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Streaky, relatively linear left lower lung opacity likely represents atelectasis or scarring. No definite focal consolidation is seen. Minimal blunting of the left costophrenic angle most likely represents atelectasis, less likely trace pleural effusion. No pneumothorax is seen. No evidence of free air is seen beneath the diaphragms. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable.
history: <unk>f with s/p endoscopy w/ n/v // upright, free air chest or abd
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There is again volume loss in the right hemithorax with rightward shift of mediastinal structures and prior right pneumonectomy. The left lung remains clear. There is no pleural effusion or pneumothorax on the left. Bony structures are unremarkable.
left-sided chest pain. question recent pneumonia.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal.
dyspnea and productive cough.
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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 syncope // ?acute cardiopulmonary process
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In comparison with study of <unk>, there is little overall change and no evidence of acute cardiopulmonary disease. Cardiac silhouette is enlarged and there is again evidence of some elevated pulmonary venous pressure. Dialysis catheter extends to the lower svc. Specifically, no evidence of acute or old tuberculous disease.
positive ppd.
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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 cough s/p vomiting, c/f aspiration
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The lungs are well expanded, without focal parenchymal opacities. The aorta is tortuous and generally large but unchanged over more than and year, and the cardiomediastinal and hilar contours are otherwise unremarkable . There is no pleural effusion or pneumothorax.
<unk>-year-old female with fall. evaluate for acute intrathoracic process.
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Lung volumes are low. Retrocardiac opacity with obscuring of the lateral border of the thoracic aorta on the frontal view and better seen on the lateral view with a spine sign may represent round atelectasis, although an acute process such as pneumonia cannot be completely excluded. Linear plate-like band in the left lower lung is atelectasis. No pleural effusion. No pneumothorax. The heart is normal in size. No pulmonary edema.
<unk> year old man with acute pancreatitis. evaluate for pleural effusion.
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In comparison with study of <unk>, the cardiac silhouette is within upper limits of normal in size with moderate tortuosity of the aorta. Streaks of atelectasis or interval fibrosis at the left base. No acute pneumonia, vascular congestion, or pleural effusion. Degenerative changes and mild alignment abnormality is again seen in the dorsal spine.
dyspnea on exertion with history of radiation pneumonitis remotely.
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Lung volumes are slightly low. The cardiac silhouette is top-normal. The pulmonary vasculature is unchanged since the prior examination. No definite focal consolidation is identified. There is no pleural effusion or pneumothorax.
history: <unk>f with weakness // please eval for any pneumonia
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>f with palpatations // eval for infiltrate
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Ap and lateral chest radiographs are somewhat limited by rotation to the left. Median sternotomy wires and cabg clips are noted. Moderate cardiomegaly is unchanged. There is no focal consolidation, pleural effusion, or pneumothorax. However, left pleural thickening is noted and appears chronic. Degenerative changes of the glenohumeral joints are severe.
confusion for two days.
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There are low lung volumes with collapse of the left lower lobe. There is mild pulmonary edema. There is a small right and a small moderate left pleural effusions, increased from prior exam. Median sternotomy wires and mediastinal clips are noted.
history: <unk>m with abd pain, shortness of breath, hypoxia, altered mental status // ct heal: eval for ichct a/
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There is left basilar opacity silhouetting the hemidiaphragm with adjacent parenchymal opacities. The right lung is clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cough, feeding tube placement ? // cough, feeding tube placement?
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Lung volumes are low. The heart size is top normal. Mediastinal and hilar contours are within normal limits, and there is no evidence for pulmonary edema. Streaky and linear opacities in both lung bases likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormality seen.
history: <unk>m with peripheral vascular disease, presents with claudication of the left lower extremity
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The lungs are hyperinflated with flattening of the diaphragms and fibrotic changes compatible with copd. Nodular right apical opacities are again seen, grossly unchanged. There is no definite acute cardiopulmonary process. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with sob // eval pna
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In comparison to the prior exam there is now mild interstitial edema with asymmetric opacity along the right heart border in the right middle lobe. The heart size is stably mildly enlarged. There is increased opacity at the left base consistent with atelectasis.
history: <unk>m with hypertrophic cardiomyopathy, afib s/p ppm, osa, copd p/w chest pain *** warning *** multiple patients with same last name! // etiology of cp
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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.
