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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.mild degenerative changes of the thoracic vertebral body are unchanged.
<unk> man with fevers. evaluate for acute cardiopulmonary process or pneumonia.
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Pa and lateral views of the chest. Dual chamber right chest wall port is seen with the catheter tip at the ra svc junction. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected. No free intraperitoneal air.
<unk>-year-old female with history of fap, <unk>'s, status post <num> cycles of adriamycin for intra-abdominal desmoid presents with fever and abdominal pain.
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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. Dextroscoliotic curvature of the t-spine noted. No free air below the right hemidiaphragm is seen.
<unk>f with cough // evalaute for pneumonia
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Frontal and lateral views of the chest were obtained. The heart is of top normal size, likely exaggerated by technique. Pulmonary vasculature is unremarkable. The lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. The osseous structures are unremarkable. No radiopaque foreign bodies.
<unk>-year-old female with atypical chest pain. rule out infiltrate.
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There is minimal prominence of the perihilar markings but no definitive focal airspace opacity. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old woman presenting with asthma exacerbation, with leukocytosis, dyspnea, and tachycardia.
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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 chest examination of <unk>. The on previous examination identified extensive chest wall emphysema, predominantly on the left side, has now diminished markedly. There is no evidence of remaining emphysema in the chest wall; however, a small amount of soft tissue emphysema remains in the left lower neck area. No pneumothorax is present and no acute parenchymal infiltrates are seen. Heart size is normal and no pulmonary vascular congestion is present. On the frontal chest view, one can identify the previously described multiple rib fractures involving the posterior mid portions of ribs #<num> through #<num>. They have not undergone any significant interval change in position. No evidence of callus formation, which cannot be expected to be reasonable at this early stage.
<unk>-year-old male patient status post motorized scooter accident. now with left-sided pneumothorax. fracture of second through fifth ribs. reevaluate rib fractures and pneumothorax.
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. Suture material at lingula and surrounding fibrotic change is again noted.
<unk> year old woman with increase sob today and low grade fever and fatigue. pt is <unk>m s/p liver transplant please eval for pna. // pt c/o increase sob, low grade temp and fatigue. please eval for pna. pt is immuno suppressed
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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are again noted as well as a left chest wall pacer device with pacer lead extending into the right ventricle region. Cardiomegaly and hilar congestion again noted. No frank edema or signs of pneumonia. No large effusion or pneumothorax. Bony structures are intact.
<unk>f with cp // eval for ptx, pulm edema
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Compared with prior radiographs on <unk>, there is no significant change.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Heart size is normal. The aorta is tortuous.
<unk> year old male with history of chronic pancreatitis, peripheral neuropathy, malnutrition, severe depression, complicated by etoh abuse who presented to <unk> ed for failure to thrive, at the request of his outpatient primary care physician. will pursue medical optimization prior to transfer to dual-diagnosis psychiatric facility. pt reporting dry cough, with associated pain with coughing, r/o interval change/infiltrative process // pt reporting dry cough, with associated pain with coughing, r/o interval change/infiltrative process
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The cardiac silhouette size is normal. The aorta remains markedly tortuous with minimal atherosclerotic calcification noted at the aortic arch. The mediastinal and hilar contours are otherwise unchanged, and the pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. Clip is seen projecting over the epigastric region.
fever, on immunosuppression.
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The lungs are well expanded with linear opacities in the left lung base suggestive of atelectasis or scarring, also seen on previous chest cts. The lateral left lung and left costophrenic angle are not included on the frontal view. No consolidative opacity to suggest pneumonia. No pulmonary edema. Mediastinal contours, hila, and cardiac silhouette are normal. No pneumothorax or large pleural effusion.
<unk>m with dizziness, hx of intracranial // please evaluate for acute abnormality
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Persistent blunting of the right lateral and posterior costophrenic angle suggests persistent small effusion, decreased since prior. There may also be trace left pleural effusion. There is no focal consolidation or overt pulmonary edema. Cardiac silhouette is enlarged, similar configuration compared to prior which on remote exam had represented a pericardial effusion.
<unk>m with chest pain. // rule out infiltrate, pna
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Compared to <unk>, a small right effusion is now larger, likely with an element of underlying collapse and/or consolidation at the right base. Otherwise, i doubt significant interval change. Again seen is background copd and chronic cardiomegaly, with sternotomy wires. One pacemaker device overlies the right chest, with apparent abandoned lead and additional lead overlying the right heart. Another pacemaker overlies the right upper abdomen and is associated with epicardial leads, which are similar in configuration. Mild vascular plethora, though doubt overt chf. No left-sided effusion. Probable slight interval improvement in atelectasis at the left base. Subtle parenchymal abnormalities might not be apparent radiographically. Left ij central line tip overlies the lower svc. No pneumothorax is detected.
