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There has been interval replacement of the mitral and aortic valves with corresponding sternotomy closed with plates and screws for which there are no obvious hardware complications. Moderate right subpulmonic effusion and right-sided layering effusion is seen. Left side is clear. There is no pneumothorax. Cardiomediastinal silhouette is stable and demonstrates an enlarged heart and mildly tortuous aorta.
<unk>-year-old male with pleural effusion.
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Interval removal of a conventional tracheostomy tube placement of a t-tube, unremarkable in position. Lungs are well-expanded without new focal opacity. Trace right pleural effusion is possible. No left pleural effusion. No pneumothorax. Heart size is top-normal. Bilateral pulmonary arteries are prominent, but unchanged. A left subclavian port and central venous catheter is unchanged in position, terminating near the superior cavoatrial junction.
<unk> year old woman with idiopathic subglottic stenosis status post multiple balloon dilatations, hypertension,type <num> diabetes, hypothyroidism, colorectal cancer s/p resected liver mets on folfox c<num>d<num>, now s/p t-tubeplacement. // evaluate t-tube place
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Pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. There are faint nonspecific reticular opacities in the lower lobes, with peribronchial cuffing. There is no pneumothorax or pleural effusion, and the pulmonary vascularity is normal.
wheezing and cough in a patient with a history of asthma. evaluate for pneumonia.
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Mild cardiomegaly is unchanged. Mediastinal and hilar contours are stable. There is no pulmonary vascular congestion. Apart from mild bibasilar atelectasis, remainder lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
altered mental status.
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The lung volumes are low. The hilar and mediastinal contours are normal. The heart size is normal. No focal consolidations concerning for pneumonia are identified. There is mild bibasilar atelectasis. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
<unk>f with body aches and some dyspnea. // <unk>f with body aches and some dyspnea.
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Ap upright and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are noted with coronaries dense. There is a chronic right pleural effusion which may be slightly increased from prior ct. There is increased opacity in the right mid to upper lung which raises concern for worsening metastatic disease versus a superimposed pneumonia. Scattered nodular opacities in the left lung consistent with metastatic disease. The heart is stably enlarged. The mediastinal contour is also unchanged. Bony structures are intact.
<unk>m with hypotension, lung cancer // eval for pneumonia
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The cardiomediastinal and hilar contours are normal. Small bilateral pleural effusions are present, larger on the left. There is no pneumothorax. The lungs are hyperexpanded. Abnormal diffuse reticular pattern of the pulmonary parenchyma is again noted, more pronounced in the right upper lateral lung. This may represent atypical pulmonary edema, with pleural effusions supporting this conclusion. However, normal heart size and lack of azygos distension argue against this conclusion. This may also represent an atypical infection or a interstitial process. The upper abdomen is unremarkable in appearance. No acute process seen in visualized osseous structures.
<unk> year old woman with copd // eval for interval change
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A picc line terminates in the superior vena cava. The cardiac, mediastinal and hilar contours appear unchanged. The lungs appear clear. The are no pleural effusions or pneumothorax. Bony structures are unremarkable.
fever after recent resection. history of crohn's disease.
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Pa and lateral chest radiographs. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
dyspnea.
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The heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is normal. The lungs are clear. There is minimal blunting of the left costophrenic angle posteriorly on the lateral view which may indicate a tiny pleural effusion. No right-sided pleural effusion or pneumothorax is identified. No acute osseous abnormalities are identified. Prior right ac joint separation is re- demonstrated.
productive cough.
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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 lungs appear clear.
syncope.
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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 chest pain.
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Frontal and lateral views of the chest. There is diffuse interstitial abnormality with distortion suggesting underlying the fibrotic changes similar to prior. There is however no focal consolidation or effusion. The cardiomediastinal silhouette is stable. Surgical clips project over the neck. No acute osseous abnormality detected.
<unk>-year-old female with shortness of breath.
