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The heart is at the upper limits of normal size. There is similar mild relative elevation of the right hemidiaphragm. A streaky opacity persists at the left lung base, but partly resolved. Otherwise, the lungs appear clear. There is no definite pleural effusion or pneumothorax. Very small trace pleural effusions are difficult to completely exclude, however. Multifocal compression deformities of the thoracic spine are very similar to prior thoracic spine radiographs and are likely attributable to substantial bony demineralization.
neck and left chest wall pain.
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Ap upright and lateral views of the chest were provided. Evaluation limited due to exclusion of the left cp angle on the frontal projection and the posterior cp recess on the lateral view. Fusion hardware is again noted in the lower cervical spine. The heart remains mildly enlarged. There is mild interstitial pulmonary edema which is not significantly changed from the prior exam. Mediastinal contour is unchanged. No pneumothorax. Small bilateral pleural effusions are likely stable from prior. Old distal clavicle injuries are again seen. Multiple old right rib cage deformities are also noted.
<unk>m with dyspnea and bradycardia.
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There is mild pulmonary vascular congestion with mild associated interstitial edema. Layering pleural fluid is seen on the lateral view, likely bilateral. Airspace opacities in the lower lungs bilaterally likely represent atelectasis, however a superimposed infectious process is not excluded. There is no pneumothorax. A left pectoral dual-chamber pacemaker and its leads project in unchanged location. Moderate cardiomegaly is unchanged.
<unk>f with chf exacerbation, evaluate for pulmonary edema.
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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. <num> mm ovoid opacity projecting over the right midlung may represent a calcified granuloma or bone finding.
<unk> year old man with anemia and sob // ?acute cardio/pulm process
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Pa and lateral views of the chest. The lungs are clear. Cardiac silhouette is normal in size. Hilar and mediastinal contours are normal. No pleural effusion. No evidence of pneumothorax.
chest pain
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The cardiomediastinal silhouette is unchanged. There is no pleural effusion or pneumothorax. There is no concerning parenchymal consolidation. Bony structures are unremarkable.
<unk>f with anxiety and depression, fever cough // eval for pna.
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A stent along the course of the aorta is again noted. The heart is moderately enlarged. Tortuosity of the aorta appears similar. Mediastinal and hilar contours appear unchanged. There is a new consolidation in the right lower lobe, worrisome for pneumonia. It is difficult to exclude a small coinciding pleural effusion. The left lung appears clear. There is no pneumothorax.
bronchitis and left-sided crackles.
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The cardiomediastinal and hilar contours remain stable. Median sternotomy wires and aortic valve replacement are noted. Elevation of the right hemidiaphragm is new, and a small to moderate right pleural effusion is present, a component of which is likely subpulmonic. Partial obscuration of the right hemidiaphragm likely reflects residual infection. Small left pleural effusion is present. There is no pneumothorax.
shortness of breath, recent pneumonia.
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Right-sided dual lumen central venous catheter tip terminates in the proximal right atrium. The cardiac silhouette size is normal. The aorta is mildly unfolded, with aortic knob calcifications noted. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated. Marked left glenohumeral degenerative changes are seen. Surgical clips are noted within the upper abdomen.
new onset fever, shortness of breath.
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The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified. Density suggesting orthopedic hardware projects over the left glenoid fossa.
<unk>f with shortness of breath // presence of ptx, infiltrate
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The lungs are clear. There is elongation of the descending aorta. The heart size is stable. No pulmonary edema, pneumothorax, or pneumonia. Prominence of the right hilum is stable dating back to <unk>, though can be further assessed by nonemergent ct. Unchanged appearance of the known left rib fracture and thoracic compression fractures.
<unk>f with weakness and hypoxia // ? pna or chf
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The heart is mildly enlarged. The cardiomediastinal and hilar contours are within normal limits. There is mild hyperinflation of the lungs, suggesting possible underlying emphysema. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with slurred speech // eval for pna
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Lung volumes are low. This accentuates the size of the cardiac silhouette which is normal. Mediastinal and hilar contours are unremarkable. Apart from mild atelectasis in the lung bases, the lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality seen.
chest pain.
