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Left chest wall pacer and single lead are unchanged in position. The heart is mildly enlarged. The hilar contours are within normal limits. Lung volumes are low. There is mild pulmonary vascular congestion and moderate bilateral pleural effusions, left greater than right. Bibasilar opacities may represent atelectasis or infection. No pneumothorax.
history: <unk>m with chf shortness of breath // eval for pulmonary edema
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An opacity at the right mid and lower lung zones is noted. Again seen is a small right pleural effusion. No pneumothorax is seen. Mild cardiomegaly is noted. Left-sided port-a-cath terminates in the distal svc.
<unk> year old woman with hx breast cancer on chemo p/w cough, sob, desatting to <unk>% ra // evaluate for presence of infiltrate
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax.
history of fever. please evaluate for pneumonia.
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Right-sided dual lumen central venous catheter and left-sided subclavian central venous catheter terminate in the low svc. Lung volumes are low. This accentuates the size of the cardiac silhouette which appears mildly enlarged. Mediastinal contours are grossly unchanged. Crowding of the bronchovascular structures is noted without overt pulmonary edema. Streaky opacities in the lung bases likely reflect atelectasis. No pleural effusion or pneumothorax is identified. "rugger <unk>" appearance of the thoracic spine is compatible with renal osteodystrophy.
history: <unk>m with dyspnea x <num> week, worsening // chf vs copd vs pneumonia
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There is chronic elevation of the right hemidiaphragm as seen on prior studies. There is no focal consolidation or pleural effusion. Tortuous descending thoracic aorta is again noted. Heart size and mediastinal contours are stable. No pleural effusion or pneumothorax.
history: <unk>m with cough x<num> days // ? pneumonia
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Lung volumes are low, causing bronchovascular crowding. No clear focal consolidation to suggest pneumonia is seen. An opacity at the right base appears plate-like and is felt to represent atelectasis. There is chronic vascular congestion. No significant pleural effusion is present. No pneumothorax is present. Slight relative elevation of the right hemidiaphragm is unchanged. A previously seen right-sided internal jugular venous catheter has been removed. The heart size is top normal.
cough and back pain.
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Chest pa and lateral radiographs were obtained. Cardiac and mediastinal silhouettes are stable. The lungs are clear. There is no pleural effusion or pneumothorax evident. There is a right-sided picc line with tip apparent in the mid right subclavian vein.
recent picc line, now with pain, please evaluate placement.
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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. There is stable global tenting of the left hemidiaphragm since at least <unk>. No displaced fracture is seen.
chest pain.
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
<unk>-year-old woman with dyspnea.
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Chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. Minimal faint opacity in the right lower lung likely reflects atelectasis. No opacification concerning for pneumonia identified. No definitive pleural effusion evident. No evidence of pneumothorax is seen. Degenerative changes are seen along the spine.
cough, pneumonia.
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Right chest wall port is again seen. The lungs are clear of consolidation effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with nslc with fever of unknown origin // r/o pneumonia
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The medial head of the right clavicle, may obscure a parenchymal opacity in the right upper lobe. Lungs are otherwise clear. Cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
<unk> year old woman with cp and cough ongoing for <num> week, evaluate for pneumonia.
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As compared to the previous radiograph, the left pneumothorax has further minimally increased in extent. There currently is no evidence of tension. The right lung is unremarkable. Unremarkable appearance of the cardiac silhouette. The left postoperative apical changes are constant.
spontaneous left pneumothorax, slowly enlarging, assessment for interval change.
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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 diabetic ketoacidosis, persistent hypotension
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Pa and lateral views of the chest. No prior. Lungs are clear, costophrenic angles are sharp. There is no pneumothorax. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable. There is possible deformity of the mid right clavicle suggesting prior, healed fracture.
chest pain.
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Frontal and lateral radiographs of the chest demonstrate hyperinflated lungs with flattening of the diaphragms, consistent with patient's history of copd. Otherwise, the lungs are clear with no focal opacity concerning for pneumonia. The cardiac and mediastinal contours are normal. No pleural effusion or pneumothorax is appreciated. Again seen is symmetric bilateral apical pleural thickening, unchanged.
moderate copd with recent cough and cold symptoms. evaluate for pneumonia.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. No rib fractures are seen.
history: <unk>m with right rib pain after coughing, worse with movement.
