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Best seen on the lateral views increased opacity projecting over the lung bases, likely localizing to the right on the frontal view. Elsewhere, the lungs are clear. Cardiomediastinal silhouette is stable noting moderate cardiomegaly. Left chest wall dual lead pacing device is again noted. No acute osseous abnormality. Vertebroplasty changes are identified in the lower thoracic spine, new since <unk>.
<unk>f with cough // cough
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Frontal and lateral views of the chest demonstrate normal lung volumes. There is no focal consolidation, pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unchanged. Aortic arch calcifications are noted. Heart size is normal. There is mild interstitial pulmonary edema, new since prior. Compression deformities of the mid thoracic vertebral bodies are stable.
shortness of breath.
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In comparison with the study of <unk>, little change. Again there is enlargement of the cardiac silhouette without vascular congestion or pleural effusion or acute focal pneumonia. Posterior right lower lobe coiling is again seen. Again noted is the deformity involving the left eighth rib.
cirrhosis and for liver transplant evaluation, to assess for effusions.
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Heart size remains mildly enlarged. The aorta is tortuous. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. There are moderate multilevel degenerative changes throughout the thoracic spine.
history: <unk>f with chest pain
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. Pulmonary vasculature is unremarkable. Lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. Osseous structures are unremarkable. No radiopaque foreign body.
<unk>-year-old female with cough. evaluate for infiltrate.
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Lung volumes are unchanged compared to the prior study. Even allowing for the projection, the heart appears enlarged. The bilateral hila appear prominent with prominence of the pulmonary vasculature consistent with mild congestive heart failure. No frank pulmonary edema seen. No consolidation or pneumothorax.
<unk> year old woman with history of asthma and chf with ongoing dyspnea on exertion despite diuresis. // evaluate for any evidence of pulmonary edema, infiltrates
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Due to poor beam penetration and patient's body habitus, the picc catheter is not well visualized on either pa or standard lateral views. Of note, the catheter is partially visualized on a partial lateral view which excludes the distal tip of the catheter; however, the catheter is at least to the level of the mid right atrium. There is otherwise no short-term interval change compared to exam from two hours prior.
right picc placed but difficulty visualizing on portable.
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Pa and lateral views of the chest provided. The lungs are hyperinflated which likely reflect underlying copd/emphysema. A nodular structure projecting adjacent to the right heart border and a left perihilar nodular structure may represent en face vasculature though given concern for malignancy, ct correlation is advised. \ there is no focal consolidation concerning for pneumonia. There is no effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Multilevel degenerative disease is noted in the thoracic spine with large anterior spurs. No free air below the right hemidiaphragm is seen.
<unk> year old woman progressive weight loss, normal labs, normal colonoscopy. // r/o tumor
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As compared to the previous radiograph, the position of the picc line is unchanged. The tip projects at the lower svc level. There is no evidence of complication, notably no pneumothorax. Otherwise, the radiograph is normal.
forearm sarcoma, evaluation of picc line position.
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The patient is status post median sternotomy and cabg. Heart size remains mildly enlarged. Mediastinal and hilar contours are unchanged. Atherosclerotic calcifications are seen within the aortic arch. There is no pulmonary edema. Blunting of the costophrenic angles posteriorly suggests small bilateral pleural effusions, not changed in the interval. No focal consolidation or pneumothorax is present. There are multilevel degenerative changes seen in the thoracic spine.
history: <unk>m with dyspnea
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As compared to prior chest examinations, there is increased opacity extending throughout the left lung with minimal aerated lung, likely due to tumor progression. There is overlying pleural effusion and atelectasis. Scattered reticular opacities in the right lung could reflect metastatic disease. Evaluation of the cardiac silhouette is limited. The trachea is midline. There is no pneumothorax.
history of lung cancer with pancreatic mass who presents with generalized weakness. rule out pneumonia.
