be significantly different from the prior study <unk> <unk>. Lungs are otherwise clear with no focal infiltrates, pleural effusions or evidence of pneumothorax. Bony structures are intact.
<unk>-year-old lady with bilateral crackles, assess for edema.
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Frontal and lateral radiographs of the chest show a left chest wall pacemaker with appropriately positioned right atrial and right ventricular leads. The lung volumes are slightly decreased, and there is mild right basilar atelectasis. Otherwise, the cardiac and mediastinal contours are normal and no focal consolidation is seen. No pleural abnormality is detected.
status post ercp with fever and hypoxemia. evaluate for pneumonia.
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Complete interval resolution of the left pleural effusion and retrocardiac opacity. Stable left lateral pleural thickening, which may be associated with old rib fractures. Stable moderate cardiomegaly and appearance of the cardiomediastinal silhouette and hila. No focal consolidation, pulmonary edema, pleural effusion, or pneumothorax.
<unk> year old man with a history of mm now with sob. please evaluate for infiltrate.
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Cardiomediastinal silhouette is normal. There is no focal lung consolidation. There is no pleural effusion or pneumothorax. There is no acute osseous abnormality.
<unk>m with substernal chest pain for <num> day.
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Heart size is normal. Right-sided aortic arch is again noted. Mediastinal and hilar contours are otherwise unremarkable. Lungs are clear periportal vasculature is normal. No pleural effusion or pneumothorax is detected. Rounded sclerotic focus projecting over a mid thoracic vertebral body appears unchanged from <unk>, likely a bone island. No acute osseous abnormalities seen.
history: <unk>f with fever, chills
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There is a mildly tortuous thoracic aorta, with aortic arch calcifications noted. Otherwise, the cardiomediastinal silhouettes are within normal limits. Heart size is top-normal. The bilateral hila are unremarkable. The lungs are clear. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion. No displaced rib fractures are seen.
<unk>-year-old man in a motor vehicle collision recently, evaluate for rib fractures.
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Moderate to severe cardiomegaly is noted. The aorta is diffusely calcified. There is mild pulmonary edema. Left-sided pacemaker device is seen with single lead terminating in the right ventricle. There is no pleural effusion or pneumothorax. No acute osseous abnormalities visualized.
new paranoid delusions.
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Subcentimeter lung nodules seen on prior chest ct on <unk> are below the resolution of the radiograph. There is blunting of the left costophrenic angle, likely from trace amount of pleural effusion. No pneumothorax is seen. The cardiac and mediastinal silhouettes are unchanged, compatible with dilated ascending aorta, which is better evaluated prior ct. Right-sided infusion port terminates in mid to low svc.
<unk>m with fevers, s/p chemo. evaluate for acute process
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Lung volumes are low. Within differences in technique, the cardiac, mediastinal and hilar contours appear unchanged. Vague opacities at the lung bases can probably be attributed to minor atelectasis. Otherwise, the lungs appear clear. There are no pleural effusions or pneumothorax.
chest pain.
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The lung volumes are low. There are new or enlarging bilateral small layering pleural effusions. Diffuse mild prominence of interstitial markings compatible with mild interstitial edema. Mild cardiomegaly. Right-sided chest tube is in unchanged position. Enteric tube traverses below the diaphragm with the distal tip terminating in the proximal stomach. An epidural catheter projects over the midline thoracic spine. Subcutaneous emphysema is again noted in the right neck.
<unk>f w/ h/o esophagectomy <unk> c/b esophagogastric anastomotic stricture now s/p anastomosis revision // interval change. complete <unk> at <num> am
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There is a focal opacity in the right infrahilar region, partially obscuring the right heart border and likely within the middle lobe. Linear atelectasis is seen at the left lung base. Lung volumes are low which results in crowding of the bronchovascular structures. There is no pleural effusion or pneumothorax. The cardiac and mediastinal contours are unchanged. Rounded opacities are seen within the right upper quadrant. Cholecystectomy clips, mediastinal clips and sternotomy wires are again noted.
cough and persistent left base rales. rule out infiltrate or volume loss.
