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Ap and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. Right-sided retrocardiac linear opacity corresponds to bronchial wall thickening, unchanged from prior radiograph. The cardiomediastinal silhouette is normal.
fever. evaluation for pneumonia.
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There is a focal opacity overlying the right lower lobe with silhouetting of the right hemidiaphragm. Otherwise, the left lung is clear. The cardiomediastinal silhouette is normal. No acute fractures are identified.
evaluation of patient with history of recent pneumonia with severe pain.
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The lungs are clear. Cardiomediastinal silhouette is within normal limits. Mid thoracic dextroscoliosis is noted. Posterior fixation hardware seen spanning the thoracic and lumbar spine. No acute osseous abnormalities.
<unk>f with fever // eval pnuemonia
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In comparison with study of <unk>, there is little change. Atelectasis at the left base is less prominent. Mild engorgement of pulmonary vessels persists.
dry cough with fever.
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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 fevers and neutropenia
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Pa and lateral chest views were obtained with patient upright position. Analysis is performed in direct comparison with the next preceding available chest examination <unk> <unk>. The heart size is at the upper limit of normal variation. No typical configurational abnormality is seen, however, there is a relative prominence of the left ventricular contour to the left and posteriorly. The thoracic aorta is of unchanged and ordinary <unk>. No mediastinal abnormalities are present. The pulmonary vasculature is not congested. No acute parenchymal infiltrates can be identified. Similar as on the preceding study, there exists a peripheral linear density with some crowded vasculature in the lower left lung fields abutting the cardiac contours and compatible with the previously made suggestion of an atelectasis in the lingula. The appearance of these findings is completely unchanged and suggests scar formations of previous inflammatory processes. An additional subtle change is the more prominent visibility of the minor fissure on the right side, possibly suggestive of mild beginning pulmonary congestion with lung wetness of the subpleural spaces. Significant pleural effusions in the lateral or posterior pleural sinuses, however, cannot be identified. The lateral view discloses again relatively low positioned and flattened diaphragms, a finding consistent with the patient's diagnosis of copd.
<unk>-year-old female patient with copd, still coughing status post antibiotic treatment, rhonchorous breath sounds bilaterally. evaluate for infiltrates.
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Lateral displacement of left lung base apex reflects subpulmonic disposition of effusion that could be same size as prior. Small left pleural effusion. Decrease in pulmonary edema with clear right upper lobe and left lung. Stable mild enlargement of cardiac silhouette with dilated mediastinal vein. No pneumothorax.
male with chronic kidney disease and decreased breath sounds at bases. assess for pleural effusion.
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Pa and lateral views of the chest provided. Cardiomegaly is mild. There is interval improvement in previously detected retrocardiac opacity. Currently there is no evidence of pneumonia or edema. No large effusion or pneumothorax. Mediastinal contour is unchanged. Bony structures are intact.
<unk>m with new onset afib
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There are low lung volumes. Again, there is apparent elevation of the right diaphragm along with small right pleural effusion and overlying atelectasis. Right mid lung atelectasis is again seen. Tiny right-sided pneumothorax seen on ct <num> day prior better assessed on ct. The cardiac and mediastinal silhouettes are stable. Surgical clips are again noted overlying the lateral left hemi thorax.
<unk> year old woman s/p sgement <num> hepatectomy with atelectasis a small ptx and pneumomediastinum, p/w some sob // interval change
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Small left pleural thickening/effusion and retrocardiac opacity. Mild volume loss with mediastinal shift to the left and left paramediastinal linear opacities likely reflect post treatment changes. The right lung is clear. No pulmonary edema. Mild cardiac enlargement. No pneumothorax. Bilateral mastectomies.
<unk> year old woman with left lower lobe decreased bs // consolidation?
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The lungs are hyperexpanded, compatible with copd and emphysema. No pleural effusion or pneumothorax. Stable lucency of the right lower lung. New opacity is noted obscuring the left heart border. Chronic right middle lobe collapse noted. Heart, mediastinal contour, and hila are otherwise unremarkable. Old right lateral rib fracture. Stable mild compression deformity of a lower thoracic vertebral body. Limited assessment of upper abdomen is unremarkable.
