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Left-sided port-a-cath tip terminates in the upper svc. Patient is status post esophagectomy and gastric pull-through with unchanged mediastinal contour. Heart size is normal. Hilar contours are unremarkable. Pulmonary vasculature is not engorged. No new focal consolidation effusion or pneumothorax present. Elevation of the right hemidiaphragm is chronic. Multiple right chest wall clips are again demonstrated.
history: <unk>f with vomiting status post esophagectomy
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The cardiac, mediastinal and hilar contours appear unchanged. Unchanged also is mild relative elevation of the right hemidiaphragm compared to the left side. There is no pleural effusion or pneumothorax. The lungs appear clear.
cough.
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Ap and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. The aorta is in an unfolded configuration. There is dextroscoliosis of the thoracic spine. There is no pneumothorax or pleural effusion. Pulmonary vasculature is normal.
weakness. evaluate for pneumonia.
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Frontal and lateral chest radiographs demonstrate more extensive consolidation in areas previously abnormal in <unk>, but largely cleared a month ago, worst in the right middle and lower lobes, less extenive in the left lower lobe. The geographic and temporal pattern suggests a tendency to pneumonia, most commonly aspiration. Hyperexpansion from known emphysema is also appreciated. The cardiomediastinal silhouette is normal.
fever and cough. evaluation for pneumonia.
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The lungs are clear without focal opacity, pleural effusion or pneumothorax. There is cephalization of the pulmonary vasculature. The mediastinal contours are normal. The cardiac silhouette is mild enlarged.
<unk>-year-old woman with chest pain. evaluate for pneumonia.
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Pa and lateral radiographs of the chest demonstrate clear lungs. The cardiac, hilar, and mediastinal contours are normal. No pleural abnormality is seen. Cervical spine disc spacer is noted.
weakness.
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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 atrial fibrillation + cough
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Interval decrease in right-sided pleural effusion, now small. Persistent though decreased opacifications in the right mid and lower lungs likely reflecting re-expansion. Left lung is clear. No left-sided pleural effusion. No pneumothorax present. Right-sided port-a-cath appears intact and terminates in the right atrium.
pleural effusion, status post thoracentesis, assess for pneumothorax.
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Pa and lateral views of the chest. The lungs are clear. There is a small to moderate left-sided pneumothorax. There is no evidence of mediastinal shift. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male left-sided chest pain and difficulty taking in deep breath. history of pneumothorax.
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Pa and lateral views of the chest provided. Partially visualized stent in the right upper arm again seen. 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 and fever // r/o infectious process
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Frontal and lateral radiographs of the chest demonstrate well-expanded clear lungs. Cardiomediastinal and hilar contours are unchanged. Again seen is prominence of the bilatearl hila, right greater than left, unchanged. No pneumothorax, pleural effusion, or consolidation. Left-sided picc line ends at the mid svc.
<unk>-year-old female with metastatic neuroendocrine tumor, now with crackles at the right base. evaluate for pulmonary effusion.
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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>f with cough, sob, congestion // please eval for pna
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The lungs appear clear. There is no pleural effusion or pneumothorax. Heart is normal in size with normal cardiomediastinal silhouette.
cough and green sputum, assess for pneumonia.
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There has been interval removal of a right-sided chest tube. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Surgical chain sutures are seen at the right apex status post right upper lobe wedge resection procedure. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman s/p rul wedge resection, postpullfilm // eval for interval change, ct out, eval for ptx, please confirm ct out prior to calling for patient
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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 cough // ?pna
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Ap semi upright and lateral views of the chest provided. Left chest wall aicd is again seen with leads extending to the region of the right atrium, coronary sinus, and right ventricle as on prior. Midline sternotomy wires and mediastinal clips again noted. Lung volumes are low limiting assessment. There is subtle retrocardiac opacity which could represent a developing pneumonia or aspiration. There is mild right basal atelectasis with mildly elevated right hemidiaphragm. No overt edema. No pneumothorax or definite signs of effusion. Cardiomediastinal silhouette is stable. Chronic right rib cage deformities again noted. No acute fracture is seen.
