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There is been again continued improvement in the known right middle lobe opacity, without complete resolution. The lungs are well expanded, and there is no new additional focal consolidation concerning for pneumonia. The cardiomediastinal and hilar contours remain stable. No pleural effusion or pneumothorax. Healed left lower lateral rib fractures are again noted. Surgical clips project over the mid upper abdomen. There is been interval removal of the left picc.
<unk> year old man with fever/neutropenia. s/p chemo for aml // fever/neutropenioa. aml
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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 pmh colon cancer, cad, hyperlipidemia, hypertension, herpes zoster,bph, gerd p/w htn, tachycardia. // pna, cardiac
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Pa and lateral views of the chest provided. Left chest wall pacer device is again seen with single lead extending into the expected region of the right ventricle. Left lower lobe consolidation and associated effusion is similar to that seen on prior radiograph. The left effusion may be slightly decreased. Right lung remains clear. No definite pneumothorax.
<unk>m with lung ca and pleurx presenting with chest pain
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Frontal and lateral views of the chest demonstrate top normal heart size. The mediastinal and hilar contours are normal. Lungs are slightl low in volume but clear. There is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old female with chest pain. question acute process.
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Right pleural effusion unchanged since <unk> and is likely moderate in size with a subpulmonic component. There is associated mild right basal atelectasis. There is a left upper lobe nodule measuring up to <num> cm, better seen on prior ct chest. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Patient is status post right mastectomy. Central catheter terminates at the cavoatrial junction.
<unk>f with fever. evaluate for pneumonia.
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The <num> left-sided chest tubes has been removed. Again seen is a small left apical lateral pneumothorax. , this is similar in size compared to the study from earlier the same day. There continues to be fluid loculated anteriorly on the left. There is also small left effusion. There is volume loss at the left base.
<unk> year old man s/p stab wound pod<num> from evacuation of hemothorax and decortication, now s/p d/c chest tube x<num> // eval for interval change in the setting of d/c of chest tubes. please perform exam as close to <unk> as schedule allows.
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There are multiple focal opacities in the right upper zone and at the bilateral lung bases, consistent with multifocal pneumonia. There is no effusion or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal.
<unk> year old man with fever, productive cough and low o<num> sat, bibasilar rhonchi. beeper <unk> // / pna
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The heart appears mildly enlarged. There is mild unfolding of the thoracic aorta. The pulmonary interstitium is mildly coarse which is nonspecific and may reflect airway inflammation, slight congestion or mild interstitial disease. The lateral view depicts a large oval density projecting over the middle to posterior mediastinum, possibly a large hiatal hernia although there is no air-fluid level to confirm, and probably centered to the right of midline. Blunting of the right costophrenic sulcus may suggest a small pleural effusion or potentially chronic scarring. The right acromiohumeral interval is completely effaced with mild-to-moderate degenerative change, suggestive of rotator cuff pathology. The bones appear demineralized.
dyspnea.
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Focal, nodular opacity at the cardiac apex, likely representing a nipple shadow, the heart size, mediastinum and hila are normal. There is no pleural effusion and no pneumothorax. There is no evidence of pneumonia.
patient with chest pain.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear.
chest pain.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits.
<unk>-year-old female with shortness of breath.
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The lungs are well expanded. There is a consolidation at the level of the right cardiophrenic angle with some bronchial wall thickening at this level. There is also a retrocardiac consolidation with loss of the vascular structures overlying the heart shadow. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old male with cough and fever. evaluate for pneumonia.
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Pa and lateral chest views were obtained with patient in upright position. The heart size is at the upper limit of normal variation. No typical configurational abnormality can be seen, but there is a relative prominence of the left ventricular contour to the left and posteriorly. Thoracic aorta is mildly widened, but does not show any local contour abnormalities or wall calcifications. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral pleural sinuses are free. Mild blunting exists of the right-sided posterior pleural sinus, probably representing old pleural scar. No evidence of acute fluid. No pneumothorax in apical area and no acute or chronic pulmonary infiltrates are seen. Our records do not include a previous chest examination available for comparison.
