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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. There is no focal consolidation convincing for pneumonia. Cardiomediastinal and hilar contours are within normal limits. There is no evidence of pulmonary edema, pneumothorax, or pleural effusion. Imaged osseous structures and upper abdomen are without an acute abnormality.
<unk>-year-old male with cough for <num> week. evaluate for pneumonia.
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The heart size is normal with mild tortuosity of the thoracic aorta. Hilar contours are unremarkable. There is streaky bibasilar atelectasis. There is no focal consolidation worrisome for pneumonia. There is no pleural effusion or pneumothorax. The osseous structures are grossly unremarkable.
chest pain radiating to the left shoulder.
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Pa and lateral views of the chest provided. Retrocardiac opacity is compatible with known large hiatal hernia. There is also a focal eventration of the right hemidiaphragm anteriorly. No focal consolidation, effusion or pneumothorax is seen. The cardiomediastinal silhouette appears stable. Bony structures are intact.
<unk>f with fever // eval for pna
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The heart is moderately enlarged with a left ventricular configuration, as before. The mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. Spinal curvature and degenerative changes are similar.
non-ischemic cardiomyopathy. chest pain and shortness of breath, with right leg pain.
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Lung volumes are low. There is no pneumonia. No large pleural effusion or pneumothorax. Cardiomediastinal silhouette and hila are normal. There is dilated large bowel loop in the left upper quadrant.
<unk>-year-old man with cough.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. No fracture is identified.
rib pain after fall. question fracture.
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Ap and lateral views of the chest demonstrate increase in density at the left lung base, which may represent atelectasis or developing infection in the appropriate clinical setting. The cardiac, mediastinal, and hilar contours are normal. No pleural abnormality is seen.
altered mental status and confusion.
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The heart continues to be enlarged, and there is interval increase in the moderate pulmonary edema. There may be a minimal left pleural effusion. Degenerative changes are noted within the bilateral shoulders.
history: <unk>f with known dchf, <unk>%o<num> sat // eval for pna
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Pa and lateral views of the chest provided. Midline sternotomy wires and prosthetic valve again noted. Lungs are clear. No pleural effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures appear intact.
<unk>m with chest pain // ? ptx
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Bilateral left greater than right small to moderate pleural effusions are present heart size is difficult to evaluate due to obscuration of the contours from effusion. A left anterior chest wall dual lead pacer remains in place with unchanged position of the leads. There is mild pulmonary vascular congestion without frank interstitial edema. There is no pneumothorax.
prior pneumonia now with atrial fibrillation with rpr.
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Right chest wall port is seen with catheter tip in in the mid svc. Lungs are clear noting that the right lateral costophrenic angle is excluded from the field of view. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with pain s/p port placement // port placement
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Right upper lobe peripheral opacity slightly improved since the prior. Moderate right-sided pleural effusion has increased. Small left-sided pleural effusion is stable. Moderate cardiomegaly with prior median sternotomy, cabg and mitral annular calcifications.
<unk> year old man with pleural effusions and pna // please evaluate for interval change in pleural effusions and/or pna
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Cardiac, mediastinal and hilar contours are normal, with the heart size within normal limits. The pulmonary vasculature is normal. Lungs are clear without focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormality is identified including no displaced rib fractures. There are mild degenerative changes noted in the thoracic spine.
history: <unk>f with left lower lateral rib pain
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Small left apical pneumothorax is unchanged from <unk>. Right lower lobe opacification is improved from <unk>. Bibasilar atelectasis and opacification overlying the spine appear unchanged. Normal postoperative mediastinum and cardiac borders. Right port-a-cath and multiple bilateral pulmonary nodules are unchanged in appearance.
<unk> year old man with mvc, ptx with left chest tube, left chest tube removed <num> hours ago with small apical ptx // please evaluate for interval change, please do standing, end-expiratory film.......please do x-ray <unk> at <num>am...
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. Osseous structures demonstrate no acute abnormality.
<unk>-year-old male with fever and hiv.
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The lung volumes are normal. Normal size of the cardiac silhouette. Normal appearance of the hilar and mediastinal contours. No pleural effusions. No evidence of pneumonia. No active or inactive tb.
positive ppd. evaluation for tb.
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Frontal and lateral views of the chest. No prior. Biapical scarring is noted. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with hyponatremia with recent cough.
