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Chest, ap and lateral. The lungs are hyperinflated. There is nodular opacity in the right upper lobe, unchanged from the prior study. Also, there is a possible pleural contour on the right which may indicate a small right apical pneumothorax. There is increased opacity in the left lower lobe. Thickening of the right paratracheal stripe is unchanged. The heart size is normal and the aorta is unfolded. There is no pleural effusion. Pulmonary vascularity is normal.
dyspnea.
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The lung volumes are very low, but the findings suggest mild-to-moderate cardiomegaly. Within the limitations of technique which include ap view as well as high soft tissue attenuation, the mediastinal and hilar contours are likely within normal range and the lungs show no definite focal opacity. There is no pleural effusion or pneumothorax. Mild degenerative changes are similar along the mid-to-lower thoracic spine.
syncope. question cardiomegaly.
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Interstitial pulmonary edema, worse compared to <unk>. No consolidation to suggest pneumonia. No effusion or pneumothorax. Moderate cardiomegaly, more pronounced compared to <unk>. An gas-filled loop of gut, probably colon, interposed between the liver and the right hemidiaphragm, seen on prior chest radiographs <unk> and <unk> should not be mistaken for pneumoperitoneum.
history: <unk>f with doe and intermittent cp, crackles b/l lung bases // eval for pulm edema
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Density projecting posterior to the medial right clavicle is new since <unk> and more conspicuous as compared to <unk>. Recommend apical lordotic view or chest ct for further assessment. No focal consolidation is seen elsewhere. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Anterior wedging of a lower thoracic vertebral body is stable since the prior study.
history: <unk>f with cough and sob // eval pneumonia
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Pa and lateral views of the chest provided. Bilateral peripherally calcified breast implants are again visualized, creating increased density over the lung bases on the frontal view. There are superimposed multifocal parenchymal opacities in the right lower lobe and suspected parenchymal opacity in the left lower lobe which are new since <unk> and <unk>. Stable appearance of right upper lobe opacity compared to <unk>. No effusion or pneumothorax. Scoliosis and posterior spinal fixation hardware are again visualized.
<unk>f with dyspnea // r/o infiltrate
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There is no evidence of pneumonia. The lungs are clear. The patient has a history of left arm melanoma with wedge resection in the left lung that is unchanged. The mediastinal and cardiac contour is within normal limits. There is no pneumothorax and no pleural effusion.
patient with cough and rhonchi for the last five days. rule out pneumonia.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with shortness of breath
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Pa and lateral views of the chest provided. Compared to prior study from <num> days ago, there is substantially less amount of left pleural effusion. There is no pneumothorax. Linear right lung base opacity is likely reflecting atelectasis. Irregular pleural thickening is again seen on the left lateral costal margin. Rows of surgical sutures in the right upper lobe is indicative of prior right upper lobe wedge resection. Otherwise, there is no evidence of tumor recurrence. Infusion port terminates in the mid-svc.
<unk> year old woman with metastatic breast cancer an malignant pleural effusion status post thoracentesis
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Cardiomediastinal and hilar contours are stable demonstrating mild cardiomegaly. Mitral annular calcifications are noted. Bibasilar opacities, left greater than right are demonstrated and may represent infection or atelectasis. Lower lung volumes on the current exam results in crowding of the bronchovascular markings. The aorta is tortuous and calcified. There is no pneumothorax. There is no pleural effusion. There is marked degenerative change involving the glenohumeral joints bilaterally.
<unk>f with confusion and hallucinations // eval for ich, cva, and pulmonary infiltrate
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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. Right midclavicular deformity could represent prior trauma.
history: <unk>m ckd pt on dialysis presents with flapping tremor and productive cough // ?pna
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Worsening right perihilar opacities may reflect a developing multifocal pneumonia. Multiple lucencies in the right perihilar region may reflect cavitary lesions.mild bilateral pulmonary edema is again noted. Small bilateral pleural effusions may be present. The cardiac and mediastinal silhouettes are unchanged.
