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Chronic elevation of the right hemidiaphragm is unchanged. Right middle lobe linear scarring and/or atelectasis is unchanged. There is no pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. The cardiac and mediastinal contours are normal. The hilar structures are unchanged. Compression deformities of the lower thoracic spine are again seen.
long-term asthma with <num> weeks of cough and pain and decreased peak flow. evaluate for bronchitis or pneumonia.
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The heart is mildly enlarged. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Right-sided rib fractures involving the seventh and eighth ribs appear old and remodeled, healed since the remote prior study.
status post fall with chest pain.
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In comparison with the study of <unk>, the right rib fractures are again seen with increasing right basilar atelectasis and pleural effusion. No definite pneumothorax. The left lung is clear.
rib fractures and right pneumothorax with liver lacerations.
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Loculated density at the right lung base is consistent with known pleural lipoma. Consolidation at the right lung base appears worse as compared to prior chest radiographs, could relate to worsening atelectasis and small pleural effusion, however an overlying infectious process cannot be entirely excluded. There is mild pulmonary vascular congestion. The heart is enlarged. Orogastric tube courses below the diaphragm, tip probably projects over the stomach, however difficult to visualize on the lateral view.
history: <unk>m with dyspnea // evidence of pneumonia evidence of pneumonia
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Frontal and lateral chest radiographs. Normal heart size, mediastinal and hilar contours, lungs and pleural surfaces.
fall onto head. assess for infection or cause of fall.
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Pa and lateral views of the chest. The lateral view is limited by patient's arm being down. Mediastinum is slightly widened; however, this is likely due to fat deposition as was seen on prior cta chest on <unk>. Lungs are clear. There is no evidence of pneumonia. No pneumothorax. No pleural effusion. Cardiac enlargement is stable. Normal hilar contours.
headache, evaluate for pneumonia.
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The heart is top normal in size, and the mediastinal contours are normal. The lungs are clear of focal consolidation, pulmonary edema and pleural effusions.
<unk>-year-old male with weakness, evaluate for pneumonia.
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Cardiac silhouette size is normal. The aorta is mildly tortuous but unchanged. The mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Apart from streaky atelectasis in the lung bases, lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized. Remote left-sided rib fractures are noted.
history: <unk>m with cough, fever
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. Clips are noted in the right upper quadrant of the abdomen.
left-sided chest pain.
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Support devices: none. There is a heterogeneous opacity in the right lower lobe. Lungs are otherwise clear. The hilar and mediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
history: <unk>m with leukocytosis. evaluate for in filtrate.
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There is no pulmonary nodule, focal consolidation, pleural effusion, hilar lymphadenopathy, vascular congestion, or pneumothorax. The heart size is normal. The cardiomediastinal silhouette is within normal limits.
hemoptysis and pending ppd. evaluation for pneumonia or evidence of tuberculosis.
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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 shortness of breath and near syncope
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Cardiac enlargement. Pulmonary vascularity has mildly improved. Interstitial edema has improved. Mild left pleural effusion is more prominent. Very shallow inspiration on the lateral radiograph. Bibasilar opacities have improved. Metallic density projected over upper abdomen.
<unk> year old woman with borderline cxr for pna presents with agitation, now on abx with elevating leukocytosis. would like to know certainty of pulmonary source of infection after pt has been hydrated // please re-evaluate for pna
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Heart size is borderline enlarged. Mediastinal. The skull is engorged. Lung volumes are slightly low with patchy atelectasis noted in bases. Focal consolidation pleural effusion or pneumothorax is present. To moderate degenerative changes are noted in the imaged thoracic spine with anterior bridging osteophytes and degenerative changes are also present within the left glenohumeral joint.
history: <unk>m with increasing abdominal girth and jaundice. evaluate for pleural effusion, pneumonia
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A moderate left pleural effusion is overall unchanged. There is probably associated read compressive atelectasis. The cardiac silhouette remains enlarged, likely from cardiomegaly as the ct on <unk> did not show a large pericardial effusion. The new catheter tip projects over the expected region of the low svc. No evidence of a pneumothorax. No evidence of a large right pleural effusion. The right lung is essentially clear. Clips are noted throughout the mediastinum.
