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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 cp // ?cpd
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Possible lung nodules project over the left third anterior (<num>mm) and right fourth anterior (<num>mm) ribs. Lung volumes are normal. Heart size is normal and there is no edema or pleural abnormality.
<unk>-year-old female with epigastric pain, evaluate for acute intrathoracic process.
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Frontal and lateral views of the chest. Region of consolidation identified in the retrocardiac region which silhouettes the descending thoracic aorta. Blunting of posterior costophrenic angle suggests small effusions. Elsewhere, the lungs are clear. Cardiac silhouette is the mildly enlarged. No acute osseous abnormalities detected.
<unk>-year-old male with weakness. prior left lower lobe pneumonia.
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The lungs are hyperinflated. There are coarse bilateral interstitial markings, most predominant in the periphery and the bases. This is consistent with the patient's history of emphysema related fibrosis. The interstital changes limit the evaluation of the underlying parenchyma, but there is no definite evidence of consolidations, edema, pleural effusion, or pneumothorax. The patient is status post a median sternotomy. The sternal wires are intact. The cardiomediastinal silhouette is normal.
shortness of breath.
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No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Old left-sided rib fractures are again noted.
history: <unk>m with cp/sob // acute process
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk> year old woman with month of cough // assess for mass/infiltrate
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Severe cardiomegaly is re- demonstrated. Aortic knob calcifications are noted, with the mediastinal and hilar contours appearing unchanged. Mild pulmonary vascular congestion is present without focal consolidation, pleural effusion or pneumothorax. Linear opacities in the left mid lung field likely reflect subsegmental atelectasis. There are no acute osseous abnormalities.
history: <unk>f with shortness of breath
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Pa and lateral views of the chest. No prior. There are bilateral infiltrates identified in the apical segments of the lower lobes. Lungs are otherwise elsewhere clear without effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male, previously healthy, returned from <unk> two weeks ago with three days of fever, chills and sweats. nonproductive cough.
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Low lung volumes are present. There is persistent elevation of the right hemidiaphragm with mild atelectatic changes noted at the right lung base. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pulmonary edema, pleural effusion, or pneumothorax. No focal consolidations are seen.
history: <unk>f with shortness of breath
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The lungs are well expanded with left-greater-than-right linear bibasilar airspace opacities most likely atelectasis, however infectious process would be difficult to exclude. Trace pleural effusions are noted without pneumothorax. The heart is mildly enlarged with normal cardiomediastinal contours. Sternotomy wires are intact.
chest pain.
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with malaise, cough, chest pain // ?pna
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Cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Lungs are hyperinflated with attenuation of pulmonary vascular markings towards the upper lobes suggestive of underlying emphysema. Scarring is noted within the right apex. No focal consolidation, pleural effusion or pneumothorax is present. The osseous structures are diffusely demineralized. No acute osseous abnormality is detected.
history: <unk>f with new onset right sided facial numbness.
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Left picc again terminates in the upper to mid svc. Right apical opacity from the previous examination is now shown to reflect a superimposition of shadows of the clavicular head and mediastinal veins. Lungs are otherwise clear. Heart is top normal in size with tortuous aorta as before.
<unk>-year-old man with psoas muscle abscess with possible right upper lung lesion on portable radiograph. for reassessment.
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Ap and lateral views of the chest. Prior right picc is no longer visualized. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. Tortuous thoracic aorta is again seen. No displaced rib fractures identified.
<unk>-year-old female with unwitnessed fall and lethargy.
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Pa and lateral views of the chest provided. Partially visualized hardware in the c-spine noted. Lungs are clear. 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 unsteadiness x <num> day
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Heart size is normal. The aortic knob is calcified. Mediastinal and hilar contours are unremarkable. Lung volumes are slightly low. Patchy ill-defined opacity in the left mid lung field is concerning for an area of infection. Mild blunting of the costophrenic angles bilaterally may suggest the presence of trace effusions. There is crowding of the bronchovascular structures. No pneumothorax is identified. There are no acute osseous abnormalities. Multilevel degenerative changes in the thoracic spine are present.
cough and fever.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Multiple nodules project over the right mid to lower lung, <num> of which is likely calcified is unchanged from <unk>. The lower nodule projecting over the anterior right sixth rib could potentially represent a nipple shadow. The cardiac and mediastinal silhouettes are unremarkable. Multiple surgical clips are again seen projecting over the right upper quadrant.