<unk> year old woman with chronic aspiration, likely pna or pulm edema on ap cxr // pneumonia
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Heart size is normal. The aorta is tortuous. Pulmonary vascularity is normal. Hilar contours are unremarkable. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
chest pain.
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Lungs are clear. No signs of pneumonia or edema. No large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>-year-old female with cough and right-sided chest pain
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<num> views were obtained of the chest. The lungs are well expanded and are clear. The heart is normal in size with normal mediastinal contours.
fever
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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 male with insulin-dependent diabetes mellitus. evaluate for acute cardiopulmonary process.
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Lung volumes are low. A right-sided chest port is in stable position. In the left lower lobe, a new patchy opacity has developed. Additionally, minimal linear bibasilar atelectasis is also demonstrated there is no pleural effusion or pneumothorax.
history: <unk>m with fever, on chemo // eval for consolidation
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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 displaced rib fracture is seen. No free air below the right hemidiaphragm is seen.
<unk> year old woman with r chest pain s/p mvc days prior.
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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 ckd elevated creatine. evaluate for pneumonia.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with chest pain
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding portable chest examination obtained six hours earlier during the same day. During the latest examination interval, the bilateral chest tubes have been removed. There remains a tiny less than <num> cm wide apical pneumothorax on the right side, but this finding has not increased after the chest tube removal. No evidence of remaining pneumothorax on the left side. The heart size appears unchanged and so is the position of the metallic components of the mitral valve prosthesis. Comparison is also performed with the pre-operative chest examinations of <unk> and <unk>. The remaining heart size similar to what existed before. The pulmonary congestive pattern has clearly improved with less marked distention of the pulmonary vasculature and absence of upper zone re-distribution pattern. Also the pre-operatively existing pleural effusions have diminished whereas the evidence of pericardial calcifications in the lower and anterior area remains unchanged. Persistent tiny right apical pneumothorax after chest tube removal. No other new pulmonary abnormalities are noted. Almost complete disappearance of pleural effusions.
<unk>-year-old male patient, post-operative day <num> post mitral valve replacement, chest tubes removed, evaluate for effusion or pneumothorax.
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Pa and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. The bones are intact. The imaged upper abdomen is unremarkable.
<unk>-year-old man with chest pain. treated for squamous cell carcinoma of the tonsil. question pulmonary disease.
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The heart size is normal. The hilar and mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. There is a small left pleural effusion. There is no evidence of a pneumothorax. The visualized osseous structures are unremarkable. Mild left basilar atelectasis.
history: <unk>f with etoh hepatitis with worseing ascites // *assess pv with dopplers
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The lungs are clear without consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Surgical clips are incidentally noted in the right upper quadrant.
<unk>-year-old female with dry cough since <unk> and shortness of breath
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Pa and lateral views of the chest. No prior. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. There is, however, moderate cardiomegaly. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with valvular dysfunction presenting with shortness of breath.
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Right-sided port-a-cath tip terminates at the junction of the svc and right atrium. Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Subsegmental atelectasis is seen in the right middle lobe. Lungs are otherwise clear. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
history: <unk>m with episodic slurred speech and disorientation
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Lung volumes are low. No focal opacity to suggest pneumonia is seen. A calcified granuloma projecting over the posterior right fifth rib is unchanged. A likely pleural calcification on the left is unchanged. No pneumothorax or pleural effusion is seen. Rib deformity on the right and pleural thickening along the left lateral thorax are unchanged. The heart size is normal. There is tortuosity of the aorta. No displaced fracture is identified.
rib pain. evaluation for evidence of fracture or pneumothorax.
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The cardiac and mediastinal silhouettes appear within normal limits. However, on the lateral view, there is slight loss of the retrosternal clear space, which in a patient of this age may represent a small amount of residual thymic tissue. There are no focal pulmonary opacities, pleural effusions, or evidence of pneumothorax. The osseous structures remarkable.
cough, low-grade fever. evaluate for pneumonia.