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A right approach picc tip terminates within the mid svc. Two pacing leads are demonstrated in standard positions within the right atrium and right ventricle. Since the prior examination there has been a development of mild interstitial pulmonary edema and enlargement of still small bilateral layering pleural effusions. There is no evidence of pneumothorax. There has been interval development of right basilar atelectasis and there is persistent left retrocardiac opacification. Cardiomediastinal and hilar contours are stable with the patient status post median sternotomy and cabg. There is moderate cardiomegaly.
<unk>-year-old male with mssa bacteremia with recurrent fevers. evaluate for pneumonia.
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The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pneumothorax. There is minimal blunting of the posterior costophrenic sulcus although it is unclear on which side.
<unk>f with dyspnea // please eval for infection
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In comparison with the study of <unk>, there are continued low lung volumes with elevation of the right hemidiaphragm. Streaks of atelectasis are again seen bilaterally, though there is no acute focal pneumonia or vascular congestion.
shortness of breath and cough, worrisome for pneumonia.
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<num> mm nodular opacity projects over the right lower hemi thorax. Recommend repeat with nipple markers for further assessment and if does not correspond to nipple shadow, chest ct. Amorphous calcification projects over the soft tissue of the right lower chest. The left lung is clear. There is no pleural effusion or pneumothorax. The cardiac silhouette is top-normal. The aorta is calcified.
history: <unk>f with bilateral <unk> edema // eval for acute process
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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 esrd on pd, dm, htn, gastroparesisplease page #<unk> with wet read // patient with worsening sob
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Frontal and lateral chest radiographs demonstrate interval decrease in size of cardiac silhouette; however, there is similar "water bottle" configuration to the cardiac silhouette suggesting persistent pericardial effusion. Right pleural effusion is decreased, now small to moderate in size. Faint opacification projecting over the right lower lung likely reflects residual atelectasis. No pulmonary nodules identified.
recurrent pleural effusion and recent pericardial effusion of unknown etiology. please assess for pleural effusion or cardiomegaly.
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The lungs are clear with no evidence of consolidation or pneumothorax. Slight blunting of bilateral costophrenic angles with small bilateral pleural effusions may be present. Cardiomediastinal silhouette is normal. No acute fractures are identified.
evaluation of patient with seizure.
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There are small bilateral pleural effusions. Pulmonary interstitial prominence and peribronchial cuffing suggests mild edema. No pneumothorax is evident. Central pulmonary arteries appear mildly enlarged. Heart and mediastinal contours otherwise appear within normal limits. Bony degenerative changes are seen.
<unk>-year-old female status post hip repair, now with congestion.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The chest appears mildly hyperinflated. The lungs appear clear.
dyspnea on exertion.
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Pa and lateral chest radiographs are limited by patient's body habitus and inability to raise arms. The lungs are well expanded. The right hilar opacities are also visible to bronchovascular markings. There is no definite consolidation, effusion or pneumothorax. Cardiac and mediastinal contours are normal.
cough.
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Heart size is normal. The aorta remains tortuous. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. Mild to moderate degenerative changes are noted in the thoracic spine. .
history: <unk>m with history of hiv presents with confusion
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Cardiac silhouette size is normal. Calcified right hilar and mediastinal lymph nodes are better demonstrated on the previous ct. Calcified granuloma within the right upper lobe is unchanged. Lungs are clear. No pleural effusion, focal consolidation or pneumothorax is identified. No acute osseous abnormalities are detected.
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 ap single view chest examination of <unk>. Cardiac enlargement as before. Unchanged appearance of thoracic aorta, thus only mildly widened and elongated without evidence of local contour abnormalities. The pulmonary vasculature shows a mild upper zone redistribution pattern and some perivascular haze on the bases. On previous examination identified pleural effusion obliterating the right lateral pleural sinus has increased slightly. There are some crowded pulmonary vessels on the right base, but no conclusive evidence for infiltrates is present. The left-sided retrocardiac pulmonary density persists and as before, is indicative of a sizeable atelectasis in the left lower lobe. The lateral view discloses that also some small amount of pleural effusion reaches into the posterior left-sided pleural space. Previously identified calcification in right-sided sixth anterior rib remains unchanged.
