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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.
coughing with shortness of breath and fatigue. possible crackles at the right lung base. assess for pneumonia.
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Minimal atelectasis is noted in the bases, as seen previously. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>f with shortness of breath, cardiomyopathy
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized.
intermittent chest pain.
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Pa and lateral views of the chest provided. The lungs are hyperinflated. Retrocardiac opacity is best seen on the lateral projection is concerning for an early pneumonia. There is no pneumothorax or effusion. Cardiomediastinal silhouette appears stable. Bony structures are intact.
<unk>m with vertigo x<num> days, acute on chronic exacerbation, no chest pain findings or sob but we would like to rule out any infectious process that is worsening his normal functional status
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Heart size is normal. There is no pneumoperitoneum.
history: <unk>f with colonoscopy yesterday, epigastric abdominal pain // eval for free air
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Ap upright and lateral views the chest provided. The lungs appear clear without focal consolidation, large effusion or pneumothorax. Coarsened lung markings may reflect emphysema or fibrotic lung disease. No signs of congestion or edema. Heart and mediastinal contours are stable. Bony structures are intact.
<unk>m with hypotension // ?pna
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The heart is mildly enlarged. Mild unfolding is noted along the thoracic aorta. Allowing for differences in technique, with lower lung volumes on this study, the cardiac, mediastinal and hilar contours appear unchanged. Streaky right mid lung opacity suggests minor atelectasis or scarring. Otherwise, the lungs appear clear. There is no pleural effusion or pneumothorax. Mild degenerative changes are similar along the mid thoracic spine.
unsteady gait and headache.
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Blunting at the left costophrenic angle appears unchanged from <unk> and may represent pleural parenchymal scarring. The lungs are otherwise clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. There is no overt pulmonary edema. The cardiomediastinal and hilar contours are within normal limits. There is no acute osseous abnormality detected.
dyspnea and wheezing, here to evaluate for pneumonia.
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The lungs are well-expanded and clear. No focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette, hila, and pleura are normal. No pneumoperitoneum.
<unk>-year-old woman, nonsmoker, with history of asthma, presenting with anterior chest discomfort and mild sob after abdominal surgery <unk>. evaluate for pneumothorax or pneumonia.
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Lung volumes are low. No focal opacity to suggest pneumonia is seen. No pleural effusion or pneumothorax is present. There is a small amount of atelectasis at the right base. Elevation of the right hemidiaphragm is unchanged. The heart size is within normal limits.
syncope.
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. The heart is enlarged though similar in size relative to prior study dated <unk>. Mediastinal and hilar contours are within normal limits. There is no evidence of pulmonary edema, pneumothorax, or pleural effusion. Visualized osseous structures demonstrates no acute abnormality.
<unk>-year-old female with presyncope and shortness of breath.
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Pa and lateral chest views were obtained with patient in upright position. The heart size is mildly enlarged. The configuration suggests a prominence of the left ventricular contour to the left and posteriorly, but there is also some evidence of left atrial enlargement in the form of a right-sided cardiac double contour and prominence of the heart shadow at the atrial level as seen on the lateral view. The pulmonary vasculature demonstrates an upper zone re-distribution pattern with relatively distended pulmonary vessels in the upper zone and some beginning increased interstitial structures on the lung bases. There is very mild blunting of the right lateral pleural sinus and a similar finding is noted on the lateral view. Acute discrete pulmonary parenchymal infiltrates are not present, nor is there evidence of central pulmonary edema. No pneumothorax is seen in the apical area. Skeletal structures of the thorax are grossly unremarkable. Our records do not include a previous chest examination available for comparison.
<unk>-year-old male patient with cough, shortness of breath, and feels like lungs are wet. evaluate for possible chf.
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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax identified. No osseous abnormality is present.
one week of cough.
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The heart size is normal. Mediastinal and hilar contours are unchanged, with mild atherosclerotic calcification noted at the aortic arch. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is present. Multilevel degenerative changes are seen in the thoracic spine. Linear radiopaque density is again visualized in the soft tissues of the right neck.
worsening hyperglycemia, weakness.
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Diffuse interstitial thickening with bronchial wall thickening and bronchiectasis most prominent at the bases bilaterally, better demonstrated on the chest ct from outside hospital dated <unk>. The previously visualized right lower lung opacity persists, and may reflect asymmetric bronchiectasis, however an underlying atypical pneumonia cannot be excluded. No new focal consolidations. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. Dextro convex scoliosis of the lower thoracic spine is re- demonstrated. There is a moderate hiatal hernia containing an air-fluid level.