<unk>-year-old male patient with end-stage renal disease, prerenal transplant evaluation. assess cardiopulmonary abnormalities.
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There are small bilateral pleural effusions with overlying atelectasis. No definite focal consolidation is seen. Azygos lobe is incidentally noted. No pneumothorax is seen. Left apical pleural thickening/calcification is again seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable.
history: <unk>m with doe // sob
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A small-to-moderate right and small left pleural effusion are unchanged since <unk>. Right-sided volume loss status post right upper and middle lobe resection is stable. No new consolidation or pneumothorax is present. Low thoracic kyphoplasty and vertebral compression deformity are unchanged.
<unk>-year-old woman with pleural effusion.
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The lungs are now clear. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. Hypertrophic changes are seen the spine.
<unk>f with sob, cough // pna?
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with cough // ? pneumonia
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There is mild cardiomegaly even allowing for technique. The hilar and mediastinal contours are within normal limits. There is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with confusion, vague symptoms, sleepy // evaluate for acute process
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Marked elevation of the right hemidiaphragm is similar to prior. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is otherwise normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>f with progressive shortness of breath // cardiomegaly, effusion
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Ap upright and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are noted. There are low lung volumes. Blunting of the right cp angle may reflect pleural thickening versus tiny effusion. Mild hilar engorgement is noted without frank pulmonary edema. Mild left basilar linear platelike atelectasis noted. No signs of pneumonia. Heart size is top-normal. No pneumothorax. High riding right humeral head suggestive of chronic rotator cuff disease. No acute bony abnormalities are detected.
<unk>m with anemia, ferd, chf, copd , gerd , hcv w/ weakness / presyncopal episode today. // eval? increased pulm edema
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The lungs are well expanded. A <num> cm nodular opacity seen in the retrocardiac region above the medial margin of the left hemidiaphragm. Moderate cardiomegaly is present. Otherwise cardiomediastinal and hilar contours unremarkable. There is no pleural effusion or pneumothorax. No rib fractures are identified.
<unk>-year-old female with left-sided rib pain.
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with shortness of breath.
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No displaced fracture is seen. The lungs are clear. There is unchanged cardiomegaly. Sternal cerclage wires are intact. The patient is status post mitral valve replacement. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old woman with fall onto right side. evaluate for rib fracture.
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Marked cardiomegaly is unchanged. Compared with the prior radiograph, there are increased bilateral diffuse interstitial lung markings and <unk> b-lines, suggesting worsened pulmonary edema. Small bilateral pleural effusions are also identified. No focal consolidation is identified. No large pleural effusions or pneumothorax.
<unk>m with cp. evaluate for acute process.
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Pa and lateral views of the chest provided. Prominence of the central perihilar vessels likely represents pulmonary vascular congestion. There is no focal consolidation, effusion, or pneumothorax. Cardiomegaly is unchanged no free air below the right hemidiaphragm is seen. Biventricular pacer defibrillator leads are well positioned.
history: <unk>m with desaturation to <num>s and no respiratory symptoms // pna
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Moderate enlargement of the cardiac silhouette appears unchanged. The aorta is diffusely calcified and tortuous, as seen previously. The remainder of the mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Small bilateral pleural effusions are re- demonstrated, slightly larger on the right, not substantially changed in the interval, with bibasilar atelectasis. No new focal consolidation is present. No pneumothorax is present. There are moderate degenerative changes noted in the thoracic spine.
history: <unk>f with marginal zone cutaneous lymphoma and atrial fibrillation, presenting with increasing weakness for several months and shortness of breath // assess for shortness of breath
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The cardiac and mediastinal silhouettes are stable. The cardiac silhouette remains enlarged. The aortic knob is calcified. There is moderate pulmonary edema, increased since the prior study. There is persistent blunting of the right costophrenic angle which may be due to a small pleural effusion. No pneumothorax is seen.
shortness of breath, history of chf off lasix.
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Pa and lateral views of the chest. The lungs are clear without consolidation, pneumothorax or effusion. Calcified granuloma in the right lower lobe as seen on prior ct is best seen on the lateral view. There is no pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.
