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Cardiomediastinal silhouette is within normal limits the heart is not enlarged. Aorta is mildly unfolded. No chf, focal consolidation, or effusion is detected. Minimal atelectasis in the right cardiophrenic angle is improved compared with the prior study. Otherwise, no focal infiltrate.
<unk> year old man with history of asthma and <num> weeks of productive cough and chills rule out pneumonia // ? pna
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Pa and lateral views of the chest provided. Chronic left lung base pleural thickening is not significantly changed from prior chest radiograph referenced from atrius. 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 sob // pna
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Frontal and lateral views of the chest were obtained. Mild cardiomegaly, distension of lung vessels and mediastinal veins, and increase in small right pleural effusion all point to volume overload, but there is no edema. Lungs are otherwise clear. Prominent left epicardial fat pad silhouettes the left heart border. No pneumoperitoneum.
<unk>-year-old male with liver transplant status post ercp with pain and fever. evaluate for pneumoperitoneum.
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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.
<unk>m with r sided pleuritic chest pain, sudden onset this morning // ptx, effusion, infiltrates, acute cardiopulmonary processes
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Mild cardiomegaly is noted. The aorta is diffusely calcified. Mild pulmonary edema is demonstrated with perihilar haziness and increased interstitial markings without pleural effusion or pneumothorax. Minimal patchy atelectasis seen in the lung bases. There is no focal consolidation. Hypertrophic changes are seen within the imaged thoracic spine.
history: <unk>f with syncope
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Pa and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged lower neck demonstrates no foreign body. The upper abdomen is unremarkable. The bones are intact.
<unk>-year-old female with foreign body sensation in her lower neck near the thoracic inlet. evaluate for foreign body.
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As compared to the previous radiograph, there is a persistent and unchanged left lower lobe parenchymal opacity better appreciated on the lateral than on the frontal radiograph. No other relevant changes. Large lung volumes but no overinflation. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours. Known atelectasis in the left mid lung.
history of pneumonia, persistent cough, and weight loss.
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Interval removal of the right ij central line. Unchanged positioning of the mitral valve replacement. Moderate pulmonary edema and moderate cardiomegaly are unchanged. Left basilar opacification is likely due to atelectasis and associated effusion, unchanged. No pneumothorax.
<unk> year old man s/p mvr/maze/<unk>. postoperative baseline.
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The heart size is normal. The hilar and mediastinal contours demonstrate mild pulmonary vascular congestion, otherwise are unremarkable. There is no pleural effusion or pneumothorax. Fiducial marker at the right lung apex is unchanged in position. Note is made of mild bibasilar atelectasis. No acute fractures identified.
history: <unk>f with fall // eval for bleed/fx
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The heart size remains mildly enlarged with a left ventricular predominance. Mediastinal and hilar contours are unchanged. There are low lung volumes which causes crowding of the bronchovascular structures. Hazy and streaky left lower lobe opacity could reflect atelectasis though infection cannot be completely excluded. No pleural effusion or pneumothorax is present. Minimal loss of height anteriorly of a lower thoracic/upper lumbar vertebral body is unchanged. Remote left posterior rib fracture is again seen.
weakness and fatigue.
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Heart size is normal. Mediastinum is normal. Lungs are clear. There is no pleural effusion or pneumothorax.
<unk> year old woman with cough, productive x <num> weeks // pneumonia
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is a subtle left midlung opacity.
<unk>-year-old woman with weakness evaluate for pneumonia
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There has been interval decrease in previously seen bilateral consolidations, essentially resolved in the interval. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. Degenerative changes are seen at the acromioclavicular joints.
history: <unk>m with dysphagia // free air?
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits. No free intraperitoneal air is detected.
<unk>-year-old male with sharp chest pain and epigastric pain.
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There are opacities at the right lung base as well the left perihilar region concerning for infectious process or infarcts given history of sickle cell disease. The cardiac silhouette is mildly enlarged. There is no pleural effusion or pneumothorax. Osseous structures are grossly intact. A left chest port-a-cath terminates at the caval atrial junction.
