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Pa and lateral views of the chest. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Calcification again projects over the anterior mediastinum, potentially vascular in origin. No acute osseous abnormalities.
<unk>-year-old female with cough and fever for <num> days.
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In comparison with the study of <unk>, there is no change or evidence of acute cardiopulmonary disease. Specifically, no evidence of acute pneumonia.
influenza, to assess for pneumonia.
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The lungs are clear. No effusion, pneumothorax or consolidation is present. Heart and mediastinal contours are normal.
<unk>-year-old woman with back pain, cough, rule out acute process.
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The right-sided picc line within the right atrium. The nasogastric tube needs to be advanced right with the side-port in the midesophagus. There is persistent retrocardiac opacity, with associated effusion. There is increasing subsegmental atelectasis within the left lung. The heart remains enlarged. No pneumothorax.
<unk> year old man with gastric sleeve leak // interval change of effusion, ngt placement relative to ge junction
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The left-sided port-a-cath is unchanged in position, with its tip terminating at the level of the superior cavoatrial junction. Moderate bilateral pleural effusions are not significantly changed since the ct scan performed on <unk>. Biapical pleural scarring is unchanged.
<unk>-year-old female with pleural effusion.
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Pa and lateral views of the chest were obtained. The previously demonstrated right upper lobe scarring and associated volume loss is unchanged since the prior study. There is no evidence of new focal consolidation, pleural effusion or pulmonary edema. There is no pneumothorax. The cardiomediastinal silhouette is unremarkable.
<unk>-year-old man with multilobular process and eosinophilia. evaluation for interval change.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with lightheadedness // ? infectious process
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A left pacemaker generator is contiguous with leads terminating in the right atrium and right ventricle. The patient is status post median sternotomy and tavr with a core valve noted. Mitral calcifications are heavy. Osseous structures are unremarkable. The heart size is normal.
history: <unk>f with sob and cp // eval pneumonia, other acute 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.
history: <unk>m with shortness of breath
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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 nausea and vomiting.
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Clear lungs without pneumothorax, pulmonary edema, or pleural effusion. Heart is mildly enlarged with mild aortic tortuosity without aortic dilatation. Mediastinal contour and hila are normal. No bony abnormality.
female with stroke. assess for pneumonia.
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are unremarkable. Lateral right eighth rib fracture, old, again seen. Additional rib fractures better assessed on preceding chest ct.
history: <unk>f with s/p fall // ?fracture or bleed
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The lungs are clear without focal consolidation, effusion, or edema. There is mild cardiomegaly. Slight tortuosity of the descending thoracic aorta is noted. Mild anterior vertebral body height loss noted in the lower thoracic vertebral body, age indeterminate.
<unk>f with weakness // infiltrate?
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Right-sided port-a-cath tip terminates in the proximal right atrium, unchanged. Lung volumes are low. Small right pleural effusion appears relatively unchanged compared to the prior exam. There are diffuse coarse interstitial markings within both lungs compatible with known chronic interstitial lung disease. There is likely mild pulmonary vascular engorgement. No pneumothorax is identified. Right basilar opacification is unchanged, and could reflect a combination of atelectasis and chronic interstitial lung disease.
left upper quadrant pain, known systemic cmv with shortness of breath.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. There is no evidence of pneumothorax. No pleural effusions are identified. There is a chronic appearing deformity of the right lateral seventh rib, likely related to prior trauma. There is mild elevation of the left hemidiaphragm, which is new from the prior examination.
<unk>m with cp s/p assault // eval for rib fractures
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The cardiac silhouette remains enlarged, similar to the prior examination. Coronary artery calcifications, postsurgical changes after valve replacement, and aortic arch calcifications are again seen. There no focal pulmonary opacities, pleural effusions, or evidence of pneumothorax. Osseous structures are unremarkable.
chest heaviness, evaluate for pneumonia or other acute process.
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The lungs are clear. There is no consolidation, effusion, or edema. Cardiac enlargement is similar compared to prior is well as tortuosity of the descending thoracic aorta. No acute osseous abnormalities.