<unk>m with chest pain. assess heart and lung.
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Ap upright and lateral chest radiographs were obtained, though the left hemidiaphragm and costophrenic sulcus are excluded from view. The heart remains markedly enlarged with interval increase in mild pulmonary vascular congestion and perhaps trace new pulmonary edema. Small right and likely small left pleural effusions are seen without focal consolidation on the imaged portions of the chest. There is no pneumothorax. Dual lead pacemaker device is noted.
weakness and fever.
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Lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. A right chest port-a-cath terminates at the mid svc. Stents projecting over the liver are seen.
<unk>f with weakness, vomiting, evaluate 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 unremarkable.
history: <unk>m with c/f endocarditis (strep viridans in urine) // eval for widened mediatstium
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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. There are vague nodular densities projecting over each mid lung, probably nipple shadows. Streaky basilar opacities suggest minor atelectasis or scarring. Elsewhere, the lungs appear clear. Bony structures are unremarkable.
left-sided rib and flank pain.
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Lung volumes are low. Right-sided port-a-cath tip terminates at the junction of the svc and right atrium. The heart size is borderline enlarged but unchanged. Atherosclerotic calcifications of the aortic knob are noted. Mediastinal and hilar contours are stable. Mild bibasilar atelectasis is noted with a trace amount of fluid versus thickening demonstrated in the minor fissure. No large pleural effusion or pneumothorax is demonstrated. Spinal fusion hardware is partially imaged within the mid and lower thoracic spine.
fever.
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified. Degenerative changes seen at the acromioclavicular joints.
<unk>-year-old female with copd and worsening cough and wheezing.
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The heart size is normal and the mediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. Clips in the right upper quadrant of the abdomen represent prior cholecystectomy.
<unk>-year-old female with chest pain.
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Right venous access catheter terminates in the mid-to-low svc, unchanged since at least <unk>. The catheter demonstrates a smooth course with no kinks. The cardiomediastinal and hilar contours are within normal limits. The lungs are clear. There are no new focal consolidations, pleural effusions or pneumothoraces. The right first rib is hypoplastic.
<unk>-year-old woman with history of all with right-sided port who can hear port when she turns her head to the right. please assess port placement.
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Diffusely increased interstitial opacities in bilateral lungs, likely reflecting mild to moderate interstitial edema. No pleural effusion is noted. Cardiac silhouette is mildly enlarged.
history: <unk>f with fall, head strike, l wrist pain/deformity, l sided anterior chest pain w/ palpation // ? traumatic injuries
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Pa and lateral views of the chest. There is no focal consolidation. There is no pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.
shortness of breath, evaluate for acute cardiopulmonary process.
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Lungs are hyperinflated with flattening of the diaphragms. The heart size is normal. Diffuse atherosclerotic calcifications of the thoracic aorta are present. The pulmonary vasculature is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear, without focal consolidation. No pleural effusion or pneumothorax is present. There are mild degenerative changes in the thoracic spine.
atrial fibrillation.
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Frontal and lateral views of the chest show a mass in the right low lung, centered about a fiducial marker. There is no pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. The cardiac and mediastinal contours are normal. Calcifications are seen throughout the aorta.
history of lung cancer presenting with hypoglycemia. evaluate for pneumonia.
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Pa and lateral views of the chest. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiac, mediastinal and hilar contours are normal. Slightly low lung volumes.
dyspnea.
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No previous images. Hyperexpansion of the lungs with flattening of the hemidiaphragms suggests some underlying chronic pulmonary disease. However, no acute focal pneumonia, vascular congestion, or pleural effusion.
elevated white count, to assess for pneumonia.
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Mild to moderate enlargement of the cardiac silhouette is unchanged. The mediastinal and hilar contours are similar. No pulmonary vascular congestion is visualized. Subtle increased interstitial opacities are demonstrated diffusely within the lungs, likely reflective of known chronic interstitial lung disease and chronic airways disease, better assessed on the previous chest ct. Atelectasis is also noted in both lung bases. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
history: <unk>m with dyspnea on exertion
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When compared to prior, there has been no significant interval change. Again seen is a vague opacity at the right lung base which corresponds to abnormality in prior abdominal ct. Elsewhere, lungs are clear. The cardiomediastinal silhouette is within normal limits. There is no free intraperitoneal air. No acute osseous abnormalities.
