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The lungs are hyperinflated. The heart size is borderline enlarged. The aorta is diffusely calcified and tortuous, but unchanged. The mediastinal and hilar contours are otherwise unremarkable. Lungs are clear without focal consolidation. Biapical scarring is unchanged. No pleural effusion or pneumothorax is identified. There is no pulmonary vascular congestion. There are no acute osseous abnormalities.
fall.
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As compared to the previous radiograph, bilateral pleural effusions are seen, better appreciated on the lateral than on the frontal radiograph. Unchanged evidence of bilateral areas of atelectasis. Mild cardiomegaly but no pulmonary edema. No pneumonia. Vertebral stabilization devices are in unchanged position.
pain, evaluation for pleural fluid or rib fracture.
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The lungs are well expanded and clear. The heart size is normal. There is no pleural abnormality. The hilar and mediastinal silhouettes are unremarkable.
<unk>f with cough, fevers // r/o infectious process
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Pa and lateral views of the chest. The lungs are clear. There is no effusion or consolidation. The cardiomediastinal silhouette is normal. No acute osseous abnormalities. No free air below the diaphragm.
<unk>-year-old female with nausea and vomiting.
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The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. The hilar and pleural contours are normal.
history: <unk>f with chest pain // eval for ptx
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The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits.
<unk>m with confusion // eval for pnact head: eval for ich
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There is a residual small right pneumothorax and small right pleural effusion. Assessment for change is difficult given the differences in modalites, though no large change in the size is identified. An opacity at the right base likely represents atelectasis and has increased since the initial radiograph. Superimposed infection/aspiration is difficult to exclude. There is minimal left basilar atelectasis. The cardiomediastinal silhouette is normal. The known right rib fractures are better assessed on the prior ct.
known pneumothorax after motor vehicle crash. evaluate for change.
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The lungs are hyperinflated. There is no pneumothorax. Bilateral effusions are small. Retrocardiac opacity correlates with postoperative changes seen on concurrent cta chest. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>m with history of pancreatic ca and <num> day of left sided chest pain // eval for chf/pneumonia
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Heart size is normal. Left hilar contour is normal. Compared to radiograph dated <unk> there is increasing fullness of the right hilus with increased rounded densities along the minor fissure as well as increased right medial lung base peribronchial opacities with bronchial wall thickening and bronchiectasis. Compared to the pet-ct from <unk>, these findings all appear to be present, however, are worse on today's exam. Left lung is essentially clear. There is no pleural effusion or pneumothorax.
non-small cell lung cancer presenting with cough and sputum for three days.
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Cardiomediastinal silhouette is normal. The lungs are clear. The hila and pleura are normal. No soft tissue injuries are seen. Aside from chronic degenerative changes no obvious osseous abnormalities are seen.
<unk> year old woman s/p mva <num> weeks ago and fall yesterday, with left upper chest wall/clavicle pain worse with inspiration // evaluate for rib/clavicle fracture
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Lung volumes are slightly decreased. Streaky in bibasilar atelectasis is more notable on the left. There is a small left effusion. There is no evidence of focal consolidation,pneumothorax, or pulmonary edema. Allowing for patient rotation, the cardiomediastinal silhouette is within normal limits. A moderate hiatal hernia is noted.
<unk>m postop from prostate procedure w/ high fever // eval ? infiltrate
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The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Heart size is at the upper limits of normal. No chf, focal infiltrate, effusion, or pneumothorax detected. . No displaced rib fracture is identified on these lung technique films.
history: <unk>f with left sided chest pain // <num> days of left sided chest pain
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Heart size is mildly enlarged. Rounded opacity at the right cardiophrenic angle could reflect a prominent epicardial fat pad. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated.
chest pain after fall.
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Slight prominence of the hilar bronchial markings may represent a mild degree of peribronchial inflammation. No focal consolidation, pleural effusion, or pneumothorax.
persistent cough.
