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Bibasilar atelectatic changes. Otherwise, the lungs are clear. The cardiomediastinal silhouette and hila are normal. There is a right port-a-cath ending at the cavoatrial junction. There is no pneumothorax. No pleural effusion.
<unk>-year-old with fever.
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Minimal linear left mid to lower lung fields scarring is noted. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with left shoulder pain for <num> weeks // ?fracture, ?pneumonia
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<num> views of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart and mediastinal contours are unremarkable.
cva on mri. assess for cardiomegaly.
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Compared to the prior study, lung volumes are lower and moderate pulmonary edema is slightly worsened. Dual lead left-sided aicd is unchanged in appearance. Cardiomegaly is unchanged. No new focal consolidation or large pleural effusions. No pneumothorax.
<unk>m with cp and edema. evaluate for other acute process.
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Patient is status post median sternotomy, cabg, and stent placement. Moderate cardiomegaly is re- demonstrated. The aorta is diffusely calcified. There is mild pulmonary vascular congestion, slightly improved in the interval. Streaky opacities in the left lung base likely reflect areas of atelectasis. No large pleural effusion or pneumothorax is present, but a small left pleural effusion may be present. . Multiple clips are noted within the upper abdomen, more so on the left. Mild to moderate multilevel degenerative changes are demonstrated in the thoracic spine.
history: <unk>f with congestive heart failure, presents with failure to thrive, shortness of breath
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The cardiac, mediastinal and hilar contours appear unchanged. Heterogeneous opacification of each lung appears increased, particularly along the right lower lobe and especially in the superior segment. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.
worsening cough.
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Lung fields are well inflated, without nodules or consolidation. Heart and vessel silhouettes are normal. There is no pleural effusion or pneumothorax.
<unk> year old man with l sided pleuritic chest pain
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Severe cardiomegaly and tortuous aorta are unchanged. The main pulmonary arteries are enlarged. Mild pulmonary edema has improved. Biapical scarring is again noted. The lungs are hyperinflated consistent with emphysema. Bilateral effusions are small.
<unk> year old man s/p cardiac cath and stent placement recently treated for influenza and pna now with increased cough and l lung rhonchi // pna?
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Old healed left rib fractures are noted.
abdominal pain, hepatic encephalopathy, evaluate for pneumonia.
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Pa and lateral views of the chest. No prior. The lungs are clear of focal consolidation, effusion, or pneumothorax. Note is made of elevation of the right hemidiaphragm. There is a right azygos lobe and fissure. The cardiac silhouette is slightly enlarged. The osseous and soft tissue structures are unremarkable. No displaced rib fracture is seen on these non-dedicated films.
<unk>-year-old male status post bicycle accident. question posterior rib fractures.
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The cardiac silhouette size is normal. The hilar contours are normal. The mediastinal contours are notable for symmetric widening of the superior mediastinum bilaterally, without deviation of the trachea. Prominent left epicardial fat pad is noted. The pulmonary vascularity is normal. Within the periphery of the right upper lung field is a <num> cm rounded lucency with a thin wall which could represent a bulla. The remainder of the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is seen.
exertional chest pain.
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The lungs are hyperinflated. Opacity in the right lung base is seen, which would be consistent with pneumonia or aspiration in the right clinical setting. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>m with leukocytosis // infiltrate?
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Pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. There is a moderate hiatal hernia evident. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old woman with palpitations. evaluate for acute process.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. Moderate enlargement of the cardiac silhouette is unchanged from the prior exam. The mediastinal and hilar contours are normal. Atherosclerotic calcifications are noted within the aortic arch.
shortness of breath.
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Pa and lateral views of the chest provided. Volumes are low. 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 htn p/w left sided chest pain
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The lung volumes are normal. Normal hilar and mediastinal structures. Normal appearance of the cardiac silhouette. The lungs show normal structure and transparency. No evidence of acute or chronic lung changes such as pneumonia, pulmonary edema or pleural effusions. No pneumothorax.
cough for two weeks.
