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In comparison with the study of <unk>, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion or pleural effusion.
fever and cough.
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In comparison with the study of <unk>, there is little change in the appearance of the right upper lobe bullous changes with continued hyperexpansion of the lungs consistent with emphysema. No evidence of acute focal pneumonia or vascular congestion.
copd and ethanol abuse with cough, to assess for aspiration pneumonia.
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No previous images. There are relatively low lung volumes. The cardiac silhouette is within normal limits and there is no vascular congestion or pleural effusion. Specifically, no acute pneumonia.
cough, to assess for pneumonia.
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There is mild diffuse increased density of the left lung compared with the right lung, which has been an usual radiographic finding since the cabg, with different degrees of severity on subsequent exams, suggestive of asymmetric recurrent pulmonary edema of the left lung. A vague opacity in the right upper lung as well as foci of more conspicuous opacities along the inferior left cardiac margin and above the left hemidiaphragm, which margins are obscures, may represent overlapping infection/inflammation. There may be a small right-sided pleural effusion. No left-sided pleural effusion is identified. Significant biapical scarring is present. There is no pneumothorax. Cardiac size is top-normal. Sternotomy wires are intact.
<unk> year old woman with h/o copd and recent cabg p/w cough and shortness of breath. assess for infiltrate, effusion
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Chronic appearing changes are noted at the right lung with chronic volume loss. There is chronic blunting of the right costophrenic angle which may be due to small pleural effusion or pleural thickening. Subtle increase in interstitial markings bilaterally may be due to minimal interstitial edema superimposed on copd. No lobar consolidation. No pneumothorax. Cardiac and mediastinal silhouettes are stable.
history: <unk>f with copd, nsclc s/p resection in <unk>, follicular lymphoma p/w fever, cough // pneumonia, adenopathy, mass
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In comparison with chest radiographs from <unk>, there is little overall change. Bibasilar and left retrocardiac opacities are stable, likely reflecting atelectasis, though superimposed pneumonia cannot be definitively excluded in the appropriate clinical setting. No new focal consolidation. No pneumothorax. Small bilateral effusions are stable. There is mild central vascular congestion with overt pulmonary edema. Gaseous distention of loop of bowel in the left upper quadrant, presumably stomach, is unchanged.
<unk> year old woman with new retrocardiac opacity on kub // please evaluate for pneumonia, effusion
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. During the interval, the right-sided chest tube has been removed with pneumothorax remaining as it existed while the tube was in place. This can be measured up to <num> cm in the right axillary area but narrows to a few millimeters within the apical region. In comparison with the preceding study, there is no critical collapse of the right lung. No new parenchymal processes can be seen. In the left hemithorax, the previously described left-sided chest tube introduced from the lateral anterior chest wall and reaching finally the lateral posterior pleural sinus remains unchanged. There is no evidence of increased pleural effusion in comparison with the previous study, and no pneumothorax is seen on the left side. Chest wall emphysema on the left side related to the tube and since remains as before.
<unk>-year-old male patient with bilateral vats procedures, right lung biopsy, and left lower lobectomy; evaluate for pneumothorax on right side after chest tube removal.
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Cardiac conduction device is contiguous with cardiac leads. The patient status post median sternotomy with wires intact. Lung volumes are low and there is bibasilar atelectasis. The lung bases are not entirely imaged on the lateral view. Lung fields are clear.
history: <unk>f with fever, tachypnea // eval for acute process
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In comparison with study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
persistent cough after cold.
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The lung volumes are normal, no pleural effusions. No pneumonia. No lung nodules or masses. No pulmonary edema. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures.
cough, rule out pneumonia.
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Cervical fusion hardware projects over the cervical spine. The heart is moderately enlarged. The hilar contours are within normal limits. There is mild pulmonary vascular congestion without frank pulmonary edema. There is no focal consolidation, pleural effusion or pneumothorax. Minimal bibasilar atelectasis.
<unk>f with chest pain, dyspnea // eval heart and lungs
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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.
dyspnea on exertion.
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There has been interval removal of the left internal jugular central venous catheter. There is no pneumothorax. No pleural effusion. Coarsened lung markings without definite opacity to raise concern for pneumonia.
<unk>m with weakness // eval for pna
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Lung volumes remain low. Bibasilar linear and subsegmental atelectasis is unchanged. There are no new consolidations or pleural effusions. The heart and mediastinum are within normal limits. There is no pneumothorax.