<unk> yo m w/sicklec cell p/w fever, cp and productive cough, evaluate for pneumonia
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No focal consolidation is seen. Linear lingular opacity most likely represents atelectasis/ scarring. Surgical clips are noted overlying the left lateral lower hemi thorax. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with cough and sob. // r/o pneumonia
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Heart size is normal. The patient is status post previous median sternotomy and coronary bypass surgery. Right internal jugular catheter terminates in the lower superior vena cava, with no pneumothorax. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear except for linear scar in the lingula. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man s/p heart transplant with bandemia. r/o infection. please do it on <unk> in the am // pulmonary process
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When compared to priors, there has been no significant interval change. Left lower lobe interstitial markings are compatible with patient's known lymphangitic carcinomatosis. Left hilar enlargement was previously characterized as adenopathy on prior chest ct. There is no new consolidation, effusion, or edema. Cardiac silhouette is within normal limits. No acute osseous abnormalities. Anterior cervical fixation hardware is partially visualized.
<unk>m w/pre-syncope please eval for occult pna
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Since the prior exam, the pulmonary edema has resolved. Minimal bibasilar atelectasis is present. There are no focal airspace opacities to suggest a pneumonia. There is no pleural effusion or pneumothorax. The mediastinal contours are normal. The heart size is moderately enlarged, and unchanged from the prior exam.
shortness of breath and crackles at the left base.
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The lungs are grossly clear. Nodular opacities projecting over the lung bases bilaterally are most likely nipple shadows. Cardiomediastinal silhouette is within normal limits. Prosthetic aortic valve is seen. Median sternotomy wires and mediastinal clips are noted. No acute osseous abnormalities.
<unk>m with chest pain // r/o pulm edema
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The heart is normal in size. The right hilum is enlarged with distorted architecture worrisome for the presence of a mass with patchy surrounding pneumonitis, lymphatic congestion, or perhaps infiltration of potential tumor. More generally there is increased interstitial prominence in the right lung which may indicate lymphatic obstruction but potentially even carcinomatosis. However the radiograph does not prove the presence of malignancy and the possibility should be considered using chest ct, preferably with contrast enhancement, if feasible. The chest is hyperinflated. The left lung appears clear. There is no pleural effusion or pneumothorax. There are no suspicious bony findings.
metastatic lesions in the head. question acute process.
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The patient's body habitus causes accentuated soft tissue densities particularly in the lower lobes. The lungs are clear. Cardiomediastinal silhouette and hilar contours are unremarkable. No pleural effusion or pneumothorax. Multilevel degenerative changes are again noted in the thoracic spine.
<unk>-year-old female with pleuritic chest pain and nausea x<num> day. question pneumothorax.
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As compared to the previous radiograph, the pleural drain is in unchanged position. The distribution and appearance of the left pleural effusion is constant. This is true for both the frontal and the lateral radiographs. Sternal wires in constant alignment. The size of the cardiac silhouette is unchanged. Normal appearance of the right lung.
pleural effusion, evaluation.
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There is eventration of the left hemidiaphragm. Slight opacity projecting over the medial right lower lung likely relates to relative pectus deformity on the lateral view. There is no focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen. No fracture is identified.
chest pain.
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There is some hilar prominence unchanged from radiograph dating to <unk>. Additionally the cardiomediastinal silhouette is unchanged. There is no pneumothorax.
<unk> year old woman with <num> wks of productive cough // pneumonia pneumonia
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable.
history: <unk>f with fevers // 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>m with cp // cardiomegaly
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with chest pain and shortness of breath.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. There are moderate bilateral pleural effusions, greater on the right than left. Associated parenchymal opacities are most likely compatible with atelectasis. There is no pneumothorax. No frank pulmonary edema is seen. Small osteophytes are noted throughout the mid-to-lower thoracic spine.
worsening dyspnea on exertion.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
shortness of breath.
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The cardiac silhouette is mildly to severely enlarged, however this is likely accentuated by a large hiatal hernia with air-fluid level seen on the lateral view. The posterior chest is partially obscured by external artifact on the lateral view. Given this, no large pleural effusion is seen. There is no definite focal consolidation or pneumothorax. Mediastinal contours are unremarkable.
history: <unk>f with failure to thrive // eval for infiltrates
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Pa and lateral views of the chest. No focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
chest pain.
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Right port tip is in low svc and neoesophagus is unchanged. Clear lungs bilaterally without pleural effusion or pneumothorax. Heart size, mediastinal contours and hila are normal. No bony abnormality.
male with history of esophageal cancer status post resection. assess for interval change.
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.
weakness, paresthesias.