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Pa and lateral chest radiographs were provided. The lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax. Punctate calcification projecting over the right upper lung maybe due to granulomas. The cardiomediastinal silhouette is top-normal in size. There is mild wedging of a mid-thoracic vertebral body.
history of renal transplant on immunosuppression with <num> week of cough. question pneumonia.
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The patient is status post left vat s pleural biopsy and previous breast reconstruction surgery. Cardiomediastinal contours are normal. Lungs are clear except for focal scarring at the left base. Left pleural effusion has nearly resolved since the previous radiograph with only minimal residual fluid or thickening. .
<unk> year old woman with l posterior back pain // please evalute for parenchymal or pleural abnormalities
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. There is mild pulmonary vascular prominence with top normal heart size.
<unk>-year-old female with atypical chest pain.
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Pa and lateral views of the chest provided. There is a similar pattern of diffuse interstitial opacity which is concerning for emphysema/fibrosis with superimposed edema, better assessed on prior ct. No large effusion or pneumothorax is seen. The heart is top-normal in size though unchanged. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with hx of chf with sob // eval edema
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As compared to the previous radiograph, the signs of fluid overload have moderately decreased. The kerley b lines are no longer visible. Unchanged moderate cardiomegaly, no evidence of pleural effusions. Unchanged position of the left chest wall pacemaker.
chronic heart failure, status post diuresis.
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Lung volumes are low. This accentuates the size of the cardiac silhouette which appears at least mildly enlarged. The aorta is tortuous. The mediastinal and hilar contours are otherwise unremarkable. There is no pulmonary edema. Minimal streaky opacity in the left lower lobe likely reflects atelectasis. No pleural effusion or pneumothorax is identified. Mild degenerative changes are seen throughout the thoracic spine.
history: <unk>f with confusion, falls
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Frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, consolidation, or pleural effusion.
cough and chest tightness. evaluate for pneumonia.
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A left pectoral pacemaker/aicd with leads terminating in the right atrium and right ventricle is unchanged. There is no lead disruption or fracture. The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac silhouette is top-normal in size but unchanged. The mediastinal and hilar structures are unremarkable. The pulmonary vasculature is normal.
new onset shortness of breath. evaluate for heart failure.
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Tortuous descending aorta. The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pneumonia, no pulmonary edema. No pleural effusions.
<unk> year old man with recurrent pneumonias, concern for aspiration pneumonias, lll crackles // r/ o aspiration pneumonia
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A right picc is present with tip terminating in the mid svc. The cardiomediastinal and hilar contours are stable with calcification of the aortic knob. There are small bilateral pleural effusions, slightly larger than previously seen. There is no pneumothorax. Mild vascular engorgement is noted.
<unk>f with somnolence, recent hospitalization.
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Low lung volumes with bibasilar atelectasis. Small opacification at the left base, which is concerning for pneumonia, appreciated on both frontal and lateral radiographs. Moderate enlargement of the cardiac silhouette is new since <unk>, with cardiomegaly and/or pericardial effusion. No pulmonary edema. No pleural effusion. No pneumothorax. Configuration of the mediastinum at the thoracic inlet with undulation of the trachea could be due to tortuous vessels alone or possible contribution of enlarged right thyroid lobe.
history: <unk>m with flank pain // ? infectious process
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Ap upright 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 unwittness fall with head trauma, neck pain, and confusion
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Left-sided pacemaker device is again noted with leads terminating in the right atrium and right ventricle. Moderate enlargement of the cardiac silhouette is again noted. The aorta remains tortuous. Mediastinal and hilar contours are somewhat. Mild pulmonary vascular congestion is noted with patchy bibasilar opacities, left greater than right, likely reflective of atelectasis, but infection cannot be excluded in the left lung base. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is seen. Surgical clips are again noted at the thoracic inlet suggestive of prior thyroid surgery.
history: <unk>f with right facial droop, cough
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Heart size is normal. Mediastinal contour is unchanged. Hilar contours are similar, with no pulmonary vascular congestion. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Several clips are noted within the upper abdomen.
history: <unk>f with cough
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There are low lung volumes, which results in bronchovascular crowding. The cardiomediastinal contours are unchanged. The aorta is tortuous. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with cough // eval for pna
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is vague opacity in the lingula and possibly the right lower lobe but these areas are suspected to represent minor atelectatic change or scarring. There is no pleural effusion or pneumothorax.
seizure, syncope, and fall.
