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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. There is no pneumomediastinum or free intraperitoneal air. No fracture.
<unk>f <num> day status post endoscopy now w/ worsening abd pain and distention, evaluate free air, pneumonediastinum, acute cp process.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
atrial fibrillation and history of stroke. recent diagnosis of gastroesophageal junction adenocarcinoma and admission for infected port and bacteremia. status post port removal.
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Diffuse reticulonodular interstitial markings are increased since prior examinations in <unk> and <unk>. Bilateral pleural effusions are not significantly changed. Fibrotic changes at the left hilum are stable appearing from the prior examination. Right middle lobe and right lower lobe opacities persist, which may be related to atelectasis or infection. .
<unk> year old woman with metastatic nsclc and new hypoxia // eval for effusion, infiltrate
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The heart is normal in size. The mediastinal and hilar contours appear unchanged. There is a streaky opacity in the right mid lung which has coalesced, suggesting scarring or atelectasis, but overall aeration of the lungs has improved, including resolution of a band-like opacity in the left lower lung. There is persistent mild-to-moderate elevation of the right hemidiaphragm with a drain projecting over the right upper quadrant of the abdomen. There is no pleural effusion or pneumothorax. No free air is seen. Bony structures are unremarkable.
chest pain and recent liver resection.
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Ap and lateral views of the chest. No prior. Lungs are hyperinflated. Diffusely increased interstitial markings are seen throughout most suggestive of a chronic underlying lung disease. Bi-apical scarring with superior retraction of the hila. There is no evidence of large confluent consolidation. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are notable for an upper thoracic dextroscoliosis.
<unk>-year-old female status post fall with non-productive cough.
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Pa and lateral views of the chest provided. The lungs are mildly hyperinflated. A curvilinear opacity in the right upper lobe is unchanged. Calcified granuloma in the right lower lobe is unchanged. Diffuse, prominent interstitial lung markings worse at the left lung base, are unchanged. Minimal scarring at the right apex in the right lower lobe is unchanged from ct chest <unk>. No pleural effusion or pneumothorax. The aorta is mildly tortuous and the pulmonary arteries are prominent, bilaterally. Otherwise, cardiomediastinal contours are normal.
<unk> year old man with cough and congestion. bi-basilar rhonchi. // r/o infiltrate
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. Specifically, no acute or chronic tuberculous disease is identified. No vascular congestion or pleural effusion.
positive ppd.
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Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. There is no pleural effusion, focal consolidation, or pneumothorax. Moderate cardiomegaly is stable. There is mild perihilar vascular congestion. No pulmonary edema. Partially imaged upper abdomen is unremarkable.
seizure and wheezing.
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Right-sided port-a-cath tip terminates in the upper/mid svc. No pneumothorax is present. Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion is present. No acute osseous abnormality is detected. Clips are visualized in the right upper quadrant of the abdomen.
history: <unk>f with port // confirm port placement
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Frontal and lateral chest radiographs demonstrate well expanded and clear lungs. There is no focal consolidation. There is moderate cardiomegaly with biatrial enlargement and right ventricular enlargement, unchanged when compared to radiograph dated <unk>. Sternotomy wires are intact. There is no pleural effusion or pneumothorax.
<unk>-year-old male with diffuse wheezing and cough. evaluate for infiltrate.
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Substantial left pleural effusion; difficult to assess change compared to prior radiograph given different views. The right lung is clear, without consolidations, effusions or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk> year old woman with pleural effusion // eval
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Heart size is normal. The mediastinal and hilar contours are unremarkable. Lungs are clear. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
generalized fatigue and right upper quadrant pain.
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Pa and lateral views of the chest provided. Lung volumes are low, unchanged. Opacity in the right middle lobe likely represents an end on vessel. 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.
history: <unk>f with syncope // ?cpd
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Pa and lateral chest radiographs were provided. There is prominence of the interstitial markings with kerley b lines in the lateral lung fields as well as prominent hila bilaterally consistent with interstitial edema and central vascular engorgement. There may be a small right pleural effusion. No pneumothorax is identified. The cardiomediastinal silhouette is not significantly enlarged and demonstrates normal contours. Median sternotomy wires are intact. Patient is status post tricuspid valve replacement.
<unk>-year-old female with nausea and vomiting, rule out esophageal pathology, pneumonia.
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The lungs are clear without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Radiopaque densities project over the anterior abdominal wall. No free intraperitoneal air.
