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A moderate left pleural effusion with adjacent atelectasis appears modestly improved from the prior examination. The right lung and left upper lung are clear without lobar consolidation or pneumothorax. Azygos fissure is incidentally noted. There is no frank pulmonary edema. The cardiomediastinal silhouette is unchanged. Median sternotomy wires are intact and well aligned.
<unk>m with chest pressure since waking this morning, hx stemi <unk>, s/p mitral valve replacement.patient with hx cauda equina, s/p laminectomy <unk> // eval for acute process.eval for cauda equina or acute lumbar spine 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>f with cough x<num> weeks and sob with exertion. // r/o pneumonia, pneumothorax, pneumomediastinum, mass
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs are clear. There are no pleural effusions or pneumothorax. The osseous structures are unremarkable.
stab wound to the left flank. question pneumothorax.
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The exam is limited by patient body habitus. There is no focal consolidation, pleural effusion or overt pulmonary edema. There is no pneumothorax. The heart is normal in size.
<unk>-year-old male with shortness of breath. evaluate for pulmonary edema.
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Heart size is normal. Aorta is mildly tortuous. The pulmonary vasculature is normal and the hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is seen. The pulmonary vasculature is normal. Clips are demonstrated within the right upper quadrant of the abdomen.
fever.
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The lungs are well expanded and clear. Hila and cardiomediastinal contours and pleural surfaces are normal.
<unk> year old woman with recent pneumonia // evaluate for resolution of previous opacities
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Lungs are clear, cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old with shortness of breath.
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The heart size is normal. The mediastinal and hilar contours are unremarkable. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
<unk>-year-old female with a history of influenza-like illness and productive cough who presents for evaluation.
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The lungs are clear besides linear left basilar opacity which is likely atelectasis versus scarring,. There is no focal consolidation or effusion. The cardiomediastinal silhouette is stable. Tortuosity of the descending thoracic aorta is again noted. No acute osseous abnormalities, degenerative changes seen at the acromioclavicular joints. Median sternotomy wires are noted.
<unk>f with cough // r/o acute process
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Heart size remains mildly enlarged. Left-sided port-a-cath tip terminates within the mid svc. Moderate size hiatal hernia is re- demonstrated. There is also dilatation of the esophagus with an air-fluid level, similar compared to the prior exam. Chronic radiation changes are noted in the right apex. Linear opacities within the left lower lobe likely reflect atelectasis. No new areas of focal consolidation are present. There is no pleural effusion or pneumothorax. Pulmonary vasculature is normal. Known sclerotic metastases are better seen on the recent ct. There are no acute osseous abnormalities.
weakness.
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As compared to the previous radiograph, there is no relevant change. No evidence of pneumonia or pulmonary edema. Minimal scarring at the right lung bases. Moderate cardiomegaly and tortuosity of the thoracic aorta. No pleural effusions.
new hypoxia, questionable pneumonia.
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There are low lung volumes. The cardiac and mediastinal silhouettes are stable. Minimal bibasilar atelectasis is seen without definite focal consolidation. No pleural effusion or pneumothorax is seen. Degenerative changes at the right shoulder are noted.
history: <unk>f with multiple myeloma and recent hypercalemia, now here with altered mental status. no iv contrast! // <num>. head ct - r/o bleed<num>. abd ct - r/o acute process<num>. cxr - r/o chf, occult infection
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The lungs are well expanded. Suture projecting overlying the left chest suggests a prior resection. There is linear opacity at the right lung base likely representing atelectasis. Diffuse pattern of reticulonodular opacity is seen in the left mid and lower lung, similar to prior exam and of indeterminate etiology. There is no evidence of pneumothorax or pleural effusion. The cardiomediastial silhouette is unremarkable. No acute fracture is seen. Cervical spinal hardware is noted.
<unk>f with right rib pain and dyspnea s/p fall // r/o acute process
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no evidence of pleural effusion or pneumothorax. A port-a-cath catheter is noted in the anterior wall of the right hemithorax with the tip of the catheter in the mid-to-low svc.
<unk>-year-old man with wheezing, feeling unwell. evaluate for acute cardiopulmonary process.
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is normal. A linear density projecting over the peripheral right upper lung and simulating a pneumothorax is likely external to the patient as normal lung markings cross this border.
<unk>m with hypoxia, tachycardia, recent pe, evaluate for pneumonia, pneumothorax, or effusion.
