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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 osseous structures are unremarkable.
recent diagnosis of pneumonia with persistent cough and left-sided chest pain.
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Patient is status post median sternotomy and cabg. Mild cardiomegaly is re- demonstrated. The mediastinal contour is unchanged. Compared to the previous radiograph, mild pulmonary edema is slightly worse in the interval, and there is interval increase in size of small bilateral pleural effusions. Mild compressive atelectasis is seen in the lung bases. No pneumothorax is present. Moderate multilevel degenerative changes are noted throughout the thoracic spine.
history: <unk>m with fever, shortness of breath, and cough
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No focal consolidation, pleural effusion, or pneumothorax is seen. Heart and mediastinal contours are within normal limits.
<unk>-year-old male with fever, cough and sick contacts.
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Frontal and lateral chest radiographdemonstrates mildly hyperinflated clear lungs.no pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.
preop chest radiograph.
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The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar and mediastinal structures are unremarkable. A right rib defect is again noted. No free air is seen underneath the diaphragms. Left upper quadrant clips are noted.
epigastric pain. evaluate for an acute intrathoracic process.
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Compared with prior radiographs on <unk>, there is no relevant change in the small left pleural effusion. Heterogeneous opacification of bilateral lung bases is unchanged. There is no new focal consolidation. No pneumothorax is seen. Borderline cardiomegaly is stable.
<unk> year old man with relapsed hd and prob bleo toxicity, also new left pleural effusiom // assss left pleural effusion
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Cardiac silhouette size appears mildly enlarged but unchanged. The mediastinal and hilar contours are similar. There is mild pulmonary vascular congestion and small bilateral pleural effusions. Patchy opacities in the lung bases may reflect a combination of the patient's known bronchiectasis and fibrosis with superimposed atelectasis. Elevation of the right hemidiaphragm is unchanged. Known right hilar mass is better assessed on the previous radiograph. Marked degenerative changes are seen involving the left shoulder with narrowing of the left acromiohumeral interval suggestive of underlying rotator cuff disease.
history: <unk>m with edema
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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 diabetes and worsening cough and presyncope. evaluate for pneumonia.
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Ap and lateral views of the chest. The lungs are hyperinflated but clear of consolidation or effusion or pulmonary vascular congestion. Note is made of an azygos fissure. The cardiomediastinal silhouette is within normal limits. Severe degenerative changes seen at the glenohumeral joints bilaterally. Cervical fixation hardware seen. Prior left picc is no longer visualized.
<unk>-year-old female with shortness of breath.
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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. Within the left upper quadrant of the abdomen, in the region of the stomach, there is a radiopaque foreign body resembling the spring and tip of a pen.
history: <unk>f with report of swallowing a pen // evaluate for foreign body
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Pa and lateral chest radiographs were obtained. The pa film was repeated once jewelry was removed. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.
cough
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The patient is status post median sternotomy, cabg, and mitral valve replacement. Cardiac silhouette size is borderline enlarged. Mediastinal and hilar contours are within normal limits. There is mild upper zone vascular redistribution, as seen previously without overt pulmonary edema. Lung volumes remain low. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>f with shortness of breath, decreased breath sound on the right
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Lung volumes are lower causing bronchovascular crowding. Cardiomediastinal silhouette is otherwise normal. On lateral view, increased opacity posterior lower lungs may be due to the patient's body habitus. No correlate is present on the frontal view. No effusion or pneumothorax.
<unk> year old woman with history of "walking pna", has had productive cough x<num> months. evaluate for pneumonia.
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Cardiomediastinal contours are normal. On the frontal radiograph, lungs and pleural surfaces are clear. On the lateral view, a subtle rounded opacity projects in the retrosternal region, measuring approximately <num> cm in craniocaudad dimension. Considering the slightly obliqued positioning on the lateral view, this could potentially represent superimposition of the patient's breast prosthesis rather than a true lung or mediastinal abnormality. There are no pleural effusions or acute skeletal findings.
<unk> year old woman with cough, congestion. // r/o infiltrate.
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally with no focal opacity convincing for pneumonia. Asymmetry within the pleural margins at the apices more nodular in appearance on the left. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion. Mild rightward deviation of the trachea is thought secondary to tortuous aorta. There is no pneumothorax. Visualized osseous structures demonstrates no acute abnormality.
