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No previous images. Surgical clips are seen in the right apex and hilar regions consistent with prior surgery for malignancy. There is elevation of the right hemidiaphragmatic contour also indicating low lung volumes on the right. The port-a-cath is unchanged. The left lung is essentially clear. There is no convincing evidence of acute pneumonia.
lung cancer and lymphoma with worsening leukocytosis and cough, to assess for pneumonia.
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Cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded and without focal consolidation concerning for pneumonia. There is no pulmonary edema.
<unk>f with r cva // preop
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Again seen is chronic collapse of the right middle lobe. Findings are in the setting of flattened hemidiaphragms and generalized increased markings most consistent with copd. This raises the concern for an extrinsic mass causing obstruction and subsequent volume loss. There is atelectasis at the left base but no no definite focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Osseous structures are unremarkable.
<unk>-year-old male with history of pneumonia and right middle lobe collapse presents with weakness, cough, subjective fevers. assess for interval changes compared to previous chest x-ray, particularly in regards to new or worsening pneumonia.
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The lung volumes are low, accentuating heart size and vascular markings. There is blunting at the right costophrenic sulcus, with prominent interstitial markings. The aorta is tortuous, with calcifications noted in the aortic arch and descending thoracic aorta. There is no evidence of pneumothorax. Calcific density projects to the right of the trachea at the thoracic inlet, potentially calcified node or from the thyroid.
<unk>m with c/o urinary retention and elevated wbc to <unk> // r/o infection
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Chest pa and lateral radiographs demonstrate unremarkable mediastinal, hilar, and cardiac contours. Low lung volumes causing mild vascular crowding at the lung bases, otherwise, lungs are clear. Rounded opacification with air-fluid in retrocardiac space likely corresponds with moderate-to-large hiatal hernia present on the <unk> abdominal ct.
productive cough for seven weeks, no fever, positive for wheezing, please evaluate for pneumonia.
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Pa and lateral chest radiographs again demonstrate moderate cardiomegaly but no focal consolidation, pleural effusion, or pneumothorax. The cardiac, hilar, and mediastinal contours are normal.
productive cough. evaluation for pneumonia.
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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 and unremarkable. No displaced fracture is seen.
left anterior chest pain.
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Lung volumes are low causing bronchovascular crowding. There is mild vascular congestion. No definite consolidation is identified. Trace pleural effusions may be present. No pneumothorax is seen. Prominent pulmonary arteries appear unchanged and may indicate pulmonary hypertension. The heart size is accentuated by low lung volumes and likely top normal. A gastric tube is partially imaged.
fever for seven days. previous treatment for uti.
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Pa and lateral views of the chest. The lungs are clear without focal consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
<unk>-year-old male with left-sided chest pain and dyspnea.
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There is mild enlargement of cardiac silhouette which is unchanged. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. Apart from a linear opacity in the right lung base which is compatible with subsegmental atelectasis, the lungs are clear. No pleural effusion, focal consolidation or pneumothorax is visualized. No acute osseous abnormality is visualized.
confusion.
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Lung volumes are relatively low. Small right pleural effusion has decreased in size since the prior study, as has overlying right middle and lower lobe atelectasis. Relative lucency projecting over the lateral right lower hemi thorax may be artifactual versus less likely loculated pneumothorax. No left pleural effusion is seen. The left lung is grossly clear. Patient is status post median sternotomy and cabg. Cardiac and mediastinal silhouette are stable.
history: <unk>m with chest pain // eval for acute process
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Lung volumes are low. Heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Subsegmental atelectasis is noted in the lung bases. Lungs are otherwise clear without focal consolidation. No pleural effusion or pneumothorax is present. Moderate degenerative changes are noted in the thoracic spine. Coils are seen within the midline upper abdomen.
history: <unk>m with fever, cough and epigastric pain, history psb and colitis
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The lung parenchyma is markedly abnormal, with multiple bilateral pulmonary opacifications, perihilar scarring, and areas of retraction of volume loss consistent with fibrosis. Known pulmonary nodules are better seen in prior ct. There is persistent deviation of the trachea to the right. Cardiomediastinal silhouette is unchanged. Patient is status post cabg.
history: <unk>m with chest pain shortness of breath // r/o pna
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Pa and lateral views of the chest. There is faint nodular opacity projecting over the anterior <unk>nd rib interspace on the right which may be external to the patient as there is asymmetric density projecting over the soft tissues in the supraclavicular region on this side thought to be external. The lungs are otherwise clear without consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality detected.