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Cardiomediastinal contours are normal. Ovoid opacity in the right mid lung associated with adjacent pleural abnormalities is stable, of unclear etiology, ct again is recommended for further evaluation. There is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine
<unk> year old man with tachyarrhythmia r/o for nstemi s/p cath <unk>. // per radiologist to better understand findings on v/q scan
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Mild cardiomegaly with enlargement of the pulmonary vasculature and diffuse airspace opacities, suggestive of mild pulmonary edema. A more confluent opacity at the right lung base could reflect asymmetrical edema or secondary process such as pneumonia. No evidence pneumothorax. No significant pleural effusions.
<unk>m w/dizziness, please eval for occult pna // <unk>m w/dizziness, please eval for occult pna
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Right-sided dual lumen central venous catheter tip terminates in the mid and lower svc. Heart size is mildly enlarged but unchanged. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Small bilateral pleural effusions are not substantially changed in the interval. Increased patchy opacities in the lung bases, vertically within the retrocardiac region are noted. No pneumothorax is present. A stent is seen overlying the region of the medial left upper quadrant of the abdomen.
history: <unk>m with shortness of breath
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There has been interval resolution of diffuse bilateral opacities seen on the most recent prior film. Currently, the lungs are well expanded and clear. There is mild cardiomegaly, and the mediastinal and hilar contours are stable. There is no pulmonary edema or pulmonary vascular congestion.
<unk>-year-old with increased shortness of breath.
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged with prominent left cardiophrenic angle fat pad with with.
<unk>m with chronic back pain, radiation to chest pain for the past night.
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In comparison with the study of <unk>, there is little change in the appearance of the opacification in the left mid zone, which is projected posteriorly on the lateral view. This is consistent with consolidation in the superior segment of the lower lobe. Blunting of the right costophrenic angle persists. Repeat study after four-six weeks of treatment is suggested to ensure complete clearing of this apparent infectious process.
cough and fever with left opacity seen on ap film.
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Heart size is upper limits of normal.mediastinal and hilar contours are unremarkable. There is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax.osteophytes in the low thoracic spines and rightward scoliosis appear unchanged. Prior thyroidectomy clips are noted.
<unk>-year-old female with cough.
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Heart size remains mildly enlarged but unchanged. Atherosclerotic calcifications are noted within the aortic knob. Mediastinal and hilar contours are similar. Pulmonary vasculature is normal. Linear opacities within the lung bases are compatible with areas of subsegmental atelectasis. There is no focal consolidation, pleural effusion or pneumothorax. Partially imaged is a stent within the proximal abdominal aorta.
history: <unk>m with fall on coumadin
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The heart is again mildly enlarged. The cardiac, mediastinal and hilar contours appear unchanged. There is perhaps a minimal persistent central interstitial abnormality but no substantial edema. Pulmonary edema has almost fully resolved. There is no focal opacity. No pleural effusion or pneumothorax is demonstrated.
dizziness. history of congestive heart failure.
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax
left-sided chest pain. evaluate for pneumonia.
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The lungs are poorly inflated. Retrocardiac patchy opacity seen on the lateral view, not substantiated on the frontal view is likely due to atelectasis, but developing consolidation is not entirely excluded in the appropriate clinical setting. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No displaced fracture is seen.
<unk>-year-old male with back pain and prior history of pneumonia. evaluate.
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Pa and lateral chest radiograph were obtained. Comparison is made to prior radiograph dated <unk>. There is been interval decrease in the right-sided pleural effusion though a small pleural effusion persists. The remainder of the lungs appear clear with no focal consolidation concerning for pneumonia. Mild pulmonary edema persists. Cardiomediastinal and hilar contours are stable. Sternotomy wires are intact. A right pectorally placed pacemaker is identified in unchanged position. Osseous structures are without a displaced fracture.
<unk>-year-old female with shortness of breath.