<unk>f with lower abdominal pain/distension radiating to the back with nauseaassess for obstruction. hx of stage iii ckd
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The cardiac, mediastinal and hilar contours appear unchanged. There is an unchanged persistent diffuse interstitial abnormality. Although vascular congestion may mimic this appearance, the lack of change suggests that this is probably primarily due and perhaps solely due to emphysema and mild interstitial lung disease of long chronicity. There is no pleural effusion or pneumothorax. There has been no definite change.
increasing shortness of breath and weight gain.
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There has been essential resolution of previously seen pulmonary opacities with possible minimal residual remaining in the right upper lung. The left lung is clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with cancer, sob // ?pleural effusion
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Lungs are low in volume but clear. No pleural effusion or pneumothorax is seen with a right lateral pleural thickening likely related to the focal area of infarct seen on prior chest ct. Heart is normal in size with normal cardiomediastinal contours.
<unk>-year-old man with history of pe with fleeting chest pain, assess for acute cardiopulmonary process.
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There is a faint opacity which is likely representative of the atelectasis in the right lower lobe. Otherwise, the remainder of the lungs are clear. Cardiac and mediastinal contours are normal. No acute fractures are identified.
chest pain and productive cough.
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The cardiac, mediastinal and hilar contours appear unchanged. There is a patchy linear opacity projecting along the lingula, as before, suggesting persistent minor atelectasis or scarring. Streaky right upper lobe opacities suggest scarring with post-operative suture material that is unchanged. There is no pleural effusion or pneumothorax. The patient is status post partly visualized posterior upper lumbar fusion. Volume loss and sclerosis along thoracolumbar vertebral bodies at the site of fusion and immediately above appear probably unchanged. The patient is also status post anterior neck fusion.
worsening dyspnea on exertion. history of copd.
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Left mid lung linear atelectasis/scarring is again seen. Mild right base atelectasis is also seen. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with cirrhosis, hcc p/w confusion, ams // c/f pna
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Ap upright and lateral chest radiograph demonstrates elevation of the left hemidiaphragm with adjacent left basilar atelectasis. Lungs are without a focal consolidation. Allowing for patient positioning, cardiac and hilar contours appear within normal limits. There is no pneumothorax or large pleural effusion. No evidence of pulmonary edema.
history: <unk>m with likely sepsis // ? acute cardiouplm process
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Pa and lateral chest radiographs. Left-sided pectoral pacer leads are in stable position. The lungs are hyperinflated, but clear. There is no pleural effusion or pneumothorax. The heart size is normal. Moderate dextroscoliosis of the thoracic spine and bone bridging between the posterior <unk> and <num>th ribs are seen on prior ct.
chest pain.
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The lung volumes are normal. The lungs are clear. There no pleural effusion, pneumothorax or focal airspace consolidation. The heart is top-normal in size, however, there is no evidence of pulmonary edema. The mediastinal and hilar contours are unremarkable. Retrosternal fullness is unchanged from <unk>. Sternotomy wires, mediastinal clips and coronary stents are appreciated.
coronary artery disease status post cabg and stents now with left-sided chest pain. evaluate for heart failure or pneumonia.
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Frontal and lateral radiographs of the chest demonstrate well-expanded and clear lungs. Cardiac and mediastinal silhouettes are stable. Surgical clips again are seen projecting over the right lower chest. Stable heterogeneity of the right clavicle with a moth-eaten appearance is unchanged from <unk>, and was not noted to be concerning on recent chest ct dated <unk>. There is no pleural effusion or pneumothorax.
<unk>-year-old female with cough. evaluate for pneumonia.
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Cardiac, mediastinal, and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusions or pneumothoraces are present. There are no acute osseous abnormalities.
sharp chest pain.
