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The heart is normal in size. The mediastinal and hilar contours appear unchanged with similar mild prominent of the main pulmonary artery contour. There is no pleural effusion or pneumothorax. Mild prominence of central interstitial opacities appears, if anything, decreased.
presyncope.
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In comparison with the study of <unk>, the postoperative changes in the left mid and lower zones have substantially resolved with some residual scarring. The right upper lobe nodule is again seen. No evidence of acute focal pneumonia or vascular congestion.
pleural effusion.
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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. Patchy and linear right basilar opacity is noted, with mild associated volume loss and otherwise clear lungs. No evidence of focal consolidation. No acute osseous abnormality.
<unk>f with seizure and dyspnea, evaluate for acute process..
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Lung volumes are low leading to crowding of the bronchovascular structures. Again, bibasilar atelectasis is noted. There is no lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged appearance. Chronic left-sided rib deformities are noted.
<unk>m w/fatigue
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with chest pain
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Lung volumes are low. Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. There is slight increase elevation of the right hemidiaphragm compared to the previous study, likely reflective of ascites. Small bilateral pleural effusions are noted along with bibasilar opacities likely reflective of atelectasis. No pneumothorax is present. An there are no acute osseous abnormalities. Clips are seen within the anterior abdominal wall.
history: <unk>f with shortness of breath, ascites, ? volume overload
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. No evidence of pneumothorax.
history: <unk>m with chest pain. evaluate for pneumothorax.
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Lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified. Surgical clips project over the left upper quadrant.
<unk> year old man with malaise, immunosuppressed // eval for pna
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Cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. Somewhat linear hazy opacity within the right upper lobe abutting the minor fissure is unchanged, and may reflect an area of scarring. No new focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>f with chest pain
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Relatively lower lung volumes are seen with secondary right basilar atelectasis. The lungs are clear without consolidation worrisome for pneumonia. Moderate cardiac enlargement is likely accentuated by lower lung volumes. No acute osseous abnormalities.
<unk>m with hiv not taking meds w fever, cough, headache/neck pain //
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Pacer leads of a left chest wall generator terminate in the right atrium and right ventricle. Mild cardiomegaly and mediastinal contours are stable. Lung volumes are low and the right hemidiaphragm is elevated, similar to prior. There is bibasilar atelectasis but no pleural effusion, focal consolidation, or pneumothorax.
<unk>m with chest pain // acute process?
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Frontal and lateral chest radiograph demonstrates well expanded and clear lungs. No pleural effusion or pneumothorax. Heart size, mediastinal contour are, and hila are unremarkable. No free air under the diaphragm.
<unk>m with chest pressure, hematemesis. assess for pneumonia or free air.
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Again seen is a consolidation in the right middle lobe, unchanged since the most recent examination, consistent with right middle lobe pneumonia. No other focal consolidation is identified. There is no pleural effusion or pneumothorax.
<unk>f w/recent ct c/f malignancy, recent cxr w/opacity, returning for worsening chest pain, please eval for change in opacity // <unk>f w/recent ct c/f malignancy, recent cxr w/opacity, returning for worsening chest pain, please eval for change in opacity
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. Air-filled distended loops of bowel likely colon visualized in the abdomen. No free intraperitoneal air.
<unk>m with chest pain // eval cardiomegaly, infiltrate
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Frontal and lateral radiographs of the chest show a right subclavian central venous catheter with the tip terminating in the high right atrium. This is unchanged since <unk>. Otherwise, the lung volumes have improved since the prior study and the lungs are clear. The cardiac and mediastinal contours are normal. No pleural abnormality is detected.
reported palpitations with administration of fluid and flushing of the hickman line. confirm line placement.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Hardware from prior cervical fixation is redemonstrated.
<unk>-year-old male with cough and wheezing.
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As compared to the previous radiograph, the right pectoral port-a-cath has been removed. There is unchanged evidence of right perihilar surgical intervention with clips and hilar enlargement. This is consistent with history of esophageal cancer. The current radiograph shows no acute changes, in particular, no evidence of pleural effusions or nodular or mass-like opacities. Elevation of the right hemidiaphragm. Tortuosity of the thoracic aorta. Normal size of the cardiac silhouette. No pneumothorax.
esophageal cancer, removal of masses, evaluation for interval change.