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Lungs are clear without consolidation, effusion, or edema. There may be an azygos fissure. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with syncope // cardiomegaly?
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Pa and lateral views of the chest provided. There is a subtle nodular opacity projecting over the periphery of the left mid lung measuring <num> mm, not definitively seen on the prior exam. Aside from this, the lungs are clear. No signs of pneumonia or edema. No pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Notable dextroscoliosis of the lumbar spine partially imaged. No free air below the right hemidiaphragm is seen.
<unk>f with fevers // ?pneumonia
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Bilateral dependent pleural effusions as well as fluid in the major and minor fissures on the right are likely unchanged with minimal accompanying atelectasis. Post-surgical changes from prior cabg, avr and mvr with intact sternotomy wires are seen. Left picc in appropriate position with tip near the superior cavoatrial junction. Upper quadrant clips are seen. No pneumothorax identified. Heart remains mildly enlarged.
<unk>-year-old woman status post avr and mvr. assess for pleural effusions.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No subdiaphragmatic free air is identified. No rib fractures are seen.
right upper quadrant pain and equivocal hida over the weekend. evaluate for pneumonia.
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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. Moderate rightward convex curvature is centered along the mid thoracic spine, which is a component of a thoracolumbar s-shaped curvature that is not fully imaged. No vertebral body anomaly is demonstrated. The vertebral body heights and interspaces appear preserved.
chest pain and gerd-like symptoms. history of mild hiatal hernia.
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A right pleural catheter ends in the right perihilar region, as before. There is a substantially increased moderate right hydropneumothorax. A trace left pleural effusion is new. There is minimal bilateral lower lobe atelectasis. Post-operative changes are seen in the right perihilar region, as before. The heart size is normal. Wedge compression deformities within the thoracic spine are not significantly changed compared to radiographs dating back through <unk>.
history of lung cancer, status post right upper lobectomy. assess lung.
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Pa and lateral views of chest given slightly lower lung volumes, the lungs are clear. Cardiac silhouette is normal in size. Mediastinal contours are normal. There is no pleural effusion, pneumothorax or pulmonary edema. There is no free air
abdominal pain
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Cardiac silhouette size is borderline enlarged but unchanged. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal and the lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
cough and fever.
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There is moderate amount of free air below the right hemidiaphragm, new since <unk>. The cardiomediastinal silhouette and hila are normal. There is a small left pleural effusion and associated basilar atelectasis. There is moderate osteopenia and kyphosis.
<unk>-year-old woman with diffuse abdominal pain, please evaluate for free air.
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The examination is compared to <unk>. In unchanged manner, there are metallic fragments projecting over the right upper quadrant and the cervical soft tissues. Currently, there is no evidence of pneumothorax. No rib fractures can be visualized, but additional rib series might be helpful. Low lung volumes. Minimal basal areas of atelectasis. No pulmonary edema. No pleural effusions.
motor vehicle accident, painful chest wall, evaluation for pneumothorax.
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Lung volumes are low and the lungs are clear. Mediastinal contour, hila, and cardiac silhouette are stable from <unk>. There is no pneumothorax or pleural effusion.
<unk>m with acute confusion s/p <num> cvas (<unk> and <unk>) with acute confusion // pna? acute process?
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Frontal and lateral views of the chest. New since prior chest x-ray is a right chest wall port with catheter tip at the ra svc junction. Increased interstitial markings seen in the right upper lung which are new since prior chest x-ray but where visualized in part on prior chest ct, questionably progressed since then. Elsewhere the lungs are clear. The cardiomediastinal silhouette is unchanged. No acute osseous abnormalities detected.
<unk>-year-old female with upper back pain status post radiation. question pneumonia.
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In comparison with study of <unk>, cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia.
exertional dyspnea.
