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If we consider the different position of the patient, there is no significant change in the left moderate pleural effusion and atelectasis and the right mild pleural effusion. The mediastinal and heart contours are unchanged. The right jugular catheter is in adequate position at the cavoatrial junction. There is no pneumothorax.
patient with aortobi-iliac repair of juxtarenal abdominal aorta aneurysm.
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The cardiac silhouette is mildly enlarged, stable from prior examination. Mediastinal silhouette and hilar contours are otherwise unremarkable. There is mild pulmonary vascular prominence without interstitial edema. Lungs are otherwise clear. There is a trace blunting of the left costophrenic angle which may represent a trace pleural effusion. There is no pneumothorax. Median sternotomy wires are intact. The bones are diffusely osteopenic.
hyperglycemia.
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Again, noted is a prominent epicardial fat pad. Otherwise, the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is stable and within normal limits. No acute fractures are identified but old left sided rib fractures may be present. Multilevel degenerative changes are visualized throughout the thoracic spine with anterior osteophytes and disc space narrowing.
cough and low-grade fever.
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Previously seen pulmonary edema and bilateral pleural effusions have been resolved. There is no consolidation or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. Old healing fractures are noted at left <num> and <unk> ribs laterally.
<unk> year old woman with pleural effusion // eval
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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 pain
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Pa and lateral views of the chest. The right pleural effusion has increased in size. No left pleural effusion. Heart size is top normal. Cardiomediastinal and hilar contours are normal. No focal consolidation or pneumothorax.
effusion.
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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 fever and 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. The mediastinum is stable and not widened.
history: <unk>m with chest and back pain // ?mediastinal widening
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The heart size is normal. Mediastinal and hilar contours are normal. Pulmonary vascularity is normal. The lungs are clear. No pleural effusion, focal consolidation or pneumothorax is present. There are no acute osseous abnormalities.
hiv, fever, cough.
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The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal airspace consolidation concerning for pneumonia.
history: <unk>m with pain/sob // r/o pneumonia
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The patient is status post minimally invasive esophagectomy. Interval improvement in bilateral, predominantly perihilar interstitial opacities, likely improving pulmonary edema. There is persistence of a small right apical pneumothorax, stable since prior exam. Bilateral small pleural effusions and bibasilar atelectasis are similar to prior study. The heart size is unchanged. A right pleural catheter is in standard placement. An air-fluid level projects over the right mainstem bronchus, likely representing the neo-esophagus. Substantial subcutaneous emphysema is mildly increased in prominence compared to prior exam.
<unk> year old woman with pod<unk> s/p mie // evaluate for interval change
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The heart size is normal. The aortic knob is calcified. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Apart from minimal subsegmental atelectasis in the lung bases, the lungs are clear. No pleural effusion or pneumothorax is seen. There is hyperinflation of the lungs which is suggestive of underlying copd. Multilevel degenerative changes with anterior bridging osteophytes are noted in the thoracic spine. No acute osseous abnormality is visualized.
right upper back pain after motor vehicle collision.
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The lungs are well expanded and clear. The hila and pulmonary vasculature are normal. No pleural effusions or pneumothorax. The cardiomediastinal silhouette is normal. No fractures.
<unk> year old woman with abnormal cxray in <unk> // compare is problem still there that was noted.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
<unk>m with cad s/p stenting p/w jaw pain similar to prior mi and intermittent headache // ?acute cardiopulmonary process
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Bilateral low lung volumes. Elliptical opacity with sharp medial margin projecting over the right mid lung is concerning for a pleural mass with no obvious rib abnormalities. Ct chest would be the next imaging modality for further evaluation. Question of increased right upper lobe opacity confirms concern for pleural mass and can also be evaluated with ct chest. Otherwise, significant improvement in right lower lobe opacity lungs are more clear compared to <unk>. No pneumothorax or pleural effusion. Chronic elevated left hemidiaphragm with associated atelectasis of the left lower lobe is noted. The cardiac and mediastinal silhouettes are normal.
<unk> year old man with abnormal admission portable cxr. // please perform repeat. if rib films needed please perform. thank you.
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Pa and lateral views of the chest. No prior. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with asthma, presents with wheezing and shortness of breath.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Increased opacity in the right lower lung, referring to the right lower lobe, is concerning for pneumonia.
shortness of breath and cough.