<unk>-year-old female with shortness of breath and fever.
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In comparison with the study of <unk>, there is increasing pleural effusion on the left. Extensive perihilar and left upper lobe mass-like consolidation with the hilar and mediastinal lymphadenopathy is again seen. Some indistinctness of engorged pulmonary vessels is consistent with residual pulmonary vascular congestion.
thoracentesis.
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Left-sided pacemaker device is noted with single lead terminating in the right ventricle. There is mild to moderate cardiomegaly, unchanged. The aorta is mildly tortuous. Mediastinal contour is otherwise stable. There is mild pulmonary vascular congestion. No focal consolidation or pneumothorax is seen. Patchy opacity within the lower lobes may reflect atelectasis. There appears to be trace bilateral pleural effusions posteriorly on the lateral view. No acute osseous abnormalities seen.
chest pain and shortness of breath.
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There has been interval resolution of the previously seen right lung base opacity. No new focal opacities are identified. There is no pleural effusion or pneumothorax. The heart size is normal. The hilar and mediastinal silhouettes are unremarkable.
<unk>-year-old male with a history of alcoholic cirrhosis, who presents for evaluation of leukocytosis and rhonchi on exam.
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The cardiac, mediastinal and hilar contours are normal. The lungs are clear. No pulmonary vascular congestion is present. There is no pleural effusion or pneumothorax. The osseous structures are unremarkable.
hypertension, not feeling well, cough for <num> week.
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Minimal basilar atelectasis is seen. No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with fever // r/o pna
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The heart size, mediastinal, and hilar contours are normal. Mild bibasilar atelectasis identified. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>f with seizure. eval ? infection, mass.
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The cardiac and mediastinal silhouettes are unremarkable. No pleural effusion or pneumothorax is seen. There is interval elevation of the left hemidiaphragm which is likely secondary to gastric distention with adjacent left basilar atelectasis. The lungs are otherwise clear without focal consolidation. Sternotomy wires are intact and surgical clips overlying the left thorax are consistent with prior cabg.
<unk> year old man with prolonged shortness of breath, and cough,r/o bronchitis // patient c/o prolonged cough and shortness of breath for <num>-three weeks
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Pa and lateral views of the chest were provided. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged bony structures are intact. No free air is seen below the right hemidiaphragm.
<unk>-year-old female with cough.
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Heart size is top normal. The aorta remains tortuous but unchanged. The pulmonary vascularity is normal. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are detected.
asthma and 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 unremarkable.
history: <unk>m with chest pain // ? ptx, effusion, consolidation
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Right chest wall port is again noted. Relatively low lung volumes are seen with secondary crowding of the bronchovascular markings. There may be superimposed vascular congestion. There is left basilar atelectasis without confluent consolidation or effusion. The cardiomediastinal silhouette is stable. Prosthetic aortic valve and median sternotomy wires are again noted.
<unk>m with seizure // r/o pna
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Two frontal and one lateral chest radiograph were obtained. There is a background of bullous emphysema. Opacity previously seen projecting over the lower portion of the spine may represent a focal consolidation. No other areas of concerning consolidation are identified. There is linear opacity at the right base. Otherwise, the lungs are clear. The appearance of the heart and mediastinum are unchanged.
productive cough.
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The patient is status post coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
chest pain.