<unk> year old woman with cough // <unk> yo f with persistent cough
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is visualized. There are mild degenerative changes in the thoracic spine.
weakness.
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The cardiac, mediastinal and hilar contours are normal. Atherosclerotic calcifications are demonstrated at the aortic knob. Pulmonary vasculature is normal. Linear opacities in the left lung base likely reflect areas of subsegmental atelectasis or scarring. No focal consolidation, pleural effusion or pneumothorax is present. Bilateral shoulder arthroplasties are partially imaged. There are moderate multilevel degenerative changes seen in the thoracic spine.
history: <unk>m with shortness of breath today
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
shortness of breath.
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The cardiac, mediastinal and hilar contours are stable. The lung volumes are low. In the mid mediastinum there is an air-fluid level which probably refers to dilatation of the esophagus. Streaky atelectasis is noted at the lung bases but no definite pleural effusion. No mediastinal air is demonstrated.
food bolus stuck and proximal esophagus status post dilatation and failed removal.
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Ap upright and lateral chest radiograph demonstrates obscuration of the right heart border by a patchy opacity. The left pulmonary artery appears prominent, the right hila unremarkable. The aorta appears tortuous or alternatively dilated. Interstitial markings are identified at the left lung base suggestive of pulmonary edema. Biapical scarring appear symmetric. There is no pleural effusion or pneumothorax. Visualized osseous structures are unremarkable.
<unk>-year-old male with intracranial hemorrhage.
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Lungs are well expanded and clear. Moderate cardiomegaly is stable without pulmonary edema or pleural effusions. No pneumonia. Left chest icd wires appear unchanged.
<unk> year old man with heart failure exertional dyspnea // r/o pulmonary congestion/edema
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Pa and lateral views of the chest provided. Cardiomegaly is noted with small bilateral pleural effusions and mild pulmonary congestion and edema. No pneumothorax. Difficult to exclude a superimposed subtle pneumonia. No pneumothorax. Bony structures appear intact.
<unk>m with dsypnea // eval chf
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There is persistent elevation of the left hemidiaphragm with associated layering parenchymal opacity suggestive of atelectasis, although somewhat decreased in extent. The lung volumes are low. There is no pleural effusion or pneumothorax. Mild degenerative changes are similar.
fever and cough.
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Pa and lateral chest radiographs demonstrate the known left medial clavicule fracture and multiple left lateral rib fractures as seen on prior cts. Additionally seen is a displaced fracture of the left scapula, better delineated on ct of <unk>. Small left pleural effusion is improved compared to most recent ct. The lungs are clear and the cardiomediastinal silhouette is normal. There is no pneumothorax.
prior trauma with known left medial clavicule fracture. evaluation for acute cardiopulmonary process or interval change.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. Compared to prior, there is new central pulmonary vascular engorgement with mild cephalization of the pulmonary vasculature. There is no confluent consolidation or effusion. Cardiomediastinal silhouette is stable, as are the osseous and soft tissue structures.
<unk>-year-old male with hypotension, rule out infectious process.
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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no lobar consolidation. There is a diffuse interstitial abnormality, with a reticular an nodular pattern, right greater than left. Views of the upper abdomen are unremarkable.
<unk>f with hypoxia at triage, evaluate for pneumonia..
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Pa and lateral images of the chest. The lungs are well expanded. Opacity at the left lung base likely represents atelectasis. There is cephalization of the pulnoary vasculature without evidence of edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is moderate cardiomegaly, increased from prior exam.
chest tightness and shortness of breath.
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Frontal and lateral chest radiographs were obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pneumothorax or pleural effusion.
history of lymphoma in remission, with pulmonary opacities seen on recent surveillance ct and cough with sputum, rule out pneumonia.