<unk>-year-old male patient with cardiac amyloid and pleural effusion, evaluate size of pleural effusion.
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Heart size is normal. There is no pneumothorax or edema. Lung fields are clear. Healed left lateral rib fractures are noted. Otherwise, the osseous structures are unremarkable.
<unk>f with sob, abdominal tightness // pna? fluid overload?
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Left-sided pacer and dual leads in unchanged position. Sternotomy wires are unchanged. Cardiomediastinal and hilar contours are stable. Bibasilar opacities suggest atelectasis however infection should be considered. No pneumothorax or pleural effusion.
<unk>f w/chest pain, chills, please eval for occult pna // <unk>f w/chest pain, chills, please eval for occult pna
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Subtle airspace opacity is noted at the medial right lung base adjacent to the right heart border, and may represent early/developing pneumonia. There is no pleural effusion, pneumothorax or pulmonary edema. The cardiomediastinal silhouette is unremarkable in appearance.
history: <unk>m with cough chills // ? pneumonia
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There are relatively low lung volumes. Linear bibasilar opacities are seen which may relate to atelectasis although developing infectious process is not excluded in the appropriate clinical setting. No large pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable.
history: <unk>m with sob // r/o acute 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 chest pain // ? pna or effusion
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Lung volumes are low. Heart size is top normal. There are bilateral increased interstitial lung markings and central pulmonary vascular congestion. No focal consolidation is identified. Please note that chest x-ray is not optimal for evaluation of chest trauma. However, no obvious bony deformity.
<unk>f with fall. eval for traumatic injury.
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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 fever, shortness of breath
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Bilateral moderate pleural effusions are overall unchanged from the prior exam. Lung volumes are low, overall unchanged. Bilateral nodular opacities are compatible with known metastases. Compared to <unk>, increased opacification bilaterally and most visible the lateral view is noted and could represent focal consolidations with pneumonia and/or metastases. Visualized mediastinal silhouette is also unchanged. The left picc line has since been removed, and a right port-a-cath since been placed with its tip ending in the right atrium. No pneumothorax. Biliary stent projecting over the right upper quadrant appears unchanged in position. Nonspecific bowel gas pattern.
<unk>-year-old man with question of neutropenic fever and dyspnea; evaluate for pneumonia.
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The cardiac, mediastinal, and hilar contours are normal. Pulmonary vasculature is normal. Streaky atelectasis is noted in both lung bases. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated.
history: <unk>m with liver failure, worsening renal function. // any infection?
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Multiple old right-sided rib fractures are seen. No displaced left-sided rib fracture is seen, however, if clinical concern for rib fracture is high, suggest a dedicated rib series, which is more sensitive. Areas of linear increase in opacity projecting over the lateral left hemithorax may be artifactual, however again, if there is high concern for a fracture, suggest dedicated rib series.
left rib pain status post fall.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
chest pressure.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.
chest pain and cough.
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The heart is not enlarged. Cardiomediastinal silhouette is within normal limits. There is no chf, focal infiltrate or effusion. No pneumothorax is detected. Within the limits of plain film radiography, no hilar mediastinal lymphadenopathy is detected. Thoracic spine within normal limits.
<unk> year old man with doe // rule out intrathoracic pathology
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The heart size is normal. The aorta is mildly unfolded. Mediastinal and hilar contours are unremarkable, and there is no pulmonary vascular congestion. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are seen. No displaced rib fractures are noted.
left-sided chest wall pain after fall.
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Frontal and lateral views of the chest. There is prominence of the central pulmonary vascular markings suggesting pulmonary vascular congestion. Lungs are clear of consolidation or effusion. Cardiomediastinal silhouette is stable. Median sternotomy wires and mediastinal clips are again noted. Left chest wall dual-lead pacing device is seen with lead tips in the right ventricular apex and right atrium. Dense atherosclerotic calcifications seen throughout the thoracic aorta which is slightly tortuous. Calcified gallstones seen in the right upper quadrant.