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Low lung volumes accentuate bronchovascular crowding and hilar size, but there is new heterogenous/ground glass opacification in both lower lungs, bronchial cuffing, and mild bilateral hilar adenopathy. There is no pneumothorax or large effusion and no confluent consolidation.
<unk>-year-old female with fever and cough. question infection.
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Frontal and lateral views of the chest. The lungs are clear of consolidation or effusion. Cardiac silhouette is enlarged but unchanged. Widening of the left ac joint again noted. No acute osseous abnormality detected.
<unk>-year-old female with chest pain and shortness of breath.
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Heart size is top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. There is unchanged mild left hemidiaphragmatic elevation with mild associated left lower lobe atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities detected.
history: <unk>m with generalized weakness // eval for acute process
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Pa and lateral views of the chest provided. Lateral view is somewhat limited due to low lung volumes. 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 cough, fevers, sob
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Vascular stent remains in place within the thoracic aorta, similar in appearance to recent radiograph. Heart size and aortic contour are unchanged. Interval decrease in extent of interstitial edema. Small bilateral pleural effusions appear slightly increased, and are associated with adjacent bibasilar atelectasis. Hyper expansion of the lungs suggests the possibility of underlying copd.
<unk> year old woman with h/o proximal aortic aneurysm pod<unk> s/p tevar now p/w sob and oxygen requirement // increased sob, persistent oxygen requirement, pls eval for pe/consolidation/effusion/ptx
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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 is a patchy new posterior left lower lobe opacity obscuring the posterior margin of the left hemidiaphragm but also visible faintly on the frontal view as a retrocardiac opacity. Elsewhere, the lungs appear clear.
fever.
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The lungs are clear without focal consolidation. Centrilobular emphysema is better demonstrated on the concurrent chest ct. Scattered calcified granulomas are seen in the lungs. There is no pleural effusion or pneumothorax. Heart is normal in size. Normal cardiomediastinal silhouette. Median sternotomy wires are intact with surgical clips suggesting prior cabg.
chest pain.
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Patchy e right pas, right lower lobe opacity is worrisome for pneumonia. There is also left mid lung opacity in a relative linear configuration which may be due to atelectasis. . No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. The cardiac silhouette remains enlarged.
history: <unk>f with cough // eval infiltrate
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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
history: <unk>f with cp // pna?
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Right-sided central venous catheter tip terminates within the lower svc. Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear without focal consolidation. No pleural effusion, pneumothorax, or pulmonary vascular congestion is present. Calcified right breast prosthesis is re- demonstrated. Clips are seen in the right upper quadrant of the abdomen. Compression fracture at the thoracolumbar junction is unchanged.
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. Mild dextroscoliosis of the t-spine is noted. No free air below the right hemidiaphragm is seen.
<unk>f with chest pain // pneumonia?
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with chest pain
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Interval removal of right chest tube. The right loculated pleural effusion appears more prominent. The left lung is clear. The heart size is unchanged. No pneumothorax or pulmonary edema. Otherwise, little interval change since earlier same day portable radiograph.
<unk> year old man s/p r vats wedge bx // r/o ptx post ct removal
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Moderate bilateral pneumoperitoneum is likely postoperative in nature. There is bilateral linear atelectasis. The lungs are otherwise grossly clear. The heart and mediastinum are within normal limits. There is no pneumothorax.
<unk> year old woman with lap ventral hernia repair and enterotomy repair, now with fever and rlq pain // eval pneumonia vs atelectasis
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The lung volumes are within normal limits. The trachea is central. The cardiomediastinal contour is normal. The heart is not enlarged. No consolidation, pneumothorax or pleural effusion seen. The visualized bony structures demonstrate moderate multilevel degenerative changes in the thoracic spine.
<unk> year old man with dysarthria // c/f aspiration
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A central venous catheter entering via an inferior approach terminates within the right atrium, unchanged. Cardiac, mediastinal and hilar contours are normal. Apart from minimal atelectasis in the lung bases likely due to low lung volumes, the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There is no pulmonary vascular congestion. Vascular stent is re- demonstrated within the right upper extremity. No acute osseous abnormalities are present.
abdominal pain and fever.
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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 the right. There are no acute osseous abnormalities.
congestive heart failure, diabetes mellitus type <num>, elevated blood sugar.
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Lung volumes are normal. There is no focal consolidation, pleural effusion or pneumothorax. No pulmonary edema. Cardiomediastinal contours are normal. No acute osseous abnormalities identified. There is no subdiaphragmatic free air.