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. There may be trace subsegmental atelectasis in the left base. There is no vascular congestion, pneumothorax, or pleural effusion.
<unk>-year-old male with epigastric and chest pain. question acute process.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Small bilateral cervical ribs are identified. No acute osseous abnormalities. There is no free intraperitoneal air.
<unk>-year-old female with epigastric pain.
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. Tortuous aortic contour is noted. There is eventration of right hemidiaphragm.
<unk>f w/pre-syncope // <unk>f w/pre-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 // r/o acute process
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Ap upright view of the chest low lung volumes are present. Right basilar patchy opacity is worrisome for pneumonia. Minimal left basilar patchy opacity may reflect atelectasis. The cardiomediastinal silhouette is normal. Pulmonary vasculature is normal. No pleural effusion or pneumothorax. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>m with <num> days cough
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In comparison with chest radiographs from <unk>, there has been interval development of central vascular congestion with moderate interstitial pulmonary edema. Mild bibasilar opacities likely reflect atelectasis. Left-sided cardiac pacing device with dual leads following their expected courses to the right atrium and right ventricle. No pleural effusion. No pneumothorax. Mild-to-moderate cardiomegaly is stable. Median sternotomy wires are intact.
<unk> year old woman with concern for pna based on osh xr report // please eval for e/o of pna
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal.
persistent cough. evaluate for pneumonia.
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Evaluation is limited by patient position. The lung volumes are low, with bronchovascular crowding which limits assessment for cardiovascular status of the patient. Mild cardiomegaly is unchanged and accompanied by pulmonary vascular congestion and minimal interstitial edema. As on prior studies bibasilar opacities, left greater than right, likely reflect combination of small pleural effusions and atelectasis. Mid thoracic compression deformities are grossly similar to <unk> but incompletely evaluated on this study.
history: <unk>f with unwitnessed fall this am // eval for intracranial hemorrhage, cardiopulmonary pathology
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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>m with chest pain // acute process?
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Lungs are clear of consolidation, pleural effusion or pneumothorax. Heart size is normal. Atherosclerotic calcifications in the ascending aortic wall appear relatively similar to the prior study performed in <unk>. Heart size is normal. Anterior osteophytes are prominent, particularly in the lower thoracic spine.
history: <unk>m with l index finger swelling/redness, syncopal fall // eval for acute injuryhand/fingers: eval for fracture, evidence of osteomyelitis
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A tracheal and bilateral bronchial stents are again visualized, unchanged in position from the prior examination. The lungs are well expanded and clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged from prior examination.
history: <unk>f with hemoptysis. // eval for stent placement
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Two 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.
sarcoidosis and <num> days of cough with yellow sputum.
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In comparison with the study of <unk>, there is increased size of the huge hiatal hernia. Continued blunting of the right costophrenic angle with no evidence of acute focal pneumonia.
possible infection.
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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 hx of uc and depression with persistent cough x <num> months
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The patient has had a previous left pneumonectomy with complete whiteout of the left hemithorax and ipsilateral deviation of the trachea and mediastinum. The right lung is hyperinflated but clear. There is no pneumothorax.
<unk> year old woman with history of lung carcinoid status post pneumonectomy presenting with chest pain copd pt had pneumonia // <unk> year old woman with chest pain copd pt had pneumonia
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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax evident. Surgical clip in upper mediastinum is unchanged since <unk>. No osseous abnormality evident.
weakness. assess for acute process, thymoma.
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Cardiomediastinal contours are normal. The lungs are hyperinflated and clear. There is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine
<unk> year old man with night sweats cough, recent mycobacterium infection // pna
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Right lung is fully expanded. No new focal opacity in either lung. Increased, moderate left pleural effusion with associated lower lobe atelectasis. Heart size is likely mildly enlarged. Cardiomediastinal and hilar silhouettes are stable. Left pectoralis dual-chamber cardiac pacemaker and leads are unchanged. Lower thoracic spine compression deformity is unchanged since <unk>.