<unk> year old woman with s/p redo sternotomy tvr and ppm epicardial leads // eval for effusion or infiltrates
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In comparison with the study of <unk>, the swan-ganz catheter has been removed. Patient has taken a slightly better inspiration. Continued enlargement of the cardiac silhouette without definite vascular congestion. Blunting of the left costophrenic angle suggests pleural fluid, and opacification in the retrocardiac region is consistent with some residual volume loss in the left lower lobe.
followup cardiac surgery.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with preoperative // assess for occult disease assess for occult disease
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The heart is normal in size. The mediastinal and hilar contours are stable. There is probably mild hyperinflation suggested by flattening of hemidiaphragms. There is no pleural effusion or pneumothorax. The lungs appear clear. There is no free air. Bony structures are unremarkable.
nausea, vomiting and leukocytosis.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The heart size is mildly enlarged though stable. Mediastinal contour is unremarkable. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with dizziness // eval for pna
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Pa and lateral radiographs of the chest demonstrate clear lungs. The cardiac, hilar, and mediastinal contours are normal. No pleural abnormality is seen. The osseous structures are normal.
chest pain. evaluate for pulmonary etiology.
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The heart size is moderately enlarged. The right mediastinal and hilar contours are normal. Pulmonary nodules seen on <unk> pet-ct cannot be definitively correlated on today's study. A left upper lobe opacity is seen which represents fluid in the major fissure. A moderate left pleural effusion present which by itself does not completely explain symptoms but could relate to findings not seen on plain film radiography.
<unk> year old woman with metastatic sarcoma, post op day #<unk> from posterior exenteration vram flap reconstruction presents with fevers // acute process for cause of fevers?
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Heart size is enlarged but stable from the prior study. Again, there is a normal postoperative appearance of the cardiac silhouette. Minimal bibasilar atelectasis is not significantly changed. The lung volumes are low. There is no evidence of the pulmonary edema or pneumothorax. There are small bilateral pleural effusions.
<unk> year old man with s/p avr/cabg // eval postop changes
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There is a left chest wall pacer device with leads terminating in the right atrium and right ventricle. The heart is mildly enlarged. There is moderate pulmonary edema. Bilateral calcified pleural plaques are again seen. There is blunting of the bilateral costophrenic angles, which could be secondary to a small amount of pleural fluid. There is no focal consolidation.
history: <unk>m with dyspnea and <unk> edema, productive cough s/p hernia repair last week // eval ? pna
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No focal consolidation, pleural effusion, or pneumothorax is seen. Heart and mediastinal contours are within normal limits.
<unk>-year-old female with cough for four days.
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Pa and lateral views of the chest. Previously identified tracheostomy is no longer visualized. Prior left-sided pleural effusion and basilar opacity has essentially resolved. There is no residual effusion. The lungs are now clear. Cardiomediastinal silhouette is within normal limits. Kyphoplasty changes seen in the lower thoracic spine. No acute osseous abnormality detected. Old right lateral clavicular fracture is again seen.
<unk>-year-old female with history of head bleed now with fall and hypotension.
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Cardiac silhouette size is likely within normal limits. The mediastinal and hilar contours are unremarkable, and no pulmonary edema is present. A large left pleural effusion is present along with compressive atelectasis of the left lung base. The right lung is clear. No pneumothorax is identified. There are mild degenerative changes seen in the thoracic spine.
history: <unk>m with productive cough and intermittent chills for the past <num> days. patient is a daily smoker // ? pneumonia
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Heart size is normal. The mediastinal and hilar contours are unchanged, with tortuosity of the thoracic aorta again noted. Atherosclerotic calcifications are seen throughout the aorta. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. Multilevel degenerative changes are seen in the thoracic spine. Clips in the right upper quadrant of the abdomen are re- demonstrated.
history: <unk>f with malignancy, recent cycle chemo last week, dvt last month, now w/ sirs+ presentation, malaise, jvd, epig abd pain since last night
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The lungs are hyperinflated. A linear opacity tracking diagonally across the right lower lobe likely represents atelectasis. No other focal opacities are seen. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Implanted loop recorder in the left chest is in stable position. Surgical clips at the level of the ge junction in the mediastinum are re-demonstrated.
patient with productive cough. evaluate for acute cardiopulmonary process.
