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Heart size is normal. The mediastinal and hilar contours are unremarkable with mild tortuosity of the thoracic aorta. 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 exertional dizziness, left sided headache
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Previous et tube has been removed, and left picc line is stable and in appropriate position. No focal consolidation, pleural effusion or pulmonary edema is seen. Opacification of the right base and heart border with oblique major fissure line is noted with streak like opacity in the right middle lobe. The cardiac and mediastinal contours are normal.
<unk>-year-old woman with laryngeal cancer, hypoxia. is there aspiration?
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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 definite displaced rib fracture seen.
history: <unk>m with left sided rib pain after recent fall. // ? rib fracture
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Lungs are well expanded and clear. There is no focal opacity, pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.
<unk>-year-old male with testicular cancer, assess for abnormality for surveillance.
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There relatively low lung volumes. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac is mildly enlarged.
history: <unk>f with new l facial labial fold flattening x<num> days, also unable to use l hand over weekend, now better //
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Hyperinflation of the lungs ia unchanged. Fibrotic changes at both lung bases are stable. The descending aorta remains markedly tortuous and aneurysmal, particularly at the diaphragmatic hiatus. There are no new abnormal cardiac and mediastinal contours. There is no new consolidation, effusion, or pneumothorax.
<unk>-year-old woman with weakness, rule out acute process.
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Cardiomediastinal contours are stable. Appearance of the lungs is similar to the prior study with no new areas of consolidation to suggest presence of pneumonia. There are no pleural effusions or acute skeletal changes. Mild elevation of left hemidiaphragm is again demonstrated.
<unk> year old man with acute productive cough. lungs are clear, but pls eval for occult pna. // eval for pneumonia
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Frontal and lateral views of the chest show no acute intrathoracic process. Flattened diaphragms and pulmonary blebs are consistent with obstructive lung disease. The mediastinum and pleural structures are unremarkable. Calcifications are seen within the aortic arch. The shoulders are not fully evaluated, however, there are no suspicious osseous lesions. Degenerative changes are seen within the thoracic spine.
shoulder pain, evaluate for infiltrate.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged. There is mild pulmonary vascular congestion but no frank pulmonary edema. Eventration of the right hemidiaphragm is chronic. Streaky patchy opacities in both lung bases likely reflect atelectasis. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
subacute worsening of shortness of breath.
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Again noted is mild prominence of the interstitial markings and prominence of the pulmonary vasculature. The cardiomediastinal silhouette is normal. No pleural effusion or pneumothorax is identified. Surgical clips in the posterior mediastinum and left lateral rib deformities are noted.
weakness and fever. evaluate for pneumonia or chf.
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Frontal and lateral views of the chest demonstrate low lung volumes without pleural effusion, focal consolidation or pneumothorax. Left lung base opacities are most likely atelectasis. Hilar and mediastinal silhouettes are unremarkable. Heart is normal in size. There is no pulmonary edema. No displaced rib fracture is detected. Partially imaged upper abdomen is unremarkable.
the patient status post fall with right flank pain. assess for rib fracture.
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Pa and lateral views of the chest. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.
<unk>-year-old male with cough. question pneumonia.
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Lung volumes are normal. There is no focal consolidation, effusion, or pneumothorax. There is no central vascular congestion or overt pulmonary edema. Mediastinal and hilar contours are normal. Heart size normal.
<unk>f with palpitations, light-headedness, dizziness, headaches. // concern for new onset palpitations
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The heart is normal in size. Incidental note is made of an azygos fissure, which is a common normal variant. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs appear clear. Suture anchors are present within the left humeral head.
chest pain.
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Since prior exam. There has been an interval increase in the patchy opacification at the left base, which on the lateral view, localizes to the left lower lobe. The lungs are otherwise clear. There is no pulmonary edema, pleural effusion or pneumothorax. The mediastinal contours are normal. The heart is moderately enlarged, and unchanged from prior exams. A single-lead left pectoral pacemaker is unchanged.
cough and shortness of breath. evaluate for pneumonia.
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Lung inflation is top-normal. The round hyperdense focal region at the the right heart border represents the right ninth costovertebral joint. There are no consolidation, opacities, masses, pneumothorax, or pleural effusion appreciated. The cardiomediastinal silhouette and hilar silhouettes are normal size. The heart size is normal. There is no acute bony abnormality nor evidence of acute fracture.