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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 pressure in epigastrium. // cardiopulmonary process?
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The heart is mildly enlarged as before. The pulmonary vasculature is prominent. Lung volumes are low which accentuates bronchovascular markings. There is a subtle opacity at the base of the right lung which may reflect atelectasis or infection. There may be a small right pleural effusion. A right humeral deformity appears chronic.
<unk>f with dyspnea // eval for infiltrate, effusion
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Frontal and lateral chest radiograph demonstrates well expanded lungs with no focal consolidation. There is no pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are within normal limits.
<unk>-year-old male with hiv and new fevers.
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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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Lung volumes are slightly low. Mild to moderate enlargement of the cardiac silhouette is unchanged. The aortic knob is calcified. Mediastinal and hilar contours are similar with enlargement of the right hilum appearing unchanged. Pulmonary vasculature is not engorged. Patchy opacity is seen in the left lower lobe, as noted on the prior examinations, and likely reflective of chronic bronchiectasis with bronchial wall thickening, atelectasis and chronic aspiration. No new focal consolidation is present. No large pleural effusion is present with chronic blunting of the right costophrenic sulcus likely due to chronic pleural thickening. No pneumothorax is seen. Patient is status post bilateral shoulder arthroplasties, incompletely imaged.
history: <unk>f with cough
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal. There is no evidence of pneumomediastinum.
vomiting.
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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.
upper r. pleuritic back pain and shortness of breath // any ptx, pleural effusion, etc
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The lungs are well-expanded and clear. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with first time seizure // pna? fluid? mass?
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The lungs are clear of consolidation. Nodular density projecting over the left lateral sixth rib is unchanged since <unk> and is compatible with a nodule identified on chest ct from <unk>. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>f with confusion // infiltrate?
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Mild hyperexpansion of the lungs could represent chronic pulmonary disease. Within the right upper lobe there is a <num> mm nodular opacity projecting at the level of the third rib anteriorly. The remainder of the lungs are clear. The cardiomediastinal silhouette is unchanged. No pleural effusions.
<unk> year old woman with weight loss, active smoking history // evaluate for abnormalities
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The cardiomediastinal silhouettes are within normal limits. The bilateral hila are unremarkable. The lungs are clear. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion. There is no free intraperitoneal air.
<unk>m with epigastric pain, known stones, evaluate for pneumothorax.
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Compared to radiograph from <unk>, there has been interval resolution of pneumothorax and substantial decreased left pleural fluid. There is left pleural fluid, which probably has redistributed, and persistent compressive atelectasis. Opacity along the left lateral aspect and the lower lung are consistent with patient's known lung cancer and is better appreciated on the pet-ct from <unk>. Again seen is bilateral increased interstitial opacities, likely reflecting lymphangitic spread. Heart size is difficult to assess but likely upper limits of normal.mediastinal and hilar contours are unchanged. There is no evidence for pneumothorax.left pleurx catheter tip projects over the left mid hemithorax. Aortic knob calcification appears unchanged.
<unk> year old woman with pleural effusion.
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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size.
history: <unk>f with chest pain // evaluate for acute process
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Pa and lateral views of the chest. Relatively low lung volumes seen with linear bibasilar opacities, potentially due to atelectasis. Superiorly, the lungs are clear. There is no effusion. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires are noted. No acute osseous abnormality is identified.
<unk>-year-old male with liver failure.
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The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk> year old woman with chest pain and shortness of breath, evaluate for pneumonia.
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Frontal and lateral views of the chest demonstrate low lung volumes. Linear opacities at the right lung base likely represent atelectasis. No pleural effusion or pneumothorax. Heart size is top normal. Hilar and mediastinal silhouettes are unremarkable. Pulmonary edema has resolved since <unk>.
shortness of breath and ascites.
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Heart size remains mildly enlarged. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Subsegmental atelectasis is noted within the lung bases, but no focal consolidation is present. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
history: <unk>f with hyperglycemia, cough, shortness of breath
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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 pain
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Pa and lateral views the chest provided. Lungs are clear. Cardiomediastinal silhouette appears normal. No large effusion or pneumothorax. Imaged bony structures are intact.
<unk>f with syncope and head trauma.