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A dual lead left-sided pacemaker is present, lead tips overlying the right atrium and right ventricle. No pneumothorax is detected. Doubt significant interval change. Probable background copd. No chf or focal consolidation detected. Minimal atelectasis in the right cardiophrenic region and blunting of the costophrenic angles posteriorly.
<unk> year old woman s/p left sided pacemaker via axillary vein // r/o ptx; check leads
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Frontal and lateral chest radiographs again demonstrate moderate cardiomegaly. The previously noted ill-defined opacity at the right lung base is no longer well appreciated. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
residual cough in a patient with a history of infiltrate. evaluate for resolution.
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Frontal and lateral views of the chest. No prior. The lungs are clear of consolidation, effusion, or pneumothorax. The cardiac silhouette is enlarged with a left ventricular configuration. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with malaise.
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The lungs are clear. Moderate cardiomegaly with leads in the right atrium, right ventricle and coronary sinus. No pulmonary edema. No pleural effusion or pneumothorax.
<unk> year old man with ventricular arrhythmias now starting amiodarone // baseline for starting amiodarone
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Pa and lateral views of the chest provided. Linear densities in the lower lungs most consistent with atelectasis. No convincing signs of pneumonia or edema. No large effusion or pneumothorax. Cardiomediastinal silhouette is unchanged. Bony structures are intact.
<unk>m w/bibasilar crackles, cough please eval for pna
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Left-sided port-a-cath terminates in the mid svc. Streaky bibasilar atelectasis is noted. A rounded opacity is seen overlying the left lower lobe, which may represent a nipple shadow although a parenchymal opacity cannot be excluded. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. The heart size is normal. Mediastinal and hilar contours are normal.
history of gastric carcinoma on chemoradiation, now with fever. evaluate for pneumonia.
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Pa and lateral views of the chest provided. Left chest wall aicd is noted with lead extending to the region the right ventricle. The heart remains stably enlarged. There is mild pulmonary edema noted. No large pleural effusions or pneumothorax is seen. The mediastinal contour is stable. No acute bony abnormalities are seen.
<unk>m with dyspnea
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Frontal and lateral views of the chest demonstrate hyperexpanded lungs. There is no focal consolidation, pleural effusion, or pneumothorax. Vascular deficiency in the upper lungs could be due to emphysema, even though lungs are not clearly hyperinflated. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Cervical fusion hardware is partially imaged. Mild anterior wedge deformities of the mid thoracic vertebral bodies appear longstanding.
patient with hypoglycemia.
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There are no focal pulmonary consolidations, pleural effusions or pneumothoraces. Surgical clips are noted incidentally in the left upper quadrant of the abdomen, and degenerative changes of the thoracic spine are noted including anterior bridging osteophytes. The cardiac size is upper limits of normal.
history: <unk>m with fall from standing with headache, neck pain, right hip pain. // eval for traumatic injury
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with hypotension, evaluate for pneumonia.
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The patient is status post median sternotomy and cabg. The heart is borderline enlarged. The aorta remains tortuous. Hilar contours are stable. Hyperinflation of the lungs with attenuation of the pulmonary vascular markings is compatible with emphysema. Patchy ill-defined bibasilar airspace opacities are more pronounced on the left, and are concerning for an infectious process. Slight blunting of the costophrenic angles posteriorly on the lateral view likely reflects chronic pleural thickening rather than small pleural effusions. Diffuse demineralization of the osseous structures is present with mild loss of height of several mid and lower thoracic vertebral bodies, unchanged.
shortness of breath, history of copd.
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As compared to the previous radiograph, there is no relevant change. No evidence of pneumonia. No other focal parenchymal opacities. No pleural effusions. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures.
productive cough and fevers.
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Heart size is mildly enlarged. There is no focal lung consolidation. There are small bilateral pleural effusions. There is mild interstitial edema. There is no pneumothorax. Known rib fractures are better evaluated on prior ct.
<unk> year old woman <num> l positive for fluid status, evaluate for pulmonary edema.