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Frontal and lateral radiographs of the chest were acquired. There has been interval removal of a left tunneled dialysis catheter with interval placement of a right tunneled dialysis catheter, with its tip ending in the high right atrium. There is engorgement of the pulmonary vasculature without frank interstitial pulmonary edema. There is no focal consolidation. The heart size is top normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. There is increased sclerosis of the vertebral body endplates throughout the thoracic spine, best appreciated on the lateral projection, suggestive of renal osteodystrophy.
bacteremia. assess for pneumonia.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There is no evidence of hilar lymphadenopathy. The osseous structures are unremarkable.
deep paresthesias the white matter flair changes on mri. evaluate for sarcoidosis.
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Frontal and lateral radiographs of the chest demonstrate normal heart size. The patient is status post median sternotomy with intact sternotomy wires. There is increased pulmonary vascularity with dilated pulmonary arteries and cephalization consistent with a history of congenital heart disease. No overt pulmonary edema. There is background intertitial abnormality with cuffing of the airways as can be seen with small airways disease, but there are more confluent retrocardiac and right infrahilar opacities which would reflect an early pneumonia. No pleural effusion or pneumothorax.
fevers and constitutional symptoms. per dr. <unk> patient with history of congenital heart disease. rule out 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.
history: <unk>f with chest pain // ? acute cardiopulm 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.
<unk> year old woman with pmh esrd on hd, cad, dm<num> p/w dry hacking cough and associated back pain // acute pulmonary process?
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Lung volumes are low. This accentuates the size of the cardiac silhouette which is at least mildly enlarged. The mediastinal and hilar contours are unremarkable, and there is no pulmonary edema. Minimal patchy opacities in the lung bases likely reflect atelectasis. Possible trace bilateral pleural effusions may be present posteriorly. No focal consolidation or pneumothorax is demonstrated. There are no acute osseous abnormalities.
fall and syncope.
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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 chest pain // acute process
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The right chest tube has been removed. Possible axillary residual pneumothorax versus spared aerated subpleural lung is unchanged. Subcutaneous air is also stable. Bilateral chronic lung consolidation is stable.
patient with a wedge biopsy right lower lobe. rule out pneumothorax.
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Ap and lateral radiographs of the chest demonstrate clear lungs with severe emphysematous changes in the upper lobes, unchanged from the prior examination. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. No displaced fracture is seen.
fall. rule out fracture.
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There is mild bibasilar atelectasis. The lungs are otherwise clear without focal consolidation, effusion, or edema. Moderate cardiomegaly is again seen. There is new prosthetic aortic device. Aortic arch calcifications are noted. No acute osseous abnormalities.
<unk>m with new visual changes, r/o cva // eval for acute process?
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Mild enlargement of cardiac silhouette with a left ventricular predominance is re-demonstrated. The aorta knob is calcified. Mediastinal and hilar contours are otherwise unremarkable and there is no pulmonary edema. As before, multiple calcified granulomas are seen within the left upper lobe, and there is calcification of the pleura posteriorly within the left hemithorax compatible with fibrothorax. No focal consolidation, pleural effusion or pneumothorax is seen. The patient is status post right mastectomy with a clip demonstrated in the right chest wall. There are multilevel degenerative changes in the thoracic spine including a mild compression deformity at the thoracolumbar junction, unchanged.
shortness of breath
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
history: <unk>f with cough, decreased breath sounds on left // evaluate for acute process
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Again seen is moderate cardiomegaly and mildly increased interstitial markings, little changed from <unk>. There is no pleural effusion or pneumothorax. The aorta is tortuous.
altered mental status.
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The heart is moderately enlarged. There is similar mild unfolding of the thoracic aorta. The mediastinal and hilar contours appear unchanged. As before, the minor fissure appears slightly thickened. Depicted on the lateral view is a moderate subpulmonic effusion with associated opacity, probably due to atelectasis, likely unchanged. There is no pneumothorax. Right-sided rib deformities appear unchanged. Moderate anterior osteophytes are noted throughout the thoracic spine. The right shoulder demonstrates severe degenerative changes including complete effacement of the glenohumeral joint with subchondral sclerosis and prominent marginal osteophyte formation.
question edema. the patient presents with increased lower extremity edema and history of congestive heart failure.