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Ap upright and lateral views of the chest provided. Lung volumes are low limiting assessment. There is no focal consolidation concerning for pneumonia. No large effusion or pneumothorax. Mild lower lung atelectasis noted. There is subtle prominence of the pulmonary hila likely reflecting hilar congestion. There is no frank edema or large effusion. No pneumothorax. Heart size appears top-normal. The aorta is unfolded. There is tracheobronchial tree calcification. The imaged bony structures are intact.
<unk>f with hyperglycemia, bibasilar crackles
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Pa and lateral images of the chest. The lungs are without definite infiltrate. There is mild increase density of the posterior lower lung on the lateral view which may be due to atelectasis. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
chest pain.
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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures identified.
cough.
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The esophagus is markedly distended, suggesting a distal food impaction. Patchy opacities at the right base likely reflect atelectasis. No focal consolidations. No pulmonary edema. Stable appearance of the cardiomediastinal silhouette. No pneumomediastinum or pneumothorax. Persistent small left pleural effusion. Surgical clips are seen within the neck bilaterally due to prior thyroidectomy. Multiple right lateral rib fractures are re- demonstrated. Chronic anterior subluxation of the humeral head with respect to the glenoid bilaterally, stable. Status post cholecystectomy.
history: <unk>f with esophageal food bolus
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The heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality seen.
diabetes mellitus type <num>, hypoglycemia.
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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Lung volumes are low. Cardiomediastinal silhouette is normal. No acute fractures are identified.
evaluation of patient with diabetes with new atrial fibrillation.
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Frontal and lateral chest radiograph demonstrates interval removal of right-sided chest tube with resultant small apical pneumothorax. There is no evidence of tension. There is a persistent large left pleural effusion with bibasilar opacities which appears improved on the left and slightly worse on the right. This opacification is most likely atelectasis although the differential diagnosis includes aspiration and pneumonia. A right subclavian line terminates at the level of the mid to low svc. Cardiomediastinal silhouette remains stable.
<unk>-year-old female status post esophagectomy now status post chest tube removal.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Heart size is top-normal to mildly enlarged. The cardiomediastinal silhouette is otherwise normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with l sided cp // eval for cardiomegaly
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Previously seen left-sided picc has been removed in the interval. Descending thoracic aortic stent graft is stable in position. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No overt pulmonary edema is seen. No displaced fracture is seen.
chest pain status post endovascular thoracic aortic aneurysm repair in <unk>.
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Compared to chest radiographs from <unk>, left pleural effusion has reaccumulated and approaches the size of pre thoracentesis effusion on <unk>. No effusion on the right. No focal consolidation. No pneumothorax. Heart size, though difficult to assess in the setting of effusion, is likely mildly enlarged, stable. Median sternotomy wires are intact and note is made of mediastinal clips.
<unk> year old woman with pleural effusion // eval
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Patient is status post median sternotomy. Dual lead left-sided aicd is stable in position. Cardiac and mediastinal silhouettes are stable. No focal consolidation, pleural effusion, at large pneumothorax is seen. No pulmonary edema is seen.
history: <unk>m with ams // eval for acute process, infection
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Aorta is calcified. The mediastinum is not widened.
history: <unk>f with <num> days of cough // assess for infiltrate
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The lung volumes are low. The heart is normal in size. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. There is a persistent opacity in the left mid lung, as well as a posterior basilar component which is probably in the left lower lobe. Elsewhere, the lungs appear clear. Bony structures are unremarkable.
fever. question infiltrate.
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Heart size is normal. Mediastinal and hilar contours are unchanged. Multiple nodules are again seen within the anterior and middle mediastinum, not significantly changed from the prior exam, and some of which reflect calcified lymph nodes. Several chain sutures are noted projecting within the right upper lung field. There is associated volume loss in the right lung with elevation of the right hemidiaphragm. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized.
chest pain, shortness of breath and fevers.
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Left pectoral pacer leads terminate in the right atrium and right ventricle, as expected. Median sternotomy wires are intact. There is mild pulmonary vascular congestion, with mild pulmonary edema. Streaky left retrocardiac opacities likely represent atelectasis. No other consolidation. No pleural effusion or pneumothorax. Mild cardiomegaly is stable. No subdiaphragmatic free air.
<unk>-year-old male with shortness of breath. evaluate for pulmonary edema.
