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Pa and lateral views of the chest were obtained. In comparison to the prior exam, the lung volumes are slightly lower. The small right-sided pleural effusion has slightly increased in size. There is associated right basilar atelectasis. A small left-sided pleural effusion appears stable. There are no new consolidations, pulmonary edema, or pneumothorax. Right upper lobe ill-defined focal opacity is unchanged, likely reflective of a metastasis. Other previously noted pulmonary nodules are better assessed on the prior ct. The cardiac size is at the upper limits of normal. The mediastinal contours are normal. A large mass which results in expansile destruction of the left second and third ribs is unchanged.
increasing shortness of breath. known right pleural effusion. evaluate for interval change.
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There relatively low lung volumes. Prominence pulmonary vasculature suggests mild to moderate vascular congestion. No definite focal consolidation is seen. Lateral left mid lung linear atelectasis/scarring is seen. No pleural effusion or pneumothorax is seen. Calcified right sided breast implant is re- demonstrated. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with inc doe // acute process/pna/chf
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Ap and lateral views of the chest are compared to previous exam from <unk>. Exam is extremely limited secondary to low lung volumes. Streaky bibasilar opacities most suggestive of atelectasis. Superiorly, the lungs are clear. Cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.
<unk>-year-old female with shortness of breath. question chf.
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No focal consolidation is seen. There is no pleural effusion or pneumothorax the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with breast cancer on chemo p/w fever // ?pna
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Visualized osseous structures demonstrate no acute abnormality.
<unk>-year-old female with left lower rib chest wall tenderness.
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Left chest wall pacemaker leads terminate in stable position. Previously seen left pleural tube has been removed. Heart size and cardiomediastinal contours are normal. There is minimal blunting of the costophrenic angles, which are consistent with small effusions. Mild lower lung atelectasis. No focal consolidation or pneumothorax. Posterior spinal fusion construct is similar to prior.
<unk> year old woman with chest pain of <num> hrs, worse with exertion, better with rest. // evaluate for intrathoracic process that may cause/contribute to chest pain
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The lungs are well expanded. Distal trachea stent is partially visualized. Some streaky opacities along both bases likely represent subsegmental atelectasis. Otherwise, no focal parenchymal opacities are identified. There is no pleural effusion or pneumothorax. Mild cardiomegaly is redemonstrated and not significantly changed from prior. No bony abnormalities are identified.
<unk>-year-old female with shortness of breath, recent pulmonary stent placement. evaluate for evidence of pneumothorax.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Subtle opacity involving the right middle lobe may represent an area of infection. No pleural effusion or pneumothorax is seen. A nodular density is seen in the mid, left lower lobe is consistent with known mass, better characterized on prior pet-ct. As before there are streaks of fibrosis seen in the bilateral lungs consistent with posttreatment changes.
<unk>m with cough // r/o pna
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There is a diffuse interstitial prominence. No pleural effusion or pneumothorax is seen. No evidence of pulmonary edema.
history: <unk>f with upper abd pain // r/o infiltrate, abscess
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are hyperinflated but clear without focal consolidation. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormalities are detected. Clips from prior cholecystectomy are noted in the right upper quadrant of the abdomen. Dextroscoliosis of the thoracolumbar spine is again noted. No subdiaphragmatic free air is present.
history: <unk>f with epigastric pain
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Frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion, pneumothorax, or consolidation.
history of hiv on art with <num> week of fever, hemoptysis, and pleuritic chest pain. evaluate for pneumonia.
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The cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There is marked gaseous distention of the bowel loops within the abdomen.
near syncope.
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Lung volumes are mildly decreased. The heart is mildly enlarged, and there is moderate central pulmonary vascular congestion and mild pulmonary edema. A small left pleural effusion is noted. Bibasilar airspace opacities may represent dependent edema, or potentially a superimposed infectious process.
history: <unk>f with dyspnea // r/o edema
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Pa and lateral views of the chest are compared to prior from <unk>. The lungs are clear of focal consolidation. There is no significant pleural effusion. There has been interval enlargement of the cardiac silhouette since <unk>. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with dyspnea on exertion and productive cough for two to three weeks. question chf or pneumonia.
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The cardiac, mediastinal and hilar contours appear unchanged allowing for differences in technique including moderate tortuosity of the aorta. There is no pleural effusion or pneumothorax. The chest is hyperinflated. The lungs appear clear. The bones appear demineralized.
status post fall with right knee pain and difficulty to ambulate.
