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Pa and lateral views of the chest. Streaky left basilar opacity suggestive of atelectasis. The lungs are clear of focal consolidation. The cardiomediastinal silhouette is within normal limits. Surgical clips project over the right breast. No acute osseous abnormality detected.
<unk>-year-old female with chills and weakness.
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The cardiac, mediastinal and hilar contours are normal. Mild atherosclerotic calcifications are seen at the aortic knob. Pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
chest pain, cough.
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No previous images. Cardiac silhouette is within upper limits of normal in size. There is no evidence of pulmonary vascular congestion, pleural effusion, acute focal pneumonia, or interstitial prominence.
poorly controlled sle.
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Patient's condition required examination in sitting position using ap frontal and left lateral views. Comparison is made with the next preceding similar study of <unk>. Status post sternotomy and bypass surgery as well as permanent pacer with dual intravascular electrodes are unchanged. Same holds for the cardiomegaly. On previous examination noted marked perivascular haze in the pulmonary circulation has regressed and almost normalized, indicating successful dehydration. The left-sided pleural effusion is minimal with mild blunting of the lateral and posterior pleural sinus. The large size right-sided pleural effusion is stable and apparently unrelated to the patient's now intermittent episode of pulmonary congestion.
<unk>-year-old male patient with large right pleural effusion, evaluate for interval change.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits.
<unk>-year-old female with palpitations and headache.
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The overall appearance of the chest is similar compared to the prior study, with perhaps mild interval increase in interstitial prominence. Pulmonary vascular congestion persists, and moderate cardiomegaly is unchanged. Retrocardiac opacity is re- demonstrated, and not significantly changed. Sternotomy wires and mediastinal clips are stable.
<unk>f w/recent pna, back with cough // <unk>f w/recent pna, back with cough
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Again appreciated are bilateral left greater than right pleural effusions which have increased in size compared to the prior exam. Persistent bibasilar left greater than right opacities are slightly improved. Again appreciated is postoperative appearance of the mediastinum with a significantly tortuous thoracic aorta. A significant wedge compression fracture of one of the lower thoracic vertebral bodies is unchanged.
pleural effusions
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Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The right lung base is excluded.
<unk>m with fevers // r/o acute pulmonary process
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
dyspnea and palpitations.
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There is some hyperexpansion of the lungs, though no evidence of acute pneumonia, vascular congestion, or pleural effusion. Enteric tube extends well into the stomach.
decreased breath sounds.
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The cardiac silhouette size remains mild to moderately enlarged. Mediastinal and hilar contours are unchanged, and no pulmonary vascular congestion is identified. Linear opacity within the left lung base likely reflects atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormalities are visualized.
history of pneumonia with cough.
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The lungs are well expanded and clear. The cardiomediastinal silhouett and hilar contours are normal. There is no pleural effusion or pneumothorax.
cough, chest 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. No free air below the right hemidiaphragm is seen.
<unk>m with chest tightness // ptx
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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax evident. No osseous abnormality identified.
palpitation, acute chest pain.
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Pa and lateral views of the chest. Mild-to-moderate cardiomegaly is slightly bigger. There is a left-sided pacemaker with leads in appropriate position. Sternotomy wires are intact. There are bilateral interstitial opacities consistent with mild interstitial pulmonary edema. No focal consolidation, pleural effusion, or pneumothorax. The mediastinal and hilar contours are stable.
chest pain.
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are unchanged. The thoracic aorta is tortuous. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old male with shortness of breath for <num> days.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. Scarring is seen within the lung apices. There are no acute osseous abnormalities.
history: <unk>f with chest pressure
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Feeding tube and right upper extremity picc line are unchanged. Cardiomegaly is moderate and unchanged. There is pulmonary vascular congestion and possible mild pulmonary edema. Dense consolidation within the right upper lobe is concerning for pneumonia. Left lower lobe opacity may also represent another site of pneumonia. No large effusion or pneumothorax. Bony structures intact.
<unk>m with fever // pna
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.
<unk>-year-old female with chest pain.