<unk>-year-old male with ongoing complaints and difficulty swallowing.
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Heart size is moderately enlarged. Mediastinal contours normal. There is no pulmonary edema. There is no focal lung consolidation. There is no pleural effusion or pneumothorax. There is thickening of the right apical pleura.
<unk> year old woman with dyspnea on exertion, evaluate for edema
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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.
<unk>-year-old female with left dialysis catheter that fell out. question pneumothorax.
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Frontal and lateral views of the chest were obtained. Lung volumes are low, exaggerating heart size and bronchovascular markings. Cardiomegaly is moderate and the left atrium is enlarged, similar to prior. Increased interstitial markings are compatible with mild pulmonary edema. No pleural effusion or pneumothorax. There is slight leftward deviation of the trachea, compatible with thyroid gland enlargement. The osseous structures are unremarkable.
<unk>-year-old female with shortness of breath. evaluate for chf.
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Ap and lateral chest radiographs were obtained. Comparison is made to prior radiograph dated <unk>. Cardiomediastinal and hilar contours are stable. No focal opacity is identified concerning for infection. No overt pulmonary edema. There is no pleural effusion. No acute osseous abnormality is identified.
<unk>-year-old male status post fall and healing on balanced.
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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 and cough
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Heart size is normal. Thoracic aorta is mildly tortuous. Cardiomediastinal silhouette and hilar contours are otherwise unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
asthma with worsening symptoms for a week.
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Compared with prior radiographs on <unk>, cardiomegaly is unchanged.the lungs are clear without focal consolidation. There is no vascular congestion or edema. No pleural effusion or pneumothorax is seen.
<unk> year old woman with htn, afib, presents with mixed aphasia, likely stroke. eval for aspiration, infection // eval for underlying inf
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The <num> lead pacemaker is again visualized. The heart upper limits normal in size. The eventration of the right hemidiaphragm is again seen. There is patchy areas of volume loss in both lower lungs. There is no focal infiltrate
<unk> year old woman s/p ppm // ptx, leads
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Unchanged appearance of healed fractures in the seventh and eighth posterior rib. Severe s-shaped scoliosis. There is no evidence of new report of ocular fractures. Surgical clips seen in the right chest wall. Normal lung volumes. No pneumonia. No pneumothorax. No pleural effusion. Normal heart size. Hilar structures and mediastinal borders are normal.
<unk> year old woman with s/p trauma <unk> (hit in ribs), has pain on respiration // any fracture?
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Again seen are multiple median sternotomy wires and mediastinal surgical clips. There are low lung volumes. Allowing for changes due to this, the cardiomediastinal silhouettes are stable and within normal limits. The bilateral hila are unremarkable. The lungs are clear. There is no evidence of pulmonary vascular congestion. There is no evidence of pneumothorax or pleural effusion.
<unk>m with stroke, evaluate for chf or pneumonia.
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There is no pleural effusion, or pneumothorax. Mild bibasilar atelectasis is similar compared to <unk>. Emphysematous changes are noted in bilateral lungs. Cardiomediastinal and hilar silhouettes are normal size.
<unk>f with cough anddyspnea // r/o acute infectious process
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax.
<unk>-year-old female with chest pain and shortness of breath.
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Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. There is no free air under the diaphragm.
hypotension and fatigue.
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Moderate to severe cardiomegaly is unchanged. The aortic knob is calcified. Mediastinal and hilar contours are stable. There is mild pulmonary vascular congestion, similar compared to the prior study. No focal consolidation, pleural effusion or pneumothorax is visualized. No acute osseous abnormalities seen.
congestive heart failure, shortness of breath.
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The lungs are hyperexpanded, as before. Heart size is normal and unchanged. There is a left chest pacemaker with electrode in the right ventricle. There is mitral annular calcification. The patient is status post tavr. There is calcification of the aorta, indicating atherosclerosis. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is normal. Lungs are clear, except for apical scarring. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. There are degenerative changes of the visualized spine.