<unk> year old man with fever. // pna?
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The exam is minimally limited by overlying soft tissue. Within the limitations, there is no evidence of consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
fever. evaluate for pneumonia.
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Frontal and lateral chest radiographdemonstrates well expanded and clear lungs.no pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.
chest pain. assess heart border. assess for infection.
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Pa and lateral views of the chest. No prior. The lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with persistent cough.
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The lungs are hyperinflated with lucency of the lung apices reflective of bullous emphysema. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.
<unk>-year-old female with copd on home oxygen. the patient presents with worsening shortness of breath. please evaluate for effusion, edema or consolidation.
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The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
<unk> year old man with history of luekemia status post bone marrow transplant with cough and fever.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk>m with c/o cp // ? pna
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Moderate right-sided pleural effusion is seen, larger when compared to prior and likely partially loculated laterally. Associated atelectasis is noted at the right lung base. The left lung is clear, there is no effusion. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>m with sob // effusion?
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The heart size is enlarged, slightly increased from prior exam. Sternotomy wires and mediastinal clips are compatible with prior chest surgery. The lungs are clear of lobar consolidation, and there is no radiographic evidence of large pulmonary metastases. There is no pleural effusion or pneumothorax.
<unk>-year-old male with history of malignancy, unclear as to specific subtype.
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Elevation of the right hemidiaphragm is chronic and stable since at least <unk>. The left retrocardiac opacity persists since <unk>, and there now appears to be ill-defined opacification in the left mid lung. Increase in size of right pleural effusion since <unk>. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pneumothorax is seen.
<unk> year old man with fever, cough // evaluate for consolidation
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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 abnormality is identified.
<unk>-year-old with palpitations and dyspnea.
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Since the recent prior radiograph, there has been interval increase in left hydropneumothorax with an air-fluid level seen. Pleural fluid has increased. Again seen is a small left apical pneumothorax. The right lung is clear and there is a small tiny right pleural effusion. There are no focal consolidations. Cardiac silhouette is normal.
<unk>-year-old female status post left vats, assess for interval change.
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Lung volumes are unchanged compared to the prior study. The trachea is central. The cardiomediastinal contour is normal. A dual lead pacemaker is unchanged in appearance. There are persistent bilateral pleural effusions. Bibasilar atelectasis is unchanged, cannot exclude superimposed infection. No pneumothorax seen. Degenerative changes in the right shoulder.
<unk> year old woman with afib s/p ppm c/b rv ablation txfr intubated to ccu, now on floor and at end of course for copd // ?rll pna, progression of pleural effusions
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Pa and lateral views of the chest provided. Previously noted right ij central venous catheter has been removed. There is hilar prominence with perihilar opacity which could be related to an atypical infection, less likely edema. Findings are new from prior exam. No lobar consolidation, effusion or pneumothorax. Heart size is normal. Bony structures are intact.
<unk>m with asplenic fever // consildation?
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Pa and lateral views of the chest provided. Lungs are well inflated and grossly clear. No pleural effusion or pneumothorax. Hilar contours are normal. There is prominence of the main pulmonary artery.
<unk> year old woman with hx astham, allergies, remote history of "lung scarring", presenting with dyspnea on exertion for several months. echo normal. looking for other causes for doe. // evidence of lung scarring? evidence of mass?
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Pa and lateral chest radiographs were obtained. There are new bibasilar opacities, compatible with pneumonia. There are likely small bilateral pleural effusions. The cardiomediastinal silhouette and hilar contours are stable. There is no pneumothorax. Breast implants are noted bilaterally.
patient with severe asthma and cough, evaluate for pneumonia or pneumothorax.
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The heart is normal in size. The mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. The chest is hyperinflated. Mild degenerative changes are similar along the mid thoracic spine. There has been no significant change.
chest pain.
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Heart size is normal. There are dense atherosclerotic calcifications along an ectatic and tortuous aorta appearing similar to prior exam. Hilar contours are unremarkable. Lungs are hyperinflated but otherwise clear. Pleural surfaces are clear without effusion or pneumothorax. No definite rib fracture is identified.
diffuse abdominal cramping and bleeding with rib pain.