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The heart is mild-to-moderately enlarged. The chest is hyperinflated. There is mild unfolding and calcification along the thoracic aorta. There is no definite pleural effusion or pneumothorax. Fissures are thickened and the interstitium is moderately prominent. Projecting over the medial left upper lobe is a focal opacity which has vague borders and measures about <num> cm. This is compatible but not diagnostic of a focal consolidation. A pulmonary mass with associated atelectasis would be an additional consideration. The bones are probably demineralized.
dry cough and malaise.
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Frontal and lateral radiographs of the chest when compared to the prior study show increased lung volumes with decreased pulmonary vascular congestion and a reduced cardiac contour, which may be in part due to the technique of the study. No pleural effusions or pneumothorax is seen. No areas of focal consolidation are seen.
diastolic heart failure with shortness of breath. evaluate for pulmonary edema.
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Pa and lateral chest radiographs demonstrate no mild cardiomegaly and interstitial edema. The azygos is markedly dilated and interlobular septal thickening is also appreciated. There is no pleural effusion or pneumothorax.
shortness of breath.
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Frontal and lateral chest radiographdemonstrates well expanded and clear lungs.no pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits. Multiple clips are present within the anterior chest wall.
chest pain. assess for pneumonia.
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Pa and lateral views of the chest. The lungs are clear of consolidation or effusion. Biapical scarring is again noted. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected.
<unk>-year-old female with fever, cough, and congestion.
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Left lower lobe opacity is concerning for pneumonia. The right lung is clear. There is no pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.
history: <unk>m with cough, chills // pna?
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Increased interstitial markings bilaterally suggests mild interstitial edema. Rounded opacity at the right lung base may represent vascular structure as no clear correlate is seen on preceding abdominal pelvic ct which includes the lung bases. No large pleural effusion or pneumothorax is seen. The cardiac silhouette remains mild to moderately enlarged.
history: <unk>f with increase sob // eval for pna
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The lungs are clear, with no consolidation, effusion, or pneumothorax identified. Heart and mediastinal contours are normal. No displaced right rib fractures are appreciated.
<unk>-year-old man with cough, status post fall with right rib pain. evaluate for pneumonia or obvious fracture.
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Mild degenerative changes are seen throughout the thoracic spine.
<unk>m with lymphoma on chemotherapy with fever, rule out occult pneumonia.
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There is a small right pleural effusion and a moderate left pleural effusion with associated atelectasis; although, underlying consolidation cannot be excluded. There is no pneumothorax. The cardiomediastinal silhouette is unchanged. Old <unk> through <unk> left rib fractures are noted as well as an old left clavicle fracture.
hypoxia, question pneumonia.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with chest pain
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Lung volumes remain low, slightly improved when compared to the prior study. A right internal jugular catheter terminates in the mid svc. A dual lead pacemaker is unchanged in appearance. Median sternotomy sutures are also unchanged. There has been interval decrease in the size of the left pleural effusion with associated atelectasis. Infection cannot be excluded. There is a small right pleural effusion. The right lung is otherwise clear.
<unk> year old woman with pod<num> cabg // evaluate for effusion/atelectasis
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. The mediastinal and hilar contours are unremarkable. No displaced fracture is seen.
chest pain and shortness of breath.
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There is moderate cardiomegaly without pulmonary edema. There is left basilar pleural thickening. There is no evidence of pneumonia, pneumothorax or bony changes. There are small bilateral pleural effusions vs. Scarring.
<unk>-year-old with new onset of hyponatremia, please assess for pneumonia.
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There is bibasilar atelectasis. No focal consolidation is seen. The cardiomediastinal silhouette and hilar contours are within normal limits. There is no pleural effusion or pneumothorax.
<unk>-year-old man with asthma exacerbation, rule infectious process.
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Pa and lateral views of the chest were obtained. There is minimal increased opacity in the right mid and lower lung, which could represent early pneumonia in the right clinical setting. The left lung is clear. There are no effusions or pneumothorax. There is no evidence of chf. Cardiomediastinal silhouette is normal. Bony structures appear intact.
wheeze and shortness of breath, question pneumonia.
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The lungs are clear without focal consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. Small hiatal hernia is noted.
<unk>m with fall, head strike, left sided pain // eval for injury
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Pa and lateral radiographs of the chest demonstrate bibasilar atelectasis and a subtle right infrahilar airspace opacity obscuring the right heart border. The lungs are otherwise clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
shortness of breath. evaluate for pneumonia.
