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Cardiac, mediastinal and hilar contours are unchanged with the heart size within normal limits. Atherosclerotic calcifications are demonstrated at the aortic knob. Pulmonary vasculature is not engorged. The lungs are hyperinflated but clear. No pleural effusion or pneumothorax is present. Multilevel mild to moderate degenerative changes are seen in the thoracic spine.
history: <unk>m with syncopal event on standing at church
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Lung volumes are lower on the current exam with secondary bibasilar opacities which are likely atelectasis. Superiorly, lungs are clear. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>m with ams, falls // eval for acute process
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Biapical pleuro-parenchymal scarring is present.
<unk>-year-old male with chest pain. evaluate for widened mediastinum or pneumothorax.
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The cardiac, mediastinal and hilar contours appear unchanged. Again seen is a large hiatal hernia. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
right flank pain.
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Left-sided atelectasis and pleural effusion are noted. There is a new opacity obscuring the left heart border which is likely a new pneumonia. The cardiac and mediastinal contours are unchanged.
<unk>-year-old man status post left lower lobe, evaluate interval change.
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There is minimal bilateral lower lung scarring/atelectasis. The lungs are otherwise clear. The heart is normal in size. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
fatigue with unintentional weight loss of <num> pounds. evaluate for evidence of intrathoracic mass.
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact.
cough, pain with cough, fever, evaluate for pneumonia.
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Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
<unk>f with palpatations earlier today, hx of dmii // eval for cardiac
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Since the prior radiograph of <unk>, there has been interval improvement in pulmonary vascular congestion, as are the with stable moderate cardiomegaly. No evidence for pneumonia. No pleural effusion or pneumothorax.
<unk>f with hx chf, mca stroke and aphasia, dyspnea and hypoxia, left wrist pain, lue swelling // r/o chf/pneumonia,
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A hemodialysis catheter ends in the right atrium, and is unchanged in position. Again seen is opacification involving the left lung base, which represents a small to moderate pleural effusion and associated compressive atelectasis, unchanged since <unk>. Since prior, there has been increased opacification at the right lung base, likely representing atelectasis. There is no pneumothorax. A right-sided scoliosis is again noted. Calcifications are noted within a tortuous aorta.
<unk>-year-old man with tremors, concern for infectious cause, evaluate for pneumonia.
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The lungs are hyperinflated with linear streaky opacities at the lung bases, likely representing atelectasis.heart size is moderately enlarged but stable. Aortic and tricuspid valve prostheses are in unchanged location. Moderate calcification of the aortic knob is again noted. No focal consolidation concerning for pneumonia. No evidence of pulmonary edema, pleural effusion, or pneumothorax. Median sternal wires are intact.
history: <unk>m with shortness of breath and melena. history of tricuspid and aortic valve replacement. evaluate for chf versus pneumonia.
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The tip of the left picc terminates within the axillary vein. The right apex is obscured secondary to patient's chin. No focal consolidations identified. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax.
<unk>f with picc line, assess picc line placement
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cough, sob // eval for pna
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Frontal and lateral chest radiographs demonstrate low lung volumes with blunting of the costophrenic sulci, showing small effusions. The heart size is normal. The cardiac, hilar, and mediastinal contours are unremarkable. There is no pneumothorax.
confusion. history of liver failure. evaluation for acute intrathoracic process.
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There is a moderate left pleural effusion with overlying atelectasis, underlying consolidation is not excluded. The right lung is clear. No right pleural effusion is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with l parasternal cp // eval for interval progression in pna
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Re- demonstrated linear opacity extending laterally from the left hilum, most consistent with atelectasis and/or scarring. Patchy left base opacity has improved in the interval with small residua remaining. The right lung base also appears improved. Subtle reticular nodular opacities in the right mid lung, right perihilar region again seen, possibly related to small airways disease. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable and unremarkable. Prominence of the left hilum persists which could relate to underlying lymphadenopathy.
history: <unk>f with dyspnea // eval for pna
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As compared to prior chest radiograph from <unk>, lung volumes are decreased. There are diffusely prominent interstitial markings which likely reflect diffuse pulmonary edema, infection less likely. There are small bilateral pleural effusions. The cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax.
recent knee surgery, fever. evaluate for infiltrate.
