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The lungs are clear besides minimal left basilar atelectasis. There is no effusion or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. No free intraperitoneal air.
<unk>m with hepattisc c shortness of breath dyspnea abdominal pain // eval for pna for cxrruq us eval for portal vein thrombosis
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The heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. The lungs are hyperinflated. No focal consolidation or pneumothorax is present. Blunting of the left costophrenic angle posteriorly may be due to chronic pleural thickening versus a trace pleural effusion. Multiple clips are again demonstrated within the left breast. No acute osseous abnormalities are seen. There are mild degenerative changes in the thoracic spine.
weakness.
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Dual lead left chest wall pacing device is again seen with leads in unchanged position. The lungs remain clear. Cardiomediastinal silhouette is grossly the stable given rotation to the left. No acute osseous abnormality is identified.
<unk>m with r-shoulder pain // evaluate for acute changes
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Lung volumes are slightly lower since <unk>. New linear bibasilar opacities are most suggestive of atelectasis. No acute osseous abnormality. The cardiomediastinal silhouette and hila are unremarkable.
history: <unk>m with hiv who presents with productive cough // please evaluate for interstitial infiltrates, focal consolidation, fluid
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In comparison with the study of <unk>, there is increasing opacification at both bases with blunting of the costophrenic angles. The appearance suggests bilateral pneumonia with pleural effusions.
febrile illness, probably pneumonia.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. There is mild hyperinflation suggested by flattening of hemidiaphragms. Bony structures are unremarkable. Cervical spine fusion is incompletely characterized.
chest pain.
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Unchanged heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax. A <num> mm dense nodule in the left lower lung is unchanged dating back to <unk> compatible with a benign nodule.
history: <unk>m with epigastric pain // evaluate for pleural effusion or pneumonia
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Pa and lateral views of the chest were provided. Airspace consolidation is noted within the right middle lobe. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is stable. There is no free air beneath the right hemidiaphragm.
<unk>f with <num> day hx of cough, eval for consolidation
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Chest, ap and lateral. The lungs are clear. Mild cardiomegaly is chronic. Otherwise, the hilar and mediastinal contours are normal. The there is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old woman with chest tightness, shortness of breath.
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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.
cough, wheezing.
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Frontal and lateral chest radiographs demonstrate multiple sternal wires, which are intact. There is again moderate cardiomegaly, with lower lung volumes compared to <unk>. Mild pulmonary edema is increased. There may be a right hilar infiltrate. There is no large pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for pneumonia versus pulmonary edema, in a patient with chf presenting with shortness of breath.
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Heart size is top normal. The aorta is tortuous. Pulmonary vascularity is normal. Hilar contours are unremarkable. Linear bibasilar opacities are compatible with subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. Multilevel degenerative changes are noted in the thoracic spine. Mild loss of height anteriorly of a mid thoracic vertebral body is noted. No displaced fractures are seen within the ribs.
fall with rib pain.
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Lung volumes are low, resulting in bronchovascular crowding. The heart remains enlarged. The aorta is tortuous. The patient is status post median sternotomy, with intact sternotomy wires. There is no pneumothorax, pleural effusion, or consolidation. Calcified nodule in the right lower lobe is again noted.
history: <unk>m with generalized weakness, head strike, fall, on coumadin // eval for acute process
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The cardiomediastinal silhouette is unchanged. There is no pleural effusion or pneumothorax. There is no focal consolidation. Degenerative changes of bilateral shoulders are identified.
<unk>m with <unk>'s disease, dementia, ams // infiltrate?
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with chest pain, dyspnea // ? acute cardipulm process
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Since <unk>, the new focal opacity in the right lower lobe is consistent with pneumonia. The previously described new small focal consolidation the right upper lobe, is less apparent today, but still present. The left lung is clear. No pleural effusion, pulmonary edema, or pneumothorax. The heart is top-normal in size and unchanged. The mediastinal contours and hila are normal.
<unk>-year-old woman with history of multiple myeloma, presenting with cough and fever. evaluate for pneumonia.
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Heart size is mildly enlarged but unchanged. The mediastinal and hilar contours are stable. Pulmonary vasculature appears mildly indistinct suggestive of mild pulmonary vascular engorgement. Linear and patchy bibasilar atelectasis is noted in the lung bases without focal consolidation. No pleural effusion or pneumothorax is identified. Punctate calcification in the left apex may be vascular in origin. There are no acute osseous abnormalities.
history: <unk>f with cough
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no evidence of pulmonary edema, pleural effusion, pneumothorax or focal consolidation concerning for pneumonia. Bilateral nipple shadows should not be confused for pulmonary nodules.