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Moderately severe pulmonary edema is accompanied by a small right pleural effusion. There is no consolidation, large pleural effusion or pneumothorax. Cardiomegaly is severe. Sternal wire disruption and displacement are consistent with known sternal dehiscence,unchanged since <unk>. There is a large air-fluid level in the stomach.
<unk>-year-old male with dyspnea and lower extremity edema. evaluate for pneumonia and pleural effusions.
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As compared to the previous radiograph, there is unchanged appearance of the known combined lingular and left upper lobe atelectasis. No newly occurred abnormalities. Unchanged normal right hemithorax.
status post bronchoscopy, evaluation for interval change.
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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.
<unk> year old man with alcoholic hepatitis, coming in with gi bleeding
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No evidence of pulmonary nodules or focal opacities concerning for metastatic disease. The lung fields are well inflated and clear bilaterally with no pleural effusion or evidence of pneumothorax. The heart size is normal. The mediastinum is normal. Pleural surfaces are unremarkable.
melanoma. study to evaluate for possible metastatic processes.
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A left subclavian port-a-cath terminates near the cavoatrial junction. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
cough. question pneumonia.
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The lungs are clear of focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with chest pain // cardiopulm process?
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Very shallow inspiration accentuates heart size, pulmonary vascularity. There is component of atelectasis and volume loss in the left chest. Bilateral perihilar, left basilar opacities may represent edema, atelectasis, consider pneumonitis in the appropriate clinical setting, particularly on the left. Cardiac pacemaker in place. Postoperative changes in the cervical spine with hardware in place.
<unk> year old woman with fever and occasional cough. // evaluate for consolidation.
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Frontal and lateral views of the chest demonstrate hyperexpanded lungs. There is no pleural effusion, focal consolidation or pneumothorax. There are ill-defined opacities in the right upper lobe and right perihilar region, which are new since prior. Heart size is normal. There is no pulmonary edema. Surgical clips project over upper mid abdomen. Partially imaged upper abdomen is unremarkable.
confusion.
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The lungs are hyperinflated. There are no focal opacities suggestive of pneumonia. Cavitary lesion with adjacent scarring is seen in the right upper lobe periphery, unchanged from <unk>. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Mild pectus excavatum is redemonstrated.
<unk>-year-old female with chest pain. evaluate for pneumonia.
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The lungs are hyperexpanded with changing appearance of right lower lobe opacification and focal nodular opacity at the level of the diaphragm. Mediastinal contours, hilar, and cardiac borders are normal. No pleural effusion or pneumothorax.
<unk> year old woman with emphysema and prior pneumonias, including one in <unk> // f/u film to assess for complete resolution
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Lung volumes are low. The heart size is borderline enlarged. The mediastinal and hilar contours are grossly unremarkable. The pulmonary vasculature is not engorged. Minimal atelectasis is noted in the left lower lobe. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>f with acute kidney injury, weakness status post tace
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Heart size is top normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax. Compression deformity of a lower thoracic vertebral body is unchanged.
esrd with no hemodialysis in six days presenting with swelling. evaluate for edema.
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Pa and lateral chest radiographs were obtained. Lung volumes are slightly low. There is increased interstitial markings, similar to the prior study from <unk>. There is no focal consolidation, large pleural effusion, or pneumothorax. Mild cardiomegaly is unchanged.
<unk> old male with dyspnea.
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Mild to moderate enlargement of the cardiac silhouette is unchanged. The mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Small bilateral pleural effusions are not substantially changed in the interval. There is minimal associated atelectasis in the lung bases without focal consolidation. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormalities seen.
history: <unk>f with asthma, recent chest radiograph with effusions, dyspnea on exertion, chest heaviness
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The lungs are hyperinflated but clear. There is no consolidation or pneumothorax. The cardiomediastinal silhouette is within normal limits. Multilevel thoracic and lumbar vertebroplasty changes are noted. Mild height loss of mid thoracic vertebral bodies are age indeterminate. Chronic left lateral rib fractures are noted. There is no visualized acute displaced fracture.
