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Lung volumes are low. Heart size remains mildly enlarged. The mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Small left pleural effusion is demonstrated along with patchy opacities the lung bases. No pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>m with post-op fever // pneumonia?
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Frontal lateral radiographs of the chest demonstrate top normal heart size. Low lung volumes accentuate bronchovascular markings. There is heterogeneity of the right lung and increased density of the left hilus. No focal consolidation, pleural effusion or pneumothorax.
altered mental status, rule out pneumonia.
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Heart is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. There is mild pulmonary vascular congestion with trace interstitial edema. Lungs are otherwise clear without focal consolidation. There is no pleural effusion or pneumothorax.
dka. evaluate for pneumonia.
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Pa and lateral views the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. No free air below the right hemidiaphragm. Bony structures are intact. Ap and lateral views of the soft tissues of the neck were provided. There is no evidence of epiglottiti...
<unk>f with sore throat, inspiratory breath sounds // eval for epiglottitis
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There are low lung volumes with bibasilar atelectasis, obscuring assessment of the heart and mediastinal structures. An ovoid structure in the upper portion of the right mediastinum likely represents a vascular structure. Additionally, the remaining visualized portion of the lungs demonstrates crowding of the bronchova...
<unk>-year-old male with history of diabetes, now with severe hypoglycemia and prior hospitalization with pneumonia.
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Lungs are clear. The patient is status post median sternotomy as well as pacemaker placement with a single lead terminating in the left ventricle. Cardiac size is within normal limits. Aortic calcifications are noted at the knob. No pleural effusions or pulmonary edema.
history: <unk>m with dyspnea, lightheadedness // eval for pulmonary edema
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Patchy opacity at the right base has increased, concerning for progressive pneumonic infiltrate. No air bronchograms are identified and there is probably some associated volume loss. Possible minimal blunting of the right costophrenic angle, without gross effusion. Again seen is some patchy opacity at the left base, ov...
<unk> year old woman with newly diagnosed cirrhosis, now w increasing leukocytosis // evidence of pna
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Frontal and lateral views of the chest were obtained. Low lung volumes result in bronchovascular crowding. Pulmonary vasculature engorgement is increased from <unk>. Bilateral pleural effusions, left larger than right, with adjacent atelectasis are better seen on subsequent ct. Cardiomediastinal silhouette is unchanged...
chest pain and drainage from the incision after cabg.
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Pa and lateral views of the chest. The right chest tube has been removed. There is small right apical pneumothorax. There is clip seen in the right hilum. There is possible tiny left pleural effusion. The cardiomediastinal and hilar contours are normal. Decrease in subcutaneous emphysema on the left.
status post right vats, evaluate for pneumothorax, status post chest tube removal.
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In comparison with the study of <unk>, there is little interval change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
possible pneumonia.
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Nipple shadows should not be mistaken for pulmonary masses. The lungs are clear. The cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old with foreign body sensation in throat.
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Low lung volumes. 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. Mild degenerative changes of the visualized thoracolumbar spine.
history: <unk>f with chest pressure. evaluate for pneumonia
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Mild basilar atelectasis is seen without focal consolidation. Mild thickening along the right inferolateral pleura is stable. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable. Evidence of dish is seen along the thoracic spine.
history: <unk>m with l flank hematoma s/p fall // please evaluate for acute abnormality, fractures
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As compared to the previous image, the postoperative changes on the left have normalized. There is a minimal pleural scar projecting over the costophrenic sinus, but no evidence of acute disease. The pre-existing right-sided atelectasis has completely resolved.
status post vats, evaluation for interval change.
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Pa and lateral views of the chest provided. Stable elevation of the right hemidiaphragm noted though there is slight increase in bibasilar atelectasis. No overt signs of pneumonia, edema, effusion or pneumothorax. Cardiomediastinal silhouette appears grossly unchanged though the right heart border is stably effaced due...
<unk>m with cough x <num> week // r/o acute process
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Severe, abnormal convexity of the right mediastinal border with visualization of the pulmonary vessels is consistent with the known anterior mediastinal mass. Interval change in the size of the right mediastinal mass cannot be adequately determined due to the differences in lung volume and technique compared to the pri...