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The lungs are well expanded. Moderate interstitial markings are seen, possibly representing interstitial edema vs. Chronic underlying lung disease. There is no consolidation, pleural effusion, pneumothorax, or definite acute pulmonary process. There is right-sided lateral pleural thickening vs. Extrapleural fat. Cardiomegaly is seen. Atherosclerotic calcification is seen in the aortic arch. Sternotomy wires and mediastinal clips are noted. The lateral view demonstrates probable coronary stent. Diffuse bone demineralization is noted.
<unk>-year-old male with weakness.
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Chain sutures are present in the right mid lung. There has been no significant change in the extent of the pre-existing pleural effusions. There is no new pneumonia, pulmonary edema or pneumothorax. Mediastinal silhouette including the median sternotomy wires and valve replacement are stable.
malignant effusion and aspiration status post thoracentesis, evaluate pleural effusions.
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Right-sided port-a-cath tip terminates in the lower svc, unchanged. There is worsening volume loss in the right lung with increased rightward shift of mediastinal structures and evidence of right lower lobe collapse, worse since the previous radiograph. Right hilar lymphadenopathy is re- demonstrated, and known right lower lobe mass is not well assessed on this current exam, though there is abrupt cut off of the right bronchus intermedius in the region of the mass compatible with obstruction. Patchy opacity within the right mid lung field may also reflect postobstructive atelectasis or pneumonia. The left lung is hyperinflated without focal consolidation. Moderate size right pleural effusion is increased from the previous study. There is no pneumothorax. Pulmonary vasculature is not engorged. Cardiac silhouette size is difficult to assess given the presence of right lower lobe collapse. No acute osseous abnormality is detected.
history: <unk>m with altered mental status, somnolent
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Pa and lateral chest radiographs were obtained. Right lower lobe volume loss is unchagned. Small bibasilar pleural effusions and left basilar atelectasis are unchanged. No new focal consolidation or pneumothorax is present. Ectasia of the descending thoracic aorta is unchanged. Surgical clips project over the left upper abdomen.
<unk>-year-old man with colitis and staple line perforation, post repair.
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Cardiomediastinal contours are within normal limits and without change. Within the lungs, there are no new areas of consolidation to suggest the presence of pneumonia. Nonspecific biapical scarring is unchanged. Known emphysema is seen to better detail on prior chest cta of <unk>. There is no pleural effusion.
<unk> year old woman smoker with worsening chest congestion and cough unresolved after antibiotics // pls eval for pna versus other infection
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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. Mild degenerative changes are seen at the thoracolumbar junction.
history: <unk>f with epigastric pain, intermittent chest pains // ?cardiomegaly
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The heart size is normal. The mediastinal and hilar contours are unremarkable. Lung volumes are low. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
shoulder pain.
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Prior right central venous line is no longer visualized. Lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
<unk>f pmh addisons with recent fevers/chills // eval for pneumonia
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Lungs are fully expanded and clear. Cardiomediastinal and hilar silhouettes and pleural surfaces are normal. Prior healed left-sided rib fractures are seen.
<unk>-year-old female with history of congestive heart size, shortness of breath. evaluate fluid overload.
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No previous images. There is enlargement of the cardiac silhouette with tortuosity of the aorta. Mild fullness of pulmonary vessels with redistribution to the upper lungs suggests some underlying elevation of pulmonary venous pressure. No evidence of acute focal pneumonia.
leukocytosis and fever, to assess for pneumonia.
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Frontal and lateral radiographs of the chest were acquired. The lungs are hyperexpanded, likely related to body habitus, as there is no flattening of the hemidiaphragms or increase in the retrosternal airspace to suggest obstructive pulmonary disease. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
recurrent syncopal episodes.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with vertigo.
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As compared to the previous radiograph, there is no relevant change. No evidence of pneumothorax after vats. Normal appearance of the lung parenchyma, no pleural effusions. No focal parenchymal opacity suggesting pneumonia. Normal size and shape of the cardiac silhouette.
newly diagnosed lymphoma, status post vats, evaluation for interval change.
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Again demonstrated is left atrial enlargement, not substantially changed in the interval with the overall cardiac silhouette size appearing mildly enlarged. Mediastinal and hilar contours are similar with prominence of the left pulmonary artery. Pulmonary vasculature is not engorged. No focal consolidation is present. Small bilateral pleural effusions are new in the interval. There are no acute osseous abnormalities.