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There are relatively low lung volumes. Blunting of the bilateral costophrenic angles suggests trace pleural effusions. Since the prior study, there has been interval increase in interstitial markings bilaterally which may represent worsening of known chronic lung disease with possible overlying acute component. Cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are grossly stable. No evidence of pneumothorax is seen. No definite displaced fracture is seen. There is moderate anterior wedging of a mid thoracic vertebral body, similar since ct from <unk>
history: <unk>m with right-sided chest pain s/p fall // eval for ptx, rib fx
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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 dec. uop; hx of ascites; eval for infx // eval for consolidation
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Moderate cardiomegaly is unchanged. Bilateral hilar peribronchial cuffing and prominence of the pulmonary vasculature are increased. Probable mild pulmonary edema. Bilateral hilar prominence is unchanged from <unk>. Small bilateral pleural effusions. An aortic graft is partially visualized in the abdomen.
history: <unk>m with malaise, cough // pna?
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Lungs continue to be hyperinflated without consolidation, pleural effusion, pulmonary edema or nodules. Multiple old right-sided healed rib fractures are unchanged. Right apical scarring is unchanged. The heart, mediastinal and hilar contours are normal.
<unk>-year-old woman with history of smoking and weight loss.
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The lungs are well inflated and clear. No consolidation, effusion, or pneumothorax is present. The heart and mediastinal contours are normal.
<unk>-year-old man with cough, positive ppd.
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The heart is again mildly enlarged. The mediastinal and hilar contours appear unchanged. Streaky opacities in the medial lower lung suggests minor atelectasis. Although the posterior costophrenic sulci are partly excluded, a meniscoid appearance to the posterior right lower hemithorax suggests a very small pleural effusion or thickening, but appears unchanged. Slight nodular thickening along the minor fissure is also unchanged. The osseous structures are unremarkable.
near syncope. question pneumonia.
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The cardiac silhouette is stable and unremarkable. Again noted is a left perihilar opacity, very slightly decreased since the prior examination. There is no pleural effusion or pneumothorax.
<unk> year old woman with severe productive cough, not improving despite abx // eval for progression of pna
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In comparison with the study of <unk>, the costophrenic angles posteriorly are sharp, indicating effective clearing of the pleural effusions. Cardiac silhouette is within normal limits, and there is no evidence of vascular congestion or acute focal pneumonia.
recurrent bilateral effusions.
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Pa and lateral radiographs of the chest depict clear lungs and normal hilar and mediastinal contours. There is no pneumothorax or pleural effusion and the pulmonary vascularity appears normal without evidence of interstitial edema.
evaluate for pneumonia in a patient with recent possible pneumonia, diabetes, and hypertension.
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The heart size is normal. The mediastinal and hilar contours are within normal limits. The pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
left-sided chest pain and lightheadedness.
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Small right pleural effusion persists. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. Left chest wall dual lumen central venous catheter is unchanged. No acute osseous abnormalities.
<unk>f with dyspnea and wheezing // r/o acute process
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New retrocardiac opacities are seen on lateral view, corresponding to the left lower lobe, are likely due to atelectasis. Mild pulmonary congestion is noted. The heart size is normal. No pulmonary edema or pneumothorax.
<unk> year old man s/p acdf, with new onset cough and elevated wbc // please look or pneumonia/infiltrate
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In comparison with the study of <unk>, there is no evidence of post-procedure pneumothorax. Substantial bilateral pleural effusions persist with bibasilar atelectatic change. The right ij catheter has been removed. Globular enlargement of the cardiac silhouette persists.
redo sternotomy.
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The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. There is no focal consolidation concerning for pneumonia. The pulmonary vasculature is within normal limits.
fevers and recent hospitalization.
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Heart size is normal. The mediastinal and hilar contours are remarkable for unchanged mild tortuosity of the thoracic aorta with. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with sob, pain with deep insp. // please evaluate, thank you
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Pa and lateral views of the chest provided. Right-sided port-a-cath terminates in the right atrium. There is no focal consolidation, effusion, or pneumothorax. Mild cardiomegaly is unchanged. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>m with recent liver instrumentation; coughl feer // eval for pna/intrabdominal abscess
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Right paratracheal opacity with leftward deviation of the trachea is re- demonstrated, which could relate to an enlarged right lobe of the thyroid, also seen on prior radiographs including <unk>.
history: <unk>f s/p fall yesterday, now w/ha and neck pain //
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The heart is at the upper limits of normal size. There is a large hiatal hernia. Otherwise, the mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Mild degenerative changes are noted along the lower thoracic spine with narrowing of a thoracolumbar interspace, probably t<num>-l<num>. There are age-indeterminant non-displaced right-sided fourth and fifth rib fractures.
chest pain.