<unk>f with bronchiectasis, recent admission for pneumonia, now with new hypoxia
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Pa and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is notable for lv predominance. There are no displaced fractures. The imaged upper abdomen is unremarkable.
chills, myalgias, question acute cardiopulmonary process.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
cough and sore throat.
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There is no lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged in appearance.
history: <unk>f with cough // r/o acute process
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. A <num> mm calcified retrocardiac nodular opacity is consistent with a small calcified granuloma. There is no evidence of pulmonary edema.
chest pain, assess for cardiomegaly.
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There are relatively low lung volumes with mild bibasilar atelectasis. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
near syncope.
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In comparison with chest radiograph from a few hours earlier, small right pneumothorax is minimally changed. Lung volumes remain low. Left basilar opacity is minimal and likely unchanged. Mediastinal and hilar contours are stable. Moderate cardiomegaly is unchanged.
<unk> year old woman with hepatic hydrothorax with ct in place, clamped; please perform at <unk> <unk> // ptx; please perform at <unk> <unk>
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with hypoxia // pulm edema?
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Right picc terminates in mid svc. Prominent pulmonary vessels are similar to before. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is normal size.
history: <unk>m with seizures, recent <unk> i d // evidence of pneumonia or intracranial abscess
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old man with esrd being w/u for kidney transplant // r/o fine opacities
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Frontal and lateral radiographs of the chest show unchanged large biapical cicatricial cysts with associated upper lobe volume loss as indicated by bilateral tenting and elevation of the hemidiaphragms. These cysts are stable in appearance without fluid. Right hilar bronchiectasis is unchanged. No pleural effusion, pneumothorax or focal consolidation is present. The cardiomediastinal silhouette is unchanged.
<unk>-year-old female with history of aspergilloma, here to evaluate for interval changes.
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Lungs are well-expanded with persistent right lower lobe linear opacity consistent with atelectasis or scarring. The lungs are otherwise clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.
<unk>f with ams. infectious workup for ams
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Pa and lateral views of the chest provided. Moderate, bilateral pleural effusions are seen. Bilateral, lower lung opacities likely represent moderate bibasilar atelectasis more likely than pneumonia. Imaged osseous structures are intact.
<unk> year old woman with recurrent fevers // ? consolidation
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Pa and lateral chest radiographs were provided. Lungs are hyperinflated. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The bones are intact.
<unk>-year-old male with shortness of breath and wheezing. rule out infectious process.
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Patient is rotated to the left. There are low lung volumes. No definite focal consolidation is seen. There is no pleural effusion. The cardiac silhouette is mildly enlarged. There may be minimal pulmonary vascular congestion
history: <unk>m with fall, altered mental status, abdominal pain // ct abd: r/o splenic rupture, intrab traumacxr: r/o infiltrate, rib fxct head: r/o bleed, r/o fx
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There has been interval decrease in right-sided pleural effusion which is now minimal. No evidence of pneumothorax is seen. The appearance of the right apex is stable, better assessed on recent prior pet-ct. Again, the patient is status post median sternotomy.
<unk> year old man with r pleural effusion s/p r thoracentesis // ptx
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The heart size is normal. The mediastinal and hilar contours are within normal limits. The pulmonary vascularity is normal. Hyperinflation of the lungs is unchanged. Linear opacity within the left lung base likely reflects subsegmental atelectasis. No focal consolidation or pneumothorax is present. No pleural effusion is clearly noted, with minimal blunting of the left costophrenic angle on the lateral view possibly attributable to minimal pleural fat as seen on the recent ct. Mild loss of height of a lower thoracic vertebral body is unchanged. There are no acute osseous abnormalities. No free air is demonstrated under the diaphragms.
abdominal pain.
