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Heterogeneous consolidation predominately involving the right middle lobe and to a lesser degree the adjacent right lower lobe is new compared to <unk> radiograph. Linear right basilar opacities are also new. The left lung is clear. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax. No acute osseous abnormality is identified.
<unk>fwith symptoms concerning for acs vs pe, recent unarmed assault with worsening headache // acute cardiopulmonary process, acute intracranial process
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There is increased density of the consolidation in the lingula following biopsy of a partially calcified mass. There is mild blunting of the left costophrenic angle, compatible with a possible small effusion. There is no pneumothorax. Right lung is grossly clear. The cardiomediastinal silhouette is stable.
history: <unk>m with recent biopsy of calcific growth, now w hemoptysis; <unk> <unk> p<unk>// eval for consolidation
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Pa and lateral views of the chest provided. Volume loss is again noted within the right lung with chronic scarring which appears partially calcified. Right apical opacities also unchanged. Overall pattern of lung opacities unchanged. No new consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures appear intact.
<unk>m with h/o cad, here w/ chest pain this morning, now resolved
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The lung volumes are low. In the left lower lung zone, there is an ill-defined retrocardiac opacifity which is likely atelectasis, but early or developing pneumonia cannot be excluded. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
cough x <num> weeks.
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There are mildly displaced fractures of the left lateral fourth and seventh ribs with subtle non-displaced fractures of the left lateral sixth rib and left posterior <unk> and <num>th ribs. There is no definitive evidence of pneumothorax. A focal airspace opacity in the left mid lung zone is compatible with pulmonary contusion. There is a small amount of pleural fluid tracking towards the left lung apex. The cardiomediastinal and hilar contours are within normal limits.
status post trauma with chest pain, here to evaluate for rib fractures or pneumothorax.
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The patient status post sternotomy. The superior sternal suture has fractured though no good evidence of diastases is suggested. There is cardiomegaly. There is a small left-sided pleural effusion in. There is minimal peribronchial cuffing and upper lobe blood venous diversion. Is more focal right lower represent a developing infection. No specific evidence of the tuberculosis clinically questioned
<unk> year old man admitted for hd initiation <unk> fatigue/uremia // r/o granulomatous disease for hd
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. The lung volumes are low. Small right middle lobe opacity silhouettes the right heart border. Left lung is clear. No pleural effusion or pneumothorax.
cough and shortness of breath.
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There has been interval removal of a right-sided picc. The cardiac silhouette is markedly enlarged. There are small bilateral pleural effusions. Prominence and indistinctness of the hila and bilateral perihilar opacities are most consistent with pulmonary edema. Additional small patchy opacities in the mid lung zones bilaterally may relate to pulmonary edema although superimposed infectious process is not excluded in the appropriate clinical setting. There is severe compression of a lower thoracic vertebral body, stable, with focal kyphosis at this level.
hypoxia
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Cardiac silhouette size is normal. The aorta is tortuous. Fullness of the mediastinal contour is unchanged, compatible with underlying lymphadenopathy. Superior retraction of the hila with diffuse parenchymal opacities, architectural distortion and scarring most pronounced in the lung apices are all unchanged compared to the previous exams and compatible with sarcoidosis. No new focal consolidation, pleural effusion or pneumothorax is present. No pulmonary edema is identified. There are no acute osseous abnormalities.
history: <unk>f with hypoxia, right-sided pain.
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Heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Chain sutures are noted along the peripheral aspect of the left mid lung field. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Moderate multilevel degenerative changes are seen in the thoracic spine. Multiple left-sided rib deformities are present, likely from prior thoracotomy. Degenerative changes are also noted within both acromioclavicular and glenohumeral joints.
history: <unk>f with fever/chills
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. There is no new focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits.
lymphoma, on chemotherapy with cough.
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There is mild pulmonary edema as well as chronic cardiomegaly. There is no definitive focal airspace consolidation. There is no pneumothorax or pleural effusion. A dual lead pacemaker is present.
<unk>-year-old woman with dementia and behavioral changes. evaluate for occult infection.