<unk>f with atrial fibrillation with rapid ventricular rate, shortness of breath.
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Frontal and lateral views of the chest. No prior. Examination is limited by patient body habitus. Streaky left basilar opacity is suggestive of atelectasis, especially in the setting of relatively low lung volumes. There is no definite pulmonary vascular congestion, consolidation, or effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with hypotension, wheezing.
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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. Clips are noted in the right upper quadrant of the abdomen compatible prior cholecystectomy.
history: <unk>f with recent cholecystectomy presenting with worsening right flank pain.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is present.
history: <unk>f with confusion // eval pneumonia
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Right midlung partially linear opacity seen in on the frontal and lateral views is compatible with fluid in the fissure. This opacity abuts the right hilum. There is a probable small layering left-sided pleural effusion. Calcification along the left hemidiaphragm is noted. Hazy opacity seen at the right lung base. Elsewhere, lungs are clear. There is pulmonary vascular congestion without overt edema. Cardiomediastinal silhouette is stable. New left chest wall pacing device is seen with lead tip at the right ventricular apex.
<unk>m with trouble breathing // ? pneumonia
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Atelectatic bands are seen bilaterally, the one in left lower lobe is slightly improved. There is no new lung consolidation. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax. Left-sided port-a-cath ends in mid-to-low svc. Surgical clips in the left axillary region are unchanged.
pleuritic chest pain, shortness of breath. rule out pe or pneumonia.
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Patient is status post median sternotomy, and mitral and tricuspid valve replacements. Lung volumes are low. Heart size remains mildly enlarged. Mediastinal and hilar contours are similar. Calcified granuloma is seen within the right upper lobe, along with multiple right hilar calcified lymph nodes compatible with prior granulomatous disease. Crowding of the bronchovascular structures is present, with possible mild pulmonary vascular congestion. Minimal atelectasis is seen in the retrocardiac region without focal consolidation. No pleural effusion or pneumothorax is visualized. Compression deformities of several mid thoracic vertebral bodies appear relatively unchanged with associated kyphosis.
<unk> year old man with near fall today feeling generally unwell.
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Central pulmonary edema on the prior exam is markedly improved with mild residual pulmonary vascular congestion. No oval pulmonary edema. No pleural effusion. No pneumothorax or focal consolidation. The heart remains mildly enlarged. Mediastinal contours are unchanged. No acute osseous abnormality. Multi-level degenerative changes of the thoracic spine are unchanged. There is trace amount of fluid in the major fissure, best appreciated on the lateral view.
<unk>-year-old man presenting with shortness of breath. evaluate for pneumonia.
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Cardiomediastinal silhouette remains moderately enlarged. There is engorgement of the pulmonary vasculature with mild interstitial opacities bilaterally suggestive of mild pulmonary edema and increased central venous pressure. Small pleural effusion may be present on the right with blunting of the right hemidiaphragm. The lungs are otherwise without a focal consolidation. Calcifications are noted at the aortic arch.
chest pain.
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Mild cardiac enlargement is unchanged from prior exam. Cardiomediastinal silhouette and hilar contour is unchanged. Previously noted right lower lobe consolidation has completely resolved and the lungs are now clear. There is no pleural effusion or pneumothorax.
recent right lower lobe pneumonia with continued cough.
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Frontal and lateral views of the chest demonstrate mild cardiomegaly. There are small bilateral pleural effusions, best appreciated on the lateral view. Bibasilar atelectasis is appreciated. There is no pneumothorax or focal airspace consolidation. The mediastinal contours are unremarkable. A left side pacemaker is present with wires terminating over the right atrium and right ventricle. There is no displaced rib fracture appreciated.
elbow injury, rule out infiltrates.
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As compared to the previous radiograph, there is no relevant change. No evidence of pneumonia. Minimal atelectasis at the right lung base. No pleural effusions. No lung nodules or masses. Normal size of the cardiac silhouette.
cough for one month. evaluation for pneumonia.