<unk>-year-old woman with a mediastinal neuroendocrine tumor. evaluate for interval growth of mediastinal mass. clinical concern for early svc syndrome.
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Hyperexpansion of the lungs is again noted, compatible with known severe underlying copd. The hilar and pleural surfaces are unremarkable, and the heart size is normal. There is no pneumothorax, focal airspace opacity, or pulmonary edema. Dense atherosclerotic calcifications in the aortic arch are again noted. Slight e...
<unk> year old man with gold ii copd which is stable, shortness of breath, crackles and increased leg edema // any infiltrates or edema
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Again seen is mild increase in interstitial markings bilaterally concerning for interstitial edema, atypical infection not excluded. Mild left base atelectasis. No pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable.
history: <unk>m with malaise, fatigue // ? acute cardiopulm process
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The aorta is tortuous. The heart is enlarged. The hilar contours are within normal limits. Linear opacity at the left lung base, likely reflects scarring. There is mild atelectasis at the right lung base. Lungs are hyperinflated suggesting underlying emphysema but are otherwise clear. There is no focal consolidation, p...
history: <unk>f with recent pna, with cough/sob // eval pna eval pna
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. No definite pneumothorax or pneumomediastium, however large, unexplained retrosternal and retrocard...
sudden onset left-sided chest pain. assess for pneumothorax.
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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>m with chest pain // ? effusion
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Pa and lateral views of the chest provided.patient is status post median sternotomy. Lungs are grossly clear. No pneumothorax. Minimal right pleural effusion is unchanged from <unk>. Hilar contours are normal. The aorta is mildly tortuous and there is mild cardiomegaly.
<unk> year old man with cl on tki therapy. had pleural effusion. follow up xray. // follow up pleural effusions. on tki therapy for cml dx.
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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>f with history of hypertension presents with chest discomfort, dyspnea, orthopnea and headache. evaluate for pulmonary edema or other acute cardiopulmonary process.
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There is a <num> mm rounded opacity projecting over the right anterior <num>th rib, which may represent a nipple shadow. <num> mm granuloma is noted in the right upper lung. Otherwise no consolidation, effusion or pneumothorax. Cardiomediastinal contours are normal. No subdiaphragmatic free air.
<unk>-year-old male with chest pain
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The heart is mildly enlarged. Aorta is ectatic. There small bilateral pleural effusions. New left basilar opacity and increased density over the spine on the lateral radiograph compared to <unk> concerning for a developing left lower lobe pneumonia.
<unk> year old woman with change in mental status // r/o infiltrate, pneumonia
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No consolidation or effusion. Cardiomediastinal silhouette is within normal limits, unchanged. Right-sided port-a-cath terminates in the distal superior vena cava. Osseous structures are unchanged.
<unk> year old man with composite lymphoma // new doe and fever/neutropenia, eval for pna
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When compared to the prior, there has been no significant interval change. Again seen are extremely low lung volumes secondary crowding of the bronchovascular markings. The lungs are grossly clear. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>m with edema, sob // ? consolidation
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Frontal and lateral views of the chest were obtained. Low lung volumes result in bronchovascular crowding. There is mild bibasilar atelectasis. No focal consolidation, pleural effusion or pneumothorax. Enlargement of the cardiac and mediastinal silhouettes is likely due to mediastinal lipomatosis seen on the prior ct, ...
chest pain.
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Pa and lateral views of the chest provided. There is a small left pleural effusion, new from prior. Mildly elevated right hemidiaphragm is unchanged. No focal consolidation concerning for pneumonia. There is a retrocardiac opacity which is compatible with known moderate hiatal hernia. No signs of pneumonia. No pneumoth...
<unk>m with history of hep b, varices worse with increase abdominal distention // r/o pna
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There is a retrocardiac opacity which likely represents left lower lobe pneumonia. There is atelectasis in the right middle lobe. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk> year old man with <num> weeks cough, <num> days dyspnea on exertion, bilateral r>l crackles // please evaluate for pneumonia vs pulm edema
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Heart size is top 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 chest pains
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There is a band-like opacity in the right lower lobe (best seen on the lateral view) which is not characteristic for pneumonia and likely represents atelectasis. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are normal without effusion or pneumothorax.
