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<num> views were obtained of the chest. The lungs are well expanded and clear. Surgical clips projects over the left chest. The heart and mediastinal contours are unremarkable.
cough and dizziness. assess for pneumonia.
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
<unk> year old man with cough and low grade fever // r/o pna
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The lungs are clear. No pulmonary edema or pulmonary venous congestion. No pleural effusions or pneumothorax. The cardiomediastinal silhouette is normal.
<unk> year old man with wheeze/cough x <unk> mos, distant tobacco use // r/o long process
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk>m with right-sided chest pain
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Low lung volumes. The bilateral hemidiaphragms, cardiac borders, and mediastinal silhouettes are normal without pleural effusion or pneumothorax. Right upper lobe opacification is noted without definite correlate on lateral view.
<unk> year old man with chest pain // source of precordial chest pain
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As compared to the previous radiograph, one of the two right-sided chest tubes has been removed. The other chest tube remains in unchanged position. <num>-mm right apical post-procedural pneumothorax without evidence of tension. Post-surgical parenchymal opacity in the lateral right lung areas. Minimal atelectasis at the right lung bases. The left lung is unremarkable.
multiple right lung nodules, status post vats, evaluation for pneumothorax.
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In comparison with the study of <unk>, there is again hyperexpansion of the lungs consistent with chronic pulmonary disease. No definite rib fracture, though oblique views could be obtained for further evaluation. No evidence of pneumothorax.
seizure and fall, to assess for rib fracture.
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Pa and lateral chest radiographs demonstrate focal opacity in the both lower lobes compatible with atelectasis or early pneumonia. There is biapical scarring. There may be a tiny right pleural effusion. The cardiomediastinal silhouette is normal. A tortuous aorta is noted. Cholecystectomy clips are noted. Multiple old bilateral rib fractures are noted, and a mild to moderate compression deformity of an upper lumbar vertebral body is age-indeterminate.
fever and cough. evaluation for pneumonia.
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Calcified a rounded nodular opacities projecting over the left mid lung are most consistent with calcified granuloma is, also seen on prior study. Left hilar calcified lymph node also suggest prior granulomatous disease. There may be punctate right-sided calcified granulomas as well. The cardiac and mediastinal silhouettes are stable. Right diaphragmatic pleural linear calcifications are better appreciated on the prior study. No pneumothorax is seen. Mild right basilar atelectasis. Slight blunting of the left costophrenic angle may be due to overlying soft tissue however a very trace pleural effusion is not excluded.
<unk>m here w/perforated appendicitis also with cough // any cardiopulmonary 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 cough // sob/doe
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The lung volumes are low. The cardiac, mediastinal and hilar contours appear unchanged. The lungs appear clear aside from a band-like opacity projecting over posterior costophrenic sulci on the right. There is no pleural effusion or pneumothorax. Mild degenerative changes are similar along the thoracic spine.
confusion and decreasing hematocrit.
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Frontal and lateral views of the chest were compared to previous exam from <unk>. There are left greater than right pleural effusions, similar in appearance when compared to prior. Superiorly, the lungs are clear. The cardiac silhouette is essentially unchanged. Dual-lead pacing device again seen. Osseous and soft tissue structures are grossly unremarkable. Atherosclerotic calcifications noted in the abdominal aorta as well as abdominal surgical clips.
<unk>-year-old female with cough.
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A neural stimulator device projects over the left chest. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lateral view depicts a possible nodular opacity, which is newly apparent over posterior costophrenic sulci, possibly a summation shadow of normal vascular structures. Otherwise, the lungs appear clear.
epilepsy.
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal. No pneumoperitoneum is seen. Surgical clips noted in the right upper quadrant.
<unk>-year-old female with left upper quadrant pain and anxiety. evaluate for acute process.
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>m with vomting, chest pain. pneumomediastinum?
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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. Hilar contours are stable.
history: <unk>f with wheezing and sob // r/o pneumonia
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Widespread fine granular pattern without evidence of focal airspace opacity. The heart is not is not enlarged and the cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax.