<unk>-year-old female with diabetes hypertension with episode of chest pain.
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The lungs are clear. 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 lightheadedness for <num> days.
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There is right apical opacity, some of which has a spiculated margin. Given superior retraction of the hilum on the right this could be due to scarring although underlying lesion would also be possible. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities.
<unk>m with chest pain // please eval for cardiomegaly
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Cardiac, mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion, or pneumothorax is visualized. There is evidence of prior kyphoplasty of t<num>.
history: <unk>f with cough
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are hyperinflated but clear without focal consolidation. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with cough and subjective fever for the past <num> days.
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Frontal and lateral radiographs of the chest demonstrate well-expanded clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. Left-sided pectoral icd is present with the lead in the region of the right atrium.
<unk>-year-old female with recent icd placement. evaluate for pneumothorax and assess lead position.
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The cardiomediastinal and hilar contours are normal. Diffuse patchy airspace opacification noted in the right lung base, which is concerning for an acute infectious process versus aspiration. The left lung is well expanded and clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is seen. Mild degenerative changes are seen in the thoracic spine.
<unk>-year-old man with history of prostate cancer and vomiting.
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The heart is normal in size. There is an dextro leftward rotation and associated with moderate this the rightward convex scoliosis but allowing for those factors, the cardiac, mediastinal and hilar contours are likely within normal range. There is no pleural effusion or pneumothorax. A geographic i density is probably pleural but laced along the lateral right hemithorax may be a manifestation of scarring or small loculated pleural effusion.
question pneumonia. patient presents with fever.
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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 ha and lightheadedness s/p fall
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Pa and lateral chest radiograph demonstrates stable cardiomediastinal and hilar contours. A right upper lobe nodule is noted which has been present on prior examinations and decreased over time consistent with a postinflammatory nodule. There is no pleural effusion. No pneumothorax. Osseous structures demonstrates no acute abnormality.
<unk>-year-old male with dyspnea cough and wheeze.
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Bibasilar opacities have increased since prior examination, right worse than left, likely a component of atelectasis and pleural effusion. There is also persistent retrocardiac opacity. An overlying infectious process cannot be entirely exclude. The heart is enlarged, stable. There is mild pulmonary vascular congestion. There is no pneumothorax. There are degenerative changes of the thoracic spine.
history: <unk>f with chf exacerbation, inconclusive ap portable at osh. <num> wk cough, <num>x night dyspnea. crackles to apex // evaluate for pna evaluate for pna
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Ap and lateral views of the chest. When compared to prior exam, there has been no significant interval change. Chronic lung changes are seen with streaky biapical opacities with retraction of the hila suggestive of scarring. There are also streaky linear opacities at the lung bases which have not significantly changed. There is no definite new region of consolidation or effusion. Cardiac silhouette is enlarged but stable. Enlarged pulmonary arteries are again noted. No acute osseous abnormality detected noting significant osteopenia.
<unk>-year-old female with history of copd, lupus and prior tb who presents for shortness of breath and weakness.
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Left-sided port-a-cath is again seen terminating in the low svc/cavoatrial junction. The cardiomediastinal silhouette is stable. Opacity at the left lung base is stable and most likely represents atelectasis or confluence of vascular structures. The appearance of the left lung base is similar dating back to <unk>. No focal consolidation is seen. There is no pleural effusion or pneumothorax.
sickle cell, shoulder pain.
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Lung volumes are increased and atelectasis has improved. Trace right and small left pleural effusions are improved. Linear segmental right lower lobe opacity represents atelectasis. Normal postoperative mediastinum and heart borders. Right internal jugular central venous catheter is unchanged terminating in the right atrium. No pneumothorax. Multiple old rib fractures.
<unk> year old man s/p cabg // eval for pleural effusions
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Pa and lateral views of the chest. The lungs are clear. The lungs, mediastinum, heart, and pleural surfaces are normal. There is no evidence of pneumonia. The left tracheal border is indented from known thyroid nodules which were seen on multiple thyroid ultrasounds. The trachea is compressed with <unk> of normal width remaining.
right lower lung rales, cough for three months, rule out pulmonary abnormality.