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.
<unk> year old woman with intermittent dyspnea // intermittent dyspnea
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The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old man with lightheadedness. evaluate for pneumonia
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Patchy bibasilar opacities are again seen, right greater than left, most likely representing scarring in atelectasis; difficult to entirely exclude underlying pneumonia, particularly at the right lung base, however, this is felt less likely. No large pleural effusion is seen. There is no pneumothorax. Cardiac and media...
history: <unk>f with chest pain // eval for pneumonia
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Hyperexpanded lungs are clear. Normal heart size, mediastinal and hilar contours. No pleural effusion or pneumothorax is present. Stable appearance of flattened diaphragms and interstitial increased markings are consistent with copd.
history of recurrent pneumonia over the past one to <unk> years, now with vague symptoms, fever, cough, crackles at left base, otherwise clear. rule out pneumonia.
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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 <num> wk h/o cough // r/o pneumonia
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There are low lung volumes. Vascular crowding is again seen. There is left basilar atelectasis. There is no focal consolidation. Cardiomediastinal silhouette is mildly enlarged. The left hemidiaphragm is again seen to be mildly elevated. There is no pneumothorax or pleural effusion.
dementia from nursing home with presyncope, headache, and possible fall.
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding pa and lateral chest examination of <unk>. Heart size is unchanged and remains within normal limits. Unremarkable appearance of thoracic aorta. No mediastinal abnormalities are p...
<unk>-year-old male patient with cough and wheezes and rhonchi on lung examination. evaluate for infiltrates ? left lower lobe.
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Mild cardiomegaly is stable. There is mild pulmonary vascular congestion. Small bilateral pleural effusions with adjacent atelectasis. Intact median sternotomy wires. No pneumothorax.
history: <unk>f with sepsis in setting of chf with ongoing fluid resuscitation, please assess lungs for edema // sepsis
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There is no evidence of perihilar or mediastinal lymphadenopathy. The cardiac and mediastinal silhouettes are unremarkable.
<unk> year old woman with ?supraclavicular lymphnode // chest abnormalities?
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As compared to the previous radiograph, the right pleural effusion is constant, whereas the left pleural effusion has decreased in extent. The effusions, however, are still clearly seen on the lateral image. The lung parenchyma is more radiolucent than on the previous radiograph, likely reflecting improved ventilation....
tracheobronchoplasty, readmission, evaluation for pneumonia.
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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 chest pain
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Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax.
cough.
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No acute focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is essentially normal. The cardiac silhouette is top normal in size. The mediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
<unk> year old woman with fever x days, cough x many weeks. known h/o interstitial fibrosis. also with recent return from trip to <unk> // evaluate for focal consolidation
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No focal consolidation is seen. A small subcentimeter pulmonary nodules seen on prior ct for better appreciated on ct, more sensitive study. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Surgical clips are noted at the ge junction.
history: <unk>m with fevers and r flank pain // infiltrate? r renal stone or fluid collection
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Pa and lateral views of the chest provided. Clips project over the superior mediastinum. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable with borderline cardiac enlargement. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with sob // eval for pna
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Low lung volumes leads to crowding of the bronchovascular structures. Retrocardiac airspace opacities likely reflect atelectasis. The upper lungs are grossly clear. Mild tortuosity to the descending thoracic aorta is present. The cardiomediastinal silhouette is otherwise within normal limits.
history: <unk>m with chest pain // eval heart and lungs
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Lungs are well expanded. Mediastinal contours, hila, and moderate cardiomegaly are unchanged from <unk>. Subtle opacity silhouetting the right hemidiaphragm seen better on lateral view is more apparent than on <unk>. No pulmonary edema, pleural effusion, or pneumothorax.
<unk> year old man with leukoctyosis // evaluate for pneumonia
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As compared to the previous radiograph, the right venous introduction sheath has been removed. At the right lung base, an atelectasis is seen. The lateral radiograph shows moderate bilateral pleural effusions. Small retrocardiac atelectasis. A pre-existing atelectasis in the left lung mid field is now located more peri...
status post cabg, evaluation for pleural effusion.