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Heart size and cardiomediastinal contours are normal. Hilar contours are stable. The hemidiaphragms are relatively flattened, which can be seen with copd. No focal consolidation, pleural effusion, pneumomediastinum, or pneumothorax.
history: <unk>f with hematemasis x <num> // ? pneumomediastinum
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Lung volumes remain low on the right status post removal of the chest tube with a small residual right pleural effusion. Small left-sided pleural effusion also seen. No definite pneumothorax seen. There is a small amount of subcutaneous air tracking in the neck. Left lung appears clear. The cardiomediastinal contour is unchanged compared to the preoperative study.
dr <unk> <unk> homeless f w/ r pna, loculated pleural effusion, and subpleural ptx, c/s for vats washout // look for post-pull pneumothorax
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Frontal, lateral and right lateral decubitus radiographs of the chest were obtained. Opacities along the right lateral pleural surface do not change position on decubitus views consistent with loculated effusions. No left pleural effusion. No pneumothorax. Normal heart size and mediastinal contours. A drain is noted in the right upper quadrant.
gallbladder fossa abscess status post jp drain and pleural effusion, concerning for empyema on ct, assess for loculations.
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The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Slight tortuosity of the descending thoracic aorta is noted as well as atherosclerotic calcifications at the arch. Vertebroplasty changes and compression deformity of adjacent lower thoracic/ upper lumbar vertebral bodies are again noted. There is no free intraperitoneal air.
<unk>f with fever // ?pneumonia
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>f with cough // eval for infiltrate
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Hyperinflation is mild. Cardiomegaly, mild pulmonary vascular congestion, mild pulmonary edema suggest volume overload. There is no pleural effusion or focal consolidation. There is no pneumothorax. Multiple chronic appearing rib fractures are noted.
<unk>m with chest pain, evaluate heart and lungs.
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Pa and lateral views of the chest provided. Lung volumes are low with bibasilar atelectasis again noted. No large effusion or pneumothorax. Heart and mediastinal contours are stable and within normal limits. Bony structures are intact.
<unk>f with etoh cirrhosis // ?cpd or change from prior
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The heart is enlarged. The hilar and mediastinal contours are normal. The left sided pacemaker lead terminates in the right ventricle. The lungs are well expanded and clear. There are no pleural effusions or pneumothorax. Visualized osseous structures are unremarkable.
<unk>-year-old female patient status post single-chamber ppm. study requested for confirmation of lead placement.
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Frontal and lateral radiographs of the chest demonstrate mild asymmetric opacity at the left base which may represent atelectasis. Left upper lobe scarring is unchanged. Additionally, there is a minimal left pleural effusion. No definite rib fracture is identified. The remainder of the lungs are clear and the cardiac and mediastinal contour is within normal limits.
cad and nodular tenderness left anterior chest. evaluate for pneumonia.
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There is a dense relatively linear opacification at the right base that most likely represents post-operative atelectasis. On the lateral view, there is poor definition of the posterior aspect of one of the hemidiaphragms. This probably reflects some pleural fluid and atelectasis at the left base. If there is a clinical symptomatology suggestive of infection, pneumonia would have to be seriously considered. Of incidental note is a cervical fusion device.
post-operative elevation of white count.
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Frontal and lateral views of the chest were performed. Overlying soft tissue limits full evaluation, however, there is no pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. The heart size is normal, provided technique. Mediastinal and hilar structures are unremarkable. A vp shunt is noted.
chest pain and cough. evaluate for pneumonia.
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Since the prior ct, there is increased opacification in the right lower lobe, concerning for pneumonia, likely aspiration related. Additionally, there is an opacity in the left lower lobe, which is similar to the prior ct and chest radiograph, which could be related to findings of chronic aspiration, though a component of active infection cannot be completely excluded. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The osseous structures are unremarkable.
chest congestion and shortness of breath. evaluate for acute 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.
<unk> year old woman with fevers and leukocytosis // eval for atypical pna
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Patchy lateral left lung base opacity is seen, which could relate to atelectasis and overlying soft tissue, underlying consolidation is not excluded. No focal consolidation is seen in the right lung. There is no pleural effusion or pneumothorax. The cardiac, mediastinal, and hilar contours are stable.
shortness of breath, immunosuppressed.
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected. No free air seen below the diaphragm.
<unk>-year-old female with right upper quadrant pain.