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Previously seen right lower lobe pneumonia has resolved with insignificant residual opacity. There are no new areas of focal consolidation. The lungs are well expanded and clear with no mass lesion, pleural effusion or pneumothorax. Cardiomediastinal silhouette demonstrates mildly tortuous aorta, but is otherwise normal. Three collinear rounded opacities are seen projecting over the lateral left upper lung zone at the level of the aortic arch, found to be bone islands of the second and third left anterior ribs. Moderate multilevel degenerative changes of the thoracic spine are noted.
<unk>-year-old male here for followup study after diagnosis of right lower lung pneumonia in <unk>.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. There is a <num> mm nodule in the left lower lobe, possibly representing a calcified granuloma, less likely a vessel on end.
history: <unk>f with r sided cp // ptx? ptx?
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In comparison with the study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. No pulmonary vascular congestion, pleural effusion, or acute pneumonia.
atrial fibrillation with shortness of breath.
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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 cough // pna?
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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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Pa and lateral views of the chest provided. There is no focal consolidation, signs of edema, pneumothorax. Tiny pleural effusions are present bilaterally. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with n/v/ pd dialysis
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In comparison with the study of <unk>, there has been some increase in size of the moderate left pleural effusion with some shift of mediastinal contents to the right. Blunting of the right costophrenic angle is again seen. The possibility of supervening pneumonia would be difficult to exclude in the lower lung, especially on the left, if there were appropriate clinical symptoms.
necrotizing pancreatitis with fever.
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Right port-a-cath terminates in the right atrium. There is no consolidation, pleural effusion, or pneumothorax. Trachea is midline. Cardiomediastinal silhouette is within normal size.
<unk> year old woman with metastatic breast cancer with indwelling poc // no blood return poc, please assess catheter placement. due for chemotherapy today, please <unk> <unk> #<unk> with wet read
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Pa and lateral views of the chest provided. Lungs are hyperinflated with upper lobe lucency suggesting emphysema. 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 w/ persistent cough x<unk> y acutely exacerbated in the past few days pls r/o pneumonia
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Ap upright and lateral views of the chest provided. Mild cardiomegaly is again noted. The lungs are clear without focal consolidation, large effusion or pneumothorax. The mediastinal contour is unremarkable. There is a chronic compression deformity at l<num> with progressive loss of vertebral body height increased from prior mri of the lumbar spine dated <unk>. There is no definite evidence for thoracic compression deformity on the lateral projection.
<unk>f with mid thoracic spine // pna? compression fx?
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No focal consolidation or superimposed edema is noted. There is a markedly tortuous aorta similar to the prior exam. The cardiac silhouette size is top normal. There is likely a tiny right pleural effusion. This likely was present on the prior exam. Grossly this could represent mild scarring. No pneumothorax is evident. A stable anterior wedging deformity from prior superior endplate compression fracture is seen in the lower thoracic spine. Otherwise, the osseous structures are unremarkable.
bilateral lower extremity edema.
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Lung volumes are slightly low. The heart is top normal. The mediastinal and hilar contours are unremarkable. There is calcification of aortic arch. There is no pleural effusion or pneumothorax. There is no pulmonary edema.
<unk>m with afib on coumadin, dchf, ckd, rectal ca s/p <unk>, g tube - recent hospitalization for sbo - presenting with chest pain // please eval for new focal opacity, pneumothorax
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Heart size is normal with mild tortuosity of thoracic aorta. Hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. No overt traumatic injury.
status post fall.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No evidence of pneumomediastinum.
<unk>f with abdominal pain s/p endoscopy. evaluate for mediastinal air.
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Frontal and lateral chest radiographs demonstrate clear, well-expanded lungs without focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette remains moderately enlarged and is unchanged. The pulmonary vasculature appears normal without evidence of failure. The mediastinal contours are unchanged, with unchanged calcification of the aortic knob. A single-lead pacemaker is unchanged in appearance. There are stable rib deformities on the right side, the result of prior fracture.
<unk>-year-old male with hyperglycemia, rule out pneumonia.
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The lungs clear. Cardiac silhouette is unremarkable. Aorta is tortuous but unchanged. There is no pleural effusion, pneumothorax, pulmonary edema. Blunting of the costophrenic angles on the lateral radiograph is due to atelectasis as demonstrated on the recent chest ct.
epigastric pain.
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Frontal and lateral radiographs of the chest were acquired. Lung volumes are slightly low. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
acute-onset right upper quadrant and epigastric pain. evaluate for infiltrate.