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A <num> x <num> cm elliptical-shaped cavitary or cystic lesion is newly appreciated in the right juxta hilar region, corresponding to the superior segment right lower lobe on the lateral radiograph. Its appearance favors location within the lung rather than the pleura but this distinction is not certain. Its superior wall is thin, but the other wall portions are thicker, measuring up to <num> cm medially. Additionally, there is an apparently new <num> cm diameter nodular opacity in the right mid to lower lung at the level of the sixth anterior right ribs, not confidently localized on the lateral view. Bilateral lower lung predominant bronchial wall thickening and adjacent streaky opacities have worsened, and lungs remain hyperinflated consistent with history of copd. Heart size remains normal, and aorta is mildly tortuous. Small pleural effusions are present, unchanged on the left but new on the right.
<unk> year old man with decreased breath sounds right base, cough/fatigue // r/o infiltrate, r/o effusion
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Frontal and lateral radiographs of the chest show a rectangular and linear opacification projecting over the right lower lung zone which most likely represents atelectasis, but a developing pneumonia cannot be excluded in the correct clinical context. Atelectasis of the left lung base is also noted. The lungs are otherwise well aerated. No pleural effusion or pneumothorax is present. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. A wedge compression fracture deformity is noted in the lower thoracic spine on the lateral radiograph which is of indeterminate chronicity.
<unk>-year-old male with worsening leukocytosis, on antibiotic therapy, here to evaluate for pneumonia or other acute process.
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Right-sided port-a-cath tip terminates at the junction of the svc and right atrium. The heart size is normal. The mediastinal and hilar contours are unremarkable. There are minimal atherosclerotic calcifications of the aortic arch. The pulmonary vasculature is normal. Lung volumes are low. There is mild bibasilar atelectasis, but no focal consolidation. No pleural effusion or pneumothorax is present. There are moderate multilevel degenerative changes in the thoracic spine. Oral contrast is noted within the colon.
shortness of breath.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
<unk>f with left sided chest pain // eval for acute process
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Compared with <unk>, there is no significant interval change identified. Again seen is hyperinflation, with flattened diaphragms, suggestive of copd. Also again seen are multiple calcified pulmonary granulomas, unchanged in appearance. There is biapical pleural thickening, probably with some biapical scarring. The lungs are otherwise grossly clear. Stable mild widening of the mediastinum the thoracic inlet due to tortuous vessels and mediastinal fat deposition. No pleural effusion or pneumothorax detected. Heart size, mediastinal contour, and hila are unchanged.
chest pain. assess for acute process.
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Upright pa and lateral views of the chest show clear lungs with no focal consolidation to suggest pneumonia. The heart and mediastinal contours and bony structures are unremarkable and hila appear unchanged compared to <unk> chest ct.
<unk>-year-old woman with a question of retrocardiac opacity during recent hospitalization, now with continued symptoms including green sputum, fatigue, cough and chest pain.
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The heart is mildly enlarged. There is mild unfolding of the thoracic aorta. Patchy calcification is noted along the aortic arch. There is no pleural effusion or pneumothorax. The lungs appear clear. There is no evidence for fracture. Mild degenerative changes are noted along the thoracic spine.
shortness of breath. status post fall.
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Ap and lateral views of the chest. The lungs hyperinflated but clear of focal consolidation or edema. Blunting of the right posterior costophrenic angle is compatible with small effusion and appears somewhat smaller when compared to prior. The cardiac silhouette is enlarged but stable in configuration. Left chest wall dual-lead pacing device again seen with leads in similar position. No acute osseous abnormality is detected.
<unk>-year-old female with fall and right hip pain.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with dka // pna?
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Frontal and lateral views of the chest. No prior. The lungs are clear of consolidation. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with left-sided 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 free air below the right hemidiaphragm is seen.
history: <unk>f with seizure, st, cough // eval ? infiltrate
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Frontal and lateral radiographs of the chest were acquired. Lung volumes are slightly low, causing accentuation of the pulmonary vasculature. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
chest pain.