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Pa and lateral views of the chest. Transvenous right atrial and right ventricular pacer leads are in standard placement. The right internal jugular line tip projects over the mid svc. Lungs are grossly clear. There are small bilateral pleural effusions. No pulmonary edema. The cardiac, mediastinal, and hilar contours are normal.
shortness of breath and worsening wheezing, assess for worsening pulmonary edema.
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Patient is status post median sternotomy and cardiac valve replacement. The cardiac silhouette remains top-normal to mildly enlarged. The aorta is calcified and tortuous. On the lateral view, there may be mild dilatation of the ascending aorta to <num> cm, although not optimally evaluated on this radiograph study. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The lungs are relatively hyperinflated.
history: <unk>f with difficulty walking, ? stroke vs toxic metabolic process, pt cannot stand up independently // ? acute cardiopulm process
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Frontal and lateral views of the chest. There is increased right perihilar opacity, compatible with known right hilar small cell lung cancer. Linear opacity in the right mid lung is likely secondary to post-obstructive atelectasis. The lungs are otherwise clear. Cardiomediastinal silhouette is otherwise unremarkable. No acute osseous abnormality.
<unk>-year-old male with failure to thrive and progressive productive cough. rule out pneumonia.
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The cardiac silhouette and pulmonary vasculature are unremarkable. The lungs are grossly clear. There is no pleural effusion or pneumothorax.
history: <unk>f with h/o cirrhosis who presents with n/v, chills, and sob // eval for pna
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with chest pain
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Pa and lateral chest radiograph demonstrate bilateral streaky opacities at the bases, thought to reflect atelectasis, though of uncertain significance. No focal opacity convincing for pneumonia is detected. Heart size is within normal limits. A dilated or tortuous aorta is similar appearance to prior examinations dated <unk>. No hilar abnormality is detected. No evidence of pulmonary edema, pleural effusion, or pneumothorax. Osseous structures are without acute abnormality.
<unk>-year-old female with fever.
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable given differences in inspiration.
findings of productive cough.
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There is no pneumothorax status post thoracentesis.left pacemaker and sternal wires are stable. Posttreatment changes at the level the right hilus and mild elevation of the right hemidiaphragm are stable. No evidence of acute changes suggest pneumonia, pulmonary edema or pleural effusions.
<unk>m with pleural effusion s/p thoracentesis // ?ptx
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Patient is status post avr/tvr repair. Bilateral low lung volumes again seen.new right mild pleural effusion. Linear atelectasis in the left lower lung again seen. No pneumothorax is seen. The cardiac and mediastinal silhouettes are unchanged. Interval removal of the right ij sheath. Right picc with tip in lower svc. Median sternotomy wires and valve replacements are seen again.
<unk> year old woman with redo avr/tvr // r/o inf, eff
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. There is stable left diaphragmatic elevation. The lungs are clear. There is no pneumothorax, vascular congestion, or large effusion. Minimal blunting of the left costophrenic angle is unchanged.
<unk>-year-old male here for preoperative examination.
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Cardiac and mediastinal contours are normal. Hilar contours are unchanged with fullness of the right hilum compatible with underlying lymphadenopathy as seen on the recent ct. Pulmonary vasculature is not engorged. Diffuse bronchiectasis with bronchial wall thickening and small nodular opacities throughout both lungs are minimally improved compared to the prior radiograph compatible with history of cystic fibrosis. More focal opacity is noted in the left lower lobe, not substantially changed in the interval, compatible with an area of pneumonia. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormality is detected.
history: <unk>m with cystic fibrosis status post exacerbation
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Since <unk>, aeration of the left lower lobe has improved with persistent but decreased size of the left pleural effusion, best appreciated on lateral view. . Is minimal residual atelectasis remaining in the left lower with lung volumes overall slightly improved in the interim. Residual mild retrocardiac opacity is likely atelectasis. No significant right pleural effusion. No focal consolidation to suggest focal pneumonia. No effusion or pneumothorax. There is perhaps mild central pulmonary vascular congestion but no edema. Heart size is top normal. The descending thoracic aorta slightly tortuous or ectatic, unchanged.
history: <unk>m with altered ms // ? pneumonia
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A left-sided port-a-cath is in stable position. Low lung volumes are demonstrated, which may accentuate bronchovascular markings. A diffuse interstitial abnormality is present and is increased from the prior examination, consistent with mild pulmonary edema. No pneumothorax or pleural effusion.
history: <unk>m with shortness of breath. h/o copd // acute process?