<unk>m with known gi ulcers presenting with sudden onset severe abdominal pain. // eval for free air
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Heart size is normal. The mediastinal and hilar contours are normal. Positioning of medial clavicles and trachea is similar to <unk> radiograph, with slight offset of tracheal contour from midline attributed to the presence of scoliosis. The pulmonary vasculature is normal. Lungs are clear except for linear atelectasis or scar at the right base. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with dysphagia of large pills. exam shows prominent head of right clavicle protruding across midline, deviation of trachea. no thyromegaly or nodule. no tenderness. // evaluate bony position of medial portion of right clavicle, r/o tracheal deviation.
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As compared to the previous radiograph, the patient has made a stronger inspiratory effort. The pre-existing parenchymal opacities in the perihilar right lung region have substantially decreased in extent. The areas of retrocardiac atelectasis are unchanged. No new parenchymal opacities. Unchanged size and shape of the cardiac silhouette.
cough, evaluation for pneumonia.
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The lungs are hyperinflated with apical scarring. Multiple radiopaque coils, presumably from prior avm embolization procedures, are scattered throughout the bilateral lungs. No focal consolidation, large pleural effusion, or pneumothorax. The heart is normal in size. Diffuse, severe osteopenia and spinal degenerative changes noted.
<unk>f with hx av malformations in lungs presenting with fall. evaluate for pneumonia.
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Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion, pulmonary edema or pneumothorax. No displaced rib fracture.
<unk>m with cp // pna?
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with dyspnea // r/o chf
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Pa and lateral chest radiographs were provided. A subtle opacity in the medial right lower lobe with obscuration of a portion of the right hemidiaphragm may represent an early pneumonia. The left lung is clear. No pleural effusion or pneumothorax is present. The cardiomediastinal silhouette is normal. Multiple clips are noted in the mid abdomen, left upper quadrant and right upper quadrant. Bones are intact.
history of diabetes with influenza concern for pneumonia at the right base.
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Frontal and lateral radiographs of the chest demonstrate hyperexpanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
<unk> year old man with hx of melanoma // please evaluate disease status
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As compared to the previous radiograph, there is no relevant change. Neoplastic reduction in volume of the left hemithorax, with enlargement of the left hilus and left apical thickening as well as deviation of the esophagus to the left. The presence of a small pleural effusion cannot be excluded. On the right, there is unchanged evidence of increased interstitial markings that might represent chronic bronchitis or lymphangitic spread. The severity of the changes, however, is constant as compared to the previous examination. There are no newly appeared parenchymal opacities. The overall size of the cardiac silhouette is constant.
history of lung cancer and cough.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The heart appears top-normal in size. Mediastinal contour is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with tibial plateau fracture // pre-op
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As compared to the previous radiograph, there is no relevant change. Mild overinflation. Moderate cardiomegaly with tortuosity of the aorta but no evidence of pulmonary edema or pleural effusions. No pneumonia. No pneumothorax.
shortness of breath, pulmonary edema, copd.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Patchy and linear opacity within the right lung base is unchanged, likely scarring. Lungs are otherwise clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with chest pain
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Pa and lateral chest views were obtained with patient in upright position. The heart size is normal. No configurational abnormalities identified. Thoracic aorta unremarkable. No mediastinal abnormalities are seen. The pulmonary vasculature is normal. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free from any fluid accumulation. There is no evidence of pneumothorax in the apical area on the frontal view. Skeletal structures grossly within normal limits with the exception of a mild degree of right-sided convex scoliosis in the mid portion of the thoracic spine. Our records do not include a previous chest examination available for comparison.
<unk>-year-old female patient with cough and chest congestion since <unk>. evaluate for any lung condition that can explain her symptoms.