<unk>m with ams
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The heart size is mildly enlarged and there is pulmonary vascular redistribution with small bilateral pleural effusions. In addition there is volume loss/ infiltrate in both lower lobes
<unk> year old man with af s/p pvi, s/p abd surgery for gist, with temp to <num> // r/o acute cardiopulmonary process
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Lungs are clear and hyperinflated. 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, wheezing and reported fevers.
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Pa and lateral views of the chest. The small pneumothorax seen on recent ct scan is miniscule if seen at all. Again seen is a large hiatal hernia within the left hemithorax. No evidence of pulmonary edema. Tiny right pleural effusion. No focal consolidation. Heart size is normal. There are aortic knob calcifications. The previously seen posterior rib fractures on recent ct are not well seen.
fall. evaluate for change in pneumothorax.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with cough 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. No pulmonary edema is seen.
history: <unk>m with hypoxia // pna?
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Ap and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. Imaged upper abdomen and osseous structures are without an acute abnormality. There is no pleural effusion, pneumothorax or evidence of pulmonary edema.
<unk>-year-old male with fever postoperatively.
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There is mild bibasilar atelectasis. No focal consolidation is identified. Mild cardiomegaly is again noted. Hilar and mediastinal contours are stable. There are bilateral small pleural effusions. No pneumothorax is identified.
<unk>m with hfref ef <unk>%, tobacco abuse, copd, generalized weakness and fatigue x <num> week, nonproductive cough. evaluate for pneumonia.
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The lungs are well expanded and clear. The mediastinum is unremarkable. The cardiac silhouette is within normal limits for size. No effusion or pneumothorax is seen. The visualized osseous structures are unremarkable.
chest pain.
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A port-a-cath terminates in the superior vena cava. The cardiac, mediastinal and hilar contours appear stable. The chest is hyperinflated. There is no definite pleural effusion or pneumothorax. The interstitium is mildly prominent with peribronchial cuffing. Sclerosis along left anterior lateral first and second ribs is suggestive of prior fractures.
productive cough and hypotension.
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Pa and lateral views of the chest are compared to previous exam from <unk>. Slightly lower lung volume is seen on current exam. The lungs are clear of confluent consolidation or effusion. The cardiomediastinal silhouette is within normal limits. The osseous and soft tissue structures are again notable for multiple right lateral rib fractures as well as a left lower lateral rib fracture as on prior. No pneumothorax.
<unk>-year-old female with cirrhosis, presents with altered mental status and abdominal pain.
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Heart size is top normal. Mediastinal contours are stable. Lungs are clear without focal consolidation, pleural, or pneumothorax.
history: <unk>f with imtermittent chest pressure x <num> month // any acute pulm process/signs of pe
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Patient is status post ascending aorta repair. The normal postoperative cardiomediastinal silhouette is unchanged. Lung volumes appear better overall compared to prior studies. There is a new opacification of the right upper lobe along the lateral minor fissure concerning for pneumonia. A small left pleural effusion is newly apparent.
<unk> year old man ascending aorta repair // eval for effusions/mediastinum
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Pa and lateral views of the chest are compared to previous exam from <unk>. Linear opacity at the right lung base is most suggestive of atelectasis. Lungs are clear of confluent consolidation or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. Previously identified left picc is no longer seen. Stents identified in the right upper quadrant may be biliary in location and as seen on prior. Osseous structures are unremarkable.
<unk>-year-old male with fever and shortness of breath.
