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Pa and lateral views of the chest were reviewed and compared to the prior studies. A left subclavian line ends in the low superior vena cava. Small right and moderate left pleural effusions have minimally increased since <unk>. Otherwise, the lungs are clear without focal consolidation, pulmonary edema or vascular congestion. There is no pneumothorax. The cardiac and mediastinal contours are normal.
assessment for congestive heart failure and reassessment of pleural effusions in a patient with shortness of breath and a history of refractory cll.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are well expanded, and clear without evidence of focal consolidations concerning for pneumonia. There is no pneumothorax or pleural effusion. Note is made of old right <unk> and left <num>th rib fractures. There is no pleural effusion or pneumothorax.
history of alcohol intoxication, rule out pneumonia, aspiration.
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Frontal and lateral radiographs of the chest were acquired. Metal wires are seen overlying the lower aspect of the sternum, best visualized on the lateral projection. The lungs are clear. There are small bilateral pleural effusions and/or pleural thickening. The heart size is normal. There is no pneumothorax. Surgical clips are seen along both infrahilar regions.
av fistula preoperative film.
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There is mild pulmonary edema without focal consolidation. A small right pleural effusion is new since prior study. The heart remains markedly enlarged. Surgical clips and median sternotomy wires are noted. There is no pneumothorax.
<unk>-year-old man with dyspnea, evaluate for pulmonary edema.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Mild to moderate degenerative changes are noted in the thoracic spine. An inferior vena cava filter is noted within the upper abdomen.
history: <unk>m with presyncope, altered mental status
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The lungs are well expanded with persistent right lung opacities without evidence of worsening consolidation, pleural effusion, or lung collapse. Mediastinal contour, cardiac borders, and hila are stable.
<unk> year old woman with persistent cough. some improvement on doxy but frustrated still symptomatic. please repeat chest xray and eval to chest xray last week to evaluate for interval change.
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Extensive lobulated widening of the anterior superior mediastinum is highly concerning for a mass. Heart size is normal. The aorta is tortuous. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. S-shaped scoliosis of the thoracolumbar spine is present. No acute osseous abnormalities demonstrated.
history: <unk>f with shortness of breath
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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.
asthma with copd exacerbation, worsening shortness of breath.
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The lungs are clear. There is no effusion, pneumothorax, or vascular congestion. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips are again noted. No acute osseous abnormalities identified.
<unk> year old woman with h/o asd closure and pulmonary vein reconstruction here with chest pain that radiates tot he back and worse when recumbent. tenderness to palpation of the sternum // ?pneumonia, widended mediastinum?
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The patient is status post median sternotomy and cabg. The cardiac silhouette is mildly enlarged. The aorta is tortuous. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. No pulmonary edema is seen.
right hip fracture, preop chest radiograph.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. A short linear opacity projecting over the left upper lobe is consistent with minor atelectasis or scarring. Otherwise, the lungs appear clear. Bony structures appear within normal limits.
cough.
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Frontal and lateral views of the chest demonstrate hyperexpanded lungs with flattening of hemidiaphragms. Increased ap diameter of the chest is apparent. Costophrenic angles are blunted, suggestive of trace pleural effusions. Bibasilar opacities are noted. There is no pulmonary edema or pneumothorax. Subtle rounded lucencies and linear opacities, likely correspond to underlying emphysema. Visualized osseous structures are intact. Tracheal stent is fully characterized on this radiograph.
patient with an episode of tracheal stent clogging, improved during transport from an outside hospital.
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As compared to the previous radiograph, the patient has received a nasogastric tube. The tip of the tube appears to be in post-pyloric position. Despite tube placement, there is mild gastric overdistention. The lung volumes are low. No evidence of acute pulmonary disease such as pneumothorax, pulmonary edema or pneumonia. No pleural effusions. Normal hilar and mediastinal contours.
abdominal distention, evaluation for acute process.
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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 chest pain // r/o pneumothorax
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The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. There is mild perihilar fullness and hazy predominantly perihilar opacification, including upper zone redistribution of the pulmonary vascularity, suggesting mild pulmonary vascular congestion. In addition, a focal opacity in the right lower lobe suggests pneumonia, probably also involving the right middle lobe, not significantly changed. There is a suspected small pleural effusion on the left. Mild-to-moderate rightward convex curvature is centered along the mid thoracic spine.
dyspnea and fluid overload.