<unk>-year-old woman with recent tavr now w/ presyncopal episode, nausea, lightheadedness. evaluate for infiltrate, edema
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Pa and lateral chest radiograph demonstrates mild cardiomegaly. Hilar contours are stable. There is no large pleural effusion. Streaky opacity at the left lung base is thought to reflect atelectasis. Emphysematous changes are noted. No focal opacity convincing for an infectious process is seen. There is no overt pulmonary edema.
history: <unk>f with htn, gerd, and recent ed visit for pna now here with acute onset sob, n/v. // ? cardiomegaly, pna evolution, pulmonary edema
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Frontal and lateral views of the chest were performed. There is no pleural effusion, pneumothorax, or focal airspace consolidation. A linear opacity at the left lung base is unchanged, likely reflecting scarring. The heart size is normal. The hilar and mediastinal structures are unremarkable. Kyphoplasty changes are again seen in the thoracic spine.
left-sided sharp chest pain. evaluate for pneumonia or a pneumothorax.
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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 dyspnea on exertion // evaluate for acs
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Interval improvement of bilateral multilobular airspace disease. Trace left pleural effusion. Stable moderate hiatal hernia. Normal size of cardiac silhouette. No pleural effusions. No focal parenchymal opacity suggesting pneumonia. No pulmonary edema. No pneumothorax. Normal hilar and mediastinal contours. Chronic midshaft fracture of the right clavicle. Remote compression deformity of l<num> vertebral body is unchanged. No new osseous abnormalities.
<unk> year old woman with ild // evaluate progression of lung disease
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The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No displaced rib fracture is seen.
<unk>-year-old male with <num> minutes of chest pressure today.
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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Mid thoracic compression deformity is unchanged.
dizziness and weakness. concern for pneumonia.
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A tracheostomy tube projects in unchanged location. An accessed left pectoral port catheter tip terminates at the svc/ra junction. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is stable.
<unk>f with dark green sputum from tracheostomy, evaluate for acute process.
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Patient has had median sternotomy and aortic valve replacement. Sternal wires are intact and aligned. Heart is moderately enlarged. Pulmonary edema is mild throughout most of the lungs accompanied by small pleural effusions. There is considerably more consolidation in the right lower lobe than elsewhere which could be asymmetric edema or concurrent pneumonia. Followup advised.
<unk>m with shortness of breath, evaluate for pneumonia.
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of <unk>. The heart size remains normal. No configurational abnormalities are identified. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No evidence of pneumothorax in the apical area on the frontal view. When comparison is made with the next preceding study again a small fat pad adjacent to the apical area of the heart contour is noted, which is not a pneumonic infiltrate as it appears on both frontal and lateral views in typical location and remains unchanged.
<unk>-year-old male patient with history of asthma, worsening of persistent cough in the past four days, chills, and faint basilar rales following inhalation of noxious fumes last week. is there pneumonia?
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Linear bilateral lower lobe opacities are most consistent with atelectasis. Otherwise, the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. Mild cardiomegaly is stable. The thoracic aorta is ectatic and contains dense calcifications. No acute osseous abnormality.
<unk>-year-old woman with a fall at home.
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Frontal and lateral views of the chest demonstrate increased lung volumes. Right pic catheter and port-a-cath tips project over mid svc. No pneumothorax. Hilar and mediastinal silhouettes are unchanged. Heart is mildly enlarged. Descending aorta is tortuous. Right lower lobe opacity persists, which is also apprecited on the lateral view. No pneumothorax or pleural effusion. There is no pulmonary edema.
worsening cough and difficulty breathing.
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The cardiac silhouette continues to be moderately enlarged. Low lung volumes accentuate the pulmonary vasculature. There are no overt signs of pulmonary edema or pleural effusion. There are no focal opacities or pneumothorax. The mediastinal contours are normal.
weakness status post dialysis. evaluate for infection.