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Lungs are fully expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Non-physiologic shape of the mediastinum has been stable since at least <unk>. There is no vascular engorgement or pulmonary edema. Top-normal heart size is new.
<unk> year old man s/p kidney pancreas transplant presenting with dyspnea on exertion and hypercalcemia // eval for pneumonia, volume overload
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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. Surgical clips project over the left chest wall and axilla.
<unk>f with history of asthma, intermittent chest pain // chest pain from pneumothorax, pneumonia, aortic dissection
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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. Note is made of a subcutaneous insertable cardiac monitor. Unremarkable appearance of the superior trachea. Chronic left lateral rib fractures are noted as well as vertebroplasty changes in the upper lumbar spine.
<unk>f with chest pain // question consolidation, pulmonary edema, thyromegaly
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There are low lung volumes. The heart size is mildly enlarged. The aorta is slightly tortuous and demonstrates diffuse calcifications. Patchy opacities in the lung bases likely reflect atelectasis. Aspiration or infection cannot be fully excluded. There is no pulmonary edema. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
aphasia.
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Since the prior radiograph, the left picc line has been removed. The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
history of hiv with asthma and gerd. presenting with chronic cough.
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Patient is status post median sternotomy and cabg. Mild cardiomegaly is re- demonstrated. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Minimal patchy atelectasis is seen in the lung bases without focal consolidation. No pleural effusion or pneumothorax is demonstrated. Moderate degenerative changes are noted within the thoracic spine.
history: <unk>f with chest pain, history of chf
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Pa and lateral chest views were obtained with patient in upright position. The heart size is normal. No configurational abnormality is identified. Unremarkable appearance of thoracic aorta and mediastinal structures. 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 apical area on frontal view. Skeletal structures demonstrate on the frontal view, local interruptions of the rib contours in the posterolateral circumference of the fifth, sixth and seventh rib on the left side. The pleural space is not thickened, nor is there evidence of any soft tissue chest wall emphysema. For further rib injury detail, see chest ct examination of <unk>.
<unk>-year-old male patient with rib fractures, evaluate rib fractures.
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In comparison with study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
leukemia with cough.
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As compared to the previous radiograph, there is unchanged elevation of the left hemidiaphragm with a subsequent plate-like atelectasis at the left lung bases. The appearance of the cardiac silhouette and of the right lung base is unchanged. In almost unchanged manner, lung shows predominantly alveolar widespread opacities with some air bronchograms, better documented on the ct examination from <unk>. The severity and distribution of the changes has, if any, only minimally regressed. The morphology of the changes suggests an infectious cause. No evidence of pleural effusions. Normal size of the cardiac silhouette.
increased white blood cell count.
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No focal consolidation is seen. There may be a trace left pleural effusion. Prominence of the azygos vein is stable as compared to chest ct from <unk>. A central venous line courses superiorly from the ivc and terminates at the cavoatrial junction/ distal svc. The cardiac and mediastinal silhouettes are stable. No overt pulmonary edema is seen.
history: <unk>f with fever to <num> // r/o acute process
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The lungs are hypoinflated with crowding of vasculature. The right lung is clear. There is a new heterogeneous left lower lobe opacity. No pleural effusion or pneumothorax. Heart size and hila are unremarkable. There is stable prominence of the left mediastinal contour, which is consistent with mediastinal lipomatosis as seen on <unk> ct chest. Limited assessment of the osseous structures demonstrates multiple bridging anterior osteophytes.
<unk>m with fever. assess for infection
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Right-sided port-a-cath tip terminates within the svc/right atrial junction. The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormality is identified.
central chest pain, dyspnea.