<unk>-year-old male with cough and confusion.
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The left picc ends at the cavoatrial junction in unchanged position. Focal poorly defined opacity in the right mid lung is new compared to <unk>. No pleural effusion or pneumothorax. Normal heart size, mediastinal and hilar contours.
history: <unk>f with picc // confirm picc placement
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Lung volumes are low. Heart size is mildly enlarged. Mediastinal and hilar contours are unremarkable. There is crowding of the bronchovascular structures and patchy bibasilar airspace opacities are re- demonstrated. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
seizure.
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There is no evidence of pneumothorax. There are no focal opacities concerning for infection. Left lower lobe atelectasis is present, however, but this clears upon deeper inspiration in the lateral films. Cardiac size is normal. The aorta is tortuous. No rib fractures are appreciated on these non-dedicated films.
right lateral chest pain after fall. question pneumothorax or rib fracture.
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There is stable bilateral low lung volume with previously seen right lower lobe findings now completely resolved. There is mild bibasilar atelectasis. No pleural effusion or pneumothorax is seen. The previously seen granulomas in the right lung apex are unchanged. Lungs are otherwise clear. There are no new areas of focal consolidation. The cardiomediastinal silhouette is unchanged with mild tortuosity of the thoracic aorta. The pleural surfaces are unremarkable.
<unk>-year-old female with recent admission for pneumonia in <unk>, now presents with three days of cough.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. No free air is identified below the hemidiaphragms.
epigastric pain.
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Pa and lateral images of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
lightheadedness.
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There is biapical partially calcified scarring with superior retraction of the hila particularly on the right. The lungs are clear of consolidation, effusion, or edema. Opacity at the left posterior costophrenic angle, may be atelectasis or bochdalek's hernia. The cardiomediastinal silhouette is within normal limits. Old healed left posterior rib fractures are noted. No acute osseous abnormalities.
<unk>f with headache, imbalance, ams // pna
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The lung volumes are low, and particularly in that context, probably streaky opacities are most suggestive of atelectasis at the lung bases. There is no pleural effusion or pneumothorax. The heart is normal in size. No fracture is identified.
hyperextension of the neck and fall on to face.
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Pa and lateral views of the chest provided. Lucent hyperinflated lungs consistent with known emphysema. Cardiomediastinal silhouette appears stable. No large effusion or pneumothorax. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with cough, cp // eval for pneumonia
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Lung volumes are slightly reduced. Heart size is mildly enlarged. The aorta is unfolded. The mediastinal and hilar contours are otherwise unremarkable. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There is mild loss of height of the t<num> vertebral body which is unchanged.
preoperative assessment for left distal radial fracture.
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There is been interval removal of the right pigtail pleural catheter. Apparent elevation of the right hemidiaphragm with lateralization of the peak of the right hemidiaphragm is consistent with a subpulmonic effusion, which is confirmed on the lateral view. There is no pneumothorax. The cardiomediastinal and hilar contours are stable. There is no focal consolidation concerning for pneumonia. The upper abdomen is unremarkable in appearance. Degenerative changes are seen in the thoracic spine.
<unk> year old woman status post chest tube removal. // evaluate post chest tube removal
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The cardiomediastinal silhouettes are within normal limits. The bilateral hila are unremarkable. There is no evidence of pulmonary vascular congestion. The lungs are clear. There is no pneumothorax or pleural effusion. There is no evidence of osseous injury.
<unk>-year-old man following assault, evaluate for fracture or pneumothorax.
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A right pleural effusion has increased in size and is now associated with a small apical pneumothorax component and moderate loculated posterior hydro pneumothorax. A component of the fluid is loculated within the right major fissure. A left pleural effusion has nearly resolved in the interval. Cardiomediastinal contours are stable. Left lower lobe consolidation has improved, but a left perihilar opacity has worsened in the interval. Worsening right middle and lower lobe opacities may reflect atelectasis associated with the enlarging right effusion but coexisting pneumonia is also possible.