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The right picc line has been removed. Lung volumes are low, however there are no effusions, focal consolidation, or pneumothorax. The cardiomediastinal and hilar contours are normal.
<unk> year old man with alcoholic cirrhosis presents with worsening ascites and hepatic encephalopathy. rule out pneumonia, also please assess for pleural effusions.
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The heart is mildly enlarged and is slightly larger than on the prior study. The mediastinal silhouette is normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old woman with postop fevers and crackles on exam // pna
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The lungs are clear without focal or diffuse abnormality. The pulmonary vasculature is unremarkable. No pleural effusion or pneumothorax. The osseous structures are unremarkable. No radiopaque foreign bodies.
<unk>-year-old female with near syncope post-exercise. rule out cardiomegaly.
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The lungs are well expanded and clear. With the exception of mild cardiomegaly, cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk> m with chest pain.
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Frontal and lateral chest radiographs demonstrate low lung volumes. Cardiomediastinal contour is unremarkable. Lungs are clear without focal areas of consolidation. There is no pleural effusion and no pneumothorax.
weakness, cough, evaluate for pneumonia.
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Lung volumes are low with bibasilar atelectasis, right greater than left. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits.
<unk>-year-old female with concern for pneumonia.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. There is no focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits. Surgical clips are seen overlying the right breast.
cough.
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Left chest wall pacing device is seen with leads terminating in stable positions. Mitral valve replacement is again noted. The heart size is mildly enlarged. Mediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. Lungs are well-expanded without focal consolidation concerning for pneumonia. There is no pulmonary edema. The upper abdomen is unremarkable. Degenerative changes are seen throughout the thoracic spine. Median sternotomy wires again noted.
<unk>m with chf, cp, dyspnea.
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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 cough // eval for infiltrate
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The heart is mildly enlarged. There is unfolding of the thoracic aorta. The right central and upper mediastinal contours appears widened, suspected to reflect perhaps distention of the superior vena cava, but not entirely specific. The lungs appear clear. There is new mild elevation of the left hemidiaphragm compared to the prior study. Posterior costophrenic sulci appear blunted, so small effusions could be considered, particularly on the left, but not definitive. There is no pneumothorax. Mild loss among mid thoracic vertebral body heights appears stable.
altered mental status.
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The lung volumes are low. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild right lateral pleural thickening is probably post-traumatic noting poorly characterized old overlying rib fractures.
altered mental status.
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Compared with the prior study, lung volumes are lower, with a stable cardiomediastinal silhouette. No focal consolidation, pleural effusion, or pneumothorax detected. There may be mild bibasilar atelectasis.
<unk>-year-old man with chest pain. evaluate for focal consolidation.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. There has been no significant change.
cough and shortness of breath.
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Right-sided port-a-cath terminates in the mid to low svc without evidence of pneumothorax. The cardiac and mediastinal silhouettes are stable given slight increase in patient rotation. No focal consolidation is seen. There is no pleural effusion or pneumothorax. A tubular structure is partially imaged overlying the upper abdomen.
history: <unk>f with <unk> days of increased belly distension, nausea without vomiting. prior partial bowel obstruction and significant abdominal surgical history. // concern for bowel obstruction
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Lung volumes are low. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits within the limitations of low lung volumes.
<unk>-year-old male with altered mental status.
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In comparison to the prior radiograph performed on <unk>, lung volumes are lower, which accentuates bronchovascular markings. There may be a subtle opacity at the right lung base, which could represent developing pneumonia. No pleural effusions or pneumothorax. Cardiomediastinal silhouette is within normal limits. Pacer leads terminate in the right atrium and right ventricle, as expected.
history: <unk>f with cough and subjective fevers // r/o infiltrate
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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 is eventration of the right hemidiaphragm. There are no acute osseous abnormalities.
<unk>-year-old woman with concern for seizure. evaluate for acute process
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Frontal and lateral chest radiographs were obtained. There is an area of increased opacity in the right lower lung anteriorly. Bilateral pleural effusions are unchanged. Mild pulmonary edema is stable. There is no pneumothorax. Scattered calcified granulomas are present, compatible with prior granulomatous disease. There is bibasilar compressive atelectasis. The heart size is enlarged but stable. Patient is status post cabg with a stable fracture of the second median sternotomy wire.
patient with pleural effusion, evaluate effusion.