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With thoracentesis, there is a large reduction in a left-sided pleural effusion. There is a small pneumothorax predominantly seen along the left lateral aspect of the chest. Findings in the right lung appeared stable.
immediately status post thoracentesis on the left with pleural effusion. question pneumothorax.
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Pa and lateral radiographs of the chest demonstrate normal heart size. There are low lung volumes. The cardiomediastinal silhouette and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax. No displaced rib fracture identified.
cough for <num> week and history of multiple pneumonias in the past. question consolidation.
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Pa and lateral chest radiographs demonstrate similar appearance of a right moderate pleural effusion with adjacent atelectasis. The lungs remain mildly hyperexpanded. There is no new consolidation. The pulmonary vasculature is normal. The cardiac silhouette and mediastinal contours are unchanged. There is marked calcification of the aortic knob. Pectus excavatum, thoracolumbar scoliosis with associated degenerative changes are again noted.
<unk>-year-old female with cough.
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In comparison to the most recent prior study, the lungs are well expanded. There is no focal consolidation to suggest pneumonia. No pleural effusion, pulmonary edema, or pneumothorax is present. The cardiomediastinal silhouette is within normal limits and unchanged. The trachea is midline. Osteophyte formation along the visualized spine reflects degenerative hyperostosis.
chest pain, here to evaluate for pneumonia.
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There is no definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
hemoptysis,recent travel from <unk>.
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The heart size is normal. A moderate size hiatal hernia is noted. Mild aortic knob calcifications are demonstrated. The pulmonary vasculature is not engorged. Streaky opacities in both lung bases likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is demonstrated. Mild degenerative changes in the lower thoracic spine.
hypertension.
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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. Cbd stent is partially imaged in the upper abdomen.
<unk>m with fever, h/o cholangiocarcinoma // pna?
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. Lungs are mildly hyperinflated. There is no focal lung consolidation.
<unk>-year-old man with myasthenia <unk> and dysphagia, evaluate for acute process cardiopulmonary process
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Frontal and lateral views of the chest demonstrate normal heart size and unremarkable mediastinal and hilar contours. A subsegmental atelectasis in the left lower lobe is decreased since prior exam. A small left pleural effusion is also slightly improved with mild persistent left basilar atelectasis. The lung volumes are persistently low. There is no pneumothorax or vascular congestion.
<unk>-year-old male with pleural effusion, here for assessment.
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In comparison with the study of <unk>, there is again mild enlargement of the cardiac silhouette without vascular congestion, pleural effusion, or acute focal pneumonia.
myeloma, pre-bone marrow transplant.
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The lungs are hyperexpanded with flattening of the hemidiaphragms, suggesting emphysema, similar to the prior exam. A sub-cm, round opacity over the left anterior third rib is overall similar and appears to have a correlate on the lateral view. This could represent a pulmonary nodule or rib lesion. Calcified granulomas in the right upper lobe are unchanged. Streaky linear opacities in the right middle lobe are new from the prior exam, best appreciated on the lateral view, likely atelectasis. No pleural effusion or pneumothorax. Heart size and extensive aortic knob calcifications are unchanged. Nonspecific gaseous distension of partially visualized loops of bowel are similar to the prior exam.
history: <unk>m with hx of copd and hypoxic. evaluate for pneumonia.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well-expanded. Subtle right lower lobe opacity is concerning for pneumonia. The upper abdomen is unremarkable.
<unk>m with fever cough.
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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiac silhouette is moderate-to-severely enlarged. Post-sternotomy wires are noted as well as a mitral valve prosthesis. No acute fractures are identified.
evaluation of patient with increased chest tightness.
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Pa and lateral views of the chest. Linear left basilar opacity is seen potentially due to atelectasis. The lungs are otherwise clear, there is no effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.
<unk>-year-old male with worsening dyspnea.
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In comparison to the most recent study, right, likely partially loculated pleural effusion is unchanged. Underlying compressive atelectasis is again noted. Focal consolidation is not excluded. The left lung is clear.