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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 w transfusion reaction, evaluating for taco, trali // eval e/o pulmonary infiltrates, eval e/o pulmonary infiltrates,
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A venous catheter terminates in the superior vena cava. There is a calcified right breast implant. The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. Based on elevation of the right hemidiaphragm and blunting of the right costophrenic sulcus, there may be mild chronic scarring or a very small effusion, but there is no sizeable pleural effusion. Mild degenerative changes are present along the thoracic spine.
fever.
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There has been interval resolution of the previously identified lingular opacity, and a significant decrease in the prominance of the right basilar opacity. There is no new, focal consolidation. No pleural effusion, pneumothorax, or pulmonary edema is seen. The heart is normal in size. Mediastinal contours are normal.
history of pneumonia in <unk>, assess for resolution.
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Frontal and lateral views of the chest. Left chest wall dual-lead pacing device is again seen with tips in the right ventricle and coronary sinus. There is blunting of the posterior costophrenic angles compatible with small effusions as seen on prior. There is a hazy left basilar, retrocardiac opacity which was not clearly seen on most recent prior exam and could represent developing infection. Elsewhere, the lungs are clear. The cardiomediastinal silhouette was unchanged. No acute osseous abnormalities.
<unk>-year-old male with dyspnea on exertion and cough.
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Low lung volumes. No pleural effusions. No focal parenchymal opacities. No pulmonary edema. Normal size of the cardiac silhouette. Suspected small hiatal hernia.
shortness of breath, pneumonia.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>f with dyspnea // eval for pna
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The lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.
<unk>-year-old female with chest tightness and shortness of breath. assess for acute process.
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Pa and lateral views of the chest are reviewed and compared to the prior study. The lungs are hyperexpanded and there is prominent interstitial markings and left lower lobe opacification. There is a large pleural bleb in the right mid lung. There is an old right third callus rib fracture and an elliptical opacification overlying the inner lower border of the scapula that is most likely due to prior trauma. The cardiac contour is prominent and there are aortic calcifications.
evaluation for a lung mass in a patient with history of tobacco use and recent brain bleed.
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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. Metallic cervical surgical hardware is seen in the cervical spine but not optimally evaluated on this study. No displaced fracture is seen.
motorcycle accident, pain, pre-surgical clearance.
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There are low lung volumes, which results in bronchovascular crowding. Bibasilar opacities are similar to the prior study, and are most consistent with chronic interstitial changes in the setting of known an si p. The heart remains enlarged. A port-a-cath ends in the right atrium. There is no pneumothorax or pleural effusion.
<unk> year old woman with cough and shortness of breath. history of breast cancer on active chemotherapy currently // please evaluate for pneumonia
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The lungs are well inflated. There is stable scarring in the left lower lung field, but there are no focal opacities in the remaining left lung, the right lung is clear. There is stable mild cardiomegaly and the cardiomediastinal and hilar contours are unremarkable otherwise. There is a tiny pleural effusion in the right, unchanged from prior exam. No pneumothorax. Right posterior rib deformities and chronic posttraumatic changes in the right coracoclavicular region are also stable.
<unk>-year-old male with end-stage renal disease, now presenting with malaise. evaluate for acute cardiopulmonary process.
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Cardiac silhouette is at the upper limits of normal in size and there is no vascular congestion, pleural effusion, or acute pneumonia. Liver shunt is seen.
cirrhosis, evaluation for renal transplant.
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Pa and lateral views of the chest provided. Multifocal consolidation appears nearly resolved when compared with the prior exam. Minimal persistent peribronchovascular opacities persist in the right mid to lower lung however. No large effusion or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact.
