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Heart size is normal. Mediastinal and hilar contours are within normal limits and unchanged. The aortic knob is calcified. There are emphysematous changes again noted, severe in extent. <num> mm nodular opacity projecting over the left lung apex is new compared to the prior study, but could reflect the end of the left <num>st rib or a summation of shadows. No focal consolidation, pleural effusion or pneumothorax is present. Blunting of the costophrenic angle on the left posteriorly likely is due to chronic pleural thickening. No acute osseous abnormalities are present. Cholecystectomy clips are seen in the right upper quadrant the abdomen.
copd, continued shortness of breath.
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There is mild pulmonary vascular congestion. Trace pleural effusions are seen. There is no pneumothorax. Cardiac and mediastinal silhouettes are stable with the heart size mildly enlarged. Partially imaged is cervical surgical hardware.
history: <unk>m with hx of chf (ef <unk>%) w/ multiple exacerbations, hx of mi, presenting with doe, chest heaviness, // e/o chf exacerbation/pulmonary edema
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The mediastinum is wide, and an aortic stent graft is in place. Cardiac silhouette appears enlarged. The lung volumes are low, which results in bronchovascular crowding. There is a small left pleural effusion. No focal consolidation or pneumothorax.
history: <unk>m with sob, confusion // eval for pna
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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 male with chest pain. evaluate for pneumothorax or acute heart failure.
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The lungs are slightly hyperinflated, with small bilateral pleural effusions. The lungs are otherwise without focal consolidation concerning for pneumonia, overt pulmonary edema, or pneumothorax. Numerous bilateral pulmonary nodules are better assessed on the recent prior ct, as is a large esophageal mass and hilar lymphadenopathy. An esophageal stent is new since the prior ct.
history: <unk>m with cough, fever // eval for acute process
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The lungs are clear. Incidentally noted is an azygos fissure at the right lung apex. The cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>f with chest pain. evaluate for pneumothorax.
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Pa and lateral views of the chest provided. Right chest wall port-a-cath again seen with catheter tip extending into the upper svc. Lungs are clear. No signs of pneumonia or edema. No pleural effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact.
<unk>f with diffuse large b cell lymphoma presenting with fevers, cough
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Lung volumes are low which accentuates the size of the cardiac silhouette which appears borderline enlarged. The mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized. An electronic device projects over the left mid anterior chest wall.
history: <unk>f with chest pain
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Dual lead left-sided pacemaker is again seen with leads extending to the expected positions of the right atrium and right ventricle. The cardiac and mediastinal silhouettes are stable. Increased perihilar interstitial opacities bilaterally consistent with mild to moderate pulmonary edema. No pleural effusion or pneumothorax is seen. There is a partially imaged left humeral prosthesis. Chronic deformity of the right shoulder with absence of the humeral head and cerclage wire is again seen.
history: <unk>f with h/o htn, chf, afib on coumadin, sick sinus syndrome s/p pacer p/w left chest pain // eval pneumonia
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The cardiac, mediastinal, and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Spiral clips project over the right upper quadrant of the abdomen.
dyspnea and chest pain.
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Frontal and lateral chest radiograph demonstrates moderately well expanded lungs with minimal right lower lobe atelectasis. No focal opacity. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.
cough, hypertension. assess for pneumonia.
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Left-sided aicd device is noted with leads terminating in the right atrium and right ventricle. The heart remains mildly to moderately enlarged. Aorta is tortuous and calcified, similar to the prior study. There is crowding of the bronchovascular structures due to low lung volumes. No pulmonary edema is present. Patchy opacities in both lung bases may reflect atelectasis. Calcified granuloma in the right upper lung field is unchanged. Anterior osteophytes are seen within the thoracic spine spine. No acute osseous abnormalities are detected.
malaise, weakness and hyponatremia.
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Peribronchial thickening is detected throughout the bilateral lower lungs, which may be due to atypical--<unk>, mycoplasma, chlamydia--<unk>. No large focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
history: <unk>f with cough, fever. pneumonia?