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Frontal and lateral views of the chest demonstrate low lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Descending aorta appears tortuous. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.
cough and right-sided chest pain. assess for pneumonia.
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The right hilum is prominent with possible infrahilar opacity, which may represent pneumonia in the appropriate clinical context. There are diffusely increased interstitial markings. There is no pleural effusion or pneumothorax.
<unk>f with l knee pain and swelling // eval for fx
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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, pulmonary edema, or pneumothorax. Imaged upper abdomen is unremarkable.
history: <unk>f with dyspnea, productive cough // ? acute cardiouplm process
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
increased seizure frequency.
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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, unchanged from chest radiograph <unk>. Cardiac and mediastinal silhouettes are stable.
history: <unk>f with neuro changes // r/o pna for infectious workup
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The cardiomediastinal silhouette is stable. There is no pneumothorax. Diffuse parenchymal scarring worse at the right lung base in the right mid lung is again seen with a moderate amount of architectural distortion. There are numerous calcified granulomas, worse in the left midlung. Right-sided pleural thickening is unchanged. Moderate rightward tracheal deviation is likely related to parenchymal scarring.
history: <unk>m with <unk> edema, cough // acute process
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There is persistent blunting of the right costophrenic angle and pleural thickening seen. The left lung is clear. The left pleural effusion is seen. There is no evidence of pneumothorax. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable.
<unk> year old woman with luq/chest pain // acute process
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Dextroscoliosis of the upper thoracic spine is unchanged from prior exams. The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. Cardiac silhouette is mildly enlarged, also unchanged from prior exams. Flowing anterior osteophytes are present in the thoracic spine, likely secondary to dish.
atrial fibrillation and dizziness. evaluate for infiltrate.
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Lung volumes are slightly low, resulting in bronchovascular crowding. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
<unk>m with light headed, sob // ptx?
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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.
<unk> year old woman with cough and dyspnea. // r/o infiltrate
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In the left lower lobe, there is hazy opacification, which most likely is due to atelectasis, but early pneumonia cannot be fully excluded. No other consolidations are noted. There is no evidence of pulmonary edema, pleural effusion, or pneumothorax. There is mild cardiomegaly. The mediastinal silhouette is normal.
hypoxia. evaluate for pneumonia.
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Lung volumes are low. The cardiomediastinal silhouette is unchanged and unremarkable since the prior examination. The aorta is unfolded. There is no focal consolidation. No pleural effusion or pneumothorax is identified. Air-filled colon is seen in the subdiaphragmatic region.
<unk>f with near syncope // r/o pna
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with cough, history of pneumonia, on prednisone
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As compared to the previous radiograph, the left picc line has been removed. Unchanged low lung volumes without evidence of pneumonia, pleural effusion, or other pathology. Borderline size of the cardiac silhouette. Normal hilar and mediastinal structures.
non-hodgkin's lymphoma, eligibility for therapy.
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As compared to the previous image, the frontal and lateral radiographs show the pacemaker lead projecting over the right ventricle. The course of the lead is unremarkable. Sternal wires and clips are unchanged. No pulmonary edema. No pneumothorax.
icd, evaluation for lead position.
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. No evidence of pulmonary edema, pleural effusion, or pneumothorax. No air under the right hemidiaphragm is identified.
history: <unk>m with cough, flu-like symptoms, and crackles at the left base. // evidence of pna, especially at left base given exam findings?
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. The bones appear demineralized. The thoracic spine again curves mildly to the right.
status post fall with rib. question rib fracture, hip or knee injury.
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Compared with <unk>, there is increased opacity in the right middle <unk>, <unk> represent atelectasis, however pneumonia cannot be excluded. There is platelike atelectasis in the left lower lung, similar to prior. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unchanged. Spinal hardware is again seen overlying the thoracic lumbar spine. Surgical <unk> overlie the posterior soft tissue.
history: <unk>f with possible op w/ortho // eval for pre-op
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old woman with decreased right lower lobe breath sounds, fever <num>, // evaluate lungs
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There is a large right-sided pneumothorax. Although given slight rotation common there is likely mild left-sided mediastinal shift. The left lung is clear. No acute osseous abnormalities.
<unk>m with dyspnea // r/o pneumothorax
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No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema or pneumothorax is present. The heart size is normal.
chest pain.