<unk> year old woman with non specific chest pain. // assess for consolidation/rib fracture
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Cardiomediastinal and hilar contours are stable. There is persistent elevation of the right hemidiaphragm. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear. Pulmonary vasculature is within normal limits.
chronic cough with tobacco use.
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The heart is at the upper limits of normal size. Mild unfolding of the thoracic aorta appears similar. There are new patchy opacities in the left lower lung, probably within the lingula and vague streaky right upper lung opacities. These could be seen in association with lower airway infection or inflammation. It is also difficult to exclude bronchopneumonia. There is no pleural effusion or pneumothorax. Mild degenerative changes are similar along the thoracic spine. Slight subpleural thickening at each lung apex is also stable.
chest pain.
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Pa and lateral views of the chest were obtained. The heart is top normal in size, and cardiomediastinal silhouette is stable. Lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old man with chest pain.
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Frontal and lateral chest radiographs demonstrate clear lungs, without pleural effusion or pneumothorax. The cardiac silhouette and mediastinal contours are normal. There are post-surgical changes of cabg.
<unk>-year-old male with chest pain and cough, rule out pneumonia.
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Left lower lobe consolidation is worrisome for pneumonia. There may be a subtle additional focus of opacity in the right upper to mid lung which could represent additional site of infection. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with fever and cough // r/o acute infectious process
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Pa and lateral views of the chest. No prior. The lungs are clear without focal consolidation nor effusion. The cardiomediastinal silhouette is normal. Orthopedic hardware is seen along the right lateral clavicle. No acute osseous abnormality is detected.
<unk>-year-old male with cough and fever and rhonchi in the right lower lobe.
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Subtle lucency seen projecting over the lateral left lung base on the frontal view, not clearly seen on the lateral view, is felt to be artifactual and not at site of patient's reported site of pain. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
right chest wall pain.
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Right-sided port-a-cath tip terminates within the proximal right atrium. No pneumothorax is present. Heart size is normal. Mediastinal and hilar contours are unremarkable. No focal consolidation, pleural effusion or pneumothorax is seen. Pulmonary vasculature is not engorged. Compression deformities and sclerotic lesions throughout the thoracic spine are compatible with known metastatic disease and appear unchanged.
history: <unk>f with port placement
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The lung volumes are slightly low. There is bilateral lower lung atelectasis. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Mild elevation of the right hemidiaphragm is not significantly changed.
acute shortness of breath and chest pain. evaluate for acute process, including <unk> <unk>'s hump <unk> <unk> sign.
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Pa and lateral views of the chest provided. Mild central hilar engorgement is noted without frank pulmonary edema. No large effusions are seen. The heart size is top-normal contour is normal. No pneumothorax. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with fever // eval pna
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with productive cough // pna
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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 <unk>d l sided chest pain, cough occasional productive of yellow sputum // eval for consolidation/cardiomegaly
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There is mild cardiomegaly. Diffusely increased opacities in the lungs bilaterally, with interstitial thickening, is likely secondary to mild pulmonary edema. The hilar and mediastinal contours are unremarkable.
history: <unk>f with abd pain, cp and irregular heart beat, pls eval cxr for pna
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Ap upright and lateral views of the chest provided. Previously noted picc line has been removed. Streaky retrocardiac opacity is more conspicuous on the frontal view and may reflect pneumonia. Otherwise the lungs are clear. No pleural effusion or pneumothorax. No signs of congestion or edema. The cardiomediastinal silhouette is stable with mild cardiac enlargement. Mild chronic appearing compression deformity is noted at the thoracolumbar junction. No free air below the right hemidiaphragm is seen.
<unk>m with hypoxia, fever // eval for pna
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Pa and lateral views of the chest provided. Lung volumes are low limiting assessment. Cardiomegaly is stable from prior. Mediastinal contour is normal. No focal consolidation, effusion or pneumothorax. No convincing evidence for pulmonary edema. Mild congestion difficult to exclude. Bony structures intact. No free air below the right hemidiaphragm.
<unk>f with dyspnea // ?pna
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Pa and lateral views of the chest. There is assymteric increase in interstitial opacities in the right lower lobe, which may represent early developing pneumonia. No pleural effusion or pneumothorax. The cardiomediastinal hilar contours are normal.
asthma, cough for <num> days. evaluate for consolidation.