<unk>f with <unk> swelling and rib pain // eval pulm edema, rib fxs
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Cardiomediastinal silhouette is normal. Linear bibasilar opacity is most consistent with atelectasis. Possible nondisplaced fracture of the anterolateral left sixth rib. No pneumothorax or pleural effusion.
<unk>-year-old man with pain after fall evaluate for left-sided rib fracture.
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Mild to moderate enlargement of the cardiac silhouette is re- demonstrated. The mediastinal and hilar contours are unchanged with chronic elevation of the left hemidiaphragm. Hilar contours are normal, and pulmonary vasculature is not engorged. Linear opacities at the lung bases likely reflect atelectasis and/ or scarring without focal consolidation. Hyperinflation of the lungs persists, suggestive of copd. Blunting of the left hemidiaphragm posteriorly suggests a small left pleural effusion, new in the interval. There are moderate degenerative changes noted throughout the thoracic spine.
history: <unk>m with confusion
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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 sob // ? infectious process
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Lungs are hyperexpanded with flattening of the diaphragm, compatible with copd. Bibasilar atelectasis is noted. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The heart size is difficult to assess due to bibasilar atelectasis, but appears unchanged since prior exam. The mediastinal and hilar contours are normal.
history: <unk>m with cough and chest pain // ?pneumonia
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Cardiac silhouette is enlarged but stable from prior exam. There is bibasilar atelectasis and a small left pleural effusion which is only seen on the lateral. There is no definite focal consolidation or pneumothorax. The osseous structures are unremarkable.
<unk>-year-old woman with fever, question pneumonia.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Atherosclerotic calcifications are noted in the aortic arch. Again seen is a chronic deformity in the right lateral sixth rib, unchanged from the prior radiograph. No acute fractures are identified.
fall.
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. Tortuous ascending aorta contour is unchanged.
history: <unk>f with fall, woke up on floor // r/o c spine fracture, chest trauma, intracranial hemorrhage
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The lungs are grossly clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with dyspnea // eval for ll collapse, pna
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A left-sided pacemaker is again seen with leads terminating in the right atrium and right ventricle, expected location. The cardiac silhouette is mildly enlarged. There are new increased retrocardiac and right lung base opacities, worse on the left. There is pulmonary vascular congestion. There are stable left costophrenic sulcus changes likely due to scarring and pleural thickening. There are however, probable new bilateral pleural effusions. There is no pneumothorax. Surgical clips are seen in the right upper quadrant.
<num>lb weight loss and vomiting. evaluate for infiltrate.
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Lung volumes are mildly decreased, though no focal consolidation, pleural effusion or pneumothorax is seen. There is no pulmonary edema. The heart and mediastinal contours are within normal limits.
<unk>-year-old female with chest pain. evaluate for acute process.
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A port-a-cath terminates at the cavoatrial junction. The heart is normal in size. The mediastinal and hilar contours appear stable. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.
recent chemotherapy with dry cough and upper mid back pain. history of lymphoma.
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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. A lap band is noted in the upper abdomen.
<unk>f with sob // fluid or consolidation?
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No significant interval change since the prior study. Patient is status post median sternotomy. Single lead left-sided aicd is stable in position, with lead extending to the expected position of the right ventricle. Right paratracheal opacity without mass effect on the trachea is stable. Prominence of the perihilar vasculature is stable.
history: <unk>m with malaise // eval heart and lungs
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Heart size is normal. Calcification of the aortic knob is again noted. Right hilar calcified lymph node is again seen. There is no pneumothorax. There is a new small right pleural effusion. Blunting of the left costophrenic angle may also reflect a small effusion or pleural thickening. The lungs are well expanded and clear without focal consolidation.