<unk> year old man with pleural effusion // eval
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Left-sided port-a-cath is re- demonstrated with tip in the proximal right atrium, unchanged. Lung volumes remain low with moderate enlargement of the cardiac silhouette appearing unchanged. Mediastinal and hilar contours are unremarkable. Crowding of the bronchovascular structures is present though no overt pulmonary edema is seen. Linear opacities in the right upper lobe are compatible with post radiation changes. Patchy and linear opacities in the lung bases likely reflect a combination of chronic interstitial lung disease and atelectasis. No new focal consolidation is present. Elevation of the right hemidiaphragm is again noted, and a subpulmonic effusion may be present. There is no new pleural effusion or pneumothorax. No acute osseous abnormality is visualized. Clips are seen in the right axilla, and the patient is status post bilateral breast reconstruction.
history: <unk>f with dyspnea
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The patient is status post median sternotomy and cabg. Left base atelectasis is changed. Opacities in the right middle lobe are also stable since the prior study, probably compatible with scarring and atelectasis. There are no new opacities which are concerning for pneumonia. There is no evidence of pneumothorax or pulmonary edema. There is no pleural effusion. Cardiomediastinal silhouettes are stable.
cough and fever, question infiltrate.
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Heart size is mildly enlarged. The aortic arch is calcified. There is mild interstitial pulmonary edema. No pleural effusion, pneumothorax, or focal consolidation is present. Scarring is seen symmetrically within the apices. There are no acute osseous abnormalities.
dyspnea.
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Lungs remain hyperinflated but clear. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax. Chronic deformity of right-sided ribs are again identified.
history: <unk>m with productive cough and malaise // eval for pneumonia, chf
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Cardiac, mediastinal, and hilar contours are normal. Lungs are clear and the pulmonary vascularity normal. No pneumothorax or pleural effusion is present. There are no acute osseous abnormalities including no displaced rib fractures.
left chest wall pain the lung lobe mid axillary line in the superior ribs.
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The lungs are clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pulmonary edema, pleural effusion, or pneumothorax. No focal consolidation is identified.
history: <unk>m with chest pain // acute process
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The lungs are well expanded clear. Postoperative mediastinum and cardiomegaly are stable from <unk>. No pleural effusion pneumothorax.
<unk>f with sob, doe // eval for cardiomegaly, ptx
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The lungs are hyperinflated and the diaphragms are flattened, consistent with copd. Heart size at the upper limits of normal. There is subsegmental atelectasis and/or scarring at both lung bases. This likely accounts for the small focal patchy opacity seen at the left lung base laterally, which is similar to the <unk> radiograph. Again noted is curvilinear scarring, possibly a bulla, posterior to the heart on the lateral view. No chf, focal consolidation, gross effusion, or pneumothorax detected. Mild anterior wedging of an upper thoracic vertebral body, question t<num>, is unchanged compared with <unk>. Mild anterior wedging of several lower thoracic vertebral bodies is better visualized on targeted review of a <unk> ct scan.
history: <unk>m with recent copd exacerbation p/w worsening sob // eval for pna
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The lungs are hyperinflated, but there is no evidence of focal opacities. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion. A hyperlucent area in the right apex demonstrates vascular markings. Also, the line that defines it likely represent summation of osseous structures.
<unk>-year-old female with chest pain. evaluate for acute cardiopulmonary process.
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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are hyperinflated with probable mild scarring in the apices. The lungs are clear. There is no pleural effusion or pneumothorax. No definite displaced rib fracture is identified.
history: <unk>m with lateral chest wall pain s/p fall // fall trauma
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.
<unk>-year-old, cough, three days of chest pain.
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The lungs are clear of consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with cp/sob. // r/o pna
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The lung are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old with palpitations.
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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 cough and flu
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Frontal and lateral views of the chest were obtained. Heart size and cardiomediastinal contours are normal. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Ivc filter is in stable position.
<unk>-year-old male with autoimmune hepatitis and pancreatitis, here with worsening right-sided pain.
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Heart size is top normal but mildly increased compared to prior exam. The left pectoral icd remains in appropriate position. Mediastinal silhouette and hilar contours are stable. The lungs are clear. There is no pleural effusion or pneumothorax.
cough for one month, history of coronary artery disease, was in <unk> for six months.
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<num> views of the chest demonstrates mildly hyperinflated lungs with clear clear spaces. The cardiac, hilar, and mediastinal contours are normal. No pleural abnormality is seen. No rib fractures identified.
history of hiv now presenting with left-sided chest pain and mild dyspnea on exertion.