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The patient is not in full inspiration. Overall, no significant change compared to the prior exam. Overall stable multi-focal bilateral opacities, without clear evidence of new focal opacities. Stable small bilateral effusions with some tracking in the major fissures. Stable moderate pulmonary edema. Stable cardiomegaly and mediastinal contours. No pneumothorax. The sternotomy wires and cardiac valve devices appear intact and unchanged in position. No acute osseous abnormality.
<unk>-year-old man with history of chf and multi focal pneumonia, now presenting with worsening shortness of breath; evaluate for pulmonary edema.
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The cardiomediastinal is top normal. The hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable. A density projecting over the humeral head appears to be a soft tissue calcification on radiograph <unk>.
history: <unk>f with night sweats, <num>lb weight loss // eval ? infiltrate, lung mass
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Ap upright and lateral views of the chest provided. Lungs appear clear though volumes are somewhat low. The heart is mildly enlarged. No overt edema is seen though there is likely mild central congestion. No convincing evidence for pneumonia. No pneumothorax. Severe degenerative disease at both shoulders noted.
<unk>f with fever // evidence of pneumonia
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Pa and lateral views of the chest provided. Cardiomegaly is again noted. Hilar congestion likely represents fluid overload with probable mild pulmonary edema. Additionally, there are scattered asymmetric opacities within the lungs, right greater than left concerning for multifocal pneumonia. No large effusion or pneumothorax. Bony structures intact.
<unk>m with fevers and body pain
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
<unk>-year-old female with chest pain.
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The cardiac silhouette size is borderline enlarged. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Minimal atelectatic changes are seen in the lung bases, with no focal consolidation, pleural effusion or pneumothorax identified. Scarring within the lung apices is re- demonstrated. There is no acute osseous abnormality seen.
chest pain.
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When compared to prior, again seen are bilateral middle to lower lung somewhat nodular opacities. The appearance may be slightly progressed when compared to previous exam from <unk>. There is no significant pleural effusion. Cardiac silhouette is mildly enlarged. Chronic nonunion and pseudoarthrosis of the right clavicular fracture is again seen. Peg tube projects over the upper abdomen.
<unk>m with history of recurrent aspiration pneumonia p/w hypoxia, dyspnea // eval for pneumonia, congestive heart failure
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Small bilateral pleural effusions are comparable in volume prior to placement of pacemaker. A left-sided transvenous pacemaker with lead terminating in the right ventricle is noted. No evidence of pneumothorax. Cardiomediastinal silhouette is unchanged. Median sternotomy wires and a prosthetic valve noted.
<unk> year old woman s.p ppm implant // ptx, lead
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As compared to the previous radiograph, the lung volumes are unchanged. Known healed serial rib fractures on the left are unchanged in appearance. Unchanged size of the cardiac silhouette. Within the lung parenchyma, there is no evidence of focal or diffuse parenchymal opacities. The only abnormality noted are areas of thickened peribronchial tissue, notably in the retrocardiac lung regions and at the bottom of the medial aspect of the middle lobe. These could reflect chronic bronchitis, for example caused by cigarette smoking. No pleural effusions. No hilar or mediastinal abnormalities. No pneumothorax. If clinically indicated, bronchial abnormalities could be further evaluated with ct.
cigarette smoker, cough and dyspnea on exertion, evaluation.
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A patchy opacity in the left lower lobe is concerning for pneumonia. Cardiac size is normal. The right lung is clear except for a small impacted bronchus versus vessel on end in the right lower lobe. No pneumothorax or pulmonary edema.
history: <unk>m with cough // eval for pna
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Pa and lateral views of the chest provided. Cardiomegaly is again noted, severe. The hila appear congested and there is mild pulmonary edema. Tiny bilateral pleural effusions are present. Mediastinal contour is normal. Bony structures are intact.
<unk>m with sob // r/o acute process
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The cardiomediastinal silhouette is normal. There is no pneumothorax or pleural effusion. There is no focal lung consolidation.
<unk>-year-old man with hypertensive emergency evaluate for pneumonia
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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>f with dyspnea // r/o pna
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Left-sided port-a-cath tip terminates at the junction of the svc and right atrium. Patient is status post median sternotomy and cabg. Heart size is mildly enlarged but unchanged. The aorta is slightly tortuous. Mediastinal and hilar contours are similar. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities detected. Common bile duct stent is seen in the right upper quadrant of the abdomen.
history: <unk>m with neuroendocrine cancer who presents with fever and ruq pain
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The lungs are hyperinflated, but clear of consolidation. Costophrenic angles are sharp. Cardiac silhouette is mildly enlarged. Atherosclerotic calcifications noted at the arch. Right shoulder arthroplasty is noted in addition to severe degenerative changes at the left shoulder. Compression deformity seen in the upper lumbar spine of uncertain age and clinical correlation suggested.
