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As compared to the previous radiograph, there is no relevant change. The lung volumes are normal. Moderate scoliosis. Borderline size of the cardiac silhouette, normal hilar and mediastinal contours. No acute or chronic lung disease. No evidence of sarcoid or lymphoma.
questionable lymphadenopathy.
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Moderate cardiomegaly, mediastinal vascular engorgement, and mild pulmonary edema are increased from the <unk>. Increased left lower lobe opacity projects over the spine concerning for pneumonia less likely combination of atelectasis and trace pleural effusion.
<unk>m h/o esrd <unk> diabetic nephropathy (t<num>dm) on hd s/p ddrt w/ delayed graft fxn now with hacking cough, short of breath with cough // r/o pneumonia, pulmonary edema
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Lungs are fully expanded, clear, and pleural surfaces are normal. The heart size, mediastinal and hilar contours are normal. Mild aortic calcification is noted.
<unk>-year-old female with cough and night sweats. assess for pneumonia.
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As compared <unk>, there are low lung volumes, with worsening bibasal atelectasis and likely small pleural effusions. The remainder of the lungs are clear. The cardiac silhouette is largely obscured. Moderate calcifications of the aortic arch. No pneumothorax.
<unk> year old man s/p laparoscopic cholecystectomy, now with congested cough // assess for pna
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Ap upright and lateral views of the chest provided. Hilar congestion and mild pulmonary edema is noted. No large effusion or pneumothorax. No convincing signs of pneumonia. A calcified granuloma projects over the right upper lung. The cardiomediastinal silhouette appears stable. No acute bony abnormalities.
<unk>m with lightheadedness, nausea, vomiting
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The cardiomediastinal silhouettes are within normal limits. The bilateral hila are normal. Linear opacity at the right lung base is compatible with platelike atelectasis. Otherwise, the lungs are clear without evidence of focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or effusion.
<unk>-year-old man complaining of chest pain, concern for pneumonia.
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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
history: <unk>m with fever and cough // eval for pneumonia
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Evaluation is limited by patient's body habitus. The cardiomediastinal and hilar contours are stable. There is no definite pulmonary vascular congestion. There is no pneumothorax or definite pleural effusion. A prominent pericardial fat pad is present.
worsening dyspnea on exertion. rule out presence of pulmonary edema.
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Frontal and lateral views of the chest demonstrate fully expanded and clear lungs. The cardiomediastinal and hilar contours are normal. There is no pneumothorax or pleural effusion. Pleural surfaces are unremarkable.
chest pain.
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The lungs are well expanded. There is biapical scarring but no focal parenchyma opacity concerning for pneumonia. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or penumothorax. No rib fracture is identified.
<unk> y/o male with subcostal left anterior subcostal pain.
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Frontal and lateral views of the chest. The lungs are clear of consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. The descending thoracic aorta is tortuous with atherosclerotic calcifications. No displaced rib fractures identified. Degenerative changes seen at the shoulders.
<unk>-year-old female with fall. question rib fracture.
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Frontal and lateral chest radiographs demonstrate a left chest wall pacer with the leads projecting over the right atrium and ventricle. The cardiomediastinal silhouette remains mildly enlarged. There is again mild vascular congestion. No focal consolidation, pleural effusion, or pneumothorax is identified.
chest pain.
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The heart is normal in size. Re- demonstrated is a right peritracheal and bilateral hilar soft tissue densities consistent with adenopathy associated with the patient's known sarcoidosis. Compared to chest radiograph on <unk>, the adenopathy appears stable. Lung volumes are slightly low. There is no pleural effusion or pneumothorax. There is subtle pulmonary opacity involving the mid right lung as well as increased density over the lower thoracic spine seen on the lateral view without a definite correlate on the frontal view.
history: <unk>f with cough // eval for pna
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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. There are degenerative changes of some mid thoracic vertebral bodies.
history: <unk>m with neck carcinoma recently completed chemoradiation therapy with cisplatin. now with nausea and vomiting. evaluate for pneumonia.
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.
productive cough, fevers and chills.
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On the aforementioned comparison, the patient was noted to have an opacity at the left lung base for which dedicated chest x-ray was recommend. Again seen on lateral, is a heterogenous opacity overlying anterior lower thoracic spine. There was a left mild pleural effusion seen on <unk> radiograph but has since resolved. The descending aorta is ectatic. The heart size is normal.