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Mild enlargement of the cardiac silhouette is demonstrated. The mediastinal contour is unchanged. There is mild pulmonary vascular congestion. Previously noted focal opacity within the left upper lobe has resolved. There is minimal left lower lobe atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>m with chest pain/dyspnea
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The lungs are well expanded. Somewhat linear opacities at the bilateral lung bases are unchanged, possibly reflecting atelectasis or scarring. Lungs are otherwise clear. No pleural effusion or pneumothorax. Heart size is normal. Cardiomediastinal and hilar silhouettes are unremarkable. Mild tortuosity of the descending thoracic aorta with aortic knob calcifications is unchanged.
<unk>f with sob, weakness.
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Ap and lateral radiographs of the chest demonstrate intact median sternotomy wires and left-sided clips. The lungs are clear, and the cardiac and mediastinal contours are normal. No pleural effusion or pneumothorax is seen. The osseous structures are unremarkable.
fatigue and leukocytosis. evaluate for pneumonia.
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Previously seen left chest tube has been removed. There has been interval marked enlargement of the now large left pleural effusion. There is a small amount of remaining aerated left lung near the apex. There is significant rightward shift of mediastinal structures, also new. The right lung is relatively well aerated. Prominence of the right lung interstitium may relate to crowding of bronchovascular structures. No definite pulmonary vascular congestion seen in the right lung. No pneumothorax or right pleural effusion.
<unk>f with decreased breath sounds on left, evaluate for acute process.
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Heart size is normal and unchanged. 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. Again seen are multiple prominent anterior bridging osteophytes with mild wedging of some midthoracic vertebral bodies.
history: <unk>m with intermittent subscapular chest pain for the past <num> week, vomiting, abd pain. evaluate for acute cardiopulmonary process, pneumomediastinum
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The cardiomediastinal and hilar contours are within normal limits. Lung volumes are slightly low; however, there is no focal consolidation, pleural effusion, pulmonary edema or pneumothorax.
<unk>m with <num> day intermittent cp // eval for consolidation
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Cardiac silhouette size is top normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>f with chest discomfort
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Subtle linear configuration patchy left base opacity is most likely due to atelectasis rather than pneumonia. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
history: <unk>f with left posterior chest pain // eval for acute process
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Small right apical pneumothorax is slightly increased compared to <unk>. Suture material in the right lung. There is no lung consolidation. There is minimal right pleural effusion. Cardiomediastinal silhouette is normal size.
<unk> year old man s/p r vats wedge resection // eval after thoracic surgery
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Cardiac silhouette size is normal. The mediastinal and hilar contours are unchanged. There is no pulmonary vascular congestion. Lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
shortness of breath.
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The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with abdominal pain and lipase of ><unk> // any evidence of pleural effusion?
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The lungs are well expanded and clear. The hila and pulmonary vasculature are normal. No pleural effusions or pneumothorax. The cardiomediastinal silhouette is normal and unchanged. No obvious osseous abnormalities.
<unk> year old man with with cough and fevers // r/o pna
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Interval with improvement in aeration of both lungs compared to the prior exam. The right lower lobe opacity has resolved. Mild residual left basilar atelectasis. Small bilateral posterior pleural effusions. No focal consolidation, pulmonary edema, or pneumothorax. Stable appearance of the cardiomediastinal silhouette, hila, and pleura. Stable mild tortuosity of the descending aorta. Sternotomy wires and surgical clips appear intact and unchanged in position.
<unk>-year-old man presenting with a cough. evaluate for pneumonia.
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Frontal and lateral views of the chest were obtained. Right middle lobe opacity silhouettes the right heart border and there is fullness of the right hilum. Blunting of the right costophrenic angle is consistent with pleural fluid. No pneumothorax. The heart size appears mildly enlarged. Left chest wall port-a-cath has been accessed.
<unk>-year-old female with cough and fever, on chemotherapy. evaluate for infiltrate.
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There has been some interval partial re-expansion of the right lower and middle lung lobes, however there continues to be substantial volume loss in these regions. There are bilateral pleural effusions right greater than left. Upper lungs are clear.
within the sternal fractures question change.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. No overt traumatic abnormality.
left rib pain for <num> weeks after fall. now with recurrence of pain after bending at work.
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Frontal and lateral views of the chest were obtained. The heart is of normal size. Prominent retrocardiac opacity suggests left atrial enlargement. The aorta is unfolded, similar to prior. Lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.