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No focal consolidation, pleural effusion, or pneumothorax is seen. Heart and mediastinal contours are within normal limits.
<unk>-year-old female with chest pain.
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The cardiomediastinal silhouette is stable. There is minimal bibasilar atelectasis. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Subtle right paratracheal opacity is likely due to overlapping structures and is stable since at least <unk>.
productive cough.
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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 weakness and near syncope and cervical spine tenderness to palpation after falling <unk>
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There is a persistent right mid lung masslike opacity, slightly decreased in extent when compared to the prior study. There is a small left and moderate right pleural effusion, increased opacity at the right lung base likely reflects a combination of pleural fluid and a atelectasis. Left lung appears grossly clear. No pneumothorax seen. The cardiomediastinal contour is unchanged with persistent cardiomegaly and calcification of the mitral valve annulus.
<unk> year old man with pna, pleural effusion // please evaluate pna, ?reaccumulationg of pleural effusion
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Ap upright and lateral views of the chest provided. The heart is moderately enlarged. There is no focal consolidation concerning for pneumonia. No signs of congestion or edema. No large effusion or pneumothorax. The mediastinal contour is unchanged. Bony structures are intact. Degenerative changes at the shoulders with high-riding humeral heads noted.
<unk>f with ams //
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The heart is normal in size. The mediastinal and hilar contours appear unchanged. There is a shifting pattern of opacification at the right lung base with an overall increase, while a left basilar opacity has mostly cleared. There is no definite pleural effusion or pneumothorax. A healed right posterolateral seventh rib fracture appears unchanged.
fever and lightheadedness.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There are small suspect bilateral pleural effusions, both subpulmonic. Associated patchy atelectasis is noted posteriorly on the lateral view but otherwise, the lungs appear clear. The bones appear demineralized.
fever and back 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.
<unk>m with chest pain, sister with a history of chronic pericarditis // <unk>m with chest pain, sister with a history of chronic pericarditis
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The heart size is mildly enlarged but unchanged. The thoracic aorta is diffusely calcified. The mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. Blunting of the posterior left costophrenic angle on the lateral view suggests a trace left pleural effusion versus pleural thickening. No pneumothorax is demonstrated. No acute osseous abnormality seen. Remote left sided rib fractures are noted.
syncopal episodes.
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with weakness // eval pna
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Frontal and lateral views of the chest. Scarring is identified at the left more so than right lung base is with prominent extrapleural fat on the left, similar to prior. Lung volumes are relatively low but clear of focal consolidation or effusion. Cardiomediastinal silhouette is unchanged noting a tortuous descending thoracic aorta. Numerous clips project over the left hemithorax and neck, similar to prior. No acute osseous abnormalities detected.
<unk>-year-old male with chest pain radiating to the jaw. question pneumonia.
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
neutropenic fever, to assess for pneumonia.
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The cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is within normal limits. There is minimal atelectasis at the lung bases. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. No subdiaphragmatic free air is present.
abdominal pain.
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There is no evidence of pulmonary edema or pleural effusions. Lung volumes are low causing areas of focal atelectasis such as of the right middle and lower lobe. The right lower lobe atelectasis on the frontal radiograph appears slightly nodular. There is no evidence of pneumonia. Cardiomediastinal sillouette is normal.
shortness of breath. question 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.
<unk> year old woman with past medical history of anxiety and hashimoto's presenting with chest pain
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A hazy opacification is present in the right middle lobe obscuring the right heart border consistent with a pneumonia. There is no pulmonary edema, pleural effusion, or pneumothorax. The size of the cardiac silhouette is at the upper limits of normal. Sternal wires are intact.
cough for three weeks. evaluate for pneumonia.