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Patient's condition required examination in sitting position using ap frontal and left lateral views. Comparison is made with the next preceding chest examination of <unk>. Presence of a right-sided picc line is noted, seen to terminate overlying the svc structures at the level of the carina. No pneumothorax is present. The heart size is within normal limits. No typical configurational abnormality is identified. Thoracic aorta mildly widened and elongated but without local contour abnormalities. The pulmonary vasculature is not congested. 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.
<unk>-year-old male patient with septic hip and productive cough, now spiking fever despite antibiotic treatment. evaluate for pneumonia or infectious process.
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There is a persistent small left pneumothorax, smaller from <unk>. Pleural thickening, fluid and atelectasis of the left lung base is unchanged. The right lung is largely clear. The cardiac and mediastinal contours are normal. Left rib fractures are again seen.
fall from ladder with multiple injuries and rib fractures. re-evaluate left pneumothorax.
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There is a retrocardiac opacity.the right lung is lower compared to the left but clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk>m with leukocytosis. evaluate for pna.
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Cardiac and mediastinal silhouettes are stable. There is slight blunting of the posterior costophrenic angles may be due to trace pleural effusions. No definite focal consolidation is seen. No pneumothorax.
<unk> year old man with cough // please evaluate for pna
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Increased opacity projecting over the left midlung is likely due to pleural based scarring visualized on ct scans. Increased interstitial markings in the lungs this likely due to patient's known underlying bronchiectasis. There is no new focal consolidation or effusion. Cardiac silhouette is enlarged but similar compared to prior. Tortuosity of the descending thoracic aorta is noted. Old healed left posterior rib fractures are again seen.
<unk>f with dizziness, htn; ?infectious process // ?infiltrate
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Compared to the prior exam there is improved aeration. There continues to be a left pleural effusion with volume loss in the retrocardiac region. An underlying infectious infiltrate in this region can't be excluded. The remainder of the lungs are clear. The right-sided central venous catheter, spinal fixation device, and skin <unk> are unchanged.
unexplained fever.
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Right-sided port-a-cath tip terminates at the svc/right atrial junction, unchanged. Mild enlargement of the cardiac silhouette is unchanged. Mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. There has been interval development of a small left pleural effusion with patchy left lower lobe opacity, potentially compressive atelectasis, though infection is not excluded. The right lung is grossly clear. No pneumothorax is present. There is no subdiaphragmatic free air. Clips from prior cholecystectomy are noted in the right upper quadrant of the abdomen. Known osseous metastatic disease is better seen on the previous ct.
history: <unk>f with abdominal pain
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Retrocardiac opacity projecting over the left lower lobe on the lateral view is concerning for pneumonia. There is no pleural effusion. The cardiomediastinal silhouette is within normal limits.
<unk> year old man with recent hospitalization for likely diverticular bleed, persistently febrile and now with cough, l bronchopneumonia incidental finding on ct abd. // l lobar pneumonia?
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Ap and lateral views of the chest. Instinct pulmonary vascular markings are seen suggestive of pulmonary edema. There is probable small pleural effusion on the left. The right posterior costophrenic angle is excluded from the field of view. There is no new region of consolidation. Degree of cardiomegaly is unchanged. Atherosclerotic calcifications again seen at the arch.
<unk>-year-old male with altered mental status.
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Frontal and lateral chest radiographs demonstrate a right internal jugular catheter unchanged in position with the tip in the low svc. Lung volumes are lower than on prior radiograph, resulting in increased vascular crowding and apparent interval increase in heart size. Increased opacity adjacent to/overlying the right heart border may be secondary to low lung volumes and continued vascular engorgement overlying the right heart border, but superimposed infection cannot be excluded. There are bilateral moderate to large pleural effusions, likely right greater than left, with associated bibasilar atelectasis. There is no pneumothorax.
status post resolved upper gi bleed, now with altered mental status. evaluate for infection.
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The left-sided picc line is confirmed to end at the level of the mid svc in the lateral view. Otherwise there is no significant change compared with radiograph performed <num> hr earlier, with bilateral pleural effusions, right worse than left with probable associated atelectasis. No focal parenchymal opacities are seen in the aerated portions of the lungs. There is no pneumothorax. A left-sided ij line ends in the upper atrium. Sternotomy wires are intact.
<unk> year old woman with new left sided picc. repeat examination to assess placement including lateral view.