<unk> year old woman with hx of multi focal pna // ? improving pna
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One ap upright and one lateral view of the chest. There is no evidence of free air. Mild cardiomegaly is unchanged. There is no focal consolidation. No pleural effusion or pneumothorax.
abdominal pain and vomiting, status post enema, evaluate for free air.
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Frontal and <num> lateral views of the chest. The lungs are clear of focal consolidation, effusion, pneumothorax or pulmonary vascular congestion. There is mild cardiomegaly. No acute osseous abnormality is detected.
<unk>-year-old male with chest pain.
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Pa and lateral views of the chest were viewed. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear. Vasculature is within normal limits. There is no free air under diaphragm.
epigastric pain and melena.
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Pa and lateral views of the chest provided. Blunting of the left cp angle again noted consistent with a small left pleural effusion. A tiny right pleural effusion is also suspected. Lungs are hyperinflated with coarsened interstitial markings reflecting known severe emphysema. No overt signs of edema or pneumonia. Cardiomediastinal silhouette is unchanged. Imaged bony structures appear intact.
<unk>f with copd, dyspnea // eval for pneumonia
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Pa and & lateral views of the chest were provided. The lung volumes are low limiting assessment with bronchovascular crowding atelectasis in the lower lungs. No convincing evidence of pneumonia. No effusion or pneumothorax is seen. The heart and mediastinal contours stable. Bony structures are intact.
<unk>-year-old man with chest pain.
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Pa and lateral chest views were obtained with patient in upright position. This is performed in direct comparison with the next preceding similar examination of <unk>. Pa and lateral chest views cannot disclose any significant interval change of the previously described findings. No new abnormalities are seen. Position of port-a-cath system and two draining right-sided chest tubes are unaltered.
<unk>-year-old female patient with empyema, status post right lower lobe resection, check interval change.
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Ap and lateral views the chest were provided the patient positioned upright. Lung volumes are markedly low with scattered subsegmental atelectasis. Please note, on concurrently performed ct abdomen pelvis, filling defects are noted within the pulmonary arterial tree. Heart size is difficult to assess. Mediastinal contour appears grossly unremarkable. No large pneumothorax is seen. No large effusion. No free air below the right hemidiaphragm. Right humeral head replacement is noted.
<unk>m with tachycardia, recent pna
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Again seen is a moderate right apical pneumothorax, which is slightly increased in size compared to the study from earlier the same day with a maximum width of up to <num> cm. The mediastinum is in a similar position to prior and no new lung abnormalities other than the increased pneumothorax are seen.
follow up pneumothorax.
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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. The visualized osseous structures are unremarkable.
history of seizures. please evaluate for aspiration or infection.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear.
weakness.
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Frontal lateral views of the chest. The lungs are slightly hyperinflated but clear of consolidation, effusion, or pulmonary vascular congestion. Mild biapical scarring is identified. The cardiomediastinal silhouette is within normal limits. There is no large hiatal hernia identified. No acute osseous abnormalities are seen.
<unk>-year-old female with severe gerd symptoms. question hiatal hernia.
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Frontal and lateral chest radiograph demonstrates stable mild cardiomegaly. The mediastinal and hilar contours are otherwise unremarkable. Minimal bibasilar atelectasis again identified. No focal opacification concerning for pneumonia identified. No pleural effusions or pneumothorax evident. Mild-to-moderate multilevel degenerative change identified throughout the thoracic spine.
stroke. assess for infectious process.
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There are no rib fractures visualized. The patient has a right cervical rib. The visualized mediastinal structures are unremarkable. There is no cardiomegaly. The lung fields appear clear without evidence of focal consolidation. There are no pneumothoraces or effusions. There is a well circumscribed and calcified lesion which is seen on the pa projection projecting over the left upper mid abdomen. This is not well visualized on the lateral view. This correlates with a calcified splenic cyst/lesion seen on prior ct examination on <unk>.
