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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with chest pain
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Patient is status post median sternotomy. Left-sided aicd device is noted with leads in unchanged positions. Moderate to severe enlargement of the cardiac silhouette is unchanged. The mediastinal contour is similar. There is mild pulmonary vascular congestion, as seen previously without overt pulmonary edema. Bilateral lateral pleural thickening is re- demonstrated. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>m with history of chf presents with chest pain, shortness of breath, fevers and chills, nausea, vomiting, cough
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Pa and lateral views of the chest provided. Midline sternotomy wires again noted. Persistent small left pleural effusion with left basal atelectasis is not significantly changed from prior exam. A calcified granuloma projects over the right upper lung. There is no new consolidation. No signs of edema. Cardiomediastinal silhouette is stable. Bony structures are intact. Tracheostomy poorly visualized.
<unk>m with trach and increased secretions/mucuous plugging // ? infectious process
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cough // cough
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Left-sided port-a-cath tip terminates in the region of the confluence of the azygos vein with svc, unchanged. The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is demonstrated. Compression deformity of a low thoracic vertebral body is unchanged. Clips are again noted in the upper abdomen.
history: <unk>f status post multiple falls for the past <num> weeks, last yesterday, head strike
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The lung volumes are low. The cardiac, mediastinal and hilar contours appear unchanged. There are plate-like opacities in the lower lungs suggesting atelectasis. A large pulmonary nodule is visible at the right lung base and has been characterized previously. There no pleural effusions or pneumothorax.
chest pain. question pneumothorax.
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Pa and lateral views of the chest. The lungs are clear. There is no pneumothorax. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures demonstrate no acute abnormality.
<unk>-year-old male with mvc.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear. Persisitent mild indistinctness of the left hemidiaphragm is again seen, without correlate on the lateral view; however, is not acute in nature. Cardiomediastinal silhouette is normal as are the osseous and soft tissue structures.
<unk>-year-old female with near syncope, dyspnea.
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The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
cough, fever, and chest pain.
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There are scattered patchy opacities involving the mid to lower lungs, right greater than left which could be due to multifocal pneumonia, although component of edema may also be present. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. The aorta is slightly tortuous.
altered mental status.
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Pa and lateral chest radiographs were obtained. The lungs are well inflated and clear. No focal consolidation, effusion, pneumothorax is present. Cardiac and mediastinal contours are normal.
<unk>-year-old woman with fevers and subclavian clot.
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The inspiratory lung volumes are decreased from the most recent prior study, resulting in mild bibasilar bronchovascular crowding. Increased opacity in the right anterior upper lobe may represent developing pneumonia. No significant pleural effusion or pneumothorax is detected. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits.
shortness of breath, productive cough and fever, here to evaluate for pneumonia.
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Heart size is normal. Stent is noted in the left anterior descending coronary artery. The aorta remains unfolded with dilatation of the ascending aorta, better assessed on the previous ct. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>m with shortness of breath, chest pain
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Low lung volumes are again noted. Elevation of left hemidiaphragm is unchanged. The lungs are grossly clear without consolidation or effusion. The cardiac silhouette is likely at least mildly enlarged although not particularly well assessed. No acute osseous abnormalities.
<unk>m with extensive pmh including sle on chronic pred, chf, afib presents with joint pain, muscle aches and fever to <num> // evaluate for pna
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The heart is top-normal in size exaggerated by low lung volumes. The hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with shortness of breath // acute process? acute process?
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The cardiac, mediastinal and hilar contours appear stable. There is streaky scarring in the left mid lung and mild volume loss but no findings suggesting pneumonia or pulmonary edema. There is no pleural effusion or pneumothorax.
facial droop.
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The inspiratory lung volumes are appropriate. There is a new small right pleural effusion. There is no focal consolidation concerning for pneumonia or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected, specifically no displaced rib fracture.
<unk> year old woman with right lateral pleuritic chest pain. recent hx of l parapneumonic effusion. // ?cause of pain
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Heart size and cardiomediastinal contours are stable with minimal tortuosity of the aortic contour. Biapical pulmonary scarring is similar to prior. Prominence of the right peritracheal soft tissues is similar to prior films from <unk> and <unk> and may relate to the patient's known multinodular goiter. No chf, focal consolidation, pleural effusion, or pneumothorax is detected. Slight anterior wedging of a mid thoracic vertebral body, ? T<num>, is unchanged compared with <unk>.