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As compared to the previous radiograph, there is no relevant change. Flattening of the hemidiaphragms visible on the lateral radiograph, indicative of mild-to-moderate overinflation. Borderline size of the cardiac silhouette with tortuosity of the thoracic aorta. Normal hilar and mediastinal structures. In the lung parenchyma, there is no evidence of a recent or newly appeared parenchymal opacity. However, the lateral radiograph shows areas of mild bronchiectasis in the posterior portions of the right lower lobe. These are unchanged in extent and severity as compared to the previous image. No evidence of pleural effusions. No pulmonary edema.
cough, history of smoking and copd, rule out pneumonia.
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The heart is borderline in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. There is mild s-shaped curvature to the visualized thoracolumbar spine. The lower thoracic interspaces appear mildly narrowed with subchondral sclerosis at several levels with small anterior osteophytes. A mid thoracic level is moderately narrowed with a mild deformity in which the anterior superior endplate of the lower body is depressed but most suggestive of a chronic finding.
weakness.
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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 cough, dyspnea. evaluate for pneumonia.
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In comparison with the study of <unk>, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
cough and fever, to assess for pneumonia.
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The heart is mildly enlarged. There is no evidence of pneumothorax or pleural effusion. There is no evidence of focal consolidation. Mediastinal contour is normal. Nodular opacities projecting over the peripheral lower lobes are likely nipple shadow.
<unk>m with fever, evaluate for pneumonia.
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Frontal and lateral views of the chest. Neoesophageal stent is seen in similar position compared to prior. Left picc and right chest tube are no longer seen. There is no visualized pneumothorax. There has been interval improvement of the right basilar parenchymal opacities when compared to prior. There is no significant effusion. The left lung remains clear. Cardiomediastinal silhouette is unchanged, notable for prominence of the upper mediastinum on the right likely related to post esophagectomy changes. Thoracotomy changes noted on the right. No acute osseous abnormality detected.
<unk>-year-old male pulled out chest tube today accidentally. question pneumothorax.
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In comparison with study of <unk>, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
shortness of breath with subjective chills, to assess for pneumonia.
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Heart size is normal. The <num> dominant left mediastinal masses appear similar compared to the previous examinations. Heart size is normal. Hilar contours are unchanged. <num> cm nodule in the left lower lobe is compatible with known metastasis and is also unchanged. Minimal atelectasis is noted in the right lung base. No focal consolidation, pleural effusion or pneumothorax is seen. The pulmonary vasculature is normal. No acute osseous abnormalities present.
history: <unk>m with neuroendocrine tumor, limbic encephalitis here with altered mental status
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Pa and lateral images of the chest. The lungs are well-expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is mild to moderatly enlarged, consistent with cardiomegaly and/or pericardial effusion. No plumonary edema or pleural effusion is seen to suggest heart failure. The mediastinal veins are not dilated, indicating that if there is a pleural effusion it is not hemodynamically significant. The visualized osseous structures are unremarkable.
cough and back pain.
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Frontal and lateral views of the chest demonstrate low lung volumes. There is no focal consolidation, pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unchanged. Mild cardiomegaly persists. Mild perihilar vascular congestion is noted. Retrocardiac opacities likely represents atelectasis.
chest pain.
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Right upper lobe collapse upper lung zone around a central tumor is longstanding; less severe left upper lobe atelectasis has been variable. The lung volumes are low. Persistent, moderate bilateral pleural effusions, left greater than right, are somewhat larger. Small multifocal lung metastases are better characterized on the recent ct. The cardiomediastinal silhouette is difficult to evaluate given the low lung volumes and effusion.
dyspnea with a history of malignant pleural effusions.
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As compared to the previous radiograph, there is no relevant change. The previously described left lung nodule at the lung bases is no longer visible. The lateral radiograph shows no evidence of pleural effusions. Borderline size of the cardiac silhouette, no pulmonary edema. No evidence of pneumonia. Unchanged linear atelectasis at the right lung bases.
seizure, right basilar coarse crackles, assessment for left lung nodule.
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Ap and lateral views of the chest. The lungs are clear without consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old male with spinocerebellar disease with increased confusion and recurrent aspiration. question pneumonia.
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The cardiomediastinal silhouette is normal. The hila and pleura are unremarkable. The lungs are hyperexpanded with flattening of the left hemidiaphragm and increased ap diameter suggestive of chronic lung disease. On pa imaging there appears to be a subtle opacification of the right lower lung that corresponds with increased opacification overlying the the cardiac silhouette on lateral imaging which may indicate a developing right middle lobe pneumonia. There is a <num> mm right upper lobe nodule stable since <unk> study. No pleural effusions or pneumothorax are seen.
