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The size of the left pneumothorax has decreased, but it is still present. There is also a small left pleural effusion which is slightly increased compared to prior. The left lung atelectasis has improved. The right lung remains essentially clear. There is mild cardiomegaly, and the mediastinal and hilar contours are normal.
followup 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 stable. No pulmonary edema is seen.
<unk> year old woman with hx of pe, present w/ pleuritic cp, sob // eval for lung infarction
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The study is limited due to the patient's chin projecting over and obscuring the apices as well as patient rotation. Within these limitations, heart size is likely top normal. The aorta is tortuous and diffusely calcified. The hilar contours are grossly unremarkable. Patchy right basilar opacity is poorly assessed on this exam, but may reflect an area of infection or atelectasis. No pleural effusion or large pneumothorax is identified. No displaced fractures are seen, but please note that assessment of the right-sided ribs is limited.
history: <unk>m with post fall yesterday with right sided rib pain
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Ap upright and lateral views of the chest provided. There is ill-defined consolidation in the right lower lobe concerning for pneumonia. No large effusion is seen. Lung volumes are somewhat low. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with cough // eval infiltrate
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In comparison with study of <unk>, there is some increase in the degree of pleural effusion on the left. Elliptical opacification is consistent with loculated effusion and the major fissure. The right lung is essentially clear. Impression on the right side of the lower cervical trachea suggests a thyroid enlargement.
pleural effusion.
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The lungs are clear. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cp // eval for ptx
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There has been interval resolution of a left lower lobe pneumonia. Previously seen opacity in the right lung is not seen on the current chest x-ray. Previously seen opacity at the right lung base is no longer seen on the current study. Previously seen opacity at the level of the left fifth anterior rib persists. Repeat chest x-ray is recommended in <num> months for evaluation. If the opacity still persists, then ct is recommended for further characterization. The lungs are borderline hyperinflated. No pleural effusion or pneumothorax is seen. The cardiac, hilar and mediastinal silhouettes are unremarkable.
<unk> year old woman f/u pna // f/u pna
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Pa and lateral views of the chest were obtained. Heart is normal size and cardiomediastinal contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old man with cough, evaluate for pneumonia.
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The lungs are clear. The cardiomediastinal silhouette and hilar contours are within normal limits. There is a small left-sided pleural effusion. There is no pneumothorax seen.
history of streptococcus bacteremia with new chills. evaluate for pneumonia.
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Lung volumes are low. This accentuates the size of the cardiac silhouette which is mildly enlarged with a left ventricular predominance. The aorta is unfolded. The mediastinal and hilar contours are unremarkable. Lungs are essentially clear without focal consolidation. There is minimal subsegmental atelectasis in the right lower lobe. No pleural effusion or pneumothorax is present. No acute osseous abnormalities present. Moderate degenerative changes in the thoracic spine with bridging anterior osteophyte formation are noted.
history: <unk>m with dyspnea
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In comparison with the study of <unk>, there is little change. Continued elevation of the right hemidiaphragm. Vague areas of increased opacification is seen at the left base. These could reflect merely atelectasis, though in the appropriate clinical setting, supervening pneumonia would have to be considered. Picc line remains in place.
fever and cough with crackles at the left base.
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Heart size remains moderately enlarged. The mediastinal contour is unchanged. There is mild pulmonary vascular congestion, as seen previously. No focal consolidation, pleural effusion or pneumothorax is present. Electronic devices are seen projecting over the chest bilaterally which obscures assessment of the underlying lung bases. No acute osseous abnormalities seen.
history: <unk>m with hypoglycemia
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Right picc tip is in the low svc and the ng tube ends in the mid esophagus. Chronic low lung volume and severe bowel distension are more severe today. No pneumothorax or pleural effusion is present. Right sided tracheal deviation is due to distended esophagus as seen on ct in <unk>.
female with bowel obstruction on tpn. assess position of picc.
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Right upper lobe consolidation has cleared. Cardiomediastinal contours are stable. No pleural effusion or acute skeletal findings.
<unk> year old man with recent pneumonia. // follow up
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with presyncope
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Lungs are clear. Cardiomediastinal silhouette and hilar contours are unremarkable. No pleural effusion or pneumothorax.
<unk>-year-old man with chest pain, evaluate for acute process.
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The cardiomediastinal silhouette is stable, consistent with a tortuous thoracic aorta. The hilar within normal limits. There is likely left basilar atelectasis. Otherwise, there is no focal lung consolidation. There is no pulmonary edema. There is no pneumothorax or pleural effusion.