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There is mild pulmonary edema. No pleural effusion or focal consolidation. There are mitral annular calcifications and aortic knob calcifications. The cardiomediastinal and hilar contours are normal. No pneumothorax.
shortness of breath. left chest discomfort.
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Frontal and lateral views of the chest. The lungs are hyperinflated. The right lower lobe consolidation is less conspicuous on today's exam, but still present. There is no new region of consolidation nor effusion. The cardiomediastinal silhouette is enlarged but stable. Atherosclerotic calcifications again noted at the aortic arch. Left chest wall dual-lead pacing device is again noted. Lower thoracic dextroscoliosis is again seen. Degenerative changes noted at the shoulders bilaterally.
<unk>-year-old female with cough and chest pressure.
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The lungs are well expanded and clear. The patient is status post right middle lobectomy and chain sutures are seen in the right lower lung. There is slight shift of the heart to the right following the lobectomy. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax.
shortness of breath. evaluate for pneumonia.
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In comparison with study of <unk>, the patient has taken a much better inspiration. No evidence of acute pneumonia, vascular congestion, or pleural effusion. Elevation of the right hemidiaphragm most likely represents eventration, of no clinical significance.
possible pneumonia in patient with stroke.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with chest pain // acute process?
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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 mds on <unk> presents with fever
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Frontal and lateral radiographs of the chest demonstrate normal heart size. The mild tortuosity of the thoracic aorta. The lungs are clear. No pleural effusion or pneumothorax. No displaced rib fracture identified.
chest discomfort with cough and congestion question infiltrate
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Pa and lateral views of the chest provided. Right upper extremity picc line is seen with its tip in the region of the mid svc, unchanged from prior. Left chest wall aicd is noted with the low single lead extending into the region the right ventricle. The heart remains mildly enlarged. The lungs are clear without focal consolidation, effusion or pneumothorax. No congestion or edema. Bony structures are intact.
<unk>m with ?picc line malpositioning // eval for picc line location
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Comparison with prior study, there is no significant change. Midline sternotomy wires are present. Cardiac silhouette remains mildly enlarged in this patient with previously diagnosed pericardial effusion. No evidence of pleural effusion, pneumothorax, or pneumonia.
<unk>f with fever, cough // eval for pneumonia
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The cardiomediastinal and hilar contours are normal. There is continued hyperexpansion of the lungs, and the lungs are clear. There is no pulmonary edema, pleural effusion or pneumothorax.
<unk>-year-old with productive cough for a month.
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are unremarkable other than a tortuous aortic contour. Small bibasilar atelectasis is present without focal consolidation, substantial pleural effusion, or pneumothorax. Posterior cervical and upper lumbar spine fusion constructs are incompletely imaged.
fever and leukocytosis.
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Frontal and lateral views of the chest were obtained. Heart is normal in size and cardiomediastinal contour is unremarkable. Lungs are symmetrically expanded and clear. There is no pleural effusion and no pneumothorax.
<unk>-year-old male with cough, rule out pneumonia.
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Frontal and lateral radiographs of the chest were acquired. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
severe epigastric pain.
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The right apical pneumothorax has improved since <unk>, but is worsening compared to the most recent cxr performed yesterday evening. No evidence of tension. Right chest tube and epigastric drain are unchanged in position. Left subclavian line terminates in the mid-svc. The mediastinum, hila and heart are within normal limits. No acute osseous abnormalities.