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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. No radiopaque foreign body identified.
history: <unk>f s/p mechanical fall with front tooth injury. cannot locate remainder of broken tooth // evaluate any tooth fragments in lung
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Mild scarring is seen in the right mid and left lower lung as on prior ct. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with chest pain, history of endocarditis
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Pa and lateral views of chest demonstrate clear lungs. Cardiac size is normal. No pleural effusion or pneumothorax.
fever.
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Patient is status post median sternotomy and cabg. There relatively low lung volumes and mild right basilar atelectasis. No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with chest pain // eval 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.
<unk>m with recent ptx // ? ptx
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The heart is normal in size. The mediastinal and hilar contours appear within normal range. There is no pleural effusion or pneumothorax. The lungs appear clear. There is a mild superior endplate compression deformity along a mid thoracic vertebral body, probably t<num>.
ischemic stroke. question aspiration.
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In comparison with study of <unk>, there are lower lung volumes. However, the cardiac silhouette remains within normal limits and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
fever with cough.
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The lungs are well expanded and clear. No pleural abnormality is seen. The heart is normal in size. The hilar and mediastinal silhouette is normal.
<unk> year old woman with positive ppd // r/o infiltrates
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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 cad s/p stenting <unk> years ago p/w chest pain of <num> days. // acute cardiopulmonary process
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Mild to moderate cardiomegaly is noted. The mediastinal and hilar contours are unremarkable, and the pulmonary vasculature is normal. The lungs are clear. No pleural effusion or pneumothorax is seen. Mild degenerative changes are noted in the thoracic spine.
chest pain.
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The patient is status post median sternotomy and mitral valve prosthesis. Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and likely within the outflow tract of the right ventricle, unchanged. The heart remains moderately enlarged with right ventricular and left atrial enlargement. The mediastinal and hilar contours are stable. Mild pulmonary vascular congestion is noted, slightly worse when compared to the prior study. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
atrial fibrillation with rapid ventricular rate.
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Low lung volumes persist. There is stable blunting of the right costophrenic angle on the frontal view without large pleural effusion seen on the lateral view. Slight prominence of the hila is stable which may relate to low lung volumes although vascular congestion may be present. The cardiac silhouette is top-normal, likely exaggerated by low lung volumes. No definite focal consolidation. Minor mid lung atelectasis is noted.
vomiting.
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Mild cardiomegaly is persistent compared to the prior exam. There is a subtle increase in opacity seen on the lateral view. The hilar and mediastinal contours are normal. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of cough, sickle cell disease. please evaluate for pneumonia.
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Frontal and lateral chest radiographs demonstrate no relative changes when compared to prior radiograph. Unchanged bilateral pleural effusions with subsequent areas of atelectasis. There is moderate cardiomegaly with stable appearing mediastinal contour. Sternal wires and mediastinal postoperative clips are noted in unchanged in position. There are no new parenchymal opacities. There is no pulmonary edema. No pneumothorax.
<unk>-year-old male with anterior mediastinal mass status post resection. evaluate for interval changes.
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There is persistent subsegmental atelectasis in the right lung base. Otherwise, the lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. A nipple shadow is noted on the left. Hilar and pleural surfaces are unremarkable. Pulmonary vasculature is normal. No acute osseous abnormalities demonstrated.
history: <unk>m with fever and chest pain
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Cardiac silhouette size is top normal. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is detected. There are no acute osseous abnormalities.
history: <unk>m with left sided chest pain, shoulder pain
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Again, the patient is status post recent esophagectomy and pull up procedure. The cardiomediastinal the hilar contours are within normal limits and stable. There is residual barium contrast seen pooling in the distal neo esophagus. The pulmonary vasculature is normal and the lungs are clear. There is no evidence of pneumothorax.