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Mild enlargement of cardiac silhouette is present. The aorta is mildly tortuous with atherosclerotic calcifications at the knob. Pulmonary vasculature is not engorged. Lungs are hyperinflated with upper lobe predominant emphysematous changes noted. Elevation of the right hemidiaphragm is of unknown chronicity with right basilar opacity likely reflective of atelectasis. Infection cannot be excluded. Patchy left basilar opacity may reflect atelectasis. No pneumothorax is detected. A trace right pleural effusion is likely present. No acute osseous abnormalities seen.
history: <unk>m with dyspnea
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
<unk> year old woman with persistent cough, but also rt flank pain, had inspir/exspri crackles on exam, tx abx, but sxs persist // r/o pna, or other abnl
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There has been interval resolution of the borderline interstitial pulmonary edema and cardiomegaly. Compared with the prior radiograph, a new right upper lung opacity extending to the minor fissure with a similar vague opacity below this could be small areas of infection or infarction. These were not present on the chest x-ray from <unk>. No pneumothorax or effusion.
<unk> year old woman with cough and fever. evaluate for pneumonia.
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Pa and lateral views of the chest. The lungs remain clear. The cardiomediastinal silhouette is normal. Osseous structures are unremarkable. Surgical clips seen in the upper abdomen.
<unk>-year-old female with cough and left lower quadrant pain.
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A right-sided pectoral pacemaker is seen with leads terminating in the right atrium and right ventricle, expected locations. The heart is mildly enlarged, as before. There is mild tortuosity of the descending aorta. The lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax. There is loss of height of the t<num> vertebral body, as seen on prior examinations.
shortness-of-breath. rule out pneumonia.
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The heart size is normal. The hilar and mediastinal contours are normal. 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 right posterior chest pain. please evaluate.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unchanged. Left port tip is again in the mid to low svc. Again seen is the bilateral subcutaneous expanders.
<unk> year old woman with hx of r breast cancer status post bilateral mastectomy and right axillary lymph node dissection and radiation <unk>. new onset of r posterior thorax pain // please evaluate new pain in r posterior thorax
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The heart is moderately enlarged, and there is mild-by pulmonary edema, right greater the left. No focal consolidation is noted. No pneumothorax is seen. There is a left subclavian port-a-cath with its tip terminating at the cavoatrial junction.
<unk>-year-old female with past medical history of congestive heart failure presenting with bilateral leg swelling and pain since this am, similar to previous dvt. evaluate for consolidation or edema.
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The cardiomediastinal silhouettes are stable and within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no pulmonary vascular congestion. There is no pneumothorax. There has been interval resolution of left pleural effusion.
<unk>m with infx workup.
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Mild cardiomegaly with a left ventricular predominance is re- demonstrated. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Elevation the right hemidiaphragm is again noted with associated right basilar atelectasis. Retrocardiac patchy opacity may reflect atelectasis though infection is not excluded in the correct clinical setting. No pleural effusion or pneumothorax is detected. S-shaped rotary scoliosis of the thoracolumbar spine is again noted.
history: <unk>f with prior stroke presenting with increased right leg weakness, falls
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is stable. Left picc is no longer visualized. No acute osseous abnormalities.
<unk>m with foot ulcer, pre op // pre=op
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The patient is status post coronary artery bypass graft surgery. A dialysis catheter again terminates in the upper atrium. The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. There are similar patchy linear opacities in the left mid lung as well as right lung opacities with a moderate pleural effusion in the right costophrenic angle that may be loculated to some degree. A posterior wedge-like opacity is nonspecific but suggests additional loculated fluid as a likely etiology or round atelectasis. This opacity seems to correspond to perhaps increased fluid associated with left lower lobe atelectasis or scarring seen on the prior ct. Comparing the right-sided pleural effusion directly to the most recent prior study, there has been no definite change allowing for differences in technique.
fever and cough.
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Ap upright and lateral views of the chest provided. Multiple surgical clips in the right upper quadrant noted. Lung volumes are low. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with shortness of breath // shortness of breath
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No previous films are available. The heart is normal in size and there is no vascular congestion or pleural effusion. No acute focal pneumonia.
tongue cancer with increased shortness of breath.