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Pa and lateral chest radiographs were obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
chest pain x <num> days, evaluate for pneumothorax, cardiomegaly, or pnemonia.
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Lungs are hyperexpanded with slightly flattened diaphragms. The lungs are clear. Mediastinal contours, hila, and cardiac silhouette are normal. No pneumothorax or pleural effusion.
<unk>m with cough, chest pain*** warning *** multiple patients with same last name! // r/o acute process
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The patient is status post previous median sternotomy. Heart is upper limits of normal in size, in the aorta is diffusely tortuous, both without change. . The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with shortness of breath on exertion. // pulmonary edema, infiltrate?
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Pa and lateral views of the chest. Low lung volumes. There is a small left pleural effusion. Heart size is normal. There are no focal opacities concerning for pneumonia. The mediastinal and hilar contours are normal. No pneumothorax.
chronic low back pain, now with pleuritic chest pain.
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There is further decrease in size of the small bilateral pleural effusions when compared to <unk>. Vascular congestion as well as increased interstitial markings are without change. No new focal pneumonia identified. Evidence of prior sternotomy.
status post pericardial stripping and thoracentesis on <unk>. followup.
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Pa and lateral views of the chest provided. Multiple surgical clips are seen projecting over the left axilla. There is scarring in the left apex. Patient is known to have severe emphysema. There is no focal consolidation concerning for pneumonia. No large effusion or pneumothorax. Cardiomediastinal silhouette is unchanged. No acute bony abnormalities.
history: <unk>f with near syncope
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Pa and lateral views of the chest. The lungs are clear of consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>-year-old male with rigors.
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Pa and lateral views of the chest. The lungs are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.
<unk>-year-old male with dizziness.
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Pa and lateral views of the chest are compared to previous exam from <unk>. Left-sided vagal nerve stimulator is seen with device overlying the left upper lung. Where seen, the lungs are clear. There is no effusion or infiltrate. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with seizure. question infiltrate.
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Left-sided aicd device with single lead terminating in the right ventricle is re- demonstrated. There is mild enlargement of cardiac silhouette, unchanged. Mediastinal and hilar contours are normal, and the lungs are clear. There is no pulmonary edema. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
shortness of breath.
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are well expanded and clear. There is no pneumothorax, vascular congestion or pleural effusion. Note is made of mildly high riding distal right clavicle, raising question of possible ac joint separation, to be correlated clinically and if indicated, consider stress views to confirm finding.
<unk>-year-old female with near syncope. question acute process.
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. Irregularity of the left tracheal margin is likely postoperative.
pt s/p peg placement and s/p tracheal resection // post op check
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Pa and lateral radiographs of the chest demonstrate elevation of the left hemidiaphragm, more pronounced compared to the prior study. The lungs are clear without focal consolidation concerning for pneumonia, significant pleural effusion, or pneumothorax. The cardiac silhouette top normal size, unchanged. The mediastinal and hilar contours are within normal limits allowing for slight patient rotation.
chest pain, here to evaluate for acute cardiopulmonary process.
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Lungs are clear. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with diaphoresis, n/v // ?cardiomegaly
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Pa and lateral chest radiographs demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. No evidence of pulmonary edema, pleural effusion, or pneumothorax. There is no air under the right hemidiaphragm.
<unk>m with l chest pain, nonradiating // eval for pneumothorax
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Background emphysema is unchanged. There is persistent moderate pulmonary interstitial edema. Known consolidation in the superior segment of the left lower lobe is again identified. The cardiac silhouette is unchanged. There is no pleural effusion or pneumothorax. Multiple left-sided rib fractures are again noted.
<unk>-year-old man with chest pain, evaluate for acute process.
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Pa and lateral views of the chest are compared to previous exam from <unk>. Right picc is no longer visualized. There is elevation of the right hemidiaphragm as on prior. The lungs, however, are clear of consolidation or effusion. Cardiomediastinal silhouette is unchanged and within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with shortness of breath, past medical history of pes and mi and endocarditis, hypertrophic cardiomyopathy.