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The lungs are hyperinflated selected of copd. Biapical scarring is also noted. There is a left retrocardiac opacity concerning for pneumonia. There is no pleural effusion, pulmonary edema or pneumothorax. The heart is normal in size.
<unk>-year-old female with sudden onset dizziness. evaluate for intracranial hemorrhage or pneumonia.
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The cardiac, mediastinal and hilar contours appear unchanged. The aorta is moderately calcified and tortuous, as before. The heart is normal in size. There is no definite pleural effusion or pneumothorax. The lungs appear clear. Surgical clips project over the right upper quadrant of the abdomen.
chills.
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Dual-chamber pacemaker leads are in unchanged position from the prior radiograph heart size and mediastinal contours are normal. Lungs are clear without evidence of pneumonia. There is no pleural effusion or pneumothorax. Blunting of the left costophrenic angle is chronic.
history: <unk>m with palpitations and intermittent sob over the past week // concern for infection in presence of increased hr, sob
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Compared to the prior film, there is been resolution of the chf. Mild residual upper zone redistribution may be present. There is minimal patchy opacity posteriorly, with patchy opacities in the right cardiophrenic region and in the retrocardiac region. No frank consolidation is identified. No pleural effusion. Cardiomediastinal silhouette is enlarged, possibly slightly improved. Left-sided <num> lead pacemaker is present, with tips over right atrium and right ventricle.
<unk> year old man with decompensated chf, new productive cough. // evaluation of pulm edemea/ vasculature, any infitrate c/f pna
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Cardiomediastinal contours are stable, the cardiac size is normal. Hilum bilaterally are enlarged as before. The lungs are clear. There are low lung volumes. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old <unk> woman with <num> months of productive cough, night sweats // infiltrate?
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Frontal and lateral chest radiograph demonstrates mildly hypoinflated lungs with bibasilar atelectasis. No focal opacity. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.
<unk>-year-old male with right lower chest pain, cough and sputum. assess for acute cardiopulmonary process.
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As compared with prior examination dated dated <unk>, there has been minimal interval change. Redemonstrated is a left-sided aicd with a single lead noted to be terminating within the right ventricle. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. Stable, moderate cardiomegaly is again noted. Mediastinal and hilar contours are normal.
history of heart failure, now with acute on chronic cough.
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Pa and lateral views of the chest provided. Pacemaker projects over the right chest wall with single lead extending into the region of the right ventricle unchanged. The heart remains mildly enlarged. There is no focal consolidation, large effusion or pneumothorax. Mediastinal contour is unchanged. Bony structures remain intact. No free air below the right hemidiaphragm.
<unk>f with epigastric pain // r/o pneumonia
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The cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear without focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits. The upper abdomen is unremarkable.
<unk>f with chest pain radiating to the back, hx of aortic root dilitation // evaluate for acute change
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The lungs are clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.
<unk>f with ruq pain // evaluate for pneumonia, pe
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded clear without focal consolidation concerning for pneumonia. Several small oval radiopaque densities are seen projecting over the left upper quadrant which may represent ingested pills.
history: <unk>f with tachycardia.
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There is mild interstitial edema as well as left lower lobe atelectasis. The cardiac silhouette remains severely enlarged. There is no pleural effusion or pneumothorax. Calcifications of the coronary arteries and aortic arch are noted. Median sternotomy wires and surgical clips project over the mediastinum. Surgical clips are also seen projecting over the left upper abdomen. Mild loss of height of several thoracic vertebral bodies are again noted on the lateral view.
wheezing after transfusion, evaluate for acute process.
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The lungs are clear. There is no pneumothorax. The heart and mediastinum are within normal limits. Regional bones and soft tissues are unremarkable.
<unk> year old woman with dry cough and normal spirometry. evaluate for infiltrates //
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Pa and lateral views of the chest. The lungs remain clear. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female bradycardia and chest pain.
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The lungs are clear without consolidation, atelectasis, or edema. There is no pleural effusion or pneumothorax. Moderate enlargement of the cardiac silhouette is stable.
evaluate for cause of postoperative fever.