<unk>f with cll w b-cell lymphoma pw fever, query presence of infiltrate
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The heart size is normal. The mediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old female with cough and fever.
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The lungs are clear. There is no effusion, consolidation, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with c/o left thoracic pain // any acute process
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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 chest pain.
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There is no pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. Heart is normal size. There is no pulmonary edema. The mediastinal and hilar contours are unremarkable. There are mild degenerative changes of the thoracic spine, marked by loss in disk space height.
new cough, wheezing and fever. evaluate for pneumonia.
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The heart size and mediastinal contours are within normal limits. The lungs are clear of consolidations, cavitary masses or abnormal calcifications. There is no pleural effusion. The visualized portion of the spine appears normal.
<unk>-year-old female with positive ppd, but negative quantiferon test.
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The lungs are well inflated and clear. The heart is mildly enlarged. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation worrisome for pneumonia. Multilevel degenerative changes are present in the thoracic spine.
history: <unk>f with lightheadedness, headache, r gait deviation. infiltrate?
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal. <num> mm calcified nodule in the right middle lobe likely reflects a granuloma. Lungs are otherwise clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized.
fever.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with chest pain
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Normal lung volumes. Status post sternotomy. Left pectoral pacemaker in correct position. No pleural effusions. Normal appearance of the lung parenchyma without evidence of lung fibrosis. No pulmonary edema. Minimal bilateral apical thickening.
baseline chest x-ray before amiodarone.
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There is persistent elevation of the left hemidiaphragm. The hilar and mediastinal contour is slightly exaggerated due to the ap technique. There are low lung volumes. There is bibasilar atelectasis as well as evidence of pleural plaques. No pleural effusions or pneumothoraces are identified. No new focal consolidations concerning for infection are identified.
history of shortness of breath.
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Relatively low lung volumes are noted. Streaky retrocardiac opacity is noted, potentially atelectasis. Median sternotomy wires are identified. Cervical and lumbar spine fixation hardware is partially imaged. No acute osseous abnormalities.
<unk>f with pneumonia seen on osh cxr // eval for infiltrate
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Previously suggested cavitary lesion in the left lower chest is not apparent today. Left basilar consolidation has improved. Stable bilateral perihilar infiltrates. Mildly worsened infiltrate in the right lung base, with increasing consolidation. There are small bilateral pleural effusions. Asymmetric right apical pleural thickening, stable since <unk>, no adjacent rib destruction. Heart size is at the upper limits of normal. Normal pulmonary vascularity. Chronic ununited fracture of the right clavicle.
<unk> year old man with aspiration pneumonia, ?cavitary lesion // evaluate for interval changes
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Right chest tube is unchanged with tip in right upper lung. Stable bilateral pleural effusions, moderate sized on right and small on left. Irregular calcified density projecting over the right lower lobe is in the right breast as seen on ct from <unk>. Stable irregular opacity in the right mid lung may be soft tissue in etiology. Left lung is clear. No pneumothorax. Heart size is top normal with normal mediastinal contour. No bony abnormality.
female with pleural effusion.
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Elevation of the hemidiaphragms is likely due to large volume ascites. Lung volumes are low with bibasilar atelectasis. Blunting of the costophrenic angles is similar to prior and consistent with small pleural effusions. No focal consolidation or pneumothorax.
chest pain and shortness of breath.
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As compared to the previous radiograph, there is no relevant change. Known peribronchial fibrotic changes in the left and right lower lobes, adjacent to the major fissures and projecting over the retrocardiac space. No newly appeared changes. Normal lung volumes. Normal appearance of the cardiac silhouette.
productive cough, hemoptysis, history of cardiac disease.