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The cardiac silhouette is prominent, but stable since the prior examination. The pulmonary vasculature is similar to the most recent comparison examination as well. There is no pleural effusion or pneumothorax. A large mass in the left upper lobe is slightly increased in size since <unk>, and remains concerning for primary malignancy. Other nodular opacity is see on prior ct are not well depicted, though there is suggestion of a nodular opacity in the right mid lung which had been present on prior ct as well. No definite focal consolidation is identified. Linear opacity in the right base is most consistent with atelectasis, and is largely similar to the most recent examination. Vertebral body height loss in the mid thoracic spine is similar to the prior examination. A sclerotic focus in the mid thoracic spine was also present on the prior examination and is compatible with overlying osteophyte formation. Cervical fixation hardware is unchanged.
<unk>f with prior acs hx with <num> day resolved cp. wbc <unk>, troponin negative // eval ? infiltrate, cardiomegaly
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The patient is slightly rotated. Heart size is normal. Mediastinal and hilar contours are unchanged, with the pulmonary vascularity is not engorged. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormalities are present.
atrial fibrillation.
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In comparison with study of <unk>, there is no change or evidence of acute cardiopulmonary disease. Specifically, no evidence of interstitial prominence to radiographically suggest amiodarone toxicity.
to assess for amiodarone toxicity.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. The lungs are slightly hyperinflated. Lungs are clear. No nodules are identified. No pleural effusion or pneumothorax is seen. Chronic fracture of the left <num>th rib is unchanged.
<unk> year old man with non-productive cough, heavy smoking history. // any abnormalities in the chest?
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The lungs are clear without consolidation, effusion, or edema. There is mild cardiomegaly as on prior and tortuosity of the thoracic aorta. No acute osseous abnormalities.
<unk>f with nausea, vomiting and diarrhea w/ shortness of breath // pneumonia
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Oblong opacity projecting over the right upper lung is compatible with calcified pleural plaque. The lungs are otherwise clear. No obvious effusion identified noting that there is exclusion of the right lateral costophrenic angle on the frontal view. The cardiomediastinal silhouette is stable given differences in projection.
<unk>m with fever, immunosupressed // eval for pna
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The lungs are hyperinflated, suggestive of emphysematous changes. Interstitial markings are similar to prior exam and may reflect chronic lung disease or mild pulmonary vascular congestion. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is moderately enlarged.
history: <unk>f with dyspnea, s/p recent cardioversion, h/o af w/ rvr // ? acute cardiopulm process, pulm edema
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The lung volumes are normal. Normal shape and position of the hemidiaphragms. Normal transparency and structure of the lung parenchyma. No nodules or masses. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pleural effusions.
history of testicular cancer.
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Ap upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Heart size appears normal. The aorta is unfolded. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with fatigue, weight loss, early satiety, nausea, dry crackles on lung exam
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Pa and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The bones are intact.
history of chest pain and dyspnea. question infection.
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The cardiac, mediastinal and hilar contours appear unchanged. The heart is normal in size. The aortic arch is calcified. The chest is hyperinflated. Trace pleural effusions are suspected. There is also a patchy new left basilar opacity predominantly in the left lower lobe. Subpleural thickening at each lung apex appears stable. Bilateral nipple shadows are visualized. The bones are probably demineralized and degenerative changes and mild loss among lower thoracic vertebral body heights is unchanged. Mild-to-moderate s-shaped spinal curvature is also present.
cough.
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Frontal and lateral radiographs of the chest demonstrate low lung volumes. Normal heart size. The cardiomediastinal silhouette and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax. No displaced rib fracture identified.
dyspnea, cough and pleuritic chest pain. evaluate for infiltrate.
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Frontal and lateral radiographs of the chest demonstrate small bilateral pleural effusions. There is mild interstitial edema. The cardiomediastinal and hilar contours are unchanged. There is mild cardiomegaly. There is no pneumothorax, pleural effusion, or consolidation. A dual lead pacemaker is in place, with leads ending in the right atrium right ventricle. No acute displaced rib fracture identified.
history: <unk>m with with drop of hb and history of fall <num> week ago // role out hemothorax
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The cardiomediastinal silhouettes are normal. The bilateral hila are unremarkable. The lungs are clear. There is no pulmonary vascular congestion. There is no pleural effusion or pneumothorax.
<unk>-year-old man with increased confusion, evaluate for 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 vomiting and subjective fevers, possible dka, searching for source // eval for pna
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Frontal and lateral views of the chest. The heart size and cardiomediastinal contours are normal, allowing for patient rotation. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Old right sided rib fractures are noted.
status post fall <num> days prior with unsteady gait.