<unk>m with bullet wounds // eval for bullet s
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. Previously seen left lower lobe pneumonia has significantly improved since preceding exam. There is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old male with cough and fever as well as nausea. question pneumonia.
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Patient is status post left upper lobectomy. There is decreased aeration of the left lung as compared to the prior study overall, there are low lung volumes, although same groin along appears grossly clear. No evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are grossly stable. Right-sided poor distal tip not well assessed, but likely terminating in the cavoatrial junction. Anchor screw projects over the right humeral head.
history: <unk>f with chest pain, dyspnea // acute cardiopulm disease, rib fractures on right *<unk> ttp
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The heart is normal in size. The aorta is slightly tortuous and calcified. The mediastinal and hilar contours appear unchanged. In addition to low lung volumes, there is similar relative mild-to-moderate relative elevation of the right hemidiaphragm compared to the left. There is mild interstitial abnormality suggesting slight fluid overload or pulmonary congestion. Streaky left basilar opacities suggest atelectasis in association with a small suspected left-sided pleural effusion. The bones are demineralized. There are moderate-to-severe degenerative changes depicted along the partly visualized left shoulder.
hypotension, nausea and vomiting.
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The inspiratory lung volumes are decreased from the prior study with resultant accentuation of the cardiac mediastinal silhouette, which is likely unchanged. The thoracic aorta is moderately tortuous. A known large hiatal hernia is unchanged. There is no large focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormality is detected. There is scoliosis and hypertrophic changes of the spine.
history: <unk>f with cough, rib fractures, fever // ?pneumonia, trauma
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Cardiac silhouette size is mildly enlarged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Linear opacities in the right lung base are compatible with areas of subsegmental atelectasis. Lungs appear hyperinflated. No focal consolidation, pleural effusion or pneumothorax is present. Scarring is noted in the lung apices. There are mild to moderate degenerative changes noted in the imaged thoracic spine.
history: <unk>m with cough
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There is no evidence of pneumothorax or subcutaneous emphysema. In the right upper lung there is a <num> mm nodular opacity which was not clearly present on the most recent prior chest radiograph or chest ct. Additionally, there is a <unk> <num> mm nodular opacity in the left mid lung which may correlate to a nodule seen on the most recent ct. A metallic marker is seen within the right lower lung nodule, not significantly changed from prior. The cardiomediastinal silhouette is stable. No pleural effusions are present. A hiatal hernia is again noted.
non-small cell lung cancer in right lower lobe, had prior pneumothorax with biopsy on <unk>; has neck pain and headaches since; possible subcutaneous emphysema. evaluate for pneumothorax and subcutaneous emphysema.
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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 cough for years that seems to start in lungs and keeps her awake at night. // ? parenchymal infiltrate.
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Pa and lateral views of the chest. Linear densities in the left lower lobe either represent linear atelectasis or bronchiectasis. No evidence of pneumonia. Otherwise the lungs are clear. There are no pleural effusions or pneumothorax. The cardiac, mediastinal, and hilar contours are normal.
abpa, increased symptoms, assess for infiltrates.
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As compared to the previous radiograph, the right apical pneumothorax has minimally decreased in extent but is still clearly visible. Minimal air-fluid levels are seen at the right lung base, indicative of fluid or pneumothorax. The parenchymal opacities at the right lung base are constant. Constant moderate cardiomegaly with tortuosity of the thoracic aorta. Unchanged moderate air collection in the right soft tissues.
right apical pneumothorax, evaluation for interval change.
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Left apical pneumothorax now measures <num> cm in craniocaudal dimension, previously <num> cm. There is no cardiomediastinal shift. Lungs are otherwise clear. There is redemonstration of known left clavicular fracture.
history of pneumothorax. evaluate pneumothorax.
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Normal heart size, mediastinal and hilar contours. Mildly hyperinflated lungs with flattening of the diaphragms suggestive of copd. No focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with histoyr of copd elevated wbc // eval for pna
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New right lower lobe opacities are worrisome for pneumonia. There is no pneumothorax or pleural effusion. The heart is mildly enlarged.
productive cough, on immunosuppressants, rule out pneumonia.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk>m with positive ppd. evaluate for tuberculosis
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In comparison with the earlier study of this date, there may be a slight increase in the degree of pneumothorax on the left. Overall, the degree of pneumothorax is less than on the study of <unk>. Right lung is clear.
chest tube clamped, to assess for pneumothorax.