<unk>-year-old female with chest pain. rule out infiltrate.
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Normal cardiomediastinal and hilar contours. Lungs are clear. Skin <unk> project over the right lateral chest wall and left hemithorax. No pneumothorax. Stable, mild pleural thickening at the right costophrenic sulcus. A vascular stent is seen in a proximal upper extremity.
<unk>-year-old woman with unexplained eosinophilia. evaluate for infection, malignancy, and mediastinal lymphadenopathy.
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Frontal and lateral chest radiographs were obtained. There are increased opacifications at the right lung base. No pleural effusion, pneumothorax, or pulmonary edema is seen. The heart remains moderately enlarged. Mediastinal contours are within normal limits.
patient with fever, eval for pneumonia.
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As compared to the previous radiograph, there is no relevant change. Constant lung volumes. No evidence of pneumonia or other acute lung disease. No pleural effusion. No pulmonary edema. Normal size of the cardiac silhouette.
rule out pneumonia.
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The heart is normal in size. The aortic arch is calcified. Otherwise, the mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Crowding of posterior lung volumes suggests minor volume loss in dependent areas, but otherwise the lungs appear clear.
syncope.
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Heart size is normal. The aorta remains tortuous and diffusely calcified. Mediastinal and hilar contours are otherwise unchanged. The pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is seen. Clips from prior cholecystectomy are noted in the right upper quadrant of the abdomen. Asymmetry of the breast shadows is compatible with prior left breast surgery.
history: <unk>f with <num> hours of chest pain this morning
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The lateral view is slightly limited by the upper extremities. Overall, no significant change from the prior exam. Low lung volumes are again demonstrated and overall unchanged. No focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is stable. Slightly tortuous or ectatic descending aorta appears unchanged. Costal chondral degenerative changes are again seen at the level of the sternomanubrial joint bilaterally.
<unk>-year-old man with vascular disease, likely needing or; evaluate preoperative.
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Pa and lateral views of the chest. No prior. The lungs are clear. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with chest tightness and occasional shortness of breath.
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No previous images. The heart is normal in size and there is no vascular congestion or pleural effusion. On the frontal view, there is suggestion of some hazy opacification with preservation of lung markings on the left. However, this is not appreciated on the lateral view and most likely represents merely overlying soft tissues. No convincing evidence of acute pneumonia.
aspiration risk with possible left lower lobe pneumonia.
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There is a stable moderate right pleural effusion, which limits evaluation of the right lung base. The left lung is clear. There is no pneumothorax. The heart and mediastinum are within normal limits.
<unk> year old man with pleural effusion.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top normal. The mediastinal and hilar contours are stable.
weakness.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
cough.
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Patient has bilateral interstitial and ground-glass opacities that are under investigation. This has slightly increased since <unk> and the increased density in the left lower lung is probably due to hemorrhage after transbronchial biopsy. There is no pleural effusion or pneumothorax. Mediastinal contour is normal. Cardiac contour is top normal.
patient with copd, hiv, dyspnea, bronchoscopy, transbronchial biopsy; rule out pneumothorax.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
fever and dry cough.
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A prominent right lower lung nipple shadow is noted. Lungs are clear without focal consolidation, large effusion or pneumothorax. There is unchanged mild prominence of the main pulmonary artery mogul which could indicate enlargement of the main pa. No signs of edema or congestion. Bony structures are intact.
<unk>m with left-sided chest pain
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Ap upright and lateral chest radiographs demonstrate low lung volumes. There is subsequent atelectasis at the bases. There is no pneumothorax or pleural effusion. No evidence of pulmonary edema. Heart size is probably within normal limits, its size exaggerated by ap technique and low lung volumes. Suboptimal evaluation for rib fracture, if clinical concern, ct is more sensitive. Mild anterior wedging of at least <num> lower thoracic vertebral bodies is of indeterminate age, but could be degenerative.
history: <unk>m with dementia, s/p fall // please evaluate for acute injury
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Scarring within the lung apices is symmetric. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is identified. Rounded opacity projecting over the posterior left hemidiaphragm on the lateral view could reflect a small diaphragmatic hernia. No acute osseous abnormalities identified.
<unk> year old woman with depression presenting with suicidal ideation and headache.