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There is chronic moderate to severe cardiac enlargement. Pulmonary edema and pulmonary vascular congestion are redemonstrated. There is atelectasis at the left lung base. No focal pulmonary abnormality is identified to suggest pneumonia. There is no pneumothorax or large pleural effusion.
chest pain, end-stage renal disease. question pneumonia.
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There is no focal consolidation to suggest pneumonia, pleural effusion or pneumothorax. No evidence of pulmonary edema. Heart size is normal. Thoracic aorta is tortuous. Mild dextrocurvature of the lower thoracic spine may be positional.
<unk>-year-old female with a new cerebellar tumor. evaluate for acute process prior surgery.
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Patchy left base retrocardiac opacity is seen which may be due to atelectasis and/or consolidation. No large pleural effusion is seen although small left pleural effusion be difficult to exclude. The cardiac and mediastinal silhouettes are stable. No overt pulmonary edema is seen. There is no evidence of pneumothorax. There is mild to moderate compression of vertebral bodies at the thoracolumbar junction of indeterminate age. Chronic deformity of the right shoulder is again noted.
biliary.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities detected.
chest pain.
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Large scale consolidation has developed in the right lung in both the middle and lower lobes.
<unk> year old woman s/p throacentesis // progression of pleural effusion progression of pleural effusion
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As compared to the previous radiograph, there is unchanged evidence of clips projecting over the right clavicle and a picc line in correct position. The right picc line assumes a normal course, the tip of the line projects over the mid svc. Size of the cardiac silhouette is normal. No pleural effusions. No focal parenchymal opacity suggesting pneumonia. No pulmonary edema.
burkitt's-like lymphoma, fever and cough.
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Lung volumes are low. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Prominent pulmonary vasculature may be exaggerated by low lung volumes.
<unk>-year-old female with bilateral leg swelling.
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There are low lung volumes with associated bronchovascular crowding. No mass or opacity is seen in the lungs. There is no large pleural effusion or pneumothorax. The cardiomediastinal silhouette is enlarged, stable from prior exam.
altered mental status.
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Patient is status post median sternotomy, cabg, and coronary artery stenting. Heart size is normal. The mediastinal and hilar contours are unchanged. Coarse interstitial opacities with scarring and bronchiectasis are most pronounced within the right upper lobe. No new focal consolidation, pleural effusion or pneumothorax is present. Pulmonary vasculature is not engorged. Partially imaged is spinal fusion hardware within the lumbar spine.
history: <unk>f with chest pain
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As compared to the previous radiograph, there is no relevant change. Normal lung volumes. On the chest radiograph there is no clear evidence of bronchiectatic changes. No evidence of recent infection or other acute lung disease. No pleural effusions. Minimal right apical pleural thickening. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours.
history of bronchiectasis, now persistent cough for three weeks.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
palpitations.
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Heart size is borderline enlarged, unchanged. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Apart from minimal subsegmental atelectasis at the lung bases, lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen.
chest pain.
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Pa and lateral views of the chest provided. Pacemaker projects over the right chest wall with leads extending to the region the right atrium and right ventricle. Midline sternotomy wires and prosthetic cardiac valve again noted. There is mild hilar engorgement without frank pulmonary edema. No focal consolidation, large 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 sob, cough
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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 dizziness and headaches
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Diffuse interstitial abnormality is consistent with chronic lung disease. Superimposed upon this process are new areas of consolidation within the right upper lobe and left lower lobe as well as apparent worsening of diffuse reticular opacities have. The cardiac and mediastinal contours are stable. There is no pneumothorax. Small left pleural effusion is new.
<unk>m with progressive ckd and failure to thrive i/ss/o likely progressive uremia, presenting at recommendation of nephrologist for hd initiation.
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Frontal and lateral radiographs of the chest demonstrate normal heart size, mediastinal and hilar contours. No focal consolidation or pneumothorax. Blunting of the posterior costophrenic sulcus may reflect trace if any effusion. Diffuse interstitial abnormality which is commonly seen in smokers or asmatics.
dyspnea.
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Mild cardiomegaly is unchanged. Compared with the most recent chest radiographs, the lungs appear more aerated and expanded, with continued improvement in previously described interstitial pulmonary edema. There has been improvement in the left lung basal atelectasis. No large pleural effusions are identified. No new focal consolidation to be concerning for pneumonia identified. Increased basilar interstitial lung markings may be due to chronic pulmonary interstitial abnormality, as described on the recent ct chest.
<unk>f with weakness. evaluate for pneumonia.