<unk>m with hx of afib // eval chest discomfort
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The heart size and mediastinal contours are normal. No focal consolidation, pleural effusion or pneumothorax.
<unk> year old woman with right deltoid lymph node, smoker // lesions?
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
history: <unk>m with stage <num> thyroid ca with increased cough and sputum // ?pna
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal hilar contours are unremarkable. Breast tissue seen overlying the right hemi thorax but not the left. No displaced fracture is seen, however, if there is clinical concern for rib or sternal fracture, dedicated sternal and rib series or chest ct are more sensitive and should be considered.
history: <unk>f with anterior thoracic cage pain // acute process, attention to rib/sternal fx to extent possible
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Bilateral pulmonary hilar contours are prominent and are unchanged since <unk>. No consolidation, pneumothorax, or pleural effusion. Top normal heart size. Mediastinal and hilar contours have been stable.
<unk> year old man with cough fever lung congestion // pls eval for pna or other infectious process
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The cardiac, mediastinal and hilar contours appear stable. The lung volumes are somewhat low. There is no pleural effusion or pneumothorax. A vague opacity in the right upper lung appears stable suggesting minor scarring. There has been some increase since the prior comparison studies in a retrocardiac opacity including slight blurring of the left hemidiaphragmatic surface, although not conspicuous on the lateral view. A focus of pneumonia could be entertained as the explanation versus bronchial airway thickening or atelectasis.
worsening cough after recent treatment for pneumonia.
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No significant interval change. Lung volumes remain low. The patient has had prior left upper lobe segmentectomy with expected and stable appearing post- operative changes on this radiograph. No focal consolidation, edema, effusion, or pneumothorax. Streaky opacities in the region of the lingula are also overall unchanged with persistent mild blurring of the left heart border. The heart size is normal. The mediastinum is not widened. No evidence of an acute osseous abnormality. Pulmonary nodules are best assessed on recent ct from <unk>.
<unk>-year-old man with know lung cancer status post chemotherapy and radiation therapy. evaluate for interval change in lung cancer.
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Ap and lateral views of the chest. Streaky retrocardiac opacities are most suggestive of atelectasis. The lungs are hyperinflated but otherwise clear without effusion or consolidation. Cardiac silhouette is mildly enlarged. Descending thoracic aorta is tortuous. No acute osseous abnormalities detected.
<unk>-year-old male with right-sided weakness.
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Frontal and lateral views of the chest. The lungs remain clear of focal consolidation or pulmonary vascular congestion. Note is made of an azygos fissure. Cardiomediastinal silhouette is within normal limits. Lower cervical/upper thoracic anterior vertebral body hardware is identified.
<unk>-year-old female with confusion.
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Midline sternotomy wires and mediastinal clips are again noted. The heart remains mildly enlarged and there is mild congestion and pulmonary edema not significantly changed from prior exam. No large effusion is seen. Mild basilar atelectasis is noted without definitive evidence of pneumonia. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>-year-old man with dyspnea and palpitations,.
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Moderate to severe cardiomegaly is present. The aorta is diffusely calcified and mildly tortuous. Pulmonary vasculature is not engorged. The lungs appear hyperinflated with diffuse increased interstitial opacities which may relate to chronic changes. No focal consolidation, pleural effusion or pneumothorax is present. Mild to moderate multilevel degenerative changes are seen in the thoracic spine.
history: <unk>f with multiple abdominal surgeries and uti presenting with severe abdominal pain
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The heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. There is mild elevation of the left hemidiaphragm due to mildly distended colonic loops of bowel. There is minimal subsegmental atelectasis in the left lung base. Otherwise the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
cough.
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No focal consolidation is seen. There is slight increase in interstitial markings diffusely bilaterally which may be due to mild interstitial edema. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with sob // pulm edema?
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The lungs are well expanded and clear. Mediastinal contours, hila, and cardiac silhouette are normal. The aorta is tortuous. There is no pleural effusion or pneumothorax. No osseous abnormality identified within limits of plain radiography.