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Cardiomediastinal contours are normal. Lungs are clear except for linear atelectasis or scar at the periphery of the right lung base. Widespread skeletal metastases are noted with diffuse sclerotic lesions throughout the visualized skeletal structures. No pleural effusion or large pneumothorax is detected, but left lung apex partially obscured due to flexed position of the patient's neck.
<unk>-year-old man with altered mental status. known metastatic prostate cancer.
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Two views of the chest demonstrate clear lungs without effusion, or pneumothorax. The cardiac silhouette is normal in size, the mediastinal contours are normal. There is no displaced rib fracture. If there is further concern for fracture, recommend repeat dedicated views with bb marker to mark the site of pain.
<unk>-year-old female status post assault. evaluate 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>f with <num> hours substernal chest pain, brief shortness of breath
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. No evidence of hiatal hernia recurrence; the top of gastric air bubble is seen below the left hemidiaphragm.
<unk> year old woman <num> weeks s/p nissen fundoplication and hiatal hernia repair // ? reoccurance of hiatal hernia?
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Lung volumes are low. The heart size is top normal with a left ventricular predominance. The mediastinal and hilar contours are unremarkable. Streaky bibasilar airspace opacities could reflect atelectasis though infection cannot be excluded. There is no pleural effusion or pneumothorax. No acute osseous abnormalities are visualized.
asthma, shortness of breath and cough.
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The heart is mildly enlarged. The pulmonary interstitium is mildly prominent with peribronchial cuffing. Mild fluid overload or airway inflammation could be considered. There is no pleural effusion or pneumothorax.
abdominal pain and distention.
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The cardiomediastinal silhouette is unchanged. There is no pleural effusion or pneumothorax. There is retrocardiac opacity, unchanged from prior most consistent with atelectasis. The lungs are hyperinflated. There is no focal consolidation. There is no acute osseous abnormality.
<unk>-year-old man with copd an dyspnea, evaluate for acute process.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours. No free intraperitoneal air is seen with note made of a distended stomach.
<unk>-year-old man with a history of volvulus and presenting with abdominal pain, assess for free air.
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No consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal.
<unk>-year-old woman with type <num> diabetes, pre pancreas transplant. evaluate for cardiopulmonary abnormalities.
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Ap upright and lateral views of the chest provided. Opacities in the lower lobes concerning for pneumonia. There is a tiny right pleural effusion. The upper lungs appear well aerated. The heart size is difficult to assess. The mediastinal contour is unremarkable. The imaged bony structures are intact.
<unk>f with hx of copd p/w hypoxia // r/o infiltrate
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>m with hiv, fever and ha // ? pna? mass lesion
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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are unremarkable, noting pronounced tortuosity of the descending thoracic aorta. Incidental note is made of mild s-shaped scoliosis. Surgical clips are seen projecting over the bilateral upper quadrants. There has been interval removal of an inferior approach swan-ganz catheter.
<unk>f with palpitations, lightheadedness
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Cardiac silhouette size is borderline enlarged. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is visualized. There are mild degenerative changes in the thoracic spine.
history: <unk>m with question of delirium
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion pneumothorax.
<unk> year old man with cough, sputum production, and sob // r/o infiltrate
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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. Small-to-moderate anterior osteophytes are noted anteriorly along the mid-to-lower thoracic spine.
chest pain.
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Cardiac, mediastinal, and hilar contours are unremarkable. The lungs are well inflated without evidence for pulmonary consolidation or pulmonary edema. There is no pleural effusion or pneumothorax. Endplate osteophytes and ossification of the anterior longitudinal ligament are noted in the thoracic spine.
fatigue. evaluate for pneumonia.
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A large left upper lobe opacity corresponds to the loculated effusion. The combination of pleural effusion and atelectasis on the right appears to have increased particularly the pleural effusion component as demonstrated by continued shift of the mediastinum to the left. On the left there is likely a small amount of effusion but also predominately atelectasis again appreciated due to the left-sided mediastinal shift. No focal opacities concerning for infectious process are present.
<unk>-year-old woman with metastatic lung cancer and malignant pleural effusion and pericardial effusion. please evaluate.