<unk>m with pleural effusion // pleural effusion
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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 cough // evaluate for infiltrate
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There is stable enlargement of the cardiac silhouette. There has been interval removal of a right internal jugular central venous catheter. There are unchanged pleural effusions greater on the left than the right. Left lower lobe opacity is similar in appearance to prior. Median sternotomy wires are intact. No pulmonary edema or pneumothorax.
history: <unk>m with recent cabg and avr p/w chest pain and dyspnea // r/o pna
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As compared to the previous radiograph, the signs indicative of fluid overload have resolved. Currently, there is no evidence of fluid overload or pulmonary edema. The size of the cardiac silhouette remains enlarged, there is mild tortuosity of the thoracic aorta. No pneumonia. Unchanged position of a right pectoral port-a-cath.
chronic heart failure, rectal cancer.
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The cardiomediastinal and hilar contours are within normal limits. There is redemonstration of an <unk> x <num> mm well-circumscribed oval opacity between the right sixth and seventh posterior ribs, consistent with previously reported posterior cutaneous wart. There is redemonstration of bilateral apical thickening. Lungs are otherwise clear. There is no focal consolidation, pleural effusion or pneumothorax. There is no evidence of pulmonary edema or cardiac decompensation.
anemia and shortness of breath. evaluate for pneumonia.
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A left pleural catheter is present and unchanged. No pneumothorax is identified. No focal consolidation or pleural effusion. The size of the cardiac silhouette is within normal limits.
<unk> year old man with left pneumothorax // check interval change with tube clamped for <num> hrs. please do around <num>pm
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. No subdiaphragmatic free air is present.
history: <unk>m with bloody emesis
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Cardiac, mediastinal and hilar contours appear stable. There is a dense consolidation involving the right middle lobe, as before. There are also extensive opacities in the right upper lobe as well as more patchy distribution of nodular opacities in the left lung. Allowing for differences in technique, there is increased diffuse interstitial abnormality but otherwise probably no recent change.
history of renal cell carcinoma. fever, tachycardia and cough.
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Left upper lobe lung mass is again seen, better evaluated on recent prior ct. Lung volumes are low. There is decreased right paratracheal opacification compared to prior, likely representing decreased known paratracheal lymphadenopathy. There has been interval placement of a port-a-cath with tip projecting at the level of the low superior vena cava. No focal consolidation, pleural effusion, pneumothorax or pulmonary edema is detected. Heart and mediastinal contours are stable.
<unk>-year-old female with substernal chest pain.
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No previous images. Dual-channel pacemaker is in place with leads in the region of the right atrium and apex of the right ventricle. Cardiac silhouette is at the upper limits of normal in size and there is tortuosity of the descending aorta in this patient with intact midline sternal wires following cabg. No evidence of vascular congestion or acute focal pneumonia.
pacemaker placement.
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The lungs are well expanded and clear. No pleural abnormalities are seen. The cardiac and mediastinal silhouettes are normal. Curvilinear calcifications in the neck of the right humerus likely represents benign enchondroma in unchanged from <unk>.
history: <unk>m with fall down approximately <unk> steps. no chest pain currently // rib fractures?
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The patient is status post right pneumonectomy, with the expected rightward mediastinal shift. The left lung is well expanded and clear there is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
<unk> year old man with bronchitis // r/o pna
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The cardiac, mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable. There has been no significant change.
back pain.
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In comparison with the study of <unk>, the patient has taken a much better inspiration. Cardiac silhouette is again within upper limits of normal in size. Dual-channel pacemaker device remains in place. No evidence of acute focal pneumonia or interstitial prominence to suggest amiodarone toxicity.
shortness of breath, to assess for amiodarone toxicity.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable. Mediastinal contour in the region of the pulmonary outflow tract has always been mildly enlarged. This can be a normal finding in young women. It would nevertheless be reasonable to evaluate the patient clinically for any evidence of pulmonic valvular abnormality.
evaluate for pneumonia in a patient of bilateral leg pain.