<unk>-year-old female with altered mental status. evaluation for acute cardiopulmonary process.
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There is a vague opacity at the left lung base overlying the rib. The right lung is clear. The cardiomediastinal contour is normal. There is no pleural effusion or pneumothorax. Pleural surfaces are unremarkable. There is no pulmonary edema. Visualized osseous structures are normal.
<unk>f with chest pain, sweats today, evaluate for pulmonary edema or pneumonia..
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The cardiomediastinal and hilar contours are stable and within normal limits. The aorta is minimally calcified. There is mild pulmonary vascular congestion as well as mild pulmonary edema. Of note, more focal opacity at the base of the right lung may could reflect underlying infection or asymmetric edema. No effusions or pneumothorax.
<unk> year old man with acute cough no f/c, afebrile // r/o pna
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Low lung volumes are again noted. The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is stable noting mild cardiomegaly. Aortic valve replacement is faintly visualized. Median sternotomy wires are intact. Left chest wall battery pack with lead projecting over the anterior chest wall is unchanged compared to prior. No acute osseous abnormalities.
<unk>m with dizziness and diarrhea // r/o acute process
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The lung volumes are low. There is a borderline size of the cardiac silhouette without evidence of overt pulmonary edema. No pneumonia, no pleural effusions. Small parenchymal nodules with high density could reflect small calcified bilateral pulmonary granulomas.
three weeks of cough, new onset of dyspnea on exertion. questionable chronic heart failure.
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As compared to the previous radiograph, there is no relevant change. Status post esophagectomy and gastric pull-up, no newly occurred parenchymal opacities. The pre-existing opacities in the right lung are constant. Unchanged overinflation and small cardiac silhouette. No pleural effusions.
history of esophageal cancer, status post esophagectomy, cough, leukocytosis, questionable fluid overload.
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Re-demonstrated is a moderate biventricular cardiomegaly, without pulmonary edema. Cardiomegaly has slightly progressed since <unk>. There is no pleural effusion, no focal consolidation or pneumothorax.
<unk>-year-old man with right lower quadrant pain and likely appendicitis with history of biventricular cardiomyopathy. please assess for acute process.
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Subtle opacity projecting over the right lower hemithorax likely relates to overlying nipple shadow. Otherwise, no definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
fatigue, malaise.
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The cardiomediastinal and hilar contours are normal. The lungs are clear but hyperexpanded suggesting emphysema or small airway disease. There is no pleural effusion or pneumothorax.
<unk>-year-old male with tia.
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No focal consolidation, pleural effusion, or pneumothorax is seen. Heart and mediastinal contours are stable with postoperative cardiac sillouhette and postsurgical hardware.
<unk>-year-old male with cough.
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The cardiomediastinal and hilar contours are normal. The lungs demonstrate a nodular density in the left apex. There is no pleural effusion or pneumothorax.
<unk>-year-old male with chest pain.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There is slight loss of height in several upper thoracic spine vertebral bodies, which is unchanged from prior exam. Mild to moderate degenerative changes are noted throughout the visualized spine.
concern for aspiration. evaluate for pneumonia.
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Heart size is normal. Aorta is mildly tortuous. Lungs are well-expanded and clear, there is no evidence of pleural effusion. Mild scoliosis is noted.
<unk> year old woman with cough, malaise and cp // r/o pna
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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 of <unk>. The heart size is at the upper limit of normal variation with a mild prominence of the left ventricular contour to the left, but absence of significant left atrial enlargement. Thoracic aorta is moderately widened and elongated and shows some calcium deposits in the wall at the level of the arch. No new local contour abnormality is present. The pulmonary vasculature is not congested. Pulmonary vasculature shows some regional distortion with some areas of increased translucencies in the left lung mid field. This slightly abnormal distribution of the vasculature was not present at least to the same extent on the previous study. On the other hand, a left lower lobe basal linear density in supradiaphragmatic position existed already at that time. In the right hemithorax, similar somewhat irregular vascular distributions are noted, but are less prominent. As they occur in conjunction with relatively low positioned and somewhat flattened diaphragms is suggestive of copd. There is no evidence of any acute parenchymal pulmonary infiltrate of pneumonic appearance and no evidence of pneumothorax exists in the apical area. Skeletal structure of the thorax demonstrate a moderate degree of demineralization of the vertebral bodies in the thoracic spine with some moderate degree of degenerative changes, but no conclusive evidence of local skeletal destruction.