<unk>f with chest pressure with radiation, evaluate for mediastinal widening.
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Cardiac silhouette is mild to moderately enlarged. The aorta is calcified. There is central pulmonary vascular engorgement without overt pulmonary edema. Slight blunting of the posterior left costophrenic angle likely relates to to atelectasis, less likely trace pleural effusion. No definite focal consolidation to suggest pneumonia.
history: <unk>f with chest pain, crackles on exam in bases // pna? fluid?
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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. Mild left convex scoliosis and mild thoracic spine djd noted.
<unk>-year-old male with history of cocaine use presents with chest pain and shortness of breath. question acute process.
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Heart size is mildly enlarged. The mediastinal and hilar contours are normal. There is pulmonary vascular congestion without overt edema. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk>m with leg and arm swelling // pulmonary edema? pna?
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There is pleural thickening and irregular linear opacity along the right lateral lower lung with adjacent soft tissue metallic clips, chronicity indeterminate. Mitral valve replacement hardware is seen. No focal pulmonary consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart size is top normal. Mediastinal contours are within normal limits. Biliary stent is partially imaged.
<unk>-year-old male with recent mitral valve repair and biliary stent placement, now with chest pain.
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Pa and lateral views of the chest provided. Overlying ekg leads are present. Kyphotic angulation of the spine is centered at the thoracolumbar junction at the site of an apparent thoracic vertebral body compression deformity. Lower lung streaky opacities likely represent atelectasis and scarring. No focal consolidation concerning for pneumonia. No effusion or pneumothorax. No overt edema. The cardiomediastinal silhouette appears normal. Bony demineralization is noted diffusely.
<unk>f with dizziness, fall, weakness
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In comparison with study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
cough and low-grade fever.
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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>m with cough and difficulty breathing. increased pain with deep inspirations. evaluate for acute process.
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The lungs are clear without focal consolidation, effusion, or edema. There is relative elevation of left hemidiaphragm. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with back pain and abdominal pain. // eval for any evidence of widened mediastinum
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. The aorta is slightly tortuous. Hilar contours are unremarkable.
chest pain.
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The lung volumes are low. There no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits.
shortness of breath.
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Frontal and lateral views of the chest. Exam is somewhat limited due to slightly low lung volumes and overlying soft tissues. The lungs are grossly clear of consolidation, effusion, or overt pulmonary edema. Cardiac silhouette is within normal limits. No acute osseous abnormalities.
<unk>-year-old female with hypertension, asthma and diabetes with cough and fever.
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There are small persistent bilateral pleural effusions. Degree of bibasilar atelectasis has improved likely in part due to improved aeration. There is no consolidation worrisome for pneumonia. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires are intact. No acute osseous abnormalities.
<unk>m with recent cabg with nausea. // ptx, pneumonia?
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Ap and lateral views of the chest demonstrate low lung volumes. Large left pleural effusion. Retrocardial consolidation. Right lung base is elevated, possibly due to subpulmonic pleural effusion there is moderate pulmonary edema. Heart size moderately enlarged. No pneumothorax. Port-a-cath tip projects over cavoatrial junction. Chest ct is recommended to further assessment.
patient with history of congestive heart failure, who now presents with chest pain.
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The heart size is normal. The hilar and mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. Widespread lung metastases are better evaluated on the prior chest ct from <unk>. Only scattered pumonary metastases are noted on this exam. There is no pleural effusion or pneumothorax.
history of recent chemotherapy. please evaluate for pneumonia. review of omr indicates a history of recurrent ovarian cancer.
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Pa and lateral views of the chest were obtained. The previously seen right apical nodular scarring is again demonstrated on this study and is associated with some upward retraction of the right hilus. The cardiomediastinal silhouette is unremarkable. There is no focal area of pneumonia, pleural effusion or pulmonary edema. There is mild scoliosis of the thoracic spine and surgical clips are again seen at the gastroesophageal junction, unchanged in position since the prior study.
<unk>-year-old with history of sarcoid and cough.
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is detected. No acute osseous abnormality is visualized.
history: <unk>m with weakness/left arm pronator drift/tremors
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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.
history: <unk>f with sob // infiltrate infiltrate
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The cardiac silhouette size is mildly enlarged with coronary arterial stents visualized. The aorta is tortuous and demonstrates calcifications at the aortic knob. The pulmonary vascularity is not engorged. Linear opacities within the lingula likely reflect subsegmental atelectasis or scarring. No focal consolidation, pleural effusion or pneumothorax is present. There are mild degenerative changes in the thoracic spine.
chest pain.