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Evaluation is limited due to underpenetration of the film. Compared to the prior radiograph, mild cardiomegaly is unchanged. No evidence of focal consolidation, pleural effusion, or pneumothorax. Unchanged appearance of the known thoracic the lumbar spinal hardware.
<unk>m with chest pain. evaluate for acute process.
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Ap and lateral views of the chest. The lungs are hyperinflated with flattening of the diaphragms. There is increased hazy opacity throughout both lungs with indistinct pulmonary vascular markings. There is a superimposed more confluent consolidation in the left mid lung laterally. The cardiac silhouette has enlarged since prior. Blunting of the posterior costophrenic angles is suggestive of small effusions. Atherosclerotic calcification is noted at the aortic arch. Left chest wall dual-lead pacing device seen with lead tips in the right ventricular apex and right atrium. No acute osseous abnormality is identified.
<unk>-year-old with wheezing.
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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. Bilateral shoulder arthroplasty noted. No free air below the right hemidiaphragm is seen.
<unk>f with s/p renal transplant fever n/v cough // eval for pna
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Frontal and lateral views of the chest demonstrate low lung volumes. There is no focal consolidation, pleural effusion, or pneumothorax. Bronchovascular markings are prominent, likely due to low lung volumes. Hilar and mediastinal silhouettes are unremarkable. The heart size is top normal. There is no pneumothorax. Linear opacity projecting over right lung apex is likely external to the patient. Partially imaged upper abdomen is unremarkable.
cough.
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The lungs are moderately aerated. There is no focal consolidation, pleural effusion, or pulmonary edema. Bibasilar atelectasis is noted. There is slightly lobular contour of the right hemidiaphragm, likely diaphragmatic eventration. The heart is not enlarged. No pneumothorax. Degenerative changes are noted in the thoracic spine with anterior bridging osteophytes.
<unk>m with sob, cough // r/o infection
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The lungs are clear without consolidation, effusion, or edema. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips are noted. No acute osseous abnormalities.
<unk>f with doe <num> weeks s/p sternotomy // assess for pna, ptx
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The small left apical pneumothorax has further decreased in size, now seen as a <num> cm loculated apical lucency. There is a small unchanged left pleural effusion, likely with superimposed atelectasis. There is no focal consolidation or pulmonary edema. There is a normal postoperative appearance of the mediastinum.
<unk> year old man with s/p cabg // eval ptx
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In comparison to the prior study, bilateral pigtail pleural catheters have been removed. There is moderate pulmonary interstitial edema, increased compared to prior examination. Increased opacification at the left lower lung may represent asymmetric edema however superimposed consolidation cannot be excluded. There is a small right pleural effusion. Mediastinal silhouette is stable.
<unk>f with sob, weight gain // eval for pulmonary edema
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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 man with esrd for prerenal transplant evaluation.
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No focal consolidation, pleural effusion, or pneumothorax is seen. Heart and mediastinal contours are within normal limits.
<unk>-year-old male with shortness of breath and right upper lobe rhonchi.
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There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The left shoulder was not fully imaged.
chest pain, shortness of breath and left shoulder pain.
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Heart size is moderately enlarged with a left ventricular predominance. The aortic knob is calcified. Patchy ill-defined opacities are seen within the right mid lung field as well as within the lung bases bilaterally, more so on the right. Lungs are hyperinflated with flattening of diaphragms suggestive of copd. No pleural effusion or pneumothorax is seen, and no pulmonary edema is demonstrated. Degenerative changes are noted in the thoracic spine.
history: <unk>f with chest pain, shortness of breath for <num> day.
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
<unk> year old woman with mm being evaluated for auto sct.
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Ap and lateral views of the chest. The lungs are clear of focal consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. Coronary artery stents are identified. Air-fluid level identified in the mid esophagus which appears dilated superiorly.
<unk>-year-old female with esophageal cancer with nausea, vomiting. feels food stuck in her esophagus in the mid chest.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>f with chest pain and shortness of breath // evaluate for cardiomegaly, pleural effusions, pulmonary edema
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Low lung volumes. Heart size top-normal. No pulmonary edema. Vague increased density in the lower lung zones. No pleural effusion. No hilar adenopathy.
<unk> year old woman with lupus and fever, cough malaise, few crackles at the bases // r/o pneumonia
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The lungs are well inflated and clear. There is unchanged asymmetric elevation of the right hemidiaphragm. The cardiomediastinal silhouette and hilar contours are unchanged. There is no pleural effusion or pneumothorax. Scattered surgical clips are identified at the right hilum and the right apex from prior lobectomy.