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Cardiac silhouette size is mildly enlarged. The aorta remains mildly tortuous but unchanged. Mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is detected. Mild loss of height of a mid thoracic vertebral body is unchanged.
history: <unk>f with cough
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Pa and lateral views of the chest are reviewed and compared to the prior study. Bilateral nipple rings are again noted. The lungs are clear without focal consolidation, pulmonary edema, pleural effusion or pneumothorax. The cardiac, hilar and mediastinal silhouettes are normal.
evaluation for pulmonary signs of tb in man with hiv.
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Multiple lung masses are demonstrated; among them is a <num> x <num> cm mass in the right upper lobe, a <num> x <num> cm mass in the lateral right lung as well as a <num> x <num> cm mass in the left lower lobe. Further, there is increased density in the infrahilar area on the lateral film. There is no pleural effusion, pneumonia or pulmonary edema. There is no pneumothorax. The aorta is slightly tortuous. Cardiac silhouette is normal in size.
brain mass, question lung mass.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. Prominent convexity of the ap window remains unchanged.
history: <unk>m with sharp l sided cp // eval ? pneumothorax, pneumonediastinum eval ? pneumothorax, pneumonediastinum
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The lungs are clear. There is stable mammilation of the right hemidiaphragm. The heart and mediastinum are within normal limits. Regional bones and soft tissues are unremarkable.
<unk> year old man with hx stage iiib melanoma, now <unk> mos after surgery // rule out metastatic.
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The heart size is enlarged, but similar to prior study. Mediastinal and hilar contours are within normal limits. The lungs are clear. There is no pleural effusion or pneumothorax. Incidental note is made of calcified atherosclerotic disease along the coronary arteries. Sclerotic endplate changes are compatible with a history of renal osteodystrophy. Wedge deformity of the mid thoracic again seen.
<unk>-year-old female with shortness of breath and productive cough.
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The lungs are clear without focal consolidation. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with shortness of breath*** warning *** multiple patients with same last name! // r/o pneumonia
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Heart size and cardiomediastinal contours are normal. Lung volumes are low. Small right lung base opacity is concerning for infection, less likely atelectasis. There is also vague opacity in the right middle lobe seen on the lateral view. There is small left lung base atelectasis. No pleural effusion or pneumothorax. Sternotomy wires and mediastinal clips are intact.
history: <unk>m with h/o cabg, copd // eval infiltrate
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Pa and lateral chest radiographs were reviewed. There is no chf, focal consolidation, pleural effusion, or pneumothorax identified. Minimal right>left bipaical pleural-parenchymal scarring noted. The cardiomediastinal silhouette is normal. Imaged upper abdomen is grossly unremarkable. Slight right convex curvature of the thoracic spine noted.
chest pain after swallowing a pill. evaluate for foreign body or pneumothorax.
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Pa and lateral views of the chest demonstrate low lung volumes. There is no focal consolidation. Heart is normal in size, and cardiomediastinal contour is unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old with fever, evaluate for pneumonia.
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Heart size is top normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
cough and asthma.
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There are relatively low lung volumes and there is mild elevation of the left hemidiaphragm with overlying atelectasis. No definite focal consolidation is seen. There is no large pleural effusion. No pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with chest pain, pleuritic // eval for structural process
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Linear right upper lung opacity most likely represents atelectasis. No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk>f w/chest congestion, please eval for occult pna // <unk>f w/chest congestion, please eval for occult pna
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Low lung volumes without focal consolidation to suggest pneumonia. Left lower lobe volume loss with linear opacification is consistent with atelectasis. Blunting of the costophrenic angles consistent with small bilateral pleural effusions. Prominent left hila with obliteration of the aortopulmonary window suggests left hilar or mediastinal adenopathy.
<unk> year old man with fever, pancreatitis, ? pna, ? pe at osh // r/o pna
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Pa and lateral views of the chest provided. Lungs are clear. Cardiomediastinal and hilar contours are normal. There are no pleural effusions.
<unk> year old man with cough, fevers
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The lungs are clear. There is no consolidation or effusion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
<unk>f with asthma with <num> days dyspnea, wheezing, fevers // ? acute process
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Nodular opacities in the mid to low lungs bilaterally likely represent nipple shadows. If needed repeat radiograph with nipple markers may be obtained to further assess. Aside from this, lungs appear clear. No pleural effusion or pneumothorax is seen. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>-year-old male with chest pain and dyspnea..
