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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced rib fracture is identified.
history: <unk>f pedestrian struck by car onto hood, left sided rib pain // eval for acute injury
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There is a new subtle patchy opacity at the left base where there is mild blunting of the costophrenic angle, likely atelectasis. There is no other focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Osseous structures are intact. Clips are seen in the right axilla.
<unk>-year-old female with shortness of breath, dizziness, weakness, intermittent chest pain, pericardial effusion, fracture. question effusion.
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Lung volumes are low. Linear opacities in the right lung base likely represent atelectasis. Mediastinal contours, hila, and cardiac silhouette are normal. There is no pleural effusion or pneumothorax.
<unk>f with cp // r/o occult infiltrate
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There is a large hiatal hernia, with a organoaxial gastric volvulus. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion or pneumothorax.
history: <unk>m with sob // eval for pna
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No radiopaque foreign bodies are detected. There are no acute osseous abnormalities. Mild degenerative changes are seen throughout the thoracic spine.
history: <unk>m with fall with chipped tooth and left shoulder pain.
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The cardiomediastinal and hilar contours are within normal limits. The heart is top normal in size. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with shortness of breath // ?pneumonia
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The heart and mediastinal contours are within normal limits. The lungs demonstrate widespread nodular densities. No pneumothorax is seen. A small right-sided pleural effusion is present. The visualized portion of the spine demonstrates only mild degenerative change.
<unk>-year-old male with multiple bilateral nodules status post lung biopsy. the nodule biopsied was in the right lower lobe.
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Pa and lateral views of the chest provided. The lungs are clear bilaterally. 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 dizziness suddent onset with hx of adenocarcinoma
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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 is unchanged and within normal limits. No pulmonary congestion is present. As before, there exist bilateral pleural effusion blunting the lateral and posterior pleural sinuses. The amount of pleural effusions has increased slightly, but is still not of large quantity. The area of the left hilar infiltrate has increased mildly and shows sharp delineation in comparison with the previous study. No other new abnormalities are present. As before, marked kyphotic curvature increase in the thoracic spine is noted with diffusely demineralized vertebral bodies, several of which have an anterior wedge compressed appearance. These findings are, however, unchanged.
<unk>-year-old female patient with oxygen requirement and known pulmonary carcinoma with effusions. evaluate for progression of disease.
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Pa and lateral views of the chest are compared to previous exam from <unk>. Patchy lingular opacity is seen which could be due to atelectasis or infection. The right lung is clear. Costophrenic angles are sharp. No evidence of pneumothorax is seen. Cardiomediastinal silhouette is stable. Multiple old healed right lateral rib fracture is again seen. Surgical clips in the upper abdomen.
<unk>-year-old female with dyspnea and hypoxia after bronchoscopy.
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Pa and lateral views of the chest provided demonstrate no focal consolidation, large effusion or pneumothorax. No signs of congestion or edema. Cardiomediastinal silhouette is normal. Overlying ekg leads are present. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with chest pain // chest pain
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Frontal and lateral views of the chest were obtained. The lungs are hyperinflated. Linear scarring at the lung bases is unchanged. There is no focal consolidation, pleural effusion or pneumothorax. Heart size is top normal. Mediastinal silhouette and hilar contours are normal. There is no free air under the right hemidiaphragm. There is persistent wedging of a lower thoracic vertebral body.
malaise and early satiety with weight loss.
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Pa and lateral views of the chest demonstrate the lungs are well expanded. A <num> mm calcified granuloma in the left upper lobe is incidentally noted, and requires no specific follow up imaging. There is no pneumothorax, pleural effusion, pulmonary edema or focal consolidation.
<unk>-year-old male with chest pain and history of pneumothorax.
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Right-sided port-a-cath tip terminates in the low svc, unchanged. The cardiac, mediastinal and hilar contours are unchanged. Numerous metastatic lesions throughout both lungs are relatively unchanged in size and number. No new focal consolidation, pleural effusion or pneumothorax is demonstrated. No acute osseous abnormalities are seen.
altered mental status, metastatic rectal cancer.