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Frontal and lateral views of the chest. Improved aeration is seen on the current exam. The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>-year-old female with chest 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 stable. No displaced fracture is seen.
chest pressure.
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The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. Minimal patchy bibasilar opacities likely reflect areas of atelectasis. No acute osseous abnormalities are seen.
<unk> year old man with productive cough, fever, bodyaches
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The lungs are well expanded and clear. No pleural abnormality is seen. The cardiac and mediastinal silhouettes are unremarkable. Surgical clips in the right anterior chest is consistent with patient's history of prior conservation therapy.
<unk>f with cp. evaluate for acute process.
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There are multiple overlying monitoring devices obscuring evaluation of the heart and lungs. Heart size is enlarged, as before. Left chest wall port is again seen with catheter tip at the ra svc junction. There is mild central vascular congestion. No interstitial edema, pneumonia, or pleural effusions. There is mild basilar atelectasis seen on the lateral view.
<unk>m with chf and progressive sob // eval for chf
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In comparison with the study of <unk>, the left chest tube has been removed. No definite pneumothorax is seen at this time. No acute cardiopulmonary disease.
thymectomy with chest tube removal, to assess for pneumothorax.
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen.
fever.
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There is minor mid lung atelectasis. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The aorta is tortuous. The cardiac silhouette is mildly enlarged. No overt pulmonary edema is seen.
chest pain, hypertension.
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Opacities are seen at the right and left lower lobes. There is suggestion of a small left pleural effusion. The cardiomediastinal silhouette is unremarkable.
<unk> year old woman with suspected new diagnosis of cirrhosis. // r/o infectious process r/o infectious process
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The lungs are clear. There is no pneumothorax. The heart and mediastinum are within normal limits. Mammilation of the bilateral hemidiaphragms is unchanged. Multiple right upper quadrant metallic surgical clips may be due to prior cholecystectomy. The bones are unremarkable.
<unk> year old woman with rll pneumonia in late <unk>, treated at outside hospital. current smoker. also has asthma. // f/u cxr
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Pa and lateral views of the chest provided. Mild left basal atelectasis noted. Otherwise lungs are clear. No signs of pneumonia or edema. No pleural 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 left flank pn // r/free air
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The heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Patchy opacities are noted in the right lung, predominant within the right upper and middle lobes, with bronchiectasis and bronchial wall thickening. Findings appear improved compared to the previous radiograph from <unk>, but appears slightly worse when compared to the previous ct from <unk>. Streaky opacity in the left lower lobe likely reflects atelectasis. No pleural effusion or pneumothorax is seen.
breast cancer status post chemotherapy with chills and fever.
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Lung volumes are low. Heart size is normal. The mediastinal and hilar contours are unremarkable. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormalities are detected.
fever and liver failure.
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Moderate left pleural effusion extending from the cardiac silhouette to the left costal pleural surface, and posterior to the left lung, is entirely unchanged since <unk>. Superiorly the left lung is clear. Right is fully expanded and there is no right pleural effusion. The heart is probably not enlarged.
<unk>-year-old man with a pleural effusion.
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Frontal and lateral chest radiographs were obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
patient with sudden onset back pain and pleuritic right chest pain, rule out pulmonary lesion.
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is identified. The osseous structures are diffusely demineralized with mild loss of height of <num> adjacent mid thoracic vertebral bodies, likely chronic.
history: <unk>f with chills, <unk>'s disease
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As compared to prior chest examination, lung volumes are decreased, accentuating the bronchovascular structures and cardiac silhouette. There is bibasilar atelectasis. There is no definite focal consolidation concerning for pneumonia. There is no pleural effusion or pneumothorax.
history: <unk>m with fever // evidence of infection evidence of infection
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There are streaky bibasilar opacities which are most likely due to atelectasis. There is no focal consolidation, effusion, or edema. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>f with epigastric pain + n/v // ro infectious, pe or cardiac process
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The cardiomediastinal silhouette and hilar contours are normal. Diffuse increased reticulonodular markings are unchanged from prior exam and is chronic. Lungs are otherwise clear without focal consolidation. There is no effusion or pneumothorax.
myeloma status post stem cell transplant with worsening cough and wheezing.
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There is a biventricular pacemaker in the left chest wall with leads in the right atrium, right ventricle, and a third lead through the coronary sinus. There is no pneumothorax. Left retrocardiac and right basilar opacities are likely atelectasis. There is mild improvement in pulmonary edema. Cardiomediastinal silhouette is unchanged. There is no focal consolidation or pleural effusions.