<unk> year old man with hiv/aids, recent treatment for pcp pneumonia, with ongoing intermittent o<num> requirement // assess for infiltrate
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The cardiomediastinal and hilar contours are normal. Again seen is a right picc line with tip terminating at the cavoatrial junction. Cardiomediastinal and hilar contours remain stable. The left pleural effusion has resolved, but a small right pleural effusion remains, stable compared to yesterday's study. Mild pulmonary edema persists. Heterogeneous opacities in the right lung continue to improve. Retained barium in the stomach and small bowel from recent study is noted.
pneumonia, status post diaphragmatic plication. assess interval change.
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The heart size remains mildly enlarged. The aorta is tortuous. The patient is status post median sternotomy and cabg. The pulmonary vascularity is normal, and the hilar contours are unremarkable. Patchy left basilar opacity likely reflects atelectasis. There is no pleural effusion or pneumothorax. The lungs are hyperinflated with flattening of the diaphragms. Multilevel degenerative changes are noted in the thoracic spine. No displaced fractures are seen.
pedestrian struck, unwitnessed, with no memory of the event. head injury.
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Heart size remains mildly enlarged. The mediastinal and hilar contours are unchanged and there is diffuse calcification of the thoracic aorta. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
increased confusion.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. No pulmonary edema. Linear opacity at the left costophrenic angle corresponds to scarring when correlated with recent chest ct.
history: <unk>f with cp, concern for nstemi // evidence of pneumothorax or pneumonia
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Lungs are clear without consolidation, pleural effusion or pulmonary edema. No masses or nodules are seen. The heart, mediastinal, and hilar contours are normal.
<unk>-year-old woman with smoking and bronchitis. evaluate for lesions and pneumonia.
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Lung volumes are very low, similar to prior. Linear and patchy opacities in both lung bases are consistent with atelectasis but consolidation cannot be excluded. No pleural effusion or pneumothorax. Heart size and mediastinal contours are stable.
history: <unk>f with dyspnea // infiltratre?
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Blunting of the right posterior costophrenic angle is new since <unk>. Normal heart, lungs, and mediastinal surfaces.
<unk> year old woman with apf on amiodarone // evaluation for amiodarone toxicity
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Pa and lateral views of the chest provided. Left chest wall port-a-cath again noted with catheter tip in the mid svc region. Cardiomediastinal silhouette is stable. Lung volumes are low. There is bronchovascular crowding likely accounting for lower lung opacities. Scattered reticulonodular opacities likely represent areas of scarring in both lungs though difficult to exclude a component of atypical pneumonia. The hila appear slightly congested. No large effusion or pneumothorax. Bony structures are intact.
<unk>f with hypogammaglobulinema overwhelming sepsis here w/ hypotension fever // pna
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Interval improvement in bilateral opacities involving the right upper lobe and left lower lobe with stable small right pleural effusion. Interval removal of picc. No pneumothorax or pulmonary edema. Heart size and mediastinal contour are normal. No bony abnormality.
neutropenic male with known fungal pneumonia and end-stage aml, presents with altered mental status. please assess for pneumonia progression.
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Patient status post median sternotomy and mechanical avr. There has been interval removal of a right jugular central venous catheter. Normal postoperative cardiomediastinal silhouette is stable to improved when compared to <unk> study. Bilateral small pleural effusions with adjacent atelectasis best seen on lateral radiograph. No focal opacities or pneumothorax. The hila are normal.
<unk> year old man with mech avr // predischarge eval
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Pa and lateral views of the chest provided. Port-a-cath resides over the right chest wall with catheter tip extending into the svc. Innumerable tiny nodular opacities within both lungs seen concerning for metastasis. No definite signs of a superimposed pneumonia. No large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact.
<unk>f with fatigue, history of colon cancer, metastatic to the lungs // ? pna
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The heart is normal in size. The mediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable. There has been no significant change.
chest pain.