<unk>f s/p left lobectomy for lung ca, p/w acute chest pain. evaluate for acute process.
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The cardiac silhouette is moderately enlarged with vascular congestion and mild pulmonary edema. No focal consolidation worrisome for pneumonia. No large pleural effusion or pneumothorax. The visualized osseous structures are grossly unremarkable.
cough.
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The cardiac silhouette is mildly enlarged. There is no focal consolidation, pleural effusion or pneumothorax. No radiopaque foreign body is seen in the region of the esophagus.
history: <unk>f with c/o food bolus at upper chest. // eval food bolus
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The lungs are clear. The hilar and cardiomediastinal contours are normal. Minimal elevation of the left hemidiaphragm is chronic. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old man with a history of anxiety presents with chest pain.
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Pa and lateral views of the chest demonstrate no focal consolidations. Heart size is normal. No pneumothorax or pleural effusion. Several thoracic vertebral bodies demonstrate height loss.
afib with rvr. question pleural effusion.
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Once again identified is a mild increase in interstitial markings which appears attributable to a chronic process related to the patient's airways disease as seen on the prior ct. There are no focal consolidations concerning for pneumonia. There is no pneumothorax or pulmonary edema. The cardiac size is normal. A calcified granuloma is noted in the right lower lobe. There is no free air.
history: <unk>m with hyperglycemia // 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.
chest pain.
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Frontal and lateral views of the chest. Linear opacity seen in the right mid lung in the retrocardiac region similar to prior suggestive of atelectasis versus scarring. Elsewhere, the lungs are clear without consolidation or pulmonary vascular congestion. Cardiac silhouette is enlarged but stable in configuration. No acute osseous abnormality is identified. Atherosclerotic calcification is seen at the aortic arch. Hypertrophic changes noted in the spine.
<unk>-year-old female with confusion and decreased p.o. intake. hypoglycemia.
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Frontal and lateral radiographs of the chest demonstrate low lung volumes which results in bronchovascular crowding. Increased opacification of the left hilar region and right lower lung is consistent with multifocal pneumonia. Small bilateral pleural effusions. The cardiomediastinal contours are unchanged. No pneumothorax.
<unk> year old woman with pna // assess pna
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen. Minimal fluid is seen within the right minor fissure. There are no acute osseous abnormalities.
history: <unk>f with dyspnea and cough
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. Gaseous distension of bowel is re- demonstrated under the diaphragms. Cardiac and mediastinal silhouettes are stable. Again seen posterior right-sided rib fracture is chronic of the right seventh rib.
history: <unk>m with ams // pna? sdh?
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A right picc is unchanged in position with the tip terminating in the low svc. The patient is status post median sternotomy with multiple intact appearing sternal wires. The lung volumes remain low, which accentuate bronchovascular markings. A left basilar consolidation is unchanged. There is unchanged small bilateral pleural effusions. There is no pneumothorax. The cardiac silhouette is top normal in size. The mediastinal and hilar contours are within normal limits with mild tortuosity of the aorta.
fever and bacteremia, here to evaluate for pneumonia.
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Frontal and lateral chest radiographs demonstrate a heart which is top-normal in size and fairly well-aerated lungs. There is no focal consolidation, pleural effusion, or pneumothorax. The lingular opacity is no longer appreciated. The visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with an abnormal chest radiograph <num> month prior.
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The lungs are clear without focal consolidation. No pleural effusion pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
chest pain and cough.
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A right port-a-cath is seen, terminating in the low svc/ cavoatrial junction. There is mild elevation of the right hemidiaphragm. The cardiac silhouette is not enlarged. Mediastinal contours are unremarkable. There are perihilar opacities which may be due to pulmonary edema, infection not excluded in the appropriate clinical setting. No pleural effusion or pneumothorax.
history: <unk>f with stage iv pancreatic adenocarcinoma presenting with worsening abd pain, weakness, loss of appetite // eval port-a-cath placement
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There are moderate to moderately large bilateral pleural effusions, which have increased compared with <unk>. There is likely underlying collapse and/or consolidation. The right midzone/base infiltrate seen on the prior film is partially obscured by the right pleural effusion on today's exam. Again seen is upper zone redistribution and mild vascular plethora, consistent with chf. Cardiomediastinal contours are obscured by the effusions, but appear overall similar. A calcified granulomas seen in the right mid zone laterally. Again seen is the right-sided catheter. Previously identified pigtail catheters are not clearly visible on the current exam --? Interval removal. Background osteopenia and degenerative changes again noted.
history: <unk>f with leucocytosis // r/o infiltrate
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Ap semi upright and lateral views of the chest provided. Cardiomegaly is again noted. The aorta is unfolded and calcified. There is mild congestion and subtle interstitial edema. No convincing signs of pneumonia, effusion or pneumothorax. Imaged bony structures are intact. Severe degenerative disease at bilateral shoulders again noted.