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Single portable view of the chest. Right picc is seen with tip in the lower svc. Relatively low lung volumes are noted. The lungs are clear of consolidation or large effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.
<unk>-year-old male with multiple sclerosis and picc presents with mental status change.
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
<unk>-year-old man with alcohol abuse, chest "flare ups" , evaluate for pneumonia
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The lungs are well expanded and clear. The heart size is normal. The mediastinal and hilar contours are unchanged from prior. Biapical scarring is unchanged. No pleural effusion is seen. Right port-a-cath terminates at cavoatrial junction, unchanged from prior.
<unk> year old woman with aml currently neutopenic with chills // ? pna
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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>f with multiple sclerosis, neurogenic bladder, who presents with progressive weakness and is s/p mechanical fall today
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The left hemidiaphragm is elevated. The medial left hemidiaphragm is partially obscured by a rounded opacity, which could represent atelectasis but cannot exclude a mass lesion. The lungs are otherwise well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Degenerative changes are noted throughout the spine.
history: <unk>m with h/o rle surgery w/ hardware, now with abscess, cxr can be single view // ? acute process, cxr can be single view
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The lungs are clear. Cardiomediastinal contours are normal. No pleural abnormality. Diffuse osseous lesions of the ribs and spine are noted, with new sclerosis of a left mid posterior rib since <unk>, possibly implying interval healing.
<unk>m with metastatic prostate cancer. evaluate for pneumonia.
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Pa and lateral views of the chest demonstrate normal lung volumes. There is no pleural effusion, focal consolidation, or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.
patient with asthma and cough, assess for pneumonia.
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Left-sided aicd device is noted with leads terminating in the right atrium, right ventricle, and region of the coronary sinus. Heart size is normal. The aortic knob is calcified. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Lungs are hyperinflated without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormalities detected.
history: <unk>m with chest pain
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Frontal and lateral radiographs of the chest demonstrate normal heart size. The mediastinal contours are stable with mildly tortuous aorta. The lungs are clear. No pleural effusion or pneumothorax. Unchanged minimal anterior wedging of several thoracic vertebral bodies.
chest pain
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Pa and lateral views the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm is seen.
<unk>-year-old female with new pleuritic chest pain.
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As compared to <unk> radiograph, the lungs remain hyperinflated with extensive lower lung predominant bullae. Right upper lobe bronchiectasis is again demonstrated, but the extent of bronchial wall thickening and peribronchiolar opacification are slightly improved. Nonspecific left apical scarring appears similar. Heart size is normal. Tortuous thoracic aorta is likely unchanged considering patient rotation. High-grade compression deformity in the mid thoracic spine is similar to the prior radiograph.
<unk> year old woman with shortness of breath, copd // eval for pulmonary process, persistent dyspnea
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There is mild pulmonary edema, which has improved compared to prior. There are bilateral small pleural effusions with associated bibasilar atelectasis. The lungs are otherwise clear. The cardiomediastinal silhouette is stable. There is no pneumothorax.
<unk> year old man with poss pulm htn // eval prior to vq scan
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As compared to the previous radiograph, one of the two left chest tubes has been removed. One chest tube on the left remains in situ. There is no evidence of pneumothorax. A linear scar at the left lung apex, adjacent to a rib fracture with cortical defect, is unchanged. The extent of pleural fluid on the left is decreased as compared to the previous image, but still clearly visible. Moderate retrocardiac atelectasis. Unchanged normal appearance of the right lung.
pleural effusion, status post pleurodesis, now pleurx catheter, evaluation for recurrence of effusion.
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There are bibasilar opacities compatible with small to moderate pleural effusions. Superiorly, the lungs are clear given relatively low lung volumes. Cardiac silhouette is also accentuated by low lung volumes, with possible superimposed cardiomegaly. Left-sided pleural catheter is noted.