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There may be a very trace left pleural effusion. Prominence of the central pulmonary vasculature suggests mild pulmonary vascular congestion. The cardiomediastinal silhouette is moderately enlarged. No pneumothorax is seen.
history: <unk>m with shortness of breath // eval for pna
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Again seen is a small amount of loculated fluid in the right lateral lower lung, which is unchanged. There is no left pleural effusion. There is no pneumothorax. Mild apical scarring bilaterally is unchanged. The cardio mediastinal and hilar contours are unchanged. No focal consolidation.
history: <unk>f with fever, history of pleural effusions // eval heart and lungs
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There is a dual-lead pacemaker/icd device with leads terminating in the right atrium and ventricle, respectively. The heart is mildly enlarged. Patchy calcification is noted along the aortic arch. There is no definite pleural effusion or pneumothorax, although there is persistent blunting of the right costophrenic angle, which may suggest a small persistent loculated pleural effusion versus scarring. Slight thickening of the minor fissure is unchanged. The lungs appear clear. Bony structures are unremarkable.
dyspnea, immunosuppression and large hematoma along the right chest. question pneumonia or rib fracture.
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The heart is mildly enlarged. The mediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. Vague heterogeneous bilateral opacities are noted throughout each lung, which are superimposed on a small preexisting lung nodule, suggesting calcified granulomas. However, there may be additional nodules including a nodular focus measuring about <num> mm in diameter that projects over the left mid-to-upper lung.
left flank pain, on chemotherapy.
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Pa and lateral views of the chest provided. Retrocardiac opacity again noted consistent with hiatal hernia. There is mildly elevated right hemidiaphragm. Clips in the left upper quadrant noted. Lungs are 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 chest pain // eval for pna
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Pa and lateral views of the chest were compared to previous exam from <unk>. Lungs are hyperinflated but clear of consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with complaints of body pain and chest pain.
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Pa and lateral views of the chest. The lungs are clear. There is no evidence of pneumonia. No pneumothorax. No pleural effusions. The cardiac, mediastinal, and hilar contours are normal.
chest pain, question pneumonia or pneumothorax.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is a a markedly tortuous aorta with streaky associated opacities, probably atelectasis. No pleural effusion or pneumothorax.
<unk>-year-old male with fever and cough. evaluate for evidence of infiltrate.
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Heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Tiny right apical pneumothorax is unchanged. There is no shift of mediastinal structures. As seen previously, patchy ill-defined opacity in the left lower lobe is re- demonstrated, potentially reflective of pneumonia. Right lung is clear. Minimal blunting of the costophrenic sulcus on the right suggests a trace pleural effusion. Fracture of the right eighth lateral rib is re- demonstrated with associated pleural thickening.
history: <unk>f with pneumothorax seen at outside hospital institution
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The heart is mildly enlarged. The patient is status post coronary artery bypass graft surgery. The aortic arch is calcified. There is again an expansile soft tissue opacity along the lower mediastinum immediately above the thoracic inlet. Mild to moderate relative elevation of the right hemidiaphragm compared to the left is noted. There is no evidence for pleural effusion or pneumothorax. The lungs appear clear. The bones are probably demineralized to some degree.
question pleural effusion on the left.
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Dual lead aicd, unchanged in position. The heart is mildly enlarged. The mediastinal contour is unremarkable. There is no evidence of pneumothorax or pleural effusion. There is no focal consolidation. Right-sided axillary clips again seen.
<unk>f with hypotension, evaluate for pneumonia.
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Pa and lateral views of the chest. There is vague opacity projecting over the right lung apex. In addition, there is thickening along the right pleura at the anterior junction line. Overall this is suggestive of pleural-based disease. Elsewhere, the lungs are clear without focal consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are grossly unremarkable without visualized displaced rib fracture.
<unk>-year-old female status post fall with left lateral rib pain over a month ago. pneumonia.
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Pa and lateral views of the chest provided. An epicardial fat pad likely accounts for the subtle opacity abutting the left heart border. The lung volumes are somewhat low. There is no convincing evidence for pneumonia or overt chf. There is mild blunting of the right cp angle which could represent a tiny effusion. There is no pneumothorax. No acute osseous abnormalities are detected.
<unk>m with dyspnea // eval for pleural effusions, pna
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Cardiac silhouette size is normal. The aorta is mildly tortuous. Mediastinal hilar contours are normal. Pulmonary vasculature is not engorged. Patchy opacities are noted in both lung bases in the setting of low lung volumes without focal consolidation. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with question of altered mental status after fall from standing, hypoxic, elevated white count
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Bibasilar nodular airspace opacities and moderate cardiomegaly are suggestive of mild pulmonary edema, worse compared with <unk> but improved compared with <unk>. Prominence of bilateral hila is consistent with underlying pulmonary arterial hypertension. The thoracic aorta is tortuous and likely mildly dilated. There is no pleural effusion, pneumothorax, or focal consolidation.