<unk>f with cp // evidence of pneumothorax or pneumonia
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Small contusion in the inferior lingula seen on prior ct is not evident. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with <num> days of left-sided chest pain // eval intrathoracic process
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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.
history: <unk>m with preop // acute process
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Normal heart size, mediastinal and hilar contours. Minimal bibasilar atelectasis loops with no focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with history of asthma, copd, ckd who presents cough sob // eval for pna
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Ap and lateral views of the chest. Again seen is a large hiatal hernia with adjacent atelectasis. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are unchanged. There are aortic knob calcifications.
weakness, evaluate for pneumonia.
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Low lung volumes are present. This accentuates the size of the cardiac silhouette which appears mildly enlarged. Mediastinal contour appears relatively unchanged. Calcified right hilar lymph node seen on previous ct is not well assessed on the current radiograph. Crowding of the bronchovascular structures is present as result of low lung volumes without overt pulmonary edema. Patchy opacities are present within the lung bases which may reflect atelectasis. Previously seen <num> mm right upper lobe nodular opacity is unchanged, and likely reflective of prior granulomatous disease. No focal consolidation, pleural effusion, or pneumothorax is present. Mild degenerative changes are noted within the thoracic spine.
history: <unk>f with fevers, cough
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There is a large area of right upper lobe opacity highly worrisome for right upper lobe pneumonia. Slight blunting of the right costophrenic angle is seen which could be due to a trace pleural effusion, although not substantiated on the lateral view. Areas of scarring are seen scattered in the left lung with possible underlying pulmonary emphysema. The cardiac silhouette is not enlarged. The aorta is calcified.
productive cough, fever.
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Frontal lateral views of the chest. Indistinct pulmonary vascular markings are again noted. There is no superimposed consolidation. Blunting of the right costophrenic angle is again seen, potentially from trace effusion. The cardiac silhouette is enlarged but unchanged. Triple lead pacing device seen with leads in similar positions. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with shortness of breath, question chf or infiltrate.
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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 recurrent pna, asthma p/w sob //
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The patient is status post coronary artery bypass graft surgery. 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. Small osteophytes are noted along the lower thoracic spine.
chest pain. recent stent placement and prior cabg, also with elevated blood sugars.
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Pa and lateral views of the chest. No prior. The lungs are clear of consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires again are noted. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with known asd, presents with dizziness and lightheadedness and abnormal ekg.
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The heart size is mildly enlarged but unchanged. The aorta remains tortuous. Pulmonary vasculature is normal. The hilar contours are within normal limits. No focal consolidation, pleural effusion or pneumothorax is identified. Compression deformity of a mid thoracic vertebral body is new compared to <unk>.
tachycardia and abdominal pain.
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. Cardiac silhouette is within normal limits and there is no evidence of pneumonia or vascular congestion or pleural effusion. Again there is scoliosis of the thoracic spine convexed to the right and metallic fixation devices in the cervical and lumbar regions.
left base crackles in a diabetic.
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Compared with prior radiographs on <unk>, previously seen subcutaneous emphysema in the neck has resolved. Previously seen left apical pneumothorax is not visualized. A small left pleural effusion is unchanged, a right pleural effusion is improved. There is bibasilar atelectasis. Previously described pulmonary nodules seen on ct chest on <unk> are again seen. Cardiomegaly is stable.
<unk> year old woman s/p l vats pericardial window. // check interval change
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal. The lungs are hyperinflated possibly reflecting copd.
<unk>-year-old male with hyperglycemia, lethargy. evaluate for cardiopulmonary disease.
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. Cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no pneumothorax or pleural effusion. No evidence of pulmonary edema. There is no air under the right hemidiaphragm.
<unk>m with frequent falls // eval for pna cxr
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Right heart border is not as clearly seen as on prior ct, suggesting right middle lobe opacity. No other definite focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal. No bony abnormality is detected.
shortness of breath, evaluate for pneumonia.
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Pa and lateral chest radiograph demonstrates biapical pleural parenchymal scarring, right greater than left. The lungs are hyperinflated with emphysematous changes. There is no focal opacity 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 are without an acute abnormality. Upper abdomen is unremarkable.
<unk>-year-old male with falls and weakness. evaluate for pneumonia.
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The lung volumes are low, resulting in crowding of bronchovascular structures at the bases. Given the low lung volumes, the cardiac silhouette and mediastinal structures are unremarkable. No definite focal consolidation is identified, though not entirely excluded given low lung volumes. There is no pleural effusion or pneumothorax.
history: <unk>m with cough // ?pneumonia
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There is no consolidation, pleural effusion, or pneumothorax. There is no evidence of tuberculosis cardiomediastinal silhouette and hilar structures are normal.