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The heart size is top-normal, but stable. The lungs are clear and well inflated. There is no consolidation or pleural effusion. No pneumothorax. Osseous structures are intact.
history: <unk>m with chest/shoulder pain // eval for consolidation, pulmonary edema
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. A subtle linear opacity at the base of the left lung seen on the frontal view may reflect some minimal linear atelectasis. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>f with central chest pain and pressure. // ?pneumonia
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As compared to the previous radiograph, no relevant change is seen in appearance of the postoperative right basal hemithorax. The postoperative opacities, combined to pleural effusion and pleural thickening, are unchanged. No change in appearance of the cardiac silhouette and of the left lung.
liver injury.
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Left-sided pacemaker device is re- demonstrated with lead terminating in right ventricle. Heart size remains moderately enlarged. The aorta is unfolded and diffusely calcified, similar compared to the prior exam. No overt pulmonary edema is present. Increased interstitial markings within the lung bases may reflect atelectasis. No focal consolidation is noted. No definite pleural effusion or pneumothorax is seen. No acute osseous abnormality is detected.
chest pain.
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Severe cardiomegaly is unchanged. Given lack of vascular prominence heart disease is likely confined to cardiomyopathy versus a pericardial effusion. The upper mediastinal silhouette is normal. No focal consolidations, pleural effusions, or pulmonary edema are seen. Of note a right port-a-cath is seen with the tip terminating in the jugular vein.
<unk> yo man with multiple myeloma, undergoing chemotherapy, with new uri/fever, cough. evaluate for pneumonia/lung infection // <unk> yo man with multiple myeloma, undergoing chemotherapy, with new uri/fever, cough. evaluate for pneumonia/lung infection
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The heart size is mildly enlarged. Upper mediastinal contours are unremarkable. Lung volumes are low with minimal bibasilar atelectasis. Lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax.
history: <unk>f with chest pain, now resolved. // please evaluate for cardiomegaly, effusion, other intrathoracic process.
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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 cough // assess for pna
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Descending thoracic aorta is tortuous. No acute osseous abnormalities identified.
<unk>m with fever, body aches // infection
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Pa and lateral views of the chest provided. Left chest wall aicd is again seen with leads extending into the right atrium and right ventricle. The heart is moderately enlarged. Hila appearing or urged. There is no overt pulmonary edema. No large effusion or pneumothorax. No focal consolidation concerning for pneumonia. The mediastinal contour is stable. Bony structures are intact. No free air below the right hemidiaphragm seen.
<unk>m p/w weakness, difficulty ambulating, hx chb s/p pacemaker
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Frontal and lateral views of the chest demonstrate hyperinflated lungs, there is no pleural effusion, focal consolidation or pneumothorax. Heart remains moderately enlarged. There is no pulmonary edema. Aortic arch calcifications are noted. The aorta appears tortuous. The pacemaker lead is in place.
shortness of breath, assess for pneumonia.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen. No displaced fracture is seen.
chest pain and shortness of breath.
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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. In particular, there is no displaced rib fracture identified. No free air below the right hemidiaphragm is seen.
<unk>f with trauma, left rib tenderness <unk>th ribs, bony tenderness to c-spine
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. Subsegmental atelectasis is noted within the right lung base. Minimal blunting of the right costophrenic angle may suggest a trace pleural effusion or scarring. Left lung is clear. No left-sided pleural effusion is present. There is no pneumothorax. There are mild degenerative changes in the thoracic spine.
fever, night sweats, myalgia and new atrial fibrillation.
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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. Surgical clips seen in the mid upper abdomen.
<unk>m with chest pain // r/o pna or chf
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There streaky retrocardiac opacity which is similar compared to prior. There is also the subtle increased opacity projecting in the retrocardiac region on the lateral view. Elsewhere, lungs are clear. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>f with productive cough // rule out infiltrate
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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.
cough and mellitus.
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Frontal and lateral views of the chest were obtained. Nasogastric tube is looped several times within the stomach. Cholecystectomy clips in the right upper quadrant are unchanged. Lung volumes are extremely low, exaggerating bronchovascular markings. Diffuse heterogeneous parenchymal opacities are consistent with pulmonary edema. There is bilateral lower lung atelectasis and a small right pleural effusion. Heart size and cardiomediastinal contours are stable.