<unk> year old man s/p mie // r/o ptx post ct removal
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The patient is status post median sternotomy and cabg. The cardiac silhouette size is normal. The aorta remains mildly tortuous with atherosclerotic calcifications noted at the aortic knob pulmonary vasculature is normal. Hilar contours are unremarkable. Lungs are hyperinflated with flattening of the diaphragms. Linear opacities within both lung bases are unchanged, and likely reflect areas of subsegmental atelectasis/ scarring. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>m with coronary artery disease, history of cabg, copd, hypertension presenting with weakness
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The lungs are well expanded and clear without lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk>m with hiv, kidney transplant with intolerance to pos x <num> days
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Pa and lateral views of the chest provided. Lung volumes are low limiting assessment. Subtle retrocardiac opacity may be compatible with atelectasis versus an early left lower lobe pneumonia. Please correlate clinically. No large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. No free air below the right hemidiaphragm. Bony structures are intact.
<unk>m with alcoholic cirrhosis, abd distension and sob
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The lungs are clear. The heart is enlarged and the aorta is moderately tortuous. The hilar contours are normal. The pleural surfaces are normal without effusion or pneumothorax.
evaluate for cardiomegaly and pulmonary edema appear.
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Pa and lateral views of the chest provided. Lung volumes are low with mild bibasilar atelectasis. No convincing signs of pneumonia or edema. No large effusion or pneumothorax is seen. The cardiomediastinal silhouette appears normal. There is no free air below the right hemidiaphragm. Fluid level is noted within the stomach.
<unk>f with abd distention // pna? free air
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Frontal and lateral chest radiographs demonstrate clear lungs without pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. A right upper extremity picc tip is unchanged in position in the mid svc. The pulmonary vasculature is normal.
<unk>-year-old male postop day <num> status post i&d for brain abscess with fevers, question source of fever.
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Visualized osseous structures are without acute abnormality.
<unk>-year-old male with excessive vomiting.
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There are small bilateral pleural effusions, similar on the left, new or more apparent on the right. . Bibasilar opacities have improved, likely improving atelectasis. Heart size is stable. Pulmonary vascularity has improved. Shallow inspiration
<unk> year old woman with recent desaturations and tachycardia. r/o intectious etiology // ? infection
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Streaky opacity at the left lung base is consistent with minor atelectasis. Otherwise, the lungs appear clear. Lung volumes are low. There is no pleural effusion or pneumothorax. The cardiac, mediastinal and hilar contours appear unchanged. Bony structures are unremarkable. Surgical clips project over the right upper quadrant of the abdomen.
atrial flutter.
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Large left apical pleural opacity/pleural collection is re- demonstrated, similar in extent. Prominence of the left hilum is again seen. There is patchy left base opacity ; left base retrocardiac opacity present previously although the extent appears slightly increased as compared to the prior study, superimposed infection, aspiration not excluded.
history: <unk>f with breast cancer, <num> day s/p minor surgery, here w/ chest pain, presyncope, sob, hx of breast cancer, tachy and hypoxic // pe, pna
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The patient is status post median sternotomy with mediastinal clips noted. Heart size is normal. The aorta is mildly tortuous but unchanged. Mediastinal and hilar contours are unremarkable. Right picc tip terminates within the svc/right atrial junction. No pleural effusion or pneumothorax is seen. Minimal patchy bibasilar opacities are present. There is no free air under the diaphragms. No acute osseous abnormalities are seen.
fever, vomiting, on tpn.
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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> year old woman with lupus p/w fever, joint pain // ?pna
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.
<unk>-year-old male with shortness of breath and failure to thrive.
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The lungs are clear without consolidation, effusion, or edema. Cardiac silhouette is enlarged but similar compared to prior. Coronary artery stents are identified. Median sternotomy wires are noted. No acute osseous abnormalities.
<unk>f with intermittent dyspnea, hf // eval for effusion, pna
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Cardiac silhouette size is top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. The lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is identified.
history: <unk>f with chest pain, nausea, hematemesis
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<num> views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.
chest pain, assess for acute process.
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Cardiomediastinal contours are unchanged. . Bibasilar atelectasis and atelectasis in the right middle lobe are unchanged. . There is no pneumothorax . Bilateral pleural effusions are small. Sternal wires are aligned
<unk> year old man s/p cabg // eval for effusion
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Mild cardiomegaly persists. Mediastinal contours are stable with aortic tortuosity. Lumbar spine fusion hardware is partially imaged.