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Heart size is normal. The aorta is tortuous and potentially dilated at the level of the diaphragm but unchanged. Mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. Lungs remain hyperinflated compatible with copd. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated.
history: <unk>m with chest pain
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Ap and lateral views of the chest show no consolidation, pulmonary edema, pleural effusion, or pneumothorax. A right port-a-cath is present with the tip terminating at the cavoatrial junction. The cardiomediastinal silhouette is normal. No rib fracture is identified. The vertebral body heights are maintained. A focal area of sclerosis involving the right postero-lateral ninth rib is consistent with patient's known metastasis.
history of metastatic breast cancer. pre-operative chest x-ray prior to femur fracture repair.
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Cardiac silhouette size remains moderately enlarged. Mediastinal and hilar contours are similar with atherosclerotic calcifications noted at the aortic knob. Upper zone vascular redistribution with vascular indistinctness is compatible with mild pulmonary edema, not substantially changed from the previous exam. Patchy bibasilar atelectasis is noted. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>m with shortness of breath
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The lungs are clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No focal consolidations are seen. No pulmonary edema, pneumothorax, or pleural effusions.
<unk> year old man with chronic cough (<num> months) // r/o cause of chronic cough
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Pa and lateral views of the chest provided. The lungs appear clear bilaterally without focal consolidation, large effusion or pneumothorax. No signs of congestion or edema. The heart is top-normal in size. Mediastinal contour is normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with hx of hocm p/w cough, mild hypoxia and troponemia.
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Pa and lateral views of the chest. Subtle patchy opacity is seen in the right mid lung, could be due to atelectasis or infection. Attention at follow-up. No pleural effusion or pneumothorax. The cardiomediastinal hilar contours are normal.
breast cancer on chemotherapy, fever.
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The cardiac, mediastinal and hilar contours appear unchanged. Marked volume loss of the right upper lobe has mostly resolved. There is similar mild-to-moderate relative elevation of the right hemidiaphragm. There is also much less density associated with the right hilum with persistent streaky right infrahilar opacification, but markedly reduced, suggesting residual atelectasis or scarring in the right middle lobe. Mild biapical pleural thickening appears stable. There is no definite pleural effusion or pneumothorax. Bony structures are unremarkable.
new onset of shortness of breath.
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The lungs are clear. The hilar and mediastinal contours are normal. There is no pneumothorax or pleural effusion. The pulmonary vasculature is normal.
<unk>-year-old man with a cough, chills, hemoptysis. evaluate for pneumonia, hemorrhage, or arthrosis.
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Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. The heart size is normal. The mediastinal and hilar contours are unchanged and within normal limits. The pulmonary vascularity is normal. Lungs are mildly hyperinflated. Redemonstrated is blunting of the left costophrenic sulcus, unchanged, and may reflect minimal pleural effusion or pleural thickening. No focal consolidation or pneumothorax is present. The pulmonary vascularity is not engorged. There are no acute osseous abnormalities.
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.
history: <unk>m with cp // evidence of pneumonia, pneumothorax
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Focal areas of consolidation projecting over the mid lungs bilaterally, localizing to the upper lobes based on the lateral view. Lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with dyspnea, cough // r/o pna
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The lungs remain hyperinflated, with flattening of the diaphragms.no focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette mildly enlarged..
history: <unk>f with coarse lung sounds and dizziness // pneumonia?
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Bibasilar atelectasis. Enlarged size of cardiac silhouette. No pleural effusions. No focal parenchymal opacity suggesting pneumonia. No pulmonary edema. No pneumothorax. Normal hilar and mediastinal contours. Degenerative spurring and scoliosis of thoracic spine.
<unk> year old man presenting to primary care clinic with pedal edema, ? exertional dyspnea, ? orthopnea. // please evaluate for pulmonary venous congestion, cardiomegaly
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen.
history: <unk>m with hypotension s/p perianal abscess drainage, slight cough, lethargy // eval ? infiltrate
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal in size with left ventricular configuration.
history: <unk>f with recurrent falls. fell today <num>hrs pta on back of head. reports lightheadedness, confusion following // eval for fx, bleed
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Right chest wall triple lead pacing device is again noted. Left chest wall port is also noted. The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with biv pacemaker over r chest, now w several days of drainage over site. // eval ? pacer placement, infection, sq air
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Pa and lateral chest radiographs again demonstrate moderate cardiomegaly without pulmonary vascular congestion, unchanged from prior. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiac, hilar, and mediastinal contours are normal.
history of sickle cell disease with substernal chest pain.