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Lung volumes are low, which produces bronchovascular crowding. Moderate cardiomegaly is stable, as are the continuous pacemaker lead positions. No evidence of pulmonary edema or effusions. No focal consolidation concerning for pneumonia. Intact median sternotomy wires. Calcified granulomas in the right upper lung have not changed.
<unk> year old woman with congestive heart failure, <unk> mos worsened dyspnea on exertion and findings of expiratory wheezing throughout, sl worse on l side. evaluate degree of upper zone redistribution/ pulmonary edema and look for any findings to indicate infectious cause of cough/dyspnea.
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Again seen is a right port with tip in the upper svc. New heterogeneous bibasilar, right greater than left opacities. No pleural effusion or pneumothorax. Mild cardiomegaly is stable. Mediastinal contour and hila are unremarkable.
<unk>m with dizziness. port placement.
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Compared with the prior study, there has been resolution of the small bilateral pleural effusions. No focal consolidation or pneumothorax. Biapical pleural thickening is unchanged. Cardiomediastinal silhouette is within normal limits.
<unk>-year-old man with fever cough. evaluate for acute process.
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The lungs are hyperinflated. The lung fields are clear. The cardiomediastinal silhouette is unremarkable. Osseous structures are within normal limits. No pneumothorax or pleural effusion.
history: <unk>f with sob, "not feeling right" // pna
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Mild pulmonary edema has improved, however there is residual interstitial abnormality which may be appreciated on ct dated <unk>. Pacemaker is seen with leads terminating in the right atrium and right ventricle without signs of pneumothorax. Cardiomediastinal silhouette is unchanged from radiograph dated <unk>.
<unk> year old man with sss s/p pacemaker via l subclavian vein // lead position, pneumothorax lead position, pneumothorax
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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. The lower thoracic spine curves mildly to the left. Mid upper to mid thoracic interspaces are moderately narrowed.
fatigue and depression.
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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.
left-sided pleuritic chest pain
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Right picc tip terminates in the distal right brachiocephalic vein, unchanged. Lung volumes are low. Cardiac and mediastinal contours are unchanged with the heart size appearing mildly enlarged. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is visualized. A vp shunt catheter is seen within the anterior right chest wall.
history: <unk>m with brachial picc line occlusion - iv therapy requested cxr to confirm placement // check picc line placement
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The lungs are mildly hyperinflated, similar to prior. There is no focal consolidation. No pleural effusion or pneumothorax is seen. An opacity in the right lower hemithorax is unchanged since <unk>, suggestion benign etiology. The cardiac and mediastinal silhouettes are unremarkable. There are stable degenerative changes in the thoracic spine.
<unk> year old man sp extended radical whipple procedure in <unk> <unk> for mucinous non-cystic (colloid) carcinoma, arising in association with an intraductal papillary mucinous neoplasm (ipmn) with moderate dysplasia. <num> month surveillance scan. // evaluate for intrathoracic abnormalities.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear without focal consolidation concerning for pneumonia. Height loss of a vertebral body near the thoracolumbar junction with focal kyphosis at this level is chronic.
<unk>m with cough.
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Upright frontal and lateral chest radiographs were performed. The mediastinal, pleural and pulmonary structures are unremarkable. The cardiac silhouette is of normal size. There is no pleural effusion or pneumothorax. Dextroscoliosis of the thoracic spine is unchanged from prior. There are no suspicious osseous lesions.
elevated white blood cell count, evaluate for pneumonia.
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The lung volumes are normal. Normal appearance of the lung parenchyma. Normal size of the cardiac silhouette. Mild tortuosity of the thoracic aorta. No evidence of lung nodules or masses. There is symmetrical increase in radiodensity at both lung bases is caused by soft tissue overlay. No larger pleural effusions.
stroke and cough, evaluation for cancer.
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Streaky bibasilar opacities are most compatible with atelectasis under similar compared to prior. Superiorly, the lungs are clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with c/o cough and cp // ? pna
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No previous images. The heart is at the upper limits of normal in size and there is no vascular congestion or pleural effusion. Specifically, no evidence of pneumonia.
altered mental status with aspiration risk.
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Lungs are slightly hyperinflated. There is no consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. No acute osseous abnormalities identified. Multiple remote right-sided rib fractures are again noted.