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Mild cardiomegaly is again noted. Mediastinal and hilar contours are unremarkable. Small foci of linear atelectasis or scarring in bilateral basal lower lobes are stable. There is no evidence for pulmonary edema, pulmonary consolidation, or pleural effusion. The known <num> mm nodule in the posterior basal right lower lobe is only faintly visualized on the pa view, superimposed upon the right aspect of the heart. There appears to be a <num> mm nodular density projecting over the right upper to mid lung field on the pa view, similar to <unk> chest radiographs but not seen on <unk> chest radiographs. This most likely represents a prominent blood vessel, since no nodule in this location was seen on the <unk> chest ct. Ossification of the anterior longitudinal ligament and degenerative changes are again seen in the thoracic spine.
<unk>-year-old patient with cough and shortness of breath. evaluate for pneumonia.
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There is a left basilar opacity which is new since previous exam. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with dyspnea // r/o acute process and ?tb
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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.
<unk> year old woman with desaturations, ph by echo // pre vq scan
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No previous images. The heart is normal in size and there is no vascular congestion, pleural effusion, or acute pneumonia. Specifically, no evidence of hilar or mediastinal lymphadenopathy.
erythema nodosum, to assess of lymphadenopathy.
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Evaluation is limited due to the patient's body habitus. Lung volumes are low causing bronchovascular crowding. In comparison to the prior examinations, there may be faint increased opacity in the retrocardiac region. In the appropriate clinical context, this may represent pneumonia. There is no pleural effusion or pneumothorax. Again noted is a right upper lobe nodule. Adjacent to this is a vague opacity, that may represent pneumonia.
history: <unk>m with h/o chf, asthma here w/ chest tightness resolved after albuterol // eval for pneumonia
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The lungs are well-expanded and clear. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. No acute displaced rib fractures. A metallic surgical anchor device is seen in the left humeral head. Degenerative changes are seen in the lower thoracic spine.
history: <unk>m with chest pain // acute cardiopulmonary process
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There is elevation of the right hemidiaphragm, which is unchanged from the prior study. There is improved aeration of the bilateral lung bases from <unk> with no focal consolidation concerning for pneumonia. No large pleural effusion or pneumothorax is detected. There is diffuse mildly increased prominence of the pulmonary vasculature, which is improved from the prior radiograph. The size of the cardiac silhouette is difficult to evaluate, but there is unchanged left ventricular configuration with probable mild-to-moderate cardiac enlargement. The mediastinal contours remain prominent with unfolding of the thoracic aorta but appears stable in comparison to the prior study. Clips in the left neck are re-demonstrated.
dyspnea, here to evaluate for pneumonia.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. Moderate degenerative changes are seen within the imaged thoracic spine.
<unk> year old woman with high speed motor vehicle collision. // please evaluate for cardiopulmonary process.
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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 s/p tonic-clonic sz with r shoulder pain and r posterior pain on ribcage // rib fx? shoulder dislocation?
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As compared to the prior radiographic examination dated <unk>, there has been no significant interval change. Lung volumes remain low, leading to crowding of the bronchovascular structures. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. Mild to moderate cardiomegaly and enlarged bilateral pulmonary arteries are noted, better evaluated on the patient's prior ct torso dated <unk>.
history: <unk>f with sob // r/o acute process
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. There has been resolution of bronchial wall thickening since chest radiograph <unk>. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>m with mult myeloma and fever/chills. // infectious workup
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Frontal and lateral radiographs of the chest were acquired. The lungs are clear. The heart size is normal. Tortuosity of the descending thoracic aorta is not significantly changed. The mediastinal contours are otherwise normal. There are no pleural effusions. No pneumothorax is seen. Mild eventration of the right hemidiaphragm is unchanged.
chest pain. evaluate for acute process and assess for cardiomegaly.
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The heart size is normal. The mediastinal and hilar contours are unremarkable. There is no large pleural effusion or pneumothorax. A large right basilar mass-like opacity is again noted with a small right pleural effusion. Mild pulmonary edema may be present. Degenerative changes throughout the thoracolumbar spine are noted.
<unk>m with altered mental status.