<unk> year old man with chest tube to waterseal, diaphragmatic injury at time of liver transplant, persistent pneumothorax // please assess status of pneumothorax
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Pa and lateral views of the chest provided. The lungs are hyperinflated. 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.
history: <unk>m with worsening of chronic chest pain for the past <num> hours beginning at rest. // acute cardiopulmonary process
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There are relatively low lung volumes. Patient is status post median sternotomy. Enlargement of the cardiac and mediastinal silhouettes appear slightly more prominent as compared to the prior study from <unk> years prior, likely exaggerated by ap technique and low lung volumes. If there is clinical concern for acute mediastinal process, chest ct is more sensitive. No pleural effusion or pneumothorax is seen. There is mild pulmonary vascular congestion.
history: <unk>f with chest pain, shortness of breath // eval for acute process
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The heart is at the upper limits of normal size. The mediastinal contours appear unchanged. Perihilar fullness with a predominantly central to lower lung interstitial abnormality is fairly similar, most consistent with mild-to-moderate pulmonary vascular congestion, somewhat worse than on the prior examination but similar in pattern. There is no definite pleural effusion.
shortness of breath and cough.
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Frontal and lateral views of the chest were obtained. Pulmonary vascular markings are prominent and indistinct, consistent with pulmonary edema. There is streaky superimposed left lingular opacity suggesting plate-like atelectasis. Bilateral costophrenic angles are blunted, consistent with very small bilateral pleural effusions. Mild cardiomegaly and cardiomediastinal contours are stable.
<unk>-year-old female with cough. evaluate for pneumonia or chf.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and fairly well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. There are reticular interstitial markings with nodular opacities in the left upper lobe, which could represent viral/atypical infection. The left pulmonary artery appears enlarged. The visualized upper abdomen is unremarkable.
evaluate for acute cardiopulmonary process in a patient with dyspnea.
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Lower lung volumes seen on the current exam. The lungs are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with c/o cp // ? pna
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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal contours are normal. No acute osseous abnormalities. No subdiaphragmatic free air.
<unk>-year-old female with chest pain x<num> days
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The lungs are clear without focal consolidation. Incidental note is made of an azygos lobe. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Patient is status post median sternotomy. Evidence of dish is seen along the thoracic spine.
<unk>m w/ams, please eval for occult pna // <unk>m w/ams, please eval for occult pna
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There is moderate cardiomegaly, unchanged, and pleural thickening on the right, also stable. No pneumonia, and no pneumothorax. There is no large pleural effusion.
<unk>-year-old with previous cva, please assess for pneumonia.
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Heart is enlarged but decreased in size compared to <unk> chest radiograph. Mild pulmonary vascular congestion is present without overt pulmonary edema or pleural effusion. Bibasilar areas of atelectasis have nearly resolved in the interval. Right hemidiaphragm remains moderately elevated.
<unk> year old woman with chf and basilar infiltrates at end of <unk>.? ild // have infiltrates cleared/improved
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The heart is normal in size. There is patchy calcification along the aortic arch. The lungs appear clear. There are no pleural effusions or pneumothorax.
chest pain.
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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable. A left chest wall pacemaker is placed with single lead in the right ventricle. The osseous structures are unremarkable.
left-sided chest pain, evaluate for copd or infiltrate.
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There is no focal consolidation, pleural effusion or pneumothorax. No evidence of pneumomediastinum. Cardiomediastinal silhouette is within normal limits. Mild dextrocurvature of the thoracic spine may be positional.
history: <unk>f with dysphagia s/p egd yesterday and inability to tolerate po // sign of pneumomediastinum or post-procedural changes
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. As seen on the prior examination from <unk> is a subtle linear density along the lateral left chest at the base, which may represent a small pleural abnormality stable from <unk>. No pleural effusion or pneumothorax is seen.
history: <unk>m with chest pain // ? acute cardiopulm process
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In comparison with study of <unk>, the left chest tube has been removed and there is no evidence of pneumothorax. Left perihilar mass is less prominent, though there is a still substantial elevation of the left hemidiaphragm. The right lung is essentially clear at this time.
pleural effusion.
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Pa and lateral chest radiographs were provided. There are new small bilateral pleural effusions. There is mild prominence of the central hilar vasculature reflecting mild pulmonary edema. The heart remains enlarged. There is no focal consolidation or pneumothorax.
history of chest pain. evaluate for pleural effusion versus pneumonia.