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Heart size is normal with mild unfolding of the aorta. Mediastinal silhouette and hilar contours are normal. Lungs are clear. Spiculated right apical nodule identified on prior ct is not visualized on radiography. Pleural surfaces are clear without effusion or pneumothorax. No overt traumatic findings.
status post fall after alcohol use presenting with headache and crackles on physical exam.
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Known <num> cm pulmonary nodule in the left lower lung, unchanged compared to prior studies.otherwise, lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac, hilar and mediastinal silhouettes are unremarkable. A dual lead transvenous pacemaker with leads terminating in the right atrium and right ventricle noted.
<unk> year old man with cied for mri today. please evaluate for integrity/placement.
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Cardiac pacing hardware appear similarly positioned. Heart size is moderately enlarged, as before. There has been interval increase in pulmonary vascular prominence without frank edema. No focal consolidation, pleural effusion, or pneumothorax is detected. Aortic calcification is again noted. There has been interval removal of the swan<unk>ganz catheter.
<unk>-year-old male with cough and malaise.
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The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities.
<unk>f with l knee pain and mild l anterior rib pain s/p mvc // evidence of fracture
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There is mild left basilar atelectasis. The lungs are otherwise clear. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Pleural surfaces are unremarkable. There is no evidence of pulmonary edema.
<unk>-year-old woman with total body swelling, evaluate for pulmonary edema .
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The lungs are well inflated and clear. No consolidation, effusion, or pneumothorax is present. The heart and mediastinal contours are normal.
<unk>-year-old man with palpitations, chest tightness, evaluate for pneumothorax.
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Frontal and lateral views of the chest. The lungs are clear without consolidation, effusion, or pulmonary vascular congestion. Biapical scarring is again noted. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old male with generalized weakness.
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Patient is status post median sternotomy and cabg. Moderate enlargement of the cardiac silhouette is unchanged. Aortic knob calcifications are re- demonstrated. Widening of the mediastinal contour at the level of the vascular pedicle is re- demonstrated compatible with elevated central venous pressures. There is also mild pulmonary vascular congestion. Probable small bilateral pleural effusions are demonstrated. Patchy opacification within the left lung base may reflect atelectasis. No pneumothorax is present. There are moderate multilevel degenerative changes in the thoracic spine.
history: <unk>f with dyspnea on exertion
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear except for linear atelectasis or scar within the left lung base, unchanged. . No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities, and the note is made of separately dictated dedicated right rib series from the same date.
<unk> year old woman with r lateral rib pain // eval for right lateral rib lesions
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There relatively low lung volumes. Elevation the right hemidiaphragm is seen, with overlying atelectasis. There is minor left base atelectasis. No definite focal consolidation is seen. There is no pleural effusion or evidence of pneumothorax. Cardiac and mediastinal silhouettes are unremarkable. Surgical screw is seen projecting over the right humeral head.
history: <unk>m with rotator cuff surgery <num> weeks ago p/w <unk> days of sob, orthopnea, cough. cta on <unk> showing ?pna. dec breathsounds right base // ?pna or effusion
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Frontal and lateral views of the chest. Heart size is top normal. Mediastinal contours are unremarkable. Interstitial markings appear diffusely mildly increased without focal consolidation. No pleural effusion or pneumothorax. Chronic right-sided rib fractures are appreciated.
chest pain and shortness of breath.
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The lungs are well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is unremarkable. No free air under the diaphragm.
<unk>f with acute onset left abd/chest pain. assess for pneumonia, cpd, free air under diaphragm
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. There is a mild diffuse interstitial abnormality consistent with mild emphysema as well as mild bibasilar atelectasis, but no focal consolidation, pleural effusion, or pneumothorax. No displaced rib fracture is appreciated.
status post fall.
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Scattered right mid to lower lung linear atelectasis/scarring is seen. There is a small left pleural effusion. No definite focal consolidation is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with dyspnea, etoh cirrhosis // please eval for acute cp process
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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 extensive opacity in the medial right lower lobe is most suggestive of pneumonia. Elsewhere, the lungs appear clear.
cough and fever.
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Pa and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is normal. No acute osseous abnormality detected. Surgical clips seen in the right upper quadrant.
<unk>-year-old female with syncopal episode and chest tightness.