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Transvenous right atrial and right ventricular lead pacer leads are contiguous with a left pectoral generator. Aortic valve replacement and median sternotomy wires are again noted.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unchanged.
<unk> year old man with complete heart block after tavr // s/p dual chamber ppm
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There are bibasilar opacities which may be secondary to atelectasis given slightly lower lung volumes. There is no effusion. Superiorly the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>f with confusion on immunosuppression // r/o infiltate
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In comparison with the study of <unk>, there is slightly increased blunting of the right costophrenic angle, which could reflect some increase in pleural effusion. However, the images are difficult to correlate because of the change in patient position between them. Large right upper zone mass is again seen.
thoracentesis, to assess for effusion.
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Frontal and lateral views of the chest were obtained. There is no focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal, noting an aortic "nipple" likely from traversing left superior intercostal vein. Note again made of a round <num>mm radioopaque foreign body projecteing over the neck.
cough, pleuritic chest pain and fever.
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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 elevated white count. flank pan // eval for pna
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Pa and lateral views of the chest provided. Platelike right lower lung atelectasis noted. Otherwise lungs are clear. Small pleural effusions are present. No pneumothorax. No edema. Cardiomediastinal silhouette appears grossly unremarkable. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with livr diseae increase abdominal girth // r/o pna
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top-normal. The aorta knob remains calcified. Mediastinum is not widened. The hilar contours are unremarkable. There is a stable lingula subcentimeter calcified granuloma. No pulmonary edema is seen.
presyncope and shortness of breath.
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The lungs are clear. The cardiomediastinal silhouette is with normal atelectasis. No acute osseous abnormalities.
<unk>m with fever, muscle aches // eval for pna
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There is the right ij catheter with the tip terminating in the mid svc. Heterogeneous right upper lobe parenchymal consolidation is unchanged. The moderate left pleural effusion and atelectasis is unchanged. Heart size is normal. The mediastinal and hilar contours are normal. No pneumothorax is seen. There is cervical stabilization hardware, which appears unchanged in comparison to the prior chest radiographs.
<unk>f w/nash cirrhosis and l hepatic hydrothorax // evaluate for interval change in hydrothorax
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Low lung volumes limits evaluation. Bronchovascular crowding noted at the lung bases which slightly less since with an improved inspiration. Allowing for study limitations, there is no convincing evidence for pneumonia, edema, effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable. Bony structures appear intact.
<unk>m with altered mental status, ? sepsis // ? pneumonia.
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The compared to chest radiograph dated <unk>, there continues to be a moderate size right apical lateral pneumothorax which is unchanged in size. No evidence of tension. New mild right lower lobe atelectasis. There is persistent pneumoperitoneum mildly improved. The left lung is well expanded and clear with no new focal consolidations. Small layering bilateral pleural effusions are unchanged. The cardiomediastinal and hilar contours are stable in appearance. A right central line is seen terminating in the superior vena cava.
<unk>-year-old male with pneumothorax.
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The exam is limited secondary to body habitus, especially the lateral view where there is increased density projecting over the spine likely due to superimposed soft tissues. The lungs are grossly clear, the better assessed on the frontal view. Cardiomegaly is unchanged.
<unk>f with dyspnea // eval for pna/cardiopulmonary process
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There are small bilateral pleural effusions with overlying atelectasis. There is interval development of diffuse increase in interstitial markings bilaterally and prominence of the hila suggesting fluid overload, new since the prior study earlier today. The cardiac and mediastinal silhouettes are stable. A large bore catheter from an inferior approach is again seen unchanged in position terminating at the inferior cavoatrial junction/right atrium.
confusion.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
intermittent cough and dyspnea. evaluate for hyperinflation or consolidation.