<unk>-year-old woman with afib, cardiomyopathy, ef <unk>%, now status post biventricular aicd placement. evaluate lead placement.
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<num> views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. Cardiac size is normal with mildly tortuous aortic contour.
palpitations, assess for cardiomegaly.
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion. Multilevel moderate lower thoracic spondylosis is present, as is right acromioclavicular osteoarthritis.
<unk>-year-old male with atypical chest pain for one week.
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There is a new right perihilar opacity with associated increased opacity of the right upper lobe, and a new small right pleural effusion. Increased soft tissue density at the right paratracheal margin is indicative of possible mediastinal lymphadenopathy. No pneumothorax. Heart size is normal.
history: <unk>f with ams and cough. please evaluate for pneumonia or other pulmonary process.
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The cardiomediastinal silhouette and pulmonary vasculature are normal. There is no pleural effusion or pneumothorax. The right hemidiaphragm is mildly elevated. An opacity seen along the right lung base, which is also seen posteriorly on the lateral view. In the appropriate clinical context, this may represent pneumonia. However, other pathologies are not excluded.
<unk>m with chest pain // eval for pna, pulmonary embolism
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Pa and lateral views of the chest demonstrate an elevated right hemidiaphragm and low lung volumes, unchanged. Plate-like atelectasis atelectasis is again noted in the left lung base. No pneumothorax or pleural effusion is noted. The cardiomediastinal silhouette is unremarkable. An abandoned vp shunt is noted in the region of the right apex.
new oxygen requirement.
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Lungs are hyperinflated but clear. There is mild left apical pleural thickening. Cardiomediastinal silhouette is normal. No pleural effusion or pneumothorax. Chronic deformity of the right sided ribs is again seen.
<unk> year old man with weakness and history of etoh abuse. concern for aspiration. evaluate for infiltrate.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with stroke like symptoms, evidence of pneumonia
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The heart is mildly enlarged, and there is mild central pulmonary vascular congestion. No focal consolidation, pleural effusion or pneumothorax is seen. Prior right rotator cuff surgery is noted.
<unk>-year-old male with confusion.
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The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. There is no pulmonary edema or focal consolidation concerning for pneumonia. There are no rib abnormalities to indicate a healed rib fracture.
inspiratory chest pain, worse with palpation. history of trauma in <unk>.
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The lungs are clear and well expanded. No pleural abnormality is seen. The hilar and mediastinal silhouettes are unremarkable. Increased density along the right heart border corresponds with patulous esophagus better seen on same-day ct abdomen pelvis. No free air under the right hemidiaphragm is seen.
<unk>f with down syndrome, hypothyroidism, dmi presents with vomiting.
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The lungs are clear and well inflated. No pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. Mediastinal and hilar structures are unremarkable.
chest pain, evaluate for an acute lung process.
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In comparison with the study of <unk>, the cardiac silhouette remains at the upper limits of normal or mildly enlarged, with a three-channel pacer device in place. Blunting of the costophrenic angles likely reflects pleural thickening. No evidence of acute focal pneumonia or vascular congestion.
possible 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.
history: <unk>m with cough x <num> weeks // ? pna
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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. No free air beneath the right hemidiaphragm.
history: <unk>f with abd pain d/p egd // free air
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Frontal and lateral views of the chest. Previously seen dual-lumen left chest wall port is no longer visualized. There is now a single-lumen right chest wall port with catheter tip at the ra svc junction. Relatively low lung volumes are seen. The lungs are grossly clear, there is no effusion. Cardiomediastinal silhouette is stable. Post operative changes of thoracotomy seen on the right. Anterior cervicothoracic vertebral body hardware is identified.
<unk>-year-old female with power port, question single right dual lumen.
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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. There is a mild pectus excavatum deformity of the sternum. No free air below the right hemidiaphragm is seen.
<unk>f with chest pain.
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A vague opacity projecting over the medial aspect of the right lower lobe appears to be stable since the prior radiograph. Given that the prior ct showed no evidence of parenchymal abnormality, this is likely due to vasculature. A tortuous aorta is noted, also stable finding. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size.
<unk>m with persistent cough,? pneumonia.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with cough congestion sob for <num> days
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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 chest pain this afternoon
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A right pigtail catheter projects over the right hemithorax in unchanged position. Cardiomediastinal and hilar contours are stable. No focal consolidation, or pleural effusion. A right apical pneumothorax has nearly resolved.