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Lungs are grossly clear without focal consolidation. Known pulmonary nodules in the right middle lobe and bronchiectasis are better appreciated on recent chest ct. The cardiomediastinal silhouette and hilar contours are unchanged with prominent epicardial fat at the right costophrenic angle. There is no pleural effusion or pneumothorax.
<unk>m with cf presenting for sudden onset cp wakng him up from sleep this morning. chronic cough not worse than usual. evaluate for pneumonia.
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Pa and lateral views of the chest provided. Compared to prior study from <num> days ago, there is significant decrease in the left pleural effusion. There is a small right pleural effusion. There is no pulmonary edema. Heart is mildly enlarged. Left-sided chest tube is in unchanged position.
<unk> year old man with pleural effusion
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A right picc line terminates in the lower svc. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are stable. Heart size is normal.
pt with aml pre bmt // pre bmt eval
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Again seen is a right upper chest pacer device with associated dual leads in unchanged, appropriate position. The cardiomediastinal silhouette is stable, compatible with mild cardiomegaly. Aortic arch calcifications are again seen. The bilateral hila are within normal limits. Linear opacities at the right lung base may represent basilar atelectasis, similar to prior exam. Otherwise, there is no evidence of focal lung consolidation. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
a <unk>-year-old woman with a history of congestive heart failure presenting with fatigue, lightheadedness, and cough, evaluate for pleural effusion or pulmonary edema.
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The lung volumes are low. Basilar atelectasis is not significantly changed from the prior exam. There is no focal consolidation to suggest pneumonia. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. A right-sided picc is present with tip in the upper right atrium.
subjective fever and orthostasis.
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Moderate cardiomegaly is unchanged. There is no pleural effusion. Atelectasis is noted at the left lung base. Lungs are otherwise clear. No pneumothorax.
history: <unk>f with cp // eval for pulm edema, ptx
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Heart size is borderline enlarged, slightly increased from the prior exam. The mediastinal and hilar contours are unchanged. There is no pulmonary edema, focal consolidation, pleural effusion or pneumothorax. Minimal atelectasis is seen in the lung bases. No acute osseous abnormalities are present.
history: <unk>m with altered mental status
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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. Excreted contrast from recent contrast-enhanced exam seen within the renal pelves and proximal ureters.
<unk>f with right sided numbness and weakness // eval for ich, pneumonia
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The lung volumes are low. There is stable mild cardiomegaly. There appears to be slight interval worsening of the consolidations at the lower lobes bilaterally, concerning for aspiration pneumonia. There appears to be slight interval improvement in the pulmonary edema at the upper lung zones bilaterally. There is a stable small right pleural effusion. There is no pneumothorax.
history of labial abscess, now with shortness of breath, fluid overload. please evaluate for pneumonia or fluid overload.
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In comparison with the study of <unk>, there is no evidence of pneumothorax. Continued low lung volumes. Large amount of intraperitoneal gas, presumably related to the recent right nephrectomy.
chest tube on water-seal.
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Pa and lateral chest radiographs demonstrate a stable cardiomediastinal silhouette. Ectatic ascending aorta is better appreciated on dedicated chest ct dated <unk>. Lungs are clear without a focal opacity convincing for pneumonia. There is no pneumothorax, pulmonary edema, or pleural effusion. Right apical scarring is noted and correlates with chest ct, unchanged allowing for differences in modality. Multilevel degenerative changes are present within the imaged thoracic spine.
history: <unk>m with hemoptysis // evaluate for pneumonia or mass
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A moderate-sized hiatal hernia, with air-fluid level is again seen. The lungs are relatively well expanded and clear. The cardiomediastinal silhouette is stable. There is no pneumothorax or pleural effusion. Known right eighth and ninth rib fractures are poorly assessed on this ap view due to soft tissue attenuation, however no new displaced rib fractures are identified within these limitations.
history: <unk>f with right chest wall pain // eval for rib fracture, ptx
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Right middle lobe minimal opacity has completely resolved. There is no new lung consolidation. Mediastinal and cardiac contours are normal. There is no pneumothorax or pleural effusion.
patient with history of pneumonia, confirm resolution.