<unk> year old woman with colitis, concern for <unk>, <unk> start tnf inhibitor, want to r/o tb (quant gold pending) // evidence of tb
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The right lung is clear. There is blunting of the left costophrenic recess in the lateral view without clear fluid meniscus suggesting pleural effusion. Otherwise, the rest of the lung fields are clear. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax or rib fractures.
<unk>-year-old male with status post trauma of anterior chest one week ago, now presenting with left pleuritic rib pain. evaluate for evidence of pneumothorax.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart size is within normal limits. Right mediastinal contour is convex laterally, with increased density in the right paratracheal region and mild leftward displacement of the upper trachea.
<unk>-year-old male with chest pain.
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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 displaced rib fracture is seen. No free air below the right hemidiaphragm is seen.
history: <unk>f with r ib pain after a fall // r/ r rib fx
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The lungs are clear without focal consolidation, effusion, or pulmonary edema. Cardiac silhouette is within normal limits. Prominence of the upper mediastinum is confirmed as prominent mediastinal fat as demonstrated on prior mri. Lower cervical anterior fixation hardware is partially visualized.
<unk>m postop from spine surg w/ t<num> // eval ? infiltrate
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A dual-lead pacemaker/icd device is unchanged. The heart is again moderately enlarged with leftward axis shift. The cardiac, mediastinal and hilar contours are unremarkable. Trace pleural effusions are suspected based on slight blunting of posterior costophrenic sulci. The lungs appear clear. Few suboptimally visualized lower thoracic compression deformities are probably not acute. The bones appear demineralized.
altered mental status.
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Lung volumes are relatively low. Left basilar opacity is presumably secondary to atelectasis. Lungs are otherwise clear. There is no large effusion common pneumothorax or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with cp // pna?
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The lungs are clear. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are normal without effusion or pneumothorax.
chest tightness
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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified.
fever, myalgias and productive cough.
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The lungs are well inflated and clear. No pleural abnormality is seen. Mild cardiomegaly is stable. The mediastinal and hilar contours are unremarkable.
<unk>-year-old male history of atrial fibrillation.
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As compared to the previous radiograph, there is increasing severity of the pre-existing bilateral parenchymal opacities. In the interval, a small left pleural effusion could have newly occurred. Unchanged low lung volumes and moderate cardiomegaly with retrocardiac atelectasis.
hypoxia, pancreatic mass, evaluation.
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The cardiac silhouette size is top normal. Mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormality.
cough, nausea and diarrhea.
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Lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips are noted in the abdomen.
<unk>m with report of fever, cough // evaluate for pneumonia
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Frontal and lateral views of the chest were obtained. The lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. The heart size is mildly enlarged, similar to <unk>, but more than expected for patient's age. Mediastinal silhouette and hilar contours are normal.
chest tightness.
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There areas of bilateral lower lobe atelectasis. Slight blunting of the left posterior costophrenic angle could be due to a trace pleural effusion. Left basilar opacity, retrocardiac, could be due to atelectasis however infectious process is not excluded in the appropriate clinical setting. No pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable.
history: <unk>m with chest pain // eval for pna
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with pna- persistent pain and sob // r/o pna
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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
history: <unk>m with fever, cough, aches
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Subtle opacity projecting over the right mid to lower lung is similar as compared to the prior study and may be artifactual. Mild left base atelectasis is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
<unk>m w/ cp // <unk>m w/ cp
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Pa and lateral views of the chest are compared to previous exam from <unk>. Right chest wall port is again seen with catheter tip in the mid svc. The lungs are clear of focal consolidation. Cardiomediastinal silhouette is within normal limits. Surgical clips are seen within the left chest anteriorly. Osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old female with breast cancer, on chemotherapy with fever.
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The lung volumes are low. The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unchanged. The heart size remains at the upper limits of normal.
chest pain and shortness of breath. evaluate for pneumonia.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is a patchy right infrahilar opacity within the right lower lobe with suggestion that it may be due to atelectasis, although it is not completely specific. Elsewhere, the lungs appear clear. There is no evidence for pulmonary edema. No pleural or pericardial effusions are seen. The osseous structures are unremarkable.
intermittent chest pain.