<unk>-year-old female with nasogastric tube for tube feeds from outside hospital. evaluate ng tube position.
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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.
chest pain. assess for pneumonia.
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Chest pa and lateral radiograph demonstrates dense opacification of the right middle and lower lobe suggesting pneumonia on a background of mild pulmonary edema. Minimally increased retrocardiac opacification likely represents atelectasis. No pleural effusion or pneumothorax evident. Mediastinal and hilar contours are unremarkable. Stable moderate cardiomegaly evident. No pleural effusion or pneumothorax.
fever, cough. please evaluate for acute process.
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Again seen is a large complex hiatal hernia containing loops of bowel with what is thought to be prominent air-filled loops of colon. There is stable mild cardiomegaly. Old healed right lateral rib fractures are again seen. No acute rib fractures are identified. No focal consolidations concerning for infection is identified. No large pleural effusion is seen. There is no pneumothorax.
history of fall. please evaluate for rib fractures.
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The cardiac, mediastinal and hilar contours appear stable including borderline cardiomegaly. There is no pleural effusion or pneumothorax. The lungs appear clear.
weight loss and fatigue.
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Blunting of the costophrenic angles, right greater than left, suggest small pleural effusions. No definite focal consolidation is seen. There is no pulmonary edema. No pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Left-sided port-a-cath terminates in the mid svc.
history: <unk>m with pancreatic ca, dyspnea on exertion // ? effusions, chf
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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion or pneumothorax.
a <unk>-year-old man with history of smoking and delayed gastric emptying. please assess for consolidation.
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Significant decrease in bilateral interstitial pulmonary abnormality compared to <unk>. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Patient has history of tavr.
<unk> year old woman with pulmonary infiltrates, peripheral eosinophilia, and elevated muscle enzymes, all in setting of plavix and lipitor - both of which stopped and steroids started // any improvement in cxr on prednisone for <num> wks?
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Two views of the chest demonstrate clear lungs without pleural effusion or pneumothorax. The cardiac silhouette is normal in size, the mediastinal contours are normal. There is no radiopaque foreign body seen. The pulmonary vasculature is normal. Lungs are mildly hyperinflated.
<unk>-year-old male with sensation of obstruction in throat. please assess for radiopaque foreign body.
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Assessment is limited as the patient is rotated. The patient is status post median sternotomy, cabg, and aortic valve replacement. Moderate enlargement of the cardiac silhouette is unchanged. The aorta is tortuous and diffusely calcified. Pulmonary vasculature is not engorged. Elevation of the right hemidiaphragm is chronic with associated right basilar atelectasis. Subsegmental atelectasis is also noted in the left lung base. Lungs remain hyperinflated. No focal consolidation, pleural effusion pneumothorax is clearly present. Diffuse demineralization of the osseous structures is visualized. Clips are seen in the right upper quadrant of the abdomen. S-shaped scoliosis of the thoracolumbar spine is re- demonstrated with probable stent graft in the abdominal aorta, incompletely assessed.
history: <unk>f with cough
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A single-lead pacemaker is unchanged in position, with the lead terminating in the right ventricle. The cardiac silhouette is normal in size. The mediastinal and hilar contours are stable with mild tortuosity of the descending thoracic aorta. The lungs are clear aside from unchanged left basilar atelectasis or scarring. No focal consolidation, pleural effusion, or pneumothorax is seen. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. Degenerative changes of the thoracic spine are similar in appearance to the prior study.
chest pain, here to evaluate for acute cardiopulmonary process.
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Interval removal of right ij central venous catheter. The sternotomy wires are intact without evidence of dehiscence. Moderate left pleural effusion is unchanged. No pleural effusion on the right. Bilateral lower lobe atelectasis is stable. The lungs are otherwise clear. Cardiomediastinal silhouette is unchanged.