<unk> year old woman with cough and mild hypoxemia, r/o infiltrate // r/o infiltrate
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No previous images. The heart is normal in size and there is no vascular congestion or pleural effusion. No acute focal pneumonia. Of incidental note is bilateral apical pleural thickening, suggestive of old granulomatous disease.
dyspnea, to assess for parenchymal lesions.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. New when compared to prior is increased opacity at the right upper lung medially. Lungs are otherwise clear and the cardiomediastinal silhouette is within normal limits. Hypertrophic changes are seen in the spine.
<unk>-year-old male with fever.
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Frontal and lateral views of the chest. There is persistent left basilar opacity and blunting of the posterior costophrenic angle. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is unchanged and likely enlarged but difficult to assess given silhouetting of the left heart border. Dual-lead left chest wall pacing device is again seen. Hypertrophic changes noted in the spine.
<unk>-year-old male with pleural effusion.
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There has been interval increase in the size of the cardiac silhouette with new mild pulmonary edema. No focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with chest pain and shortness of breath // eval for pna pneuomothoa
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
<unk>f w/chest pain // <unk>f w/chest pain
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Increased linear streak opacities are seen in the retrocardiac region, representing atelectasis. The right lung is clear. Severe cardiomegaly is unchanged. No pneumothorax or pulmonary edema.
<unk> year old woman with fever and cough. // evaluate for pneumonia
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Pa and lateral images of the chest. Lung volumes are somewhat low. There is an opacity at the left lung base which may represent atelectasis or focal pneumonia in the right clinical setting. Atelectasis is seen at the right lung base. No focal opacity or mass is seen. There may be a small right pleural effusion. There is no left pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
fever, on active chemotherapy.
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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size.
history: <unk>m with mild chest tenderness // evaluate for acute injury
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Slight prominence of the hila may be due to pulmonary vascular engorgement. No overt pulmonary edema is seen. Mild basilar atelectasis without focal consolidation. No pleural effusion or pneumothorax. Degenerative changes are seen along the spine. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with angina // eval for ptx, pna, effusion, cardiomeg
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Ap chest radiograph demonstrates moderate cardiomegaly with increased interstitial opacities that correspond to subpleural reticular markings on concurrent ct chest. There is no large pleural effusion or pneumothorax. Median sternotomy wires are intact. Given recent ct chest, this is unlikely to be pulmonary edema.
probable rcc.
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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 new onset afib
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As compared to the previous radiograph, there is unchanged evidence of lingular atelectasis but no evidence of pneumonia. Unchanged size of the cardiac silhouette. Unchanged hilar and mediastinal structures. No pleural effusions.
cough, status post antibiotic treatment, evaluation of interval changes.
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Pa and lateral views of the chest. No focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is normal.
syncope.
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Heart size is normal. Coronary artery stents are re- demonstrated. Mediastinal and hilar contours are within normal limits and unchanged. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Multilevel degenerative changes are present within the thoracic spine with anterior osteophyte formation.
history: <unk>m with dyspnea
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There has been interval placement of a nasogastric tube, which terminates in the body of stomach. Re- demonstrated is an organo-axial volvulus of the stomach.
history: <unk>m with ngt placed // eval ngt placement.
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The patient is status post median sternotomy. Multiple mediastinal surgical clips are compatible with prior cabg surgery. A prosthetic cardiac valve is also redemonstrated. The cardiac silhouette is top normal in size, but stable. The mediastinal and hilar contours are within normal limits. As seen previously, there is an area of scarring and loculated effusion obscuring the right lung base, which is stable over multiple prior studies. The left lung is clear. There is no pneumothorax.
loculated pleural effusion, here to evaluate for interval change.
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The lungs are hyperinflated raising the possibility of underlying emphysema. No focal consolidation, effusion, edema, or pneumothorax. The heart is normal in size. The descending thoracic aorta is slightly tortuous, similar to its appearance in <unk>. The mediastinum is not widened. No acute osseous abnormality.
<unk>-year-old man with productive cough and mild sob; evaluate for pneumonia.
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No previous images. There is hyperexpansion of the lungs consistent with chronic pulmonary disease. However, no evidence of acute pneumonia, vascular congestion, or pleural effusion.
cough.