<unk> year old woman with s/p colectomy right laparoscopic; lysis of adhesions <unk> // r/o rib fracture
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There is a <num> mm round opacity seen in the right middle lung zone for which malignancy cannot be excluded. There is a left lower lobe atelectasis with adjacent left pleural effusion. There is increased radiopacity and fibrotic changes seen in the right middle lobe consistent with prior radiation treatment. The cardiomediastinal silhouette is within normal limits.
<unk>-year-old female with persistent cough and distant history of allo-bmt for breast cancer.
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Pa and lateral views of the chest. The lungs are clear without effusion, consolidation, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with shortness of breath and chest fullness. question pneumonia or pulmonary edema.
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Since <unk>, there is little interval change. An asymmetry in the right hila is likely due to crowding of vessels and moderate right basilar atelectasis. A <num> cm nodule projects over the <unk> posterior vertebra, unchanged since <unk>. The heart size is normal. No pleural effusion or pneumothorax. No focal consolidations are seen.
<unk> year old man with shortness of breath // ? chf / ? pneumonia
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The right dialysis catheter is unchanged in position with the tip terminating in the low svc. The inspiratory lung volumes are appropriate. Blunting of the left costophrenic angle is unchanged from the prior study consistent with a small left pleural effusion. No right pleural effusion is seen. There is no focal consolidation concerning for pneumonia or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are unchanged with calcification and tortuosity of the thoracic aorta. No acute osseous abnormality is detected. Surgical clips are re- demonstrated in the left upper abdomen.
<unk>-year-old woman with c/o sob with hx multifocal pneumonia and acute-on-chronic diastolic heart failure <unk> // ? pna or chf
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As compared to the previous radiograph, the transparency of the right middle lobe has increased and the volume loss of the middle lobe has decreased. However, the volume has not returned to normal and the lateral radiograph continues to display a mild decrease in transparency. Lack of incomplete resolution suggests that the patient should be followed until complete resolution of the pre-existing pneumonia is documented. There are no pleural effusions. No other parenchymal changes. Normal hilar and mediastinal contours. Normal size of the cardiac silhouette. No pulmonary edema.
right middle lobe pneumonia, evaluation.
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A dual-chamber pacemaker on the left demonstrates leads in the appropriate position. There is no evidence of a pneumothorax. Mild cardiomegaly is persistent. There is mild bibasilar atelectasis. There is no evidence of a large pleural effusion. The patient is status post aortic valve replacement. There is no evidence of pulmonary edema or focal consolidations concerning for pneumonia. Median sternotomy wires appear to be intact and in appropriate position. The visualized osseous structures are otherwise unremarkable.
history of dual-chamber pacemaker. please evaluate for pneumothorax.
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Pulmonary edema has improved since the prior study, with minimal remaining. Right basilar opacity is seen which could be due to underlying pneumonia or atelectasis. Recommend followup to resolution. Enlarged cardiomediastinal silhouette is stable. No large pleural effusion is seen. There is no pneumothorax. Osseous changes of renal osteodystrophy are incidentally noted.
history: <unk>m with esrd, sob after skipping hd // ? pulmonary edema
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When compared with prior, there has been no significant interval change. Bilateral upper lobe scarring with retraction of the hila is noted. Small bilateral effusions have not significantly changed. There is no new consolidation. Cardiac silhouette is enlarged but similar in configuration. Old left-sided rib fractures are again noted. No acute osseous abnormalities detected.
<unk>m with <unk> edema // eval for acute process
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The lungs are well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. No acute rib deformity. An old rib deformity at the right sixth posterior rib.
<unk>f with cough, assess for pneumonia.
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Lungs are fully expanded and clear. Heart size is normal. Cardiomediastinal and hilar silhouettes and pleural surfaces are normal. No evidence of intrathoracic malignancy.