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The lung volumes are normal. Normal appearance of the cardiac silhouette. Normal hilar and mediastinal contours. Structure and transparency of the lung parenchyma is also normal. No evidence of pneumonia, pulmonary edema or other lung parenchymal changes.
man with cough since <unk>. rule out pneumonia.
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Frontal on lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear without pleural effusion or pneumothorax. There is no bony abnormality.
recent motor vehicle accident with chest pain. evaluate for sternum or rib trauma.
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Right axillary clips are unchanged. Right basilar pleural catheter has been removed. Lungs are hyperexpanded, similar to prior, consistent with copd. Mild diffusely increased interstitial markings are chronic. No focal consolidation or pneumothorax is seen. There is a small right-sided pleural effusion best seen on the lateral view. Heart size and cardiomediastinal contours are normal.
history: <unk>f with cough, sob // eval for pna
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Severe cardiomegaly is unchanged from the prior study. The mediastinal contours are similar. Mild pulmonary edema is not substantially changed from the prior study. Hilar contours are similar. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Splenic shadow appears absent compatible with history of sickle cell disease. Vertebral bodies have a somewhat h-shaped configuration also compatible with a history of sickle cell disease.
history: <unk>f with sickle cell anemia, dchf, pulm htn presents with bilateral knee pain consistent with prior sickle cell crises
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Ap upright and lateral views of the chest provided. Right chest wall aicd is again seen with single lead extending into the region of the right ventricle. Midline sternotomy wires are again noted with mediastinal clips. Cervical fusion hardware is noted in the lower neck. There is mild elevation of the right hemidiaphragm. Bibasilar streaky opacity best seen on the lateral view could represent atelectasis or scarring. No convincing signs of pneumonia or edema. No large effusion or pneumothorax. Heart size is mildly enlarged. Mediastinal contour is normal. Imaged bony structures are intact with bilateral ac joint arthropathy noted. No free air seen below the right hemidiaphragm.
<unk>m with new abdominal pain, fever, and hypoxia
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As compared to the previous radiograph, there is no relevant change. Borderline size of the cardiac silhouette without pulmonary edema. No pneumonia, no pleural effusions. No pneumothorax.
questionable pneumonia.
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Pa and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
chest pain and shortness of breath.
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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. The visualized osseous structures are unremarkable.
history: <unk>m with midsternal chest pain // please evaluate for cardiopulmonary process
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The cardiac and mediastinal silhouettes are stable. Left-sided port-a-cath terminates in the mid svc, without evidence of pneumothorax. Hilar contours are stable. No definite new focal consolidation is seen. No pleural effusion or pneumothorax is seen.
history: <unk>f with fever, on chemo // ? infectious process
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Frontal and lateral views of the chest demonstrate chronic elevation of the right hemidiaphragm, although, to a lesser degree than prior. There is linear atelectasis noted at the right lung base. There are new widespread reticulonodular opacities throughout both lungs. There is no pleural effusion or pneumothorax. The cardiac silhouette is mildly enlarged. A large mass is again seen within the ap window and appears grossly unchanged. The previously seen pulmonary nodules are too small to be appreciated on this study. The imaged upper abdomen is unremarkable.
brain mass. evaluate for pneumonia or heart failure.
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Pa and lateral views of the chest are compared to previous exam from <unk> and ct torso from <unk>. Since prior, there has been interval resolution of the left basilar opacity. There are fine nodular opacities projecting over the right middle lobe, unchanged from both prior chest x-ray and ct from <unk>. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.
<unk>-year-old male with fever.
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Moderate dextroconvex thoracic scoliosis is unchanged. The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. No evidence of focal lung consolidation. Views of the upper abdomen are unremarkable.
<unk>f with cough and multiple compaints // eval for pna .
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The lungs are hyperinflated, consistent with copd. The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. There is mild rightward deviation of the trachea, which could be due to a thyroid lesion. The cardiomediastinal silhouette is normal. No free air is identified below the hemidiaphragms. Contrast material is seen outlining loops of bowel in the imaged upper abdomen. Mild loss of vertebral body height is noted in the mid thoracic vertebral bodies.
abdominal pain and known sigmoid perforation. evaluate preoperatively.