<unk> year old woman with history of tongue cancer, presents with c/o <num> days of pain in l lower chest, ? pleuritic // evaluate for lesions in lll
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The lungs are clear without consolidation, effusion, or edema. The cardiac silhouette is mildly enlarged, though similar compared to prior. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormalities.
<unk>m with one week sore throat, cough, fever, // ?cpd
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. The heart is within normal limits in size and there is mild tortuosity of the aorta. No evidence of acute pneumonia, vascular congestion, or pleural effusion. No definite lymphadenopathy is appreciated.
fever and pancytopenia, to assess for pneumonia or lymphadenopathy.
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There is prominence of the hila, particularly on the right which may be due to prominent pulmonary vessels although underlying lymphadenopathy is not excluded. No priors available for comparison. No focal consolidation seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. There may be mild vascular congestion without overt pulmonary edema.
history: <unk>m with c/o ble edema with hx hep c and chf // ? chf
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Pa and lateral views of the chest provided. No focal consolidation, large effusion or pneumothorax is seen. The cardiomediastinal silhouette appears grossly unremarkable. No bony abnormalities are seen.
<unk>f s/p fall with posterior headache and bilateral thoracic pain on asa.
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Blunting of the left costophrenic angle is chronic, and is consistent with a combination of pleural effusion and collapse of the left lower lobe. Right basal opacity likely reflects atelectasis. No evidence of pulmonary edema or pneumothorax.
history: <unk>f with cough and fever // eval pneumonia or chf
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Heart size is normal with mild unfolding of the thoracic aorta. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion pneumothorax.
history of seizures with increase in seizure frequency. evaluate for pneumonia.
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There is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is unremarkable. There is moderate dextroscoliosis of the thoracic spine. Osseous structures are otherwise unremarkable. There is a nerve stimulator in the left hemithorax, the lead coursing into the neck.
<unk>-year-old with productive cough, low wbc and shortness of breath, question pneumonia.
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The cardiac silhouette size is top normal. Mediastinal and hilar contours are unchanged. The pulmonary vasculature is normal. Linear opacities in the lung bases likely reflect atelectasis, similar compared to the previous exam. No pleural effusion or pneumothorax is seen. Lungs are hyperinflated with flattening of the diaphragms suggesting underlying copd. There are multilevel degenerative changes in the thoracic spine.
fever postoperatively.
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Frontal and lateral views of the chest demonstrate normal lung volumes. No pleural effusion, focal consolidation or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Mild dextroscoliosis of the thoracic spine is noted.
patient with fever and cough. assess for fever, cough and wheeze at the left base. assess for pneumonia.
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Pa and lateral views of the chest provided. From the prior exam there has been no significant change. There is right pneumothorax which is moderate in overall size without definite signs of tension. Suture material projects over the right upper lung compatible with prior resection. Left lung is clear. Cardiomediastinal silhouette is normal and midline. Bony structures are intact.
<unk> year old woman with h/o recurrent right pneumothorax s/p vats rul wedge and apical pneumonectomy <unk> and s/p right talc pleurodesis <unk> // ?progression of pneumothorax, worsening mediastinal shift
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There has been little interval change in comparison to prior study from <unk>. The lungs remain clear with no evidence of focal consolidation, effusion, or pneumothorax. Post-surgical changes are noted with surgical clips overlying the left hemithorax. Additionally, surgical <unk> are noted in the upper abdomen. Mediastinal silhouette remains normal. Osseous structures appear unremarkable.
evaluation of patient with toe infection.
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Ap and lateral images of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. No acute fracture is seen.
status post mvc with right lower rib pain.
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No significant interval change. No focal consolidation, edema, effusion, or pneumothorax. Cardiomediastinal contours are within normal limits. No acute osseous abnormality. Extensive multilevel degenerative changes of thoracic spine with some loss of vertebral body height and prominent anterior osteophytes appear similar to the prior radiograph and prior ct exams from <unk> and <unk>. There is diffuse idiopathic skeletal hyperostosis, unchanged.
<unk>-year-old man presenting with chest pain. evaluate for pneumonia.
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Frontal and lateral radiographs of the chest demonstrate persistent though improved fluid in the minor fissure on the right, and small right sided pleural effusion with adjacent atelectasis. There is a stable appearing moderate-to-large left sided pleural effusion with adjacent atelectasis on the left. There is mild asymmetric pulmonary edema on the right. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax.