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Upright pa and lateral radiographs of the chest were obtained. The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
shortness of breath. evaluate for pneumonia or edema.
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Frontal and lateral views of the chest were performed. There is chronic elevation of the left hemidiaphragm. Hyper-inlfation of the right hemithorax is likely from emphysema. The cardiac silhouette remains mild to moderately enlarged. A calcified and tortuous aorta is again seen. Increased prominence of septal markings, specifically in the right lung, reflects mild congestive failure. There is no focal airspace consolidation to suggest pneumonia. There is no pneumothorax.
left shoulder pain, evaluate for dislocation or fracture.
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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 male with chest pain.
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No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema or pneumothorax is present. The heart size is normal. There is tortuosity of the aorta.
chest pain. history of cardiac stent placement.
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No significant interval change. The lungs are well-expanded. No focal consolidation, edema, effusion, or pneumothorax. The heart is top-normal in size, unchanged. Mediastinal and hilar contours are unchanged. No acute osseous abnormality.
<unk>-year-old female with left chest pain. evaluate for pneumothorax.
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The patient is status post coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
chest pain after motor vehicle collision.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear. The cardiomediastinal silhouette is within normal limits noting tortuosity of the aorta. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with hyperglycemia. question infection.
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There is a left-sided port which terminates in the cavo-atrial junction. There is a tubular structure inferior to the port, not seen on the lateral radiograph and is likely external to the patient. No focal consolidation concerning for pneumonia is identified. There is no pleural effusion or pneumothorax.
history of pancreatic cancer, new port, please evaluate location of port.
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There is elevation of the right hemidiaphragm. The heart size is normal. There is no pneumothorax. The aorta is tortuous. The lung fields are clear. Mild dextroscoliosis is incidentally noted. A rounded density projecting over the lower thoracic spine is of uncertain etiology. Small bilateral pleural effusions. Atelectasis at the right lung base is mild.
history: <unk>m with delirium- new onset // assess for ich, pna
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Left for deviation of the trachea with associated coronal narrowing above the level of the thoracic inlet is consistent with known right thyroid enlargement. Cardiomediastinal contours are remarkable for increased distension of the azygos vein since <unk> radiograph. Linear opacities are present in the left mid and lower lung, and bilateral perihilar and basilar bronchial wall thickening is present.
<unk> year old woman s/p renal transplant here with fever, ulcer, difficulty swallowing. // intrathoracic process
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Pa and lateral views of the chest provided. Suture is seen at the left apex. There is minimal blunting of the left cp angle, improved from prior, likely tiny effusion versus pleural parenchymal scarring. Lungs are clear. Cardiomediastinal silhouette is normal. Bony structures are intact.
<unk>f with chest pain similar to prior ptx
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Heart size remains markedly enlarged, unchanged. The aorta is diffusely calcified and mildly tortuous, also unchanged. Left-sided pacemaker device is re- demonstrated with leads terminating in the right atrium, right ventricle, and coronary sinus. Abandoned right-sided pacemaker lead is again seen. Mild pulmonary vascular congestion is present, mildly increased compared to the prior exam. Small right pleural effusion also appears slightly increased compared to the prior exam with associated right basilar opacification likely reflective of atelectasis. Minimal left pleural effusion is likely present. No pneumothorax is identified. Dextroscoliosis of the thoracic spine is again seen.
shortness of breath.
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The cardiomediastinal and hilar contours are within normal limits. The aorta is unfolded. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
chest pain
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Cardiomegaly is mild. Lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. Pulmonary vascular markings are normal. No radiopaque foreign body.
chf.
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Heart size is mildly enlarged, unchanged. Mediastinal and hilar contours are similar. Mild pulmonary vascular congestion is re- demonstrated. Lungs remain hyperinflated. There is no focal consolidation, pleural effusion or pneumothorax noted. No acute osseous abnormalities detected.
history: <unk>m with cough and fever
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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 right ankle fracture, pre op
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Ap and lateral views of the chest are compared to previous exam from earlier the same day at <unk>. The lungs remain clear. There is no effusion, pneumothorax. Cardiac silhouette is slightly enlarged. Severe degenerative changes noted at the glenohumeral joints bilaterally. Anterior wedging of the lower thoracic vertebral body versus upper lumbar vertebral body is age indeterminate and clinical correlation is recommended. Surgical clips project over the right axilla.