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The heart is moderately enlarged. There is perihilar haziness and vascular indistinctness compatible with mild pulmonary edema. Mediastinal contours are unremarkable. No pneumothorax or pleural effusion is identified. There are no acute osseous abnormalities.
dyspnea, cough, pulmonary edema.
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On the frontal radiograph, there is an ill-defined opacification at the right lower lung laterally as well as a increased opacity seen below the diaphragm margin. On the lateral view, there is a linear opacity which is obscuring portion of the right hemidiaphragm but with lung parenchyma posterior to this opacity. There is minimal blunting of the right lateral and posterior costophrenic sulcus, suggesting a small pleural effusion. No focal opacities are identified in the left. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax. No bony abnormalities are identified.
patient with cough and fever.
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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. Streaky opacity in the retrocardiac region overlying the spine on lateral view, most likely represents pulmonary vessels.
<unk>m with cough and chest pain, evaluate for pneumonia or acute process .
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The heart size is moderately enlarged. The aorta is tortuous. Small to moderate-sized hiatal hernia appears to be present. The pulmonary vascularity is not engorged. Linear opacity within the left lower lobe is likely subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormalities are present.
chest pain after motor vehicle collision.
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Ap and lateral views of the chest. The lungs remain clear. Cardiomediastinal silhouette is normal. No acute osseous abnormality detected.
<unk>-year-old female with increasing seizures. question pneumonia.
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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. No acute osseous abnormalities detected.
history: <unk>f with rapid narrow tachycardia
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Consolidative opacity in the left upper lobe is concerning for pneumonia. Right lung is clear. There is no pulmonary vascular congestion. No pleural effusion or pneumothorax is seen. Minimal degenerative changes are seen within the thoracic spine along with mild dextroscoliosis.
fever.
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As compared to the previous radiograph, there is a newly appeared zone of increased parenchymal density at the lower part of the right hilus as well as at the middle level of the left hilus. In the appropriate clinical setting, these changes could represent pneumonia. No pleural effusions. No pulmonary edema. Unchanged moderate cardiomegaly. At the time of dictation and observation, <time> p.m., on <unk>, the referring physician, <unk>. <unk> was paged for notification.
productive cough and sputum, evaluation for pneumonia.
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There is a left lower lobe opacity, causing silhouette of the left hemidiaphragm. Ap projection accentuates the heart size. The right lung is grossly clear. Bilateral pleural effusions are small. No evidence of pneumothorax.
<unk>m with chest pain, dyspnea. evaluate for acute intrathoracic process.
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In comparison with study of <unk>, there is little change. Specifically, no evidence of acute focal pneumonia. Blunting of the costophrenic angle is again seen, but no vascular congestion.
methotrexate with cough.
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The patient is status post mitral, aortic, and tricuspid valve replacement. The median sternotomy wires appear to be intact and well aligned. Mild cardiomegaly is stable. There is mild pulmonary vascular congestion an mild pulmonary edema. Linear atelectasis is seen in the mid right lung and left lower lobe, as well as a more confluent opacity in the right lower lobe note is made of a small right pleural effusion. There is no pneumothorax. The visualized osseous structures are unremarkable.
history: <unk>f with likley fluid overload, recent valve replacements, pls eval.
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Pa and lateral radiographs of the chest demonstrate moderate pulmonary edema as well as moderate cardiomegaly which is worse than on the prior chest radiograph from <unk>. There are small to moderate bilateral pleural effusions. There is no pneumothorax.
<unk>-year-old woman with chest pain. evaluate for volume overload.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are remarkable for a focal linearly oriented nodular opacity in the anterior segment of the right upper lobe, new from the prior chest radiograph and similar to the recent ct of <num> days earlier. Lungs are otherwise clear except for linear bibasilar areas of scar or atelectasis, also demonstrated on the recent ct scan. . No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with cough, infiltrate on ct, recommended baseline cxr. // <unk> year old woman with cough, infiltrate on ct, recommended baseline cxr.
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Pa and lateral chest radiographs. The lungs are clear. There is no focal consolidation, pleural effusion, pulmonary nodule, or pneumothorax. The cardiac, hilar, and mediastinal contours are normal. The patient's right glenohumeral hemiarthroplasty is partially imaged.
previously-resected giant cell tumor in the right humeral head. evaluation for pulmonary metastases.