<unk>f s/p reduction bimal fx
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Ap upright and lateral views of the chest provided. Lung volumes are quite low limiting assessment. Vague opacities throughout both lungs may represent areas of scattered atelectasis. Difficult to exclude an atypical pneumonia. No large effusion or pneumothorax. Cardiomediastinal silhouette likely normal allowing for suboptimal technique. Bony structures are intact.
<unk>f with ams, facial weakness // evaluate for acute process
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There has been interval removal of the right chest tube without evidence of pneumothorax. There is persistent small right pleural effusion with associated basilar atelectasis. Left lung is clear. Cardiomediastinal silhouette and hilar contours are normal.
kick to the ribs with pneumoperitoneum secondary to liver injury and right pleural effusion with pigtail chest tube.
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The cardiac silhouette again remains markedly enlarged, possibly slightly increased as compared to the prior study, although may in part be due to differences in inspiration. No large pleural effusion is seen. There is no definite consolidation. Minimal prominence of the interstitium, may be due to minimal edema.
tachycardia, epigastric pain.
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The heart is normal in size. The hilar and mediastinal contours are normal. There are small bilateral pleural effusions. There is persistent bibasilar atelectasis, a more rounded component on the left is consistent with known round atelectasis. No focal consolidation concerning for pneumonia is identified. Visualized osseous structures are intact.
<unk>-year-old male patient with waldenstrom, status post first cycle of chemotherapy, presenting with fevers. study requested for assessment of pneumonia.
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<num> views were obtained of the chest. The lungs are hyperexpanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.
productive cough, assess for pneumonia.
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Cardiac silhouette size is normal. The aorta remains markedly tortuous. Dense mitral annular calcifications are noted as well as moderate atherosclerotic calcifications along the aortic arch. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Diffuse interstitial abnormality is seen involving primarily the right lung, not changed in the interval. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
<unk> year old man with increasing confusion, lethargy and found to have elevated calcium, pth. referred to ed by family and pcp.
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Interval removal of the right-sided chest tube with development of a new small right apical pneumothorax. No evidence of tension. Improved aeration bilaterally compared to the prior exam. No focal consolidation, overt pulmonary edema, or pleural effusion. The heart is top-normal in size, unchanged. The mediastinal contours and hila are within normal limits. The left sided port-a-cath appears intact and unchanged in position.
<unk>-year-old woman status post right vats lymph node biopsy; evaluate for pneumothorax after removal of a chest tube.
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Dual lead left-sided aicd is stable in position. There is prominence of the central pulmonary vasculature. Subtle prominence of the interstitial markings could relate to mild fluid overload, although atypical infection is not excluded. No lobar consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
<unk> year old man with fever after zpak // check pna
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In comparison to the prior radiograph on <unk>, lung volumes are slightly lower. Again noted are bibasilar opacities, which likely represent a combination of pleural effusion and adjacent atelectasis. No evidence of overt pulmonary edema. Heart size appears large, although unchanged from the prior study. Median sternotomy wires are intact. No acute osseous abnormalities identified.
history: <unk>m with new orthopnea and swelling // any acute process?
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The lung volumes are normal. Normal size of cardiac silhouette. No pleural effusions. No focal parenchymal opacity suggesting pneumonia. No pulmonary edema. No pneumothorax. Normal hilar and mediastinal contours. The osseous structures are stable.
<unk> year old woman with asthma p/w cough, subjective fever // ? pneumonia
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Pa and lateral views of the chest provided. Midline sternotomy wires again noted. Diffuse bilateral pulmonary opacities are concerning for multifocal pneumonia. Superimposed edema difficult to exclude. Small bilateral pleural effusions are noted. No pneumothorax. Cardiomediastinal silhouette grossly unchanged. Bony structures intact.
<unk>m w pancreatic ca on chemo p/w cough and fever
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Pa and lateral views of the chest provided. Midline sternotomy wires noted. Minimal left basal atelectasis. Otherwise lungs are clear. Projecting over the heart on the lateral view is a linear hyperdensity measuring approximately <num> cm, slightly atypical for a surgical clip and clinical correlation is advised. No signs of pneumonia or edema. No large 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 tia, stroke w/u
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. The lungs are clear. No pleural effusion or pneumothorax is seen.
<unk>m with fevers // ? pna