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Similar to multiple prior exams, lung volumes are profoundly diminished. Hazy opacity at both lung bases is likely atelectasis. A large bore dual-lumen dialysis catheter is again noted in a stable course and position from a right subclavian approach. Mild aortic tortuosity is again noted. The cardiac silhouette size is stable. No definite effusion or pneumothorax is noted. Degenerative changes are noted throughout the thoracic spine. Degenerative changes are again present in bilateral shoulder joints as well. Right humeral head is suggestive of chronic rotator cuff injury.
syncope and fall.
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Since prior, there is no significant change. Heart size is top-normal. Mediastinal contour is stable with a mildly unfolded thoracic aorta. No focal consolidation, effusion or pneumothorax is seen. The bony structures appear intact. Dish related changes of the t-spine noted.
<unk>m with fatigue, hypotension, hx of chf, evaluate for fluid overload..
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Pa and lateral chest views were obtained with patient in upright position. The heart size is within normal limits. No configurational abnormality is identified. Thoracic aorta unremarkable. No mediastinal abnormalities. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present, and the lateral and posterior pleural sinuses are free. No pneumothorax in the apical area. Mild degree of degenerative changes are observed in the thoracic spine in the form of osteophytic prominences at the vertebral body edges, but no other skeletal abnormalities are identified in the thoracic area. No vertebral body compression on lateral view. Our records do not include a previous chest examination available for comparison.
<unk>-year-old female patient with work requirement as a <unk> in nursing home, evaluate any abnormality.
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Two views were obtained of the chest. Right basilar pleural pigtail catheter has been removed. A meniscus/air fluid level at the right lower lung identifies an air-fluid collection in the medial right pleural space which is likely smaller than on the previous examination given improved visualization of the right heart border, though this may also be due to air within the collection. Right lung parenchymal opacities are similarly slightly improved. Trace pleural effusion is present on the left. The heart and mediastinal contours are left picc an esophageal stent are unchanged.
esophageal perforation right pleural effusion. assess for interval change.
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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
history: <unk>f with cough // r/o pna
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Upright ap and lateral views of the chest provided. Interstitial fibrosis is again noted with low lung volumes and basilar atelectasis. Overall there has been no significant change from the prior exam. No large effusion or pneumothorax. Cardiomediastinal silhouette is stable. Atherosclerotic calcifications are seen along the thoracic aorta. Bony structures are intact. On the lateral projection, a metallic stent is noted in the region of the abdominal aorta.
<unk>m with hx chf and recent admission for pneumonia presenting with <unk> edema. bibasilar crackles on exam. // eval for cardiopulmonary process
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Frontal lateral views of the chest. Again seen is large right paratracheal and anterior mediastinal densitiy compatible with known malignant adenopathy. There is persistent right basilar opacity likely due to combination of atelectasis and potentially superimposed consolidation. The left lung remains grossly clear of new consolidation with persistent likely malignant suprahilar nodule. Cardiomediastinal silhouette is unchanged. No acute osseous abnormality detected.
<unk>-year-old male with metastatic lung cancer, palliative care with increasing shortness of breath. question pulmonary edema.
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Pa and lateral views of the chest are compared to previous exam from <unk>. Linear opacities at the left lung base are most suggestive of atelectasis, especially given low lung volumes. Lungs are clear of large confluent consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are as detailed on rib x-ray from the same day, noting calcified left breast soft tissue lesions and possible left lateral <num>th rib fracture which is not well seen on this exam.
<unk>-year-old female status post fall.
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As compared to the previous examination, there is an increase in extent of the right pleural effusion. This effusion reaches the height of approximatively <num>-<num> cm and causes mild atelectasis at the right lung bases. On the left, the effusion is minimal and seen on the lateral radiograph only. The appearance of the lung parenchyma is unchanged. Moderate tortuosity of the thoracic aorta. No pneumonia, no other relevant abnormalities. The right pleural drain is in unchanged position.
pleural effusions, evaluation.