<unk>-year-old man with placement of the hickman catheter. evaluate catheter placement.
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Severe enlargement of the cardiac silhouette is re- demonstrated. The mediastinal and hilar contours are unchanged. There is mild upper zone vascular redistribution suggestive of mild pulmonary vascular congestion. Right basilar patchy opacities and adjacent basolateral pleural thickening are similar, with no new areas of focal consolidation demonstrated. Small bilateral pleural effusions are unchanged. No pneumothorax is identified. There are no acute osseous abnormalities.
increased leg swelling and pain.
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In comparison with the study of <unk>, there is extensive fibrotic change in the right mid zone with opacification in the right hilum that could represent radiation therapy. In the absence of any previous postoperative or post-therapeutic image, it is difficult to determine whether any of the opacification in this area could reflect an acute pneumonia. However, the remainder of the chest is clear, with no evidence of pneumonia elsewhere or vascular congestion.
lung cancer with increased cough.
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>m with h/a, slurred speech, and right sided chest pain. evaluate for pneumothorax.
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Lungs are well expanded. Streaky left lower lobe opacities are likely atelectasis. There is no pneumothorax or pleural effusions. Cardiomediastinal silhouette is top normal. The imaged upper abdomen is unremarkable.
chronic alcoholic hepatitis, presenting with worsening confusion, evaluate for infiltration.
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Frontal lateral views of the chest demonstrate moderate cardiomegaly. Lung volumes are slightly decreased. However there is improved pulmonary edema and better overall aeration in the lungs. Mild interstitial edema is persistent. A small right pleural effusion is present. Subsegmental atelectasis is present in the lung bases.
<unk>-year-old female with history of cml 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 chest pain // eval for ptxz
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Frontal and lateral views of the chest demonstrate new severe global enlargement of the cardiac silhouette, in a classic globular configuration suggestive of pericardial effusion. The azygos contour appears somewhat full. The lungs are clear. There is no pneumothorax, vascular congestion, or large effusion. Apparent anterior wedging in one of the lower thoracic vertebra appears new since <unk>, but unchanged since <unk>.
<unk>-year-old female with shortness of breath and chest pain, also history of type <num> diabetes, congestive heart failure, and chronic renal failure.
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The patient is status post sternotomy and coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax.
shortness of breath and leg swelling.
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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 and unremarkable..
history: <unk>f with chest pain and shortness of breath x <num> week // cardiopulmonary process
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Heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. Mild to moderate degenerative changes are noted in the thoracic spine. No subdiaphragmatic free air is present.
history: <unk>m with epigastric pain // ?cardiomegaly, pleural effusion
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The lungs are well inflated and clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. No compression deformity of the thoracic spine.
history: <unk>m with fall, r shoulder pain // eval for traumatic injury
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Lung volumes are relatively low with secondary bronchovascular crowding. There is left basilar streaky opacity which is likely atelectasis. Blunting of posterior costophrenic angle suggests small effusions. Linear calcific density best seen on the lateral likely calcification of the pericardium. Cardiac silhouette is stable. Median sternotomy wires and mediastinal clips are again noted.
<unk>m w/cough, please eval for pna vs. chf // <unk>m w/cough, please eval for pna vs. chf
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There is mild-to-moderate pulmonary edema. No focal opacity is identified to suggest a pneumonia. There are likely tiny bilateral pleural effusions. No pneumothorax is identified. The mediastinal contours are within normal limits. The cardiac silhouette is severely enlarged.
shortness of breath and chest pain. 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.
<unk>f with question of seizure, please evaluate for occult pneumonia
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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. A tiny calcified granuloma in the right lung base is unchanged.
<unk>-year-old female with cough and shortness breath. question pneumonia.
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Pa and lateral views of the chest. Postoperative changes are seen on the right with chain sutures projecting over the right mid lung and vertically-oriented linear opacities with tenting of the hemidiaphragm. There are however new patchy opacities in the left mid-upper lung and the right lung laterally. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.