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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. A tiny density projecting inferior to the right acromion was seen on prior exam and may reflect chronic tendinopathy. No free air below the right hemidiaphragm is seen.
<unk>m with shortness of breath on exertion
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No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema or pneumothorax is present. The cardiomediastinal silhouette is normal.
chest pain and dyspnea.
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The lungs are clear besides right basilar atelectasis. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities, hypertrophic changes noted in the spine.
<unk>m with generalized weakness // eval pna
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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is mildly enlarged, which is unchanged from <unk>. Prominence of the right supracardiac mediastinal contour is likely due to enlargement of the ascending aorta, which is also stable. The hilar contours are within normal limits. No acute osseous abnormality is detected.
history: <unk>m with cp // ? left pleural abnl
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Frontal and lateral views of the chest. When compared to prior, there has been no significant interval change. Again seen is an upper lung predominant interstitial abnormality with bronchiectasis and interstitial opacities. There has been no significant interval change or no new area of consolidation. Cardiac silhouette is mildly enlarged but similar compared to prior. No acute osseous abnormality is identified.
<unk>-year-old male with shortness of breath and cough. history of hiv, sarcoid, pulmonary tb.
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
<unk>-year-old man with tachycardia. evaluate for pneumonia.
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Ap and lateral upright radiograph through the chest demonstrates clear lungs bilaterally. When compared to prior radiograph dated <unk>, there is improved aeration of the left lower base. The cardiomediastinal and hilar contours are stable in appearance. No overt pulmonary edema is identified. Osseous structures demonstrates no acute abnormality. No free air is identified. No free air is seen under the right hemidiaphragm.
<unk>-year-old male with abdominal pain. evaluate for cardiopulmonary process.
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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax. No large suspicious lytic or sclerotic bony lesions involving the ribs or the shoulder girdle.
<unk>-year-old with multiple myeloma lesion, assess for pneumonia.
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The left upper lobe opacity is unchanged. The lungs are otherwise clear. No new consolidation. No pleural abnormalities or pneumothorax. The cardiomediastinal silhouette is normal.
<unk> year old woman with sarcoid dx'd via mediastinoscopy, but not on any rx so far // assess for any progression of lul opacity or adenopathy
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Compared with prior radiographs on <unk>, there is small right apical pneumothorax. In retrospect, this may been present on previous radiograph, however was tiny if present at all. There is no evidence of tension. A previously seen right pleural effusion has resolved. Overall lung volumes are low, with bibasilar atelectasis. The right-sided chest tube is unchanged in position. Cardiomegaly is stable.
<unk> year old man with ct placed <unk> <unk> ?ptx, intrapulm process
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A nodular opacity in the interspace between the anterior first and second right ribs is ill-defined. There is no pleural effusion or pneumothorax. The heart size is normal. The aortic knob is calcified.
history: <unk>f with weakness // ?pna
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There is significant enlargement of the cardiac silhouette, similar to prior study. Mild pulmonary vascular congestion is seen. There is a streaky opacity in the right mid lung. No evidence of pneumothorax or pleural effusion.
<unk>-year-old male with cough and shortness of breath, question pneumonia.
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Sternotomy, valve prosthesis. Cardiac pacemaker in place. Increased heart size, probably similar. Normal pulmonary vascularity. There are small bilateral pleural effusions, likely similar. Improved bibasilar atelectasis.
<unk> year old man s/p mvr/cabg // interval change
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Pa and lateral views of the chest demonstrate clear lungs. Prominent fat pads are present, but the heart size is normal. There is no evidence of pneumonia, edema, pleural effusion or pneumothorax. Old right rib fracture is noted.
<unk>-year-old man with bloody stool and abdominal pain.
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The heart size is within normal limits. The mediastinal contours demonstrate a gas-distended esophagus. The lung volumes are low but clear of consolidation. There is no pleural effusion or pneumothorax.
<unk>-year-old male with behavioral changes.
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The heart size is normal. The aorta is mildly unfolded. The hilar contours are normal. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormalities are detected.
cough.