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Cardiac, mediastinal and hilar contours are unchanged with the heart size within normal limits. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Mild degenerative changes are noted in the thoracic spine.
history: <unk>m with chest pain
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Frontal and lateral chest radiograph demonstrates minimal streaky opacity projecting over the lower thoracic spine, likely corresponding to opacity seen in a retrocardiac distribution. The lungs are otherwise clear without pleural effusion or pneumothorax. The cardiac silhouette is normal in size, the mediastinal contours are normal.
<unk>-year-old male with hiv and non-productive cough, rule out pneumonia.
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Compared with the prior radiograph, lungs are more aerated, particularly in the left base. Mild cardiomegaly is stable. No change in the right ij line, which ends in the mid svc. There is a small amount of fluid in the right minor fissure, with mild bilateral pleural effusions. No pneumothorax or new focal consolidation. Posttraumatic bony coalition at the posterior left sixth through eighth ribs is stable.
<unk> year old man with s/p asc.ao.replacement. evaluate postoperative changes.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no focal consolidation, pleural effusion, or pneumothorax. Visualized upper abdomen is unremarkable.
chest pain.
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Pa and lateral views of the chest provided. Tracheostomy tube projects over the superior mediastinum. There is a left chest wall port-a-cath with catheter tip extending into the lower svc region. Overlying ekg leads are present. The lungs are clear though volumes are somewhat low. No focal consolidation, large effusion or pneumothorax is seen. The cardiomediastinal silhouette is normal. Bony structures are intact. No signs of free air below the right hemidiaphragm.
<unk>f with tracheobrochomalacia chronic trach, <num> day of pain near trach, thickened green secretions, doe
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As compared to the previous radiograph, the left pigtail catheter is in unchanged position. The <num>-cm apical pneumothorax on the left is unchanged. No evidence of tension. Unchanged appearance of the lung parenchyma.
followup.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f w/syncope, please eval for occult pna
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In comparison with the study of <unk>, there is better inspiration. Again there is diffuse prominence of interstitial markings throughout both lungs, consistent with chronic pulmonary disease. Given the substrate of opacification, it is extremely difficult to demonstrate or exclude a supervening pneumonia. The severe chronic pulmonary disease has been confirmed by a ct study obtained just after the previous chest radiograph.
dry cough, to assess for pneumonia.
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Frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax, pleural effusion, or consolidation.
altered mental status.
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. No overt pulmonary edema is seen. Minimal anterior wedging of a mid thoracic vertebral body is stable.
chest pain with history of pericarditis.
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Significant decrease in the bibasilar opacities, with mild residual left lower lobe opacity. Moderate pulmonary edema has also improved in is now mild. Probable small left effusion decreased since the prior. Mild cardiomegaly. No pneumothorax. Prior median sternotomy and cabg.
<unk> year old man with pna and continuing desaturation on abx and recent cardioversion. any other acute intrathoracic process? // <unk> year old man with pna and continuing desaturation on abx and recent cardioversion. any other acute intrathoracic process?
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The lungs are normally expanded and clear without pneumothorax. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion.
right chest pain. rule out pneumothorax.
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The heart size remains top normal. The mediastinal and hilar contours are unchanged with calcification of the thoracic aorta again noted at the arch. Pulmonary vascular is normal. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Several compression deformities within the the thoracic spine are similar when compared to the prior ct torso.
seizure.
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Pa and lateral images of the chest. The lungs well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
chest pain.
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As compared to the prior examination dated <unk>, there has been no significant interval change. Lung volumes are again noted to be low with chronic and elevation of the right hemidiaphragm. Linear right basilar and left lower lobe atelectasis is again noted. Mild central pulmonary vascular congestion is largely unchanged. There has been interval removal of a left-sided picc line. The heart size is top-normal. There is no large pleural effusion or pneumothorax. The upper lobes are grossly clear.
history: <unk>f with hypotension // please eval for pna
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The heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. Scarring within the lingula is unchanged. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.
cough and fevers.
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No focal consolidation is seen peer there is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No evidence of free air is seen beneath the diaphragms.
history: <unk>m with abdominal pain // abdominal pain
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Relatively linear right basilar opacities seen most likely atelectasis. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with infection // evidence of pneumonia
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Pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion, and pulmonary vascularity is normal.
ptosis.