<unk>-year-old female with increased respiratory rate, fall earlier today. question pneumothorax.
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There is persistent elevation of the right hemidiaphragm with adjacent atelectasis. Diffuse intersitial opacities have decreased since the last study, correlating with improving interstitial lung disease. An opacity in the left mid lung zone correlates to an area of intersitial abnormality on the chest ct obtained on the same day and is stable since the prior evaluation in <unk>. No pleural effusion. Patient is status post cholecystectomy.
<unk>-year-old female with chest pain.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Mild fullness of the left hilum is likely superimposed vasculature. Moderate degenerative changes are noted in the lower thoracic spine.
chest pain.
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Frontal and lateral radiographs of the chest demonstrate normal heart size, mediastinal and hilar contours. Clear lungs. No pneumothorax or pleural effusion. No radiopaque foreign body.
foreign body sensation in throat. question foreign body.
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The lungs are hyperinflated and there are bilateral pleural effusions, larger on the right. Superiorly, the lungs are clear. There is no definite consolidation or pulmonary edema. Moderate cardiac enlargement is unchanged. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities, hypertrophic changes are noted in the spine.
<unk>m with afib with rvr // eval for infiltrate, edema, heart size
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Redemonstrated is a dual lead pacemaker/ icd with leads terminating within the right ventricle and atrium, respectively. The cardiomediastinal silhouette is stable. Retrocardiac opacity has resolved. Patchy right lower lobe opacity is probably chronic and unchanged, likely due to minor scarring or atelectasis. There are no pleural effusions or pneumothorax.
history: <unk>m with chb s/p pacer, oral scc s/p xrt and resection ,presenting with fever, has crackles at l lung base. // ?pna
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No previous images. The heart is normal in size and configuration. No evidence of vascular congestion, pleural effusion, or acute focal pneumonia. Of incidental note are biapical pleural changes, consistent with previous exposure to tuberculosis.
bladder cancer, to assess for disease spread.
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Again re- demonstrated is severe kyphosis with multiple compression deformities in the thoracic spine, which limits assessment. The cardiac, mediastinal and hilar contours appear relatively unchanged, with the heart size appearing mildly enlarged. Previous pattern of mild pulmonary edema has improved. Small bilateral pleural effusions persist, with interval decrease in size of the right pleural effusion. No pneumothorax is identified.
shortness of breath, back pain.
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Lung volumes are low. There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
history: <unk>m with chest pain/dyspnea // evaluate for acute process
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Small to moderate right pleural effusion appears decreased as compared to the prior study. There appears to be some volume loss of the right lung although there is improved aeration as compared to the prior study. The left lung is clear. No left pleural effusion is seen. No definite focal consolidation. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable.
history: <unk>m with liver transplant <unk> p/w fever and diminished r breath sounds // evaluation of pna
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Pa and lateral chest films were obtained with patient in upright position. Comparison is made with the next preceding portable single view chest examination of <unk>. Patient is not examined in upright position using pa and lateral projections. Moderate enlargement of heart silhouette in comparison with the preoperative chest examination of <unk>. In addition to the previously existing bypass surgery, the patient has now received an aortic valve prosthesis (metallic components identified suggest porcine valve) located in appropriate position. On the lateral view prostheses replaces the previously identified star shaped heavy aortic valve calcifications. Present cardiac enlargement is likely the result of some postoperative pericardial effusion. The distance between surgical graft clips and outer cardiac contour has increased. On the frontal view, mild blunting of the lateral pleural sinuses is seen. On the right side, some fluid enters also the minor fissure. These findings are rather small and on the lateral view only mild blunting of the posterior pleural sinuses is noted. Linear density in the left lung base in retrocardiac position suggests presence of a left lower lobe posterior atelectasis. It was not present on the preoperative examination. There is no evidence of pneumothorax in the apical area and the pulmonary vasculature demonstrates no evidence of increased congestion at this time. The next preceding portable chest examination of <unk> identified basal densities most likely represented pleural effusions that were partially layering in the posterior pleural compartments.