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Left-sided port-a-cath tip terminates within the low svc. Heart size is normal. Mediastinal and hilar contours are unremarkable. There is no pulmonary vascular congestion. Small left pleural effusion is noted, with streaky bibasilar airspace opacities which appear slightly progressed compared to the prior exam. No pneumothorax is identified. Multilevel degenerative changes are noted in the thoracic spine. Clips are seen within the midline upper abdomen.
fever for <num> days, pancreatic cancer.
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Frontal and lateral views of the chest. The patient is rotated. Mild lower lobe atelectasis is seen. Otherwise, the lungs are clear without focal consolidation, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. No displaced fracture is seen.
possible seizure. evaluate for pneumonia.
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Lung volumes are low. Heart size is normal. Mediastinal and hilar contours are unremarkable. Minimal linear opacity within the left lung base likely reflects subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Several clips are noted within the right upper quadrant of the abdomen.
chest pain, shortness of breath.
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. The hilar contours are stable since <unk>.
hiv presenting with lightheadedness, vomiting.
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The heart size is normal. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. The lungs are clear. No pleural effusion, pneumothorax, or focal consolidation is present. No acute osseous abnormalities are seen.
right upper quadrant abdominal pain.
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The cardiomediastinal and hilar contours appear unremarkable. There is unchanged calcified atherosclerotic disease of the aortic knob with mild aortic tortuosity, unchanged compared to prior study. The lungs are clear. Of note, there is a poorly defined nodular density projected over the base of the right lung. There is no pleural or pericardial effusion. Clips are noted in the right axilla.
history: <unk>f with syncope // eval for pna
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Frontal and lateral chest radiographs were obtained. The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
r/o signs of sarcoid and other structural abnormalities in vasculature.
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Pa and lateral views of the chest provided. The lungs appear hyperinflated and clear. There is no focal consolidation, effusion, or pneumothorax. Heart size appears top-normal. Mediastinal contour is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with chest pain // eval for structural process
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. No focal consolidation convincing for pneumonia is identified. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Visualized osseous structures are without an acute abnormality.
<unk>f with in dka, reports n/v malaise for the past week.
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Lung volumes are low. Heart size is accentuated, but likely within normal limits. The mediastinal and hilar contours are unremarkable. Atelectatic changes are noted within the left lung base. No focal consolidation, pleural effusion or pneumothorax is clearly noted. There is no pulmonary vascular congestion. Partially imaged is cervical spinal fusion hardware.
fever.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are mildly hyperinflated, otherwise no focal consolidations concerning for pneumonia are identified. Irregularity of the posterior <unk> right rib is likely secondary to a prior trauma. There is no pleural effusion or pneumothorax.
history of chronic low back pain and recent admission for chest pain attributed to pericarditis. please evaluate for pneumonia.
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The heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is identified. No acute fractures are demonstrated. Cholecystectomy clips are present in the right upper quadrant.
trauma.
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The patient is status post coronary artery bypass graft surgery. A dialysis catheter terminates in the upper right atrium. The cardiac, mediastinal and hilar contours appear unchanged. There is very mild pulmonary congestion with interstitial changes at the lung bases and mild perihilar congestion but not highly striking and not nearly as severe as on prior presentation. On the prior chest ct discrete nodules were identified. These are not well assessed with this technique. Accordingly, if no other intervention is planned short-term follow-up ct should be considered.
end stage renal disease on hemodialysis, presenting with shortness of breath.
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Ap and lateral chest radiographs demonstrate clear lungs bilaterally. Lungs are slightly hyperinflated. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion, pneumothorax, or evidence of pulmonary edema. There is no air under the diaphragm.
<unk>m with rigors, chest pain // ?pna
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Low lung volumes and bibasilar atelectasis are attributable to diaphragm elevation by ascites. Moderate right pleural effusion is unchanged since <unk>. Left pleural effusion is small. The heart is enlarged and mild to moderate pulmonary edema is stable. Increased heterogeneous opacification of the right lower lung seen on the lateral view could be a combination of dependent edema and atelectasis or developing pneumonia. There is no pneumothorax.