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Pa and lateral view of the chest were provided. The heart size is normal. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. There is no focal consolidation concerning for pneumonia.
palpitations and chest pressure.
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In comparison with study of <unk>, multiple pulmonary metastases are again seen. Substantial bilateral pleural effusions, more prominent on the left. Port-a-cath remains in place.
pleural effusion.
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Right-sided central venous catheter terminates in the region of the low svc without evidence of pneumothorax. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with pain at central line after fall // confirm cental line placement
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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 chest pain and shortness of breath
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Moderate enlargement of cardiac silhouette is unchanged. The mediastinal and hilar contours are stable. There is no pulmonary vascular congestion. Minimal atelectasis is seen in the lung bases. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Multilevel degenerative changes are noted in the thoracic spine.
dyspnea on exertion.
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There are bilateral pulmonary nodules and potentially masses, most numerous at the lung bases. The largest conglomerate abnormality projects over the superior segment of the right lower lobe. Blunting the left costophrenic angle could be due to atelectasis or small effusion. The cardiomediastinal silhouette is within normal limits. No definite focal osseous abnormality identified. Deformity of the mid left clavicle suggests prior healed fracture.
<unk>m with history of lung cancer with fevers and tachycardia // assess for pneumonia
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Left-sided picc is seen, terminating in the low svc. Subtle patchy opacities in the lateral right lung base and lateral right upper lung are nonspecific but new since prior and could be related to infection. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with fever, on chemotherapy // presence of infiltrate
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The lungs are well expanded and clear. The cardiomediastinal silhouette, hila, and pleural surfaces are normal.
<unk> year old woman with pulmonary crackles. // infiltrate
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Ap and lateral views of the chest. Relatively low lung volumes are seen with secondary crowding of bronchovascular markings. The lungs are clear consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes are seen in the spine. No acute osseous abnormalities detected identified.
<unk>-year-old female with chest pain after iv contrast for mri.
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There is severe asymmetry of the rib cage given vertebral changes. Small right pleural effusion. No evidence of pneumonia or pulmonary edema. Moderate cardiomegaly. No pneumothorax. The hilar structures appear unremarkable.
severe developmental delay, cough, evaluation for pneumonia.
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Ap upright and lateral views of the chest provided. There is moderate pulmonary edema with diffuse bilateral ground-glass and reticular opacities. Basilar atelectasis is also noted with small bilateral pleural effusions. The heart size is similarly enlarged. Hilar vascular engorgement is noted. Aortic calcification is noted similar to prior. Bony structures are grossly intact.
<unk>m with dyspnea // pulm edema?
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The lungs are well inflated and clear. The cardiomediastinal silhouette is stable. There is mild pulmonary vascular congestion likely from fluid resuscitation. No pleural effusion or pneumothorax is identified. Osseous structures are grossly intact.
<unk>f with mg and dm being seen in the ed for dka. evaluate for infection.
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The lungs are clear without focal consolidation. There is minimal atelectasis at the left lung base. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk>f with borderline hypoxia // evaluate for pneumonia
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with asthma exacerbation // eval pneumonia, other acute process
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In comparison with the study of <unk>, there is continued enlargement of the cardiac silhouette with hyperexpansion of the lungs consistent with chronic pulmonary disease. The difference in the degree of pulmonary vascularity may well reflect the portable versus upright pa view. There is a right pleural effusion with associated opacification most likely representing atelectasis. However, in the appropriate clinical setting, supervening pneumonia would have to be considered.
dyspnea and coarse breath sounds, to assess for pneumonia.
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The heart size is within normal limits. The mediastinal and hilar contours are also unchanged and within normal limits. The lungs are clear with resolution of the previously described left basal opacity. There is no pleural effusion or pneumothorax.
<unk>-year-old male with productive cough and chest pain.