<unk>f with visual changes, picc // eval for picc, pna
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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Lungs are clear. No focal opacification concerning for pneumonia. No pleural effusion or pneumothorax. Dialysis catheter extends from the ivc into the right atrium. Dense tubular calcifications in bilateral upper extremities are likely due to renal failure and possible av-fistula with additional vascular stent projecting over the left axilla.
end-stage renal disease, hiv, presents with shortness of breath. assess for infection and effusion.
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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 dcis s/p masectomy presenting with syncopal episode // pneumonia
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There is silhouetting of the bilateral hemidiaphragms suggestive of a moderate right and a small left pleural effusion. Bulky, lobulated densities seen in the anterior and middle mediastium. There is also increased density in the subcarinal region and associated narrowing of the left mainstem bronchus. Pathcy opacity seen a the right lung apex. No focal opacities are noted in the left lung. Multiple thoracic vertebral compression fractures are also noted. Surgical clip seen in the neck on the left.
evaluation of patient with shortness of breath. history of lymphoma
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Pa and lateral views of the chest. Linear opacities in the left mid and lower lung suggestive of scarring. There is mild elevation of the left hemi diaphragm and blunting of lateral costophrenic angle likely due to scarring or pleural thickening. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.
<unk>-year-old male with left hand weakness.
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Pa and lateral views of the chest provided. Left chest wall pacer device is again seen with leads extending into the region of the right atrium, right ventricle and coronaries sinus. Midline sternotomy wires and prosthetic cardiac valve are again noted. The heart is top-normal in size. The mediastinal contour is normal. The lungs are clear without focal consolidation, large effusion or pneumothorax. No convincing signs of edema or congestion. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with hfref p/w dyspnea
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There is no pleural effusion, pneumothorax or focal airspace consolidation. Heart size is normal. There is no evidence of pulmonary edema. The aorta is unfolded.
chest pain to left shoulder, evaluate for pneumonia or effusion.
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There is a ground-glass opacity in the right middle lung zone consistent with pneumonia. There is no pleural effusion and no pneumothorax. The cardiomediastinal silhouette and hila are unchanged.
<unk>-year-old man with productive cough, fever, concern for pneumonia.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear without focal consolidation. The upper abdomen is unremarkable. No displaced rib fractures are noted. The patient is status post right rotator cuff repair.
<unk>-year-old male with left lower chest pain and cough.
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Lung volumes are low, resulting in bronchovascular crowding. Area of opacity in the right lower lobe may represent atelectasis, however aspiration or pneumonia could be considered in the appropriate clinical setting. The heart remains enlarged. The aorta is tortuous. There is no pneumothorax.
<unk>m w/cough, r/o pna // <unk>m w/cough, r/o pna
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There is scarring in the right lower lobe. There is cardiomegaly and evidence of mitral valve replacement. Otherwise, the hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old woman with weakness and dizziness. evaluate for pneumonia.
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old woman with cough, pleurisy, low grade temps // cap vs other as cause of pleurisy
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The lungs are clear. Calcific densities projecting over the lung apices are compatible with vascular calcifications. Subclavian artery stent is also noted. . Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with s/p fall, multiple small scalp lacerations most notably over occipital prominence, l sided anterior cw tenderness concerning for <unk> rib fractures // fracture or bleed?
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In comparison with the study of <unk>, there again are small nodular opacifications in the right apex, most likely representing scarring, which were not clearly visualized on interval ct torso. Otherwise, little change with no evidence of pneumonia, vascular congestion, or pleural effusion.
preoperative.
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The lungs are well-expanded and clear. No focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The heart is top-normal in size. Mildly tortuous or dilated descending aorta.
<unk>-year-old man with hiv who presents with weight loss and subjective fevers.