<unk> year old man with ll base opacity on l-s spine films , please evaluate left lung base opacity
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The lungs are slightly hyperinflated, but otherwise clear. There is no pleural effusion, pneumothorax, pulmonary edema, or focal consolidation concerning for pneumonia. The cardiomediastinal silhouette is stable.
<unk>f with hx of stroke with concern for ? tia. needs infectious workup // eval for pneumonia
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. There is no pulmonary edema.
<unk>f with exertional chest tightness, evaluate for to edema or pneumonia.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with acute onset r sided back/chest pain and then l sided arm paresthesias // chest pain, screening for dissection.
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Frontal and lateral views of the chest. Bibasilar opacities have slightly improved since the prior exam. Small residual effusions are similar to prior. Previously seen pulmonary edema has resolved. No new consolidation. Heart size and mediastinal contours are stable.
shortness of breath.
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The lung volumes are low. There is both left and right basal atelectasis. Moreover, an area of band-like opacities has newly appeared in the right upper lobe. Given lower lung volumes, the hilar structures appear slightly larger than on the previous image. Minimal pneumoperitoneum of the laparoscopy, as manifested by some amount of infradiaphragmatic air. Normal size of the cardiac silhouette. No pneumothorax. No pulmonary edema.
postoperative day <num> after laparoscopy, desaturation. evaluation.
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Pa and lateral views of the chest. There is subtle opacity at the left costophrenic angle with opacity also projecting in the posterior costophrenic sulcus on the lateral view. Elsewhere, the lungs are clear. Note is made of a fat pad at the right cardiophrenic angle similar to prior ct scan. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with dyspnea and fever.
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There are low lung volumes. There has been interval removal of a right-sided picc. The cardiac and mediastinal silhouettes are stable. Minimal to no vascular congestion is seen. There is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with sob and hx of chf with wt gain // eval chf
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Lung volumes are low which results in crowding of the bronchovascular structures. There is no focal consolidation, pleural effusion or pneumothorax. A calcified granuloma seen in the right upper lung is unchanged in size from <unk>. The heart is top normal. There is no evidence of pulmonary edema.
<unk>m with etoh abuse, hep c, cirrhosis, worsening <unk> swelling // eval for pulm edema, cardiomegaly
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Frontal and lateral radiographs of the chest demonstrate normal heart size. The cardiomediastinal silhouette and hilar contours are normal. Clear lungs. No pleural effusion or pneumothorax.
chills, fatigue, history of diabetes. evaluate for acute cardiopulmonary disease
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Left chest wall triple lead pacing device is again noted as well as a prosthetic valve. Cardiac silhouette is slightly enlarged as on prior. Lungs are clear without consolidation, effusion, or edema. Hypertrophic changes are noted in the spine.
<unk>m with hx chf p/w dyspnea for <num> days // assess for pneumonia, fluid overload
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. There is no evidence of pulmonary edema.
history: <unk>m with burning chest pain without shortness of breath // acute cardiopulmonary process
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Heart size is mild to moderately enlarged, increased compared to the previous exam. The aorta is slightly unfolded. The mediastinal and hilar contours are unchanged. Consolidative opacity in the right lower lobe is new and concerning for pneumonia. Pulmonary vasculature is not engorged. No pleural effusion or pneumothorax is seen. Moderate multilevel degenerative changes are noted in the thoracic spine.
history: <unk>m with fever, cough
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Chest, pa and lateral radiograph demonstrates top normal heart size. The aorta is calcifiedthere is prominence of the pulmonary vasculature, suggestiong with mild volume overload and there is mild interstitial edema. There is a trace right pleural effusion. Multilevel degenerative changes are seen along the spine.
question stroke or pneumonia or chf.
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Sternal wires are in situ. Moderate cardiomegaly with tortuosity of the thoracic aorta without evidence of pulmonary edema or pneumonia. No pleural effusions. Minimal atelectasis at the right lung base, in the posterior lung regions, better appreciated on the lateral than on the frontal radiograph. No pneumothorax.
preoperative evaluation.
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Bibasilar linear densities likely represent atelectasis. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart size is top normal. The aorta is tortuous. Anterior wedging of a vertebral body at the thoraco-lumbar junction appears similar compared to ct from <unk>.
<unk>-year-old female with cough and congestion.