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Left base opacity has increased, which most likely represents combination of pleural effusion and atelectasis, although underlying consolidation is not excluded. There are low lung volumes and increased perihilar interstitial markings suggesting mild pulmonary edema. No right pleural effusion is seen. There is no evidence of pneumothorax. The cardiac silhouette remains top-normal to mildly enlarged with evidence of left atrial enlargement. The patient is status post median sternotomy and cabg.
history: <unk>f with weakness and cough // r/o acute infectious process
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Right-sided port-a-cath tip terminates in the mid svc. Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Lungs are without focal consolidation. Patchy atelectasis is noted in the lung bases. Tiny bilateral pleural effusions appear unchanged. No pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with atrial fibrillation with rapid ventricular rate.
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Pa and lateral chest views were obtained with patient in upright position. The heart size is normal. No typical configurational abnormality is seen. Thoracic aorta and mediastinal structures are unremarkable. The pulmonary vasculature is not congested. On the right lung base, there is a parenchymal density occupying the cardiophrenic angle on the frontal view and projecting into the medial lower segment of the right middle lobe. An additional local parenchymal infiltrate is seen on the left base partially in retrocardiac position and located in the posterior segment of the left lower lobe on the lateral view. Pleural spaces are free and thus no evidence of pleural effusion. No pneumothorax in the apical area. When comparison is made with the next preceding chest examination of <unk>, the patient had, at that time, small peripheral parenchymal infiltrates on the left base. The now diagnosed pneumonic infiltrate in the right middle lobe did not exist and the parenchymal densities on the left base are larger than they were at that time.
<unk>-year-old female patient with myeloma, persistent cough, assess for abnormalities.
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The right subclavian central venous catheter tip terminates in the proximal right atrium. Lung volumes are low. The cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. There is persistent elevation of right hemidiaphragm with adjacent right basilar atelectasis. No new areas of focal consolidation, pleural effusion or pneumothorax is identified. There is no pulmonary vascular congestion. Residual barium oral contrast material is noted in the left colon.
primary sclerosing cholangitis.
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Pa and lateral views of the chest provided. Overlying ekg leads are present. The heart appears top-normal in size. There is no focal consolidation, effusion, or pneumothorax. The mediastinal contour is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with r facial/arm numbness // eval fro acute process
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Frontal and lateral chest radiographs demonstrate interval removal of right internal jugular line. There is no pneumothorax. There has been additional removal of feeding tube. When compared to prior radiograph dated <unk>, there has been resolution of pulmonary edema as evidenced by decreased interstitial edema. While the right pleural effusion has decreased, a left sided pleural effusion persists and is slightly larger. A left lower lobe opacity is most likely atelectasis. The cardiomediastinal silhouette has a normal postoperative appearance. Sternotomy wires are intact.
<unk>-year-old female status post aortic valve repair. evaluate for pleural effusions.
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>m with chest pain. r/o acute process.
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The lungs are mildly hyperinflated with no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is normal.
history: <unk>f with chest pain. evaluate for acute cardiopulmonary process.
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. The hilar contours are stable.
trauma and cough/fever.
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Bilateral low lung volumes. Convexity of the upper right mediastinal contour suggest dilatation or tortuosity of the ascending aorta. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk> year old man with dry cough. // any pulmonary cause of dry cough.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with chest pain for the past six hours, mid-sternal radiation to both scapula
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Moderate left and small right pleural effusions are comparable to volumes on the cta <unk> for, certainly no bigger. Upper lungs are clear. Left hilus is mildly enlarged, right is not. Heart size normal. There is no distention of mediastinal veins to suggest and increased central venous pressure.
<unk>-year-old with bilateral pulmonary emboli and left pleural effusion.
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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.
<unk>f with night sweats for <unk> <unk>, fever last night // pna, mass
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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal. A left internal jugular approach port-a-cath terminates at the expected location of the superior cavoatrial junction. Patient is status-post right mastectomy. Right axillary surgical clips are again noted.