<unk> year old man with ptx // ?ptx please get <unk> @ <unk> am
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Ap and lateral views of the chest are compared to previous exam from <unk>. Previously identified left-sided picc is no longer seen. The lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. Cardiomediastinal silhouette is stable, as are the osseous and soft tissue structures.
<unk>-year-old male with history of chf and altered mental status.
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Marked cardiomegaly is accompanied by pulmonary vascular congestion and diffuse interstitial edema. More confluent areas of opacification overlie the lower spine on the lateral view and or also present to a lesser extent in the right upper lobe. Small pleural effusions are present, left greater than right. Hyper expansion of the lungs is in keeping with history of copd.
<unk> year old man with chf, copd, lung and laryngeal masses presenting with shortness of breath and cough. // please evaluate for aspiration pneumonia and pulmonary edema
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Pa and lateral views demonstrate hyper expanded lungs with flattening of diaphragms bilaterally consistent with emphysematous changes. No focal opacity convincing for pneumonia is identified. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion, pulmonary edema, or pneumothorax. Osseous structures are without an acute abnormality. Multilevel degenerative changes are noted throughout the thoracolumbar spine. No air under the right hemidiaphragm is identified.
<unk>-year-old female with hypertension and shortness of breath.
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The lungs are mildly hyperinflated with mild flattening of the hemidiaphragms. Left midlung linear atelectasis is present. The lungs are otherwise clear. The heart and mediastinum are within normal limits. There is no pneumothorax.
<unk> year old man with copd, bilateral wheezing, cough. evaluate for pneumonia.
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Lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiac silhouette slightly prominent size likely due to prominent mediastinal fat as seen on prior ct scan. No acute osseous abnormalities identified.
<unk>m with chest pain // evaluate for ptx or infiltrate
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Compared to <unk> at <num> a.m., the temporary pacing wire has been replaced with a right-sided generator and single lead overlying the right ventricle. Cardiomediastinal silhouette is unchanged. No chf, focal infiltrate, effusion, or pneumothorax is detected.
<unk> year old woman s/p temporary screw-in lead in the rv with external pm // check for pnx and lead position
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Severe cardiomegaly is again demonstrated. The right internal jugular line has been removed. Left-sided dual lead pacemaker is unchanged in position. There is new substantial posterior right lower lobe atelectasis. The cardiomediastinal silhouette is unchanged. There is no evidence of pneumothorax
<unk> year old man s/p avr // predischarge eval
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Linear airspace opacities in the right lower lung are suggestive of subsegmental atelectasis. Ill-defined retrocardiac opacification may represent atelectasis in the setting of an elevated left hemidiaphragm or developing consolidation. There is no pulmonary edema common pneumothorax, or pleural effusion. The cardiomediastinal silhouette is normal. The descending aorta is tortuous. Hyperinflation suggests copd.
<unk>m with chest pain, evaluate for pneumothorax.
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Patient is status post median sternotomy. Right-sided picc terminates at the cavoatrial junction. A feeding tube courses below the diaphragm, out of the field of view. No focal consolidation is seen. There is no pleural effusion or large pneumothorax. Previously seen right apical pneumothorax is not appreciated on the current study. The cardiac and mediastinal silhouettes are while.
<unk>m s/p multiple abdominal surgeries presenting with fever and tachycardia // <unk>m s/p multiple abdominal surgeries presenting with fever and tachycardia
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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. Bony structures are unremarkable.
chest pain.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is a small eventration of the right hemidiaphragm. There is no pleural effusion or pneumothorax. No free air is demonstrated. The lungs appear clear. The bony structures are unremarkable aside from slight rightward convex curvature centered along the mid thoracic spine.
epigastric pain and peptic ulcer disease, presenting with gastrointestinal bleeding. question free air.
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Frontal and lateral chest radiographs are obtained. The lungs are clear with no evidence of consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is normal. Post-surgical changes are again visualized at the right apex. Blunting of the right costophrenic angle remains unchanged and likely related to prior pleurodesis. Osseous structures are grossly unremarkable.
evaluation of patient with right-sided chest pain.
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Pa and lateral views of the chest. Right lower mildly displaced rib fractures are again seen, better seen on dedicated rib films done yesterday. Small right pleural effusion is unchanged. No left pleural effusion. The cardiomediastinal and hilar contours are normal. No evidence of pneumonia or pneumothorax.
right lateral chest wall pain status post fall, evaluate for change in effusion.