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. Lungs are mildly hyperinflated. There is no pleural effusion, pneumothorax, or pulmonary edema. There is no air under the right hemidiaphragm. A biliary stent is present and projects over the right upper quadrant.
history: <unk>f with recent ercp, ruq abd pain. concern for perforation, bile leak. //
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As compared to the previous radiograph, the most important change is a newly appeared small lateral right pleural effusion. This effusion can be noncharacteristic, but can also be an indicator for either lung diseases invisible on the chest film or right upper quadrant diseases. For example, unilateral small pleural effusions can be indicative for pulmonary embolism. According to the clinical situation of the patient, further evaluation by ct should be strongly considered. Right port-a-cath. No evidence of pneumonia. Normal size of the cardiac silhouette. No hilar or mediastinal abnormalities. The referring physician, <unk>. <unk>, was paged for notification at the time of dictation, <time> p.m. On <unk>.
right upper quadrant pain, assessment for pneumonia.
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Heart size is normal. The mediastinal and hilar contours are normal. Aorta is tortuous. The pulmonary vasculature is normal. No focal consolidation, pleural effusion, or pneumothorax. T<num> kyphoplasty and previous compression fracture of l<num> are again seen. Central venous catheter tip is approximately at the cavoatrial junction.
<unk> year old woman with relapsed multiple myeloma. rll crackles/rhonchi. r/o infiltrate
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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 sob
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The cardiac silhouette remains moderately enlarged. Mediastinal contours are stable. Small bilateral pleural effusions are seen posteriorly. Mild pulmonary vascular congestion persists. There is mild left base atelectasis without definite focal consolidation. No pneumothorax is seen. Partially imaged cervical spine hardware re- demonstrated.
history: <unk>m with chest pain and shortness of breath // ? acute cardiopulmonary process
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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 mildly enlarged with tortuous aortic contour. Multiple contours along the left heart border are seen, the medial most of which is of uncertain significance.
chest pain and abnormal labs. assess for pneumonia.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
<unk> year old man cirrhosis and sclerosing cholangitis (psc) // new liver tansplant evaluation. please assess for any cardiopulmonary abnormalities
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No focal consolidation or pneumothorax is detected. Heart and mediastinal contours are stable with aortic tortuosity. Trace unilateral pleural effusion, probably on the left but evident on lateral view only, is new compared to prior.
<unk>-year-old female with fever and cough.
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There is improved aeration at the right lung base. No residual focal consolidation concerning for pneumonia is seen. There is no pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are within normal limits and unchanged. There is anterior wedging of several mid thoracic vertebral bodies and multilevel degenerative change in the thoracic spine.
right lower lobe pneumonia diagnosed in <unk>, here to evaluate for interval resolution of pneumonia.
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The heart is borderline in size. The aorta is mild to moderately tortuous. A smooth convexity to the right upper lateral mediastinum is most commonly due to tortuosity of the great vessels. The lungs appear clear. There is no pleural effusion or pneumothorax. Air beneath the medial left hemidiaphragm is probably due to gastric air, but in addition, there are distended loops of small bowel that are partly visualized in the left upper quadrant that are nonspecific and not entirely evaluated. The partly visualized left shoulder shows a substantial degenerative change. Mild degenerative changes affect the thoracic spine.
chest pain and shortness of breath.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk>m with likely acute leukemia, weakness. evaluate for mass or pneumonia.
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Right-sided port-a-cath tip terminates in proximal right atrium, unchanged. Cardiac silhouette size is top normal. The mediastinal and hilar contours are similar with prominence of the pulmonary arteries as seen previously suggestive of underlying pulmonary arterial hypertension. Lungs are hyperinflated with emphysematous changes again noted in the upper lobes. Small left pleural effusion is noted. There is no pneumothorax. Remote left-sided rib fractures are re- demonstrated.
history: <unk>m with pleuritic chest pain, fevers
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Heart size is normal. The mediastinal and hilar contours are remarkable for a right cardiophrenic angle opacity corresponding to a large pericardial fat pad on prior chest ct of <unk>. . The pulmonary vasculature is normal. Lungs are clear. Attenuation of upper lobe vessels is consistent with known emphysema as demonstrated on prior chest ct. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with cough // rule out infiltrate
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There is a moderate right pneumothorax, stable in comparison to prior study from the day before. Otherwise, the left lung appears well expanded. There are no focal consolidations. The cardiomediastinal silhouette is normal with no significant leftward shift. There is mild left diaphragmatic depression. Osseous structures are grossly normal.
evaluation of the patient with pneumothorax for interval change.
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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 fracture is seen.
central substernal chest pain.