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In comparison to chest radiographs obtained <unk> year prior, no significant changes are appreciated. Left mid lung nodule projecting over the posterior sixth rib is unchanged. The lungs are otherwise fully expanded and clear. Cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
<unk> year old man on amiodarone // looking for pulmonary toxicity
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Left-sided port-a-cath tip terminates in the mid svc. Heart size is normal. Mediastinal and hilar contours are unchanged with previously noted left hilar and mediastinal lymphadenopathy better assessed on the previous pet-ct. The pulmonary vasculature is not engorged. There is chronic elevation of the right hemidiaphragm with adjacent compressive right basilar atelectasis. Left lower lobe mass is re- demonstrated. No large pleural effusion or pneumothorax is seen. No acute osseous abnormality is detected.
history: <unk>m with chest pain and neutropenic
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Visualized osseous structures are without an acute abnormality.
<unk>-year-old male with cough.
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The lungs are clear without consolidation, effusion, or pneumothorax. Increased interstitial markings are likely in part due to overlying soft tissues. There is no overt pulmonary edema. Cardiac silhouette is mildly enlarged. Hypertrophic changes are noted in the spine.
<unk>f with asthma, chf, p/w cough, chest tightness, sob x <num>d w/out fevers // eval for pneumonia, pulmonary edema
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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. Re- demonstrated are multiple old left-sided rib deformities and mild eventration of the left hemidiaphragm.
history: <unk>m with sob // ? pna
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
cough, nausea and vomiting.
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As compared to the previous radiograph, there is no relevant change. The lung volumes have slightly decreased, and atelectasis is seen at the left and right lung base. Unchanged moderate cardiomegaly without evidence of acute pulmonary edema. Tortuosity of the thoracic aorta. No evidence of pneumonia.
chronic heart failure, crackles, evaluation.
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Right chest wall pacing leads and in the right atrium and right ventricle, as expected. Cardiomediastinal silhouette is unchanged. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
<unk>-year-old man with mild dyspnea with exertion
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There are bilateral pleurx catheters, and there has been interval improvement of the loculated left pleural effusion. There is no right pleural effusion. A left cardiac pacer is in stable position with its <num> leads terminating over the right atrium and right ventricle. There are no new focal consolidations or pneumothoraces. The mediastinal silhouette is stable.
<unk> year old man with pleural effusion
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for infiltrate in a patient with tachycardia and cough.
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.
<unk> year old man with cough, diffuse rhonchi. assess for pneumonia
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Ap upright and lateral views of the chest provided. Lung volumes are low limiting assessment with scattered areas of atelectasis. The heart is mildly enlarged. The aorta appears unfolded. No convincing signs of pneumonia or overt chf. No large effusion or pneumothorax. Bony structures appear grossly intact.
<unk>f with palpitations, weakness // infiltrate?
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
history: <unk>m with chest pain, shortness of breath, rhinorrhea x <num> days*** warning *** multiple patients with same last name! // ?acute process
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As compared to the previous radiograph, the parenchymal opacities in the lingula and the left upper lobe have completely cleared. However, mild left lower lobe scars, projecting over the left heart contour and minimal scars at the right lung base persist. Mild pleural thickening and multiple right healed rib fractures. No pulmonary edema. No acute lung changes. No pleural effusions.
recent left upper lobe pneumonia. evaluation.
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Upright ap and lateral views of the chest provided. Known right upper lobe lesion is not clearly visualized. Overlying ekg leads are present. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Sclerotic appearance of several vertebral bodies on the lateral projection is compatible with known metastatic disease. A compression deformity involving the mid thoracic spine is better assessed on prior ct chest. No free air below the right hemidiaphragm is seen.
<unk>f with seizure // pna, bleed
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The right apical and right inferolateral pneumothorax is not appreciably changed, moderate in size. Bibasilar opacities persist. There is no new focal airspace opacity to suggest pneumonia. The heart is not enlarged. The mediastinal contours are normal. There is no pleural effusion. Bilateral pleural plaques are redemonstrated.
dyspnea on exertion, shortness of breath. evaluate for history of pneumothorax, progression or change, infiltrate.
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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.
syncope and abnormal ekg.