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Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
<unk>-year-old female with chest pain.
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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.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Median sternotomy wires and an aortic valve replacement are noted. Right upper tracheal shift us due to thyroid enlargement
history: <unk>f with chest pain // r/o chf, pneumonia
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The patient is somewhat rotated and thoracic scoliosis is re- demonstrated. The lungs are hyperinflated which may be due to chronic obstructive pulmonary disease. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. Previously seen pleural effusions have resolved. The cardiac silhouette remains mildly enlarged. Mediastinal contours unremarkable. No pulmonary edema is seen. Chronic deformity of the right shoulder is re- demonstrated.
history: <unk>f with dyspnea // acute process
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The lungs are clear. There is no consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Compression deformities of lower thoracic and upper lumbar vertebral bodies are grossly unchanged.
<unk>f with confusion // evaluate for pneumonia
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Prominent atherosclerotic calcifications of the aortic wall are unchanged from <unk>. No rib fractures are seen.
<unk>-year-old female status post trauma.
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Frontal and lateral chest radiographs demonstrate a left chest tube in unchanged position and normal cardiomediastinal silhouette. There has been interval re-expansion of the right upper lobe, with residual atelectasis adjacent to the fissure. There is no focal consolidation or pleural effusion. There is a small left apical pneumothorax. This pneumothorax is more obvious on today's exam and may be minimally bigger, but was likely present on prior radiograph.
status post left upper lobectomy, with right upper lobe collapse. evaluate for interval change.
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As compared to the previous examination, there is no evidence of pleural effusions. The costophrenic sinuses are well deployed on both the frontal and the lateral image. There is an area of increased radiodensity at the level of the right upper lobe, which is likely caused by the rotation of the patient following relatively severe scoliosis. No pulmonary edema. Borderline size of the cardiac silhouette with mild tortuosity of the thoracic aorta.
status post cardiac surgery, assessment for pleural effusions.
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There has been interval resolution of the previously demonstrated left lower lobe collapse. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. The heart size is normal. Mediastinal contours are normal.
history of left lower lobe collapse in <unk>, evaluate for re-expansion.
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The cardiomediastinal and hilar contours are within normal limits. Right hilar fullness and the multiple small, subtle nodular opacities seen throughout both lungs are consistent with the patient's known sarcoidosis and are better seen on recent chest ct from <unk>. No focal consolidation, pneumothorax or pleural effusion is identified.
<unk>f with sarcoidosis with pulm involvement and <num> week of cough // assess for pna
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As compared to the prior examination dated <unk>, there has been no significant interval change. Again seen are multiple bilateral pleural plaques involving much of the pleural and diaphragm. The lungs are mildly hyperinflated without focal consolidation, mass, pleural effusion, or pneumothorax. The heart size is normal. Mediastinal and hilar contours are stable.
history of smoking and asbestos exposure, screening test for x-ray.
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The patient is status post median sternotomy and cabg. Cardiac, mediastinal and hilar contours are unchanged and within normal limits. Calcified bilateral pleural plaques are re- demonstrated. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is identified diffuse idiopathic skeletal hyperostosis is again noted within the thoracic spine.
<unk> year old man with stroke
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Linear opacities within the right mid lung and at the left base are likely due to subsegmental atelectasis. No focal consolidations to suggest pneumonia. 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.
history: <unk>m with cough, fever
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The cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Subsegmental atelectasis is noted anteriorly within either the lingula or right middle lobe on the lateral view. No focal consolidation, pleural effusion or pneumothorax is detected.
likely hardware infection, preoperative assessment.
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Compared with the <unk> cxr, the previously seen bilateral posterior effusions are slightly larger. Allowing for technical differences, the cardiomediastinal silhouette is probably unchanged. Doubt chf. Subtle bibasilar opacities are similar to the prior film. No new focal infiltrate or consolidation is detected.
<unk> year old woman with uterine cancer p/w increased dyspnea x <num> days // eval pleural effusion vs. pna
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Prior left upper lobe segmentectomy with stable postoperative changes. Linear opacities in the lingula have not substantially changed since the prior examination and likely post surgical. No pleural effusion or pneumothorax. Heart size is normal.
<unk> year old man with low grade fever, lower anc // pneumonia?
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
left-sided chest pain.
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The heart size is top normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. No focal consolidation, significant pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Multilevel degenerative changes are present within the imaged thoracolumbar spine.
shortness of breath and dyspnea on exertion.