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, pneumothorax. Cardiac and mediastinal contours are normal.
<unk>-year-old woman with back and abdominal pain for <num> days.
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As compared to the previous radiograph, the signs suggestive of pulmonary edema have almost completely resolved. Areas of non-characteristic parenchymal scarring at both the left and right mid lung persist. Moderate cardiomegaly also persists. No pleural effusions. Mild tortuosity of the thoracic aorta.
oxygen requirement, pulmonary edema on previous film. evaluation.
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Patient is status post median sternotomy.the lungs are clear without focal consolidation. Slight blunting of the posterior left costophrenic angle may be due to atelectasis or versus a trace pleural effusion. No pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with sob // ?pna
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Lines and tubes: right-sided picc terminates at the cavoatrial junction. No change in position of left upper chest wall pacemaker and pacer wires. Lungs: moderately well inflated with no lobar consolidation. Pleura: likely loculated right pleural effusion along the chest wall. No pneumothorax. Mediastinum: persistent cardiomegaly and hilar vascular prominence. Bony thorax: no interval change.
<unk> year old man with h/o dm, cad s/p des to ramus in <unk>, icd, ischemic cardiomyopathy (ef <unk>%), paf and complete heart block s/p ppm, presenting w/ decompensated schf. rising wbc. // assess for pneumonia
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Compared with the immediate prior study there has been a slight interval increase in mild pulmonary vascular congestion. There is likely mild associated interstitial pulmonary edema. There is no pleural effusion, focal consolidation, or pneumothorax. Moderate cardiomegaly, numerous mediastinal clips, median sternotomy wires, and atherosclerotic calcification of the aortic arch are unchanged.
<unk>m with chest pain likely angina, previous admission for demand nstemi, evaluate for any cardiopulmonary process.
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Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
cough and shortness of breath.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits.
<unk>-year-old male with new-onset dizziness, ataxia, and vomiting.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. Except for minimal atelectasis in the left lung base, the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are multilevel degenerative changes in the thoracic spine. Remote left posterior rib fracture is again seen.
leukocytosis and confusion.
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.
<unk>-year-old female with abdominal pain. evaluate for acute process.
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Ap upright and lateral views of the chest provided. Lung volumes markedly low limiting assessment. Given limitations, there is no convincing evidence for pneumonia or edema. The cardiomediastinal silhouette is stable. There is a stable nodular appearance in the right perihilar region at the right costosternal junction. Bony structures appear intact.
<unk>f with hyperglycemia // ? infectious process
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Frontal and lateral chest radiograph demonstrates unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax is evident.
cough and chest congestion. evaluate for acute process.
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There is no focal consolidation, pleural effusion, or pneumothorax. Lung volumes are slightly low. The cardiomediastinal silhouette is unremarkable. Osseous structures are unremarkable.
chest pain, pulmonary edema, pleural effusion, question pneumonia.
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Since the prior exam, there is a new left lower lobe opacity, most consistent with pneumonia. There is likely a small associated pleural effusion. In the right mid lung zone, there is scarring, which is stable from the prior exam. Additionally, there is a faint opacity, which is also unchanged. This was better characterize on the prior ct has multiple punctate calcifications. There is no right pleural effusion. No pneumothorax is identified. The cardiomediastinal silhouette is normal. Multiple compression deformities in the thoracic spine are unchanged. There are moderate multilevel degenerative changes.
chronic cough with fever and chills. evaluate for pneumonia.
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There appears to be increased subcutaneous air overlying the right infrascapular region. There has been interval removal of right-sided chest tube. A right picc is seen terminating in the mid svc. Cardiomediastinal silhouette appears unchanged. Bibasilar atelectasis largely unchanged.