<unk>m with malaise, recent pna
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Ap upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Atelectasis or scarring in the right mid lung is similar to prior. Cardiomegaly is mild. Right shoulder hardware appears similar to prior. Compression fracture and vertebroplasty at t<num> are similar to prior. No free air below the right hemidiaphragm is seen.
history: <unk>f with fall onto head // eval for fall
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Frontal and lateral views of the chest. Right picc is no longer visualized. Dual lead pacing device is again noted. The lungs are clear of focal consolidation. Calcified pulmonary nodules projecting over the right upper lung. There is no pulmonary vascular congestion or effusion. Cardiomediastinal silhouette is mildly enlarged and a notable for prosthetic aortic valve.
<unk>-year-old male subjective fevers with history of mechanical valve.
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The lungs are well expanded and clear. There is no infiltrate, pulmonary edema, or pleural effusion. The endovascular grafting of enlarged tortuous descending thoracic aorta is unchanged in position. Mild-to-moderate cardiac enlargement is stable since the prior study.
<unk>-year-old female with pulmonary hypertension and hypoxemia with decreasing oxygen saturation. assessment for chf, effusions, or atelectasis.
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The cardiac silhouette is moderate to severely enlarged. The aorta is calcified and tortuous. Prominence of the hila and central pulmonary vasculature suggests pulmonary vascular engorgement with mild pulmonary vascular congestion. No definite focal consolidation is seen. No pleural effusion or pneumothorax.
<unk>f chf worsening doe last week // <unk>f chf worsening doe last week
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Low lung volumes. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with presyncopal episode// ?cpd
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There is moderate parenchymal irregularity of the left lung base. No pleural effusion or pneumothorax is seen. There is cervical stabilization hardware, which appears unchanged comparison to the prior chest radiograph.
<unk> year old man with hypercalcemia // evaluate for pulmonary lesion
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Adenopathy is present in both hila, right greatere than left, and in at least the right lower paratracheal and ap window stations of the mediastinum. Lungs are clear, pulmonary vasculature is not engorged and the cardiac silhouette is normal size. The trachea is midline.
chest pain and tachycardia, here to evaluate for acute cardiopulmonary process.
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Frontal and lateral chest radiographs were obtained. No focal consolidation, pleural effusion, pneumothorax or pulmonary edema is seen. There is minimal bronchial wall thickening. Heart size is normal. Mediastinal contours are normal. No bony abnormality is detected.
<unk>-year-old man with significant smoking history, presents with acute shortness of breath. rule out pneumonia or mass.
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The lungs are clear, but hyperinflated, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old with right-sided lower chest pain, back pain, evaluate for pneumonia.
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The heart is mildly enlarged. The aorta is mildly tortuous with calcifications seen along the arch. Projecting over the right upper lobe is an irregular nodular density measuring <num> mm in diameter with more linear opacification extending to the right hilum. In addition, superiorly there is a small irregular nodular focus measuring <num> mm, also in the right upper lobe. A nodular focus projects over the right lower lung although the latter is perhaps a nipple shadow. Moderate osteophytes are noted along the lower thoracic spine.
shortness of breath and elevated blood pressure.
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The tip of a right subclavian mediport extends at least to the level of the superior cavoatrial junction. The lungs are clear. There is no pneumothorax. Flowing anterior spinal calcification with relative preservation of the intervertebral disc spaces is compatible with diffuse idiopathic skeletal hyperostosis (dish).
<unk>-year-old male with history of mds and cough; evaluate for pneumonia.
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
history: <unk>m with back pain, preop // preop
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are without focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body is seen. The visualized upper abdomen is unremarkable.
evaluate for foreign body in a patient with a food bolus in the esophagus.
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As compared to the previous radiograph, there is no relevant change. No evidence of pulmonary edema. No pneumonia. Borderline size of the cardiac silhouette. Normal hilar and mediastinal contours. Neither the frontal nor the lateral radiographs show evidence of pleural effusions.
chronic eosinophilic pneumonia, evaluation for recurrence.