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A right-sided chest drain is in-situ. No pneumothorax seen. Multiple well-defined lucencies seen in the right lung apex are consistent with paraseptal emphysema as seen on the prior ct chest. No consolidation or pleural effusion seen. The cardiomediastinal contour is within normal limits. Visualized bony structures are unremarkable in appearance.
<unk> year old man with spont ptx s/p ct placement, change from suction to water seal // please eval for ptx; schedule for <num>am today
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A port-a-cath terminates at the cavoatrial junction. Surgical clips project about the expected site of the gastroesophageal junction. The cardiac, mediastinal and hilar contours appear unchanged. The heart is normal in size. There is very similar mild relative elevation of the right hemidiaphragm. There is no pleural effusion or pneumothorax. The lungs appear clear aside from a linear right middle lobe opacity suggesting minor scarring.
dysphasia and epigastric pain.
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Mild enlargement of the cardiac silhouette persists. The mediastinal and hilar contours are relatively unchanged. A small right pleural effusion continues to decrease in size and appears slightly loculated laterally. There is persistent streaky opacity in the right lung base. Mild pulmonary vascular congestion is present. No pneumothorax is identified. Multiple remote left-sided rib fractures are again seen.
history: <unk>f with fall, facial swelling, pain
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Again seen, are bilateral lower lobe predominant airspace opacities. There is a small right-sided pleural effusion versus pleural thickening, also unchanged. Mediastinal contour is stable. There is no pneumothorax. There is no definite new focal consolidation.
<unk>-year-old man with shortness of breath evaluate for pneumonia.
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In comparison with study of <unk>, there is little change and no acute cardiopulmonary disease. Evidence of previous cardiac surgery and coronary artery stenting, but no acute pneumonia, vascular congestion, or pleural effusion.
cough.
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no evidence of pulmonary edema, pleural effusion, or pneumothorax.
<unk> year old woman with gerd, tachycardia // eval for pna, effusion
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There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac, mediastinal hilar structures unremarkable. Unchanged appearance of the left <unk> and <num>th ribs.
seizure disorder with the seizure today. question pneumonia.
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No acute focal consolidation. The lungs are clear, no interstitial pulmonary edema. Linear opacity from the right hilum, likely azygos fissure. Moderate cardiomegaly. No significant pleural effusions. No pneumothorax.
<unk> year old man with h/o stroke/aspiration, presenting with malaise and fatigue // ? pna
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Frontal and lateral chest radiographs demonstrate that a chronic right pleural effusion is decreased from <unk>. There is no focal consolidation, or pneumothorax. The cardiac silhouette is top normal in size, unchanged. The mediastinal contours are normal.
<unk>-year-old male with fever. please evaluate for pneumonia.
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The lungs are clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiac silhouette and mediastinal and hilar contours are within normal limits. The trachea is midline. No acute osseous abnormality is detected.
fever and cough, here to evaluate for pneumonia.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
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 chest examination of <unk>. Status post sternotomy. Previous chest examination identifies it as status post aortic valve replacement. Heart size is now within normal limits. The thoracic aorta is moderately widened and elongated but no local contour abnormalities are identified. Pulmonary vasculature is not congested. No evidence of acute parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. A well-demarcated round less than <unk>-mm calcification is seen on the left lung base laterally. A granuloma which was already identified on preoperative chest examination of <unk>. Comparison with the next preceding pa and lateral chest examination of <unk> at that time existing and remaining moderate cardiac enlargement has now normalized. Thus, postoperative cardiac enlargement has regressed.
<unk>-year-old male patient with cough for one month, no fever, evaluate for infiltrates or other new processes.