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Lungs are hypoinflated, likely accentuating the size of the cardiac silhouette. Allowing for changes due to this, the cardiomediastinal silhouette is stable. The thoracic aorta is mildly tortuous. Surgical clips overlie the expected location of the thyroid. The hila are within normal limits. The lungs are clear without focal consolidation. There is no pulmonary vascular congestion or pulmonary edema. There is no pneumothorax. There is no right pleural effusion. There is a small left pleural effusion. There is apparent dislocation of the left glenohumeral joint. Degenerative changes noted at the right shoulder. Right-sided rib fractures are noted involving right upper ribs. Right lower rib and left anterior second and third rib fractures are also noted. These are apparently new from the prior study from <unk>. The upper rib fractures are not clearly delineated on shoulder films from <unk>.
<unk>f with weakness, evaluate for pneumonia.
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The patient is tilted towards the right. The lungs are hyperinflated. Patchy opacities at the right lung base likely reflect atelectasis. Otherwise, no focal consolidations. No pulmonary edema. The aorta is tortuous. Stable cardiomegaly. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with parkinsonism, r sided weakness x <num> day, prior hx recrudescence in setting of infection // eval ? infiltrate
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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. Clips from prior thyroidectomy are seen within the neck.
history: <unk>f with right chest pain after low speed mvc
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The cardiomediastinal silhouette is normal and normal. The lungs are fully expanded and clear. There is no pleural effusion or pneumothorax. No large intraperitoneal free air is seen. Partially imaged bilateral shoulder prostheses are noted.
history: <unk>f with epigastric pain // r/o chf/pneumonia/free air .
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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 // ?pleural effusion
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Ap upright and lateral chest radiographs demonstrate low lung volumes. Vague opacity in the right lower lobe likely reflects pneumonia. Streaky opacity in the left lung base is most compatible with atelectasis. Cardiomediastinal contour is unremarkable. There is no pleural effusion. There is no pneumothorax.
increasing lethargy, decreased appetite, chest pain, evaluate for acute process.
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Since <unk>, the left small pleural effusion has slightly increased in size, with associated mild increase in compressive atelectasis. Otherwise, no significant change. The right lung is clear. No pneumothorax. Cardiomediastinal silhouette and hila are unchanged.
<unk> year old man with hx of pleural effusion s/p trauma, now with new onset shortness of breath. // ? increased pleural effusion
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Frontal and lateral views of the chest correlated to images from pet-ct from <unk>. Slightly increased interstitial markings within the lungs compatible with patient's history of pulmonary fibrosis, not significantly changed from prior ct scan. There is no evidence of consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Osseous structures are notable for shortening of the right clavicle with an incompletely visualized and likely widened acromioclavicular distance.
<unk>-year-old female with pulmonary fibrosis, recent copd exacerbation with tenderness to the right side and shortness of breath.
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Pa and lateral views of the chest provided. Blunting of the left cp angle on the frontal projection only likely represents pleural thickening/ scarring. Otherwise the lungs are clear. Cardiomediastinal silhouette is normal. No bony injuries.
history: <unk>f with cough // acute process
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The chest is hyperinflated. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild degenerative changes are noted along the mid through lower thoracic spine.
hemoptysis.
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Frontal and lateral views of the chest. The lungs are slightly hyperinflated but clear of consolidation. Mild interstitial prominence is seen but improved since prior. <num> mm nodular opacity projecting over the right upper lung is not definitely changed since exam in <unk>. Previously seen effusions have essentially resolved. Cardiac silhouette is slightly enlarged. No acute osseous abnormalities detected. Atherosclerotic calcifications are identified in the aorta.
<unk>-year-old male with syncope.
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The study is limited by patient's body habitus. Stimulator device projects over the lower thoracic spine. Lung volumes are low but otherwise clear. Heart size is normal. The mediastinal hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Height loss of a lower thoracic vertebral body is similar to <unk>. No displaced rib fractures detected.
history: <unk>m with recent fall. // <unk> yo m with recent fall. assess for rib fractures or cardiopulmonary process
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Low lung volumes. Cardiomegaly. The cardiomediastinal contour is unchanged. Small right hydro pneumothorax is essentially unchanged in size, but some of the the loculated components show interval decrease in size. The left lung is clear.