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The patient is status post median sternotomy with multiple mediastinal clips again noted. The heart remains mildly enlarged. The mediastinal contours are stable, with mild tortuosity of the thoracic aorta again noted. There are mild atherosclerotic calcifications at the aortic knob. New ill-defined opacity are demonstrated within both upper lobes, as well as worsening opacity within the left mid lung field, findings concerning for a multifocal infectious process. Additionally, there is mild pulmonary edema, which may be minimally worse compared to the prior study. Small bilateral pleural effusions, right greater than left, are not substantially changed from the prior exam. Persistent bibasilar airspace opacities are relatively similar from the prior exam, and could reflect areas of atelectasis.
recent asd repair with hypoxemia and shortness of breath.
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Heart size is normal. Mediastinal and hilar contours are unremarkable and unchanged. Lungs are clear. Pulmonary vasculature is not engorged. No pleural effusion or pneumothorax is detected. Cervical spinal fusion hardware is incompletely assessed. Moderate to severe degenerative changes involving both glenohumeral joints are present. No subdiaphragmatic free air is present.
history: <unk>m with abdominal pain, neck pain and swelling
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Heart size is moderately enlarged. The mediastinal and hilar contours are relatively unchanged with the thoracic aorta appearing mildly tortuous. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. Multilevel degenerative changes are noted in the thoracic spine.
history: <unk>m with back pain // acute process
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There is no evidence of picc line fragment. Small bilateral pleural effusions are similar to the recent prior study and are accompanied by mild basilar atelectasis. A left pectoral dual-chamber pacemaker and its leads project in unchanged location. There is no focal consolidation, pulmonary edema, or pneumothorax.
<unk>-year-old female with <num> cm picc which was removed and measured <num> cm, currently asymptomatic in likely a typo during documentation of initial placement. please evaluate for picc fragment.
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Frontal and lateral radiographs of the chest demonstrate near complete resolution of right pleural effusion. In comparison to the prior radiograph, there are slightly decreased lung volumes, accentuating the cardiac silhouette and pulmonary vasculature. Otherwise, no focal consolidation is identified. Mild degenerative changes of the thoracic spine are noted.
evaluate pleural effusion.
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The lungs are well expanded clear. The aorta is tortuous. Mediastinal contours, hila, and cardiac silhouette are otherwise normal. There is no pleural effusion or pneumothorax.
<unk>m with hcv and p/w left sided chest pain and sob // eval for pna vs ptx
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Compared to prior, there is mild decrease in lung volume, especially on the left likely from mild atelectasis. Small pleural effusion on the right is possible. The heart appear mildly enlarged, accentuated due to decreased lung volumes. Right-sided port appear unchanged from prior. Aortic knob calcification is again seen, unchanged. No pneumoperitoneum is seen.
<unk> year old woman with uresectable cholangiocarcinoma and new onset ascites now s/p para with persistent ruq pain. assess for free air.
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Dense contrast is seen within the colon.
history: <unk>f with continued cp since yesterday, l sided ronchi and chest ttp // eval ? acute process, infiltrate
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. The heart is top normal in size. There is no pleural effusion, pulmonary edema, pneumothorax, or focal airspace opacity.
<unk>-year-old female with cough and shortness of breath. evaluation for pneumonia.
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The cardiac, mediastinal and hilar contours appear stable. The left costophrenic angle is probably due to minor atelectasis. There is no convincing evidence for pleural effusion on the lateral view. The lungs appear otherwise clear.
chest pain.
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The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is stable. Tortuosity of the descending thoracic aorta again seen. Median sternotomy wires and mediastinal clips are again noted. Chronic deformity of the proximal left humerus is noted.
<unk>m with generalized weakness s/p fall on coumadin // eval for trauma
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Cardiomediastinal contours are normal. The upper lungs are clear. Small bilateral pleural effusions with adjacent atelectasis have markedly decreased from prior study. There is no pneumothorax . The osseous structures are unremarkable. Left picc tip is in the left brachycephalic vein.
<unk> year old woman s/p total thyroidectomy <unk> c/b wound infection and septic shock. bilat chest tubes placed, now out. // eval for interval change
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The lungs remain hyperinflated. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with hiv, hx of pcp pn<unk>. // please evaluate for pna
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Cervical fusion hardware is partially imaged. There is a prominent air-filled loop of colon below the right hemidiaphragm.
syncope.