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Pa and lateral views of the chest provided. Patient's chin partially obscures the superior mediastinum. Overlying ekg leads are present. 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 palpitations // eval for cardiomegaly
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with back pain // back pain
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The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk> year old man with ?mercury poisoning and chest tightness // r/o evidence of pneumonitis
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There is no focal consolidation, pleural effusion or pneumothorax. The previously noted opacities in the right lung have resolved. A nasogastric tube courses below the diaphragm into the stomach. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable.
history: <unk>f with chest pain // r/o pna
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Lung volumes are normal. There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified.
<unk>-year-old female with chest pain
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Again seen are streaky right basilar opacities likely representing atelectasis. The lungs are hyperinflated. There is no focal consolidation or evidence of pulmonary edema.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>m with dyspnea.
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Cardiomediastinal contours are unchanged. Aside from minimal left lower lobe atelectasis, the lungs are clear. There is no pneumothorax or pleural effusion. There are minimal degenerative changes in the thoracic spine. Port a- cath tip is in the cavoatrial junction.
<unk> year old woman with fever and neutropenia // evaluate for pneumonia, effusion
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The heart is upper limits of normal in size. The lungs are clear without pleural effusion or pneumothorax. There is left lung basilar pleural thickening. The hilar and mediastinal contours are unremarkable. Osseous structures are unremarkable. Incidental note is again made of a vp shunt catheter and surgical clips in the paratracheal region, likely from previous thyroid or parathyroid surgery.
<unk> year old woman with h/o + ppd, no cough, fever, or chest pain. r/o pulmonary tb.
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. Cardiac silhouette is top normal in size. No acute osseous abnormality is detected.
<unk>-year-old male with hypertension, hyperlipidemia and melanoma presenting with fevers and chest pain.
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In comparison with the study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. No pulmonary or skeletal metastasis seen.
melanoma, to assess for disease status.
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The lungs are clear and lung volumes are normal. There is no pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. The mediastinal and hilar contours are normal.
worsening asthma with coarse breath sounds. evaluate for an acute process.
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Pa and lateral chest radiographs. Left basilar atelectasis persists. However, there is no visible pneumothorax. The cardiomediastinal silhouette is stable.
fall from tree with small pneumothorax on ct. chest tubes removed this morning.
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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 shortness of breath // eval for pna
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Heart size is normal. The mediastinal contours are remarkable for a tortuous thoracic aorta. The pulmonary vasculature is normal. Lungs are clear except for a subtle new opacity at the left lung base posteriorly overlying the spine on the lateral radiograph. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Asymmetrical degenerative changes at the first left costochondral junction appear unchanged.
<unk> year old man with cough for <num> weeks // r/o infiltrate
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Pa and lateral views of the chest were reviewed and compared to the prior study. The lungs are clear. The heart size is normal and there is no evidence of vascular congestion, pleural effusion or pneumothorax. No concerning osseous or soft tissue lesions.
evaluation for pneumonia in a patient with fevers.
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Frontal and lateral views of the chest were obtained. Lung volumes are low, exaggerating heart size. Cardiomediastinal contours are stable. Indistinct right costophrenic angle may represent a small right pleural effusion. No focal consolidation or pneumothorax. Sternotomy wires are intact.
<unk>-year-old male with peripheral vascular disease here with leukocytosis. evaluate for infiltrate.
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The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with shortness of breath, wheezing // shortness of breath, wheezing
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The cardiac, mediastinal and hilar contours are unchanged, with heart size within normal limits. The pulmonary vascularity is not engorged. Minimal left basilar atelectasis is noted. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities. Multiple old left-sided rib fractures are again noted.
right upper quadrant abdominal pain with subacute cough.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. Patchy left basilar opacification has decreased. There is no pneumothorax. There is a patchy non-specific right infrahilar density, as mentioned previously, not significantly changed. Patchy right infrahilar density appears unchanged. Based on effacement of the posterior left costophrenic sulcus, there is potentially a very small pleural effusion. The lungs appear hyperinflated. Bony structures are unremarkable.
chest pain.
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Right hemidiaphragm is elevated, with low lung volume on the right. There is no focal consolidation, pleural effusion or pneumothorax. A small linear opacity at the right lung base most likely represents atelectasis. No mediastinal widening. Right heart border is obscured by the right hemidiaphragm.