<unk>-year-old male patient, evaluate effusions.
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The cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. The pulmonary vasculature is normal. Apart from linear scarring in the left lung base, the lungs are clear. Elevation of the left hemidiaphragm is chronic. No pleural effusion or pneumothorax is present. There are multilevel degenerative changes noted within the mid and lower thoracic spine with anterior bridging osteophytes.
chest pain, history of diabetes mellitus.
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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 appear within normal limits.
fever, sweats, cough and runny nose with left upper quadrant pain.
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Pa and lateral views of the chest were compared to previous exam from <unk>. The lungs are clear. Cardiomediastinal silhouette is stable. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with chest pain and palpitations.
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The cardiomediastinal silhouette is stable and within normal limits. The hila are unremarkable. Lower lung opacification seen only on lateral view is favored to represent atelectasis in the setting of a suboptimal inspiratory effort. There is no correlate on frontal view with a better inspiration. There is no pulmonary venous congestion or pulmonary edema. There is no pneumothorax or pleural effusion. There is no evidence of a displaced rib fracture.
<unk>-year-old man presenting after motor vehicle collision, evaluate for acute injury.
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As compared to the previous image, there is unchanged evidence of right upper paramediastinal thickening and apical thickening, combined to substantial volume loss of the right upper lobe. The hyperinflated right lower lobe and the left lung appear normal. The right pleural effusion, not present at the previous exam, has re-occurred. This leads to blunting of the costophrenic sinus and is better appreciated on the lateral than on the frontal image. The extent of the effusion is comparable to <unk>, before right thoracocentesis. Unchanged size of the cardiac silhouette. Unchanged appearance of the hilar structures.
pleural effusion, evaluation.
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.
chest pain.
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Lung volumes are low, particular in the left lung were there is elevation of the left hemidiaphragm and a left basal opacity, likely reflecting atelectasis. Superimposed infection cannot be excluded. Lungs are otherwise clear. Moderate unfolding of the thoracic aorta. Surgical clips consistent with a prior thyroidectomy. No pneumothorax or pleural effusion seen. Moderately severe degenerative changes in the thoracic spine.
<unk> year old woman with sepsis of likely urinary source, new tachypnea // assess for pulmonary edema or pneumonia
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The cardiomediastinal and hilar contours are within normal limits. Mild atelectasis at the lung bases. The lungs are otherwise clear. There is no pneumothorax, fracture or dislocation.
history: <unk>m with cough and hx of pneumonia // r/o pneumonia
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. Widened mediastinum is consistent with patient's known type a aortic dissection. The heart is mildly enlarged. Status post median sternotomy. Metallic clips project over the right apex and axilla. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with dizziness, code stroke // intrapulm process
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Right base atelectasis is seen without definite focal consolidation. There may be minimal pulmonary vascular congestion, improved since the prior study. The patient is status post median sternotomy and cabg. The cardiac and mediastinal silhouettes are stable. No pneumothorax is seen.
history: <unk>m with chest pain, recent cabg // ?ptx
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Pa and lateral views of the chest. There are small to moderate sized bilateral pleural effusions, new from prior study. There is mild pulmonary vascular congestion. There is bibasilar atelectasis. No focal consolidation. There is moderate cardiomegaly. No pneumothorax. Scarring at the apices.
shortness of breath.
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Ap and lateral views of the chest were obtained. There is no focal consolidation, pleural effusion, or pneumothorax. There is a stable nodular hyperdensity in the right lung, likely a calcified granuloma. The cardiac and mediastinal silhouettes appear normal. There is no bony abnormality. No free air under the diaphragm is identified. Left shoulder hardware is partially imaged.
chest pain and sore throat. evaluate for infiltrate.
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Upright pa and lateral radiograph of the chest. The lungs show mild bibasilar atalectasis but are otherwise clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax. There is dextroconvex curvature centered over the lower thoracic spine. There is no pleural effusion or pneumothorax.
distal tibia-fibula fracture, preop films.