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As compared to the previous radiograph, there is a newly appeared parenchymal opacity in the retrocardiac lung, located on the lateral radiograph at the bases of the left lower lobe. The opacity is inhomogeneous and relatively ill-defined. Air bronchograms could be present. The pneumonia also shows a small component of parenchymal consolidation, accompanied by a mild pleural effusion. Otherwise, the radiograph is unremarkable, known minimal bilateral apical thickening. Normal size of the cardiac silhouette. At the time of dictation and observation, <time> p.m., on <unk>, the referring physician <unk>. <unk> was paged for notification and the findings were discussed over the telephone.
cough, hypoxemia, leukocytosis, evaluation for pneumonia.
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Normal heart size, mediastinal and hilar contours. Lung volumes are low. No focal consolidation, pleural effusion or pneumothorax. Multiple surgical tacks are seen in the left shoulder.
history: <unk>f with chest pain // eval for acute process
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The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
dry cough and pleuritic chest pain.
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There is a left retrocardiac opacity, possibly representing pneumonia based on clinical presentation, less likely atelectasis. There is a small left pleural effusion. Cardiomediastinal silhouette and hila are normal. There is no pneumothorax.
<unk>-year-old with fever.
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Left chest wall port is again seen. The lungs are clear without focal consolidation or edema. Trace bilateral pleural effusions are noted. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with schizoaffective disorder presenting with agitation // infectious process or mass
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Moderate cardiomegaly is again noted. The mediastinal silhouette and pulmonary vasculature are unremarkable. Again seen is a left-sided pacemaker with the single lead terminating in the right ventricle. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>m with cp and sob
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Frontal and lateral views of the chest were obtained. Consolidative opacity in the peripheral right lower lung is new. The lungs are mildly hyperinflated with flattening of the diaphragms, consistent with copd. Blunting of the right costophrenic angle is similar to prior and consistent with pleural thickening. No pneumothorax is identified. Top normal heart size and cardiomediastinal contours are stable.
<unk>-year-old female with hypoxia and shortness of breath.
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There is mild bibasilar atelectasis, left greater than right. There is mild prominence of interstitial markings suggesting mild pulmonary edema. Otherwise, the remainder of the lungs are clear. The aorta appears stably tortuous. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable with enlargement of the cardiac silhouette, likely due to prominent epicardial fat pad. No acute fractures are identified.
cough and fever.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is normal in size. There is slight prominence of the ap window which could be due to underlying lymphadenopathy. Hilar contours are unremarkable.
history: <unk>f with cough, fever // please eval for pna
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The lungs are low in volume but appear clear. Minimal linear bibasilar atelectasis is noted. The heart is normal in size and normal cardiomediastinal contours. No pleural effusion or pneumothorax.
<unk>-year-old man with fever to <num>, assess 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. Mediastinal surgical clips are again seen.
history: <unk>f with ivc migration, abd pain
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The lungs are clear. There is no consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with dyspnea assess for effusion
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Frontal and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is within normal limits. The aorta is slightly tortuous. No acute osseous abnormality detected.
<unk>-year-old male with chest pain, syncope.
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Pa and lateral views of the chest are compared to previous exam from <unk>. Linear opacity at the left lung base suggestive of atelectasis, especially in the setting of lower lung volumes. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with cough, question pneumonia.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. Projecting over the right upper lung is a small nodular focus measuring approximately <num> mm in diameter and relatively hypodense, but potentially calcified. However, a soft tissue lung nodule could be considered. The osseous structures are unremarkable.
chest pain.
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The lungs are well inflated and clear. The cardiomediastinal silhouette and hilar contours are stable with a tortuous aorta. There is no pleural effusion or pneumothorax. Persistent asymmetric elevation of the right hemidiaphragm is unchanged. Left chest pacemaker and leads, mitral valve prosthesis, and median sternotomy wires are again noted.
<unk>m with l sided pain s/p fall with preceding dizzyness. evaluate for pneumonia or rib fractures.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Subtle opacity is seen within the left suprahilar region, not clearly delineated on the prior studies, and could reflect an area of infection. Remainder of the lungs are clear. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is seen.
cough and recent hospitalization for 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>m with cough with viscous phlegm
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Lungs are well expanded. Multiple right lung opacities are again seen, consistent with patient's known disease. There has been interval resolution of the right-sided chest wall air inclusion. Chest radiograph is otherwise essentially unchanged from prior exam. The mediastinum is again seen shifted to the right. Cardiomediastinal silhouette is unchanged. There is no pneumothorax. There is no left pleural effusion.