<unk> year old man with cirrhosis, persistent leukocytosis, and elevated bilirubin. // please evaluate for pneumonia/aspiration.
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Heart size is normal with mild tortuosity of the thoracic aorta. Cardiomediastinal silhouette and hilar contours are normal. Lungs are severely hyperinflated with lucent parenchyma and apparent prominent margination of the vasculature compatible with severe emphysema, unchanged from prior study. No focal consolidation is seen. Pleural surfaces are clear without effusion or pneumothorax. Bones are diffusely demineralized with contour irregularities on the left compatible with multiple old healed rib fractures.
chest pain and dyspnea.
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The heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is seen. Clips in the neck indicate prior thyroidectomy. No acute osseous abnormalities are seen.
altered mental status and cough.
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Frontal and lateral radiographs of the chest were obtained. Spinal fusion hardware is incompletely visualized at the superior aspects of the image. Lung volumes are somewhat low, with bibasilar atelectasis. The heart size and mediastinal contours are normal. No focal consolidation, pleural effusion or pneumothorax is present. The visualized osseous structures are grossly unremarkable.
recent anterior approach fusion at c<num> through <num>, now with pain with swallowing. evaluate for signs of hematoma or soft tissue swelling in the mediastinum.
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable. The azygos fissure present is a clinically insignificant anatomic variant.
syncope.
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The patient is status post median sternotomy and mitral valve replacement. The heart size is normal. Dense coronary calcifications are again seen. Chain sutures within the mid right lung field are overall unchanged; however, there appears to be subtle increase in hazy opacification overlying the right lower lung. There is also evidence of interstital thickening, secondary to interstitial edema. Calcified pleural plaques are again redemonstrated. There is no large pleural effusion or pneumothorax. No osseous abnormalities are detected.
history of chf who presents for evaluation of chest pressure. please evaluate.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax.
shortness of breath.
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Cardiomediastinal shadow is normal. Prominent hila. No airspace consolidation. Mild elevation of the left hemidiaphragm. Opacification in the left lung base most likely represents atelectasis and a small pleural effusion. No pneumothorax. Spondylotic changes of the thoracic spine.
<unk> year old man with hepatic cirrhosis and pulmonary htn presents with pharyngitis and increased sob. // ?pna
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Ap and lateral chest radiograph demonstrate symmetrically hyperexpanded lungs with flattening of bilateral hemidiaphragms which may reflect copd. Linear opacities within the right middle lobe likely reflect atelectasis. No focal opacity is seen concerning for infection. The cardiac and mediastinal contours are unremarkable. There is no pleural effusion or pneumothorax. Visualized osseous structures demonstrates no acute abnormality.
<unk>-year-old female with altered mental status.
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Pa and lateral views of the chest provided. Tripolar aicd is unchanged. Midline sternotomy wires is and mediastinal clips are again noted. The heart remains moderately enlarged. The mediastinal contour is stable. There is a small right pleural effusion which is new in the interval. The lungs appear clear without focal consolidation or edema. No pneumothorax. Bony structures are intact.
<unk>m with chf exacerbation and sob // acute process for sob
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Pa and lateral views of the chest. There are innumerable bilateral nodular densities consistent with known lung cancer, these have progressed compared to prior study on <unk>. No large focal consolidation concerning for pneumonia. There is a small right pleural effusion. The cardiomediastinal and hilar contours are stable. There are aortic knob calcifications.
lung cancer, shortness of breath, and hypoxia.
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In comparison to the previous examination, cardiomediastinal silhouette is unchanged. There is re- demonstrated moderate cardiomegaly. There is mild prominence of the pulmonary vasculature which is improved from <unk>. No focal consolidation is seen. No pneumothorax. The visualized abdomen is unremarkable.
history: <unk>m with sob, hx chf // infiltrate?
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The lungs are noted to be mildly hyperinflated. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal. Surgical clips are seen within the left upper quadrant.
status post syncope and head strike.