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Ap and lateral views of the chest. Left picc no longer seen. The lungs are clear of confluent consolidation. There are small bilateral effusions. Increased pulmonary vascular markings are seen bilaterally. The cardiac silhouette is moderately enlarged, similar to prior. No acute osseous abnormality is identified, noting an s-shaped thoracolumbar scoliosis.
<unk>-year-old female with shortness of breath and altered mental status.
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Frontal and lateral views of the chest. Left chest wall triple lead pacing device is seen with lead tips in the right atrium, right ventricle, and coronary sinus. The lungs are clear. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with <num> days of shortness of breath and chest pain.
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. There is persistent elevation of the right hemidiaphragm. Right hilar opacity and consistent with known lesion in the superior segment of the right lower lobe. Radiation changes are present within the mediastinum. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with leg swelling // eval for pulm edema
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Ap upright and lateral views the chest provided. Left chest wall pacer device is noted with leads extending to the region the right atrium and right ventricle. 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 syncope
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Stable cardiomegaly. There is worsening pulmonary vascular congestion and mild pulmonary edema. Pleural effusions are stable. No pneumothorax is seen. Right hilar fullness is a manifestation of mild heart failure. Again seen is chronic posterior pleural thickening and nodulation at the right base. Again seen is thoracic fusion hardware, unchanged.
<unk> with chf coming in with weight gain and sob // evidence of fluid in lungs?
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The heart is normal in size. Left hilar lymphadenopathy and upper paramediastinal fibrotic changes are stable. There is no pleural effusion or pneumothorax. The lungs are well expanded without focal consolidation concerning for pneumonia. Two right lower lung nodule are again noted, better assessed on recent ct. A left chest port is present with tip terminating at the cavoatrial junction. The upper abdomen is unremarkable in appearance.
<unk> year old man with lymphoma s/p allo transplant with fever <num> // ? infection
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The lungs are clear. No evidence of latent or active tuberculosis. Moderate cardiomegaly. No pleural effusions or pneumothorax.
<unk> year old woman with stage <num> esrd, htn and chf, and recently diagnosed breast cancer, now on hemodialysis. // r/o possible tb
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are hyperexpanded but clear without focal consolidation concerning for pneumonia. The upper abdomen is unremarkable aside from a curvilinear calcification on the diaphragmatic pleural surface. There is no acute osseous abnormality. Bilateral breast implants are incidentally noted.
<unk> year old woman with cough and etoh use // please eval for pna, aspiration
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The lungs are grossly clear without evidence of focal consolidation. There is no pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette hilar contours are normal.
history: <unk>f with cp // eval for pneumo, infiltrate cm
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Frontal and lateral views of the chest demonstrate low lung volumes. There is small right pleural effusion. Right hemidiaphragm is slightly elevated. Right lung opacities may represent atelectasis. There is no left pleural effusion. Opacities in the left mid lung zone are slightly more conspicuous since prior. Mild perihilar vascular congestion. Otherwise, hilar and mediastinal silhouettes are unremarkable. Heart size is top normal. Partially imaged upper abdomen is unremarkable.
recent thoracentesis, now with shortness of breath.
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Lung volumes are low. Again noted are reticular opacities in the bilateral apices, consistent with underlying chronic interstitial lung disease. No overlying consolidation is identified. The cardiomediastinal silhouette and pulmonary vasculature are similar the prior examination.
history: <unk>m with cirrhosis s/p fall // eval for ich nhct eval for pna xray
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Frontal lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
chest pressure.
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A right-sided subclavian mediport terminates in the distal svc. The appearance of the catheter is unchanged from prior. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable. The imaged upper abdomen is normal. There are no acute osseous abnormalities.
esophageal cancer with pain along the port site placement.
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Tiny right apical pneumothorax, similar. Probable tiny left apical pneumothorax, decreased. Sternotomy. Right ij central line tip in the low svc. Heart is enlarged, improved. Borderline pulmonary vascularity, improved. There are tiny pleural effusions, improved on the left, more apparent on the right. Minimal basilar atelectasis, improved. Chronic left clavicle fracture. Minimal retrosternal pneumomediastinum, in keeping with recent surgery.
<unk> year old man s/p cabg // eval for effusion/pneumo
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Patient is status post median sternotomy and cabg. Cardiac silhouette size remains moderately enlarged but unchanged. The aorta remains tortuous. Pulmonary vasculature is mildly engorged. Linear and patchy bibasilar opacities likely reflect areas of atelectasis. Small left pleural effusion appears relatively unchanged compared to the previous study. No pneumothorax is identified. There are no acute osseous abnormalities. Degenerative changes are seen within the thoracic spine.
history: <unk>m with weakness, fatigue
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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. No free air is seen under the diaphragms.
abdominal pain, hematemesis.