<unk>-year-old female status post right vats with lung biopsy, now requiring assessment for interval change.
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Patient's necklace overlies the very upper chest in the midline. Given this, the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced rib fracture is seen.
history: <unk>m hx psc and crohn's, hsm, c/o rib pain, abd pain s/p bicycle accident
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As compared to the previous radiograph, pre-existing partial left lower lobe atelectasis has almost completely resolved. There is only mild retrocardiac atelectasis on today's image. The pre-existing minimal right pleural effusion could have slightly increased in extent. The preexisting cardiomegaly with slightly enlarged pulmonary arteries and increased diameter of the peripheral pulmonary vessels, indicative of mild-to-moderate fluid overload, is unchanged. No newly appeared focal parenchymal opacities.
diastolic chronic heart failure, evaluation of pleural effusions.
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The lungs are clear. There is no pulmonary edema. The cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>f with lower extremity edema. evaluate for 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. Right clavicle fracture is of undetermined chronicity.
<unk> year old woman with cough, chills // cough
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Pa and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is normal. Osseous structures are unremarkable.
<unk>-year-old female with cough.
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Left-sided aicd device is noted with leads terminating in the right atrium and right ventricle. There is mild enlargement of the cardiac silhouette. The aorta is mildly tortuous and demonstrates atherosclerotic calcifications at the aortic knob. Pulmonary vasculature is normal and the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is identified.
history: <unk>m with fever, altered
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A right central venous catheter is present with the tip in the right atrium. The lung volumes are low. The are new interstitial opacities in the bilateral mid and lower lung zones, most consistent with new mild pulmonary edema. There is no focal airspace consolidation to suggest a pneumonia. There are small bilateral pleural effusions, best appreciated on the lateral view. There is no pneumothorax. The cardiomediastinal silhouette is normal.
chest pain. evaluate for infiltrate.
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There has been no significant interval change. Costochondral calcifications are again seen bilaterally. The cardiac and mediastinal silhouettes are stable. The lungs remain hyperinflated. No new consolidation is seen. There is no pleural effusion or pneumothorax. Degenerative changes.
history: <unk>f with unresponsive episode // acute process?
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with fever cough // repeat for eval
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Pa and lateral views of the chest provided. There has been interval drainage of the right pleural effusion with a small amount of residual fluid in the right pleural space which appears to localize laterally and posteriorly. There is no pneumothorax. The left lung appears clear. Cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk> year old woman with new right effusion s/p <unk> with <num>ml out // ? ptx
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Low lung volumes persist in the patient is somewhat rotated. Elevation of the right hemidiaphragm persist. Right base opacity could be due to atelectasis although consolidation, potentially due to infection or aspiration, is not excluded in the appropriate clinical setting. No large pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are not well assessed due to the low lung volumes although mediastinal contours are unremarkable and similar to prior.. Chronic deformity at the right shoulder is re- demonstrated. The study is suboptimal for the assessment of rib fractures.
<unk> year old woman with cellulitis and recent fall // eval for pna, also look for rib fractures with recent fall
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Heart size is top normal. The aorta is unfolded. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Contour deformity involving the posterior aspect of the left hemidiaphragm on the lateral view could be due to the presence of an underlying focal diaphragmatic hernia or eventration. There is no acute osseous abnormality.
history: <unk>m with confusion
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Frontal and lateral views of the chest were performed. There is no pleural effusion, pneumothorax, or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable.
shortness of breath and recent treatment for tuberculosis. evaluate for infection or effusion.
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Frontal and lateral views of the chest. Large right perihilar mass is again seen and not significantly changed. More extensive streaky right basilar opacities are seen which may be due to atelectasis, especially given relative elevation of the right hemidiaphragm perhaps slightly more so than on prior. Tracheal stent is identified. The left lung is grossly clear. The cardiomediastinal silhouette is unchanged. No acute osseous abnormalities.
<unk>f with tumor burden, recent y stent placement.
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The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits.
<unk>m with chest pain // ptx?
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There is no free air beneath the right hemidiaphragm.