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The moderate right pneumothorax is unchanged from the prior study. There is slight interval improvement in right lower lobe atelectasis. The chest radiograph is otherwise unchanged with normal cardiac and mediastinal contours and no new lung pathology.
<unk>-year-old male with right-sided pneumothorax status post chest tube removal, here to assess for interval changes.
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Left basilar opacity is likely due to atelectasis in setting of low lung volumes. Elsewhere, the lungs are clear. There is no consolidation worrisome for pneumonia, effusion, or edema. The cardiomediastinal silhouette is within normal limits. On the lateral view, catheter is partially seen projecting over the retroperitoneal region.
<unk> year old man with metastatic prostate cancer and slurred speech // eval for acute cardiopulmonary process
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Ap upright and lateral views of the chest provided. The lungs are hyperinflated. There is no focal consolidation, effusion, or pneumothorax. There is mild interstitial edema. Heart size is top-normal. Imaged osseous structures are intact. There is dextroscoliosis of the thoracic spine. No free air below the right hemidiaphragm is seen.
history: <unk>f with pericarditis // ? effusion, consolidation
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Heart size is normal. Leftward shift of the mediastinum is similar to prior. Postsurgical changes in the left upper lobe and elevation of left hemidiaphragm are similar to prior exam. Subcutaneous emphysema lateral to the left chest and abdomen as well as in the left neck is improved. Retrocardiac opacities are resolved and right lower lobe opacities are improved. The pulmonary vasculature is normal. No focal consolidation, pleural effusion, or pneumothorax.
<unk> year old man with left upper lobe lung cancer s/p left upper lobe lobectomy // assess for interval change
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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are again noted. Lungs appear hyperinflated with upper lung lucency suggesting emphysema. There is no focal consolidation concerning for pneumonia. No large effusion or pneumothorax. No signs of congestion or edema. Cardiomediastinal silhouette is stable. Bony structures are intact.
history: <unk>m with chest pain // eval for ptx, pna
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. The heart size is normal and no configurational abnormality is identified. Thoracic aorta of normal dimension and only mildly elongated. No local contour abnormalities are identified. The pulmonary vasculature is not congested. There exists, however, an irregular peripheral vascular distribution coinciding with hyperinflation of mostly the basal lung portions with low positioned and flattened diaphragms. Some linear basal densities are identified and consistent with peripheral atelectasis but there is no evidence of any new acute parenchymal infiltrates anywhere in the lungs when comparison is made with the preceding examination. Findings are consistent with rather advanced copd, emphysema, but there is no evidence of pulmonary vascular congestion or acute infiltrates. The heart size is well within normal limits in this elderly female patient. No pneumothorax is identified in the apical area and the skeletal structures are remarkably well preserved with no evidence of vertebral body compression and the kyphotic curvature of the thoracic spine is only mildly accentuated.
<unk>-year-old female patient with shortness of breath, leg swelling, diminished breath sounds on left base. evaluate for infiltrates.
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Frontal and lateral views of the chest demonstrate bilateral diffuse interstitial abnormalities most pronounced in the right lower and mid lung zone, that has progressed substantially since <unk> radiograph. Hilar adenopathy is also more pronounced on the right. The cardiomediastinal silhouette is unchanged. There is no pleural effusion or pneumothorax.
<unk> year old man with metastaic rcc, assess overall tumor burden prior to starting new therapy.
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The lungs are clear. There is no effusion, consolidation, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities. \
<unk>f with sob // ? ptx
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.
<unk>f on plaquenil with cough and fever. evaluate for infiltrate.
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Biapical pleural thickening, stable. Subtle linear scarring bilateral upper lungs, stable since <unk>. Mild degenerative changes thoracic spine. Remainder normal.
<unk> year old man with sharp cp lasting seconds, h/o cad with stents. no cough or fever // please eval for chest abormality
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A right-sided picc terminates in the mid svc, a right internal jugular catheter has been removed. Median sternotomy noted. There is persistent free air under the diaphragm, similar in volume when compared to the prior study. No pneumothorax seen. No consolidation or pleural effusion seen. The heart remains enlarged. No frank pulmonary edema. Mild pulmonary vascular congestion.
<unk> year old man s/p avr/mvr and prev free air under the diaphragm // interval change in free air
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There is new complete opacification of the left hemithorax with slight rightward shift of the trachea and mediastinum. This is most consistent with a new large left pleural effusion. A left pleurx catheter tip appears in unchanged position overlying the left lower lung zone. The catheter itself appears intact. There is a small right pleural effusion, which is unchanged. The right lung is clear without a consolidation or pulmonary edema. The cardiomediastinal silhouette is not well evaluated due to the left hemithorax opacification.
history of metastatic anaplastic thyroid cancer with a left pleurx catheter. presenting with decreased drainage.