<unk> year old woman s/p vats rll // check right ptx
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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 identified, lower thoracic dextroscoliosis is noted.
<unk>f with chest pain, sob // ? pna
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Ap upright and lateral views of the chest provided. Were easily placed right upper extremity picc line is seen with its tip terminating in the lower svc region. There is mild pulmonary edema with small bilateral pleural effusions. An ivc filter projects over the upper abdomen. Heart size appears top-normal though poorly visualized. Aortic atherosclerosis noted. Bony structures appear intact. A large subacromial calcification on the right suggests right rotator cuff tendinopathy. Vertebroplasty changes noted in the upper lumbar spine.
<unk>m with crackles r lung base
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is seen. Clips within the right upper quadrant of the abdomen likely denote prior cholecystectomy.
chills and lightheadedness.
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The lungs are low in volume, but appear clear. Cardiac size is likely exaggerated due to low lung volumes and is probably top normal. No pleural effusion is seen. There is no pneumothorax.
<unk>-year-old male with chest pain, assess for acute process.
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
shortness of breath and cough evaluate for pneumonia
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Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of confluent consolidation or effusion. Cardiomediastinal silhouette is stable. Atherosclerotic calcification is again noted in the aorta. Mild prominence of the hila bilaterally is unchanged, suggestive of pulmonary artery enlargement.
<unk>-year-old male with dyspnea, cough, and pedal edema.
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There is a dual-channel icd line with leads in the region of the right atrium and apex of the right ventricle. No evidence of pneumothorax. Otherwise, no acute abnormality or change from the study of <unk>.
icd placement, to assess for pneumothorax.
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Cardiomediastinal and hilar contours are unchanged since the prior radiograph. Lung volumes are somewhat low, but clear without pleural effusion or pneumothorax. No focal consolidation. Unchanged linear peripheral opacities in the left upper lung may be due to scarring.
<unk>f with sob. eval for pna.
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A calcified nodule is noted projecting adjacent to the right hilum. Dense calcified foci also project within the right hilar structures themselves. There are linear reticular lines radiating from both apical regions, more noticeable on the right with slight upward traction of bilateral hila. No consolidation or edema is evident. The mediastinum is otherwise unremarkable. The cardiac silhouette is top normal for size. No effusion or pneumothorax is noted. The osseous structures are unremarkable.
substernal chest pain secondary to exertion.
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As compared to the previous radiograph, the lung volumes have decreased, likely due to a lesser inspiratory effort. There is unchanged evidence of a hiatal hernia as well as of mild cardiomegaly. Unchanged calcified granuloma at the right lung bases. No pleural effusions. Normal appearance of the lung parenchyma, no infection, in particular no evidence of fibrotic lung changes. No pneumothorax.
atrial fibrillation, amiodarone, evaluation.
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Pa and lateral views of the chest are compared to previous exam from <unk>. Compared with prior, there has been no significant interval change. Again seen are bilateral basilar patchy opacities. The lung apices are clear and there is no effusion. The cardiomediastinal silhouette is unremarkable, as are the osseous and soft tissue structures.
<unk>-year-old female with recent admission for pneumonia, two days since discharge. continued dyspnea.
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Pa and lateral views of the chest demonstrate clear lungs. The previous ovoid opacity projecting over the spine on the lateral film is no longer evident. The cardiac size is normal. No pleural effusion, pneumothorax, or pneumonia.
<unk>-year-old woman with previous abnormality on chest x-ray, recommend repeat chest x-rays.
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The cardiac silhouette size is mildly enlarged. The mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion, focal consolidation or pneumothorax is identified. No acute osseous abnormalities seen. No subdiaphragmatic free air is identified.
history: <unk>f with left upper quadrant pain, history of peptic ulcer disease
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is visualized. No acute osseous abnormality is visualized.
left-sided <unk> rib pain after trauma.
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The lungs are clear. There is no consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No displaced fractures identified.