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There is a persistent opacity at the left base, similar to the prior exam. This likely represents a pneumonia, and less likely reexpansion edema given that it has now persisted for two days. There is a small residual left pleural effusion, which is not significantly changed since one day ago. Overall, the volume of fluid is significantly decreased since the patient's initial presentation. There is a new tiny left apical pneumothorax. The right lung is clear. A tiny right pleural effusion is unchanged. There is no right pneumothorax. The cardiomediastinal silhouette is normal.
status post drainage of a left parapneumonic effusion. an <num> chest tube was removed yesterday evening. evaluate for reaccumulation.
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There is no cavitary lesion, granuloma, focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk> year old man with s/p liver transplant // please assess for active or latent pulmonary tuberculosis. x-ray is screening procedure for liver fibrosis study. please <unk> to <unk> number <unk>
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The cardiac, mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear. The pulmonary vasculature is within normal limits.
chest pain.
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The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. There is no pleural effusion or pneumothorax. Mild anterior wedging of a mid thoracic vertebral body is better evaluated on concurrent t-spine radiograph.
status post mvc with t-spine tenderness. evaluate for pneumothorax.
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There has not been significant interval change from <unk>. Lung volumes are low. The cardiac silhouette is stable in size. No focal consolidation, pleural effusion or pneumothorax is seen.
<unk> year old man with syncope and chest pain. evaluate for acute process.
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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. No subdiaphragmatic free air or radiopaque foreign body is identified.
history: <unk>m with epigastric pain status post eating spare rib
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. The lungs are fairly well aerated, with persistent mild left base atelectasis. No appreciable pleural effusion is seen. There is no pneumothorax. The visualized upper abdomen is unremarkable. The left hemidiaphragm is elevated, as before.
intermittent chest pain x<num> week and syncopal episode, in a patient with a history of parapneumonic effusion.
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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 fever // r/p pna
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Ap upright and lateral views of the chest provided. Lung volumes are markedly low which limits evaluation. Allowing for this, the lungs are clear. No signs of pneumonia or edema. Heart size cannot be assessed. Mediastinal contour is normal. Bony structures are intact.
<unk>f with fever // acute process
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The heart is enlarged. There is gas in either stomach or bowel portion of the left hemidiaphragm, which is similar in appearance to the prior study. There is a small effusion on the left side. There is no evidence of pneumonia or pulmonary edema. There is no pneumothorax. Mediastinal contours are grossly normal.
diastolic chf. evaluation for 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 no past medical history presenting with <num> days of dysphagia more to solids than liquids.
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Subtle patchy right base opacity may be due to atelectasis or aspiration. No pleural effusion is seen. The cardiac silhouette is top-normal. The aorta is calcified. No pneumothorax is seen.
history: <unk>f with multiple falls, shoulder pain. // fracture?
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When compared to prior, there has been interval progression the degree of pulmonary vascular congestion. There is blunting of the posterior costophrenic angles suggesting small effusions. Enlarged cardiac silhouette is similar to prior
<unk>m with hypoxia // pulmonary edema?
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is minimal atelectasis in the right middle lobe, as before. Otherwise, the lungs appear clear. A central venous catheter has been removed.
fever and tachycardia.
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There has been no significant interval change since <unk>. Diffuse interstitial opacities are consistent with underlying fibrotic lung disease, better demonstrated on prior cross-sectional imaging. No new consolidation to suggest pneumonia. There is no pleural effusion or pneumothorax. Moderate cardiomegaly is stable. Mediastinal widening is likely due to known lymphadenopathy, better demonstrated on the prior chest cta dated <unk>. Slight asymmetry in the breast tissue.
<unk> year old woman with pulmonary htn // pre vq scan baseline
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Frontal and lateral views of the chest demonstrate subtle increase in radiodensity in the right upper and lower lobes, since <unk>, in regions of ground-glass opacity on chest ct from <unk>. There is no focal consolidation to suggest pneumonia. There is no evidence of pulmonary edema. Cardiomediastinal and hilar contours are normal. There is no pneumothorax.
history of inflammatory bowel disease with new cough, purulent sputum, wheezing, sob and crackles, assess pneumonia or chf.
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Lung volumes are slightly low, similar to the prior exam, perhaps secondary to lack of inspiratory effort. No focal consolidation suggest pneumonia. No edema, pleural effusion, or pneumothorax. No change in the appearance of the cardiomediastinal silhouette and hila. Elevation of the right hemidiaphragm is unchanged.
<unk> year old woman with worsening shortness of breath and productive cough x <num> weeks. evaluate for evidence of pnuemonia or pulmonary edema.