<unk>-year-old female with epigastric pain
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no evidence of pleural effusion, pneumothorax or pulmonary edema. No focal opacification is identified within the lungs. Aortic arch calcifications are present.
chest pain.
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Left-sided dual-chamber pacemaker device is again noted with leads terminating in the right atrium and right ventricle. Mild cardiomegaly is re- demonstrated. The mediastinal and hilar contours are unchanged. Mild pulmonary vascular congestion is new in the interval. No focal consolidation or pleural effusion is noted. The osseous structures are diffusely demineralized with multiple mid thoracic spine vertebral compression deformities again noted.
history: <unk>f with cough and fever
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable. There has been no significant change.
chest pain.
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The patient is status post coronary artery bypass graft surgery. There is a persistent moderate-sized loculated pleural effusion on the left with mid to lower lung opacities suggestive of associated atelectasis. There has been no significant change in this appearance. The right lung remains clear. There is no pleural effusion on the right.
acute inspirational chest pain.
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There is a fan-shaped opacity in the apical posterior segment of the right upper lobe suspicious for pneumonia. There are no other areas of focal consolidation or opacities. There is no pleural effusion or evidence of pneumothorax. The heart is borderline normal in size. The aorta is mildly calcified. The mediastinum appears widened with a right thoracic inlet mass seen impinging and slightly compressing the trachea. Finding most likely represents an enlarged thyroid. Degenerative changes of the thoracic spine are seen. Pleural surfaces are unremarkable.
<unk>-year-old woman with crackles on left side.
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The lungs are clear of focal consolidation, effusion, or vascular congestion. Nodular opacities mentioned on prior exam are compatible with changes at the first costochondral junction bilaterally. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities
<unk>f with fever // eval for pneumonia
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The overall appearance of the lungs is unchanged, with persistent subpleural nodular and reticular opacities. Right hilar opacity also appears unchanged. There is no acute focal consolidation. The cardiomediastinal silhouette is stable.
<unk>f with reported recent hospitalization for lung infection, presenting with cough and crackles r lung base // eval for pna or acute lung process
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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. No acute osseous abnormality detected. No free air is seen below the diaphragm.
<unk>-year-old female with intermittent right shoulder and scapular pain worsened by pressure. right upper quadrant pain.
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The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. Although there is no definite focal opacity to suggest pneumonia or vascular abnormality to suggest pulmonary edema, there are, at both the apices and along each costophrenic sulcus, vague increased interstitial opacities. This indicates the possibility for developing interstitial lung disease. Bony structures are unremarkable. No fracture is identified.
pleuritic left chest pain.
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Pa and lateral views of the chest provided. There are persistent small bilateral pleural effusions, left greater than right. Compared to prior study, the bibasilar opacities have improved, likely atelectasis in postoperative setting. Heart size is mildly enlarged. Median sternotomy wires and mitral valve annuloplasty ring are in appropriate positions.
<unk> year old man postop day <unk> s/p cabg, now with fever and leukocytosis.
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There is biapical pleural thickening. Lungs are otherwise clear. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man s/p recent olt with borderline hypoxemia // evaluate for acute process
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Heart size is normal with mild tortuosity of the thoracic aorta. Hilar contours are unremarkable. The right-sided picc line has been removed. Lungs are clear without confluent consolidation. Pleural surfaces are clear without effusion or pneumothorax.
history of pancreatic cancer, presenting with fever.
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Pa and lateral chest radiographs demonstrate a central venous line terminating in the low svc. Icd implant is unchanged. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
possible infected borderline. evaluation of position and continuity.
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Cardiomediastinal silhouette and hilar contours are normal. A left subclavian infusion port is unchanged in position with tip in a variant left-sided svc, as confirmed on ct. Nodular and linear density in the right lower lung is unchanged and corresponds to focal fibrosis on ct. The previously appreciated ground-glass densities on ct have no correlate on conventional radiography and there has at least been no progression on today's examination. There is no pleural effusion or pneumothorax.
all, on chemotherapy, with persistent low-grade fevers for one week. low o<num> sats.
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
<unk> fever, headache, pharyngitis, low blood pressure, leukocytosis, evaluate for pneumonia.
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Pa and lateral views of the chest were reviewed. The heart size is mildly enlarged. Fullness of the superior mediastinum may be due to a substernal goiter. The hila are unremarkable. There are bilateral pleural effusions, small on the right and moderate on the left, with bibasilar atelectasis. There is no focal consolidation concerning for pneumonia. Surgical clips are noted in the upper abdomen.
shortness of breath.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. Low lung volumes are seen. The lungs are clear of consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with likely asthma exacerbation. cough.