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Patient is status post median sternotomy and cabg. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged.
history: <unk>m with stroke // eval for pna
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Lungs are well inflated and clear bilaterally with no masses or lesions. No identified adenopathy. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is stable with mild left ventricular configuration. There is mild tortuosity and widening of the thoracic aorta. Pleural surfaces and osseous stru...
<unk>-year-old male with cml, now with productive cough x<num> week.
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There is a large left pneumothorax with rightward shift of the mediastinal structures, concerning for tension physiology. The right lung is clear. The heart size is normal. There are no pleural effusions. The bony thorax is grossly intact.
bilateral lower rib pain. evaluate for effusion or evidence of pneumonia.
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Pa and lateral views of the chest provided. Lung volumes are very low with bibasal atelectasis. Basal atelectasis without definite focal pneumonia, a large effusion or pneumothorax. Heart size difficult to assess. Mediastinal contour is grossly unremarkable. Bony structures are intact. Right humeral head prosthesis not...
history: <unk>m with hypoxic and ams on coumadin // sdh? pulmonary edema?
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The cardiac silhouette size is likely top-normal. The mediastinal and hilar contours are within normal limits. The pulmonary vascularity is not engorged. Streaky linear opacities in the lung bases are compatible with subsegmental atelectasis. Trace bilateral pleural effusions are noted. Lungs are mildly hyperinflated w...
pneumonia and weakness.
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Compared to prior, the lung volumes have increased bilaterally. The moderate layering right pleural effusion and small lateral posterior component have decreased. The right lower lobe opacity has also improved. Small left pleural effusion with lateral component tracking along the chest wall remains. There has been inte...
<unk> year old man with r pleural effusion // eval
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. Patchy right infrahilar opacity has remained the same and so is probably due to minor atelectasis or scarring. Otherwise, the lungs appear clear. There are no pleural effusions or pneumothorax. Slight degene...
chest pain.
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The lungs are hyperinflated. Calcified granulomas project over the upper lungs. There is dextroscoliosis of the thoracic spine. There is no displaced rib fracture. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk>-year-old female with l shoulder pain, evaluate for acute process.
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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.
history: <unk>m with cough // acute process?
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Right-sided pacemaker is again seen with leads terminating in the right atrium and right ventricle. Median sternotomy wires are intact. Soft tissue clips project over the left upper abdomen. Mediastinal and hilar contours are unchanged. Stable, mild cardiomegaly. Prosthetic cardiac valve is again seen. There is a right...
<unk>-year-old woman with a right pleural effusion and no drainage from the tunneled pleural catheter. evaluate right pleural effusion.
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The lungs are well-expanded and clear. No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. The mediastinum is not widened. The hila and pleura are unremarkable. No evidence of a fracture.
<unk>-year-old fever presenting with chest pain in the left upper chest and fevers. evaluate for acute cardiopulmonary process.
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Interval increase in size of the cardiac and mediastinal contours with narrowing of the the tracheobronchial tree concerning for progression of known lymphadenopathy. Streaky bibasilar opacities which most likely reflect atelectasis in the setting of low lung volumes, although pneumonia cannot be entirely excluded. . T...
history: <unk>m with ams // ? pna
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Ap and lateral views of the chest. Low lung volumes are again noted. There has been interval enlargement of the pleural effusion on the right since prior. Small left effusion again noted. Indistinct pulmonary vascular markings seen bilaterally potentially from low lung volumes although interstitial edema is possible. L...
<unk>-year-old female with shortness of breath.
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The left lung base is partially obscured by overlying soft tissue on frontal view. Heart size is top normal. There is no pneumothorax. There are tiny pleural effusions, but no pulmonary vascular congestion.
orthostatic hypotension with iv fluid rehydration with shortness of breath. concern for signs of fluid overload.
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Cardiac silhouette size is top normal. The aorta remains tortuous. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Patchy opacities in the lung bases may reflect atelectasis though infection or aspiration is not excluded in the correct clinical setting. No pleural effusion or pneumo...
history: <unk>m with weakness
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No air-fluid levels are noted within the esophagus, and no radiopaque foreign bodies are visualized. Nerve stimulator device pack is seen ...
history: <unk>m with question of food stuck in throat. assess for food bolus.