<unk>-year-old male with upper respiratory tract infection symptoms for <num> days with cough and fever.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. A right-sided pectoral pacemaker is present with the leads in unchanged position.
dizziness and chest pain. evaluate for pneumonia.
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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 pneumonia, // <num> month followup
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Heterogeneous opacity at the right lung base corresponds to an early pneumonia. The cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>f with fevers for <num> week. evaluate for pneumonia.
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The cardiomediastinal contour is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
<unk>-year-old woman with chest pain and thyrotoxicosis.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
<unk>f with intermittent palpitations for the past <num> weeks.
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Heart size is normal. Postoperative cardiomediastinal silhouette and hilar contours are unremarkable. Median sternotomy wires are intact. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
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 unremarkable.
<unk>f with intermittent chest pain // pneumonia or other acute process?
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There is mild hyperinflation of the lungs, with flattening of the diaphragm, which is usually seen in emphysema or small airways obstruction. Otherwise, the lungs are clear without evidence of focal consolidation. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pulmonary edema, pleural effusion, or pneumothorax.
history: <unk>m with cough and tachycardia // infiltrate
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Lung volumes are slightly low, resulting in bronchovascular crowding. Heart is not enlarged. There has been interval removal of the tracheobronchial stent. No pneumothorax, pleural effusion, or consolidation.
history: <unk>f with first time seizure // ?cardiopulmonary process
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In comparison with the study of <unk>, the left apical region appears to be clear. There is no evidence of acute pneumonia, vascular congestion, or pleural effusion. Of incidental note is the nephrostomy tube again seen on the left.
cough.
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A left chest wall pacemaker generator and leads are unchanged. The lungs are clear.the cardiac, hilar and mediastinal contours are stable, and the heart size is top normal.no pleural abnormality is seen.
<unk> year old man with hx stage iv melanoma, now <unk> years after ipilimumab therapy with complete response noted. evaluate for metastatic disease.
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Frontal and lateral views in an upright position show a large left pleural effusion. Right lung remains essentially clear and there is no definite pulmonary vascular congestion.
to assess left pleural effusion.
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As compared to the previous radiograph, the extent of the left pleural effusion is unchanged. Unchanged is the extent of retrocardiac and left basal atelectasis. If present, the extent of a potential right pleural effusion is minimal. Unchanged size of the cardiac silhouette, unchanged right picc line.
status post avr, endocarditis, evaluation for pleural effusions.
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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.
hematemesis and voice changes after profuse vomiting.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. A left-sided pneumothorax is significantly improved from <num>:<unk> yesterday. A small left apical pneumothorax persists and a chest tube overlies the left hemi thorax.
<unk>m with s/p ptx with tube // eval for chest tube placement
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As compared to the previous radiograph, no relevant change is seen. Normal appearance of the ribs. No signs for rib fracture. No pneumothorax. No pleural effusion. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No evidence of lung parenchymal disease.
chest pain, motor vehicle accident.
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Pa and lateral views of the chest demonstrate the lungs are well expanded. Two adjacent nodular opacities project along the upper aspect of the left ventricle on the lateral view. The cardiomediastinal silhouette is otherwise unremarkable. There is no evidence of pleural effusion or focal pneumonia. Azygous vein distension is present, with no evidence of left heart failure. No pneumothorax is identified.
<unk>-year-old with cough and shortness of breath. evaluation for pneumonia.
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Small-to-moderate left pleural effusion is unchanged since <unk>. Since the prior radiograph, there is some improvement in mild interstitial edema. Opacities in the left mid lung zone likely atelectasis. There are suture lines seen in the left upper lung with associated opacifications, likely surgical. Bubbles of air at the apex in the pleural space are unchanged. The right lung is clear. Cardiomediastinal silhouette is unchanged.
<unk>-year-old man with recent fevers and rigors, question pneumonia, evaluate for interval change.
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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. Visualized upper abdomen is unremarkable. There is an unchanged dextroscoliosis of the lower thoracic spine.
a flutter with rvr, evaluate for pneumonia.