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There is no significant change in previously seen left lower lobe atelectasis. Otherwise, the lungs are clear. Heart size is mildly enlarged.mediastinal and hilar contours are unchanged from <unk>, though significantly decreased since <unk>. There is no evidence for pulmonary edema, pleural effusion, or pneumothorax. There is persistent elevation of the left diaphragm with left lung volume loss. There has been interval removal of the right-sided picc.
<unk> year old woman with neutropenia and laryngitis. evaluate for pneumonia.
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Heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is seen.
chest pain radiating to the back.
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Heart size is normal. The aorta is mildly unfolded. The mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. Triangular <num> mm focal opacity projects over the left mid lung field on the frontal view. There are no acute osseous abnormalities.
history: <unk>m with hiv, not on meds, worsening mental status. // pneumonia?
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The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The pulmonary vasculature is not engorged, and there is no overt pulmonary edema. The cardiomediastinal and hilar contours are within normal limits. The trachea is midline. No acute osseous abnormality is detected.
chest tightness in the setting of anxiety, here to evaluate for pneumonia.
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The cardiomediastinal and hilar contours are stable and shows mild cardiomegaly. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with crushing chest pain, weakness, diaphoresis for one hour. // ? cardiopulmonary anomaly
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Lungs are hyperinflated with a pectus excavatum deformity. No focal consolidation is identified. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax.
<unk>f with fever. evaluate for pneumonia.
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Compared to the previous radiograph, there is no relevant change. No evidence of lung nodules or masses suggesting a metastatic disease. Normal size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta.
bladder cancer, evaluation for metastatic disease.
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The heart is normal in size. The mediastinal and hilar contours appear stable. A chronic opacity in the right upper lobe appears unchanged on the frontal view although more compact and dense on the later view. Elsewhere, the lungs appear clear. The chest is mildly hyperinflated. There is no pleural effusion or pneumothorax.
cough.
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Compared to prior radiograph, there is no large interval change. Pacing wires unchanged in position ending in the right atrium and right ventricle. Cardiomediastinal contours are unchanged. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. There is mild increased interstitial markings diffusely, which may represent mild interstitial edema.
<unk>f with delirium.
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The lungs appear well expanded without focal consolidation. There is no pleural effusion or pneumothorax. The heart is normal in size and normal mediastinal contours.
<unk>-year-old with chest pain, assess for pneumonia.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with history of multiple complaints p/w chest pain and shortness of breath // eval for pna vs ptx
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Cardiac, mediastinal and hilar contours appear stable. There is a new nonspecific retrocardiac opacity obscuring the left hemidiaphragmatic border. Coinciding pleural effusion is not excluded on the left. There is probably a very small pleural effusion on the right. There are also mild congestive changes.
shortness of breath and leg swelling.
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Mild cardiomegaly, no radiographic evidence for lymphadenopathy. No acute lung parenchymal process. No pleural effusions.
nonischemic dilated cardiomyopathy of unknown origin, questionable evidence of hilar adenopathy.
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The lungs are hyperinflated with flattening of the diaphragms. Increased interstitial densities at the bases bilaterally is a chronic finding, seen to a lesser degree in <unk>. No new consolidation is seen. The cardiomediastinal contours are normal. No pleural effusion or pneumothorax.
<unk>m with shortness of breath. evaluate for pneumonia.
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Left lower lobe opacity is new since <unk>. In addition, there is a possible lingular opacity. No pulmonary edema, pleural effusion or pneumothorax identified. The cardiac and mediastinal contours are stable.
cough. positive ppd.
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Frontal and lateral radiographs of the chest show a moderate-sized right basal pneumothorax with slight leftward shift of the mediastinal structures and associated collapse of the right middle lobe and right lower lobe. Suture chains are noted in the left lung base consistent with prior surgery. The lungs appear hyperinflated with flattening of the diaphragms and increased ap diameter of the chest suggesting underlying copd/emphysema. Small bilateral pleural effusions are present. No focal consolidation concerning for pneumonia is detected. The pulmonary vasculature is not engorged and no pulmonary edema is seen. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits.