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Slight increase of pulmonary vascular markings are noted particular on the lateral. There is no confluent consolidation or effusion. Cardiac silhouette is stable. Atherosclerotic calcifications noted at the aortic arch. Accentuated thoracic kyphosis with the s shaped thoracolumbar scoliosis is again noted.
<unk>f with sob and crackles on exam. // pulm edema?
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Moderate bilateral pleural effusions persist. The lung volumes are slightly low, with minimal atelectasis of the bases. The heart size is stable, and mediastinal clips are unchanged in position. There is no pneumothorax, overt pulmonary edema, or focal consolidation.
history: <unk>m with fever // eval for consolidation
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The heart appears mildly enlarged. The mediastinal and hilar contours are essentially unchanged allowing for differences in technique. One change is that the central pulmonary arteries appears somewhat larger and the lungs are hyperinflated suggesting there may be obstructive lung disease. There is suspected hiatal hernia, moderate in size and located somewhat to the left line, but similar to the remote prior study. Streaky left basilar opacities suggest associated atelectasis or scarring. There is no definite pleural effusion or pneumothorax. Bony structures are unremarkable. Mild rightward convex curvature is centered along the mid thoracic spine.
status post fall down the stairs with audible wheezing.
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Pa and lateral views of the chest provided. The heart is mildly enlarged. There is hilar congestion and mild interstitial edema. There are no large pleural effusions though trace fluid tracks along the fissural planes. No evidence of pneumonia. No pneumothorax. Bony structures are intact. High riding right humeral head suggests chronic rotator cuff disease.
<unk>m with b/l <unk>, crackles lung bases
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Prior enteric tube and right ij lines are no longer visualized. The lungs are now clear without consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. Hypertrophic changes are noted in the spine.
<unk>m with sob // eval pneumonia
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Status post left upper lobe wedge resection. A moderate-sized left apical pneumothorax remains and is now accompanied by an air-fluid level consistent with a hydropneumothorax. Left basilar atelectasis appears increased since the prior exam while minimal right base atelectasis is similar to prior. Small dependent left and possible small right effusions.
<unk>-year-old man status post vats of the left upper lobe for squamous cell carcinoma.
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Heart size is normal. Left subclavian line tip is in the svc. Minimal patchy opacity in the retrocardiac region may represent atelectasis or pneumonia. This appears more pronounced from the last examination of <unk>.
cough, assess for pneumonia.
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Pa and lateral chest radiographs were obtained. The lungs are mildly hyperinflated. There is no focal consolidation, effusion, or pneumothorax. Mild cardiomegaly is stable. An implanted loop recorder in the left chest is in stable position. Surgical clips remain at the gastroesophageal junction.
shortness of breath.
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In comparison with the study of <unk>, the endotracheal tube and nasogastric tubes have been removed. Following chest tube removal, there is no definite evidence of pneumothorax. Diffuse bilateral pulmonary opacifications persist, though they may be somewhat decreased since the previous study. The appearance probably reflects a combination of pulmonary edema and multifocal pneumonia.
chest tube removal, to assess for pneumothorax or residual pleural effusion.
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There is persistent left pleural scarring and small left pleural effusion, unchanged from prior. No new focal consolidation. There is slight cardiomegaly unchanged from prior. The mediastinum is normal. The hila are normal. No pneumothorax. No fractures.
<unk> year old man with rib fractures and pleural effusion; s/p vats decort' // ? change
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Mild cardiomegaly is unchanged. Consolidations of the lung bases, right greater than left. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history: <unk>m with chest pain // acute process?
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Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities. No free air below the right hemidiaphragm.
<unk>m with recent history of esophageal ca // ?cardiomegaly/pleural effusion
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Heart size is mildly enlarged. The mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. There are multilevel degenerative changes in the thoracic spine.
history: <unk>f with cough
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The heart size is at the upper limits of normal, likely exaggerated by ap technique. The mediastinal contours demonstrate a mildly tortuous aorta with calcified atherosclerotic disease of the aortic knob. The lungs again demonstrate a prominent reticular pattern particulary at the bases without clear evidence of new consolidation. There is no large pleural effusion or pneumothorax.