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Compared to chest radiograph from <unk>, there is no significant interval change. Low lung volumes are seen bilaterally with bibasilar linear atelectasis. The lungs are otherwise clear. The pleural surfaces are normal without evidence of pleural effusion or pneumothorax. Heart is partially obscured by the left diaphrag...
fever, tachycardia, post-operative. assess for pneumonia.
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Compared to the prior study there is no significant interval change. There is obscuration of the right hemidiaphragm with alveolar opacity visualized in the cp angle on the lateral film compatible with infiltrate and associated small effusion
<unk> year old man with new right pleural effusion, concern for pneumonia // evaluate 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>m with ivdu and possible history of endocarditis presenting with weakness and rhonchi auscultated on exam
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There has been interval extubation since the radiograph from <unk>. There has also been interval resolution of mild interstitial pulmonary edema. A <num> x <num> cm fairly well circumscribed opacity in the left upper lung was not seen on the most recent radiograph from <unk>, possibly pulmonary hemorrhage, infection, o...
worsening ascites and new shortness of breath. evaluate for acute intrathoracic process.
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Left picc tip terminates in the mid svc. Heart size is normal. The aorta remains tortuous with atherosclerotic calcifications noted at the arch. Pulmonary vasculature is not engorged. The lungs remain hyperinflated suggestive of copd. Minimal scarring with pleural thickening is demonstrated within the right costophreni...
history: <unk>f with picc and arm redness
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In comparison with the study of <unk>, there is little overall change. Continued right pleural thickening without acute cardiopulmonary disease. Infusion port and evidence of previous cervical fusion again seen. Minimal atelectatic changes at the left base.
tbm evaluation.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Lungs are mildly hyperinflated. Heart and mediastinal contours are within normal limits.
<unk>-year-old male with left-sided chest pain for <num> days.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Subtle hazy opacity adjacent to the right heart border likely represents a epicardial fat in a setting of a mild pectus excavatum deformity. The cardiomediastinal silhouette is normal. Imaged osseous structures are i...
<unk>m with no significant pmh, presenting with chest pain // please evaluate for pneumothorax or other abnormality
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present. Mild degenerative changes are noted within the lower thoracic spine.
diabetes, coronary artery disease status post stenting with chest pain.
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Right middle lobe and lower lobe pneumonia is more consolidated compared to <unk> concerning for progression of pneumonia. There is no pleural effusion or pneumothorax. There is no pulmonary edema. There is right hilar fullness, which could be reactive adenopathy. There is a <num> mm nodular opacity in the right midlun...
<unk> year old woman with pneumonia, pleurisy, persistent fever and now dry cough // pneumonia getting worse, pleural effusion
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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.
<unk> year old man with left scapula area pain worse with breathing // effusion?
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Heart is top-normal in size. Mediastinal and hilar contours are normal. There is moderate left convex scoliosis of the thoracic spine.
<unk> year old woman with <num> weeks of night sweats // ?abnormalities
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New massive pleural effusion obscures most of the right lung. There is also partial right lung collapse without mediastinal shift. Radiation fibrosis seen on prior study most prominent at the hilum is mostly obscured by pleural effusion. The left lung is clear without pleural effusion. There is no pneumothorax. Visuali...
<unk> year old woman with met lung ca w/ increased sob // assess for increasing pleural effusion or other change
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Pa and lateral images of the chest show no infiltrates or opacities. There is no pulmonary edema. There are no pleural effusions or pneumothoraces. The cardiomediastinal contours are within normal limits. There is no cardiomegaly. The osseous structures are unremarkable.
history of lupus and right-sided chest pain.
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Ap and lateral views of the chest. The lungs are clear without focal consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with fever and cough.
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The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is stable noting mild cardiomegaly. No acute osseous abnormalities. Surgical clips in the upper abdomen are noted on the lateral view.
<unk>f with ?cva // acute cardiopulmonary process
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The lungs are clear without focal consolidation. Lungs are hyperinflated. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Patient has known bilateral bochdalek hernias, better assessed on ct.
history: <unk>m with chest pain, r side, ? new r chest wall mass? // chest pain eval
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Frontal and lateral chest radiographs demonstrate unchanged mild to moderate cardiomegaly and mild pulmonary edema. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for infiltrate in a patient with a seizure aura.