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The lungs are clear without any focal opacities, pleural effusion, pulmonary edema or pneumothorax. Bibasilar opacities are likely secondary to atelectasis and soft tissue density from overlying breast tissue. The heart is at the upper limit of normal in size. The mediastinal contours are normal.
chest pain, evaluate for pneumonia.
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The lungs are relatively hyperinflated. Right lower lobe opacity is worrisome for pneumonia. The left lung is clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with fever, cough // eval pna
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Ap upright and lateral views of the chest were obtained. In comparison to the prior study, there is increased moderate-to-large left pleural effusion and adjacent compressive atelectasis. There is also increased mild pulmonary interstitial edema. The left heart border is obscured by the large effusion; however, the heart appears enlarged. Mediastinal contour is otherwise unremarkable. No pneumothorax. Degenerative changes are present in the spine.
<unk>-year-old woman with chf and increasing lethargy, evaluate for pneumonia or chf exacerbation.
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There are relatively low lung volumes. Surgical clips and rounded calcification projecting over the left breast are again seen. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. Prominence of the right hilum is stable. The cardiac and mediastinal silhouettes are stable. There is likely a hiatal hernia.
<unk> year old woman with s/p fall yesterday, ct negative, now with new cp and sob // assess for infiltrate, edema.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
history: <unk>f with rib pain status post fall
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Pa and lateral views of the chest provided. The lungs again appear hyperinflated and lucent compatible with known emphysema. Subsegmental atelectasis is noted at the right lung base. No convincing signs of pneumonia or edema. No convincing signs of edema or congestion. No large effusion or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact.
<unk>m w/ cp x <num> minutes and severe pvd. history of infrarenal aortic aneurysm.
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Asymmetric opacification of the right lung base with respect to the left could be due to basilar pneumonia. No pleural effusion or pneumothorax is detected. The pulmonary vasculature is moderately engorged, but there is no overt pulmonary edema. The cardiac silhouette is moderately to severely enlarged with left atrial and ventricular enlargement particularly striking on the lateral view. The thoracic aorta is tortuous. The mediastinal and hilar contours are otherwise within normal limits.
altered mental status, here to evaluate for pneumonia.
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There is complete collapse of the right upper lobe along with elevation of the right hemidiaphragm and rightward shift of mediastinum, all consistent with significant volume loss. There is a very dense right hilar opacity. Surgical clips are noted over the right axilla. There is no pneumothorax. No pleural effusion is seen. Cardiomediastinal silhouette is not visualized.
history of non-small cell lung cancer with chemoradiation. no history of thoracic surgery. new cough and chest pain.
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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. The cardiac silhouette is mildly enlarged. Mediastinal silhouette and hilar contours are normal. There is no free air under the diaphragm. No displaced rib fracture is seen.
fever and chest pain.
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Frontal and lateral views of the chest. The heart is of normal size with normal cardiomediastinal contours. Lungs are clear. No pleural effusion, focal consolidation, or pneumothorax. No radiopaque foreign body.
<unk>-year-old male with fever and tachycardia. evaluate for infiltrate.
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The heart size is normal. Aortic arch is calcified. Mediastinal and hilar contours are unremarkable. The lungs are hyperinflated with flattening of the diaphragms suggestive of copd. No focal consolidation, pleural effusion or pneumothorax is detected. No acute osseous abnormalities are seen.
code stroke.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with cp // eval for cardiomegaly, ptx
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Moderate hydro pneumothorax on the right with atelectasis of the right lower lobe appears relatively unchanged compared to the previous study. The heart size remains moderately enlarged. Mediastinal and hilar contours are unchanged. Left lung is clear without focal consolidation. No pulmonary vascular congestion is identified. There are no acute osseous abnormalities detected.
history: <unk>f with known ptx/effusion on prior chest radiograph
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The cardiac, mediastinal and hilar contours appear stable. The lung volumes are low. Opacities are present at both lung bases but if anything somewhat more expanded compared to the prior studies at the left lung base. There is a more coalescent band-like opacity at the right lung base but again overall fairly similar in extent relative to pre-existing opacification at the right lung base. There are no clearly defined pleural effusions although small very small ones would be difficult to exclude.
confusion and cough.