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Left base opacity, partially representing combination of atelectasis and pleural effusion is similar in extent the possibly is minimally increased. Underlying consolidation is difficult to exclude. There may also be a very trace right pleural effusion. The cardiac silhouette is markedly enlarged. Mediastinal contours are unremarkable. Right-sided pacer wires are re- demonstrated.
history: <unk>f with cough shortness of breath // eval for pna
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Compared with prior radiographs on <unk>, a right small pleural effusion is stable in size, and a small left pleural effusion is minimally larger in size.there is no focal consolidation or pneumothorax. There is borderline cardiomegaly, which is similar appearance to preoperative appearance. There has been interval removal of a right ij catheter. Median sternotomy wires and mediastinal clips are stable in appearance.
<unk> year old man with s/p cabg- presented <num> weeks post-op with doe, chest ct shows bilateral pleural effusions // f/u pleural effusions after diuresis
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Heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Moderate degenerative changes are seen in the thoracic spine.
history: <unk>f with htn, hl presents with chest pain
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The lateral view, particularly along the anterior chest, is partly obscured because the arms are down. There are widespread patchy opacities but with fairly focal involvement of the right lower lung. These opacities are seen in the context of a mild diffuse interstitial abnormality suggesting slight vascular congestion or fluid overload. It is difficult to exclude very small effusions, but no definite pleural effusions are demonstrated.
leukocytosis. question pneumonia.
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Heart is top normal in size. The lungs are clear. Pleural surfaces are normal. There is no pneumothorax.
<unk> year old man with history of asthma with cough and fevers, evaluate for pneumonia.
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Right apical linear opacity is unchanged. Right lower lobe consolidation has slightly improved. The left lung is unremarkable. Mediastinal and cardiac contour is normal. There is no pneumothorax or pleural effusion.
patient with hiv and mac pulmonary tb follow up on treatment, resolution of previous abnormalities.
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The heart size and cardiomediastinal contours are normal. Left base linear atelectasis is present. The lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old female with shortness of breath. evaluate for infiltrate.
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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 interstitium is mildly prominent, which is most often due to airway inflammation, which would not necessarily be an acute process. No focal opacification is seen.
gas gangrene in the left foot.
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.
shortness of breath, productive cough with expiratory wheezing. history of asthma.
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Ap upright and lateral views the chest provided. There is opacity in the right upper lobe compatible with known lung cancer. The overall extent of consolidation appears increased in the short interval raising potential concern for a postobstructive pneumonia. Subtle opacity is linear in the left lower lung which may represent atelectasis. No large effusion or pneumothorax. Cardiomediastinal silhouette is unchanged. Bony structures are intact.
<unk>f with stage <num> lung cancer with metastatic disease to the brain in the liver, presenting with weakness for <num> day. evaluate for 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. No pulmonary edema is seen. No displaced fracture is identified.
chest pain
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The heart size may be slightly decreased compared to the prior exam but is still mildly enlarged. Bilateral small pleural effusions are overall unchanged. The lungs are clear. No focal consolidation, pulmonary edema, or pneumothorax. The thoracic aorta is calcified and ectatic. Mild dextroconvex scoliosis of the thoracic spine is unchanged.
<unk> year old woman with dyspnea, pnd, h/o pericardial effusion <unk> <unk> virus myopericarditis s/p window x<num> at<unk>. // baseline prior to v/q scan.
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The lungs are clear. There is no consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires are again noted. No acute osseous abnormalities identified.
<unk>m with cp // evidence of infection or pneumo
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Compared with <num> day earlier, the right ij line has been removed. No pneumothorax is detected. The patient the cardiac silhouette is less pronounced than vascular plethora is slightly improved. The left pleural effusion and underlying collapse and/or consolidation are again seen. As before, there is atelectasis and a small effusion at the right base. Platelike atelectasis is again seen in the left upper and right mid zones. Sternotomy wires noted.
<unk> year old woman with s/p cabg // f/u effusions, atx
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The heart size is normal. The hilar and mediastinal contours are normal. No focal consolidations concerning for pneumonia identified. There is no pleural effusion, or pneumothorax. The visualized osseous structures are unremarkable.
history: <unk>m with crackles on exam // acute process
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Cardiomediastinal hilar contours are normal with top normal heart size. There is no pleural effusion or pneumothorax. Lung volumes are low, and there is perihilar and basilar prominence of uncertain etiology. There is no focal consolidation concerning for pneumonia.