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Left-sided aicd device is noted with leads terminating in unchanged positions in the right atrium and right ventricle. Mild enlargement of the cardiac silhouette is unchanged. Aortic knob calcifications are present. The mediastinal and hilar contours are similar. Mild interstitial pulmonary edema is demonstrated with a probable trace left pleural effusion, although the posterior costophrenic angles are excluded on the lateral view. No pneumothorax is present. Patchy atelectasis is again seen in the lung bases. Moderate multilevel degenerative changes are present in the thoracic spine.
<unk>m with chest pain, crackles in left lower lung, no cough, no fever
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Lungs are clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. An old healed rib fracture is again seen on the left. No pneumothorax, pulmonary edema, or pleural effusion. No focal consolidations are seen.
history: <unk>f with right hand pain, elbow pain and rib pain // r/o acute injury s/p fall
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The heart size is normal. The hilar and mediastinal contours are unremarkable. The lungs are clear without evidence of focal consolidation, pleural effusions, or pneumothoraces. There is mild left linear atelectasis. Incidental note is made of sutures projecting over the right glenoid. The visualized osseous structures are otherwise unremarkable.
history of epigastric pain. please evaluate for intrathoracic process.
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There may be subtle, slight interstitial edema.
history: <unk>m with l<num> burst fracture. here for pre-op workup // ? pneumonia or acute cardiopulmonary process
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Lungs are clear. No pleural effusion or pneumothorax evident. Mediastinal, hilar and cardiac contours are unremarkable. Stable thoracic dextroscoliosis evident.
cough, shortness of breath, wheezing. please evaluate for infiltrate.
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Pa and lateral views of the chest show clear lungs and no evidence of the calcified nodular density seen on the recent right shoulder exam. This appeared to be projected in the region of the anterior aspect of the right third rib but no corresponding finding is seen on the current exam. Mild uncoiling of the thoracic aorta is unchanged compared to <unk>. Degenerative changes and and proliferative osteophytes are seen in the lower thoracic spine.
<unk> year old woman with right lung nodule on x-rays of shoulder // pulmonary nodule
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Compared to <unk> there has been resolution of multifocal pneumonia. Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. A spinal catheter is in place. Again seen are clips projecting over the right chest wall.
<unk> year old woman with pneumonia in bll in <unk>, symptoms resolved, evaluate for radiographic resolution.
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are on remarkable. There is no pneumothorax, pleural effusion, or consolidation.
chest pain.
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Poorly defined opacities involving the mid and lower lungs bilaterally as well as bronchial wall thickening, more severe in the left lower lobe are concerning for ongoing or recurrent infection. The patient's pancreaticopleural fistula contributes to the retrocardiac consolidation. There remains a left-sided pleural effusion. A left-sided picc line terminates at least <num> cm into the right atrium. Cardiac size is normal.
fever, question pneumonia.
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Pa and lateral views of the chest provided. Port-a-cath is unchanged with tip residing in the mid svc region. Lung volumes are low with bibasilar atelectasis again noted and small to moderate bilateral pleural effusions which appear unchanged. The possibility of a superimposed pneumonia is impossible to exclude. Mid to upper lungs appear well aerated. No significant change from prior exam. Cardiomediastinal silhouette is unchanged. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with cough, sob // evidence of pneumonia
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The heart is enlarged and slightly globular however is not significantly changed in size from the prior examination. Retrocardiac opacity is again demonstrated and not significantly changed, likely reflecting atelectasis and a small effusion. Small rounded lucencies project over the lateral right lung and may represent small loculated air pockets, possibly in the pleural space. No large pneumothorax.
<unk> year old woman with pericarial effusion s/p pericardial effusion drain pulled // eval after pericardial drain removed
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Pa and lateral images of the chest. The lungs are well expanded. That cleared. There is no pleural effusion. No pneumothorax. The cardiomediastinal silhouette is unremarkable.
left-sided intermittent chest pain today, concerning for pneumonia or effusion.
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The interval placement of duo lead permanent pacemaker, with leads terminating in the right atrium and right ventricle. No visible pneumothorax. Cardiomediastinal contours are stable in appearance, and lungs and pleural surfaces are clear.