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Lung volumes are low. Linear densities at the left lung base likely represent atelectasis. No pleural effusion or pneumothorax is detected. Heart size appears top normal, likely exaggerated by ap technique.
<unk>-year-old female with chest pain.
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal. There is stable mild elevation of the left hemidiaphragm. Clips are seen in the right upper hemi thorax. Right-sided aicd is in appropriate position. Abandoned left sided aicd wires are seen unchanged in position.
history: <unk>m with headache neuro findings // eval for infection
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The lungs are clear. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. Hypertrophic changes are noted in the thoracic spine.
<unk>f with syncope // eval for cardiopulmonary process
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. No free intraperitoneal air.
<unk>f with lightheadedness, dizziness, epigastric pain // r/o intrapulm process
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As compared to the previous radiograph, pre-existing parenchymal opacities, terminating at the right lung bases, have almost completely resolved. Only subtle peribronchial scars are seen on today's image. There is no evidence of secondary changes such as adenopathy or pleural effusion. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours.
an influenza, status post pneumonia, evaluation for resolution of changes.
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In comparison with the study of <unk>, there is little overall change. Some flattening of the hemidiaphragms with hyperexpansion suggests chronic pulmonary disease. However, no acute pneumonia, vascular congestion, or pleural effusion.
smoking history with wheezing.
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There is prominence of the pulmonary vasculature. Mild bibasilar atelectasis; otherwise the lungs are without a focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified. Again noted is a small foreign body focus or calcification in the left axilla is stable.
patient with aka and chest pain.
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Cardiac and mediastinal contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
chest pain.
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In the middle lobe, there is a predominantly peribronchial opacity that obliterates the right heart border. The opacity is likely to represent early pneumonia in the appropriate clinical setting. Otherwise, the lung parenchyma is unremarkable, no pleural effusions, no pulmonary edema. A wet read was delivered at <num> on <unk>.
recurrent follicular lymphoma, evaluation for pneumonia.
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The lungs are well-expanded and clear. No focal consolidation, effusion, edema, or pneumothorax. The heart is normal in size. The hila and pleura are normal. No obvious scapular abnormality. The clavicles on this single frontal view and nondedicated study appears intact and in appropriate position.
<unk>-year-old male with a left scapular injury.
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The patient is status post median sternotomy and aortic valve replacement, with sternotomy wires seen intact and well-aligned. A vascular stent is projects over the anterior mediastinum. Bilateral hilar prominence is likely chronic. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal.
cough.
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Frontal upright and lateral chest radiographs demonstrate well-expanded lungs. Cardiomediastinal contours are within normal limits. The lungs are clear. There is no pleural effusion and no pneumothorax. No displaced rib fractures are identified.
<unk>-year-old with fall, rule out fracture.
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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 sided chest pain/fatigue/ shortness of breath
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The cardiac silhouette size is normal. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax. Mild degenerative changes in the thoracic spine are noted. Clips are seen within the right upper quadrant compatible prior cholecystectomy.
mid epigastric abdominal pain.
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Sternotomy. Moderate right pleural effusion has minimally increased. There is small left pleural effusion, which has increased. Right basilar opacity, likely atelectasis, mildly worsened, consider pneumonitis in the appropriate clinical setting. Increased heart size, pulmonary vascularity, stable.
<unk> year old man with r pleural effusion // f/u interval change in pleural effusion
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Frontal and lateral radiographs of the chest demonstrate persistent postoperative changes consistent with right middle lobectomy. Left-sided pleural effusion has decreased in size and now is tiny. There has been interval resolution of the left-sided pneumothorax. A small right apical pneumothorax persists. Cardiomediastinal and hilar contours are unchanged.
<unk>-year-old female status post right middle lobectomy. evaluate for pneumothorax status post chest tube removal.
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The lungs are hyperinflated suggesting copd. There has been improvement in the left retrocardiac opacity, however there is persistent ill-defined opacification at the right base. There are no new focal consolidations. The pulmonary vasculature is normal. The heart is enlarged, but stable. There are no pleural effusions. There is no pneumothorax.
<unk>-year-old female with cough and fever.