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Pa and lateral chest views were obtained with patient in upright position. The heart size is within normal limits. No configurational abnormality is identified. Thoracic aorta and mediastinal structures are unremarkable. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax in apical area. Skeletal structures of the thorax grossly within normal limits. There exists no prior chest examination or records available for comparison.
<unk>-year-old male patient with positive ppd, had negative ppd about <unk> years ago. no known exposure, travelled home to <unk> last <unk>, evaluate for evidence of old or recent tb.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Punctate calcification in the right apex likely reflects a granuloma. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. No subdiaphragmatic free air is demonstrated.
history: <unk>f with left upper quadrant pain and subjective fevers
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The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with chest trauma s/p fall from standing // r/o pneumothorax
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Pa and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. Both lungs are hyperexpanded with increased retrosternal space and flattening of the diaphragms. No evidence of interstitial lung disease or focal opacification, concerning for pneumonia. No pleural effusion or pneumothorax.
dyspnea on exertion; please assess for infiltrate, interstitial lung disease, evidence of chf.
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. There is deformity of the right the scapula, as mentioned before suggestive of fracture. There are mild degenerative changes in the thoracic spine
<unk> year old woman with cough x <num> days // evaluate for pneumonia
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There has been interval placement of a left-sided pacemaker device with single lead terminating in the right ventricle. Heart size remains moderate to severely enlarged. Aortic knob is calcified. Mild interstitial pulmonary edema is present. Small right pleural effusion is increased compared to the prior exam with worsening patchy opacity in the right lung base. No left-sided pleural effusion is demonstrated. No pneumothorax is identified.
chest pain.
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Pa and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. There is no focal consolidation, pleural effusion, or pneumothorax. A convex, linear opacity in the right lung base is stable from <unk> and may represent an area of scarring. The pulmonary vasculature is normal.
two weeks of cough and pleuritic chest pain. evaluate for acute cardiopulmonary process.
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. A healed posterior left <num> rib fractures noted. Multilevel degenerate changes are noted within the thoracic vertebral bodies.
history: <unk>m with hx of seizures, had breakthrough seizure today // eval for pna
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Left pleural catheter is noted. There is no pneumothorax. Persistent left basilar pleural effusion has not significantly changed since most recent examination. Underlying parenchymal opacities with some distortion of the underlying parenchyma laterally is compatible with patient's known neoplasm and associated possible lymphangitic spread or edema. The right lung is grossly clear. Cardiac silhouette is difficult to accurately assess. No acute osseous abnormalities.
<unk>f with l shoulder pain, chest pain // eval for consolidation, effusion
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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>m with ms and <unk>/o pna <unk> presents with weakness // pna, other acute process
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are visualized.
chest pain.
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Lung volumes are low. Cardiac and mediastinal contours are unchanged with tortuosity of the thoracic aorta again noted. Pulmonary vasculature is not engorged. Patchy opacities are re- demonstrated in the lung bases, not significantly changed in the interval, most likely reflective of atelectasis. No pleural effusion or pneumothorax is demonstrated. There are no acute osseous abnormalities.
history: <unk>m with purulent drainage from sacral ulcer, fevers and altered mental status
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Lungs: the lungs are hyper inflated. Linear atelectasis is seen in the right base. Pleura: no pleural effusion is seen. Heart: the heart is borderline. Mediastinum and hila: there is no mediastinal mass. Osseous structures: hypertrophic changes are seen in the dorsal spine. Other findings: surgical clips are noted in the right upper quadrant
history: <unk>f with sob, cough // evaluate for chf
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The lungs remain clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with chest pain // ? acute cardiopulm process
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Pa and lateral chest radiograph demonstrates diffuse interstitial markings bilaterally in keeping with chronic interstitial lung disease. There is no pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are stable in appearance. No acute osseous abnormality it detected.
<unk>f with hypotension
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Compared to chest radiographs from <unk>, right-sided pleural effusion has minimally improved. Left-sided pleural effusion, with fissural fluid, appears loculated and is unchanged. Lungs are hyperinflated with flattening of the bilateral hemidiaphragms, suggestive of emphysema. There is mild central vascular congestion without overt pulmonary edema. No focal consolidation. No pneumothorax. Cardiomediastinal silhouette is stable. Left pectoral cardiac pacing device with dual leads following their expected courses to the right atrium and ventricle, respectively.