<unk>-year-old male with acute onset chest pain and shortness of breath
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The new rv lead terminates in the right ventricle. The remaining leads are unchanged in position. Median sternotomy wires are noted. There is some opacification of the right lower lobe, likely reflecting atelectasis. Marked cardiomegaly is unchanged. There is a small right pleural effusion. There is no pulmonary vascular congestion or pneumothorax.
chf with ef of <num>% and new biventricular pacer device.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are stable. Surgical clips noted in the upper abdomen.
history: <unk>f with cough, dyspnea // eval pna, chf
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Frontal and lateral radiographs of the chest demonstrate hyperexpanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with abdominal pain // eval infiltrate
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Ap upright and lateral chest radiograph was provided. There is a moderate right pleural effusion with right basilar likely compressive atelectasis. Minimal left basilar platelike atelectasis noted. A left chest wall port catheter tip ends in the lower svc. Osseous structures are unremarkable.
<unk>-year-old male with history of pancreatic and liver cancer with shortness of breath, evaluate for infiltrate.
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There has been interval enlargement of a loculated right pleural effusion in comparison to the <unk> examination. The heart is mildly enlarged. Multiple sternal wires are again demonstrated. A right picc tip oral pacemaker projects leads into the right atrium and ventricle, unchanged configuration from prior examination. A cardiac valve prosthesis is unchanged and orientation.
oral effusions.
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Heart size is mildly enlarged, unchanged. Mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. Pleural calcification is again noted on the lateral view suggestive of prior asbestos exposure. Minimal patchy opacity is seen within the left lung base, as seen previously on the chest radiograph from <unk> and the thoracic spine radiograph from <unk>, which likely reflects this pleural calcification en face. There is no new focal consolidation or pneumothorax. Blunting of the left costophrenic sulcus suggests the presence of a trace left pleural effusion. Scarring is noted within the lung apices.
history: <unk>m with recent left middle lobe pneumonia on cipro here with generalized weakness and bilateral crackles.
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Aicd device is noted with single lead terminating in the right ventricle. Mild to moderate cardiomegaly persists. The mediastinal contours are unchanged with atherosclerotic calcifications of the aortic knob. Lung volumes are low with crowding of the bronchovascular structures. Streaky opacities in the lung bases may reflect areas of atelectasis. Blunting of the right costophrenic angle is unchanged, and there is elevation of the right hemidiaphragm. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities demonstrated. Multiple clips are noted with in the mediastinum compatible with prior cabg.
hypertension, history of pulmonary embolism with chest pain and shortness of breath
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Mild cardiomegaly and upper mediastinal contours are unchanged. Prominence of the hilar pulmonary vasculature is unchanged. No overt pulmonary edema. No focal consolidation, pleural effusion, or pneumothorax.
history: <unk>f with palpitations // eval for chf
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Frontal and lateral views of the chest are compared to previous exam from <unk>. Linear opacity is again seen in the right mid lung, suggestive of atelectasis versus scar. The lungs are otherwise clear. There is no effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are again notable for degenerative changes at the right acromioclavicular joint.
<unk>-year-old female with shortness of breath and chest pain.
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Lung volumes are low. No focal consolidation, pleural effusion or pneumothorax is present. Pulmonary vasculature is normal. No acute osseous abnormalities are visualized.
<unk>m with shortness of breath and fever
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There are faint bibasilar opacities, consistent with multifocal pneumonia. The above fields clear. The cardiomediastinal silhouette is normal. There is no pulmonary vascular congestion, pleural effusion, or pneumothorax.
<unk> year old woman with leukocytosis, ?pna on cta abdomen // eval for acute process
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Ap and lateral views of the chest. When compared to prior common there is new right basilar opacity compatible with pneumonia. There are persistent small bilateral pleural effusions. Cardiomegaly is unchanged. Vertebroplasty changes seen in the lower thoracic spine as on prior.
<unk>-year-old female with cough and nausea.
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In comparison with study of <unk>, there is little overall change in the diffuse areas of increased opacification bilaterally, consistent with the clinical diagnosis of multifocal pneumonia. No definite pleural effusion identified. Some dilatation of gas-filled bowel is consistent with an adynamic ileus pattern.
persistent pneumonia.