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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. No subdiaphragmatic free air is present. Clips from prior cholecystectomy are noted in the right upper quadrant of the abdomen.
history: <unk>f with pleuritic pain felt at epigastrium
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Pa and lateral views of the chest. The lungs are clear. There is no consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
<unk>-year-old female with chest pain.
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are stable. Moderate-sized hiatal hernia is unchanged. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. Lower thoracic spine vertebral body mild compression deformities are new since <unk> but unchanged since at least <unk>.
<unk>-year-old female with shortness of breath and vomiting. evaluate for pneumonia.
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The lungs are clear. The cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old with palpitations and chest pressure.
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Pa and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Minimal biapical scarring is noted. Partially imaged upper abdomen is unremarkable.
patient with fever, dry cough and congestion.
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Pa and lateral views of the chest. The lungs are clear of consolidation, pneumothorax, or effusion. The cardiomediastinal silhouette is normal, no visualized pneumomediastinum. No acute osseous abnormality is detected.
<unk>-year-old male with chest pain.
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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 chest examination of <unk>. On the present examination, the diaphragms are in higher position indicating poor inspirational effort. This coincides with bilateral plate atelectasis, crowded appearance of pulmonary vasculature. Although diaphragms are elevated, there is no conclusive evidence for any pleural effusion accumulating in the lateral pleural sinuses. A right-sided basal density is seen on the frontal view, represents an atelectasis, which has increased in size. In the left hemithorax and mid lung field, a lateral focal parenchymal density has developed and appears to be in contact with the pleural space. On the lateral view, there is evidence of mild blunting at the posterior pleural sinuses. The frontal view does not disclose any pneumothorax on either side in the apical area. Heart size is grossly unchanged and there is no evidence of acute pulmonary vascular congestion.
<unk>-year-old female patient status post laparoscopic, hand-assisted right-sided hemicolectomy for cecal mass, meckel's diverticulectomy. concern for colon carcinoma, chest examination to look for possible metastases.
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There is a severe levoconcave scoliosis of the thoracic spine. The compensatory dextroconcave scoliosis of the lumbar spine is not included on this radiograph as in priors. The lungs, however, remain clear without consolidation or edema. Evidence of prior median sternotomy and cabg noted. The cardiac silhouette size is stable. There is suggestion of blunting posteriorly of the left costophrenic angle which has been noted on prior exams may be due to chronic effusion or scarring. No right effusion is noted. There is no pneumothorax. No displaced fractures are evident.
nausea.
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Heart size is normal. Atherosclerotic calcifications are again noted at the aortic knob. Mediastinal hilar contours are unremarkable. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is visualized. No acute osseous abnormality is detected.
history: <unk>m with weakness
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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. Surgical clips are demonstrated in the right upper quadrant of the abdomen compatible prior cholecystectomy.
history: <unk>f with history of cholecystectomy, appendectomy, pancreatic divisum, gastroparesis presents with right upper quadrant abdominal pain radiating to the right chest and neck with deep breathing.
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Frontal and lateral views of the chest were obtained. Chronic mild cardiomegaly is stable. Several calcified mediastinal lymph nodes, including within the aortopulmonic window, are compatible with inactive granulomatous disease. Pulmonary vascular markings are normal. The lungs are hyperinflated with flattened diaphragms, suggestive of mild copd. Curvilinear opacities overlying the right mid and lower lung fields are similar to prior and compatible with focal scarring. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.
<unk>-year-old male with immunosuppression, presenting with fever. evaluate for pneumonia.
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Cardiomediastinal shadow is unchanged. New vague opacity in the right lower lung zone. No pulmonary edema. No pleural effusions.
<unk> year old man with cough, on prednisone for leukemia // pneumonia?
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.
<unk>-year-old female with apparent increase in seizure activity. evaluate for infectious source such as pneumonia.
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Ap and lateral chest radiographs were provided. Lungs are well expanded. There is no focal consolidation, pleural effusion, or pneumothorax. Heart size is top normal. The bones are intact.
history of dizziness. evaluate for cardiomegaly.