<unk>-year-old male with possible right pneumothorax, here to evaluate for pneumothorax and complications.
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with double vision, sudden onset // eval for stroke or other acute process
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In the right lower lung zone, there is a <num> mm nodule. There is possibly a second smaller right mid lung zone nodules. There is no pneumonia, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
chest pain.
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There is increased opacity in the left lower lobe overlying the lower thoracic spine, which is suspicious for left lower lobe pneumonia. There is no pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.right pectoral infusion port terminates at cavoatrial junction.
<unk> year old woman with hx all currently on chemotherapy with cough and chest congestion. // pna
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Severe emphysema is again noted. A metallic fiducial marker in the right upper lobe from prior biopsy is present. There is no pneumothorax, pleural effusion, pulmonary edema, or consolidation. Known bilateral upper lobe nodules are better characterized on concurrently obtained ct. A cardiomediastinal silhouette is unremarkable.
history: <unk>m with productive cough. // pna?
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Lung volumes are low. There is bilateral diffuse interstitial thickening with vascular cephalization in the setting of moderate-to-severe cardiomegaly. There is an associated left-sided pleural effusion, better assessed in lateral radiograph. There is no right-sided pleural effusion or pneumothorax. A unicameral pacemaker is noted in the left axilla with the lead ending in the left ventricle. Sternotomy wires are intact. Mediastinal surgical clips are noted along the left margin of the heart. Abandoned epicardial leads are seen anterior to the heart.
<unk>-year-old male with shortness of breath and history of chf. evaluate for infiltrates or chf.
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Heart size is top normal. Mediastinal and hilar contours are unremarkable. Lung volumes are low with patchy opacities in the lung bases likely reflective of atelectasis. A small left pleural effusion is present. No pneumothorax is seen. There are no acute osseous abnormalities demonstrated. Clips are noted in the right upper quadrant of the abdomen.
history: <unk>f with left shoulder pain, chest pain.
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Heart size remains mildly enlarged. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is not engorged. Patchy opacities in the left lung base likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
history: <unk>m with metastatic prostate cancer, altered mental status, hypoxia
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.
shortness of breath.
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Ap and lateral views of the chest. There is left basilar opacity which may be in part due to elevated left hemidiaphragm, better seen on the lateral view. Instinct pulmonary vascular markings are identified throughout. There is a small right and possible trace left effusion. Linear opacity in the right mid lung is potentially subsegmental atelectasis or fluid within the fissure. Basilar opacities may also in part be due to atelectasis noting that infection would be difficult to exclude. The cardiac silhouette is moderately enlarged. Hypertrophic changes seen in the spine.
<unk>-year-old male with chf and shortness of breath for two weeks.
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The cardiac, mediastinal and hilar contours appear unchanged including marked enlargement of the main pulmonary artery contour. Fissures are thickened. There is no definite pleural effusion or pneumothorax. Parenchymal findings, which include a mild interstitial abnormality and an indistinct appearance to pulmonary vasculature, suggest pulmonary edema.
shortness of breath. question pneumonia.
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Ap and lateral views of the chest. When compared to prior, there has been no significant interval change. The lungs remain clear of focal consolidation, effusion or vascular congestion. The cardiomediastinal silhouette is within normal limits. Filter projects over the region of the ivc. No acute osseous abnormality is identified.
<unk>-year-old male with cough and seizures.
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Evaluation is limited by a kyphotic positioning and the patient's chin and neck obscuring assessment of the medial aspect of the lung apices. Heart size is mildly enlarged. The aorta is diffusely calcified. Hilar contours are grossly unremarkable. The pulmonary vasculature is not engorged. Calcified scarring is noted within the lung apices. No focal consolidation, large pleural effusion or pneumothorax is present. The osseous structures are diffusely demineralized with age indeterminate multiple compression deformities noted in the imaged thoracic spine including a moderate to severe mid thoracic vertebral body compression fracture.
history: <unk>f with confusion
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Lungs are fully expanded. Mild biapical scarring is unchanged. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal. A right-sided port and central venous catheter are unchanged in position. A needle and iv tubing project over the lateral left lung field and somewhat limited evaluation of the underlying parenchyma. There is mild thoracic dextroscoliosis.