<unk>-year-old man with heart failure. evaluate pleural effusions.
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Assessment is limited by patient positioning and the patient's neck and chin obscuring assessment of the lung apices. Low lung volumes are present. Left-sided dual-chamber pacemaker device with leads main and right atrium right ventricle is re- demonstrated. Heart size remains moderately enlarged. The aorta is tortuous, as seen previously. Crowding of bronchovascular structures is present without gross pulmonary edema. Streaky bibasilar airspace opacities likely reflect areas of atelectasis. No large pleural effusion or pneumothorax is present. Loss of height <num> adjacent mid thoracic vertebral body appears new in the interval, but likely chronic.
history: <unk>f with weakness and cough
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The lungs are clear. Cardiac silhouette is normal. The aorta is slightly tortuous. The patient is status post median sternotomy. A pace maker is present with a single lead terminating in the left ventricle. There is no pleural effusion, pneumothorax or pulmonary edema.
altered mental status, question pneumonia.
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Stable normal heart size, mediastinal and hilar contours. Calcified hilar lymph nodes are unchanged. No focal consolidation, pleural effusion, pulmonary edema or pneumothorax. A linear density projecting over the sixth right anterior rib corresponds to a bone island within the rib seen on prior ct.
<unk> year old woman with dm, htn and prolonged cough with new doe // ?infiltrate, mass, chf
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The cardiomediastinal silhouette is normal. Hilar contour unchanged. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. No acute osseous abnormality. Irregularity of the posterior right first rib, unchanged from <unk>.
<unk> man with chronic cough and history of sarcoidosis, evaluate for pneumonia..
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Frontal lateral views of the chest. New compared to prior are bilateral pleural effusions, moderate on the left and small on the right. Underlying atelectasis is likely although infection cannot be excluded. Superiorly the lungs are clear of consolidation. Cardiomediastinal silhouette is obscured on the left due to the effusion. No acute osseous abnormality is identified. Left-sided presumably venous catheter seen with tip projecting over the left axilla.
<unk>-year-old female with fever.
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No significant change since the radiograph from <unk>. Left-sided pacer and right port-a-cath with an obscured tip are stable. The heart size is normal. The lungs are clear without effusion or focal consolidation. Unchanged mild compression deformity of a mid thoracic vertebral body. The right breast is homogeneous, consistent with prior implant, and smaller than the left.
<unk> year old woman with metastatic breast cancer. per mri pacer protocol.
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The lungs are clear. Cardiac silhouette is normal in size. There is no pleural effusion, pneumothorax, pulmonary edema or pneumonia. Numerous surgical clips are scattered throughout the abdomen.
dyspnea on exertion.
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Diffusely increased interstitial markings are similar or slightly increased compared to <unk>. Bibasilar consolidations are persistent. Mildly enlarged cardiac silhouette is similar to before. There is no pneumothorax or large pleural effusion.
<unk> year old man with h/o severe influenza and presumed aspergillus pneumonia currently on voriconazole treatment // please evaluate for ongoing improvement in opacities.
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Lung volumes remain low with platelike atelectasis at the left lung base. A left-sided picc terminates in the proximal svc. Knee known retrocardiac opacity is similar in degree when compared to the prior study. No new areas of consolidation are seen. No pneumothorax seen. Possible trace left pleural effusion.
<unk> year old woman with neutropenia. r/o imaging consistent with pna. // ?source of infection
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A left vagal nerve stimulator is in unchanged position. Low lung volumes accentuate the cardiomediastinal contours and result in crowding of bronchovascular structures. With this limitation in mind, there is likely mild pulmonary vascular congestion but no overt evidence of pulmonary edema or pneumonia. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable. Elevation of left hemidiaphragm is likely due to adjacent gastric distension.
history: <unk>m with multiple seizure d/o who increase in seizure // eval for pna
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Pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. No displaced rib fracture is seen.
severe right rib pain. evaluate for rib fracture or pneumothorax.