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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 worsen when sitting forward // acute pulmonray process?
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The cardiac, mediastinal, and hilar contours are normal. Pulmonary vascularity is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are multilevel degenerative changes in the thoracic spine with anterior osteophyte formation.
cough, fever.
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Left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle. The heart size is mildly enlarged. The mediastinal contours are unremarkable. Patchy ill-defined opacities are noted within the upper lobes, right more so than left, which are nonspecific but may reflect areas of infection. Mild perihilar haziness as well as small bilateral pleural effusions is compatible with mild pulmonary vascular engorgement. No pneumothorax is seen. There are no acute osseous abnormalities.
shortness of breath.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Venous stent in the left distal brachiocephalic vein is again seen. There is a chronically widened right acromioclavicular joint. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Surgical clips again noted in the upper abdomen.
<unk>f with cough, hemoptysis
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The lungs are clear. Midline sternotomy wires are well aligned and intact. There is no pleural effusion or pneumothorax. No definite rib fracture is identified.
history: <unk>f with chest wall pain // evidence of rib fracture
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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 fracture is seen. There is no pulmonary edema.
history: <unk>f with chest pain // acute cardiopulm disease
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Chest, pa and lateral. The lungs are clear. Moderate cardiomegaly is stable. The hila and mediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
weakness, evaluate for widened mediastinum.
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In comparison with the study of <unk>, there is no change or evidence of acute cardiopulmonary disease. No evidence of old granulomatous disease.
positive ppd on steroids without symptoms.
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The lungs are clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.
history: <unk>f with cough, shortness of breath // r/o pna
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The lungs are clear without focal consolidation or edema. There is a small left pleural effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with worsening liver // pna?
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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 cough, uri
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Right-sided dual-lumen central venous catheter is seen with tip at the ra-svc junction. The lungs are clear without focal consolidation or effusion. The cardiomediastinal silhouette is normal. No free air is seen below the diaphragm. No acute osseous abnormality is identified.
<unk>-year-old female with gi symptoms, on chemotherapy. question infection.
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Increased interstitial opacity and upper zone redistribution compatible with pulmonary edema. No large pleural effusion or focal consolidation. Heart size is mildly enlarged, as before. No pneumothorax. Osseous structures are unremarkable.
history: <unk>m with shortness of breath. evaluate for pneumonia or heart failure.
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The right port-a-cath tip ends in the right atrium just below the approximate region of the cavoatrial junction. The right pleural effusion on ct on <unk> for is markedly decreased, now trace-to-small. The adjacent right consolidations in the lower lung are also improved but still present. There is probably residual pleural thickening. Bilateral apical pleural thickening are noted. No pneumothorax. The heart size is normal. The pulmonary arteries are prominent but not overtly enlarged. No pulmonary edema.
<unk> year old man with metastatic esophageal cancer and pleural effusion // sob - evaluate amount of effusion // please check tip of port
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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
<unk>-year-old woman with fever, here to evaluate for pneumonia.
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The cardiac, mediastinal and hilar contours appear unchanged. As seen on the prior chest ct there is a mass at the left lung apex suggesting primary malignancy. Upper mediastinal contours are also prominent, although unchanged since the chest ct, reflecting prominent mediastinal fat but also lymphadenopathy worrisome for metastatic disease. Streaky left basilar opacities suggest minor atelectasis. There is no definite pleural effusion or pneumothorax.
seizure.
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A focal nodular opacity in the right midlung is new from prior studies. The appearance is most suggestive of a healing rib fracture, however there is no history of interval trauma. Rounded retrocardiac opacity without definite correlate on the lateral view is atypical for a hiatal hernia, chest ct is recommended for further characterization. Contour irregularity of the lateral left eighth rib likely represents remote prior rib fracture. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is stable. The osseous structures and upper abdomen are unremarkable.
<unk>f with hypoglycemia, evaluate for pneumonia.
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Low lung volumes are present causing crowding of the bronchovascular structures and linear bibasilar opacities compatible with atelectasis. Cardiomediastinal and hilar contours are unchanged with tortuosity of the thoracic aorta again noted. No pleural effusion or pneumothorax is seen. The sternotomy wires are intact. Patient is status post cabg. Bilateral total shoulder replacements are partially imaged.
<unk>-year-old female with dyspnea. evaluate for pneumonia or volume overload.