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. Note is made of mild left hemidiaphragmatic elevation. The lungs are well aerated. There is no pneumothorax, vascular congestion, or pleural effusion. Note is made of relative loss of height at t<num>.
<unk>-year-old female with progressive chest pain and shortness breath. question acute process.
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The lungs are clear without focal or diffuse abnormality. The pulmonary vasculature is unremarkable. There is no pneumothorax, pleural effusion, or pneumoperitoneum. Osseous structures are unremarkable. No radiopaque foreign bodies.
<unk>-year-old man with no significant past medical history presenting with epigastric pain. evaluate for acute process.
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Pa and lateral views the chest provided demonstrate clear well expanded lungs without focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. . No free air is seen below the right hemidiaphragm.
<unk>m with epigastric pain, question perforated ulcer question free air under diaphragm.
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In comparison with study of <unk>, there is substantial enlargement of the cardiac silhouette, accentuated by low lung volumes. Indistinct right hilum and right lower lung zone could reflect pulmonary congestion. In the appropriate clinical setting, supervening pneumonia would have to be considered.
renal disease with transplant.
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The heart size normal. No pulmonary edema. No airspace consolidation. No pneumothorax. No pleural effusion.
<unk> year old woman with sob // eval for chf
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities identified.
fever, sore throat, productive cough.
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Ap upright and lateral views of the chest were provided. Aicd is unchanged. Lung volumes are low. In this patient with pulmonary fibrosis, there is a similar overall appearance when compared with the prior exam. A fiducial marker is noted projecting over the lateral left mid lung. There is central hilar engorgement likely indicative of central congestion. Heart size cannot be assessed. No large effusion or pneumothorax.
<unk>m with sob // eval for volume overload
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In comparison with the study of <unk>, the cardiac silhouette remains at the upper limits of normal and there is tortuosity of the aorta. No evidence of acute pneumonia, vascular congestion, or pleural effusion.
upper chest pain, to evaluate for pneumonia or masses.
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Heart size is borderline enlarged. Mediastinal contour appears unchanged. Hilar contours are unremarkable, and no pulmonary edema is present. Increased interstitial opacities are seen within the right lung diffusely, as well as in the left lung base, findings which appear worse in the right lung compared to the previous chest radiograph. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is present.
history: <unk>f with dyspnea on exertion and cough
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with ms on immunosuppression presenting with diffuse achiness
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Pa and lateral views of the lungs are compared to prior from <unk>. Lungs are clear of focal opacity, noting low lung volumes on the lateral view with linear atelectasis. Cardiomediastinal silhouette is stable, as are the osseous and soft tissue structures.
<unk>-year-old male with fevers and cough. question pneumonia.
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A right subclavian central venous catheter ends in the right atrium. A left picc projects over the low svc. There are moderate to large bilateral pleural effusions with associated atelectasis. There is mild pulmonary vascular congestion. The cardiomediastinal silhouette is stably enlarged. There is no pneumothorax.
<unk> year old man s/p tvr/pfo closure, evaluate pleural effusion..
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Low lung volumes. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with shortness of breath. evaluate for acute process
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion, focal consolidation or pneumothorax is present. There are mild degenerative changes seen in the thoracic spine.
history: <unk>m with cough
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The lungs are well expanded and clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged in appearance.
history: <unk>f with chest pain // eval for infiltrate
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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 mvc // characterization of opacity on trauma film
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Lungs are hyperinflated. There is no focal consolidation, effusion or pneumothorax. Moderate to severe cardiomegaly noted without signs of edema or pulmonary vascular congestion. The thoracic aorta is tortuous. The bilateral hila are unremarkable. There are tiny bilateral layering pleural effusions. There is biapical pleural parenchymal scarring. Bones are diffusely demineralized. There is a lower thoracic compression fracture with mild kyphotic angulation noted. Please refer to same day mr spine for further details. Chronic deformity of the sternum noted appear
an <unk>-year-old woman with tachycardia, evaluate for infection.