<unk>-year-old male patient with lytic thoracic spine lesions, concerning for metastatic disease or multiple myeloma, evaluate for lung cancer.
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As compared to the previous radiograph, there is no relevant change. The size of the cardiac silhouette has mildly increased. No pulmonary edema. No lung mass or lung nodules. No hilar or mediastinal abnormalities. Borderline size of the cardiac silhouette.
smoking history, back pain, questionable lung mass.
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Right chest wall port-a-cath ends in the right atrium. Cardiomediastinal silhouette is normal. Streaky scarring in the right middle and left upper lobe is again seen. There are extensive expansile lytic rib lesions on the right greater than left consistent with healed rib fractures. Compression deformities of multiple vertebral bodies are grossly unchanged. No definite acute left-sided displaced rib fracture is seen. Diffuse lytic lesions consistent with known multiple myeloma are present.
<unk> year old man with multiple myeloma, left rib pain.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with sob, dec bs pls eval ptx // history: <unk>m with sob, dec bs pls eval ptx
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The cardiac, mediastinal and hilar contours appear stable. Streaky opacities at each lung base suggest minor atelectasis or scarring. The chest appears hyperinflated. Irregular pulmonary architecture is suggestive of underlying obstructive pulmonary disease. There are no pleural effusions or pneumothorax.
shortness of breath.
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable. No free air below the diaphragm.
<unk>-year-old female with epigastric pain.
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Normal mediastinal and hilar contours. Mild cardiomegaly with normal pulmonary vasculature. Clear lungs without interstitial edema or pleural effusion.
<unk>-year-old woman with chest pain. concern for mediastinal or pulmonary process.
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Lungs are fully expanded and clear. Pectus deformity is noted. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
<unk> year old woman with recent pneumonia ?lul // have infiltrates resolved (initial film not available)
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Pa and lateral views of the chest are compared to previous exam from <unk>. Linear opacities at the lung bases suggestive of atelectasis versus scarring, not significantly changed from prior. The lungs superiorly are clear. There is no pleural effusion. Cardiomediastinal silhouette is normal, unchanged from prior. Osseous and soft tissue structures are unremarkable. Surgical clips in the upper abdomen suggest prior cholecystectomy.
<unk>-year-old female with syncope x<num>. history of endocarditis. question heart size.
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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 cough, sob // ?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.
history: <unk>f with concern for seizure // eval for pna
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Pa and lateral chest radiograph demonstrates no focal consolidation convincing for pneumonia. Lungs are clear bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Visualized osseous structures demonstrates no acute abnormality.
<unk>-year-old female with cough.
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Frontal and lateral views of the chest were obtained. Low lung volumes results in bronchovascular crowding. There is no focal consolidation, pleural effusion or pneumothorax. A calcified granuloma in the right middle lobe is again seen. Heart size is top-normal, unchanged. Mediastinal silhouette and hilar contours are normal. Rightward tracheal deviation is due to left goiter. Cholecystectomy clips are seen in the right upper quadrant.
fever and chest tightness.
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable. The aorta remains calcified and tortuous.
history: <unk>f with left ear pain, possible unsteady gait // eval for infection
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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 adrenal crisis and hypoglycemia
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As compared to the previous radiograph, there is a newly appeared minimal atelectasis at the right lung base. In unchanged manner, an area of minimal scarring is seen at the lower aspect of the right hilus. No circumscribed parenchymal opacity that would suggest pneumonia. No pleural effusions. Unchanged normal size of the cardiac silhouette with moderate tortuosity of the thoracic aorta. Normal hilar and mediastinal contours.
hypercalcemia, leukocytosis, evaluation for interval change.
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Lung volumes are persistently low. Heart size remains mildly enlarged. Mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. Patchy opacities in the left lung base likely reflect atelectasis. Right lung is clear. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities detected.
history: <unk>f with chest pain // previous film is inadequate, please obtain an adequate inspiratory film, ? edema, infiltrate
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The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>m with chronic asthma, p/w episode of coughing where there was trace hemoptysis. // please assess for lung mass or signs of tuberculosis.