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The cardiomediastinal contours are stable. Again seen is prominence of the central pulmonary arteries, suggestive of possible pulmonary arterial hypertension. No definite new areas of consolidation are identified. In comparison to the most recent examination, there is left upper lobe bronchial wall thickening. There is no large pneumothorax. Possible, trace bilateral pleural effusions are present. A right-sided chest port remains in stable position.
history: <unk>f with cough // eval for pna
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Chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. Lungs are clear. No pleural effusion or pneumothorax evident. No osseous abnormality is identified.
mdma ingestion with coarse breath sounds. please assess pulmonary edema.
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In comparison with the study of <unk>, the subcutaneous gas in the supraclavicular regions has cleared. At this time, the heart is normal in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia.
<unk> fundoplasty, to assess for change.
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The lungs are clear without consolidation. Cardiac silhouette is within normal limits for technique. No acute osseous abnormalities.
<unk>f with waxing/waning altered mental status // ?ich, ?pna
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Pa and lateral views of the chest provided. Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable with top-normal heart size. Imaged osseous structures are intact. A calcification abutting the right humeral head may reflect tendinopathy. No free air below the right hemidiaphragm is seen.
<unk>f with s/p fall and head trauma
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine
history: <unk>f with <num> week of cough, productive green sputum // ?pneumonia
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There is a retrocardiac and left lower lung opacity better characterized on ct dated <unk>. There is no pleural effusion. The cardiomediastinal silhouette is largely unremarkable.
<unk> year old man with neutropenia and new fever. // r/o pna r/o pna
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Heart size is normal. The aorta is mildly tortuous but unchanged. The mediastinal and hilar contours are otherwise unremarkable. Apart from subsegmental atelectasis in the lingula, lungs appear clear without focal consolidation. No pleural effusion or pneumothorax is present. Pulmonary vasculature is normal. There are no acute osseous abnormalities.
history: <unk>m with hypertension, and chest burning/heaviness after dust exposure
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No previous images. The heart is normal in size, and the lungs are clear without vascular congestion or pleural effusion.
cough, to assess for pneumonia.
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The lungs are mildly hyperinflated, as evidenced by flattening of the diaphragms in the lateral view. There is no pleural effusion, pneumothorax or focal airspace consolidation. The heart is normal size. The mediastinal and hilar contours are unremarkable.
shortness of breath and copd. evaluate for edema or pneumonia.
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Frontal and lateral chest radiographs were obtained. There is a moderate pleural effusion at the anterior left lung base. Left basilar atelectasis and scarring are somewhat improved. The right lung is fully expanded and clear with resolution of previous basilar atelectasis. Two small nodules project over the left second anterior rib, likely related to procedure. There is no pulmonary edema or pneumothorax. The heart size is normal. Mediastinal and hilar contours are normal.
patient status post left vats decortication, check interval change.
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Lung volumes are low. Heart size is mild to moderately enlarged. The aorta appears tortuous. The hilar contours are normal. Mild streaky atelectasis is noted in the lung bases. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with cough, weakness
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Relatively low lung volumes are noted, in combination with overlying soft tissues, results in secondary prominence of the interstitial markings. There is no effusion or focal consolidation. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality identified.
<unk>m with vomiting, dementia // r/o pna
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The heart size is top normal. There is no pleural effusion or pneumothorax. The lungs are well expanded without focal consolidation concerning for pneumonia. Known pulmonary nodules in the left lower lung are apparent but not well assessed on the current study. The upper abdomen is unremarkable.
<unk>-year-old male with history of pulmonary carcinoid, status post left lower lobe resection, now with cough for one week.
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The heart is normal size and cardiomediastinal contours are unremarkable. Lungs are well expanded. Chrnoic right-sided elevation of the diaphragm is consistent with a history of right lower lobectomy. Small-moderate right pleural effusion withthe minor fissure has decreased compared to the prior study. No pneumothorax.
<unk>-year-old woman with metastatic non-small cell lung cancer, fever for three days, evaluate for infection.
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
anorexia and bulemia with vomiting.