<unk>f with shortness of breath, evaluate for fluid or pneumonia.
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Ap and lateral views of the chest. The lungs are clear of confluent consolidation. There is no large effusion. Calcific density again projects over the left mid lung. The cardiac silhouette is enlarged but stable. Tortuous aorta seen with calcifications atherosclerotic calcifications. Eccentric kyphosis is identified.
<unk>-year-old male with fever.
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The patient has been extubated and a left subclavian central venous catheter and oropharyngeal tube have been removed. The patient is status post incompletely characterized lower anterior cervical fusion. The heart is again mild-to-moderately enlarged. Similar to prior findings, there is a small-to-moderate right-sided pleural effusion with associated opacification, probably due to atelectasis without substantial change. Particularly well visualized on lateral view is patchy parenchymal opacification in the vicinity probably due to atelectasis.
confusion.
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The lungs are clear. There is no pleural effusion or pneumothorax. An aortic stent is seen.
history: <unk>f with weakness and fever // ?pna
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There is diffuse airspace opacity causing obscuration of the right heart border and projecting over the heart on the lateral view. Findings are consistent with a right middle lobe pneumonia. No pneumothorax, pulmonary edema, or significant pleural effusion is present. The heart size is normal.
<unk>-year-old female with asthma, fevers and cough.
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The lungs are clear without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with l sided cp // eval for cp
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Pa and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality seen.
<unk>-year-old female with chest pain and shortness of breath.
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Cardiomediastinal silhouette and tortuosity of the thoracic aorta are grossly unchanged. Heart is not enlarged. Coronary artery stents are noted. Port-a-cath terminates in the lower svc. Lungs are clear. There is no pleural effusion or pneumothorax. Multiple surgical clips are present in the upper abdomen.
<unk>m with generalized weakness // eval for acute process
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The lung volumes are low. There is mild bilateral bronchiectasis with associated bronchial wall thickening, not significantly changed from the prior exam. No focal airspace opacity is identified. There is no pleural effusion or pneumothorax. There is moderate cardiomegaly, which is stable. No radiopaque foreign body is identified. The esophagus is significantly dilated with an air-fluid level at the level of the thoracic inlet. This unchanged from the prior exam.
history of a prior esophageal food impaction, presenting with similar symptoms. evaluate for radiopaque foreign body.
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The lung volumes are low. Pleural effusions are associated at each lung base with parenchymal opacities. The size of the effusions is difficult to quantify, but most likely at least small-to-moderate with suspected associated atelectasis. Lucency along the left lateral chest with vertical orientation suggests a skinfold rather than a pneumothorax. The pulmonary vasculature is hazy with an interstitial abnormality, overall suggesting mild pulmonary edema, including thickening of the minor fissure.
shortness of breath.
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Frontal and lateral chest radiographs were obtained. The catheter of the right chest wall port terminates in the low svc. There is no evidence of catheter fracture or other complications. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size and cardiomediastinal contours are normal.
patient with chemo port injured chest while doing <unk> work, eval for abnormalities.
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A right-sided picc terminates in the low svc. Pacemaker with multiple lead wires is unchanged from the prior study. Lungs are hyperinflated. No pleural effusion or pneumothorax.
<unk>-year-old man with infected pacer site, now with picc placement.
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In comparison to the prior chest radiograph from yesterday morning, the right-sided chest tube has been removed. There is now a <num> cm air collection in the right apex, which is new since the chest tube has been removed. There is also expected volume loss as suggested by the tenting of the right hemidiaphragm. No other significant interval changes. Left lung is essentially clear.
<unk>m w h/o hcv cirrhosis/hcc/pv thrombosis s/p liver transplant, with pv thrombus on coumadin until <unk>, now s/p vats right upper lobectomy on <unk> for squamous cell carcinoma stage <num>c now s/p chest tube removal. // assess for ptx following removal of chest tube
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Lungs are well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.
<unk>f with chest pain and sob. assess for pneumonia or cardiopulmonary abnormality.
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There is no focal consolidation, pleural effusion or pneumothorax. Heart size is mildly enlarged. Mediastinal contours are unremarkable.