<unk> year old man s/p cabg // predischarge eval
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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 three weeks of cough. evaluate for pneumonia.
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Mild, slightly worsening cardiomegaly and mild vascular congestion. Small-to-moderate left pleural effusion, and left basilar opacity, unchanged since <unk>.
<unk>-year-old woman with pleuritic chest pain and fever.
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Both on the left and on the right, areas of lateral pleural thickening, adjacent to the ribs are seen. In addition, on the left, at the lateral aspect of the seventh rib, a focal soft-tissue swelling is seen. This could be an indirect sign for the presence of a rib fracture. Rib fractures, however, should better be evaluated on dedicated rib series. There is no pneumothorax and no pleural effusion. Minimal atelectasis at both lung bases. Normal size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta. Post-surgical material in the right humeral head.
multiple myeloma, new pain in the left rib area, rule out rib fracture.
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There are relatively low lung volumes. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There is mild prominence of the hila which may be due to low lung volumes and mild pulmonary vascular engorgement without overt pulmonary edema. The cardiac silhouette is not enlarged. The mediastinal contours are unremarkable.
chest pain.
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Cardiac silhouette size is borderline enlarged. Mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. Minimal streaky opacities are noted in the lung bases, potentially atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
history: <unk>f with chest and back pain, postop day <num> from umbilical hernia repair
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As before, the patient is status post midline sternotomy. Fractures through the two superior-most sternotomy wires are not significantly changed. There is minimal left lower lung scarring/atelectasis, as before. There is minimal right mid lung scarring. There are no definite pleural effusions. No pneumothorax is seen. The heart size is top normal, slightly increased compared to the prior study from <unk>. The mediastinal contours are normal.
chest pain. assess for pneumonia.
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. Hyperexpansion of the lungs with flattening of the hemidiaphragms is consistent with chronic pulmonary disease. However, no acute focal pneumonia or vascular congestion.
right basilar rales and fever, to assess for pneumonia.
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The cardiac, mediastinal and hilar contours are normal. Lungs are hyperinflated with flattened diaphragms suggesting copd. Previous lingula opacity is unchanged since <unk>. The left costophrenic angle has been chronically blunted and unchanged since <unk>. Lungs are otherwise clear.
<unk>-year-old man with recent fever, cough. bibasilar rales. improvement of antibiotic treatment. rule out infiltrate.
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The heart is top-normal in size. Normal mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax.
<unk>f with chest pain shortness of breath // eval for pna
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No previous images. The heart is normal in size and the lungs are clear without vascular congestion or pleural effusion.
chest pain.
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Ap and lateral images of the chest. The lungs are well expanded. There is pulmonary vascular engorgement and increased interstitial markings, consistent with mild pulmonary edema. There are tiny bilateral pleural effusions. There is no pneumothorax. The cardiomediastinal silhouette is enlarged.
generalized fatigue.
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Pa and lateral chest radiograph demonstrates subtle right mid to lower lung patchy opacity. Cardiomediastinal and hilar contours are stable when compared to most recent study and within normal limits. There is no pleural effusion or pneumothorax. Visualized osseous structures demonstrates no acute abnormality.
<unk>-year-old male with chest pain.
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Ap upright and lateral views the chest provided. Cardiomegaly noted, unchanged. Mediastinal contour is stable with aortic calcification. Hila are congested and there is mild some pulmonary edema. Opacity in the left mid lung and right lower lung could represent superimposed pneumonia. No large effusion or pneumothorax. Bony structures are intact.
<unk>-year-old woman with esrd on hemodialysis with acute worsening dyspnea. evaluate for pulmonary edema vs. infiltrate.
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There low lung volumes with bronchovascular crowding. Bibasilar opacities are seen which likely reflect atelectasis, but cannot exclude aspiration or pneumonia in the right clinical setting. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>m with hyperglycemia, sob // eval for infx