<unk> year old man s/p dual chamber ppm implant // check lead location and pnx
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Focal increased density compared to the prior exam in the right middle lobe is consistent with pneumonia given the provided history. No pleural effusion, edema, or pneumothorax. The heart is normal in size. The mediastinum is not widened.
<unk>-year-old man with cough and fever. evaluate for pneumonia.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Bilateral lower lobe bronchiectasis with associated bilateral lower lobe hazy opacities likely correspond to chronic fibrotic changes as on prior ct.
history of connective tissue disease presenting with elevated troponins.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. There is no free air.
vomiting. history of aspiration pneumonia.
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The lungs are clear. There is no focal consolidation or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with s/p seizure // eval for pna
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk> m with chf and acute kidney injury. evaluate for effusion, pneumonia.
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There has been interval removal of the in right-sided picc and enteric tube. There is a focal opacity in the left lower lobe obscuring the left heart border and left hemidiaphragm which is likely pleural effusion and atelectasis however a superimposed pneumonia cannot be excluded. No pneumothorax is seen. Cardiomegaly is stable. The mediastinal silhouette is unremarkable.
<unk> year old man with new white count // e/o new focal opacity?
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Cardiac silhouette size is top normal. The mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Patchy and linear opacities are seen within the left lung base and right mid lung field, likely areas of atelectasis though infection in the left lung base is not completely excluded. Small left pleural effusion is present. No pneumothorax is identified. There are no acute osseous abnormalities.
history: <unk>f with shortness of breath
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Small right pleural effusion tracking along the right lateral chest wall has slightly improved since prior study. Atelectasis along the right mid lung has also improved. No left pleural effusion. No pneumothorax is seen. The heart size is top-normal. The hilar and mediastinal contours are unremarkable.
<unk> year old woman pod <unk> s/p tbp // evaluate for interval change
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with dyspnea.
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Compared to prior, there is mild increased linear opacity in bilateral mid lung and <unk>, <unk> represent septal thickening due to worsening sarcoidosis or infection. Hilar lymphadenopathy has also minimally progressed since <unk>. There has been improvement of the left middle lobe opacity. The heart size is normal. No pleural abnormality is seen.
<unk> year old woman with see above. // sarcoidosis, now with rll sounds, cough productive of sputum.
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Lungs are fully expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Mediastinum, hila and pleural surfaces are unremarkable. Heart size is normal.
<unk> year old woman with persistent cough // ? lesion
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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 pancreatitis // eval for acute process
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The mediastinal contours are normal. The heart size is at the upper limits of normal. Sternal wires are intact. There is stable non-<unk> of the manubrium and sternum, which was previously identified on the prior ct.
history of lupus and pericarditis. presenting with chest pain.
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There is stable appearance of the large left pleural effusion with slight increase in the small right pleural effusion. The small left apical pneumothorax is slightly decreased in size. Again the heart size is difficult to evaluate due to overlying effusion. The large hiatus hernia is noted projecting over the left hemithorax. Pulmonary vascular congestion is stable.
<unk> year old woman with cirrhosis and gib, found to have left sided pleural effusion and ptx // assess for changes in pneumothorax and pleural effusion on prior x-ray
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There mild bibasilar opacities. Superiorly, the lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits.
<unk>m with ha // ich, cva
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Lung volume is low. Top-normal heart size is similar to before. Thoracic aorta is tortuous. There is no consolidation or pneumothorax. Pleural effusion is minimal if any.
<unk>f w/chf presenting with doe // <unk>f w/chf presenting with doe
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Ca of the lateral images of the chest. Lungs are well expanded and clear. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette unremarkable. There is a soft tissue structure in the right cardiophrenic sulcus anteriorly, the differential for which would include a morgani hernia with herniated omentum or subphrenic fat.
chest pain.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. Bony structures appear within normal limits.
cough.
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Compared to the most recent prior radiographs, there has been improvement in the right middle lobe and left basilar dense opacities. There is persistent diffuse basilar predominantly reticular opacities within the right lower lobe, right middle lobe and left lower lobe. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable. A left port-a-cath is in stable position in the lower svc.
metastatic breast cancer to lung (lymphangitic pattern). receiving ongoing treatment.