<unk>f with cough, shortness of breathe // r/o infection
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The lungs demonstrate bilateral perihilar bronhcial cuffing, consistent with mild pulmonary edema. There is no evidence of pleural effusion, or pneumothorax. The cardiac size is normal. Aortic arch calcifications are again seen. No evidence of pneumonia is present.
<unk>-year-old female with epigastric pain. evaluation for hernia or free air.
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A picc line terminates in the uppermost portion of the right atrium. There is a nasogastric tube that terminates within the stomach. Bilateral pleural effusions are again present, greater on the left than right; moderate on the left and small to moderate on the right. Otherwise, the lungs appear clear. There is no evidence for free air. The lungs appear clear. The heart is normal in size. The mediastinal and hilar contours are unremarkable.
cirrhosis and multiple recent hospitalizations. question free air.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>m with chest pain. evaluate for cardiomegaly or effusion.
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is essentially normal. The cardiac silhouette is top normal in size. The mediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
nonproductive cough and night sweats.
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Pa and lateral views of the chest provided. Diffuse pulmonary ground-glass opacity is consistent with pulmonary edema. Also noted is a right pleural effusion, moderate in size. Heart appears mildly prominent though difficult to assess. Bony structures are intact. On this upright film, no free air seen below the right hemidiaphragm.
<unk>m with dka, abd tenderness rlq>ruq
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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.
<unk> year old woman with +quanterferon tb gold from <unk> // evidence of pulmonary tb
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Frontal and lateral views of the chest. The lung volumes are low, resulting in crowding of the bronchovascular structures. There is no pleural effusion, pneumothorax or focal airspace consolidation. The heart is mildly enlarged. There is prominence of the pulmonary arteries, which is stable. Calcifications are again seen within the aortic arch.
chest pain, rule out a cardiopulmonary etiology.
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Pa and lateral chest radiographs were obtained. A hazy left basilar opacity blurs the left heart border on the frontal projection. There is no clear correlate on the lateral view, but potentially in the retrocardiac clear space. Tiny the left costophrenic angle is blunted by a small pleural effusion. Heart size is normal. Aortic arch calcifications and tortuosity are mild. There is no pneumothorax or displaced rib fracture.
syncope.
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Pa and lateral chest radiographs. There is no focal consolidation, pleural effusion, or pneumothorax. The heart size is top normal. There is no pulmonary vascular congestion or evidence of edema.
history: <unk>m with chest pain // eval for pna
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The heart size is normal. There is elevation of the hila likely secondary to scarring from prior radiation. Both apical pleural margins are severely thickened, right greater than left. There is a subtle increase in opacity in the retrocardiac region. There is no large pleural effusion or pneumothorax. The tracheostomy tube projects appropriately over the midline on the frontal view, however evaluation is limited on the lateral view.
history of dyspnea, chronic tracheostomy. please evaluate for trach placement.
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Heart size is mildly enlarged with unfolding of the thoracic aorta. Hilar contours are unremarkable. There is no pulmonary edema. Lateral view is somewhat limited by respiratory motion. Lungs are grossly clear. Pleural surfaces are clear without effusion pneumothorax.
history of chf with worsening dyspnea on exertion and productive cough.
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. Pulmonary interstitial markings are mildly but diffusely increased. No focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old female with cough.
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Since <unk>, lingular pneumonia is not changed, which may be due to superimposed fibrosis or prominent vasculature. The lungs are otherwise clear with normal volumes. The cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. No pneumothorax or pleural effusion. No new focal consolidations are appreciated.
<unk> year old woman with recent lingular pneumonia // pneumonia
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In comparison with the study of <unk>, the patient has taken a much better inspiration. The cardiac silhouette is within upper limits of normal in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia.
siadh and cough.
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Lungs are well expanded and clear bilaterally with no areas of focal consolidation, masses, lesions, pleural effusion or evidence of pneumothorax. The cardiomediastinal silhouette is within normal limits. Pleural surfaces are unremarkable. There is a wedge-shaped deformity in an upper lumbar vertebra of unknown chronicity.