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Tiny right apical pneumothorax. No pleural effusion for hemothorax. Right middle lobe nodule better assessed on ct thorax is grossly unchanged. The lungs are otherwise clear. Heart size is normal. Mild scoliosis.
<unk> year old woman post biopsy rule out pneumothorax, patient in rcu. please do at <unk>.
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Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cp // acute process
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The lungs are clear without edema or effusion. Eventration of the right hemidiaphragm is noted. Cardiomediastinal silhouette is within normal limits. Left axillary clips are noted. No acute osseous abnormalities.
<unk>f with hypoxia // eval for pna
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Moderate cardiomegaly has been stable compared to the prior exam from <unk>. Mild pulmonary venous congestion is seen without overt pulmonary edema. The hilar and mediastinal contours are otherwise unremarkable. Mild bibasilar atelectasis is persistent. There may be a small left pleural effusion. There is no evidence of a pneumothorax. The visualized osseous structures are unremarkable.
history: <unk>m with hx chf with sob // eval effusion, edema, pna
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Mild left pleural effusion has decreased since prior exam. Decreased left basilar opacity. Small right pleural effusion is similar. Decreased right basilar opacity. Increased heart size. Normal pulmonary vascularity. Sternotomy. Chronic fracture left clavicle.
<unk> year old man with left pleural effusion on previous cxr // persistent effusion?
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Ap and lateral chest radiograph demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax, pleural effusion, or evidence of pulmonary edema. Imaged upper abdomen is unremarkable.
history: <unk>m with recurrent seizures undergoing w/u // eval ? infection
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There relatively low lung volumes.no focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable.
history: <unk>m with chest pain, sob, and cough // ?pneumonia
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.
<unk>-year-old male with history of recurrent pneumonia, cough. rule out pneumonia
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Heart size is normal and unchanged. 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 and reported history of pericarditis
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The lungs remain hyperinflated. There is unchanged linear scarring in the basal left lower lobe adjacent to eventration of the posterior left hemidiaphragm. There is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax. Heart size is normal. A calcified aorta is again seen. Degenerative changes and ossification of the anterior longitudinal ligament are again seen in the thoracic spine.
cough.
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Small left greater than right pleural effusions are unchanged. Associated atelectasis is noted but there is no focal consolidation. Left-sided port terminates in the lower svc. Cardiac size is normal with normal cardiomediastinal silhouette.
metastatic colon cancer and ascites with new oxygen requirement. assess pleural effusions.
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Frontal and lateral radiographs of the chest were acquired. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
question of myocardial infarction with percutaneous intervention <unk> years ago, lost to follow up. now presenting with bilateral weakness. assess for cardiac abnormalities.
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Frontal and lateral radiographs of the chest demonstrate low lung volumes. Heart size is top normal. The cardiomediastinal silhouette and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax. No displaced rib fracture identified.
chest pain.
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Compared with the prior chest radiograph, there is no significant pulmonary vascular congestion. No pleural effusion, confluent focal consolidation, or pneumothorax. Top-normal heart size is unchanged.
<unk>f with sickle cell crisis. evaluate for focal consolidation.
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Ap upright and lateral chest radiographs were provided. The lungs appear hyperinflated. There is no focal consolidation. Surgical clips are noted within the right infrahilar region. Cardiomediastinal silhouette appears stable relative to prior examinations. There is no pleural effusion or pneumothorax. No evidence of pulmonary edema. Imaged osseous structures demonstrate no acute abnormality. Healed posterior right fifth rib fracture is again identified unchanged.
<unk>-year-old female with shortness of breath. evaluate for acute process.
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Ap upright and lateral views of the chest provided. Lung volumes are low. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Prominent costochondral junction calcification projects over the right lower lung. Degenerative changes at the right and left shoulders noted. No free air below the right hemidiaphragm is seen.
<unk>f s/p mechanical fall. + headstrike.
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The lungs are well-expanded and clear. No focal consolidation, effusion, edema, or pneumothorax. The heart is normal in size. The mediastinum is not widened. No acute osseous abnormality.
<unk>-year-old woman with cerebral palsy and palpitations. evaluate for pneumothorax or other chest pathology.
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The heart is at the upper limits of normal size. The lung volumes are low. Allowing for change in lung volumes, the mediastinal and hilar contours are probably unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax.
epigastric pain.
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The patient is status post median sternotomy and mitral valve replacement. Heart size is mildly enlarged but unchanged. The mediastinal and hilar contours are stable. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is demonstrated. There are mild degenerative changes in the thoracic spine.
chest pain.