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Patient is status post right middle lobectomy. Surgical clips seen at the right hilum and mild right-sided volume loss is identified. There is a small right sided pleural effusion, there is no visualized pneumothorax. The left lung is clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f <num> weeks s/p r mid lobectomy, r thoracocenthesis of <num>cc from l <num> days ago. p/w increased sob and dry cough // rule out effusion, pneumothorax
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In comparison with the study of <unk>, there is continued globular enlargement of the cardiac silhouette. No vascular congestion, pleural effusion, or acute pneumonia. Of incidental note is a spinal fusion device.
hyperhidrosis.
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Surgical chain sutures noted in the right middle lobe. The lungs are otherwise clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Descending thoracic aorta is somewhat tortuous. No acute osseous abnormalities identified.
<unk>m with chest pain // ? ptx
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Small bilateral pleural effusions are new since <unk>. The lungs are clear without focal opacity, pulmonary edema, or pneumothorax. The cardiac and mediastinal contours are normal.
<unk> year old woman with swelling and sob with activity // fluid, infection
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Frontal and lateral radiographs of the chest demonstrate minimal bilateral pleural effusions, not significantly changed since the prior radiograph. Otherwise, the lungs are clear. The cardiac and mediastinal contours are normal. No other pleural abnormality is detected.
stage-iv ovarian cancer, presenting with pleural effusions. now with increasing dyspnea on exertion. evaluate for effusion.
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Atrio biventricular defibrillator leads are in standard position and unchanged in appearance. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are clear without effusion or pneumothorax.
history of elevated white blood cell count. evaluation for pneumonia.
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As compared to the previous radiograph, the pneumothorax on the left has slightly increased in extent and dimension. There is no evidence of tension. The pigtail catheter in the left pleural space is constant in appearance. Unchanged evidence of small amounts of bilateral pleural fluid. Borderline size of the cardiac silhouette.
pneumothorax, evaluation.
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The cardiac, mediastinal and hilar contours appear stable. The heart appears again borderline in size. There is no pleural effusion or pneumothorax. The lungs appear clear.
chest pain.
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The cardiac, mediastinal and hilar contours are unchanged. There is no pleural effusion or pneumothorax. A small hyperdense nodule projecting over the right upper lung is unchanged likely representing a granuloma. Otherwise the lungs are clear.
large b-cell lymphoma noted status post cycle <num> r-chop with cough productive of yellow sputum. evaluate for infiltrate.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for effusion, infiltrate, or edema in a <unk>-year-old woman with chest pain x <num> hours.
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There is mild interstitial edema. No focal consolidation is seen. The heart is mildly enlarged. There is no pleural effusion or pneumothorax.
<unk>-year-old woman with <unk>'s disease status post fall, evaluate for acute pathology.
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Pa and lateral views of the chest are obtained. There is opacification of the right middle lobe, which obscures the right heart border. This likely represents known right lung mass obstructing the right middle lobe bronchus with associated right middle lobe collapse. The left lung is grossly clear. There is no pneumothorax or pleural effusion. Right lower tracheal adenopathy is present.
<unk>-year-old man status post bronchoscopy and biopsy. admitted for low saturation. evaluation for atelectasis.
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Heart size remains mildly enlarged. The mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. Re- demonstrated are diffuse ill-defined nodular opacities compatible with bronchiolitis and bronchiectasis with bronchial wall thickening, thought to be due to chronic nontuberculous mycobacterium infection, perhaps slightly worse in the interval. No pleural effusion, focal consolidation, or pneumothorax is present. There are mild to moderate multilevel degenerative changes noted in the thoracic spine.
history: <unk>f with atrial fibrillation with rapid ventricular rate
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Bilateral ground-glass perihilar opacities that was present on <unk> and had improved on <unk> have completely resolved on today's exam with minimal scarring at the left costodiaphragmatic angle. Mediastinal and cardiac contours are normal. There is no pneumothorax or pleural effusion.
patient with probable eosinophilic pneumonia. symptoms improving.
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The lungs are normally expanded and clear. The cardiomediastinal silhouette, and hilar contours are normal. Minimal blunting of the left costophrenic sulcus likely reflects atelectasis. There is no pleural effusion or pneumothorax. The aorta is tortuous and calcified.
history: <unk>f with cough // eval for consolidation
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Pa and lateral chest radiographs demonstrate median sternotomy wires which appear intact. Surgical <unk> project over the left cardiac border. Lungs are clear with linear opacity at the left lung base laterally which corresponds to subsegmental atelectasis as better appreciated on ct torso performed <unk>. There is no pleural effusion, pneumothorax, or evidence of pulmonary edema. No air under the right hemidiaphragm is present.
history: <unk>m with hx of renal transplant presenting with febrile neutropenia. // r/o pna
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
potential kidney donor.