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Cardiac silhouette size is normal. Coronary artery stents are re- demonstrated. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Linear atelectasis is seen in the left lower lobe. Remainder of the lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. Moderate degenerative changes are seen in the thoracic spine with anterior osteophyte formation.
history: <unk>m with fever and cough
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Left chest wall dual lead pacing device is again noted. Median sternotomy wires and mediastinal clips are seen. The lungs are clear without focal consolidation, effusion, or edema. Degree of cardiomegaly is unchanged. No acute osseous abnormalities
<unk>m with dyspnea eval for edema, eval for dvt
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In comparison with study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
shortness of breath.
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The cardiomediastinal silhouettes are normal. The bilateral hila are unremarkable. The lungs are clear. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
a <unk>-year-old man with weakness and lightheadedness, evaluate for etiology.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Minimal atelectasis is noted in the lung bases without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
history: <unk>f with shortness of breath
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The lungs are clear without focal consolidation or edema. Blunting of the posterior costophrenic angles could be due to atelectasis or trace effusions. Relative elevation of left hemidiaphragm is again noted. Left chest wall dual lead pacing device is in stable position. No acute osseous abnormalities.
<unk>f with dizziness // ?pneumonia
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The lungs are clear. Mediastinal and cardiac contours are unremarkable except for unchanged deviation of the trachea towards the left, which could be due to a thyroid nodule.
patient with chest pain, ekg shows changes suggestive of pericarditis, rule out constriction or pericardial effusion.
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Moderate cardiomegaly is stable. The aorta is tortuous. Port a cath tip is in standard position. There is no pneumothorax. Bilateral effusions are small larger on the right associated with adjacent atelectasis. There is mild vascular congestion. There are moderate degenerative changes in the thoracic spine
<unk> year old man with new dx dchf, episode afib w/rvr, dyspnea // r/o pulm edema vs pna
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Pa and lateral views of the chest. No prior. The lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>-year-old female with syncope.
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
assault.
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Pa and lateral views of the chest provided. A very subtle opacity in the right lower lung could represent atelectasis versus a very early pneumonia. Otherwise lungs appear clear. No large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact.
<unk>m with sob // ? pna
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear apart for minimal subsegmental atelectasis in the right middle lobe. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with headache, neck pain, left face pain, recently started coumadin
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Lung volumes remain low with right basilar atelectasis. Left lung is grossly clear. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax. A right chest port-a-cath terminates at the proximal right atrium, as before.
<unk> year old man with hx of myeloma. recent hx of listeria. cough, low grade temp. please r/o pna. please compare to prior study.
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Supine frontal, upright ap, and upright lateral images of the chest were acquired. Exam is very limited due to portable technique and patient body habitus. The lung volumes are very low. With associated bronchovascular crowding. Supine positioning is responsible for substantial amount of vascular engorgement compared to prior exam in <unk> when vessels were normal. This engorgement, along with patient body habitus, makes it difficult to tell if there is heart failure or not. No large pleural effusion is seen. The cardiac silhouette is enlarged.
back pain and chest pain.
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The heart size is normal. The aorta is tortuous. The mediastinal and hilar contours are otherwise unremarkable. Lungs are clear. No pleural effusion, focal consolidation or pneumothorax is present. The pulmonary vasculature is normal. There are no acute osseous abnormalities.
history: <unk>f with cough x<num> weeks and chest pain // assess for infiltrate, effusion, ptx
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Tracheostomy tube in noted at the superior mediastinum. The lung volumes are low and there is right base atelectasis, but the lungs are otherwise clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
<unk>f with trach issues. on trach mask // pneumonia?
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Ap upright and lateral chest radiographs demonstrate right middle lobe opacity which obscures the heart border. Retrocardiac opacity is best visualized on the lateral view. There is no effusion. The heart is enlarged with prominent vascular congestion. No pleural effusion. No pneumothorax.
<unk>m s/p fall with low hematocrit and reportedly confused at rehab // acute cardiopulmonary process
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The aorta is tortuous, similar to the prior chest radiograph. Bilateral lower lobe opacities represent atelectasis. Otherwise, the lungs are clear without focal opacity, pleural effusion or pneumothorax. Multiple mediastinal clips are median sternotomy wires are related to prior cabg.