<unk> year old woman with r ptx post tracheobronchoplasty // r/o ptx post ct removal
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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 // eval heart and lungs
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The left port-a-cath is seen terminating in approximately the lower svc, unchanged in position. The lungs are clear bilaterally. No evidence of focal consolidations, pleural effusions or pneumothorax. The mediastinum, hila and heart are within normal limits. No acute osseous abnormalities.
<unk> year old woman with nhl. pre-auto eval. // r/o cardiac/pulmonary dysfunction
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The patient is status post sternotomy with sternotomy wires noted to be well-aligned. A right-sided pacemaker is noted with leads terminating in the right atrium and right ventricle. Redemonstrated is stable cardiomegaly, with improved pulmonary vascular congestion and interstitial edema. Again seen are bilateral, moderate pleural effusions, right greater than left. The remainder of the lungs are grossly clear without focal consolidation or pneumothorax identified.
atrial fibrillation with rapid ventricular response. evaluate for resolution of pleural effusions.
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Patchy left infrahilar opacity is seen which may be due to overlap of vascular structures but small focal consolidation in this region is not excluded. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with hx pancreatic dilation and weight loss with elevated wbc and epigastric pain. // pneumonia?
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There is no focal consolidation. There is no pleural effusion or pneumothorax. There is no evidence of pulmonary vascular congestion. There are aortic calcifications. The heart is mildly enlarged, stable. There is retrocardiac atelectasis. There is mild linear scarring in right mid lung.
weakness, question 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.
<unk> year old man with new onset coughing starting a week ago. nonproductive. with wheezing. not responsive to date with prednisone <unk>mg /day no h/o asthma // ? pulmonary infiltrate
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The lungs are clear. Cardiomediastinal silhouette and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Clips are noted within the upper abdomen. Anterior osteophytes are seen in the thoracic spine.
<unk>-year-old female with burning epigastric chest pain. rule out infiltrate.
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No focal consolidation, pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. The patient is status post median sternotomy and cabg. Again, on the lateral view, there is a subtle rounded opacity projecting anterior to the cardiac silhouette which appears smaller in size and less conspicuous as compared to the prior study. However, as recommended on the prior study, this could be further assessed on a nonurgent chest ct.
history: <unk>m with stemi <unk> c/o chest pain // acute process in chest
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There are low lung volumes. The cardiomediastinal silhouette is unchanged, reflective of a top-normal heart size. The hila are unremarkable. There is retrocardiac opacity which is new since prior exam and concerning for pneumonia. Elsewhere, the lungs are clear. There is no pulmonary venous congestion. There is no pneumothorax or pleural effusion.
<unk>-year-old woman with cough and fever, evaluate for pneumonia.
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Lateral radiograph is somewhat limited due to positioning of the arms obscuring the upper lung fields. The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
presyncope, evaluate for acute process.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There is a focal consolidation seen on both projections within the right middle lobe consistent with pneumonia. No pleural effusion or pneumothorax is seen.
<unk>m with fever, cough // evaluate for pneumonia
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Right-sided effusion which appears somewhat loculated complex is not changed. Left-sided effusion is similarly stable to minimally decreased. Heart size is normal. Nonspecific increased lung markings are observed. Volume loss in the right side is suggested. Osseous structures are grossly normal
<unk> year old woman with pleural effusion // eval
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Right-sided dual lumen central venous catheter tip terminates in the low svc. Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
<unk> year old woman with right subclavian, needs ivf // eval line placement
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Lungs are clear of consolidation, pleural effusion or pneumothorax. No pulmonary edema. Cardiomediastinal contours are normal. No subdiaphragmatic free air. A radiodense structure projecting over the right mainstem bronchus is external to the patient, better demonstrated on the lateral view.
<unk>f with right elbow fx. // pre-op
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax.
history of chest pain and cough. please evaluate for acute process.
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Increased opacity in the right mid lung likely localizes to the right upper lobe on lateral view. Mild cardiomegaly is stable. The lungs are hyperexpanded, unchanged. Chronic diffuse interstitial lung changes may be related to age and are similar to prior examination. Mediastinal contour, hilar, and cardiac borders are stable. No pneumothorax or pleural effusion.