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Frontal and lateral views of the chest. Relatively low lung volumes are noted. There is blunting of the lateral costophrenic angles on the frontal view which may be in part due to overlying soft tissues. Although, there is minimal blunting of one of the posterior costophrenic angles on the lateral view, likely on the right with the other not visualized due to spinal hardware. There is no confluent consolidation or large effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified. Posterior spinal fixation hardware is seen spanning the mid to lower thoracic spine.
<unk>-year-old female with chest pain.
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A picc line is difficult to visualize, but courses across the left apex and visible within the superior vena cava, although it is difficult to see the tip since the catheter is not very radiodense. The lungs appear clear. The cardiac, mediastinal and hilar contours are stable. There are no pleural effusions or pneumothorax. Mild degenerative changes are noted along the thoracic spine.
new fever while on antibiotics. history of septic knee.
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The lungs remain slightly hyperexpanded, suggestive of copd. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
history of hiv, presenting with fever.
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with cough and wheezing. evaluate for pneumonia.
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The lungs are well expanded. There is small opacity in the left lung base consistent with atelectasis. The lungs are otherwise clear. There is a small left pleural effusion. There is no right pleural effusion. No pneumothorax is seen. The cardiomediastinal silhouette is unremarkable.
history: <unk>m with fever, s/p r hip surgery last week // eval for consolidation
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The right arm is down mimicking opacity on the lateral view. Cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax. There is no focal lung consolidation.
<unk>-year-old with right shoulder pain.
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Lung volumes are slightly low, but unchanged. There is a chronic mild interstitial abnormality. There is no pleural effusion or pneumothorax. There is no focal consolidation to suggest pneumonia. The heart is not enlarged. The mediastinal and hilar contours are normal. There is possible cortical irregularity of the right scapula.
chest pain and dyspnea. evaluate for pneumothorax or pneumonia.
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Cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Lungs are mildly hyperinflated but clear. No focal consolidation, pleural effusion or pneumothorax is demonstrated. Mild degenerative changes are noted within the thoracic spine.
history: <unk>f with cough, chills
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are well inflated and appear clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with fever, cough
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Pa and lateral views of the chest. No prior. The lungs are clear. The cardiomediastinal silhouette is normal. The osseous and soft tissue structures are unremarkable. No free air is seen below the diaphragm.
<unk>-year-old female with two weeks of burning epigastric right upper quadrant pain. vomiting after meals.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax. Surgical clips are seen in the mid abdomen.
fever, history of cholangiocarcinoma. evaluate for infiltrate.
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Pa and lateral views of the chest provided. Aicd is unchanged with leads extending to the region of the right atrium and right ventricle. Midline sternotomy wires and mediastinal clips are again noted. Heart remains mildly enlarged. There are low lung volumes with crowding of bronchovascular markings and atelectasis in the lower lungs. No overt evidence for pneumonia or chf. No large effusion or pneumothorax. Mediastinal contour stable. Bony structures appear intact. No free air below the right hemidiaphragm.
<unk>m with pleuritic chest pain, hemoptysis // eval heart and lungs
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Frontal and lateral views of the chest. Dual lead left chest wall pacing device is seen in unchanged position. Mild cardiomegaly is unchanged. The lungs are clear without focal consolidation, pneumothorax, or pulmonary vascular congestion. No acute osseous abnormality is detected.
<unk>-year-old male with history of chf with palpitations and shortness of breath.
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion. A cannulated screw projects over the right shoulder, compatible with prior repair.
<unk>-year-old male with stage iv bladder cancer status post cystectomy and adjuvant chemotherapy.
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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. Bony structures are unremarkable.
chest pain.
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The patient is status post coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours appear unchanged. There is stable relative volume loss of the left hemithorax without change. A background interstitial prominence appears stable. There is no pleural effusion or pneumothorax. Cholecystectomy clips project along the right upper quadrant.
shortness of breath and cough. question pneumonia.
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. Cardiomediastinal contours are within normal limits. No free air seen below the right hemidiaphragm.
<unk>m with tia symptoms // eval for infiltrate
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There is new opacity in the retrocardiac region of left lower lobe. There is no pleural effusion or pneumothorax. Cardiac silhouette is within normal size.
<unk> year old man with hemoptysis, on asa and clopidogrel. // any changes?
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Pa and lateral chest radiographs were provided. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. There is no free air under the hemidiaphragm. There are clips in the right upper quadrant and left upper quadrant.
history of gastric bypass, abdominal pain, assess for pneumoperitoneum.