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The heart size is normal. Mediastinal and hilar contours are unremarkable. Consolidative opacity in the right lower lobe is concerning for pneumonia. Left lung is clear. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities are visualized.
cough and bronchitis with right lateral chest discomfort.
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart is mildly enlarged. The mediastinal contours are normal.
<unk>-year-old female with chest pain.
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The lungs are clear bilaterally. The heart may be at the upper limit of normal, however there are low lung volumes and magnification artifact present (ap film). No pleural effusion or pneumothorax is seen. On the lateral, a thin-walled ring shadow unlikely be of significance is seen.
<unk> year old man with leukocytosis? pneumonia
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. Moderate degenerative changes are seen in the thoracic spine. Chronic appearing bilateral rib fractures are re- demonstrated.
<unk>m with weakness, please evaluate for occult pneumonia
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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax is evident.
left leg pain and swelling, chest pain, shortness of breath after a flight. please evaluate for acute process.
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Left port-a-cath terminates in the mid to low svc as before. Lung volumes are low with scattered areas of atelectasis and scarring. Heart size is normal. The mediastinal and hilar contours are normal. There is a small pleural effusion blunting the right costophrenic sulcus, unchanged. There is no pneumothorax.
history: <unk>f with hypogammaglobinemia, presenting with fever. abdominal pain and obstipation, status post ex-lap for small bowel obstruction
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The heart is normal in size. The mediastinal and hilar contours are unremarkable. There are no pleural effusions or pneumothorax. The lungs appear clear.
chest pain and shortness of breath.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. There is widening of the left ac joint, measuring up to <num> cm. The cc joint is within normal limits. No acute displaced fractures are identified.
left shoulder pain after fall. compare bilateral ac joints for separation/fracture.
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There is interval improvement of previously noted left upper lobe consolidation, compatible with improving pneumonia which was seen on recent ct chest from <unk>. No new focal consolidation is identified. Pleural effusions are minimal if any. Mild interstitial edema is new since prior exam in <unk>. No pneumothorax. The cardiomediastinal silhouette and hilar contours are normal.
history: <unk>f with cough, ams // pna?
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Pa and lateral chest radiograph demonstrate streaky opacities in the bases bilaterally, possibly reflective of aspiration. Bronchial wall thickening at the lower lobes is also noted. There is no pleural effusion. Mediastinal and hilar contours are stable relative to prior examinations. The left heart border is partially obscured but the heart is probably mildly enlarged. There is no evidence of pulmonary edema. There is no pneumothorax.
history: <unk>m with hematemesis, recent cocaine use, chest pain // ? esophageal rupture, chest pain, cardiomegaly
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As compared to the previous radiograph, the pre-existing pleural effusion on the right has improved. The effusion is now restricted to the bases of the right hemithorax. No new parenchymal opacities. No pulmonary edema. Moderate tortuosity of the thoracic aorta. Borderline size of the cardiac silhouette.
known pe and fever, evaluation.
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Examination is suboptimal due to overlying material and positioning. Ap and lateral views of the chest were obtained. The cardiomediastinal silhouette pulmonary vasculature largely unremarkable. No definite, large focal consolidation is identified, however, evaluation for small masses and nodules is limited given technique. There is no definite pleural effusion or pneumothorax. No rib fracture is identified.
history: <unk>f with s/p fall // reproducible chest pain
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation, or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. The ascending aorta is slightly prominent, unchanged. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.
patient with longstanding smoking history, now with weight loss.
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Slightly increased elevation of the right hemidiaphragm as compared to the most recent ct scan, could be due to true elevation or a subpulmonic effusion. Bibasilar atelectasis and small bilateral pleural effusions are unchanged. A nodular density projecting over the periphery of the left mid lung was present on the prior radiograph of <unk>, but does not have a correlate on the ct from <unk> and may represent a high nipple shadow or something external to the patient. Pulmonary vasculature is within normal limits. Cardiomediastinal silhouette is stable. No pneumothorax.
<unk> year old man with cough post-op r/o pna // ? pna atelectasis
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The heart is normal in size. The mediastinal and hilar contours are unremarkable. There is asymmetric opacification projecting over the right lower lobe suggesting pneumonia. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.
cough and sputum.