<unk>f with acute onset dyspnea // evaluate for pneumonia or other acute abnormality
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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Again seen is old right-sided rib deformity. Cholecystectomy clips are noted in the right upper quadrant.
cough. concern for pneumonia.
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The lungs are normally expanded and clear. The heart size is top normal. The hilar and mediastinal contours are normal. There is no pleural effusion or pneumothorax.
history: <unk>f on chemo p/w fever // assess for pna
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A moderate right hydropneumothorax with a small amount of layering fluid component is new since <unk>, and causes widening of the ipsilaterrib spaces and mild left mediastinal shift. A combination of multifocal nodules and peribronchial infiltration, predominantly in the right lower lung is unchanged and is better evaluated on recent chest ct. Heart size is normal. The mediastinal and hilar contours appear normal.
history of bronchiectasis, status post bronchoscopy <unk>, has diminished breath sounds on right. evaluate for pneumothorax or pneumonia.
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Subtle left retrocardiac opacity, new from <unk>, likely representing atelectasis. Pacemaker wire end in the right ventricle. Cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old with fever.
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Compared with the recent outside hospital radiograph, there has been no significant change in the bilateral pulmonary consolidations, concerning for pneumonia, given the patient's clinical history. Large amount of subcutaneous emphysema is also unchanged. Aortic arch is tortuous and calcified. Surgical clips are identified in the region of the gastroesophageal junction. Incidental note is also made of an unchanged wedge deformity of a lower thoracic/upper lumbar vertebral body.
<unk> year old woman with pna. pna status.
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Lung volumes are low, similar to prior. Linear opacity in the left base is unchanged and consistent with atelectasis or scarring. No focal consolidation, pleural effusion, or pneumothorax. Heart size and cardiomediastinal contours are normal.
history: <unk>m with near syncope, dm // ? pna
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<num> views were obtained of the chest. The location of the previously described opacities have not been provided. Within this limitation, the lungs appear hyperexpanded but clear. There is no pleural effusion or pneumothorax. The heart and mediastinal contours are unremarkable. Old left upper rib irregularities may reflect fractures.
copd and recent pneumonia, assess for resolution of prior opacities.
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Cardiomediastinal silhouette is within normal limits. Pleuroparenchymal scarring is noted at the apices. Lungs are otherwise clear. There is no pleural effusion or pneumothorax.
history: <unk>f with cp s/p car ride // pna? mediastinal widening?
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Lung volumes are normal. There is no consolidation, pleural effusion or pneumothorax. Cardiomediastinal contours are normal. No acute osseous abnormalities.
<unk>m with still's dz hx pericardial effusion presenting with chest pain/presyncope today, exertional // <unk>m with still's dz hx pericardial effusion presenting with chest pain/presyncope today, exertional
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Lung volumes are low. Heart size is normal. Mediastinal and hilar contours are unremarkable. There is no pulmonary edema. Linear opacities in the lung bases are compatible with subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified.
cirrhosis, abdominal pain.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. Note is made of a radiopaque ring in the right abdomen, which has been there since at least the radiograph from <unk>. Anterior wedging of a mid thoracic vertebral body is again noted without change, since at least the exam from <unk>. Note is made of a fractured fragment adjacent to the inferior region of the body of the sternum, new since the exam from <unk>.
history of confusion. please evaluate for infiltrate.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with couhg, sputum // eval for ifnection
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema.
patient with asthma. assess for pneumonia.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. There is a similar eventration of the right hemidiaphragm which is moderately elevated anteriorly. There is again an unchanged calcified nodule suggesting a granuloma projecting over the right upper lobe as well as a suspected group of granulomas projecting over the left mid lung, also unchanged. Otherwise, the lungs appear clear. There has been no definite change.
acute onset of vertigo and headache.
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Pa and lateral chest radiographs are obtained. Opacities seen on the prior exam are no longer well visualized. Low volume lungs with bibasilar atelectasis are clear otherwise. Heart is normal size and cardiomediastinal contours are unremarkable. No significant pleural effusions and no pneumothorax.
<unk>-year-old woman with patchy opacity seen on prior radiograph, rule out pneumonia.