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Cardiomediastinal silhouette is within normal limits. Left mid lung patchy opacities reflect known radiation fibrosis involving the left lower lobe. Right hemithorax volume loss is unchanged. Right lower lung opacification most conspicuous on lateral view likely reflects known right lower lung lesion better evaluated on prior fdg pet-ct. There is no definite superimposed focal lung consolidation. There is no pulmonary edema. There is no sizable pleural effusion or pneumothorax.
<unk>m with chest pain, evaluate for pneumonia.
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Pa and lateral chest radiographs. Retrocardiac opacity present on <unk> has improved. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
history: <unk>m with cough // r/o pna
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>f with cough, chest pain // eval for pneumonia
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion pneumothorax. No displaced rib fracture is seen.
history of recent pulmonary embolus presenting with right-sided rib pain.
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The lungs are symmetrically expanded and aerated without focal consolidation concerning for pneumonia, significant pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The trachea is midline. The visualized upper abdomen is unremarkable.
chest pain, here to evaluate for acute cardiopulmonary process.
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Heart size is normal. There is calcification of the aorta, indicating atherosclerosis. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is normal. Lungs are clear. There may be slight blunting of the costophrenic angles. No pneumothorax is seen. There are no acute osseous abnormalities. Again seen is a partially visualized sclerotic, nonaggressive appearing lesion in the right proximal humerus, likely representing an enchondroma with bone infarct considered less likely. Degenerative changes of the visualized thoracolumbar spine.
history: <unk>f with cough. evaluate for pna
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Upright ap and lateral images of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. No overt edema is seen. The cardiomediastinal silhouette is enlarged in size.
recent surgery, now with fever and cough.
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The cardiac silhouette is within normal limits. Increased anterior posterior diameter of the chest cage is suggestive of copd. Increased opacities at the lung bases bilaterally could reflect atelectasis with a probable component of bronchiectasis, however an early infectious process cannot be entirely excluded. There is no large pleural effusion or pneumothorax.
fever and hypoxia. evaluate for pneumonia.
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Left chest wall port is again seen. Bilateral pleural effusions are seen in the posterior costophrenic angles as well as suspected loculation seen laterally on both sides. Overall, there has been no significant interval change in size or configuration. Biapical scarring and probable right basilar atelectasis is again noted. There is no pulmonary edema. Moderate enlargement of cardiac silhouette is unchanged. No acute osseous abnormalities.
<unk>m with sob // eval for overload
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There is no focal consolidation, pleural effusion, evidence of pneumothorax is seen. There is no overt pulmonary edema. The aorta is slightly tortuous and is calcified. The cardiac silhouette is not enlarged. There is likely right middle lobe atelectasis.
cough and congestion.
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There is mild enlargement of the cardiac silhouette which is unchanged. The mediastinal and hilar contours are normal. The pulmonary vascularity is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
right rib pain after fall.
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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. There has been interval removal of a left picc.
<unk>f with fever, weakness, gi distress s/p radiation treatment
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Lungs appear hyperexpanded with apical lucency gradient. Pleural surfaces are clear without effusion or pneumothorax.
chest pain.
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Pa and lateral radiographs of the chest are provided. Lung volumes are low. There is linear atelectasis in the left lower lobe. The lungs are otherwise clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
fever in a patient with a history of recurrent cholangitis. evaluate for pneumonia.
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The heart size is top normal. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk> year old woman with productive cough // ?pneumonia ?pneumonia
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Pa and lateral views of the chest. The lungs are clear without consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is unchanged. Lateral indentation of the trachea on the left at the thoracic inlet is unchanged. No acute osseous abnormality is detected.
<unk>-year-old male with syncope.
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The lungs are well expanded and clear. There is no pleural abnormality. The heart size is top normal. The mediastinal and hilar contours are normal. Mild degenerative changes of the spine and pectus excavatum deformity are seen.