<unk>m with chest pain radiating to back and axilla // please evaluate for any widening mediastinum, any infectious process
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Pa and lateral chest radiograph demonstrate no focal opacity convincing for pneumonia. Elevation of the right hemidiaphragm appears to been present on prior study dated <unk>. Cardiomediastinal and hilar contours are within normal limits. A left chest wall port-a-cath is again identified, a catheter tip terminating in the low superior vena cava. There is no pleural effusion or pneumothorax. Visualized osseous structures are without an acute abnormality.
<unk>-year-old male with sickle cell crisis.
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Left base atelectasis/scarring is re- demonstrated. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Enteric tube terminates in the left upper quadrant in the expected location of the stomach. No pulmonary edema is seen.
history: <unk>f with history of eating disorder and chest pain // eval for chf/pneumonia
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Exam is limited by motion on the frontal view. That said, there are diffuse bilateral parenchymal opacities most obvious in the left perihilar in mid to lower lung distribution but also seen in the right infrahilar region as well. There is no effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m w/fevers and cough, please eval for pna
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Ap and lateral views the chest were viewed. The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. The lungs are well expanded without focal consolidations. The previously noted nodular opacity at the right lung base is not clearly seen on the current study. Interstitial markings are again prominent, likely indicative of chronic lung disease. No displaced rib fractures are seen.
fall, dementia.
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The cardiac and mediastinal silhouettes remain unchanged, with some right-sided shift of the heart, which may be accentuated somewhat by slight patient rotation. Vascular calcifications of the aortic arch are also notable. There is no focal pulmonary opacity, pleural effusion, or pneumothorax. Specifically, there is no evidence of a consolidative process within the lungs. Severe degenerative changes are seen at the left shoulder, and moderate changes on the right, as well as at the acromioclavicular joints. Multiple levels of ossification of the anterior longitudinal ligament are seen, consistent with diffuse idiopathic sclerosing hyperostosis (dish).
<unk> year old woman with hx multiple myeloma with cough and elevated wbc count // pna or infection
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Lungs are fully expanded and clear. Heart size is at the upper limits of normal or minimally enlarged. The mediastinal silhouette is within normal limits. There is minimal upper zone redistribution, without overt chf. No focal infiltrate or pleural effusion is detected.
<unk>m with copd, chf who presents w sob, diaphoresis.
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The lungs are clear without focal consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips are again noted. Fullness of the right hilum is stable dating back to <unk>. No acute osseous abnormalities. Relative uniform sclerosis of the bilateral sixth ribs is also unchanged.
<unk>m with cardiac history, want to hydrate for diarrhea // eval for chf
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Moderate right and small left pleural effusions with associated right basilar subsegmental atelectasis and left lower lobe are unchanged. There is no pneumothorax. The cardio mediastinal silhouette is stable.
<unk> year old woman with recurrent endometrial cancer. assess status of known effusion.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No evidence of free air is seen beneath the diaphragms. Lucency under the left hemidiaphragm is felt to be intraluminal.
history: <unk>m with ugib and hematemesis // r/o perforation
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Again noted is chronic elevation of left hemidiaphragm. A prosthetic aortic valve is in stable position. Sternal closure hardware is intact. Obscuration of the right heart border is likely a function of the pectus deformity. There is no focal consolidation concerning for pneumonia. No pleural effusion or pneumothorax. Lungs are hyperinflated. Moderate cardiomegaly is stable.
history: <unk>m with palpitations, atrial fibrillation.
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The heart size is top normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. Moderate degenerative changes are again seen throughout the thoracic spine.
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.
history: <unk>f with cough and tachycardia
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There are bibasilar opacities more conspicuous on the frontal view than on the lateral. There is no effusion. Superiorly, the lungs are clear. Slight cardiac enlargement is noted. No acute osseous abnormalities.
<unk>m with confusion // eval 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 near syncope // eval for acute process
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Frontal and lateral views of the chest were obtained. Mild cardiomegaly is new since <unk>. There is calcification of the aortic knob. Increased interstitial lung markings are compatible with mild pulmonary edema. Patchy opacities at the lung bases may represent atelectasis, but infection cannot be excluded. Minimal costophrenic blunting on lateral view suggests small bilateral pleural effusions. There is no pneumothorax. Osseous structures are unremarkable. No radiopaque foreign bodies are seen.
<unk>-year-old female with right upper quadrant pain and fevers.