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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 w/productive cough and fever, please rule out pna // <unk>f w/productive cough and fever, please rule out pna
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The lungs are clear with the exception of linear lower lobe atelectasis. The heart is top-normal in size with tortuous aorta. Mediastinal and hilar contours are otherwise unremarkable. There is no pleural effusion or pneumothorax. There is possible minimal pulmonary vascular congestion.
altered mental status and fever assess for pneumonia.
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The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old woman with back and abdominal pain. rule out acute intrathoracic process.
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The lung volumes are low. The cardiac silhouette and pulmonary vasculature are unremarkable. There is no pneumothorax or pleural effusion. The lungs are clear.
<unk>m with fever // pna?
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No discrete pneumothorax identified. There is blunting of both costophrenic angles as well as bibasilar atelectasis. Unchanged septal thickening, likely chronic in nature. The size of the cardiomediastinal silhouette is within normal limits.
<unk> year old woman with small apical ptx after chest tube removal // severity of ptx prior to discharge --> x-ray should be done at <unk> thanks
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Frontal and lateral chest radiographs demonstrate changes of right upper lobectomy, with no new consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is stable in appearance, and non-enlarged. Mediastinal contours remain normal. The pulmonary vasculature is normal. A right chest port-a-cath is unchanged in position with its tip in the mid svc. A left chest dual-lead pacemaker is in place with atrial and ventricular leads unchanged in position. Right rib deformities unchanged.
<unk>-year-old male with chest pain and dyspnea on exertion.
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There is mild bibasilar atelectasis. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable.
shortness of breath.
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The heart size is within normal limits. The mediastinal and hilar contours appear normal. The lungs demonstrate a linear opacity in the left lower lobe which may represent scarring, atelectasis, or less likely pneumonia. There is no pleural effusion or pneumothorax. Minimal degenerative change seen in the thoracic spine.
<unk>-year-old male with productive cough and fever/chills; history of multiple myeloma.
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Frontal and lateral views of the chest. The lungs are clear without focal consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
<unk>-year-old male with productive cough and low-grade fevers.
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The cardiac silhouette appears mildly to moderately enlarged, exaggerated by ap technique. Focal opacity at the right lower lobe is concerning for pneumonia. Pulmonary edema is mild. No definite pleural effusion is identified. There is no pneumothorax.
hypoxia. evaluate for pneumonia versus effusion.
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Frontal and lateral radiographs of the chest demonstrate blunting of the left costophrenic angle which may be a function of atelectasis or a small pleural effusion. No definite rib fracture is identified. The lungs are otherwise clear, and the cardiomediastinal contours are within normal limits. No pneumothorax is seen.
fall three weeks ago with pain in left flank and decreased breath sounds. evaluate for rib fracture and pleural effusion.
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The bilateral pleural effusions are again seen right greater than left. Right lower lobe opacities are unchanged and may be chronic atelectasis related to persistent effusions. The previously seen pulmonary edema has resolved. There is mild cardiomegaly. Orthopedic hardware is seen in the thoracic spine with adjacent surgical clips.
question pneumonia.
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The cardiomediastinal and hilar contours are within normal limits. There is mild tortuousity of the descending aorta. Lungs are hyperexpanded. Apical pleural thickening and blebs are again noted and unchanged from prior examination. There is no focal consolidation, pleural effusion or pneumothorax. Again seen is mild anterior wedge deformity in the midthoracic spine.
productive cough for <num> week. rule out infectious process.
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The patient is status post right middle lobectomy with appropriate elevation of the right hemidiaphragm, small right pleural effusion, and minimal right mid lung zone scarring.the cardiac, hilar and mediastinal contours are normal. There is no pneumothorax.
<unk> year old woman s/p rml lobectomy. reassess.
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
<unk>-year-old man with generalized weakness. evaluate for pneumonia.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear. The cardiomediastinal silhouette is normal. The osseous and soft tissue structures are unremarkable.
<unk>-year-old female with history of ewing sarcoma of the calf on surveillance.
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Pa and lateral views of the chest provided. Low lung volumes limits assessment. Lungs appear clear. No large effusion or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are unchanged. There is chronic deformity at the right proximal humerus.