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The lungs are well-expanded, with no evidence of pleural effusion, pulmonary edema, pneumothorax, or focal consolidation. The cardiomediastinal silhouette is stable. On the frontal projection, just above the posterior right sixth rib, there is a linear opacity extending laterally, possibly a vessel, with a <num> mm nodular density just superior to the rib, not seen on the lateral view.
history: <unk>m with r arm weakness // eval infiltrate
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Compared with the prior radiograph, there is no significant change. The heart size is minimally enlarged, with tortuous aorta. Lung volumes are low. No focal consolidation, effusion, or pneumothorax. Small area of focal pleural thickening along the left lateral chest wall and left apex are unchanged.
<unk>m with hiccups. evaluate for consolidation or obvious paraesophageal hernia.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with chest pain
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Cardiomediastinal and hilar contours are normal. The lungs are well inflated and clear. There is no pulmonary edema, pleural effusion, or pneumothorax.
<unk>-year-old with history of positive ppd.
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Left chest wall port is seen with catheter tip in stable position. The lungs are relatively hyperinflated and there is biapical scarring. Linear left lower lobe scarring is again noted. There is no focal consolidation, effusion, or edema. Compression deformities in the thoracic spine are grossly unchanged from prior. Degenerative changes noted at the left shoulder. Surgical clips again noted in the right upper quadrant.
<unk>f with fever // pna
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Pa and lateral views of the chest provided. There is minimal left mid lung platelike atelectasis. Otherwise the lungs are clear. There is no pleural effusion or pneumothorax. No signs of edema or pneumonia. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with chest pain
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with sudden onset cp/sob
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Cardiac silhouette size is normal. The mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Minimal atelectasis is seen in the lung bases without focal consolidation. No pleural effusion or pneumothorax is present. Mild degenerative changes are seen in the thoracic spine.
history: <unk>m with hyperglycemia of unclear origin // pneumonia?
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Lung volumes are slightly low, resulting in bronchovascular crowding. The heart remains enlarged, which is unchanged. The mediastinal contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. Compression deformities of lower thoracic/upper lumbar vertebral bodies arenoted, age indeterminate.
<unk>f with hx of a-fib p/w b/l <unk> edema. // please eval for pulmonary edema, pneumonia
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Left-sided pleural effusion has increased, now moderate in size. Persistent trace right pleural effusion. Adjacent atelectasis noted at the left lung base. Elsewhere, lungs are clear. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires are intact.
<unk>m with diminished l lung sounds, history of pleural effusion. // evaluate for pleural effustion
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Ap and lateral chest radiograph demonstrates a left chest wall pacing device, its leads which appear intact in in unchanged position relative to most recent examination dated <unk>. Cardiomediastinal and hilar contours are stable. There is a moderate-sized left pleural effusion as seen on recent exam. No focal opacity is identified convincing for pneumonia. No evidence of pulmonary edema. Imaged upper abdomen is without evidence of an acute abnormality.
<unk>-year-old male with seizures. evaluate for acute intrathoracic process.
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Frontal and lateral chest radiographs demonstrate a left chest wall pacer device with leads projecting over the right atrium and ventricle. A linear density projecting over the heart represents either a stent or calcification. There is again moderate cardiomegaly, unchanged. No definite focal consolidation is identified. Moderate pulmonary edema is again seen, mildly improved compared to the prior chest radiograph. Central pulmonary vasculature remains prominent. Small bilateral pleural effusions may be slightly increased. There is again no pneumothorax. The visualized upper abdomen is unremarkable.
chronic cough and possible posterior infiltrate on prior chest radiograph. evaluate for interval change.
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Frontal and lateral views of the chest. Prior left ij line is no longer seen. The lungs are clear of focal consolidation or effusion. There is no pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. Descending thoracic aorta is tortuous. Multiple old healed right rib fractures are again noted. Compression deformity in the mid thoracic spine is unchanged from <unk>.
<unk>-year-old male with altered mental status. question infiltrate.
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Heart size is normal. The aorta is mildly unfolded. The hilar contours are normal. The pulmonary vasculature is normal. On the lateral view, a well- delineated triangular opacity is noted posteriorly along the right medial lung base, partially obscuring the right posterior hemidiaphragm. Lungs are otherwise clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with chest pain