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The heart remains enlarged. Mild interstitial pulmonary edema has slightly worsened. Opacification at the left base is unchanged and may reflect atelectasis, aspiration or pneumonia. There is no pneumothorax. As before median sternotomy wires are intact. Surgical clips project in the right axilla. Aortic valve replacement is seen. Again there is compression deformity with vertebra plana involving the mid thoracic spine.
history: <unk>f with hypoxia // eval for pna, effusions
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Lung volumes are relatively low. Increased interstitial markings are seen in the lungs particularly in the right upper lung. Surgical chain sutures and clips project just lateral to the right hilum. Right-sided volume loss is noted with rightward tracheal deviation. There is no focal consolidation. Blunting of the posterior costophrenic angles could be due to small effusions or pleural thickening. Cardiac silhouette is mildly enlarged. Tortuosity with atherosclerotic calcifications seen in the thoracic aorta.
<unk>f with abd pain, ruq tenderness, fatigue, fever // pna? cholecystitis?
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Frontal and lateral chest radiographdemonstrates well expanded and clear lungs. Small right apical pneumothorax is present. No pleural effusion or left pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.
chest pain. assess for pneumonia or pneumothorax.
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Pa frontal and lateral views of the chest were obtained. These demonstrate subtle opacity of the medial basal segment of the right lower lobe which may suggest early pneumonia. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Visualized osseous structures are without acute abnormality. The visualized portions of the abdomen are unremarkable.
<unk>-year-old male with fever. eevaluate for pneumonia.
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As compared to the prior exam, lung volumes are lower. There are increased interstitial markings which could indicate a degree of superimposed edema over known pulmonary fibrosis but the appearance is not specific. More patchy opacification at the left base could represent developing infection. Known right upper lobe pulmonary nodules are better seen by ct. No significant pleural effusion is seen. No pneumothorax is present. The heart size is within normal limits. There is tortuosity of the aorta. The patient is status post median sternotomy and cabg. A ventriculoperitoneal shunt is partially imaged with the shunt coursing along the right neck and coursing to the right and appears to terminate in the upper chest. This is similar to the immediate prior examination; however, on the examination of <unk>, the shunt continued along the midline anterior to chest and entered the abdomen. Degenerative changes with apparent resorption of the left distal clavicle and widening of the acromioclavicular interval appear similar.
known pulmonary fibrosis, presenting for coarse breath sounds and tachycardia.
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There is bilateral apical scarring, left greater than right. There is no pulmonary edema, pleural effusion or pneumothorax. There is mild cardiomegaly and calcification of the aortic knob. There are multiple wedge compression deformities in the mid thoracic spine as well as evidence of prior vertebroplasties. No rib fractures identified.
<unk>-year-old woman status post fall. evaluate for rib fractures.
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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. Specifically, no displaced rib fractures are seen. No free air below the right hemidiaphragm is seen.
<unk>m with trauma from jet ski accident // r/o rib fx's r/o ptx
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Elevation of the right hemidiaphragm is re- demonstrated, with the previously noted subpulmonic pleural effusion decreased in size. Previously seen small left pleural effusion appears resolved. Cardiac, mediastinal and hilar contours are unchanged. Right picc has been removed. Streaky bibasilar airspace opacities are relatively unchanged. There is no new focal consolidation, pulmonary edema or pneumothorax identified. Biliary stents are again seen within the right upper quadrant of the abdomen.
fever to <num>.
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Ap upright and lateral views of the chest provided. The heart appears mildly enlarged with curvilinear coarse calcification projecting over the left heart compatible with mitral annular calcification. The lungs are clear bilaterally without focal consolidation, large effusion or pneumothorax. Mediastinal silhouette is unremarkable. Bony structures appear intact.
<unk>f with <unk> swelling, sob // chf?
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In comparison with the study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, pleural effusion, or pneumothorax.
costal margin pain.
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Heart size is normal. The aorta is tortuous. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous abnormalities detected.
history: <unk>m with fevers/chills, cough and chest pain // please eval 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. Hilar contours are stable.
history: <unk>f with chest pain // eval infiltrate
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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 cough, dyspnea, chest pain, syncope // 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.
history: <unk>m with chest pain
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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with seizure, altered mental status // eval for acute process
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Frontal and lateral views of the chest. There is no pleural effusion, pneumothorax or focal airspace consolidation. Slight obscuration of the cardiac apex is unchanged. Bilateral nipple shadows are noted. The heart size is normal. A small amount of calcification is noted within the aortic arch. The hilar structures are unremarkable. Biapical pleural thickening is unchanged from <unk>.
shortness of breath and right arm pain. evaluate for an infectious process.