<unk>f with rib pain after traumatic injury // ? rib fx
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As compared to the previous radiograph, the patient has now developed a middle lobe pneumonia, better appreciated on the lateral than on the frontal radiograph. Otherwise, the radiograph is unchanged. No pleural effusions. No pulmonary edema. Moderate tortuosity of the thoracic aorta. At the time of dictation and observation, <time> a.m., on <unk>, the referring physician <unk>. <unk> was paged for notification.
pleuritic chest pain, fever, questionable pneumonia.
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Pa and lateral views of the chest provided.low lung volumes limit eval. There is no focal consolidation, effusion, or pneumothorax. No evidence of pulmonary edema. The heart size is top normal. The mediastinal contour is unchanged. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with dyspnea, cp
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Since the prior radiograph, there has been interval worsening in the consolidation of the lower portion of the right upper lobe, of which the minor fissure is the lower border. This is consistent with pneumonia. The right heart border is obscured. There is blunting of the bilateral costophrenic angles with right greater than left pleural effusions. There is no pneumothorax. Osseous structures are unremarkable.
<unk> year old woman with cap but persistent o<num> requirement and now increasing leukocytosis. parapneumonic effusion, abscess?
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Pa and lateral views of the chest. Borderline cardiomegaly is stable. Previously seen mild pulmonary vascular congestion and pulmonary edema has decreased. No evidence of pneumonia. No pleural effusion or pneumothorax. Normal mediastinal and hilar contours. Sternotomy wires are in appropriate positions. Aortic valve replacement and tricuspid valvuloplasty are in appropriate position.
cough and mild chest discomfort, history of cad, concern for acs, fluid overload, or pneumonia.
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The lungs are relatively hyperinflated. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. <num> mm calcification projecting over the soft tissue adjacent to the superior lateral right humeral head suggests calcific tendinosis.
history: <unk>m with hyperglycemia // evaluate for pna
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Moderate right pleural effusion is unchanged. A right pectoral dual-lead cardiac pacemaker remains in place. The left lung is clear. There is no pneumothorax. Heart size cannot be accurately assessed due to obscuration of the right heart border by pleural effusion. Multilevel spinal degenerative changes are stable.
worsening dyspnea. evaluate right pleural effusion.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
<unk>m with new onset afib with rvr.
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A port-a-cath terminates in the superior vena cava, making a loop along its mid course, as seen previously. The cardiac, mediastinal and hilar contours appear unchanged. There is no focal parenchymal opacity. The left costophrenic sulcus is slightly blunted, so there may be a trace pleural effusion. No pneumothorax is seen.
hodgkin's disease, presenting with a pleuritic chest pain.
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The heart size is normal. Bilateral hilar enlargement is compatible with known lymphadenopathy, with unchanged mediastinal contour compatible known lymphadenopathy as demonstrated on the recent ct. Lungs are hyperinflated with relative lucency at the lung apices and attenuation of the pulmonary vascular markings compatible with known emphysema. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
weakness, on chemotherapy with worsening symptoms over last several days.
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Lung volumes are low. Heart size is mildly enlarged, accentuated by the presence of low lung volumes. Mediastinal and hilar contours are within normal limits. Crowding of bronchovascular structures is present without overt pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is present. Minimal patchy bibasilar opacities likely reflect atelectasis. No acute osseous abnormality is visualized. Wedge compression deformity of the t<num> vertebral body is unchanged.
history: <unk>m with recent seizure
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Pa and lateral views of the chest. Relatively low lung volumes are seen. The lungs however are clear. There is no effusion or consolidation. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with <num> month history of cough. rales at left base.
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The cardiac, mediastinal and hilar contours are within normal limits. Peripheral opacity within the right lower lobe is compatible with post radiation changes. No new areas of focal consolidation demonstrated. Known bilateral pulmonary nodules are better seen on the prior ct. No pleural effusion or pneumothorax is demonstrated. Destructive lytic lesions are again seen within the right-sided ribs compatible with metastases. Multiple clips are demonstrated within the upper abdomen bilaterally.
acute renal failure, vomiting.