<unk>-year-old female with dyspnea and chest pain.
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As compared to the previous radiograph, there is no relevant change. Minimal atelectasis at the right lung bases. No evidence of acute lung disease, in particular no signs for active or non-active tb. No pleural effusions. No lung nodules or masses. Normal hilar and mediastinal contours.
positive ppd, evaluation for lung lesions.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with shortness of breath // acute process?
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Suspect background hyperinflation. The heart is not enlarged. Aorta is calcified minimally unfolded. There is no chf, focal infiltrate or consolidation. In particular, no focal opacities suggest aspiration pneumonitis is identified. There are small bilateral effusions, left-greater-than- right, versus small amount of pleural thickening. Focal faint density associated with the right ninth rib could represent sequela from an old healed fracture. Incidental note made of equivocal synostosis of of the fourth and fifth anterior ribs.
<unk> year old man with increased cough after vomiting // ?aspiration/pneumonia
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The lungs are normally expanded. Known left lower lobe pulmonary nodule is faint on this study. There is no airspace opacity concerning for pneumonia. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.
left-sided chest pain for one day. evaluate for edema or pneumonia.
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Heart size is mildly enlarged, mildly increased from the previous study. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal in the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormalities seen.
<unk> year old woman with progressive shortness of breath in setting of anemia and hypothyroidism
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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 pmh htn, hld p/w sudden onset substernal chest pressure, diaphoresis and tingling in his hands. // concern for chest pain
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Pa and lateral views of the chest were reviewed. Compared to the most recent prior, left lower lobe atelectasis and mild cardiomegaly are unchanged. Otherwise the lungs are clear and the mediastinal and pleural surfaces are normal.
all and blast crisis in a patient undergoing chemotherapy.
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Lungs are low in volume but appear clear. There is no pleural effusion or vascular congestion. The heart is likely top normal in size with normal cardiomediastinal silhouette.
significant vascular disease and non-healing wound in left toe with progressive worsening with episodic chest pain and presyncope. assess for cardiomegaly.
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No previous images. Cardiac silhouette is within normal limits, and the lungs are free of acute pneumonia, and there is no vascular congestion. Single-channel pacer defibrillator device extends to the apex of the right ventricle. Of incidental note are multiple metallic shrapnel fragments as well as several old healed fractures.
bandemia without cough, to assess for pneumonia.
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There has been interval increase in the moderate left pleural effusion since <unk>. The upper lung fields are clear. There is no pneumothorax. Generalized osteopenia and multilevel spinal degenerative changes are unchanged.
<unk>-year-old female with pleural effusion.
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Chest, pa and lateral. Findings the lungs are clear. The hilar and mediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. Median sternotomy cerclage wires intact.
<unk>-year-old man with chest pain.
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Nodular opacities project over the lung bases bilaterally, which may be nipple shadows. Lungs are otherwise clear. There is no focal consolidation or effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with spinal mets, or tomorrow // pre-op
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no evidence for pneumomediastinum or pneumothorax. No pleural effusion is demonstrated. The lungs appear clear. Bony structures appear within normal limits.
profuse vomiting and throat pain. question pneumomediastinum.
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A left pectoral pacer and dual leads are new from the prior examination and appear in the expected position. Median sternotomy wires are stable. The heart is top-normal in size but stable from the prior examination. The hilar contours are within normal limits. There is a small right pleural effusion. No focal consolidation or pneumothorax is identified.
<unk> year old man with av block s/p dual chamber pacemaker. // rule out pneumothorax
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The cardiac, mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Calcified granuloma is seen within the right mid lung field. Lungs are otherwise clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are detected. Clips are noted within the upper abdomen on the lateral view.
pre syncope.
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The heart is mildly to moderately enlarged. There is no discrete focal consolidation, pleural effusion, or pneumothorax. Mediastinal silhouette is within normal limits.