<unk>f with general weakness // 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.
history: <unk>f with chest tightness
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The heart size is within normal limits. Calcified mediastinal and hilar lymph nodes are unchanged from ct <unk>. The lungs are clear except for unchanged mild biapical pleural and parenchymal scarring. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
history: <unk>f with history of pancreatitis p/w epigastric pain and nausea, vomiting // eval for pleural effusion
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There is mild bilateral mid to lower lung linear atelectasis/scarring, left greater than right. Possible underlying minimal intersitial edema present. No focal opacity concerning for pneumonia is identified. There is no pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are unremarkable.
patient with chest pain. evaluate for chf.
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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 rul opacity. // f/u
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In comparison with study of earlier in this date, there is little change. Ring of opacification is seen in the outer margins of the right lung. Post-surgical and atelectatic changes are seen at the right base. Some coarse interstitial or fibrotic changes are seen bilaterally. No evidence of acute vascular congestion or definite pneumonia.
esrd with ischemic cardiomyopathy status post pleurodesis.
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Right-sided port-a-cath is stable in position, terminating at the proximal right atrium. 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 confusion // eval infiltrate
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Frontal and lateral views of the chest demonstrate clear lungs without pleural effusion, or pneumothorax. The cardiac silhouette is normal in size. The mediastinal contours are normal. The pulmonary vasculature is normal.
<unk>-year-old male with fever, rule out infiltrate.
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Pa and lateral view of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. Lungs are hyperinflated. There is a nodular opacity projecting over the mid thoracic spine on the lateral view. Prominent fat pad adjacent to the right heart border likely accounts for partial silhouetting noted. Cardiomediastinal silhouette appears grossly unremarkable.
<unk>-year-old male with amnesia, evaluate for pneumonia.
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Frontal and lateral views of the chest. Left chest wall dual-lead pacing device again seen with lead tips in the right atrium and right ventricular apex. The lungs are clear without consolidation, effusion, or edema. Cardiomediastinal silhouette is stable. Hypertrophic changes again noted in the spine.
<unk>-year-old female with cough and fever.
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Left pectoral pacer leads terminate in the right atrium and right ventricle. A linear opacity along the lingula is likely atelectasis, improved compared to the prior study. Bibasilar atelectasis, more prominent at the left lung base, is improved. Small bilateral pleural effusions are likely present. Prominence of the right and left pulmonary arterial branches consistent with pulmonary arterial enlargement better evaluated on chest ct from <unk>. No pneumothorax is seen. Cardiac silhouette stable.
history: <unk>f with cough and body/aches pains // ? pna
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Heart size is normal. Mediastinal and hilar contours are unchanged including note of a right-sided aortic arch. Pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>m with abdominal pain and cough // eval pneumonia
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Right port-a-cath terminates in the low svc just above cavoatrial junction without evidence of disruption or kinking of the tubing. No pneumothorax. The mediastinal contours, hila, and cardiac borders are normal. No pleural effusion. Right lower lobe focal nodular opacity corresponds to nodule better characterized on recent chest ct.
<unk> year old man with poc for chemotherapy. no blood return from port. // confirm port placement
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The lungs are well inflated and clear. There is no effusion, consolidation, or edema. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits. Moderate hiatal hernia is suspected. No acute osseous abnormalities.
<unk>m with cp // eval for pna ptx
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There has been interval removal of a previously seen right-sided central venous catheter. Multiple old left-sided rib deformities are again seen. What appears to be a safety pin overlies the left axilla. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
elevated inr.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The aorta is tortuous, and unchanged from prior exams. The cardiomediastinal silhouette is otherwise normal.
hepatitis c, on interferon. presenting with cough and fever. evaluate for pneumonia.
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is mildly enlarged. The imaged upper abdomen is unremarkable. The bones are intact.
history: <unk>f with sob // acute process