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There is no consolidation, pleural effusion, or pneumothorax. Mild to moderately enlarged cardiac silhouette is unchanged since at least <unk>.
history: <unk>f with fever and cough // rule out acute pulmonary process
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Subtle somewhat linear opacity projecting over the right lung bases on the frontal view is not substantiated on the lateral view and may represent overlap of vascular structures. No focal consolidation is seen elsewhere. There is no pleural effusion or evidence of pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No evidence of free air is seen beneath the diaphragms.
history: <unk>f with bladder injury, pain in shoulders (?referred from diaphragm), possible pre-op // evaluate for acute process
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As compared to prior chest radiograph from <unk>, a small right apical pneumothorax is essentially unchanged. Right-sided chest tubes remain in unchanged position. There has been interval improvement of a right-sided pleural effusion. There is persistent opacification of the right upper lobe consistent with a consolidation. Opacity along the right lateral chest wall is likely post-surgical in nature. The left lung is clear.
<unk>-year-old woman status post right vats blebectomy and decortication with chest tube x <num>. evaluate for interval change and pneumothorax.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are well expanded and clear. There are no pleural effusions or pneumothorax. The visualized osseous structures are unremarkable.
<unk>-year-old female patient with six months of dyspnea on exertion and positive ppd.
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The patient is status post median sternotomy and cabg. The heart size is mildly enlarged but stable. There is no evidence of vascular engorgement nor pulmonary edema. The aorta is again tortuous. On the lateral view, there is a possible suggestion of a pericardial effusion, likely a chronic finding. The lungs are clear.
chest pain.
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The cardiomediastinal silhouettes are unchanged compared to multiple prior studies. There is a soft tissue density adjacent to the right heart border, seen on multiple prior studies and likely due to a prominent epicardial fat pad as seen on a prior ct. The bilateral hila are unremarkable. The lungs are clear. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk>-year-old man with chest pain since <unk>:<num> this morning, evaluate for acute cardiopulmonary process.
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The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk>-year-old woman with cough, evaluate for pneumonia.
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The lungs are well-expanded and clear. No focal consolidation, edema, effusion, or pneumothorax. No evidence of hilar lymphadenopathy. The heart is normal in size. The mediastinum is not widened. No acute osseous abnormality.
<unk>-year-old woman with a + ppd. evaluate for tb, infectious process.
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next previous pa and lateral chest examination of <unk>. Heart size and appearance of thoracic aorta including mediastinal structures are unchanged. The pulmonary vasculature is not congested. No evidence of acute or chronic parenchymal infiltrates is present, and the lateral and posterior pleural sinuses are free. No evidence of new acute pulmonary parenchymal or pleural abnormalities, and no evidence of pneumothorax in the apical area. On previous examination identified minute peripheral plate atelectasis on the left base has resolved. Very mild degree of degenerative changes is seen in the thoracic spine vertebral body anteriorly. They have not progressed significantly. Our records include multiple previous chest ct examinations, the most recent dated <unk>, <unk>, <unk>, <unk> and again <unk>. Previously identified scattered ground-glass densities were shown, but these are two subtle to be identified conclusively on the plain chest examinations.
<unk>-year-old male patient with history of chronic lymphocytic leukemia and recent respiratory infection as well as history of interstitial pneumonitis. compare to prior study.
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Again seen is a large hiatal hernia in the left lower chest causing associated relaxation atelectasis. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The visualized portions of the cardiomediastinal silhouette are within normal limits.
<unk>f with known hernia and uti, evaluate for acute process.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is a nodular focus of <num> mm in diameter projecting over the right mid lung as well as the anterior course of the right fifth rib, suggestive of a nipple shadow. The appearance is asymmetric but there is possibly also a vague nipple shadow on the left. Otherwise, the lung fields appear clear. There are no definite pleural effusions, but blunting of the right posterior costophrenic sulcus makes it difficult to exclude a tiny effusion. Aside from mild degenerative changes along the thoracic spine, bony structures are unremarkable.
right anterior rib pain.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Clips are noted in the left axilla. Recommend correlation with prior surgical history. Moderate degenerative changes are noted in the thoracic spine.
fever. evaluate for infection.