<unk> year old woman with new fever, leukocytosis // r/o pna
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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 shortness of breath // eval for pna or ptx
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Heart size is borderline enlarged. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. The lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
chest pain.
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There are relatively low lung volumes.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with cp // pna?
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Low lung volumes. 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 s/p fall with trauma to back // fracture?
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Recent right upper lobe wedge and left lower lobe lobectomy was done for metastatic melanoma. Bilateral small pneumothorax and subcutaneous air has completely resolved. Platelike opacity overlying superior thoracic spine on lateral view has improved and could related to the surgery or loculated pleural effusion or thickening. Mediastinal and cardiac contours are normal.
right upper lobe wedge and left lower lobe lobectomy.
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As compared with the prior exam, there has been removal of a dialysis catheter. No focal consolidation, pleural effusion, pneumothorax, or overt pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal.
hiv, now with cough.
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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. Some degenerative changes are seen along the spine.
<unk> year old woman with abdominal pain, recent r iliac to sma bypass graft as well as recent lll pna // r/o worsening lll pna
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Unremarkable cardiomediastinal contours. Right lower lobe opacification consistent with known kaposi's sarcoma tumor infiltration unchanged compared to <unk> chest radiograph. There is increased prominence of the interstitium suggesting mild background pulmonary edema. Stable elevation of right hemidiaphragm. Slight blunting of the bilateral costophrenic angles suggests small pleural effusion. Lateral view demonstrates a possible area of loculated pleural effusion versus pleural thickening on the left.
history of hiv and fever, assess for acute process.
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As compared to the previous radiograph, there is no relevant change. There is a left pleural effusion of mild to moderate extent. The effusion is now drained by a pleurx catheter. There is no evidence of pneumothorax. Known serial left rib fractures that are healed. No acute changes in the right lung parenchyma. Unchanged size of the cardiac silhouette. Unchanged moderate tortuosity of the thoracic aorta.
pleural effusion, evaluation.
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There are new, subtle right basilar opacities. Linear atelectasis in the mid left lung is similar. Subtle l left ower lobe opacities likely corresponding to scarring or atelectasis seen on recent outside hospital ct are also unchanged. There is possibly a trace left pleural effusion. No pneumothorax. Mild elevation of the left hemidiaphragm is unchanged. Heart size is normal and cardiomediastinal hilar silhouettes are stable.
<unk>m with c/o sob // ? pna
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Compared with prior radiographs on <unk>, there has been interval complete resolution of a right middle lobe opacity.there is no new focal consolidation. No pleural effusion or pneumothorax is seen. Cardiomediastinal silhouette is unchanged. The aorta is tortuous.
<unk> year old woman with history of right middle lobe pneumonia // resolution of pneumonia
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As compared to the previous radiograph, there is no relevant change. No evidence of pneumonia or other lung parenchymal disease. No pleural effusion. Known healed clavicular fracture on the right. Normal size of the cardiac silhouette.
crohn's disease, cough, evaluation for pneumonia.
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Frontal and lateral radiographs of the chest demonstrate small right pleural effusion with adjacent atelectasis. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, left pleural effusion, or consolidation.
<unk>f with hx of bilateral pleural effusions and dyspnea on exertion // ?pleural effusions, ?bowel obstruction
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Frontal and lateral radiographs of the chest demonstrate bibasilar opacities consistent with patient's history of aspiration. The cardiomediastinal contours are normal, and there is no upper zone redistribution concerning for pulmonary edema. No pleural effusion or pneumothorax is appreciated.
recent aspiration pneumonia and left lower lobe atelectasis. now with persistent shortness of breath. evaluate for congestive heart failure and worsening pneumonia.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Mild degenerative changes are noted in the thoracic spine.
<unk>m with chest pain