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. Bone island seen in the anterior right sixth rib. The cardiomediastinal silhouette is normal. A new right pectoral port-a-cath tip terminates in the low svc. The osseous structures and upper abdomen are unremarkable.
<unk>f with cancer, weakness, for acute process, attn to pna.
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Pa and lateral views of the chest were reviewed and compared to the prior studies. A left port-a-cath ends in the mid svc. Linear opacities in the right lung base represent atelectasis; otherwise, the lungs are clear. There is no pulmonary edema, pleural effusion or pneumothorax. The heart size is normal and a clacified tortuous aortic contour is unchanged. Expansion and sclerosis of a few right lower ribs is consistent with the diagnosis of myeloma. In the thoracic spine severe vertebral body compression fractures of the t<num> and t<num> vertebral bodies are unchanged since <unk>, but are slightly worse compared to the radiograph of <unk>.
cough in a patient with multiple myeloma.
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Pa and lateral views of the chest provided. Aicd is unchanged with pacer pack projecting over left chest wall and lead positioned in the region of the right ventricle. The cardiomediastinal silhouette is stable. Lungs are clear. No signs of pneumonia, effusion or pneumothorax. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with shortness of breath
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A left-sided icd with lead in the right ventricle is in unchanged position. The heart is substantially enlarged, although stable. Lungs are essentially clear. There is no focal consolidation, pleural effusion or pneumothorax.
chest pain. rule out pneumonia.
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A right-sided picc line has been removed. The patient is status post anterior cervical fusion. The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. Streaky right lower lung opacity, in the right middle lobe suggests minor atelectasis that appears unchanged. Elsewhere, the lung fields remain clear.
cough and chest pain.
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The lungs are well expanded and clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with fall, injuries to l periorbital area and l shoulder // ? traumatic injuries
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There is new focal opacity at the right lung base laterally silhouetting the lateral aspect of the hemidiaphragm. Blunting of posterior costophrenic angle suggests small effusions. There is moderate cardiomegaly, progressed since prior with thickening along the fissures and indistinct pulmonary vascular markings. Median sternotomy wires are intact. No acute osseous abnormalities.
<unk>f with chest tightness/doe // ? acute cardiopulm process
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As compared to the previous radiograph, there is a new moderate left-sided pleural effusion, with substantial atelectasis in the left lower lobe. On the right, no pleural effusion is seen. The pre-existing likely subpulmonic pleural effusion is completely resolved. No evidence of pulmonary edema or pneumonia. No pneumothorax. Normal size of the cardiac silhouette.
cirrhosis, history of effusion, evaluation.
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There is a large left lower lobe consolidation consistent with pneumonia. Subtle right basilar consolidation is difficult to exclude. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable.
cough.
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There is new indistinctness of the pulmonary vasculature consistent with pulmonary vascular congestion with no evidence of pulmonary edema. There is no change in mild cardiomegaly. No pleural effusion or pneumothorax is present. No focal consolidation is present.
hypertension and pedal edema, complains of dyspnea on exertion. rule out pulmonary edema.
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In comparison with the study of <unk>, there is little overall change. The right pleural effusion and associated compressive atelectasis are similar in appearance. Cardiac silhouette is within normal limits and there is no vascular congestion. Central catheter is unchanged.
pfo closure, to assess for effusions.
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There relatively low lung volumes. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are grossly stable given differences in inspiration.
history: <unk>f with chest pain // ?consolidation, effusion
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In comparison with study of <unk>, there are bilateral pleural effusions with continued enlargement of the cardiac silhouette. No definite vascular congestion. Bibasilar atelectatic changes are seen in this patient with intact midline sternal wires following cabg procedure. The level of the previously described rib fracture is not optimally seen on this image. No acute focal pneumonia.
to assess for amiodarone toxicity or other cause of hypoxia.
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As compared to the previous radiograph, the swan-ganz catheter has been removed. The pre-existing bilateral pleural effusions have decreased in extent but remain clearly visible on both the frontal and the lateral radiograph. The effusions are of moderate severity. The size of the cardiac silhouette remains enlarged, but there is no evidence of overt pulmonary edema. No pneumothorax, pneumonia. Atelectasis at both lung bases persist.
status post cabg, evaluation.