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The lungs are well expanded with mild to moderate pulmonary edema. Nodular opacity adjacent to the right hilus measures <num> x <num> cm with linear opacities in the right lower lung adjacent to it. In the left lower lung retrocardiac opacity appears to projects over spine. No pneumothorax or pleural effusion. Mediastinal contours and cardiac silhouette are normal.
<unk>m with cp // eval for ptx
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Low lung volumes accentuate the cardiomediastinal contours and result in crowding of bronchovascular structures. There are no focal areas of consolidation to suggest the presence of pneumonia. . Cardiomediastinal silhouette is stable. No pleural effusion or pneumothorax is seen.
history: <unk>f with cough // pna
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Right-sided pacemaker device with leads terminate a right atrium right ventricle is unchanged. Mild cardiomegaly persists. Aortic knob is calcified. Mild pulmonary vascular congestion is not substantially changed in the interval. A moderate size left pleural effusion is relatively similar compared to the previous study. Worsening opacification the left lung base may reflect worsening pneumonia. The right lung is otherwise grossly clear. No pneumothorax is present. There are mild multilevel degenerative changes seen in the thoracic spine.
history: <unk>f with cough, fever
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Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs are hyperinflated, but again clear focal consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with chest pain. question pneumonia.
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Pa and lateral views of the chest were obtained. The lungs are hyperinflated suggesting copd. There is a moderate cardiomegaly. The aorta is slightly unfolded. No chf, focal infiltrate, pleural effusion, or pneumothorax is detected.
<unk>-year-old man with chest pain.
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A small right apical pneumothorax is again visualized, similar in size compared to the study from five hours prior. Subcutaneous emphysema on the right is also present and is similar in amount compared to prior. Increased opacity in the right mid lung is again visualized.
right rib fractures and pneumothorax.
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Some appear to be <unk> radiograph there is little change in the low lung volumes and elevation of the right hemidiaphragm. There is a small right pleural effusion and bibasilar atelectasis. The left lung parenchymal opacity appears stable. Mild cardiomegaly persists.
history: <unk>f with sob and cough. recent ablation c/b right diaphragm palsy and pna // assess interval change
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Pa and lateral views of the chest provided. Tiny clips project over the right chest wall. 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 anxiety and 'heartburn'
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The heart size, mediastinal, and hilar contours are normal. Faint left basilar opacity is thought to be atelectasis. No pleural effusions, or pneumothorax.
<unk> woman with <unk> chest pain now improved. evaluate for acute intrathoracic process.
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Chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. Bibasilar atelectasis noted. There is mild pulmonary vascular congestion and mild interstitial edema. No focal consolidation, pleural effusion or pneumothorax evident. Left-sided aicd has leads are positioned in the expected positions of the right atrium and right ventricle.
chest pain.
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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Osseous structures are normal with evidence of an old rib deformity on the right. No free air is noted in the hemidiaphragms. Surgical clips are noted in the right upper quadrant suggestive of prior cholecystectomy.
evaluation of patient with changes in blood sugar.
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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 right sided chest pain and previous congestive heart failure
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The heart size is normal. The aorta is mildly unfolded with minimal atherosclerotic calcifications noted at the aortic knob. Biapical scarring is re- demonstrated. The lungs are otherwise clear and the pulmonary vasculature is normal. No pleural effusion, focal consolidation or pneumothorax is visualized. There are no acute osseous abnormalities.
productive cough for <num> week.
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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are noted. 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 new onset afib, generalized fatigue
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There are bilateral interstitial opacities predominantly centrally, most consistent with mild to moderate pulmonary edema. No pleural effusion or pneumothorax. No focal consolidations. Cardiomediastinal and hilar contours are normal.
<unk> year old man with wheeze, hypoxia // ? pna, chf
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As compared to the previous radiograph, all monitoring and support devices have been removed. The pre-existing severe pulmonary edema has improved. However, interstitial markings persist, most likely reflect residual interstitial fluid overloads. There is no typical appearance for changes consistent with pneumonia. However, short-term followup with chest radiograph should be performed to verify further resolution of the changes.
questionable pneumonia.
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Subtle patchy left base retrocardiac opacity seen on the frontal view, not substantiated on lateral view, may be due to atelectasis, however consolidation due to infection or aspiration is not excluded in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. There are degenerative changes are seen along the spine and at the right acromioclavicular joint.
altered mental status.