<unk> year old woman with encephlopathy // r/o pna
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The size of the left pleural effusion has decreased since <unk>, now small. There is associated atelectasis, however an underlying pneumonia at the left base cannot be entirely excluded. Otherwise, the lungs are clear. No pulmonary edema. Normal appearance of the cardiomediastinal silhouette. No pneumothorax. Cervical fixation hardware is visualized.
history: <unk>f with vaginal cancer on chemo with fever to <num> // pneumonia?
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Lungs are well expanded and clear. There is no pleural effusion or pneumothorax. Heart is normal in size with normal cardiomediastinal contours.
dyspnea and productive cough since <unk>.
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Right pigtail chest catheter is again seen. There appears to be slight improvement of aeration of the right lower lung with decrease in right lower lung atelectasis. Left picc terminates in the upper svc. The left lung is clear. No pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
<unk> year old man with right empyema // check interval change
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Ap and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.
<unk>-year-old male with seizures.
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Chest, pa and lateral. Compared to the prior examination, there is new pulmonary vascular congestion and mild cardiomegaly. In addition there are heterogeneous opacities in the bilateral lower lobes. There is no pneumothorax or pleural effusion.
shortness of breath.
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The lungs are clear. There is relative elevation of the left hemidiaphragm and blunting of the lateral costophrenic angle likely due to pleural thickening or scar. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. Chronic left lateral rib fractures are noted.
<unk>m with syncope // eval ? edema, infiltrate
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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, pneumothorax, or evidence of pulmonary edema. Osseous structures are without an acute abnormality. Imaged upper abdomen is unremarkable.
<unk>-year-old female with "acute process".
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There is a small right pleural effusion, which is increased in size since the prior chest radiograph, though similar to the prior ct. There is no left pleural effusion. No pneumothorax is identified. The lungs are clear without consolidation or edema. The cardiomediastinal silhouette is normal.
chest pain. evaluate for acute process.
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Large body habitus and underpenetration on technique limits evaluation. Within this limitation, the cardiomediastinal contours are within normal limits. Streaky opacities in the lower lobes on the lateral radiograph most likely reflect atelectasis. No significant focal consolidation, pleural effusion or pneumothorax is appreciated. The pulmonary vasculature is essentially within normal limits. No acute osseous abnormalities detected.
<unk>-year-old woman with history of asthma now with dyspnea.
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Small left pleural effusion with associated atelectasis, although underlying aspiration/pneumonia cannot be entirely excluded. Lungs are otherwise clear. No pulmonary edema. Normal cardiomediastinal silhouette. No pneumothorax.
history: <unk>f with uterine cancer, leukocytosis // ?cpd
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The left-sided pleural effusion is slightly smaller compared to <unk>. Right lung is free of consolidations, pleural effusion or pneumothorax. The left port-a-cath terminates in the distal svc. A left chest tube is unchanged in position. Minimal subcutaneous emphysema adjacent to the left lateral chest wall, unchanged. Destruction of entire right clavicle, unchanged since <unk>.
<unk> year old woman h/o breast ca s/p r mastectomy, pleural effusion // eval
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Lung volumes are low, resulting in bronchovascular crowding. The heart is mildly enlarged and the aorta is mildly tortuous. Bilateral hilar calcifications are likely within lymph nodes. No pneumothorax, pleural effusion, or consolidation
history: <unk>f with chest pain // eval for infiltrate, widened mediastinum
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The lung volumes are low. There is bilateral basal atelectasis. The left costophrenic angle is blunted, which may be secondary to atelectasis or a trace pleural effusion. There is no consolidation, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is normal. Surgical clips are noted in the right upper quadrant.
epigastric and right upper quadrant pain.