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There are surgical clips in left upper abdomen.
history: <unk>m with syncope // acute process?
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Ap and lateral views of the chest provided. There is a large left-sided pleural effusion, which is likely decreased since comparison study within the limitations of different patient position. Right lung is clear. No pneumothorax. Incomplete evaluation of the left cardiomediastinal silhouette due to this effusion
history: <unk>f with c/o gen weakness // ? pna
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A frontal chest radiograph demonstrates recurrence of a moderately sized right lateral pneumothorax. The remainder of the exam is grossly unchanged.
evaluate right pneumothorax with chest tube on pneumostat.
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Ill-defined bibasilar airspace opacities may represent atelectasis, aspiration,, or early pneumonia, depending on the clinical setting. The left lung base is likely similar to the prior ct, wall the right lung base opacification is new. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette, including a mildly tortuous descending aorta, is unchanged.
<unk> year old man with recent h/o uri, evaluate for resolution of infiltrate seen in the last cxr - month ago
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Compared with the prior chest radiograph, the lungs appear better aerated, without new focal consolidation, pleural effusion, or pneumothorax. Bibasilar atelectasis is mild. Elevation of the left hemidiaphragm is unchanged. Cardiomediastinal and hilar silhouettes are also unchanged. An old fracture of the left posterior lateral fourth rib is unchanged in appearance since <unk>. The mid thoracic compression deformity is also unchanged since that time.
<unk>f with left sided cp. evaluate for infectious process or pneumothorax.
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Midline surgical clips are seen inferior to the diaphragm. No pleural effusions or pneumothoraces are seen. The previously seen right perihilar opacity is mostly resolved, without consolidation in the other areas of the lungs. The heart is mildly enlarged.
<unk> year old woman with history of pneumonia follow up
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The lung volumes are normal. No pleural effusions. Normal size of the cardiac silhouette. Mild tortuosity of the thoracic aorta. Normal hilar and mediastinal contours. No evidence of parenchymal abnormalities, in particular no evidence of pneumonia.
syncope, leukocytosis, rule out pneumonia.
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The lungs are well expanded and clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.
<unk>-year-old female with chest tightness and dyspnea, concerning for pneumonia.
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Ap and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of focal consolidation. There is no pulmonary vascular congestion or effusion. Dense atherosclerotic calcifications seen at the arch. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with end-stage renal disease on hemodialysis with left arm swelling and productive cough.
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Frontal and lateral views of the chest were obtained. The lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal.
syncope.
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Pa and lateral views of the chest provided. The heart remains stably enlarged. Hila appear minimally congested. There is no frank edema. No focal consolidation concerning for pneumonia. No effusion or pneumothorax. Mediastinal contour is stable. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with recent uri symptoms, dyspnea // eval for pna
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Mild-to-moderate cardiomegaly is again seen. Calcification in the aortic knob and mitral valve annulus are again noted. Right pleural thickening is stable in appearance, and likely represents scarring. There is a small left pleural effusion. There is no pneumothorax. Increased interstitial markings with more dense opacification of the right lung base is consistent with infection. Additionally, there are several nodular opacities projecting over the lingula, which may also be infectious in etiology. No nondisplaced rib fractures are present.
<unk>-year-old female with unwitnessed fall.
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pneumothorax, pleural effusion, pulmonary edema or focal pneumonia.
<unk>-year-old female with dyspnea and wheezing. evaluation for evidence of infection.
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Cardiomegaly, moderate to severe, is stable. The aorta is tortuous and the knob is calcified. Trachea is slightly deviated to the right. There is flattening of the hemidiaphragm suggestive of volume overload. Bibasal atelectasis is present. Small right pleural effusion is stable over multiple prior studies. There are no focal opacities concerning for pneumonia.
throat pain.
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Comparison is made to prior study from <unk>. Heart size is enlarged but stable. There is improved aeration of the left base. There are no pneumothoraces. No focal consolidations are seen.