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There is re-demonstration of mild cardiomegaly and tortuous thoracic aorta. Hilar contours are unremarkable. There has been interval placement of a left anterior chest wall pacemaker with dual-chamber leads terminating in appropriate position in the right atrium and right ventricle. There has been no mediastinal wideni...
new pacemaker placement. evaluate leads.
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The cardiomediastinal silhouette and pulmonary vasculature are stable since the prior examination. Vague right infrahilar opacity is noted, which, in the appropriate clinical context, may represent aspiration. There is no pleural effusion or pneumothorax. Marked gastric distension is present in the upper abdomen.
history: <unk>m with cough, vomiting, diarrhea now abdominal pain and distention s/p loperamide // evaluate for acute process
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Low lung volumes are present. Mild enlargement of the cardiac silhouette is present. The mediastinal and hilar contours are unremarkable. Crowding of bronchovascular structures is present with mild pulmonary vascular congestion. Patchy opacities are noted in the lung bases, which may reflect atelectasis, but infection ...
history: <unk>f with onset of shortness of breath this morning. // pneumonia?
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear. There is no pneumothorax, fracture or dislocation.
history: <unk>f with chest pain and sob // ?pneumonia
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Pa and lateral views of the chest are compared to previous exam from <unk>. When compared to prior, there has been no significant interval change. The lungs are clear of confluent consolidation. Minimal left basilar opacity abutting the cardiophrenic angle persists, potentially due to atelectasis. Elsewhere, the lungs ...
<unk>-year-old female with dizziness and lightheadedness.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The chest is hyperinflated. The lungs appear clear. Bony structures appear within normal limits.
new visual disturbances. history of migraine.
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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. Mild scoliosis of the thoracic spine convex to the right is re- demonstrated.
history: <unk>f with cough
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. There is no large pleural effusion. Distal right clavicular fracture is as seen on dedicated films. No displaced rib fractures on these nondedicated views.
<unk>m with fall <num> wk ago. // eval for fractures
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The lungs are clear noting that the left costophrenic angle is excluded from the field of view. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>f with weakness, doe, dry cough // evidence of acute pulmonary process
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Pa and lateral chest radiographs again demonstrate mild hyperexpansion. There is no focal consolidation, pleural effusion, or pneumothorax. Bilateral apical pleural thickening is unchanged.
cough and chills. concern for pneumonia.
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Ap and lateral views of the chest are compared to multiple prior exams dating back to <unk> with most recent from <unk>. There are bibasilar opacities suggestive of atelectasis vs scar given persistence over time. There are trace bilateral effusions, slightly smaller when compared to previous exam. There is no new conf...
<unk>-year-old female complains of fatigue with history of chf with recent admission, doing well until two days ago, now feeling fatigue and generalized weakness.
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Small bilateral pleural effusions have slightly increased. Cardiomegaly is again noted. There is mild pulmonary edema. There is no focal consolidation hypertrophic changes seen in the spine.
<unk>m with worsening dyspnea // ? acute cardiopulm process
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The lungs are clear without focal consolidation, effusion or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m preop film // preop
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There is persistent elevation of the right hemidiaphragm, unchanged. Otherwise, the lungs are well expanded and clear. No pulmonary edema. Stable appearance of the cardiomediastinal silhouette. No pleural effusion. No pneumothorax.
history: <unk>f with r/o pna, cough fever // r/o pna, cough fever
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The lungs are well-expanded and clear other than mild left lung base atelectasis. No focal consolidation, edema, effusion, or pneumothorax. The heart is mildly enlarged, unchanged. The descending thoracic aorta is slightly tortuous. Mediastinal and hilar contours are unchanged. No acute osseous abnormality. A coronary ...
<unk>f with presyncopal symptoms, known bradycardia, cad s/p stent // please evaluate for fluid overload or other signs of heart failure
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Pa and lateral views of the chest demonstrates the lungs are well expanded with no evidence of focal consolidation. There is no pneumothorax, pleural effusion or overt pulmonary edema. The cardiomediastinal silhouette is stable.
cough and chest discomfort.