<unk> year old man with esrd with increased sob, cough and anorexia. // r/o pulmonary edema versus 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>f with possible tia. r/o infection // ?pneumonia
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There is slight interval decrease of the right apical pneumothorax since the study from earlier the same day. The patient is status post median sternotomy. Increased opacity at the left lung base is slightly improved. Bilateral midlung areas of linear atelectasis or scarring is also stable. There is stable mild cardiomegaly. Small bilateral pleural effusions.
<unk> year old man s/p cabg. evaluate for change in aeration in lll, and change in right apical ptx. please obtain cxr at <unk>
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Indistinct pulmonary vascular markings are seen bilaterally. There is no confluent consolidation or effusion. Cardiomegaly is similar compared to prior. Nodular density projecting over the anterior left first rib is compatible with pulmonary nodule seen on prior ct. No acute osseous abnormalities.
<unk>f with h/o hn coming in with fever and cough // fever with cough, r/o pna or infiltrate
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Pa and lateral views of the chest demonstrate posterior fusion hardware in the lower thoracic and lumbar spine, with overlying skin <unk> posteriorly. The lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax or focal airspace consolidation. Air-filled loops of bowel are noted in the left upper quadrant, possibly due to ileus in the recent post-operative setting.
<unk>-year-old man with chest pain.
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The lungs are low in volumes, giving appearance of vascular crowding. No focal consolidation is seen with mild retrocardiac atelectasis. There is no pneumothorax. No pleural effusion is identified. The heart is top normal in size.
<unk>-year-old male with altered mental status. assess for pneumonia.
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There is a right upper lobe opacity, progressed since <unk>, consistent with pneumonia. The cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old with weakness and anorexia.
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Left lower lung opacity and increased retrocardiac density reflects combination of effusion and accompanying passive atelectasis. If any of this represents infection, cannot be convincingly ruled out on the single frontal chest radiograph alone and should be correlated clinically. Small right pleural effusion and minimal right basal atelectasis is present . Upper lungs are clear. Heart size is mildly enlarged and has a triangular configuration and is concerning for pericardial effusion. Echocardiography is recommended for further evaluation. Mediastinal and hilar contours are unremarkable.
pancreatitis and shortness of breath. to evaluate for pulmonary edema or pneumonia.
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Ap upright and lateral views of the chest provided. Lungs appear hyperinflated with upper lobe lucency likely relating to emphysema. There is airspace consolidation in the right lower lobe compatible with pneumonia. No large effusion or pneumothorax. Cardiomediastinal silhouette is unchanged. Bony structures appear intact.
<unk>m with non-productive cough, fever
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Heart size is mildly enlarged. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. No pleural effusion, focal consolidation or pneumothorax is present. There are no acute osseous abnormalities.
decreased breath sounds, palpitations.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
chest pain.
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A pleural catheter is again seen in the left lung base, with interval decrease in pleural fluid, now trace. The lungs are clear and the heart size and mediastinal contours are stable. Right chest wall port catheter tip terminates in the low svc. Lucency at the left apex is increased but there is no clear pleural line. Attention on follow up is recommended.
<unk> year old man with pleurx // pleurx f/u
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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.
history of pneumonia, now with fever and cough, but clear lungs.
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Lungs are hyperinflated with flattening of the diaphragms compatible with copd. Heart size is mildly enlarged but unchanged. The mediastinal and hilar contours are stable. Previous pattern of mild pulmonary edema has resolved. Small bilateral pleural effusions are noted. No focal consolidation or pneumothorax is seen. Minimal atelectasis is noted in the lung bases. Degenerative changes are seen within the thoracic spine.
chest pain.
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.
history: <unk>m with fever, cough // ?pna
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The lungs are relatively well-expanded and clear. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia. A right chest wall port-a-cath terminates in the low svc. A partially visualized spinal catheter is noted.
history: <unk>f with chest pain // eval for infiltrate
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Postsurgical changes in the right upper hemithorax are again seen with mild volume loss of the right lung and shift of mediastinum to the right. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No radiopaque foreign body is seen aside from stable appearing surgical clips over the right mediastinum.
question foreign body in right lung, feels like something in her lung, rule out foreign body.
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Fullness of each hilum persists and probably correlates with mild lymphadenopathy. The only change is an apparent increased in density projecting beneath the carina on the lateral view. This may represent a subtle more parenchymal density or increased lymph node. Mild biapical pleuroparenchymal thickening is noted. The pulmonary vasculature is not engorged. The cardiac silhouette is top-normal in size but stable. The mediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
history of aids now with cough, here to evaluate for pneumonia.