<unk>-year-old man status post cabg.
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Ap and lateral radiographs of the chest. There is mild apical pleural thickening which is not significant. Tracheobronchial calcifications are noted. No acute focal consolidation is seen. No pleural effusion or pneumothorax is identified. The cardiac silhouette is normal appearing. No rib fractures identified.
autoimmune hepatitis on prednisone and azathioprine presented with chills and green sputum production. evaluate for infectious process.
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Heart size is normal. The aorta is unfolded. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities identified.
<unk> year old man with history of melanoma // please evaulate disease status
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In comparison with the study of <unk>, the opacification at the left base is now a linear streak of atelectasis rather than representing focal consolidation. Remainder of the examination is unchanged.
copd, to assess for pneumonia.
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Lungs are well-expanded and clear. No pleural effusion or pneumothorax. Heart is top-normal in size. Mediastinal contour and hila are unremarkable. Limited assessment of the upper abdomen is unremarkable. No free intraperitoneal air.
<unk> year old man with epigastric pain, nausea, and vomiting. assess for free air under the diaphragm
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Two views were obtained of the chest. The lungs are well expanded and clear. The heart is mildly enlarged with otherwise normal cardiomediastinal contours.
cough and fever
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A moderate to large loculated left pleural effusion has slightly improved since yesterday's radiograph, although some of this apparent change may be due to upright pa technique. A small right effusion is seen on the lateral projection. Cardiomegaly is stable. A right internal jugular catheter and left pigtail pleural drain are in unchanged positions.
<unk>-year-old woman with breast cancer and recurrent pleural effusions and history of pericardial effusion.
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Lung volumes are low, with elevation of the right hemidiaphragm. Apparent deviation of the trachea to the right is likely due to patient positioning. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal where seen. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with ?new heart failure, also with new l facial droop
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The cardiac, mediastinal and hilar contours appear stable. There is a new opacity in the left lower lung obscuring the left cardiac border, probably in the lingula for the most part. Elsewhere the lungs remain clear. There is no pleural effusion or pneumothorax.
cough and shortness of breath.
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The lung volumes are low. The heart size is normal. The mediastinal and hilar contours are unremarkable, and there is no pulmonary vascular congestion. Left basilar ill-defined opacity is noted as well as minimal right basilar patchy opacity. Bilateral pleural effusions are identified, small on the left and moderate on the right, with elevation of the right hemidiaphragm seen. There is no pneumothorax. No acute osseous abnormalities detected.
crackles at the right base.
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Heart size is normal. Mediastinal and hilar contours are unchanged and unremarkable. Focal consolidative opacity within the right upper lobe is concerning for pneumonia. Left lung remains clear. No pleural effusion or pneumothorax is present. Pulmonary vasculature is normal. No acute osseous abnormality is detected.
history: <unk>m with shortness of breath and fever
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There are bilateral predominantly basilar airspace opacities right greater than left, mildly less severe when compared to <unk>. Heart size is enlarged. The aorta is tortuous. There is no pleural effusion or pneumothorax. A calcified structure adjacent to the upper left trachea corresponds to a calcified thyroid nodule on prior ct scan.
<unk>f with esrd on hemodialysis, cad s/p pci, iddm, htn, presenting with acute onset sob, evaluate for volume overload.
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New moderate right hydro pneumothorax. Previous pneumomediastinum and pneumopericardium continues to improve. Interval improvement and near resolution of pulmonary edema and vascular congestion. Mild improvement in left base atelectasis. Moderate cardiomegaly unchanged. Median sternotomy wires and epicardial pacer leads unchanged. Interval removal of right ij sheath.
<unk> year old man s/p avr/lead placement // eval for effusions
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The heart is at the upper limits of normal size. There is similar slight unfolding of the thoracic aorta. The mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. Small osteophytes are noted along the lower thoracic spine.
altered mental status and fever.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and fairly well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable. Healed right rib fractures are noted.
evaluate for pneumonia in a patient with confusion.