<unk> year old man with iiib melanoma // melanoma surveillance
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In comparison with the study of <unk>, there has been essentially complete clearing of the right lower lung pneumonia. No definite infiltrate at this time. No vascular congestion. The pacer leads are in unchanged position.
pneumonia, to assess for resolution.
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A right picc terminates in the mid svc, unchanged from <unk>. The lungs are well-expanded and clear. Mediastinal contours, hila, cardiac silhouette are normal. No pleural effusion or pneumothorax.
<unk>m with metastatic prostate cancer with pelvic fluid collection and pubic symphasis osteomyelitis // osteomyelitis? pelvic collection?
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Frontal and lateral radiographs of the chest were acquired. The heart is mildly enlarged, not significantly changed. The lungs are clear. The mediastinal contours are normal. There are no definite pleural effusions. No pneumothorax is seen. Note is made of bilateral healed rib fractures.
chest pain.
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No consolidation, pleural effusion, or pneumothorax is identified. Cardiomediastinal silhouette is normal size. Dextroscoliosis of thoracic spine is similar to before.
history: <unk>m with dyspnea and cough // r/o acute process
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Frontal and lateral radiographs of the chest demonstrate well expanded lungs. Stable scarring in the left midlung zone is unchanged. The cardiomediastinal and hilar contours are unchanged. No pneumothorax, pleural effusion, or consolidation.
<unk> year old woman left vatsexploration and median sternotomy for radical thmectomy <unk>. // eval for interval change
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Chest, pa and lateral radiographs demonstrate unremarkable mediastinal, hilar and cardiac contours. Prominent pericardial fat pad noted. Lungs are clear. No pleural effusion or pneumothorax is evident. Extensive multilevel degenerative changes are identified throughout the thoracolumbar spine with intervertebral disc space narrowing and endplate sclerosis. Loss of vertebral body height evident at the thoracolumbar junction, indicating compression deformity of unknown chronicity. Extensive vascular calcifications seen throughout the abdominal aorta without evidence of aneurysmal change.
severe neurological and non-neurological complaints for <num> days, question siadh, evaluate for infection, pneumonia.
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The lungs are mildly hyperexpanded but clear. The heart is not enlarged. There is no mediastinal widening. Aortic contour is grossly normal. There is no pneumothorax or large pleural effusion. Within the limitations of routine chest radiography the included osseous structures are grossly intact.
history: <unk>f with dementia, cad presenting with sob, lightheadedness after rollover mvc // r/o ich, aortic trauma
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A right-sided infusion port is seen, with the tip terminating in the lower svc. The cardiac silhouette is unremarkable. In comparison to the prior examination, there has been increase in right pleural effusion/atelectasis. Possible trace left pleural effusion is present as well. No definite focal consolidation is identified. The central pulmonary vasculature is slightly prominent. No overt chf. Hazy density overlying the lower left chest is similar to the prior exam and may reflect the presence of the breast shadow. There is a severe thoracic vertebral body compression deformity (question t<num>), unchanged since prior examination. There is mild associated focal kyphosis.
history: <unk>f with fever // eval for pna
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Pa and lateral views of the chest. There are patchy regions of consolidation identified in the right lower lobe. Elsewhere the lungs are clear. The cardiomediastinal silhouette is within normal limits. Breast tissue expanders are seen bilaterally, new on the right compared to prior.
<unk>-year-old female with fevers and chills and dry cough.
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal.
<unk> year old woman with two weeks of cough and fever, evaluate for pneumonia
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Right middle lung opacities have improved. There is no new consolidation. Right lower lobe bronchiectasis with bronchial thickening is unchanged and chronic. The left lung is unremarkable. Mediastinal and cardiac contours are unchanged. There is no pneumothorax or pleural effusion.
patient with recent treatment for pneumonia, now with cough and chills last night. evaluation for worsening infiltrate.
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In comparison with the study of <unk>, fibrotic streaks and calcified granuloma in the mid zones are again seen. However, there is no evidence of acute pneumonia, vascular congestion, or pleural effusion.
weight loss with smoking history.