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The cardiomediastinal silhouette is upper limits normal. There is increased pulmonary vascular congestion and mild edema. No pneumothorax. Osseous structures are unremarkable.
history: <unk>m with dyspnea on exertion*** warning *** multiple patients with same last name! // eval for acute process
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There is dense consolidation in the right middle lobe and likely the lower lobe as well. There is faint opacity at the left lung base is well, potentially atelectasis, infection is not excluded. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with worsening shortness of breath and fever // infectious process
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. The heart size remains normal. No configurational abnormality is present. Unremarkable appearance of thoracic aorta and mediastinal structures. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present. Mild elevation of the right-sided hemidiaphragm with mild blunting of the lateral pleural sinus, a finding which already was present on the preceding examination. The chest findings are completely unaltered. There is no evidence of new parenchymal infiltrates, pleural effusion. The pulmonary vasculature appears quite unremarkable on both frontal and lateral views and thus there is no radiographic suspicion of acute pulmonary embolism. If clinical strong suspicion for pulmonary embolism persists a chest ct with contrast would be diagnostic procedure of choice.
<unk>-year-old male patient with shortness of breath, immunosuppressed, history of dvt and pes, evaluate for infiltrate or evidence of pulmonary embolism.
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Ap upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Heart size is top normal. The mediastinal silhouette is normal. Imaged osseous structures are intact. Degenerative changes are seen in the spine. No free air below the right hemidiaphragm is seen.
history: <unk>f with syncope, fall // eval for fib fx/ptx
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The cardiac, mediastinal and hilar contours appear stable. The lungs appear clear. There are no pleural effusions or pneumothorax.
shortness of breath.
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<num> views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal mediastinal and hilar contours. Subtle irregularity in the anterior sternum could reflect prior injury and stable since <unk>. Old rib fractures noted.
cough and shortness of breath. assess for pneumonia.
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Cardiac silhouette size is mildly enlarged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormalities detected
history: <unk>f with chest pain
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Since <unk>, peribronchial opacification in the left lower lobe has largely cleared. Bronchiectasis, if any, is relatively mild and i see no new regions of abnormality in either lung. The heart is top normal size. There is no vascular engorgement or edema. No pleural abnormality or evidence of central adenopathy. Heart size is top normal, unchanged.
<unk>-year-old man with bronchiectasis and cough; rule out pneumonia corresponding to rales at the base of the left lung.
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As compared to the previous radiograph, the extent of the bilateral pleural effusion is unchanged. No substantial increase or decrease. No change in moderate cardiomegaly and tortuosity of the thoracic aorta. Status post cardiac surgery. Secondary to the effusions, areas of atelectasis are seen at both lung bases. In the normally ventilated lung areas, there is no evidence of pneumonia or other parenchymal change.
bilateral effusions, evaluation.
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Cardiac, mediastinal and hilar contours are unchanged with the heart size within normal limits. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with chest pain intermittent in nature. some tenderness to palpation over chest wall
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A right chest wall power injectable port is present with the tip projecting over the right atrium. A biliary drain is partially visualized over the right upper quadrant. There is a persisting right cardiophrenic angle mass consistent with the patient's known hcc. No pleural effusion, focal consolidation or pneumothorax identified. The size of the cardiac silhouette is mildly enlarged but unchanged.
<unk> year old woman with metastatic fibrolamellar hcc admitted with increasing sob and abdominal distension. // eval increased sob. ? pulm edema, ? pleural effusion
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The trachea is central. The cardiomediastinal contour is normal. The heart is not enlarged. No blunting of the costophrenic angles to suggest a pleural effusion. No consolidation or pneumothorax seen. The visualized bony structures are within normal limits.
history: <unk>m with bradycardia and chest pain // eval pneumonia, other acute process
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old male with pain with breathing and cough.
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Low lung volumes are present. Heart size remains moderately enlarged. The mediastinal and hilar contours are similar. There is mild upper zone vascular redistribution without overt pulmonary edema. Linear opacities in the lung bases are are compatible with areas of subsegmental atelectasis. Evaluation of the lung apices is somewhat obscured by the soft tissues of the neck projecting over this region. No pneumothorax or large pleural effusion is seen. There are no acute osseous abnormalities.
history: <unk>f with history of congestive heart failure with symptoms consistent with past exacerbations.
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Lungs are clear. There is no focal consolidation, effusion, or edema. Cardiac silhouette is mildly enlarged. There is tortuosity of the thoracic aorta. Hypertrophic changes noted in the spine.