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Pa and lateral views of the chest provided. Left lung base mass with fiducial markers is again noted. Elevated right hemidiaphragm is again seen. There is a small left pleural effusion and a trace right pleural effusion. There is no pneumothorax. Left lower lobe opacity is best seen on the lateral view. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with s/p cyberknife fever cough with left lower lung crackles // eval for pna
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The patient is rotated somewhat to the right. There are bilateral pleural effusions on a background of likely pulmonary edema. Right mid lung opacity is worrisome for pneumonia versus possible loculated pleural effusion with overlying collapse, and is new/ increased since the prior study. Cardiac silhouette remains enlarged. The aorta is calcified and tortuous.
history: <unk>m with altered mental stauts // evidence of acute process
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The lungs are clear without effusion or pneumothorax. The cardiac silhouette and mediastinal contours are normal. A left chest mediport is unchanged in position with its tip in the lower svc. An ng tube is in place, the tip and sidehole superimposed on the expected location of the stomach. Dilated loops of bowel are noted in the abdomen.
<unk>-year-old female with t<num> n<num> rectal adenocarcinoma status post open proctosigmoidectomy complicated by closed loop small bowel obstruction who now presents with emesis following ng tube placement.
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Frontal and lateral chest radiographs improving aeration at the base of the right upper lobe, but still with a fair amount of atelectasis and persistent volume loss with rightward shift of the mediastinum. The loculated hydropneumothorax is smaller and filling with fluid. The left lung is well aerated and clear. There is no left pleural effusion or pneumothorax.
status post cervical mediastinoscopy and right lower lobectomy in <unk>. evaluate for interval change.
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Elevation of the left hemidiaphragm is again noted. The lungs are clear with no evidence of edema or pneumonia. No pleural effusion or pneumothorax. Cardiomediastinal contours are normal.
history: <unk>f with renal failure. evaluate for edema, pneumonia.
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Frontal and lateral chest radiographs demonstrate persistent but improved left lower lobe opacification and decreased very small pleural effusion. A newly evident right lower lobe opacification with small pleural effusion is noted, better appreciated on the lateral view. Cardiomediastinal and hilar contours are unchanged. Osseous abnormalities are unchanged.
pleuritic right-sided chest pain versus right upper quadrant pain, now with productive cough. please assess for pneumonia.
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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. The descending thoracic aorta is slightly tortuous. Aortic knob calcifications are moderate. No acute osseous abnormality. Multilevel degenerative changes of thoracic spine including prominent anterior osteophytes are moderate.
history: <unk>f with tia symptoms // eval for cardiomegaly
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Compared to the prior radiograph of <unk> the lung volumes have improve. The left pleural effusion has decreased and is now small. Linear opacities in the left lung base represents platelike atelectasis. There is no new opacity or pneumothorax. The cardiac and mediastinal contours are normal. Nipple rings are noted.
<unk>-year-old man with fever. evaluate for pneumonia.
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Pa and lateral views of the chest. The lungs are clear. There is no evidence of effusion, consolidation, or pneumothorax. There is no evidence of pneumomediastinum. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with eating disorder, rule out pneumonia or pneumothorax.
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As compared to the previous radiograph, the air in the soft tissues has completely resolved and lung volumes have increased, reflecting improved ventilation. Moderate cardiomegaly. No pleural effusions. No pulmonary edema. No evidence of metastatic disease.
rcc, rule out metastatic lesions.
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The patient is status post right upper lobectomy and chest wall resection. The lungs are clear. There is no pneumothorax or pleural effusion. The hilar and cardiomediastinal contours are normal. Pulmonary vascularity is normal.
evaluate for presence of pneumonia in patient with respiratory infectious symptoms. the patient has a history of lung cancer, status post resection as well as well-controlled hiv.
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Right lower lung atelectasis/scarring is seen no pleural effusion or pneumothorax is seen. The aorta is tortuous. The cardiac silhouette is top-normal to mildly enlarged. No pulmonary edema is seen. Surgical clips are noted projecting over the epigastrium. Density projecting over the spine and may relate to known prostate osseous metastases.
history: <unk>m with chest pain and left shoulder pain, known prostate ca with bone mets // eval for pna or acute processeval for fracture or bone lesion
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Pa and lateral chest radiographs demonstrate no focal consolidation or pleural effusion, or pneumothorax. Possible scarring at the left lung base from prior pneumonia is seen. S-shape scoliosis of the thoracic spine is again noted. The cardiomediastinal silhouette is normal.
fever and cough. history of left lower lobe pneumonia.
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Lung volumes are low, accounting for some bronchovascular crowding. No focal parenchymal opacities are identified. Moderate cardiomegaly is unchanged from prior. The aorta is tortuous. Hilar contour is unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with shortness of breath and foot swelling. evaluate for evidence of acute process.