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In comparison with the earlier study of this date, there is essentially no change despite the multiple right chest tubes. Large apical pleural space is again seen at the top of the collapse right upper lobe. No change in appearance of the midline structures or in the extensive subcutaneous gas on the right.
post-surgery with persistent air leak, now with apical chest tube.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal contours are unremarkable. .
history: <unk>m with mvc back pain // r/o ptx
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As compared to the previous radiograph, the left chest tube has been removed. After chest tube removal, an approximately <num> cm right apicolateral pneumothorax is seen. No evidence of tension. The appearance of the cardiac silhouette and of the left and right lungs is otherwise unchanged.
vats resection, status post chest tube removal.
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk> year old woman with ruq pain radiating around side of ribs. abdominal work up negative thus far. please evaulate for rlq pna or ptx.
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Cephalization of the pulmonary vasculature is unchanged with mild interstitial opacification compatible with pulmonary vascular congestion and mild pulmonary edema, which is not significantly changed from <unk>. Small bilateral pleural effusions are unchanged. No focal consolidation or pneumothorax is present. The cardiac silhouette remains enlarged but stable. The mediastinal and hilar contours are within normal limits and unchanged. Compression fracture deformities in the lower thoracic spine are unchanged.
congestive heart failure with fluid overload, here to evaluate for interval change.
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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 r isded rib pain s/p fall, near syncope today
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There is a dual lead pacemaker/ icd device again with leads terminating in the right atrium and ventricle, respectively. The cardiac, mediastinal and hilar contours appear stable. Interstitial prominence suggests mild interstitial pulmonary edema. Streaky opacities in the left lower lobe are nonspecific and not necessarily changed more suggestive of atelectasis than pneumonia.
weakness.
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In comparison with study of <unk>, the patient has taken a better inspiration. Cardiac silhouette is within upper limits of normal in size and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. Specifically, no evidence of pneumothorax. Apical pleural thickening is seen bilaterally. A metallic bb is projected over the lower left breast. Dense calcification is seen in a nondilated descending thoracic aorta.
fall, to assess for pneumothorax.
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Pacemaker overlying left chest with leads that appear intact in the right atrium and right ventricle. Sternotomy wires appear intact and appropriately aligned. Small right pleural effusion, which was likely present on the prior chest radiograph. Mild interstitial pulmonary edema has improved. Stable moderate enlargement of the cardiac silhouette. No pneumothorax is seen.
<unk> year old woman s/p myomectomy // predischarge eval
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. A coronary artery stent is in place. There is no pleural effusion or pneumothorax. Sternotomy wires are intact. Multiple clips within the mediastinum are from prior thoracic surgery.
<unk>-year-old male with left-sided chest pain. evaluate for infiltrate.
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal hilar contours are normal. The previously seen increased interstitial markings are improved from prior study.
patient previously diagnosed with pneumonia on <unk>. evaluate for pneumonia.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with panic attacks, chest pressure
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Pa and lateral views of the chest. No focal consolidation, pleural effusion or pneumothorax. A new <num> mm round opacity is seen in the left lung apex. Cardiomediastinal and hilar contours are stable. The aorta is tortuous.
history of melanoma; evaluate disease status.
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Ap upright and lateral radiographs demonstrate low lung volumes, resulting in bronchovascular congestion and bibasilar atelectasis. Patient is status post median sternotomy, wires appear intact. Heart size is normal. Mediastinal and hilar contours are stable in appearance. There is no overt pulmonary edema. There is no pleural effusion. A dialysis catheter terminates in the atrium. No air under the right hemidiaphragm is seen. No acute osseous abnormality is detected. Interval of picc line.
<unk>-year-old female with bacteremia.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits. There is no evidence for free intraperitoneal air.
<unk>-year-old female with left upper quadrant pain and cough.
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No previous images. The heart is normal in size and there is no vascular congestion or pleural effusion. No convincing evidence of acute focal pneumonia. There is a slight impression on the right side of the lower cervical trachea. This raises the possibility of thyroid enlargement.
cough and decreased breath sounds at left base.
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Frontal and lateral views of the chest demonstrate stable top normal heart size. The mediastinal and hilar contours are within normal limits. An ill defined area of opacity projecting over the right upper lung may represent pleural versus parenchymal abnormality, but is unchanged since <unk>, longstadning. There is no definite consolidation, pleural effusion, or pulmonary vascular congestion.