<unk>f with htn, dm<num> who presents with jaw pain, syncopal episode, and ekg concerning for ischemic changes // eval for pneumonia and effusion
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Sternotomy wires are intact. Coronary artery bypass graft stent an several coronary artery stents are again noted. Moderate enlarged cardiac contour is similar to before. There is no consolidation, pleural effusion, or pneumothorax. There is subsegmental atelectasis at the mid lung fields bilaterally.
history: <unk>m with fever, cough // eval for pna
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Right-sided port is seen, with catheter tip not well seen but likely terminating in the low svc. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable. Linear bilateral perihilar, infrahilar, and basilar opacities may in part relate to atelectasis and scarring with possible underlying bronchiectasis and other chronic lung disease, however underlying infection or edema is not excluded. No pleural effusion or pneumothorax is seen.
history: <unk> f w/ hx asthma, esophageal ca, here w/ tachypnea, new o<num> requirement, bilateral <unk> edema- evaluate for infiltrate, chf // infiltrate, chf
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Frontal and lateral chest radiographs demonstrate normal cardiomediastinal and hilar contours. A left lower lung linear opacity likely represents atelectasis or fibrosis; the lungs are otherwise clear without pulmonary edema or focal consolidation. There is no pleural effusion or pneumothorax.
enlarged lacrimal glands. evaluate for sarcoidosis.
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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 prior history of pneumonia several months prior, also with presyncope, now with temperature to <num> on <unk>, presyncope, palpitations. smoking history
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Frontal and lateral views of the chest were obtained. The heart is of normal size and normal cardiomediastinal contours. <num>-mm density overlying the right lower lobe and a <num>-mm density overlying the right upper lobe may represent calcified granulomas. No focal consolidation, pleural effusion, or pneumothorax. Pulmonary vasculature is unremarkable. Osseous structures are unremarkable. No radiopaque foreign body.
<unk>-year-old male with right-sided chest pain. evaluate for pneumothorax.
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As compared to the previous radiograph, there is no relevant change. The lung volumes are normal. The structure and transparency of the lung parenchyma is unremarkable. There is no evidence of pneumonia. No signs suggesting pulmonary edema. No pleural effusions. The size of the cardiac silhouette is at the upper range of normal. Mild tortuosity of the thoracic aorta. No hilar or mediastinal abnormalities.
dyspnea on exertion, crackles. rule out pneumonia.
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax is identified. The osseous structures are unremarkable. No radiopaque foreign bodies.
<unk>-year-old female with chest pain. rule out acute process.
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Pa and lateral views of the chest provided. A left upper extremity access picc line is again seen with its tip in the low svc. The lungs are clear bilaterally without focal consolidation, large effusion or pneumothorax. No signs of congestion or edema. The cardiomediastinal silhouette appears normal. The imaged bony structures are intact. No free air is seen below the right hemidiaphragm.
<unk>m with ams
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There is mild cardiomegaly. The heart and mediastinal contours are otherwise unremarkable. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. There is mild bibasilar atelectasis. The visualized osseous structures are unremarkable.
history right-sided chest pain. please evaluate for acute process.
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Frontal and lateral chest radiographs demonstrate a right chest port with the tip in the mid svc. There is mild cardiomegaly. The lungs, hila, and pleural surfaces are normal.
evaluate port placement.
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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 // r/o pneumothorax, pna
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Frontal lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Heart size is slightly enlarged, unchanged from <unk>. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with several days cough // assess for pneumonia
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In comparison the prior study, there has been interval improvement of the right middle lobe consolidation without complete resolution. The previously seen right pleural effusion and mild bibasilar atelectasis are resolved. Old calcified granulomas and old healed left posterior rib fractures are again seen. There is no pneumothorax nor acute bony abnormality. Hilar and cardiomediastinal contours are normal.
<unk> year old woman with cll, recent pneumococcal sepsis and pneumonia. please assess lung parenchyma given prior abnormal film. // resolution of abnormal findings on cxr?
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On the prior study, hazy and nodular opacities have markedly improved, although there is persistent but decreased posterior right basilar opacification with blunting of the right costophrenic sulcus and so probably a pleural effusion. There is no definite pleural effusion on the left. The heart size appears reduced.
left-sided chest wall pain.
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The lungs are well inflated and clear. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No evidence of rib fractures.
<unk>-year-old female with right shoulder pain and right upper quadrant pain. evaluate for evidence of pneumonia, pleural effusion.
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Ap upright and lateral views of the chest provided. Faint platelike lower lung atelectasis is noted. Otherwise, the lungs are clear. No consolidation concerning for pneumonia. No large effusion or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Clips in the right upper quadrant noted.
<unk>f with ha s/p mvc. pain