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A dual-lead pacemaker/icd device appears unchanged, with leads again terminating in the right atrium and ventricle, respectively. The heart is normal in size. The mediastinal and hilar contours appear unchanged. Irregular reticular opacities again project over each central lung region, without significant change. Blunting of the left costophrenic sulcus suggests a very small pleural effusion. The chest is hyperinflated. Moderate emphysema is present. Confluent subpleural opacity along the posterior chest on the left probably suggests nodular pleural thickening. Calcified pleural plaques could be seen with prior asbestos exposure. Bony structures are unremarkable. The findings are quite similar to earlier radiographs from <unk>.
leukocytosis and elevated lactate.
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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>f with cough // eval for acute process
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Pa and lateral views of the chest provided. Lung volumes are low with bibasilar atelectasis noted. No convincing signs of pneumonia. No large effusion, pneumothorax for signs of edema. 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 persistent elevation of the right hemidiaphragm and overall low lung volumes. Prominence of the pulmonary vasculature again suggests mild interstitial pulmonary edema. The cardiac and mediastinal silhouettes are stable. No pleural effusion or pneumothorax is seen. The patient is status post median sternotomy, similar in appearance. Degenerative changes are seen along the spine.
history: <unk>f with syncopal event. pmh chf, cad. // pulmonary edema
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The cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.
weakness.
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The heart is mildly enlarged with a left ventricular configuration. The patient is status post sternotomy. Fissures are mildly thickened, but without evidence for parenchymal edema. A focal opacity projects along the left lung base, new since the prior study, raising concern for pneumonia. The left hemidiaphragm remains mildly elevated. The bones are probably demineralized.
ekg changes and syncope.
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are well expanded and clear. There is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old male with history of iv drug use, presents with bibasilar crackles. question pneumonia.
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Compared with the earlier chest radiograph, there is persistent patchy airspace opacity in the left lung base. Blunting of the left lateral costophrenic angles compatible with a fat pad. Increased opacity in the right lower lung likely reflects same process of atelectasis. No evidence of pneumothorax. The cardiomediastinal silhouette is unchanged. Calcified, tortuous thoracic aorta is noted.
<unk>m with hypoxia, <unk> edema. evaluate for pulmonary edema.
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Marked elevation of the right hemidiaphragm is unchanged from the most recent prior study of <unk>. A right pectoral pacemaker is unchanged with two leads terminating in the right atrium and right ventricle. The right lung volume remains low; however, the lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged, and there is no overt pulmonary edema. The cardiac silhouette remains top normal in size but stable. The mediastinal contours are within normal limits with calcification of the aortic knob again seen. There is exaggerated kyphotic curvature of the thoracic spine with diffuse osteopenia.
history of aortic stenosis, now with shortness of breath, here to evaluate for congestive heart failure or pneumonia.
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Left-sided aicd with single lead following its expected course to the right ventricle. There is no pneumothorax or mediastinal widening. No focal consolidation. No pleural effusion. There is no central vascular congestion or overt pulmonary edema. Moderate cardiomegaly has increased since prior exam.
<unk> year old man with nicm s/p icd placement. eval lead position and post procedure complications. // <unk> year old man with nicm s/p icd placement. eval lead position and post procedure complications. please book in <num>:<unk>:<num> time slot
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Pa and lateral chest radiographs demonstrate clear lungs bilaterally. There is no focal opacity convincing for pneumonia. Cardiomediastinal and hilar contours are stable in appearance relative to prior study dated <unk>. The heart is mildly enlarged. There is no pleural effusion, pneumothorax, or evidence of pulmonary edema. Mild anterior wedging of the lower thoracic vertebral body is unchanged.
<unk>f w/total body aches, please eval for occult pna // <unk>f w/total body aches, please eval for occult pna
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>m with history of pancreatitis presenting with epigastric pain which radiates into the chest, associated with nausea, vomiting and cough. r/o chf/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>f with right side chest pain and current smoker
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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 remains within normal limits. Unremarkable size of thoracic aorta as before with a few calcium deposits in the wall at the level of the arch. No local contour abnormalities are identified. 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.
<unk>-year-old male patient with cough and fever, evaluate for pneumonia.