<unk>-year-old female with cough, pleuritic chest pain and crackles in left lower lobe. history of tricuspid regurgitation.
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The patient is status post median sternotomy and cabg as well as aortic valve replacement. Heart size is mildly enlarged. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Remote bilateral rib fractures are re- demonstrated. Ossification of the anterior longitudinal ligament is re- demonstrated.
history: <unk>m with h/o of copd, chf w/ <num>d h/o of abdominal pain, diarrhea
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Frontal and lateral views of the chest. There is linear right mid-to-lower lung opacity most likely due to atelectasis versus scarring. Elsewhere, lungs are clear without consolidation or pulmonary vascular congestion. Mild blunting of the posterior costophrenic angles may be due to trace effusions or atelectasis. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with palpitations.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of focal consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Postoperative changes with median sternotomy wires and mediastinal clips are again noted. Osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old male with chest pain.
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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 confusion // rule out source of infection
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The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with cheset pain // ? ptx, effusion
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Frontal and lateral radiographs of the chest, when compared to the prior radiograph, demonstrate bilateral pleural effusions, left greater than right. The left subclavian catheter terminates in the mid portion of the svc. The lungs are otherwise clear. Cardiac and mediastinal contours are normal. No pneumothorax is seen.
metastatic breast cancer with new shortness of breath and decreased breath sounds at the left mid and lower lung zones. evaluate for pleural effusion.
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The lungs are hypoinflated but appear grossly clear without evidence of focal consolidation. There is no pulmonary edema, pneumothorax, or pleural effusion. The cardiomediastinal silhouette hilar contours are normal appear
history: <unk>f with sob // eval for ptx
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.
<unk>-year-old male with difficulty breathing.
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Mild enlargement of the cardiomediastinal silhouette is stable. There is mild prominence of the main pulmonary artery which may relate to pulmonary hypertension. Left a streaky opacity may represent atelectasis/scarring, in the appropriate clinical setting, a developing consolidation is not excluded. No pleural effusion or pneumothorax is seen. There has been interval removal of a left-sided picc.
cough.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lung volumes are normal, and there is no focal consolidation concerning for pneumonia. Healed rib fractures of left posterolateral ribs <num> through <num> are noted.
<unk>m with doe // ro pna effusion
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Cardiomediastinal silhouette is normal. The lungs are fully expanded and clear. There is no pneumothorax or pleural effusion.
<unk>f with myalgia and chest pain, evaluate for pneumonia.
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Ap and lateral chest radiographs were obtained. The medial left hemidiaphragm is obscured by left lower lobe atelectasis. There is no consolidation, effusion or pneumothorax. Moderate-to-severe cardiomegaly is stable.
right upper quadrant pain and cough.
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As compared to the previous radiograph, there are minimal effusions, left more than right, restricted to the areas of the costophrenic sinus on both the frontal and the lateral image. Otherwise, the radiograph is also unchanged. Mild cardiomegaly with massive known dilatation of the left and right pulmonary arteries, indicative of pulmonary hypertension. Minimal tortuosity of the thoracic aorta. Moderate flattening of the hemidiaphragms, apparent on the lateral radiograph only.
recurrent effusions, status post thoracocentesis, questionable recurrence.
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There is no displaced rib fracture, suspicious mass, focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. If there is high clinical suspicion for an anterior rib lesion, dedicated obliqued rib view radiographs are recommended.
<unk> year old woman with hx right breast cancer. new (x <num> week) left pleuritic chest pain and sore to touch left anterior ribs just below the breast
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Pa and lateral views of chest. Median sternotomy wires and mediastinal clips are unchanged. Moderate cardiomegaly is unchanged. No focal consolidation, pleural effusion, or pneumothorax is identified. The mediastinal and hilar contours are normal.
shortness of breath, evaluate for pneumonia or chf.
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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 and anxiety // pneumothorax?