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities demonstrated. Multiple radiopaque foreign bodies are seen projecting over the the left supraclavicular region and shoulder with the largest radiopaque density measuring approximately <num> mm suggestive of shrapnel /prior gunshot wound.
history: <unk>f with shortness of breath
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Ap upright and lateral views of the chest provided. Lungs are hyperinflated. There is no focal consolidation, large effusion or pneumothorax. The heart size is normal. Aorta is slightly unfolded. Bony structures are intact.
<unk>f with presyncopal sxs, uneasiness since this am
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Pa and lateral views of the chest provided. There is a new focal confluent opacity in the right lower lobe and an approximately <num> cm poorly defined nodular opacity in the left mid lung the fourth anterior rib level. Linear opacities in the right lower lobe likely represent scarring. There is a small right pleural effusion versus pleural thickening. There is no pneumothorax. Cardiomegaly is unchanged compared to scout images from cta chest <unk>. Enlarged pulmonary arteries are suggestive of pulmonary arterial hypertension. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>m with cp // eval for ptx/pna
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<num> views of the chest demonstrate clear lungs. The cardiac, hilar, and mediastinal contours are normal. No pleural abnormality is seen.
<unk> months of cough.
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Patient is status post median sternotomy. Mild to moderate cardiomegaly persists. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Mediastinal contours are stable. Hilar contours are stable.
history: <unk>m with cp, doe // acute process for cp, doe
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Pa and lateral views of the chest provided. Cardiomegaly is again noted with hilar congestion and mild pulmonary edema. No large effusion is seen. There is no pneumothorax. No convincing signs of pneumonia. The mediastinal contour is stably prominent. Bony structures are intact.
<unk>f pmh chf with palpitations and shortness of breath x <num> weeks
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The heart size remains mildly enlarged. The mediastinal and hilar contours are unchanged. Lungs are clear though assessment of the left apex is obscured due to the patient's chin projecting over this region. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are demonstrated.
asthma, increased shortness of breath and cough.
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Streaky left basilar opacity is likely due to atelectasis. The lungs are otherwise clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is stable. Atherosclerotic calcifications again noted at the aortic arch. Left lateral rib fractures are chronic. Loss of intervertebral disc height visualization in the mid thoracic spine at <num> contiguous levels is unchanged.
<unk>m with doe x <num> week // eval for pna
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The lungs are well expanded. Atelectasis or scarring is seen in the left lung base. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
dizziness.
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The lungs are clear. Cardiac silhouette is normal in size. There is no pleural effusion, pneumothorax, pneumonia or pulmonary edema. An overall limited evaluation of the bony structures due to technique is negative for acute pathology. Degenerative changes are seen at bilateral glenohumeral joints with probable loss of the normal joint space.
upper chest and back pain. please evaluate for bony pathology.
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The cardiac, mediastinal and hilar contours appear unchanged since the prior study. Aside from right suprahilar scarring, which is also unchanged, the lungs appear clear. There are no pleural effusions or pneumothorax. Mild-to-moderate degenerative changes are noted along the thoracic spine.
prior gastric ulcers and <unk>'s esophagus, presenting with chest and epigastric pain. question free air or pneumomediastinum.
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Heart size is mildly enlarged. The aorta slightly tortuous. Hilar contours are within normal limits. The pulmonary vasculature is mildly engorged. Subsegmental atelectasis is demonstrated in both lung bases without focal consolidation. No pleural effusion or pneumothorax is present. Chronic deformities of several left sided posterior ribs with cerclage wires are noted.
history: <unk>f with recently diagnosed afib on coumadin now with hemoptysis and leg swelling
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Dense retrocardiac opacity projects over the spine in the left lower lobe. The right lung is clear. There is no pleural effusion or pneumothorax. Cardiac size is enlarged but stable. No pulmonary edema.
<unk>-year-old man with hemoptysis. please evaluate for pneumonia.
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette, including mild cardiomegaly, is stable.
<unk>f with chest pain, evaluate for acute cp process
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There is a small new opacification at the left costophrenic angle which could be secondary to a new small left pleural effusion; however, an infectious process cannot be ruled out. No other focal consolidations are seen. The heart size, mediastinal and hilar contours are normal. The left transverse pacemaker leads end in the right atrium and right ventricles, respectively. There is no pneumothorax.