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The lungs are well inflated. There is no opacity concerning for pneumonia or lobar collapse. No pulmonary edema, pleural effusion or pneumothorax. The aorta is tortuous. The heart size is normal.
history: <unk>f with <num> sats <unk>%ra // ? process
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Frontal and lateral views of the chest demonstrate clear lungs. There has interval improvement in aeration of the left lung. The cardiomediastinal and hilar contours are stable. There is no pneumothorax or pleural effusion. Pleural surfaces are unremarkable.
new onset shortness of breath and wheeze, assess for acute process.
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Frontal and lateral views of the chest demonstrate low lung volumes. Moderate-to-large left pleural effusion is unchanged since <unk> exam. Small-to-moderate right pleural effusion is also stable. Bibasilar opacities likely represent compressive atelectasis. Cardiac size is difficult to assess due to adjacent pleural effusions, and is likely enlarged. Hilar and mediastinal silhouettes are unchanged. Intrathoracic aorta, and mitral annulus calcifications are noted. There is no pneumothorax. Perihilar vascular congestion is noted. The patient is status post medial sternotomy.
shortness of breath.
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Pa and lateral views of the chest. After removal of the right pleural tube, the small right apical pneumothorax remains unchanged. The extent of subcutaneous emphysema is unchanged. Small if any pleural effusion. The lungs are clear. The right hemithorax is slightly elevated and the mediastinum is slightly shifted to the right consistent with right upper and middle lobectomies. The left aicd lead ends in the right ventricle.
status post mediastinoscopy and vats. right upper lobe and right middle lobectomy for adenocarcinoma, rule out pneumothorax post chest tube removal.
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Pa and lateral chest radiographs. There is no focal consolidation, pleural effusion, or pneumothorax. Subsegmental areas of atelectasis in the right lung base can be seen on ct abdomen from same date. Eventration of the right hemidiaphragm and tortuosity of the thoracic aorta are unchanged from multiple priors. The heart size is top normal.
nausea.
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Ap view of the chest. Right-sided pacemaker leads end in the right atrium and right ventricle. There is a right lower lung opacity, either right middle lobe or right lower lobe. There is also a smaller left lower lobe opacity. The cardiomediastinal and hilar contours are stable. No pneumothorax or pleural effusion. The lungs are hyperinflated.
chest discomfort and desaturations.
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Again seen are bilateral opacities corresponding to severe bilateral bronchiectasis most prominent at the bases. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Stable prominence of ascending aorta consistent with known ascending aortic aneurysm seen on most recent cta chest.
<unk> year old man with known severe bronchiectasis with worsening cough // eval for acute process
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Frontal and lateral chest radiograph demonstrates unremarkable cardiomediastinal contours. The lungs are clear. No pleural effusion or pneumothorax evident. Pacemaker leads terminate in the right atrium and ventricle.
dyspnea, evaluate for pulmonary edema versus pneumonia.
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Pa and lateral views. Heart size is within normal limits. Tortuous and calcified aorta is again seen. There are new peribronchial opacities in bilateral lower lobes. There is also unchanged linear scarring at the lateral left base. There is no evidence for pulmonary edema or pleural effusion. Scoliosis and degenerative changes are again seen in the spine.
cough and dyspnea. evaluate for infiltrate.
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Pa and lateral views of the chest provided. Left chest wall dual lead pacer is again noted with leads extending the region the right atrium and right ventricle. The heart is mildly enlarged. No convincing signs of edema or pneumonia. Mild hilar congestion is suspected. Mediastinal contour is normal. Bony structures are intact.
<unk>f with fever/chills, ?pna // eval for structural process, pna
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There are low lung volumes bilaterally. The lungs are clear. No evidence of focal consolidations, pulmonary edema, pleural effusions, or pneumothorax. The mediastinum is slightly widened, likely due to tortuosity of ascending aorta. The hila and heart are within normal limits. No acute osseous abnormalities.
<unk> year old man with cirrhosis p/w abd pain w/ crackles on lung exam // ?pulm edema
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There are new bilateral interstitial opacities diffusely involving both lungs. There is no pneumothorax. Top-normal heart size is unchanged.
<unk> year old woman with nhl> cough for one month // cough