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There is no focal consolidation concerning for pneumonia. There is no pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. The heart size is top normal.
<unk> year old woman with asthma exacerbation // eval for consolidation
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. Opacity adjacent to the right heart border corresponds to a prominent mediastinal fat pad.
history: <unk>f with chest pain // ?pna, ptx
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Cardiac silhouette size is normal. Mediastinal hilar contours are unremarkable. Pulmonary vasculature is normal. There is no focal consolidation, pleural effusion or pneumothorax. Minimal atelectasis is seen in the right lung base. Multilevel moderate degenerative changes are seen in the thoracic spine.
history: <unk>f with hypertensive urgency and chest pain
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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. The lungs are clear.
history: <unk>m with dka // eval for pneumonia eval for pneumonia <unk>-year-old male with dka, evaluate for pneumonia.
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Better delineated on recent ct scan is a left hilar mass compatible with patient's known malignancy with complete left lower lobe collapse is again seen. Scattered opacity in the aerated left upper lobe are compatible with opacity seen on recent ct. The right lung is grossly clear. Mediastinal shift to the left is as seen on prior. Left chest wall dual lead pacing device and right port-a-cath are again seen. Widespread metastatic disease is better seen on prior ct scan.
<unk>m with lung ca // cough
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Chest, pa and lateral. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
abdominal and chest pain.
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Pa and lateral views of the chest provided. Surgical clips are noted in the right upper quadrant. There is a tiny residual right pleural effusion with mild basilar atelectasis. No convincing evidence for pneumonia. The lungs are hyperinflated and lucent. The cardiomediastinal silhouette appears stable. The imaged bony structures are intact. Chronic right rib deformities are again noted.
<unk> year old woman with sob, coughing, and dysphagia
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Pa and lateral chest radiographs were obtained. The lungs are well expanded. There is no focal consolidation, effusion, or pneumothorax. A right upper lobe granuloma is stable. Mild cardiomegaly is similar. Dual-chamber pacing leads are in unchanged positions. Multi level thoracic spine osteophytes are stable.
palpitations.
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The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. Chain suture material along the left mediastinum is consistent with prior left lobectomy. A soft tissue density in the right upper lobe with a fiducial marker in place is consistent with known malignancy, not definitely changed since the most recent prior chest radiograph. Increased interstitial markings and background emphysematous changes are again noted. There is no new focal consolidation. Sclerotic lesions in the left glenoid and humerus are again seen, not completely evaluated on the current study.
chest pain.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with syncopal episode while visiting pt in hospital // eval ? effusion, edema cardiomegaly
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Low lung volumes are noted. Linear opacity on the lateral view anteriorly is likely secondary to atelectasis. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities, old healed anterior right rib fractures are suspected.
<unk>m with confusion // ? pna
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Pa and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is normal. No acute osseous abnormality identified.
<unk>-year-old female with chest pain.
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Pa and lateral views of the chest. Lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is detected.
<unk>-year-old male with atypical chest pain for one day.
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Frontal and lateral chest radiographs demonstrate low lung volumes which result in vascular crowding, but there is no focal consolidation. The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax.
fever and cough.
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Heart size is normal. The aorta is unfolded. The mediastinal and hilar contours are otherwise unremarkable. The pulmonary vascularity is normal. There is eventration of the right hemidiaphragm. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
chest pain.
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Decreased fluid within the right major fissure. Inferior displacement of the right major fissure with slight obscuration of the middle portion of the right hemidiaphragm suggest right lower lobe atelectasis. No good evidence of pneumonia, but chest ct is more sensitive for the detection of early pneumonia. Normal cardiomediastinal and hilar contours.
<unk>-year-old man with a history of mds and chf, now with shortness of breath. evaluate for pneumonia.
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Frontal and lateral views of the chest. The lungs remain clear. Cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.
<unk>-year-old female with cough and fever. body aches.
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The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No displaced fractures identified.
<unk>f s/p assault, right facial trauma, right lower chest pain // ?fx
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Frontal lateral radiographs of the chest demonstrate low lung volumes with resulting bronchovascular crowding. The cardiomediastinal and hilar contours are at the patient's approximately baseline. There is slight indistinctness of the hila bilaterally, and some cephalization of the pulmonary vasculature, consistent with mild interstitial edema. There is no pneumothorax, pleural effusion, or focal consolidation. There is a probable fat pad adjacent to the cardiac apex.
abdominal pain shortness of breath. evaluate for pneumonia.