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Since <unk>, interval removal of right chest tube is seen with a new small right apical pneumothorax measuring <num> cm below the lung apex and residual opacity projecting over the right lung base possibly representing combination of atelectasis and small pleural effusion. The left lung is clear. Unchanged positioning of hemodialysis catheter. Stable moderate to severe cardiomegaly.
<unk> year old man with esrd on hd, cad, dm and new exudative effusion s/p ct on <unk> now removed. please assess for reaccumulation of effusion. // ? reaccumulation of pleural effusion
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The patient is status post coronary artery bypass graft surgery. There is slight unfolding of the thoracic aorta. The heart is at the upper limits of normal size. There is a patchy right medial basilar opacity suggestive of atelectasis. Otherwise, the lungs appear clear without evidence for congestive heart failure. There is no pleural effusion or pneumothorax. There is mild relative elevation of the right hemidiaphragm. Healed right-sided posterior fourth through sixth rib fractures appear unchanged. There has been no significant change.
chest pain and new atrial flutter.
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Ap and <num> lateral views of the chest. The lungs are clear of focal consolidation, effusion, pneumothorax or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected.
<unk> -year-old male with chest pain.
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Pa and lateral views of the chest provided. A calcified granuloma projects over the right upper lung as on prior. The heart remains mildly enlarged. The aorta is unfolded with unchanged mediastinal contour. The lungs remain clear. No effusion or pneumothorax. Bony structures are intact.
<unk>m with cough, fevers, mild chest pain // ? pna
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Subtle left base retrocardiac opacity is seen which while could be due to atelectasis, underlying pneumonia is not excluded in the appropriate clinical setting. The right lung is clear. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen.
vertigo, question pneumonia.
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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>m with chest pain // eval for infiltrate
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>m with cough, some shortness breath, subjective fever. evaluate for pneumonia
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The heart size is normal. The aorta remains tortuous but unchanged. The mediastinal hilar contours are otherwise within normal limits. The pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities detected.
hypertension and shortness of breath.
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Frontal and lateral views of the chest were obtained. Lung volumes are low, exaggerating heart size and bronchovascular markings. Streaky opacities in the left lower lung suggest minor atelectasis. Lungs are otherwise clear without focal consolidation. There is no evidence of pneumothorax. Cardiomediastinal contours are normal. There is slight calcification of the aortic knob. Osseous structures are unremarkable. No radiopaque foreign bodies.
<unk>-year-old female with one week of productive cough. rule out pneumonia.
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Pa and lateral chest radiographs were obtained. Compared to the prior study in <unk>, the present study is mildly under penetrated. Despite this limitation, there is no definite evidence of new consolidation effusion or pneumothorax. There is mild bibasilar atelectasis. Mild cardiomegaly is unchanged. There are multilevel degenerative changes of the thoracic spine. A safety pin projecting over the lower thoracic spine is likely outside the patient.
left lower extremity weakness.
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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 appear within normal limits.
chest and bilateral rib pain.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear apart from minimal atelectasis in the left lung base. No focal consolidation is identified. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with svt // evidence of pneumonia, cardiomegaly
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There is no significant change compared with the most recent prior radiograph. The lungs are clear. No effusion or pneumothorax is present. There is no evidence of pulmonary vascular congestion. The cardiomediastinal silhouette is normal. The aortic knob is calcified. There is unchanged appearance of s-shaped thoracolumbar scoliosis and upper thoracic vertebral body compression fracture.
cough and decreased breath sounds - please evaluate for fevers, rule out lesion.
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Mild cardiomegaly has been stable compared to exams dating back to <unk>. Redemonstrated is a small hiatal hernia. The hilar and mediastinal contours are normal, without evidence of pneumomediastinum. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is mild left basilar atelectasis. There is no pleural effusion or pneumothorax. There is no subdiaphragmatic free air. An old right <num>th rib fracture is present.
history of gi bleed, recent paraesophageal hernia repair. please evaluate for perforation.