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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 hx cva and ams, pls eval for pna // history: <unk>f with hx cva and ams, pls eval for pna
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are essentially clear noting minimal left basilar atelectasis versus scarring. Costophrenic angles are sharp. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable. Surgical clips seen in the right upper quadrant suggesting prior cholecystectomy.
<unk>-year-old female with history of breast cancer over <unk> years ago with pain at the costal margin. question pneumonia.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of facial droop, slurred speech. please evaluate for pneumonia.
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Linear opacity at the right base is new compared to prior and may represent atelectasis or scarring. Minimal left basilar atelectasis is also present. No focal consolidation, pleural effusion, or pneumothorax is seen. Heart and mediastinal contours are within normal limits. There is no evidence for pulmonary edema.
<unk>-year-old male with cough and chest pain.
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Moderate scoliosis of the thoracic spine with subsequent asymmetry of the rib cage. Osteophyte formation at the level of the lower thoracic spine. As compared to the previous exam, an area of increased density at the right lung bases has completely resolved. The current image shows no evidence of focal parenchymal opacities suggesting pneumonia or other infectious changes. Borderline size of the cardiac silhouette without evidence of pleural effusions. Normal hilar and mediastinal contours.
cough and pleuritic chest pain, immunosuppressive therapy, evaluation for pneumonia.
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The cardiac, mediastinal and hilar contours appear unchanged. The lung volumes are low. Within the limitations of technique, there is no definite acute abnormality. Patchy opacity in the right lower lung, probably in the right lower lobe, is likely due to minor atelectasis. There is no pleural effusion or pneumothorax.
cough and shortness of breath.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
<unk> year old <unk> born woman smoker with weightloss and night sweats. // etiology of weightloss
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There is chain suture at the right apex and a surgical clips at the left apex. The lungs are slightly hyperexpanded. The cardiomediastinal silhouette and hilar contours are stable. There is no cardiomegaly. There is no large pleural effusion or pneumothorax. Apical thickening is stable. Well circumscribed opacity in the retrocardiac region on the lateral radiograph anterior to the aorta is likely a distended lower esophagus with retained enteric material or a hiatal hernia. Chronic left rib fractures are redemonstrated.
altered mental status. evaluate for infiltrate.
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Lungs are clear of focal consolidation or effusion. The cardiac silhouette is enlarged, similar to prior. No acute osseous abnormalities identified.
<unk>m with cough sob hx copd // r/o infiltrate
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The heart size is moderately enlarged. There is pulmonary vascular redistribution with ill-defined vascularity and hazy alveolar infiltrates bilaterally compatible fluid overload. A more confluent area of infiltrate is seen in the right lower lobe laterally. Is unclear if this is due <unk> positional volume loss or if there is a small early infiltrate in this region.
<unk> year old woman with s/p amputation // pneumonia workup
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Pa and lateral views of the chest. No prior. The lungs are clear. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with achilles tendon rupture, preop.
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The cardiac silhouette is enlarged. The pulmonary vasculature indistinct. Septal lines are noted. There is a moderate left pleural effusion. No definite consolidations are identified.
history: <unk>m with recent thoracentesis. cough // eval for pleural effusion
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Dual lead left-sided pacer is stable in position, with leads extending to the expected positions of the right atrium and right ventricle. Left superficial chest monitoring device is also again seen. Minor left base atelectasis is seen. There is no focal consolidation, pleural effusion, or evidence of pneumothorax. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with presyncope . hx of pacemaker placement in <unk> // lead position?
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The lung volumes are normal. Normal size of the cardiac silhouette, normal appearance of the lung parenchyma. No pleural effusion. Normal appearance of the hilar and mediastinal structures. No pneumothorax.
hiv, dyspnea on exertion, evaluation.
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Ap upright and lateral views of the chest provided. Lung volumes are low. The patient's chin projects over the superior mediastinum. Lungs are clear. 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 cirrhosis and altered mental status
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Lungs are low lung volumes with vascular engorgement and thickened septal lines compatible with acute congestive failure. In this context, assessment for focal consolidation is limited. Bibasilar atelectasis is likely present. No definite pleural effusion or pneumothorax is seen. The heart is stably enlarged with a single-lead pacer unchanged in appearance.