<unk> year old woman with worsening cough and chest discomfort for <num> days // ? pna
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Compared to the most recent comparison, there are new nodular opacities in the left upper and mid lung zones as well as the right lower lung zone. There is also a heterogeneous opacity in the left suprahilar region. There is no pneumothorax or pleural effusion. The hilar and cardiomediastinal contours are otherwise normal. The pulmonary vascularity is normal, and there is no pulmonary edema.
neutropenic patient with cough and fever.
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Low lung volumes are seen with secondary crowding of the bronchovascular markings. There is no confluent consolidation or large effusion. There may be mild pulmonary vascular congestion. Cardiac silhouette is difficult to assess given technique and lung volumes although it is unchanged from prior. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormality identified.
<unk>f with ams. awoke this am and was making nonsensicla statements, difficulty following instructions. incontintent o f urine //
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In comparison to the chest radiographs obtained <unk>, there is an unchanged to minimally enlarged, partially loculated, right pleural effusion with extension into the minor fissure and an enlarged, small, left pleural effusion. Severe cardiomegaly with is unchanged without pulmonary vascular congestion or pulmonary edema. Cardiomediastinal hilar silhouettes are stable.
<unk> year old woman with chf // r/o effusion
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There are moderate bilateral pleural effusions that have increased compared to the prior study. There associated areas of volume loss in the lower lobes. Spinal hardware and sternal wires are again visualized. The right ij line with tip in the right atrium is unchanged.
<unk> year old woman with s/p avr // f/u effusions, atx
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The cardiomediastinal shadow is normal. There is a linear confluent airspace opacification (most likely atelectasis) seen in the basal aspect of the right lung with an associated effusion. Smaller left-sided effusion with adjacent subsegmental atelectasis. The upper lung zones are clear. No pulmonary edema. Spondylotic changes of the thoracic spine.
<unk> year old man with leukocytosis and fever // assess for pulmonary edema and effusions. assess for infiltrates
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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.
cough; recent diagnosis of bronchitis, also complaining of chest pain.
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Pa and lateral views of the chest provided. Midline sternotomy wires again noted. Cardiomegaly is stable. Lower lung opacity raises potential concern for atelectasis versus pneumonia. Small bilateral pleural effusions are likely present. Mild congestion is noted. No pneumothorax. Bony structures intact.
<unk>m with dyspnea
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal. Surgical clips are noted along the right upper abdomen.
<unk>-year-old female with chest pain. evaluate for acute process.
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Pa and lateral views of the chest provided. The heart is mildly enlarged. The hila appear slightly engorged. There is no convincing evidence for edema or pneumonia. No large effusion or pneumothorax. The mediastinal contour is unchanged. Bony structures appear intact.
<unk>m with syncopal episode and head strike with new a fib
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Lung volumes are low but the lungs appear clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
<unk>m with htn, smoking, obesity presenting with one week of intermittent left sided, dull chest pain. // ?any acute cardiopulmonary process
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The cardiac, mediastinal and hilar contours appear unchanged. The lung volumes are low. There is no pleural effusion or pneumothorax. The lungs appear clear.
lower extremity edema, chronic chest pain, and nash cirrhosis.
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Right lower lobe opacity is worrisome for pneumonia. The left lung is clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Thoracic scoliosis is again noted. Partially imaged cervical spine hardware is also noted.
history: <unk>m with fever and sob // ? pna
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Ap and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Scattered atherosclerotic calcification seen at the aortic arch. No acute osseous abnormality is identified.
<unk>-year-old male with fall.
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The lungs are hyperinflated. The aorta is enlarged and tortuous with calcifications, not significantly changed from a prior study. Moderate cardiomegaly, but no pulmonary edema. Osteopenia of the thoracic spine with decrease of height of multiple vertebral bodies unchanged from previous exam.
<unk>-year-old with productive cough.
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Frontal and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is within normal limits. Degenerative changes seen at the acromioclavicular joints. Osseous structures are otherwise grossly unremarkable.
<unk>-year-old male status post fall with ankle fracture. pre-op.
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Lung volumes are low and exaggerate pulmonary vascular markings. Otherwise, the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. The aorta is stably tortuous.
chest pain.
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Cardiac, mediastinal and hilar contours are normal. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities seen.
chest pain.