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Two views of the chest demonstrate low lung volumes with resultant bronchovascular crowding and prominence of the cardiomediastinal silhouette. Moderate cardiomegaly is unchanged in is accompanied by pulmonary vascular redistribution. No focal consolidation, pleural effusion, or pneumothorax is identified. There may be mild vascular congestion. The visualized upper abdomen is unremarkable.
chest pain and shortness of breath. evaluate for an acute cardiopulmonary process.
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Patient is status post median sternotomy and tricuspid valve replacement. Moderate enlargement of the cardiac silhouette appears unchanged. The mediastinal and hilar contours are similar, and no pulmonary edema is present. Multifocal peripheral opacities in both lungs, appear improved compared to the previous radiograph, compatible with resolving areas of prior septic emboli. Patchy left basilar opacity may reflect atelectasis. Small bilateral pleural effusions are also demonstrated. No definite pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>f with chest pain
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Moderate severe cardiomegaly is again noted. Enlarged hila and indistinct pulmonary vascular markings are again seen. No definite focal consolidation identified noting that evaluation particularly left lung base is obscured. There may be small bilateral effusions. No acute osseous abnormalities.
<unk>f with sob and cp // r/o acute process
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Relatively low lung volumes persist. Again seen are bilateral interstitial opacities, right greater than left, with a relative peripheral distribution, in keeping with interstitial fibrosis. Findings are without significant interval change since the prior study. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Surgical hardware is partially imaged in the partially imaged cervical spine, image portion is grossly stable in position.
history: <unk>m with abdominal pain, hematuria, chills, diarrhea. // acute cardiopulmonary process?
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Lung volumes remain low. There is mild interstitial edema and pulmonary vascular congestion. No focal consolidation is present. There is moderate cardiomegaly, as before. No pleural effusion or pneumothorax is seen. A left chest aicd is in unchanged positions. Median sternotomy wires and surgical clips are again noted.
<unk>-year-old male with progressive confusion on cognitive decline. evaluate for acute cardiopulmonary process.
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Pa and lateral chest views were obtained with patient in upright position. The heart size is normal. No configurational abnormality is identified. Unremarkable appearance of thoracic aorta. No mediastinal abnormalities are present. 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 the apical area on frontal view. Skeletal structures of the thorax grossly unremarkable. Our records do not include a previous chest examination available for comparison.
<unk>-year-old female patient with shortness of breath, evaluate for pneumonia.
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Right chest wall port again seen with tip in the mid to lower svc. The lungs are clear of focal consolidation, effusion, or edema. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified. Stent partially seen overlying the left upper extremity.
<unk>f with sob pms of ovarian ca // r/o infectious process
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As compared to the previous radiograph, there is unchanged evidence of relatively diffuse and moderately severe fibrotic lung disease. The changes, however, are slightly less dense than on the previous exam. There is no evidence of newly appeared fibrotic foci. A <num>-mm dense left upper lobe nodule was already documented on a ct examination from <unk> (series <num>, image <unk>). No pleural effusions. No cardiomegaly.
cough, rheumatoid changes, fever.
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Frontal and lateral views of the chest demonstrate top normal cardiac size. The mediastinal and hilar contours are within normal limits. Atherosclerotic calcifications are seen in the aortic arch. The lungs are well aerated without pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old female with generalized weakness and history of breast cancer. question acute process.
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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. The bony structures are unremarkable.
severe sharp pain.
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The study is slightly limited by a marked lordotic positioning. The heart size is likely within normal limits. Mediastinal and hilar contours are within normal limits. No focal consolidation, pleural effusion or pneumothorax is identified. There is no pulmonary vascular congestion. The osseous structures are unremarkable.
seizure.
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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.
<unk>-year-old male with dizziness, wheezes on physical exam and t-wave inversion on ekg. evaluate for cardiopulmonary process.
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Pa and lateral chest radiographs. Median sternotomy wires are intact. Mediastinal clips are again noted. Central interstitial opacities are chronic, but compatible with edema. There is no pleural effusion or pneumothorax.
shortness of breath.
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The lungs are clear. The cardiac and mediastinal contours are normal. A right port-a-cath ends in the proximal right atrium.
<unk> year old man with chest pain. evaluate for an acute process.
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. Hilar contours are stable. No pulmonary edema is seen..
history: <unk>m with chest pain and dyspnea // r/o acute process