<unk>m pre-op xray for or tomorrow am. preoperative x-ray.
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Ap and lateral views of the chest. The lungs are clear without focal consolidation, effusion, pulmonary vascular congestion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No displaced fractures are identified.
<unk>-year-old female with syncope.
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No previous images. The heart is normal in size and the lungs are clear without vascular congestion or pleural effusion.
type <num> diabetes, pre-transplant.
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Compared to prior, there are increased interstitial markings and vascular engorgement. Subtle increased opacity in the left retrocardiac space could be reflect presence of pneumonia. There is no large pleural effusion. There is no pneumothorax. Cardiomediastinal silhouette is unchanged with top-normal heart size. Bony structures appear grossly intact.
<unk>-year-old male with altered mental status .
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The cardiomediastinal hilar contours are within normal limits. The lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
fever, cough. rule out acute process.
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There is a linear opacity at the left lung base, which is unchanged since <unk>, and represents scarring. The lungs are otherwise clear. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with recent pneumonia // please assess for resolution for pneumonia
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is identified.
history: <unk>m with cough
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Perihilar opacities are noted more to more dense regions the lung bases. There are at least small bilateral pleural effusions. There is moderate cardiomegaly. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormalities.
<unk>f with sob, chest pressure // ? pna
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There is opacification of the right mid and lower lung concerning for pneumonia. Probable small right effusion also present. Left lung is not fully inflated though no definite signs of pneumonia. Heart size cannot be assessed. Mediastinal contour is normal. Bony structures are intact.
<unk>f with worsening shortness of breath // ?infectious process
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The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
history: <unk>m with ankle injury, likely going to the operating room. // any pneumonia or other intrathoracic process?
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Ap and lateral views of the chest demonstrate bibasilar atelectasis and persistent prominence of the right pulmonary hilum, unchanged since the prior study with no evidence of overt pulmonary edema. The cardiomediastinal silhouette is stable in appearance. There is no pneumothorax. No focal consolidation is seen. Persistent wedge compression deformity of a mid thoracic vertebral body and evidence of remote left clavicular fracture are seen.
nausea and cough.
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The lungs are well expanded and clear. Mediastinal contours, hila, and cardiac silhouette are normal. No pneumothorax or pleural effusion.
<unk>f with dyspnea
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As compared to the previous radiograph, the patient has undergone colonoscopy. Air is seen in the bowel loops under the left hemidiaphragm that is slightly elevated. As a consequence, small basal left atelectasis is seen. Otherwise, the lung parenchyma is normal. Mild tortuosity of the thoracic aorta. Normal size of the cardiac silhouette. No pulmonary edema or pneumonia.
cecal mass, status post colonoscopy, evaluation for pneumonia.
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Since the prior radiograph, it a large area of consolidation predominantly involving the left upper lobe has resolved. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. . No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with hx of pna, follow up to see if infiltrate resolved after abx // <unk> year old man with hx of pna, follow up to see if infiltrate resolved after abx
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The lungs are hyperinflated but clear. There is no pleural effusion or pneumothorax. The aorta is noted to be tortuous and unfolded. The cardiac silhouette is top normal to mildly enlarged. No pulmonary edema is seen.
history: <unk>m with weakness // ? pna
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Heart size is top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Subsegmental atelectasis is seen in the lingula. Remainder of the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is seen.
history: <unk>f with chest pain/ right upper quadrant pain
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Since <unk>, new mild asymmetric pulmonary edema, right greater than left, is superimposed on the known chronic lung disease. Mild bibasilar atelectasis is noted. A small left pleural effusion is possible. The heart is mildly enlarged. Median sternotomy wires are intact and aligned. No pneumothorax. Partially imaged spinal fusion hardware is identified in the lumbar spine.
<unk> year old woman with fall, cad s/p cabg crackles one exam. // etiology of crackles