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The lungs are clear. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiac silhouette is top-normal in size, which may in part be from pericardial fat. Mediastinal contours are within normal limits. The hila and pleura are unremarkable. No acute osseous abnormality.
<unk>-year-old woman presenting with shortness of breath; evaluate for consolidation.
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The distal aspect of a right-sided picc is not well assessed, particularly on the lateral view ; on the frontal view appears to be overlying the brachiocephalic/svc junction. There is mild to moderate pulmonary vascular congestion. No lobar consolidation is identified. There is no pleural effusion or pneumothorax. The aorta is tortuous. The cardiac silhouette is top-normal.
history: <unk>f with abdominal pain, fever, currently on treatment for e. coli sepsis // please evaluate for pulmonary edema, effusion and pneumonia
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Pa and lateral chest radiographs are obtained. Heart is moderately enlarged. Cardiomediastinal contours are normal. The opacity seen in the right lower lobe is stable. Right hemidiaphragm is not readily visilble and the opacity extends to the edge of the right major fissure on the lateral view, reflecting collapse of the lower lobe with possible sparing of the superior segment. The minor fisure is not readily itenfied raising the possibility of right middle lobe collapse as well. Mild left pleural effusion. No pneumothorax.
<unk>-year-old man with shortness of breath but stable o<num> sats, ? effusion versus opacity.
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Chronic changes, including bronchiectasis and honeycombing are seen at the lung bases, right greater than left. There is no pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. The cardiac silhouette is mildly enlarged but unchanged.
tachycardia, palpitations and diaphoresis. evaluate infection.
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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 chest pain. evaluate for acute process.
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Heart size is mild to moderately enlarged, unchanged. Mediastinal and hilar contours are within normal limits. Linear and streaky opacities in the lung bases appear relatively unchanged compared to the previous exam with minimal increased atelectasis noted at the right lung base. No focal consolidation, pleural effusion or pneumothorax is identified. There is no pulmonary edema. No acute osseous abnormality seen. Mild degenerative changes are noted in the thoracic spine.
history of arrhythmias, dyspnea on exertion for <num> month
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There is an placement of a right hd dialysis catheter since the prior chest radiograph of <unk>. The cardiac silhouette is top normal in size. The mediastinal contours are within normal limits. There is minimal calcification of the aortic knob. A small amount of right pleural fluid is again seen. No left pleural effusion is seen. There is mild interstitial pulmonary edema and prominence of the pulmonary vasculature. No pneumothorax is seen.
<unk>-year-old man did not finish dialysis today, here to evaluate for fluid overload.
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Heart size is normal. The aorta remains tortuous but unchanged. The mediastinal and hilar contours are unremarkable, and there is no pulmonary vascular congestion. Streaky left lower lobe opacity is nonspecific and may reflect atelectasis or infection. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities. Multilevel degenerative changes are noted in the thoracic spine.
hypoxia.
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Again seen relative lucency of the upper lungs in comparison to the more inferior lungs may be due to underlying copd. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Again seen rounded retrocardiac structure on the frontal view most likely relates to a hiatal hernia. The cardiac and mediastinal silhouettes are stable. No displaced fracture is seen.
chest pain x.
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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 chest pain. // pna?
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Pa and lateral views of the chest. The lungs are clear consolidation or effusion. There is no pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected. No free air is seen below the diaphragm. Surgical clips seen in the upper abdomen.
<unk>-year-old female with epigastric pain.
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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 wbc elevated to <unk>.<num>, ldh elevated to <num>, and several month history of drenching sweats. // please assess for signs of malignancy or infection.
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There is a large right pleural effusion which is increased compared to the prior study. The left lung is clear. No left pleural effusion is seen. The right-sided cardiac and mediastinal silhouettes are difficult accurately assess due to the large pleural effusion, but the left cardiac silhouette and left-sided mediastinal contours are unremarkable.
history: <unk>m with dyspnea // r/o acute process