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Lungs are fully expanded and clear. Bilateral hilar adenopathy and mild cardiomegaly are unchanged. No pleural effusion. Overall, radiographic examination of the chest is unchanged.
<unk> year old woman with sarcoidosis // worsening dyspnea and inflammatory markers in patient with sarcoidosis. assess for worsening cxr
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New moderate right pleural effusion obscures the right heart border. The left sided contours of the cardiomediastinal silhouette are normal. Sternotomy wires predate <unk>. Right hilus is displaced inferiorly indicating that infrahilar opacity in the lower lobe is segmental atelectasis. Left lung and pleural space are normal. There is no pulmonary edema or vascular congestion.
<unk> year old man with cml. now with new onset lower extremity edema and sob> // new lower extremity edema. h/o cad
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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.
cirrhosis. question pneumonia.
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
<unk>f with chest pain // ? chf, infiltrate
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The heart is normal in size. There is redemonstration of radiation fibrotic changes within the left upper paramediastinal region as seen on prior chest examinations. There is again a leftward shift of mediastinal structures with volume loss in the left lung. No focal consolidation, pleural effusion or pneumothorax is identified.
right-sided chest pain. rule rule out pneumothorax, effusion.
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Significant improvement of postoperative changes are seen when compared to <unk> study. The cardiac silhouette is normal. Hilar contours are unremarkable. Atelectasis and scarring of the right lower lung along with elevation of the right hemidiaphragm is seen but greatly improved. No focal consolidations or pleural effusions are seen.
<unk> year old woman s/p r vats wedge // check interval change
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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. Partially imaged upper abdomen is unremarkable.
fever and productive cough.
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Cardiac, mediastinal and hilar contours are unchanged with the heart size within normal limits. The pulmonary vascularity is not engorged. Again demonstrated are patchy ill-defined opacities in the left lung base and right middle lobe, not substantially changed from the prior study. No pleural effusion or pneumothorax is present. There are multilevel moderate degenerative changes in the thoracic spine.
history: <unk>m with known pneumonia, now returns with worsening tachypnea
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The lungs are well-expanded, with persistent small bilateral pleural effusions, blunting the costophrenic sulci. Moderate cardiomegaly is unchanged, as are positions of left chest wall pulse generator with right atrial and right ventricle pacing leads. There is no pneumothorax or pulmonary edema.
history: <unk>f with recent pacemaker placement now presenting with low grade fevers, cough, dyspnea. // any evidence of pna, edema?
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Pa and lateral views of the chest were obtained. The heart is normal size and cardiomediastinal contours are stable. Lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old man with chest pain.
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Marked tortuosity of the thoracic aorta appears unchanged. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
unsteady gait and weakness.
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There is mild to moderate enlargement of cardiac silhouette, unchanged. The aorta demonstrates calcified atherosclerotic disease and remains tortuous. There is mild upper zone vascular redistribution, similar to the previous study compatible with mild pulmonary vascular congestion. No focal consolidation or pneumothorax is visualized. Blunting of the costophrenic angles posteriorly on the lateral view is possibly reflective of trace bilateral pleural effusions. Multilevel degenerative changes are seen in the thoracic spine.
history: <unk>f with shortness of breath
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The patient is status post median sternotomy and left-sided aicd device with electrodes and epicardial leads in unchanged positions. Heart size remains mild to moderately enlarged. The mediastinal and hilar contours are unchanged. Pulmonary vascular congestion is similar to prior. Previously noted opacification in the right middle and lower lobes has improved with minimal residual patchy opacities in these regions. A small right pleural effusion is likely unchanged. The left lung remains clear. No pneumothorax is identified.
<unk>m with the right lung crackles, evaluate for residual pneumonia
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Support devices: there is an implanted pacemaker with leads in unchanged position. There is increased heterogeneous opacity in the left lower lobe, most apparent on the lateral view. The lungs are otherwise clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
history: <unk>m with sob. evaluate for pulmonary edema or pneumonia.