<unk>-year-old man with atrial flutter. evaluate for infection.
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Pa and lateral views of the chest provided. Midline sternotomy wires noted. The lungs are clear though volumes are low. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Aortic calcifications again noted. Imaged osseous structures are intact. Bilateral shoulder arthroplasty is noted. No free air below the right hemidiaphragm is seen.
<unk>f with hallucinations // eval for pna
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Lungs are hyperinflated. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is normal size. Large hiatal hernia. There is a <num> cm round opacity projecting over the right lung base and right hemidiaphragm on frontal view. Compression deformity is noted in the lumbar spine.
history: <unk>f with chest pain // eval infiltrate
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In comparison with study of <unk>, there is still extensive opacification anteriorly paralleling the chest wall, consistent with left upper lobe collapse. However, on the frontal view, the degree of collapse appears to be slightly less prominent. A large left hilar mass is again seen. Right lung is essentially clear.
metastatic lung cancer with left upper lobe collapse.
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Frontal and lateral radiographs of the chest demonstrate mild enlargement of the cardiac silhouette. A small right and trace left pleural effusion are slightly decreased from the prior study. Mild pulmonary vascular congestion without overt edema. Prosthetic aortic valve in unchanged position. New pneumothorax or focal consolidation.
pleuritic left-sided chest pain and mild bibasilar crackles. concern for shingles but ruling out other causes.
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Hyperinflation is unchanged and suggestive of emphysema. There is no pleural effusion, focal consolidation, or pneumothorax. The cardiomediastinal silhouette is within normal limits. There is no suspicious pulmonary nodule. Multilevel degenerative changes of the thoracic spine are moderate and unchanged.
<unk> year old man with history of melanoma, evaluate disease status
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The lungs are well expanded and clear. There is no evidence of focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette and hilar contours are normal
history: <unk>f with chest tightness, sob last <num>hrs // r/o focal consolidaiton
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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified.
history: <unk>f with cough and fever // ?pneumonia
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Ap upright and lateral views of the chest provided. Lung volumes are low limiting assessment. The lungs are grossly clear. No large effusion or pneumothorax. Heart size is unchanged. The mediastinal contour is similar with an unfolded thoracic aorta. Bony structures are grossly intact.
<unk>f with sob, cp, n/v
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Several rounded opacities are seen in the right lung consistent with known metastatic lesions. Right lower rib fracture is again seen. No focal consolidation concerning for pneumonia. No pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are stable. Pathologic fracture of the left eighth posterior rib is again noted, unchanged.
history: <unk>m with metastatic rcc to lungs with known rib fracutre presents with acute on chronic worsening of his left upper quadrant and left flank pain
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Heart size is borderline. 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. Calcifications are seen of the aortic knob.
history: <unk>f with chest pain // eval chest pain
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Pa and lateral chest radiographs again demonstrate cardiomegaly. Hyperexpansion is likely due to emphysema. There is no focal consolidation, pleural effusion, or pneumothorax. Again seen is s-shaped scoliosis of the thoracic spine.
syncopal episode. evaluation for infectious process.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. Just superior to the right minor fissure is a focal opacity, likely within the anterior segment of the right upper lobe. There is also a focal opacity overlying the left heart border, likely within the lingula. There may also be more diffuse reticular opacities throughout the lungs. There is no pleural effusion or pneumothorax. A wedge compression deformity of the l<num> vertebral body is unchanged.
cough x<num> month. evaluate for pneumonia.
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Subtle patchy left base opacity may be due to atelectasis or subtle pneumonia. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with productive cough and fevers // infiltrate?
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In comparison with study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. Mild hyperexpansion of the lungs consistent with the clinical diagnosis of emphysema. However, no acute pneumonia, vascular congestion, or pleural effusion.
smoker with history of emphysema and fever.
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The heart is again at the upper limits of normal size. The mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. Mild degenerative changes are similar along the lower thoracic spine.
chest pain.
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The heart is moderately enlarged, but similar in size to multiple prior radiographs. There is pulmonary vascular engorgement and mild interstitial pulmonary edema. There is no focal consolidation or pleural effusion. No pneumothorax.
history: <unk>f with hx sdh, itp presenting with right arm weakness and dysarthria which has resolved. // pna?
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Heart size is within normal limits. The aorta is tortuous. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
history: <unk>m with chest pain // acute process
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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
history: <unk>m with shortness of breath // eval for chest pressure
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, pneumothorax. Cardiac and mediastinal contours are normal.
cough.