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The lungs are well inflated and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, or pneumothorax. No displaced rib fractures are identified, however if clinically indicated, a dedicated rib series or chest ct is recommended.
<unk> year old man s/p fall, c/o r rib pain. // eval for pneumothorax
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Frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. Cardiomediastinal and hilar contours are unchanged. The heart size is normal. There is no pneumothorax, pleural effusion, consolidation, or pulmonary edema. An aicd is in unchanged position with leads extending to the region of right atrium right ventricle.
<unk>-year-old male with history of lung cancer and pleural effusion. evaluate for status of pleural effusion.
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Pa and lateral chest radiograph. The lungs are mildly hyperinflated, but clear. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
pre-operative screening prior to cabg.
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Heart size remains mildly enlarged. The aorta remains tortuous. The mediastinal and hilar contours are similar with a small hiatal hernia again noted. The pulmonary vasculature is not engorged. Streaky atelectasis is demonstrated in the lung bases without focal consolidation. No pleural effusion or pneumothorax is identified. There are moderate degenerative changes seen in the thoracic spine.
history: <unk>m with fever
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In comparison to the prior examination, there is no change. Enlargement of the cardiac silhouette and widening of the mediastinal from known aortic dissection are unchanged. The lungs are clear. There is no pulmonary edema, consolidation or pleural effusion. No pneumothorax
history: <unk>f with cough, hemoptysis // eval for pna
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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. Degenerative changes are again noted within the thoracic spine.
chest pain.
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The lungs are symmetrically well expanded and well aerated without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is chronically top normal size. The mediastinal and hilar contours are within normal limits. The trachea is midline. Healed rib fractures are redemonstrated.
cough and wheezing, here to evaluate for pneumonia.
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
chest pain.
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The cardiac, mediastinal and hilar contours are within normal limits. The pulmonary vascularity is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is seen.
cough.
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Pa and lateral chest radiographs are provided. Lungs are hyperinflated but there is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Osseous structures are intact.
<unk>-year-old female with altered mental status, question pneumonia.
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The cardiac, mediastinal, and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear.
dyspnea on exertion.
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The heart size remains borderline enlarged. Mediastinal and hilar contours are normal. Pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
cough and fever.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
<unk> year old woman with llq pain and h/o uterine cancer, being treated for diverticulitis but getting worse; ? interstitial fluid on last cat scan // r/o infiltrates/chf
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Frontal and lateral views of the chest. The lungs are clear without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires and prosthetic aortic valve are identified. Atherosclerotic calcifications seen at the aortic arch. Hypertrophic changes are seen in the spine. No definite acute fracture is seen.
<unk>-year-old male status post fall with headache.
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. Pulmonary vasculature is unremarkable. The lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. Small apical scarring is similar to prior. Aortic valve prosthesis is in similar position to prior. Median sternotomy wires are intact.
<unk>-year-old male status post aortic valve replacement. evaluate for fluid overload.
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Despite low lung volumes, the lungs are clear. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormalities.
<unk>m with weakness and cough // eval for pneumonia
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As compared to the previous radiograph, there is a minimal decrease in extent of the right pleural effusion. Otherwise, no relevant change is seen. Moderate cardiomegaly, left pectoral pacemaker, calcified cardiac aneurysm. No pulmonary edema. No pneumonia, no pneumothorax.
pleural effusion, evaluation.
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Prior cabg, avr and median sternotomy. The wires are in stable position and not correct. Interval development of mild interstitial pulmonary edema. There is mild to moderate cardiomegaly. A small left-sided pleural effusion. There is retrocardiac and left basal opacity, likely atelectasis. There is focal kyphosis of the lower thoracic spine with multiple compression fractures, overall have not significantly changed since <unk>.
<unk> year old woman with history of cad, chf, c/o cough and sob // evaluate for chf or pneumonia
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Ap upright and lateral views of the chest provided. Cardiomediastinal silhouette is normal. No large effusion or pneumothorax. No convincing evidence for pneumonia. A subtle <num> x <num> cm nodular opacity projecting in the left perihilar region not clearly present on prior chest radiograph, possibly the result of ap technique. No signs of edema or congestion. Bony structures are intact.
<unk>m with cp