<unk>-year-old female with shortness of breath.
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Pa and lateral views the chest provided demonstrate clear well expanded lungs without focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with asthma, previous sab p/w with chest pain.
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There is a left-sided port-a-cath seen, appropriately positioned, coursing through the left subclavian and terminating within the mid svc. There is no kinking, evidence of breakage or radiopacities within the catheter. There is minimal blunting of the left costophrenic angle suggestive of a small pleural effusion. The aorta is tortuous and minimally calcified. Otherwise, the cardiomediastinal silhouette is within normal limits. The pleural surfaces are unremarkable.
<unk>-year-old male with a port-a-cath which has not been flushed for months.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are stable. Vascular calcifications are again noted. Sternal wires are in similar positions. Radiopaque gallstones project over the right upper quadrant.
<unk>-year-old male with productive cough.
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Assessment is limited due to patient rotation. The heart size is at least mildly enlarged, and the aorta remains tortuous. There is a linear opacity within the left lung base likely reflective of atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. Severe degenerative changes of the right glenohumeral joint are present along with a well corticated ossific density adjacent to the distal right clavicle, which could reflect the sequelae of prior injury. Multilevel degenerative changes are noted in the thoracic spine with retrolisthesis demonstrated at the thoracolumbar junction, not significantly changed in the interval. Partially imaged is lumbar spinal fusion hardware. Deformity of the right thoracic rib cage suggests prior trauma.
abscess.
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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 c/o cough and fever and cp // ? pna
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Pa and lateral chest radiographs demonstrate low lung volumes. Lung volumes are clear with no focal consolidation. The mediastinal and hilar contours are stable in appearance when compared to radiograph dated <unk> and within normal limits. There is no pleural effusion or pneumothorax identified. Visualized osseous structures demonstrate no acute abnormality.
<unk>-year-old female with 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 cp
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Pa and lateral views of the chest. When compared to prior, there has been no significant interval change. Again seen is a right lower lobe lobulated mass with some linear components adjacent to it, potentially due to atelectasis. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. Osseous structures are unremarkable. No displaced rib fractures identified.
<unk>-year-old male with right posterior rib pain.
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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. Epicardial pacemaker device is in unchanged position. Right picc catheter tip projects over low svc. Partially imaged abdomen is unremarkable. Multiple surgical clips project over right upper abdomen.
patient with recent eus, now with fever.
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There is stable moderate cardiomegaly. The bilateral hila are normal. There is no evidence of pulmonary vascular congestion. Relative prominence of the central bronchovascular markings is seen, which in the correct clinical setting may reflect large airways inflammation/bronchitis. Otherwise, there is no evidence of focal airspace abnormality. There is no pleural effusion. There is no pneumothorax.
an <unk>-year-old with recent admission for influenza now with worsening shortness breath and cough, fever, evaluate for pneumonia.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal. No bony abnormality is detected.
acute pancreatitis, evaluate for acute cardiopulmonary process.
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Lungs are clear. Nipple shadows project over the lung bases. No pleural effusion. No pneumothorax. Heart size is normal.
<unk>f with chest pain // eval for structural process
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In comparison with the earlier study of this date, following chest tube removal, the pneumothorax has decreased. Otherwise, little change.
wedge resection, to assess for pneumothorax after chest tube removal.
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In comparison with study of <unk>, the new area of opacification at the right base is slightly less prominent, consistent with mild improvement in the area of pneumonia. The bilateral pulmonary nodules and lymphadenopathy are better assessed on the recent ct scan.
metastatic cancer to the lungs, to assess for pneumonia.
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Study is essentially unchanged from prior. Lungs are well expanded and clear bilaterally with no masses, lesions or pleural effusion. There is no pneumothorax. Again visualized is a large hiatal hernia, essentially unchanged from before. Cardiomediastinal silhouette is stable demonstrating normal-sized heart with a tortuous aorta. Pleural surfaces are unremarkable. There is stable moderate multilevel degenerative change seen along the thoracic spine.