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. No focal consolidation convincing for pneumonia is present. There is no effusion or pneumothorax. Cardiomediastinal and hilar contours are within normal limits. Visualized osseous structures demonstrates no acute abnormality.
<unk>-year-old male with fever and chest pain.
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The heart size is top normal. Right-sided aortic arch is noted. There is diffuse calcification of the thoracic aorta. The mediastinal and hilar contours otherwise are unremarkable, with interval improvement in the previous pattern of pulmonary vascular congestion. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen.
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.
<unk>f with cp/doe // r/o acute process
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Left humeral head replacement noted. A peg tube projects over the upper abdomen.
<unk>m with sinus tach to <num>s // eval ? effusion, infiltrate
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Frontal and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The heart size is normal. The cardiac, hilar, mediastinal contours are normal.
patient presenting with a probable old stroke. evaluation for thoracic process.
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Frontal and lateral views of the chest. There is a large hiatal hernia and the intrathoracic stomach may contain a large bezoar. A dual chamber cardiac pacer is seen. The heart is mildly enlarged. There are median sternotomy wires and clips, presumably from a prior cabg procedure. The aortic valve is calcified which suggests aortic stenosis. The lungs are clear without focal opacities, pulmonary edema, pleural effusion or pneumothorax. There is no free air beneath the hemidiaphragms.
chest pain.
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As compared to the previous radiograph, the pre-existing opacity at the right lower lobe has completely resolved. No other parenchymal opacities. Normal size of the cardiac silhouette, mild elevation of the right hemidiaphragm. No pneumothorax. No pulmonary edema. No pneumonia. No pleural effusions.
subtle opacity in the right lower lobe on the chest x-ray from <unk>. evaluation for resolution.
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Cardiac silhouette size is moderately enlarged. The mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. Minimal streaky retrocardiac opacity likely reflects atelectasis. There are mild degenerative changes demonstrated in the thoracic spine.
history: <unk>f with dyspnea on exertion x <num> wk, chf history,
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with first time seizure.
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The lungs remain hyperinflated. Subtle peripheral right upper lung reticular opacities are re- demonstrated. No new focal consolidation seen. Previously seen right mid lung opacity is less conspicuous than on the prior study. Questionable left midlung pulmonary nodule on the prior study is not as well seen on the current study. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with likely asthma exacerbation, however, worsening productive cough over the past few days // pneumonia
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There is a dense left lower lobe consolidative opacity. There is no pneumothorax. There is a small left sided pleural effusion. Hilar contours are prominent. Cardiac silhouette is normal.
<unk>-year-old man with hemoptysis, lives in shelter, evaluate for pneumonia or cavitary lesion.
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Cardiomediastinal contours are normal. Biapical pleural-parenchymal a scarring is unchanged. There is no pneumothorax or pleural effusion. Which shaped deformities in thoracic vertebral body is unchanged
<unk> year old woman with progressive dementia // ?old granulomatous disease
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Interval placement of dual lead pacing device with leads terminating in the expected locations of the right atrium and right ventricle, with no visible pneumothorax. Heart size is normal. The mediastinal and hilar contours are remarkable for a tortuous thoracic aorta. The pulmonary vasculature is normal. Mild elevation of left hemidiaphragm is accompanied by focal linear left basilar atelectasis or scar. . No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man s/p dual chamber ppm. // assess lead placement and r/o ptx.
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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.
<unk>-year-old female with new onset shortness of breath, orthopnea and cough. evaluate for cause.
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Low lung volumes account for mild bronchovascular crowding. An ill-defined opacity in the right lower lung region is identified. Elsewhere lungs are clear. Cardiomediastinal sillouette is within normal limits there is no pleural effusion or pneumothorax.
patient with chest pain. evaluate for acute process.
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The aorta is tortuous and calcified, unchanged. Lungs are clear without pleural effusions, focal consolidation, or pneumothorax. Mediastinal and hilar contours are normal. Lobulation of the bilateral hemidiaphragms is again seen.
<unk>f with hx afib on coumadin presenting with cp. resolved now. cardiopulm process?