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Frontal and lateral chest radiographs were obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
patient with persistent hoarseness and history of smoking, evaluate etiology of hoarseness.
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Pa and lateral radiographs of the chest were taken. Mild cardiomegaly and left basilar atelectasis/scarring are unchanged finding. There is minimal pulmonary vascular engorgement without frank interstitial edema. There is a faint opacity projecting over the right hemidiaphragm. There is no pneumothorax or pleural effusion. The location of colon immediately beneath the left hemidiaphragm suggests asplenia.
<unk>-year-old man with sickle cell disease and chest pain. evaluate for acute chest syndrome.
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Pa and lateral views of the chest. No prior. There are diffusely increased interstitial markings throughout the lungs, slightly more prominent at the left upper lung laterally. There is no large confluent consolidation nor effusion. Cardiomediastinal silhouette is within normal limits. Coronary artery stents are noted. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with cough and shortness of breath.
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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 no free air below the hemidiaphragms.
nausea and vomiting. evaluate for pneumonia.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>f with cough, sob. evaluate for pneumonia
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The left lower lobe opacification is overall unchanged compared to <unk>. Based on the chronicity, pneumonia is unlikely. The lungs are otherwise clear. No pleural effusions. No pneumothorax. The cardiomediastinal silhouette is unchanged. The sternotomy wires are intact without evidence of dehiscence.
<unk> year old man with cough, sputum // is there lll pneumonia
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The cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. No focal consolidation or pleural effusion is seen. There is no pneumothorax. No acute osseous abnormalities are visualized.
shortness of breath and cough.
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Focal scarring and volume loss at right lung base is unchanged, consistent with sequela of previous surgery for lung cancer. No new opacity concerning for pneumonia is identified. There is right lateral costophrenic sulcus blunting, likely secondary to pleural thickening with possible small component of pleural fluid. Cardiomediastinal and hilar silhouette are normal size.
r/o pna <unk> year old man with hx rt lung ca, resection, recnet pna <unk>, now with increased sputum, chills, sob. rhonchi, few crackles at left base, o/w fairly clear // r/o pna
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Widening of the mediastinum, particularly the right mediastinal contour is due to a large infiltrative mediastinal mass, better assessed on the prior ct performed the same day. A right apical mass is also demonstrated. A large right pleural effusion with right basilar opacity compatible with atelectasis is again seen. Small left pleural effusion is noted. There is mild prominence of the interstitial markings within the left lung which could suggest mild volume overload. No pneumothorax is identified. Heart size is difficult to assess given the presence of the large right pleural effusion. Numerous compression deformities are seen within the imaged thoracolumbar spine, better assessed on the ct. Remote right-sided rib fractures are present.
history: <unk>f with right-sided effusion and mass.
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Frontal and lateral chest radiographs demonstrate relatively well-aerated lungs than a normal cardiomediastinal silhouette. There is mildly increased opacity in the right cardiophrenic angle, somewhat obscuring the right heart border. There is no appreciable pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for consolidation in an <unk>-year-old woman with bronchiectasis, presenting with productive cough and mid lobar crackles left greater than right.
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The lungs remain hyperinflated. Bibasilar atelectasis is seen. No definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
<unk>m with two episodes of severe total body pain and upper back pain // <unk>m with two episodes of severe total body pain and upper back pain
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Pa and lateral chest radiographs were provided. There is patchy opacity in the right upper lobe consistent with pneumonia. The remainder of the lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The bones are unremarkable.
<unk>-year-old woman with fever and chills for several days and nonproductive cough. question pneumonia.
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Consolidative opacity in the right mid lung extends toward the pleural surface. The left lung is clear. No pleural effusion or pneumothorax. The cardiomediastinal silhouette appears normal.
<unk>m with recent pneumonia dx <num> days ago at outside hospital now with worsening cough and fever. // pneumonia?
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Previously seen left upper lobe and lingular consolidations have resolved in the interval. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are grossly stable.
history: <unk>m with hx of htn presented with headache //