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There is worsened opacification in the superior segment of the left lower lobe compatible with pneumonia as demonstrated one day prior. There is no evidence of increased associated effusion. There is no evidence of pneumothorax. The remainder of the lungs are clear with no evidence of multifocal spread. The cardiomediastinal and hilar contours are stable demonstrating mild tortuosity of thoracic aorta. Heart size is normal. Pulmonary vascularity is within normal limits.
<unk>-year-old male with likely pneumonia with recurrent fevers despite antibiotics. evaluate for effusion.
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Pa and lateral chest radiographs were obtained. Moderate bilateral pleural effusions are similar in size since <unk>. Moderate to severe cardiomegaly is unchanged. Extensive mitral annular calcifications and aortic arch calcifications are unchanged. A partially fluid-filled hiatal hernia is stable.
cough and wheezing.
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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 acute sob and cp // r/o acute cardiopulmonary process
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top-normal. The aortic knob is calcified. Old appearing rib deformities are seen involving one to two posterior right lower ribs.
severe posterior headache, recent upper respiratory infection.
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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 hiv, please assess for pneumonia.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Bones appear within normal limits.
cough and fever.
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There is faint lingular and right lower lobe opacities concerning for pneumonia. There is no pleural effusion pneumothorax. There is no overt pulmonary edema. The heart is normal in size. The lungs are hyperinflated reflecting copd, and apical pleural thickening is noted.
<unk>-year-old female with fever. evaluate for evidence of pneumonia.
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Heart size is top 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 history of mult myeloma on cytoxan with crackles right lower lung field
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. No focal consolidation, effusion, pneumothorax is present. Cardiac and mediastinal contours are normal.
chest pain.
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Ap and lateral views of the chest. Patient is rotated to the left, somewhat limiting exam. Previously seen right picc is no longer visualized. Blunting of the lateral costophrenic angles is noted which could be due to a fat pad on the left given rotation and atelectasis versus pleural thickening on the right. The known bibasilar pulmonary nodules are better assessed on prior ct scan. Superiorly, the lungs are grossly clear. The cardiomediastinal silhouette has not definitely changed given differences in positioning. Posterior thoracic fixation hardware is again seen.
<unk>-year-old male with confusion.
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Study is read in conjunction with the ct torso on the same day. There is prominence of interstitial markings consistent with emphysema. Peripheral nodular thickening is consistent with pleural plaques as seen on ct. Hazy opacity in the right upper lobe most likely represents pneumonia. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is notable for a tortuous aorta, but is otherwise unremarkable. Mild degenerative changes of the thoracic spine are present.
tingling all over, tender to palpation of right chest, question cardiopulmonary process.
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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified. Free air is noted under the right hemi-diaphragm, likely from recent surgery.
recent abdominal surgery with shortness of breath.
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There has been interval development of a large left pleural effusion with associated compressive atelectasis which shifts the cardiac silhouette to the right and shifts the left hemidiaphragm downward. Cardiac silhouette cannot be accurately gauged due to obliteration of the left cardiac border by the large effusion. The right lung is clear. There is no pneumothorax. No distracted bony injury is identified.
chf and prior pericardial effusion now reported persistent cough, increased shortness of breath and decreased breath sounds with desaturation to <unk>% with exercise.
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The lungs are hyperinflated, suggesting chronic obstructive pulmonary disease. No focal consolidation is seen peer there is no pleural effusion or pneumothorax peer the cardiac and mediastinal silhouettes are unremarkable. Multilevel degenerative changes are noted along the spine.
history: <unk>f with sob // pna?
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Assessment of the chest is slightly limited by patient rotation. Cardiac silhouette size is mildly enlarged. Mediastinal and hilar contours are grossly unremarkable. Lungs are hyperinflated without focal consolidation. Minimal blunting of the costophrenic angles posteriorly on the lateral view could suggest pleural thickening or tiny bilateral pleural effusions. No pneumothorax is identified. There are mild multilevel degenerative changes seen within the thoracic spine.
<unk> year old woman status post fall with right hip fracture
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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 shortness of breath and chest pain
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The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with fever, cough // ? inflitrate
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Heart size is top normal with a mildly tortuous aorta. Hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax.
positive ppd.