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Left-sided port-a-cath tip terminates in the mid svc. Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Lungs are hyperinflated with mild emphysema re- demonstrated. Right apical patchy opacity with calcifications is grossly unchanged. Remainder of the lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. Percutaneous biliary catheter is seen within the upper abdomen.
history: <unk>m with fever and chills since <unk> as well as back pain
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A left pectoral pacemaker has been placed with dual leads terminating in the right atrium and right ventricle. The course of the leads is unremarkable. There is no pneumothorax. The lungs are clear without focal consolidation or pleural effusion. The cardiac silhouette is mildly enlarged, but stable. A coronary stent is noted, likely within the left circumflex. The mediastinal and hilar contours are within normal limits. There is a compression deformity of an upper-to-mid thoracic vertebral body with severe kyphotic angulation of the thoracic spine at that level. Multilevel moderate degenerative changes are noted throughout the thoracic spine.
recent pacemaker placement, here to evaluate lead placement.
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The lung volumes are normal. Normal size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta. Minimal increase in density of the retrocardiac lung region, potentially reflecting the presence of a small hiatal hernia. No pleural effusions. Minimal atelectasis at the left lung bases, seen on both the lateral and the frontal radiograph. No acute lung disease, in particular no evidence of pneumonia, pulmonary edema or pneumothorax.
nonproductive cough for three months, remote smoking history. evaluation.
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Cardiac silhouette size is top normal. Mediastinal and hilar contours are normal. Lungs are hyperinflated with emphysematous changes again demonstrated. Lungs are otherwise clear without focal consolidation. No pleural effusion or pneumothorax is present. There is no pulmonary vascular engorgement. No acute osseous abnormality is visualized.
history: <unk>f with dizziness
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A moderate left pleural effusion is unchanged, and left lower lobe collabse obscuring the left hemidiaphragm, and limiting assessment of the cardiac size. The right lung is well expanded and grossly clear, with no focal consolidation, pleural effusion, or pulmonary edema. There is no pneumothorax. Dense atherosclerotic calcifications in the aortic arch are again seen.
<unk> year old woman with pleural effusion // eval
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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
history: <unk>f with cp // pna?
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Severe emphysema there is responsible for marked pulmonary hyperinflation. Multiple bronchial valve were placed in the right lung on or about <unk>. Peribronchial infiltration may have been present as early as <unk> but had clearly progressed to extensive heterogeneous consolidation on <unk>. The process was largely in the right upper lobe, anterior and posterior segments, but peribronchial infiltration was visible in the right middle and lower lobes. Since <unk> there has been no improvement in the upper lobe posterior segmental involvement, minimal improvement in the anterior segmental involvement and substantial clearing of peribronchial right middle and lower lobes. The abnormality could be either infection, involving lungs and bronchial tree, and/or hemorrhage. Lung nodules have been reported on prior chest cts. Cardiomediastinal silhouette is normal and there is no pleural effusion.
history: <unk>m with sob and recent pneumonia // evidence of infection
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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. Aortic calcification is seen.
history: <unk>f with fever // eval for pneumonia
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
etoh abuse presenting with cough.
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The lung volumes are low, limiting assessment and accentuating the bronchovascular structures. Within the limitations, there is no evidence of a focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. A vns device overlies the left mid chest. The vns device that was overlying the left upper chest has been removed.
pain, redness, and swelling around the patient's vns device.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Lung fields are hyperinflated. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk> year old woman with history of asthma, recently treated for sinusitis, asthma flare. c/o pleuritic pain in lll. // r/o pna
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Cardiac silhouette size is normal. The aorta is mildly tortuous and demonstrates mild atherosclerotic calcifications of the aortic knob. Mild prominence of the pulmonary arteries bilaterally may suggest mild pulmonary arterial enlargement. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. Minimal atelectasis is noted in the lower lobes bilaterally. There is diffuse demineralization of the osseous structures.
history: <unk>m with weakness
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.
chest pain.