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The cardiac, mediastinal and hilar contours appear unchanged. The heart is at the upper limits of normal size. There is no pleural effusion or pneumothorax. Central streaky opacities suggesting airway inflammation, including peribronchial cuffing. Although other etiologies including mild fluid overload are differential considerations, inflammatory change seems more likely. However, there is also the possibility of a developing perihilar opacity in the right lower lobe since opacities are somewhat confluent there.
cough and bodyache.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
chest pain.
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Catheter overlying the heart is thought to represent an inferior-approach dialysis catheter, similar in position compared with the <unk> cxr. Inspiratory volume are slightly low. The heart is not enlarged and the cardiomediastinal silhouette is essentially unchanged. The azygous fissure is minimally enlarged (<unk>.<num> mm) on today's exam, but may be accentuated by low lung volumes. No chf, focal infiltrate, effusion, or ptx is detected.
fever while on hemodialysis.
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Pa and lateral views of the chest were provided. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged bony structures are intact. No free air is seen below the right hemidiaphragm.
<unk>f with mvc, evaluate for pneumothorax.
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The patient is status post median sternotomy and cabg. Moderate enlargement of the cardiac silhouette persists. The mediastinal and hilar contours are unchanged. Low lung volumes are present with crowding of the bronchovascular structures, but no overt pulmonary edema. Innumerable pulmonary metastases are re- demonstrated diffusely. Chain sutures are noted in the left lower lobe with adjacent scarring. Patchy left basilar opacity likely reflects atelectasis, but infection is not completely excluded. No new focal consolidation, pleural effusion or pneumothorax is seen. Multilevel degenerative changes are again seen noted within the thoracic spine.
history: <unk>m with dizziness, needs infectious workup
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Lower lung volumes are seen on the current exam and the lateral view is also limited by motion. Linear left basilar opacity is likely atelectasis. There is no definite consolidation or effusion. Cardiac silhouette is enlarged but grossly unchanged. Aortic arch calcifications are noted.
<unk>f with sob, hypoxia // eval for pna
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Pa and lateral views the chest were provided. The heart is top-normal in size. The lungs are clear bilaterally. No pneumothorax or effusion is seen. No overt signs of pneumonia. Mild hilar congestion difficult to exclude. Bony structures are intact. There is a mild pectus excavatum deformity of the sternum.
<unk>m with cp and sob, possible chf vs. less likely pna.
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Frontal and lateral views of the chest. Multi focal regions of consolidation seen in the right mid lung and in the left lower lobe. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old male with cough.
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The lungs are normally expanded. Mild cardiomegaly is not significantly changed. The mediastinal and hilar contours are normal. Apparent opacity at the left base on the frontal projection has no correlate on the lateral view; this is similar to the next most recent study. There is no convincing evidence of pneumonia.
chest pain. evaluate for cardiopulmonary process.
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As compared to <unk>, a single lead icd remains in place, with tip terminating in the right ventricle. Small amount of subcutaneous emphysema overlies the left axilla, likely related to recent placement of this device. There is no visible pneumothorax. Heart is upper limits of normal in size, aorta is mildly tortuous, and lungs are clear. Mild elevation of left hemidiaphragm is again demonstrated.
<unk> year old man with chf s/p icd via l axillary vein. // lead position, pneumothorax
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The heart size is normal. The aorta is mildly tortuous, otherwise the hilar and mediastinal contours are normal. The trachea is deviated to the right likely from a dominant left thyroid nodule. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of chest discomfort and palpitations. please evaluate for pneumonia.
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No chf, focal consolidation, pleural effusion or pneumothorax is detected. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with chest pain // eval for ptx, pna
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Pa and lateral chest views are obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. The heart size is within normal limits. Sizable apical fat pad is observed on the left base does not obscure the diaphragmatic contour or the left lateral pleural sinus. Aorta is unremarkable and unchanged in comparison. 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. Mild degree of degenerative changes mostly in the mid portion of the thoracic spine, but no other remarkable skeletal abnormalities are identified. Comparison with the next preceding study of <unk>, demonstrates stable chest findings. Thus, no evidence of new acute infiltrates.
<unk>-year-old male patient with hypertension, obstructive sleep apnea, presents with leukocytosis and flank pain. has possible renal mass. evaluate for possible pneumonia.
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Chest port catheter terminates in distal svc/ cavoatrial junction. The lung volumes are normal. Normal size of cardiac silhouette. No pleural effusions. No focal parenchymal opacity suggesting pneumonia. No pulmonary edema. No pneumothorax. Normal hilar and mediastinal contours. The osseous structures are stable.