<unk> year old woman with arthralgias // ? hilar <unk> or infiltrate
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. Cardiac silhouette is top-normal. The aorta is calcified and tortuous.
history: <unk>f with tib plataeu fx //
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Bilateral pleural and diaphragmatic plaques/calcifications suggest prior asbestos exposure. Additional left-sided pleural thickening is seen. Left basilar atelectasis is seen. No pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. The aorta is calcified. What is presumed to be a vp shunt is partially imaged overlying the right hemithorax. Evidence of dish is seen along the spine.
weakness.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is a nodular focus projecting over the left mid lung, possibly a nipple shadow measuring approximately <num> mm in diameter. A nodular focus projecting over the right mid lung may also reflect a nipple shadow. Otherwise, the lung fields appear clear. There are no pleural effusions or pneumothorax. Mild degenerative changes are present along the mid thoracic spine.
sharp left-sided chest pain.
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Heart size, mediastinal, and hilar contours are unremarkable. The aortic arch is tortuous and calcified. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. A vps shunt courses below the hemidiaphragm and out of view.
<unk>f with r/o tia. eval for acute infectious process.
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. Healed posterior right fourth and fifth rib fractures are again noted.
history: <unk>f with cough // ?pna
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Lungs are clear. No pneumothorax. Heart size and mediastinal contour are normal. No suspicious bone findings with mild multilevel disc degeneration.
history: <unk>m with cp // ptx?
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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 <num> weeks of left chest pain
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Ap and lateral views of the chest. No prior. The lungs are clear. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with breakthrough seizures. cough.
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Lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips noted in the upper abdomen. Posterior fixation hardware is partially visualized in the cervical spine.
<unk>f with sob // acute process
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no evidence of pulmonary edema, pleural effusion, or pneumothorax. No air under the right hemidiaphragm is seen.
history: <unk>m with chest pain // eval for acute process
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Redemonstrated is elevation of the right hemidiaphragm with adjacent pleural thickening and several surgical clips, which appear unchanged from the prior examination. Lung volumes are low, and bibasilar atelectasis is noted. The upper lungs are grossly clear without lobar consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is unchanged in appearance. Right shoulder arthroplasty is incompletely imaged on today's examination.
history: <unk>f with productive cough, schizophrenia, poor historian // infiltrate suggestive of pneumonia
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Oblique and lateral views of the chest were obtained. There is a right picc line with the tip in the right atrium. There is otherwise no significant change from the prior radiograph. There is no new parenchymal infiltrate, pneumothorax or pleural effusions. Cardiomediastinal silhouette is stable.
<unk>-year-old woman with cll and new picc. additional views obtained for placement of picc.
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The cardiomediastinal silhouette is normal. There is no focal consolidation. There is no pleural effusion or pneumothorax.
<unk> year old man with hx of marginal cell lymphoma, now with prolonged cough, evaluate for pneumonia.
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Pleural based opacities, right greater than left are possible bilateral pleural effusions with possible pleural thickening and/or prominent pleural fat. Opacity on the lateral view posteriorly may be a loculated effusion however, an underlying focal parenchymal opacity is possible. There is associated bibasilar atelectasis. There is no pneumothorax. The cardiac silhouette is obscured by the pleural fluid. The hilar and mediastinal contours are normal. Vascular stent projects over the left upper chest. Vascular stents project in the left subclavian/axillary regions.
<unk>m with nausea, vomiting // eval for chf/pneumonia
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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
<unk>-year-old woman with acute onset headache and left sided numbness, evaluate for pneumonia
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Little change in the volume loss, opacification, and marked pleural thickening in the left upper hemi thorax. Pleural thickening and scarring at the right upper lung are also similar to prior exam. Heart size is upper limits of normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No focal consolidation, pleural effusion, or pneumothorax.
<unk> year old woman with cough and malaise, right mid lung field crackles and bronchial breath sounds // r/o 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. Mild degenerative changes are noted in the thoracic spine.
history: <unk>m with chest pain
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Severe kyphosis present patient positioning limits chest radiograph. Grossly the lungs are clear. Mild cardiomegaly. No pulmonary edema or pleural effusion.
<unk> year old man with afib on amio, prior stroke, left hemiplegai // eval for amio lung toxicity