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Cardiomegaly is a stable. Pacer leads are in standard position in the right atrium and right ventricle. There is no pneumothorax. Small bilateral effusions are associated with improving atelectasis.
<unk> year old man with ppm // eval lead placement and pneumothorax
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There is no pleural effusion or pneumothorax. The distal right clavicle again appears attenuated. Otherwise, bony structures are unremarkable. Surgical clips project over the right upper quadrant of the abdomen.
hemoptysis versus hematemesis.
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Linear right basilar atelectasis/ scarring is minimal. Mild elevation of the left hemidiaphragm is again seen. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with copd, cough and chills // pneumonia?
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
weakness, bradycardia.
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Compared with the prior study, marked cardiomegaly, pulmonary vascular congestion, and edema have improved, but are persistent. Lungs demonstrate improved aeration. No new focal consolidation or pleural effusions. No pneumothorax identified.
<unk>f with shortness of breath. evaluate for pulmonary edema.
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The lungs are clear bilaterally. No focal consolidations, pleural effusions or pneumothorax. No hilar lymphadenopathy. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk> year old woman with with positive ppd // r/o active tb
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The lungs are well-expanded and clear. No pulmonary edema. No pneumothorax. The hilar and pleural surfaces are unremarkable. The cardiomediastinal silhouette is normal. Anterior flowing osteophytosis of the mid thoracic spine is again noted on the lateral view.
history: <unk>f with palps // ?chf
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Slight increase in mid to lower lung opacities due to moderate bilateral pleural effusions with overlying atelectasis ; associated moderate pulmonary edema is seen as well. Underlying consolidation is difficult to exclude although no discrete focal consolidation is seen. Cardiac and mediastinal silhouettes are grossly stable.
history: <unk>m with chf, copd, pleural effusions p/w dyspnea // eval effusions, consolidations
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There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Osseous structures are unremarkable.
<unk>-year-old with fevers, dry cough. assess for infectious process.
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk> year old man with melanoma, receiving interferon treatment. minimally productive cough last few weeks.
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Low lung volumes are present. The heart size is mildly enlarged with a left ventricular predominance but unchanged. The mediastinal and hilar contours are stable. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen.
fall.
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Right ij tip is at the svc and brachiocephalic junction. Sternotomy wires are in correct position. Dual-chamber pacemaker is in the left pectoral region with lead tips in the right atrium and right ventricle. Stable small right pleural effusion and moderate-to-large left-sided pleural effusion. Mediastinal contours are normal and cardiac size is obscured by the pleural effusion. No focal consolidation, pulmonary edema, or pneumothorax.
female with left-sided pleural effusion.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Left basilar atelectasis, likely representing atelectasis or aspiration. Lungs are otherwise clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. There are remote left rib fractures.
history: <unk>m with sob // ? infiltrate
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Diffusely increased interstitial markings are compatible with chronic interstitial lung disease. The heart size is top normal. Several old healed right-sided rib fractures are incidentally noted. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema.
<unk> year old woman with cough x <num> months // eval for cause of cough
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Heart size is borderline enlarged. Patient is status post in sternotomy, the sternotomy wires which appear intact. Surgical clips are noted to the left of the midline. There is no pleural effusion or pneumothorax. Osseous structures demonstrate no acute abnormality. There is no pulmonary edema.
<unk>m with history of cad, s/p cabg, stenting p/w right shoulder pain // r/o chf, pneumonia, fracture, dislocation
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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 joint pains, chest pain // eval for pleural effusion
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The patient is status post sternotomy. The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. Streaky opacity in the medial right middle lobe suggests minor atelectasis. The bones appear within normal limits.
hemoptysis versus hematemesis.
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Pa and lateral radiographs of the chest demonstrates clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
altered mental status.
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Lung volumes are low. This accentuates the size of the cardiac silhouette which is mildly enlarged. The mediastinal and hilar contours are stable, with minimal atherosclerotic calcification noted at the aortic knob. The pulmonary vasculature is normal. Minimal patchy opacity in the left lung base likely reflects atelectasis. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormalities seen.
seizure.
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. The osseous structures are unremarkable. No radiopaque foreign body.
<unk>-year-old male with cough. evaluate for pneumonia.