<unk>-year-old male with leg edema. question congestive heart failure.
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The lungs are clear of consolidation, effusion, or vascular congestion. Cardiac silhouette is top normal. No acute osseous abnormalities identified.
<unk>f with l-sided chest pain // evaluate for acute process
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Pa and lateral views of the chest provided. Opacity in the right mid to low lung a is new from prior exam with rightward shift of midline structures. The right upper lobe remains partially aerated. This overall appearance could represent effusion and consolidation though underlying malignancy is impossible to exclude. A small left effusion is also noted. The left lung is grossly clear. Heart size cannot be assessed. Mediastinal contour is difficult to assess given adjacent opacity and slight rightward mediastinal shift. Bony structures appear grossly intact.
<unk>m with cp and recent pna // r/o acute process
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are stable. Increased distention of the neoesophagus is apparent with an air-fluid level in the mid neoesophagus and contrast in the distal neoesophagus. Thin curvilinear lucency along the contour of the neoesophagus persists. Small right pleural effusion is stable. Chain sutures in the medial aspect of the right mid lung are stable. The left lung is clear other than small stable left base atelectasis.
status post minimally invasive esophagectomy.
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The lungs are clear without consolidation or effusion. There is no overt pulmonary edema. The cardiomediastinal silhouette is stable, mildly enlarged. Hypertrophic changes seen the spine.
<unk>f with cough, hx of copd // eval for infiltrate, edema
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Frontal and lateral views of the chest demonstrate low lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. The tortuous descending aorta is more bulbous than on a prior pa and lateral chest radiographs, and may have developed a small aneurysm. Heart size is top normal. Mild pulmonary vascular congestion seen on <unk> exam has resolved. Pacemaker leads are in unchanged position.
cough.
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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. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact.
chest pain, evaluate for infection.
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There is no focal consolidation, pleural effusion or pneumothorax. Retrocardiac opacity is similar in appearance to prior study and may represent atelectasis. There is mild prominence of pulmonary vasculature which may be due to mild pulmonary edema or due to technique. Nodular opacity in the left upper lobe corresponds to calcified nodules seen on recent ct chest.
<unk>-year-old female with fever, chills, and cough x <num> day. question pneumonia.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with hemoptysis // evidence of pneumonia
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There is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is unremarkable. Osseous structures are intact though degenerative anterior spurring in the t-spine noted.
<unk>-year-old female with chest pain. question pneumothorax or pneumonia.
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Lungs are mildly hyperinflated. Heart is mildly enlarged but unchanged.the mediastinal and hilar contours are within normal limits for age. No chf, pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. No displaced rib fracture is detected on these lung technique films. Possible subtle pleural thickening along the right chest wall in the mid some there is mildly accentuated thoracic spine kyphosis, with mild multilevel degenerative changes and with slight anterior wedging of several mid thoracic vertebral bodies, that does not appear acute. The sternum is not well visualized due to over penetration.
shortness of breath with fall. evaluate for pneumonia or rib fracture.
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Heart size is unchanged. The aorta is tortuous. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is normal. Low lung volumes. Bibasilar atelectasis. Lungs are clear. There is unchanged blunting of the bilateral costophrenic angles. No pneumothorax is seen. There are no acute osseous abnormalities.
<unk>m w/aphasia, please eval for occult pna // <unk>m w/aphasia, please eval for occult pna
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Pa and lateral views of the chest. There are few relatively nodular opacities in the right mid lung laterally which are relatively dense, potentially calcified and may represent calcified granulomas. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits.
<unk>-year-old male, suicidal and leukocytosis.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are normal. No displaced fracture is seen.
chest pain, dyspnea.
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In comparison with the study of <unk>, the patient has taken a slightly better inspiration. Continued opacification is seen at the bases, consistent with atelectasis and effusion. Scattered streaks of atelectasis are seen in the more superior portions of the lungs. There is a small area of increased opacification just above the minor fissure on the right, which could reflect a developing focus of consolidation. Left picc line remains in place.
postoperative mvr.
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The lungs are well expanded and clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. No acute fracture is seen.
trip and fall on this side, right rib pain today.
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The lungs are moderately well-expanded with mild vascular congestion. Heterogeneous bibasilar opacities are noted. No pleural effusion or pneumothorax. The heart is mildly enlarged which has increased since prior examination. Mediastinal contour and hila are unremarkable.