<unk> year old woman with locally advanced breast ca and prot in place at outside hospital, getting chemo here // is poc in appropriate position
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The heart is enlarged. Multiple surgical clips are seen projecting over the cardiac silhouette. Median sternotomy wires are noted. There is mild to moderate pulmonary edema superimposed on reticulonodular diffuse opacities which could suggest a chronic lung disease. Blunting of the bilateral costophrenic angles could relate to small pleural effusions. There is no pneumothorax
cad, pvd. prominent crackles at bilateral bases.
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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is mildly enlarged. No acute fractures are identified.
evaluation of patient with hypotension.
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Lung volumes are slightly low. No focal consolidation, edema, effusion, or pneumothorax. Mild elevation of left hemidiaphragm is similar the prior exam. The heart is normal size. Aortic knob calcifications are mild. No acute osseous abnormality. There is nonspecific gaseous distension of bowel loops in the partially imaged upper abdomen.
<unk>-year-old man with chest pain. evaluate for acute process.
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The lungs are clear. There is no edema, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted the aortic arch. Old healed right lateral rib fracture is again seen. Vertebroplasty changes are noted in the lumbar spine.
<unk>f with malaise, hx of liver txp // eval for pna
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Increased right-sided pleural effusion, now small-moderate. Inferior expansion of right apical opacity likely representing a localized effusion. A superimposed infection cannot be excluded and should be considered in the appropriate clinical context. Left lung is clear. Cardiomediastinal contours are unchanged. No pneumothorax.
<unk>-year-old man with pleural effusions, evaluate.
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The cardiac silhouette appears within normal limits. Postsurgical changes related to prior esophagectomy and gastric pull-through are present. There is blunting of the bilateral costophrenic angles, likely secondary to small pleural effusions. There is associated bibasilar atelectasis. There is a known right lower lobe hydropneumothorax, better appreciated on the lateral view.
history: <unk>m with pancreatic ca with free air around pancreas on ct from osh (not sent with disk). // free air, pneumonia? free air, pneumonia?
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The lungs are noted to be mildly hyperinflated. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal. No bony abnormality is detected.
intra and chest pain, evaluate for pneumonia.
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As compared to the prior examination dated <unk>, there has been no significant interval change. Slightly decreased lung volumes accounts for the increased bronchovascular markings. Linear left lower lobe atelectasis is noted. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>f with chest pressure // ?cause of chest pressure
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Ap upright and lateral views of the chest provided. The heart remains mildly enlarged. Patient rotation somewhat limits assessment. There is subtle opacity in the left lower lobe which could represent pneumonia. No large effusion or pneumothorax. Right lung is clear. The aorta is unfolded. Bony structures are intact.
<unk>m with cough // ? acute cardiopulm process
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with chest pain, dyspnea, tachycardia // eval for pna
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Pa and lateral views of the chest provided. Opacity measuring up to <num> cm in the left upper lobe corresponds to nodule seen on outside hospital ct <unk>. There is bibasilar atelectasis. There is no focal consolidation, pneumothorax, or pleural effusion. Heart size is top normal. There is no acute osseous abnormality.
history: <unk>m with chest pain // please evaluate for acute process
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Again seen is a small-to-moderate left apical pneumothorax, unchanged from the most recent prior radiograph. A left chest tube has been removed. There is now a small left pleural effusion with associated compressive atelectasis. A tiny right pleural effusion is present. No focal consolidation. Cardiomediastinal silhouette is unremarkable.
<unk>-year-old woman, status post left thoracotomy, rule out pneumothorax post-chest tube removal.
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There are persistent bilateral patchy opacities. There appears to be improved aeration in the upper lung zones bilaterally, however opacities are dense in the mid lungs, right worse than left. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with sapho syndrome, on infliximab admitted last month with cough, dyspnea found to have bilateral infiltrates, all sputum cx negative, granulomas found on bronch, lungs clear today. please assess if bilateral infiltrates are resolving on empiric rx for pcp // ? resolution
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Frontal and lateral views of the chest were obtained. The heart size is mildly enlarged. Increased opacity at the medial right lung apex is increased since <unk>. Though this may represent a mediastinal vessel, a mass is not excluded. Pulmonary vascular markings are unremarkable. No focal consolidation, substantial pleural effusion, or pneumothorax. No radiopaque foreign body.