<unk>-year-old man with a history of cough who presents for evaluation.
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The lungs are hyperexpanded, consistent with the diagnosis of copd. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures and pleural surfaces are unremarkable. There are no acute osseous abnormalities.
prolonged copd exacerbation within episodes of sputum production. assess for pneumonia bronchiectasis.
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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. Pectus excavatum deformity of the sternum is noted. Dish related changes of the t-spine or also present. No free air below the right hemidiaphragm is seen.
<unk>m with <unk> woke up with b/l leg weakness this am and not feeling well. ct showed occipital hemorrhage.
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Pa and lateral views of the chest. The lungs are clear without focal consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with dyspnea and cough.
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Lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Extensive degenerative changes noted at the right acromioclavicular joint. No acute osseous abnormalities identified.
<unk>m with chest pain // acute process, exp wheezes
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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 hx of pe with pleuritic chest pain // r/o consolidation, atelectasis
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Linear left basilar opacity is most likely due to atelectasis. The lungs are otherwise clear without consolidation worrisome for pneumonia, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with asthma exacerbation. only mild improvement with duonebs // eval pna
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Right-sided central venous catheter is similar in position given some patient rotation however, appears slightly angulated distally. . Interval removal of previously seen right-sided picc. Left base opacity could be due to atelectasis or infection. No large pleural effusion is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with tunneled dialysis catheter, unable to dialyze today // eval dialysis catheter
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There are new focal opacities with indistinct borders in the right upper and right lower lobes which are worrisome for infection. There is no pneumothorax or pleural effusion. The cardiomediastinal silhouette is stable. A moderate-sized hiatal hernia is again noted.
<unk> m with h/o htn, hld, smoking, pud, ugib, remote etoh and iv heroin abuse, copd, recently diagnosed epilepsy on lamictal presenting with confusion, with worsening cough. // acute cardiopulmonary process
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In comparison with the study of <unk>, there is little overall change. Again there is hyperexpansion of the lungs consistent with chronic pulmonary disease. Enlargement of the cardiac silhouette is noted. Coarse prominence of interstitial markings could reflect chronic lung disease, elevated pulmonary venous pressure, or both. No definite acute focal pneumonia. Central catheter is unchanged.
copd with oxygen requirement.
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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. No nodules concerning for malignancy is identified. There is no pleural effusion or pneumothorax.
history of left-sided chest pain, remote tobacco history and shortness of breath. evaluate.
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Heart size remains mildly enlarged with mitral annular and coronary artery calcifications again noted. The aorta is densely calcified. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Small bilateral pleural effusions are noted, larger on the right, with linear and opacity in the right lung base likely reflective of atelectasis. No pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with liver transplant, <num> days of fever, nausea, vomiting
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Patient is status post median sternotomy.subtle right base opacity and left upper lung opacity have improved compared the prior study. No definite new focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Severe compression deformity at the lower thoracic spine is re- demonstrated.
history: <unk>f with weakness, recent aspiration pna // please eval for acute process
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Ap upright and lateral views of the chest provided. Airspace consolidation within the right lung is concerning for pneumonia. There is a small right pleural effusion. The left lung is grossly clear. The mediastinum a is prominent which could in part reflect tortuous thoracic aorta. Anchors overlie the right humeral head which appears anteriorly displaced, chronic.
<unk>f with fever and altered mental status // r/o pna
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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 agitation/ams // pneumonia?
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The heart is normal in size. There is mild unfolding of the lower descending thoracic aorta. The mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. Mild degenerative changes are present along the mid thoracic spine.
chest pain.
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Ap and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of focal consolidation. Mild biapical scarring is again seen. There is no pleural effusion or pulmonary vascular congestion. Cardiac silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with decreased appetite and calf tenderness. question infiltrate or congestion.
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Heart size is mildly enlarged with a left ventricular predominance, unchanged. Mediastinal and hilar contours are unremarkable. Lung volumes are low. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
cough, congestion.
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Pa and lateral views of the chest. No prior. The lungs are clear. Costophrenic angles are sharp. The cardiomediastinal silhouette is within normal limits.
<unk>-year-old female one-and-a-half-month history of intermittent chest pain, usually lasting <num> minutes.