<unk>-year-old female with cough x<num> weeks.
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Per ct from <unk>, the fracture through the mid-sternal body is non-displaced. There appears to be increased sclerosis at the previously noted fracture line on the radiograph, suggestive of interval healing. The moderate compression deformity of t<num> appears unchanged compared to the ct from <unk> and the radiographs from <unk>. The heart size is mildly enlarged. The aorta is tortuous. There is a small interval increase in the left lower lobe opacity likely secondary to atelectasis. The lungs are otherwise clear of any focal consolidations. There is no pleural effusion or pneumothorax. No new fractures are seen.
<unk>-year-old female status post fall from standing with a history of a sternal fracture and t<num> compression fracture who presents for followup evaluation.
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Frontal and lateral chest radiographs were obtained. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal. There is mild diffuse demineralization.
persistent cough, evaluate for pathology.
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The lungs are mildly hyperinflated but clear. There is no pneumothorax. The heart and mediastinum are within normal limits. The bones are unremarkable. Punctate dense foci projecting over the larynx on the frontal view may be related to an object outside of the patient. Nodular thickening of the left paratracheal soft tissues with a slight indentation on the cervical trachea may be due to a nodular left thyroid gland.
<unk> year old woman with asthmatic bronchitis, smoker // r/o lung lesion
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There is increased streaky opacification at the right lung base greater than the left lung base most compatible with atelectasis. The lungs are otherwise clear without focal consolidation concerning for pneumonia. No significant pleural effusion or pneumothorax is detected. The cardiac silhouette is normal in size. The mediastinal contours are slightly prominent due to unfolding of the thoracic aorta but otherwise within normal limits. The hilar contours are unremarkable. The trachea is midline. There is no free air beneath the right hemidiaphragm. No displaced rib fractures are detected.
left rib pain status post mechanical fall, here to evaluate for rib fracture.
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There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette appears somewhat widened. No radiographic evidence of lymphadenopathy. Imaged osseous structures are intact. There is a hiatal hernia. No free air below the right hemidiaphragm is seen.
history: <unk>m with history of dm here with chest pain // ?pna, acute process for cp
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Frontal and lateral views of the chest. The lungs are well expanded without focal consolidation, pleural effusion, or pneumothorax. Blunting of the right costophrenic sulcus is unchanged since <unk>. Mild diffuse interstitial abnormality suggests underlying chronic lung disease. Moderate cardiomegaly persists. Aortic tortuosity is unchanged. Degenerative change in the thoracic spine.
<unk>-year-old woman admitted with hypotension. evaluate for pneumonia.
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In comparison with study of <unk>, there is continued enlargement of the cardiac silhouette with moderate left pleural effusion and compressive atelectasis at the base. No definite pneumothorax is seen. Pulmonary vascularity is essentially within normal limits.
pleural effusions.
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
<unk>-year-old female with history of hyperthyroidism (graves' disease) and kidney stones recently started on methimazole and propranolol, presenting with acute abdominal pain and tachycardia. question infection versus thyroid storm. question cardiomegaly.
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Heart size is normal, with stable mediastinal and hilar contours. Lungs are hyperinflated with flattened diaphragms, consistent with history of copd. No focal consolidation concerning for pneumonia or pleural effusions. Multiple myeloma bony lesions of the right ribs and thoracic spine are better assessed on the ct from <unk>.
<unk> year old man with hx of myeloma and copd. recurrent cough. please further evaluate for pna.
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Patient is rotated to the left. Dual lead left-sided pacer device is similar in position. Interstitial edema persists, part possibly slightly increased on the left compared to the prior study. Left base opacity could be due to atelectasis however pneumonia or aspiration or not excluded in the appropriate clinical setting.no large pleural effusion is seen. There is no evidence of pneumothorax peer the cardiac and mediastinal silhouettes are stable. Severe compression deformity is re- demonstrated at the thoracolumbar junction.
history: <unk>f with weakness, anticoagulated //
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
chest pain. evaluate for pneumonia.