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Frontal and lateral radiographs of the chest demonstrate interval resolution of the right-sided pleural effusion with residual small left pleural effusion. No pneumothorax is detected. The lungs are otherwise clear. The cardiac, mediastinal and hilar contours are normal. No displaced rib fractures are noted. No pneumothorax is identified.
multiple left rib fractures with pleural effusion. evaluate interval change.
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The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old male with chest pain.
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There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No evidence of free air below the diaphragm.
<unk>-year-old male with right fifth metacarpal fracture pending surgical repair here for preop study. evaluate for acute cardiopulmonary abnormality.
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Patchy right middle lobe opacity is worrisome for a subtle pneumonia. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with doe, sob, fevers // eval for pleural effusion, pneumothorax
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Lung volumes are low. This accentuates the size of the cardiac silhouette which is borderline enlarged. The mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Streaky opacities in the lung bases likely reflect atelectasis in the setting of low lung volumes. No large pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>m with chest pain // ?pna
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Pa and lateral views of the chest are compared to previous exam from <unk>. Right-sided picc is no longer seen. The lungs are clear of consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Dual-lead pacing device is again noted. Osseous and soft tissue structures are unchanged.
<unk>-year-old male with malaise. question pneumonia.
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Pa and lateral chest views were obtained with patient upright position. Comparison is made with the next preceding similar study of <unk>. The heart size is now within normal limits. The thoracic aorta is unchanged in appearance and shows rather advanced wall calcifications at the level of the arch. The pulmonary vasculature is not congested. The previously described multiple rib fractures in the right hemithorax located posteriorly and involving ribs #<num>, <num>, <num>, <num>, and <num> appear rather unchanged. The pleural effusion persists but has decreased in size. No new pulmonary parenchymal abnormalities are seen and no pneumothorax is present in the apical area.
<unk>-year-old female patient with pleural effusion, evaluate.
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The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old female with new onset of palpitations.
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A rounded density in the right lower lung is compatible with a right middle lobe pneumonia. Given that there has been increasing density in the right lung base compared with prior studies dating back to <unk>, nonemergent chest ct is recommended for further evaluation. There is minimal left lung base pleural thickening. There is no pleural effusion or pneumothorax. Underlying moderate emphysema has progressed slightly compared with prior studies. The cardiomediastinal silhouette is normal.
<unk>f with malaise evaluate for pneumonia.
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The right-sided pleural effusion shows interval decrease in size. Suspected right lateral lower loculated component has persisted. No right-sided pneumothorax. Rest of the findings are unchanged.
<unk> year old man with pleural effusion s/p thoracentesis // s/p thoracentesis
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The lungs are effusion or edema. Nodular densities projecting over the lung bases bilaterally are presumably nipple shadows. There is asymmetric density projecting over the right lung apex, over the lateral right second rib when compared to the left. Cardiac silhouette is within normal limits. The thoracic aorta is markedly ectatic. No acute osseous abnormalities.
<unk>m with generalized weakness // eval for pneumonia
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Patient is status post median sternotomy and cabg. There is elevation of the left hemidiaphragm. Multiple pulmonary nodules are better assessed on recent prior ct. No new focal consolidation is seen. No pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are grossly stable.. No overt pulmonary edema is seen.
history: <unk>f with sob // ?edema
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Right port tip is in the right atrium. Stable minimal bilateral atelectasis. No additional focal opacity, pneumothorax, pleural effusion or pulmonary edema. Small hiatal hernia with a tortuous nonenlarged aorta. Heart size, mediastinal contour, and hila are normal. No bony abnormality.
male with recent port placement and port not allowing blood draws. assess position.
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Pa and lateral chest radiographs were obtained. Extensive bilateral fibrosis is similar in extent to <unk>. Volume loss at the right apex has slightly progressed, resulting in greater rightward tracheal deviation. Right apical pleuarl thickening is greater. No pneumothorax, effusion, or consolidation is present. Clips and sternal wires are stable.
<unk>-year-old man with persistent cough, shortness of breath.
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax.
<unk>m with poor historian