<unk>-year-old with fever and cough, assess for pneumonia joint.
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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 and palps post ablation // ? pna, effusion
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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.
mr, to assess for chf.
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Frontal and lateral views of the chest. No prior. The lungs are clear of large confluent consolidation. Bibasilar opacities may be due to atelectasis, which are seen only on the frontal and not on the lateral view. There is no pleural effusion. Cardiac silhouette is top normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with high fevers and generalized myalgias.
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There is marked cardiomegaly. Multiple vascular coils projecting over the spine correlate to the pulmonary artery coils. There is a moderate sized right pleural effusion with mild pulmonary edema. No pneumonia.
cirrhosis and shortness of breath.
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A dual-lead pacemaker/icd device appears unchanged. The heart is normal in size. The mediastinal and hilar contours appear unchanged. There are patchy linear opacities projecting over the left lower lung within the lingula suggesting minor atelectasis. There is no evidence for pleural effusion or pneumothorax. Mild hyperinflation is suspected. Small anterior osteophytes throughout the thoracic spine appear similar.
fever. question pneumonia.
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Lungs are clear without focal consolidation, effusion, or pulmonary edema. Incidentally noted is an azygos fissure. The cardiomediastinal silhouette is within normal limits. There is tortuosity of the descending thoracic aorta. Orthopedic hardware seen in the right humeral head.
<unk>m with dyspnea/sob <num> wks after cold, has paroxysmal afib // eval for pna, bronchitis, chf
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Ap upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with weakness, ms
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Multiple patchy opacities at the lung bases are stable since the prior study, likely reflecting areas of atelectasis. There is no pleural effusion or pneumothorax. The heart size is mildly enlarged. Aorta is noted to be extremely tortuous.
<unk>f with hypertensive urgency and crackles in r base // ?pulmonary edema
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Lung volumes are low. Redemonstrated is a large right upper lobe paramedian mass, better evaluated on prior ct. Linear airspace opacities adjacent to the right hilum is unchanged over multiple prior cts and likely represents scarring. The lungs are otherwise grossly clear without lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk>m with r sided lung adenoca s/p radiation, chemo now w/ presyncopal event
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Pa and lateral images of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
hypertension, asthma, now with dyspnea on exertion and substernal chest pain and headache in the setting of running out of all her medications.
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The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.
history of acute onset right-sided weakness status post t-pa administration.
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The patient has an unchanged tracheostomy. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. There is similar mild to moderate rightward convex curvature centered along the mid thoracic spine.
status post fall with pain upon breathing, mostly on the right.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and hyperinflated lung volumes. There is no focal opacity, pneumothorax, or pleural effusion. Pes excavatum is noted.
hyponatremia. evaluate for acute process.
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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. No overt pulmonary edema is seen.
fever for <num> months.
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The cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized. No subdiaphragmatic free air is seen.
history: <unk>f with abdominal pain and right sided back pain
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The lungs remain clear. Fat pad as seen on prior ct is noted at the right cardiophrenic angle. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with chest pain, palpitations // evaluate for pneumonia, cardiomegaly
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top normal. The mediastinal and hilar contours are unremarkable. No pulmonary edema is seen.
dyspnea.
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Lung volumes are decreased compared to the prior exam. This results in accentuation of the cardiac silhouette size which is likely borderline enlarged. The aorta is mildly unfolded. Pulmonary vascularity is normal. Minimal left basilar streaky opacity likely reflects atelectasis. There is no focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormalities are present.
flu-like symptoms, cough for <num> week.
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Pa and lateral views of the chest were obtained. The heart is normal in size and cardiomediastinal contour is unremarkable. Lungs are clear. A linear opacity projecting over the right lower lung probably represents atelectasis. There is no pleural effusion or pneumothorax. Bones are grossly unremarkable.
<unk>-year-old man with dyspnea on exertion.
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The lungs are clear without a consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal, and unchanged from the prior exam. The bones are diffusely demineralized. No acute fracture is identified.
hypoxia. evaluate for pneumonia.