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Pa and lateral views the chest provided again demonstrate significant cardiomegaly and hilar congestion. There is no convincing evidence for pneumonia or edema. No large effusion or pneumothorax. Linear densities in right lower lung likely atelectasis. Bony structures appear grossly intact. No free air below the right hemidiaphragm.
<unk>-year-old female with shortness of breath.
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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. Intact median sternotomy wires and mediastinal clips are noted. Limited assessment of the upper abdomen is within normal limits.
chest pain, pressure. assess for focal infiltrate or cardiomegaly.
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Pa and lateral views of the chest provided. Fusion hardware is again seen in the cervicothoracic junction. Lungs appear hyperinflated and clear. 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>f with syncope here in ed, reports chest pain and sob prior to syncopal episode. reports chronic cough
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The lungs are clear. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are normal without effusion or pneumothorax.
history of granulomatous skin rash. evaluation for lymphadenopathy.
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The patient is status post median sternotomy and cabg. Left-sided aicd/pacemaker device is noted with leads terminating in the regions of the right atrium, right ventricle, and coronary sinus. Moderate enlargement of the cardiac silhouette the appear slightly increased compared to the previous exam. The aorta is diffusely calcified. Perihilar haziness and vascular indistinctness is more pronounced on the right compared to left, and likely reflects asymmetric pulmonary edema, mild to moderate in degree. Small right pleural effusion is noted. No pneumothorax is identified. S-shaped scoliosis of the thoracolumbar spine is present along with multilevel moderate degenerative changes.
history: <unk>m with dyspnea and cough
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As compared to the previous radiograph, the extent of the pleural effusions has slightly decreased. However, the effusions are still moderate in extent, bilateral in distribution, and accompanied by signs of mild-to-moderate fluid overload. Borderline size of the cardiac silhouette. No newly appeared focal parenchymal opacities.
orthopnea and shortness of breath, evaluation for fluid overload.
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Ap and lateral radiographs of the chest demonstrate clear lungs. The cardiac, hilar, and mediastinal contours are normal. No pleural abnormality. Small hiatal hernia.
chest pain.
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The inspiratory lung volumes are slightly decreased. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The trachea is midline. The visualized upper abdomen is unremarkable.
chest pain, here to evaluate for pneumonia.
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Ap upright 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 fall down stairs // ? ptx
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Pa and lateral views of the chest. Left sided pacemaker leads end in the right atrium and right ventricle in appropriate and unchanged position. Cardiomediastinal and hilar contours are stable. There has been increase in pulmonary vascular congestion compared to prior study with mild to moderate interstitial pulmonary edema. Retrocardiac opacity may indicate pneumonia in the appropriate clinical setting.
dyspnea.
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The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is visualized. No acute osseous abnormality seen. Surgical anchors are seen in the right humeral head.
cough.
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The lungs are clear without focal consolidation, effusion, or edema. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with chest pain. // chf, consolidation?
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There is left-sided perihilar and mid lung opacity which is new since prior. Right lung is grossly clear. There is no edema or effusion. Cardiomediastinal silhouette is stable compared to prior ct. No acute osseous abnormalities. Surgical clips seen in the upper abdomen.
<unk>f with sob // r/o acute process
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The lungs are hyperinflated but clear without consolidation, edema, or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with diarrhea, aches, lll rhonci // evaluate for pneumonia
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Pa and lateral views of the chest provided. Left chest wall aicd again noted with single lead extending into the region of the right ventricle. A prosthetic cardiac valve and midline sternotomy wires are noted. The heart is enlarged in the interval. The aorta appears unfolded. There are small bilateral pleural effusions. Hilar engorgement is noted with mild interstitial pulmonary edema. No focal consolidation to suggest pneumonia. No pneumothorax.
<unk>m with sob
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The heart is again moderately enlarged. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Upper zone redistribution of pulmonary vascularity is similar to less striking compared to the prior examination. Mild rightward convex curvature is centered along mid to lower thoracic spine.
fever, status post chemotherapy.
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Frontal and lateral radiographs of the chest demonstrate well expanded lungs. Left apical postsurgical scarring is less conspicuous on this study. The cardiomediastinal and hilar contours are on changed. No pleural effusion, consolidation, or pneumothorax.
history: <unk>m with fever, on chemo // r/o pna