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The inspiratory lung volumes are appropriate. Subtle opacity at the medial right lung base likely reflect underpenetrated technique and prominent bronchovascular markings. The lungs are otherwise clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
<unk>f with rll pleuritic pain // eval for pna
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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 fevers // assess for infiltrate
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Heart size is top normal. Mediastinal and hilar contours are unchanged, with mild tortuosity of the thoracic aorta. Pulmonary vascularity is normal and the lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
epigastric pain, diaphoresis.
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There are relatively low lung volumes. Right lower lobe consolidation is worrisome for pneumonia. No large pleural effusion is seen although a trace pleural effusion would be difficult to exclude. There is mild left base atelectasis versus possibly <unk> focus of smaller consolidation. No evidence of pneumothorax is seen. The cardiac silhouette is not enlarged. The mediastinum is not widened.
fever.
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Chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar, and cardiac contours. Lungs are clear. No pleural effusion or pneumothorax evident.
history of positive ppd status post inh, needs tb screen.
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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 chest pain. evaluate for pneumonia.
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Pa and lateral views of the chest. Tracheostomy tube is in appropriate position. Again seen are bilateral lower lobe consolidations with pleural effusions, slightly increased from prior study. The overlying pulmonary edema seen on prior study has decreased. Biapical scarring is again seen. No pneumothorax. The mediastinal and hilar contours are stable. There may also be left lower lobe atelectasis.
tracheostomy, now with oxygen desaturations. evaluate for pulmonary edema, pneumonia.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. The lungs are clear. No pleural effusion or pneumothorax is seen.
<unk>f with worsening confusion // eval infiltrate
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There is a moderate right-sided pleural effusion with associated atelectasis at the right lung base, increased opacity within the right lower lung. Likely reflects right lower lobe consolidation versus atelectasis, this best appreciated on the lateral view. The heart is top-normal in size given the ap technique. There is mild interstitial edema, left greater than right. No pneumothorax is seen, and aortic arch calcifications are noted. Compression deformities and degenerative changes of the thoracolumbar spine are noted.
<unk>-year-old male with epigastric pain. evaluate for acute cardiopulmonary disease.
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A single-lead pacemaker device terminates in the right ventricle. The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
transient ischemic attack.
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Elevation of the right hemidiaphragm is chronic. The lungs are clear without focal opacity, overt pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable. No acute osseous abnormality.
<unk>f with s/p fall, + head strike, ttp midline c<num>-<num>.
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Frontal and lateral views of the chest. When compared to prior there has been no significant interval change. Prominent interstitial markings are again noted throughout the lungs bilaterally. There is no significant effusion or confluent consolidation. Cardiac silhouette is enlarged but stable. Triple lead pacing device seen with leads in unchanged position. No acute osseous abnormality detected.
<unk>-year-old female with history of chf with worsening shortness of breath.
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Single lead left-sided pacer is again seen with lead extending the expected position of the right ventricle, stable. The cardiac and mediastinal silhouettes are stable. There are relatively low lung volumes. Patchy airspace opacity in the lateral left mid lung could be due to infection or pulmonary contusion. No overlying rib fracture is seen, although ct is more sensitive. There is no pleural effusion or pneumothorax.
history: <unk>m with a fib on coumadin and unwitnessed fall vs syncope, with cough productive of phelgm // ? infiltrate
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Ap upright and lateral views of the chest provided. Lungs are clear. Heart is mildly enlarged. Aorta is markedly unfolded. Degenerative changes at the shoulders and lower thoracic spine noted.
<unk>f with concern for stroke vs tia
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The cardiomediastinal and hilar contours are normal. The lung volumes are low but clear of lobar consolidation; low volumes likely contribute to crowding of bronchovascular structures. There is no pleural effusion or pneumothorax.
<unk>-year-old male with fever, body aches, and cough.
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Cardiomediastinal contours are stable with tortuous aorta and hiatal hernia. The aorta is tortuous aside from a stable small subpleural abnormality in the right lower hemi thorax, the lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old man with unexplained wt loss, hx pulm nodule, hx tob use. // r/o mass