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Pa and lateral views of the chest were provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No signs of pulmonary edema. The imaged bony structures are intact. No free air below the right hemidiaphragm.
<unk>-year-old man with fever for <num> days, evaluate for pneumonia.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is demonstrated. Clips are seen in the right upper quadrant of the abdomen. There are no acute osseous abnormalities identified.
history: <unk>f with complex history, poor historian, ill appearance, infectious workup
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion, pulmonary vascular congestion, or pneumothorax is present. There are no acute osseous abnormalities.
fever and chills.
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As compared to the previous radiograph, there is improvement of the pre-existing mild right basal and paramediastinal areas of atelectasis. No new parenchymal opacities. No right pleural effusion. Unchanged appearance of the right paramediastinal areas along the neoesophagus. Unchanged mild elevation of the right hemidiaphragm. The left lung and the heart are unremarkable.
status post esophagectomy, evaluation for interval change.
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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 luq, ll chest ttp with ecchymosis and petichae // eval for ll rib fractures or pna
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Cardiomediastinal contours are normal. The lungs are clear. Biapical pleural parenchymal scarring is unchanged from <unk>. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old woman with persistent hoarseness,chest tightness and cough // r/o pneumonia, adenopathy
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Pa and lateral views of the chest provided. The right loculated pleural effusion is mildly improved since <unk>. Right subcutaneous emphysema has improved. The left lung is clear. Stable mild cardiomegaly. No pneumothorax or pulmonary edema. The cardiomediastinal silhouette is normal.
<unk> year old man s/p r vats wedge // check interval change
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. Osseous and soft tissues are unremarkable.
<unk>-year-old female with <num> hours of left-sided chest pain.
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In comparison with study of <unk>, there is little change and no evidence of acute focal pneumonia, vascular congestion, or pleural effusion.
asthma flare with yellow sputum.
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Cardiomediastinal contours are stable with cardiac size top-normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old woman with r upper chest discomfort with inspiration for many months, no cough // r/o lung mass
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Postsurgical changes from prior cabg with median sternotomy wires and surgical clips. Heart size is at the upper limits of normal or slightly enlarged. The postoperative cardiomediastinal silhouette and hilar contours are unremarkable. Lung volumes may be slightly. Mild bibasilar atelectasis. Lungs are otherwise grossly clear. Pleural surfaces are clear without effusion or pneumothorax.
altered mental status.
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The heart size is normal. The hilar mediastinal contours are normal. A consolidation is seen at the left lung base, with a moderate left pleural effusion. Adjacent streaky atelectasis is identified. There is no pneumothorax. The visualized osseous structures are unremarkable.
<unk>f being treated for pna, please evaluate for pna // <unk>f being treated for pna, please evaluate for pna
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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 displaced fracture is seen.
back pain.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The osseous structures are unremarkable, though the asymmetry of the chest cage which was visible on ct would be difficult to appreciate on chest radiographs.
worsening prominence of the left anterior chest wall.
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Moderate to severe cardiomegaly is re- demonstrated, unchanged. The aorta remains tortuous. Mediastinal and hilar contours are similar, and the pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Diffuse idiopathic skeletal hyperostosis is again noted.
history: <unk>f with shortness of breath, dyspnea on exertion
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The cardiac, mediastinal and hilar contours appear unchanged. There is new mild elevation of the right hemidiaphragm with streaky opacity most suggestive of minor atelectasis. On the left, there is a streaky left retrocardiac density, most suggestive of atelectasis, with a possible trace pleural effusion. The lung volumes are low. Cholecystectomy clips project over the right upper quadrant. Bony structures are unremarkable.
post-surgical. question pneumonia.
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Mild cardiomegaly and mild vascular congestion, similar to <unk>. There is no pleural effusion and no pneumothorax. The mediastinum and hila are normal.
<unk> woman with dyspnea and chest pain.
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There is mild linear mid lung atelectasis/scarring. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with confusion // eval for ich, pna
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As compared to the previous radiograph, there is no relevant change. No acute lung changes, notably no pneumonia or pulmonary edema. No pleural effusions. Bilateral paramediastinal fibrosis, presumably caused by radiation therapy after hodgkin's disease. Clips projecting over the upper abdomen. Normal hilar contours.
history of hodgkin's, pericarditis, chronic cough, evaluation.