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Left-sided port-a-cath terminates in the low svc without evidence of pneumothorax. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen. Mild prominence of the left hilum is stable to slightly less conspicuous.
history: <unk>f on coumadin, here w/ weakness, minor head trauma <num> days ago no ct done // hemorrhage
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Ap and lateral views of the chest. There is elevation of the right hemidiaphragm. Linear opacity at the left lung base is suggestive of atelectasis versus scarring. There is no focal consolidation. No effusion. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. Median sternotomy wires are identified. No acute osseous abnormalities detected. Tubing from patient's ventriculoperitoneal shunt is seen to course along the right anterior chest wall.
<unk>-year-old male with altered mental status and cough.
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Frontal and lateral chest radiographs demonstrate low lung volumes. Port-a-cath remains in unchanged position. Cardiomediastinal contour is unchanged and again demonstrates minimal cardiomegaly. Calcifications along the tracheobronchial tree and the aortic arch are also noted. Linear opacities at the bases most likely reflect atelectasis. Cephalization of the vessels suggests mild pulmonary vascular engorgement, new from the prior exam. Small bilateral pleural effusions are stable. There is no pneumothorax.
<unk>-year-old with chf and chest pain, evaluate for acute cardiac versus pneumonia versus pe.
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The patient is status post coronary artery bypass graft surgery. The heart is mildly enlarged. The mediastinal and hilar contours are unremarkable. At the medial right lung base, there is streaky opacification more suggestive of atelectasis than pneumonia. A band-like opacity in the left costophrenic sulcus suggests minor atelectasis or scarring. The partly visualized left shoulder shows narrowing of the acromiohumeral interval that could be seen with rotator cuff pathology. The bones appear demineralized. Compression deformities at the thoracolumbar junction with mild loss in vertebral body heights among mid-to-lower thoracic vertebral bodies are not well delineated.
leukocytosis.
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There is mild bibasilar atelectasis; otherwise, the lungs are clear. There is prominence of pulmonary vasculature suggestive of pulmonary arterial hypertension. Heart appears stable. Median sternotomy wires appear intact and postsurgical changes are noted in the mediastinum. No acute fractures are identified.
fever and cough with rhonchi on examination.
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Pa and lateral views of the chest provided. There is moderate pulmonary edema with bilateral ground-glass opacity and small bilateral pleural effusions. The heart remains moderately enlarged. Hilar congestion is noted. The mediastinal contour is stable. Bony structures appear grossly intact.
<unk>f with c/o cough with increased pedal edema // ? pna or chf
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Pa and lateral views of the chest provided. Dual lead pacemaker is new from the prior exam with left chest wall pacer device and <num> leads extending to the region of the right atrium and right ventricle. Stable focal eventration of the right hemidiaphragm is again seen. Lungs appear hyperinflated. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is stable with mild cardiomegaly. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with syncope // eval for ptx or widened mediastinum
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Frontal and lateral views of the chest. There are persistent opacities in the left perihilar region seen on prior, some of which may be accounted for by prior radiation changes. There is however a region which appears more dense than on prior which raises possibility of superimposed mass growth or infection. There is a new moderate left-sided pleural effusion. Right upper lung parenchymal opacity has increased. Increased interstitial markings also seen throughout the right lung which have slightly progressed since prior, potentially interstial edema although infection or tumor are possible. Given the significant change since prior, ct scan could be considered to further characterize these findings.
<unk>-year-old male with lung cancer and hypoxia.
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Frontal and lateral chest radiographs demonstrate well expanded and clear lungs bilaterally. The there is no focal consolidation, pleural effusion, or pneumothorax. Pulmonary vasculature is unremarkable. Cardiomediastinal and hilar contours are unremarkable.
<unk>-year-old female with shortness of breath and decreased right breath sounds.
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Lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within. No acute normal limits osseous abnormalities identified.