<unk>m with pleuritic chest pain . assess for acute cardiopulmonary process
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There is mild to moderate cardiomegaly. The lungs are clear. There is no pneumothorax or pleural effusion.
<unk> year old woman with aortic stenosis s/p cardiac cath today preop avr. pt location <unk> <num> x <unk>// r/o acute or chronic pulmonary processess preop avr surg: <unk> (aortic valve replacement)
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of <unk>. The previously remaining small right-sided apical postoperative pneumothorax cannot be identified anymore. Scar formation occupies now the right superior mediastinum, but no new pulmonary abnormality is seen. Prominence of right hilum is unchanged. Mild elevation of right-sided diaphragm as before. No new pulmonary abnormalities are seen. The left-sided hemithorax is unremarkable. Both posterior pleural sinuses are clear on the lateral view which eliminates any residual free pleural effusion.
<unk>-year-old male patient with right upper lobe non-small cell lung cancer, status post vats right upper lobectomy. evaluate for interval change.
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Frontal and lateral radiographs of the chest were acquired. There are bibasilar streaky opacities probably compatible with atelectasis, including suspected volume associated with mild relative elevation of the left hemidiaphragm. The lungs are otherwise clear. The heart size is normal. The mediastinal contours are normal. No pneumothorax is seen. Elevation of the left hemidiaphragm is noted. Deformities of the lower right posterior ribs likely relate to remote trauma.
syncope, evaluate for fluid overload.
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There is a right-sided internal jugular in terminating in the low svc. Sternotomy wires are intact. Atelectatic changes at both bases are noted as are small pleural effusions bilaterally.
<unk> year old man s/p cabg // post-op baseline- please obtain at <num>pm
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Pa and lateral views of the chest. The lungs are hyperinflated. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
subarachnoid hemorrhage, increasing confusion and agitation. evaluate for acute process.
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There is complete opacification of the right hemithorax mild contralateral mediastinal shift. The right lung is nearly entirely collapsed. Sutures denote prior wedge resections from the left lung, otherwise clear. No left pleural abnormality. Given the clinical history, the right pleural abnormality has been developing slowly. .
<unk> year old man with recent weeks of doe, slight worsening in nonporoductive cough, no hemoptysis, never a smoker. remote h/o testicular cancer with lung mets in <unk>, treated with chemo then. no recent fever or chest pain. // r/o lung disease
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Cardiomediastinal contours are normal. Pacer leads are in standard position with tips in the right atrium and right ventricle. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old man s/p atrial lead revision // <unk> year old man s/p atrial lead revision
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There has been interval increase in small amount of pleural fluid in the lower right hemithorax. Minimal increase in the interstitial lines at the left base could be a sign of very mild pulmonary edema. Volume of the partially resected right lung volume is unchanged. Stable rightward mediastinal shift and stable post-surgical changes seen about the right hilum. The left lung is clear. There are no focal consolidations clearly infectious in nature; however, given postoperative distortion, consolidation in the basal right lung cannot be excluded. Left-sided port-a-cath ends in the mid svc, shifted into the right hemithorax.
<unk>-year-old woman, history of copd and lung cancer status post lobectomy, recent pe, presents with increased shortness of breath.
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The lungs are clear and well inflated. There is no pleural effusion or pneumothorax. Heart size and mediastinal contours are within limits. Osseous structures are intact.
<unk>f with shortness of breath. evaluate for acute process.
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The lungs are clear. There is no consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with positional chest pain // pneumonia, mass, effusion, cardiomegaly
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In comparison with the study of <unk>, the patient has taken a somewhat better inspiration. Opacification at the left base is consistent with moderate effusion and volume loss in the left lower lobe. Small right effusion is also seen with mild compressive atelectasis at the base. No evidence of pulmonary vascular congestion. In the appropriate clinical setting, the possibility of superimposed pneumonia would have to be considered.
mitral valve replacement.
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The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk> year old woman with chest discomfort. // please r/o pna or fracture
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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 altered ms // r/o acute process
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There is marked hyperinflation consistent with copd. Heterogeneous opacification in the right mid and left perihilar lung is probably due to bilateral pneumonia. Probable trace right pleural effusion. No pneumothorax. Heart size is normal.
<unk>f with sob/chest pain, history of pneumonia.
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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. Bony structures are unremarkable. Surgical clips project over the right upper quadrant.
chest fullness.