<unk>m with fever cough // eval for pna
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Mild streaky bibasilar opacities are likely atelectasis. Lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Otherwise
<unk>m with right sided chest pain and lightheaded since this morning with right shoulder pain and radiation up right side of neck // ? cardiomegaly ? infiltrate
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Lungs are well inflated and clear. Cardiomediastinal hilar contours are unremarkable. The heart is not enlarged. No pneumothorax, pleural effusion, or consolidation. No acute displaced rib fractures identified. Patient is status post splenectomy, which may account in part for the non-physiologic bowel gas pattern seen in left upper quadrant.
history: <unk>m with chest pain // evaluate for cardiomegaly
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The heart is borderline in size. The aorta is mildly tortuous. There is no pneumomediastinum. There is no pleural effusion or pneumothorax. The chest is hyperinflated. A focal area of opacification is noted in the right upper lobe as well as streaky retrocardiac opacification and vague opacity effacing the right lateral costophrenic angle. Air beneath the right hemidiaphragm is consistent with intraluminal air in colon interposed immediately below the diaphragm.
dysphasia.
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A new focal heterogeneous opacity is seen in the left mid-lung, which in view of the clinical history may be a pneumonia. Additionally, since <unk>, the small right pleural effusion is increased and small left pleural effusion is decreased. Mild bibasilar and retrocardiac atelectasis persists. Hyperinflation of the lungs is compatible with patient history of copd. The heart size is normal. No pneumothorax or pulmonary edema. Marked interstitial changes compatible with history.
<unk> year old woman with cml, copd and pulmonary htn // ? pna
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The lungs are mildly hyperinflated. A dual lead pacemaker is unchanged in position. The cardiomediastinal contour is within normal limits. The heart size is at the upper limits for normal. No consolidation, pneumothorax or pleural effusion seen. Mild atherosclerotic calcification in the thoracic aorta.
<unk> year old woman with copd, increased sob // assess for infiltrate
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The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pneumomediastinum. There is no pleural effusion. Pulmonary vascularity is normal.
<unk> year old man with several episodes of hematemesis and hemoptysis. rule out esophageal tear, lung mass, infiltrate.
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No focal consolidation is identified. There is increased interstitial markings which may be from mild vascular congestion or chronic underlying interstitial process. The heart is mildly enlarged. Calcifications of the aortic arch is noted. There is no pneumothorax or pleural effusion.
<unk>-year-old man with chest pain, evaluate for acute cardiopulmonary process.
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Left anterior chest wall dual lead pacer is unchanged. Coronary artery stent is unchanged. Heart remains mildly enlarged. Aortic knob calcifications are noted. Hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
chest pain and shortness of breath.
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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, chest pain that radiates to left shoulder/arm // ? pna, consolidation
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The lungs are clear. There is no effusion, consolidation, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with neck pain left chest pain after motor vehicle crash, restrained driver // any c-spine fracture? any rib fracture?
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A <num> mm left upper lobe nodule is stable from multiple prior studies. Otherwise, the lungs are clear. Cardiac silhouette is normal in size. There is no pleural effusion or pneumothorax.
chest discomfort, question pneumothorax.
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Frontal and lateral views of the chest. There is a new right chest wall port with catheter tip seen in the mid-to-lower svc. Calcifications project over the left mid lung, unchanged. The lungs are clear of new consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected.
<unk>-year-old male with weakness.
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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. A catheter is visualized overlying the spine, unchanged from prior. There are surgical clips overlying the right breast.
<unk> year old woman with fever, cough and sob // 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.
patient with history of myocardial infarction and coronary stents with intermittent chest pain.
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Frontal and lateral views of the chest. Lower lung volumes seen on the current exam. There is secondary crowding of the bronchovascular markings. Linear left retrocardiac opacity is seen. There is no effusion. The cardiomediastinal silhouette is stable. No acute osseous abnormality is identified.
<unk>-year-old male with altered mental status.
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In comparison with the study of <unk>, there is again enlargement of the cardiac silhouette with bilateral pleural effusions and compressive atelectasis at the bases. In the appropriate clinical setting, supervening pneumonia would have to be considered. The pulmonary vascularity is less engorged, though this could merely reflect the upright pa projection.
chf or pneumonia.
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The mass seen on the outside ct is projecting over the region of the pacemaker on the frontal film and therefore is better visualized on the lateral film and on the reference ct dated <unk> from outside hospital. There is a single-lead pacemaker. The heart is upper limits normal in size. There is no focal infiltrate or effusion. There is scarring at both apices.
apical mass seen on outside ct.
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The heart size is normal. The mediastinal and hilar contours are normal. The lungs are clear. There is no pulmonary vascular congestion. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
shortness of breath.