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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, pleural effusion, or consolidation.
<unk> year old man with c/p pmh pneumothorax // c/p pmh pneumo
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Pa and lateral chest radiographs demonstrate bibasilar atelectasis which is likely due to poor inspiration. There is no pleural effusion or pneumothorax. Hyperlucency in the left apex may represent tiny pneumothorax, but can be further evaluated with an expiratory view.
chest pain. evaluation for pneumothorax.
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There is a <num> mm density projecting over the right lung apex also over the right posterior fourth rib which is not seen on prior. The lungs are otherwise clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
<unk>f with chest pain // acute process
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The heart is mild-to-moderately enlarged. The aortic arch is calcified. A streaky right basilar opacity suggests minor atelectasis. There is also streaky left mid lung opacity suggesting minor atelectasis or scarring. The lungs appear otherwise clear. There are no pleural effusions or pneumothorax.
hypertensive urgency.
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The lungs are normally expanded and clear without focal opacity to suggest pneumonia. A left port-a-cath has its tip terminating near the superior cavoatrial junction. Tracheostomy tube terminates approximately <num> cm from the carina. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
tracheostomy, now with green sputum, cough, chills. evaluate for pneumonia.
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As compared to the previous radiograph, there is a <num> mm right apical pneumothorax visible after clamping of the tube. No evidence of tension. The course of the tube is unchanged. Improved lung volumes, likely to reflect improved ventilation, unchanged moderate cardiomegaly without pulmonary edema and fibrotic changes around the right hilus.
right upper lobe pneumothorax with chest tube, the pigtail catheter is now clamped.
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Heart size is normal and unchanged. 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. Again seen is moderate scoliosis of the thoracic spine.
history: <unk>f with luq and epigastric pain, history pancreatitis // ? effusion
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Pa and lateral chest radiographs were provided. There is no focal consolidation or pneumothorax. Linear opacity in the left mid lung zone is likely atelectasis. There are small bilateral pleural effusions and bibasilar atelectasis. There is no evidence of pulmonary edema. The heart is stably enlarged. The patient is status post aortic valve replacement. Median sternotomy wires are intact. Bones are intact.
<unk>-year-old man with distended neck veins and pedal edema, evaluate for effusions or pulmonary edema.
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Chest, pa and lateral, radiographs demonstrate unremarkable mediastinal, hilar, and cardiac contours. The lungs are clear. No pleural effusion or pneumothorax evident. No osseous abnormality present.
nausea, vomiting, and vertigo. please evaluate for pneumonia.
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No significant interval change. No focal consolidation, effusion, pneumothorax, or edema. Streaky opacities in the left lower lung may reflect a small degree of atelectasis. Cardiomediastinal and hilar contours are unchanged. Heart is top-normal in size. Atherosclerotic calcifications in the aortic knob are unchanged. No acute osseous abnormality.
history: <unk>m with liver cirrhosis, confusion // eval for consolidation
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.
<unk> year old woman with several days of productive cough // r/o acute process
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There are new bilateral diffuse opacities, predominantly at the bases. There is obscuration of both the right and the left heart border. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal in size. No fracture is identified. There is no free air below the hemidiaphragms. A right-sided port-a-cath is present with the tip near the atriocaval junction.
fall and rib pain.
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Ap upright and lateral views of the chest provided. Volumes are low limiting assessment. Allowing for this, the lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Chronic left ribcage deformities are noted. No free air below the right hemidiaphragm is seen.
<unk>m with chest pain, dyspnea // acute process?
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. There is lung hyperinflation without focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old female with 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. Surgical clips are seen in the upper abdomen.
history: <unk>f with chest pain, shortness of breath
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There is mild cardiomegaly. There is redemonstration of the diffuse reticular interstitial lung markings which are likely secondary to chronic changes. There is mild pulmonary edema. There is no focal consolidation, pleural effusion or pneumothorax. No definite acute osseous injury identified.
history: <unk>m with unwitnessed fall last night // ? traumatic injury
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Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. Heart size is difficult to assess given obscuration of the right heart border due to a small to moderate size right pleural effusion. The aorta is unfolded. There is no pulmonary edema. Right basilar opacity likely reflective of atelectasis is present. No left-sided pleural effusion is seen. There is no pneumothorax is identified though assessment of the lung apices is somewhat obscured by the patient's chin projecting over this region. There are mild degenerative changes in the thoracic spine.
<unk> year old woman with cough and shortness of breath. // r/o pneumonia