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Frontal and lateral radiographs of the chest. There is hyperinflation of the lungs with vascular deficiency in the apices, along with increased ap diameter and flattening of diaphragms, consistent with copd. Otherwise, the lungs are clear. The cardiac, mediastinal, and hilar contours are normal. No pleural abnormality is detected. Moderate to severe degenerative changes of the thoracic spine are noted.
very severe copd with clinical presentation consistent with pneumonia.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of focal consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Two right upper quadrant drainage catheters are again noted. Osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old male with fever.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. The lungs are mildly hyperinflated with flattening of the bilateral hemidiaphragms, similar to the prior examination. Note is made of multiple small calcified granulomas, unchanged in size or appearance from the prior examination. No pleural effusion or pneumothorax is seen.
<unk>m with cp // assess for infiltrate, edema
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Interval increase in moderate-sized left pleural effusion. Sternotomy wires are intact and vascular clips noted. No pneumothorax and right lung is clear without pleural effusion. Heart size is top normal with normal mediastinal contour and hila. No bony abnormality. Aortic calcifications are noted in the aortic arch.
female with left-sided pleural effusion.
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The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Anterior cervical fixation hardware is visualized. There is a chronic left posterior ninth rib fracture. Chronic posttraumatic changes also seen at the right shoulder.
<unk>m with syncope // 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.
history: <unk>f with dyspnea // r/o acute process
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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. The bony structures are unremarkable.
acute shortness of breath and cough.
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One pacemaker lead is in the right atrium and the other is in the right ventricle. Mild cardiomegaly. The mediastinal and hilar contours are normal. Bibasilar atelectasis is slightly improved since yesterday. No focal consolidation, pleural effusion, or pneumothorax.
<unk> year old man s/p ppm placement, subclavian access // ptx, leads
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As compared to the previous radiograph, the patient has developed extensive bilateral pleural effusions. The effusions are more severe on the right than on the left, on the right, the effusions occupying approximately half of the hemithorax. There are areas of bilateral relatively extensive atelectasis following the effusions. The size of the cardiac silhouette cannot be precisely delineated. The upper mediastinal contours appear unremarkable. In the well-ventilated areas of the lungs, there is no evidence of acute lung disease. A <num>-cm soft tissue density nodule projecting over the right lung base is seen on both the frontal and the lateral radiograph and could represent the nipple.
metastatic breast cancer, dyspnea, evaluation for pleural effusions.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Minimal streaky opacities are seen in the lung bases likely reflective of atelectasis, without focal consolidation. No pleural effusion or pneumothorax is detected. There are no acute osseous abnormalities.
history: <unk>m with right sided chest pain
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Pa and lateral views of the chest were obtained. A nodule located in the left lower lobe measures <num> mm; otherwise, the lungs are clear. The heart size is normal and there is no evidence of vascular congestion, pleural effusion, or pneumothorax. No concerning osseous or soft tissue lesions.
evaluation of findings concerning for wegener's granulomatosis.
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Frontal and lateral views of the chest. No prior. The lungs are clear. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with chest pain and cough.
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Pa and lateral views of the chest provided. Minimal subsegmental left mid to lower lung atelectasis noted. No convincing signs of pneumonia. No large effusion or pneumothorax. Cardiomediastinal silhouette appears unremarkable aside from an unfolded thoracic aorta. No free air below the right hemidiaphragm. Bony structures are intact.
history: <unk>m with abdominal distention, ?jaundice per wife // obstruction? hepatobilairy pathology
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No previous images. The heart is normal in size and lungs are clear without vascular congestion or pleural effusion.
cough and rales at right base, to assess for pneumonia.
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New from <unk>, is a moderate right pleural effusion with associated volume loss. Additionally, there is fullness of the right hilum. Minimal blunting of the left costophrenic angle it may represent an additional small left pleural effusion. There is no focal consolidation to suggest pneumonia although a right lower lobe process cannot be excluded. Mild pulmonary edema is present. Right-sided cardiac border is obscured. Mediastinal silhouette is normal.
<unk>m with <unk> days of hemoptysis, evaluate for pneumonia.
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Heart size is normal. The mediastinal and hilar contours are unremarkable. Lungs are clear. No pleural effusion, pulmonary vascular congestion or pneumothorax is present. No acute osseous abnormalities are seen. Mild dextroscoliosis of the thoracic spine is noted.
chest pain.
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The lungs are clear except for unchanged biapical scarring. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.
<unk>-year-old male with increasing confusion over past week, not responsive to increased lactulose. evaluate for consolidation.
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Pa and lateral views of the chest are compared to previous exam from <unk>. There are vague rounded opacities projecting over the right mid-to-lower lung seen over the anterior and lateral ribs, suggesting healing fractures. The lungs are clear of focal consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with diabetes and hyperglycemia.