<unk>-year-old male with shortness of breath. evaluate for pneumonia.
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Pa and lateral views of the chest provided. Midline sternotomy wires and prosthetic valve again noted. Dual lead pacer device again noted with leads extending to the region of the right atrium and right ventricle. Lungs are clear without focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette is stable and normal. Atherosclerotic calcification is mild along the aortic arch. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with chest pain
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The patient is postoperative and examination required performance in sitting position using ap frontal and left lateral views. Comparison is made with the next preceding ap single view chest examination of <unk>. Status post sternotomy and bypass surgery, moderate enlargement of the cardiac silhouette, unchanged in comparison with the next preceding portable examination. No remaining pneumothorax. Left-sided pleural density persists with moderate elevation of the diaphragm. The lateral view discloses the pleural density on the left side, which blunts the posterior pleural sinus. The amount is deemed to be of moderate degree. No new pulmonary parenchymal abnormalities are identified, and the right hemithorax remains unchanged and within normal limits. In comparison with the preoperative chest examination of <unk>, significant enlargement of the cardiac silhouette remains finding which most likely relates to postoperative pericardial effusion. The pulmonary vasculature does not show evidence of marked congestion in comparison with the preoperative study.
<unk>-year-old male patient postoperative day #<num> status post bypass surgery, evaluate pleural effusion.
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Minimal lateral right base atelectasis is seen. There is no definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Degenerative changes are noted along these thoracic spine. No displaced fracture is seen, although, ct is more sensitive.
history: <unk>f with left chest injury // eval for chest wall injury
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. There is mild elevation of the left hemidiaphragm which is unchanged. Streaky opacity in the left lower lung with associated volume loss may represent atelectasis. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with <num> week productive cough, mild dyspnea, intermittent f/c.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable.
history: <unk>m with +ppd, asymptomatic // eval acute process
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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal. Incidental note is made of a mild pectus excavatum.
<unk>f w/ gait instability, r sided headache, vertigo. r/o acute cardiopulm process // <unk>f w/ gait instability, r sided headache, vertigo. r/o acute cardiopulm process
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Linear retrocardiac opacity is seen and could potentially represent atelectasis however infection is not entirely excluded. Multiple previously seen calcified conglomerate lymph nodes in the mediastinum and left hilum as seen on prior studies. There is no effusion, or pneumothorax. No evidence of cardiomegaly. Imaged osseous structures are intact. No evidence of free air below the diaphragm.
<unk>-year-old female with a history of aih on steroids and aza status post ex lap and drainage of intra-abdominal and pelvic abscesses in <unk> presents with ongoing abdominal pain and distention, leukocytosis, chills, and cough. evaluate for infectious process.
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Cardiac silhouette size is mildly enlarged. The aorta is unfolded. Mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. There is minimal atelectasis in the right middle lobe. No acute osseous abnormality is detected.
history: <unk>f with chest pain
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The lungs are symmetrically well expanded and well aerated without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. The trachea is midline. There is no free air beneath the right hemidiaphragm or evidence of pneumomediastinum. No acute osseous abnormality is detected.
right-sided pleuritic chest pain and hemoptysis, here to evaluate for pneumothorax or pneumonia.
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Left chest tube. Left chest wall, low neck subcutaneous emphysema, stable. Possible tiny left apical pneumothorax just beneath inferior margin of posterior left second rib. Small bilateral pleural effusions, new or better seen. Left lower lobe atelectasis or infiltrate. Sternotomy. Deep inspiration. Old rib fractures. Valve prosthesis.
<unk> year old woman with pneumothorax, ct in place s/p ct clamped // please eval for status of ptx. please perform at <num>pm today
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As compared to the previous radiograph, the lung volumes have substantially improved. There is unchanged evidence of a relatively large hiatal hernia and postoperative material in the left axilla. No other relevant changes. Moderate cardiomegaly persists. No pulmonary edema. No pulmonary nodules. No pleural effusions.
persistent dry cough, history of pe, evaluation for lesions.
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. Linear opacity in the right lung base likely reflects subsegmental atelectasis and/or scarring. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
cough, subjective fever.
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Plates and screws are present in the right lateral fifth, sixth, and seventh ribs. The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
cough since starting hepatitis c therapy. history of smoking.