<unk>f s/p mechanical fall, with right flank pain // eval for rib fracture on right
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Left chest wall triple lead pacing device is again noted. The lungs where not obscured are clear without consolidation, effusion, or edema. Moderate cardiomegaly is as noted on prior. Median sternotomy wires are intact. No acute osseous abnormalities identified.
<unk>m with nausea, fatigue // eval for pna
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Lung volumes are normal. The cardiomediastinal and hilar contours are normal and unchanged. No hilar surfaces are normal. The pleural surfaces are normal. Chronic deformities of the posteriolateral <unk> - <unk> right ribs could be undergoing incomplete fusion. A region of indeterminate opacity is seen medially to the rib defects.
<unk> year old man with chest pain. he was involved in a motor vehicle accident in <unk>. // any pathology in the chest that may cause chest pain?
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities seen.
chest pain.
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Pa and lateral views of the chest. The lungs are clear. Cardiac silhouette is normal in size. Hilar and mediastinal contours are normal. No pleural effusion. No evidence of pneumothorax.
<unk>-year-old female with right upper quadrant pain.
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The cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. The lungs are clear. The pulmonary vascularity is normal. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
chest pain.
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Pa and lateral views of the chest provided. The linear density in the right infrahilar region could represent atelectasis or effusion in the right major fissure. Minimal, if any, pleural effusions. No pulmonary edema. No pneumothorax. Heart size is top-normal. Asbestos-related calcified pleural plaques are seen.
<unk> year old man s/p r vats middle lobectomy and l lingular wedge resection <unk> // r/o interval change
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Moderate cardiomegaly is mildly increased from prior. On the pa view the lung volumes are low and infrahilar opacities are explained by atelectasis. No corresponding lesion is seen on the lateral views. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
history: <unk>f with ams, cough // pna?
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Pa and lateral views of the chest are compared to both prior chest x-ray from <unk> and ct chest from <unk>. Compared to prior exam, there has been no significant interval change in the widespread parenchymal opacities throughout the lung fields which are associated with overall volume loss. There is no definite new region of consolidation nor pleural effusion. Cardiac silhouette appears enlarged but could be accentuated due to lower lung volumes. This is unchanged from prior. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with hypoxia and history of interstitial lung disease.
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In comparison with the study of <unk>, the left chest tube has been removed. The opacification at the left base continues to decrease, though there is still some pleural fluid seen well on the lateral view. Specifically, no definite pneumothorax.
rib fractures with hemothorax and chest tube dc'ed.
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Pa and lateral views of the chest. No prior. The lungs are clear of focal consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with cough and fever.
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Pa and lateral chest radiographs. Bilateral thoracostomy tubes are present. Linear opacities at the left base are most compatible with atelectasis. Trace bilateral pleural effusions are present, minimally changed on the right, and decreased on the left in comparison to the <unk> radiograph. No pneumothorax is appreciated. The heart size remains normal. The hilar and mediastinal contours remain within normal limits.
<unk> year old woman with pleural effusions.
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The lungs are well-expanded. There is no focal consolidation concerning for pneumonia. Mild interstitial prominence is again noted, likely reflecting underlying mild interstitial edema. The heart is mildly enlarged, unchanged from the prior study. There is no pleural effusion or pneumothorax.
history: <unk>m with fever, sob // infilatrate
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The heart size is top-normal. The hilar and mediastinal contours are within normal limits. Previously seen left upper lobe and upper mediastinal opacities from the <unk> are no longer visualized, likely reflecting resolved atelectasis and improved inspiratory effort. There is no pneumothorax, focal consolidation, or pleural effusion.
hypoxemia. concern for mediastinal widening on prior chest radiograph.
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Pa and lateral views of the chest. The lungs are clear. Surgical chain sutures overlying the right upper lung. Cardiomediastinal silhouette is within normal limits. Left chest wall electronic device is seen. There is no prior to evaluate for change in position. Osseous structures are unremarkable. Surgical clips seen in the right upper quadrant.
<unk>-year-old female with a loop recorder which is flipped <num> degrees.
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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax. Cervical ribs are seen. There are no rib fractures identified on this chest radiograph; however, dedicated rib series is more sensitive.
<unk>-year-old with rib pain.