<unk>-year-old female with right upper quadrant pain. question right lower lobe pneumonia.
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Ap upright and lateral views of the chest provided. There is a layering right pleural effusion, small to moderate in size with associated compressive lower lobe atelectasis. Difficult to exclude an underlying pneumonia. The left lung is clear. Hila appear somewhat congested. No overt pulmonary edema. The heart is moderately enlarged. Mediastinal contour is normal. Imaged osseous structures appear intact.
<unk>m with hx chf // ?failure
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Evaluation of the lateral radiograph is limited due to the arm positioning. The lung volumes are low and there is bibasilar atelectasis. There is no focal opacity, pleural effusion or pneumothorax. The aorta is densely calcified. The heart size is normal. Surgical clips are noted in the left upper abdomen.
history: <unk>f with unwitnessed fall complaining of right shoulder pain.
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Peripheral, linear opacity in the lungs bilaterally, especially seen posteriorly on the lateral view is compatible with calcified pleural plaques and pleural thickening as seen on chest ct. There is no superimposed new consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with chest pressure radiating to neck // eval for acute process, ptx
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Redemonstrated is a right port-a-cath, the tip of which is seen terminating in the upper svc. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. A right mid lung nodule appreciated on the ct exam performed the same day is not well delineated. The cardiomediastinal silhouette is stable. No suspicious lytic or sclerotic osseous lesion is detected.
history of colorectal cancer.
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Pa and lateral views of the chest provided. The lungs are mildly hyperinflated and the diaphragms are flattened. An opacity at the left lung base is new. No pneumothorax. Probable small left pleural effusion. Hilar contours are normal. Moderate cardiomegaly is unchanged.
<unk> year old man with lymphoma, treated with chemotherapy, with persistent cough, fatigue, inspiratory crackles at l base. // assess for pneumonia
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There is no pleural effusion or pneumothorax. Bony structures appear within normal limits.
palpitations.
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Pa and images of the chest demonstrate well-expanded lungs which are clear. There is no pneumothorax or pleural effusion. There are old compression fractures of two vertebral bodies noted in the spine. There is significant degenerative joint disease of the shoulders. There is mild cardiomegaly. There is no evidence of acute cardiac or pulmonary process on this exam.
<unk>-year-old female with shortness of breath and cough concerning for pneumonia.
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Chest pa and lateral radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax evident. Minimal apical thickening noted bilaterally, unchanged compared to prior. No osseous abnormality evident.
<unk>-year-old male with abdominal pain and acute renal failure, rhonchi on exam. please assess for pneumonia or acute process.
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Frontal and lateral views of the chest demonstrate low lung volumes without pleural effusion, focal consolidation or pneumothorax. Mild perihilar vascular congestion is noted. Heart size is normal. There is no pulmonary edema. Small opacities in the left lower lobe best seen on the lateral view may reflect aspiration. Pacemaker leads project over right atrium and right ventricle. Compression deformities of mid thoracic vertebral bodies are unchanged.
patient with history of seizures and current uti.
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The cardiac silhouette size is normal. The mediastinal and hilar contours are unchanged, with mild unfolding of the thoracic aorta noted. Aortic knob calcifications are again seen. Pulmonary vascularity is normal. Minimal left basilar streaky opacity is compatible with atelectasis. Right lung is clear. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities are seen.
left-sided chest pain.
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Lung volumes are low. Heart size is accentuated as a result and appears borderline enlarged. Mediastinal and hilar contours are normal. Crowding of bronchovascular structures is present without overt pulmonary edema. Mild patchy atelectasis is seen in the lung bases without focal consolidation. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities present. No subdiaphragmatic free air is identified.
history: <unk>m with confusion, etoh history, epigastric abdominal pain
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. There is calcification of the aortic knob. The lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. No acute rib fracture is present. Patient is status post lower lumbar vertebroplasty. Several wedge compression deformities of several thoracic and lumbar vertebral bodies are new or worsened since <unk>. No radiopaque foreign body.
<unk>-year-old female with left-sided posterior chest wall pain. evaluate for rib fractures.
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Pa and lateral views of the chest. No prior. There are linear opacities suggested at the upper lungs bilaterally with retraction of the hila suggestive of chronic underlying disease. There is suggestion of a focal rounded opacity projecting over the anterior aspects of the lower thoracic spine on the lateral view and potentially abutting the lateral aspect of the descending thoracic aorta in the retrocardiac region. The lungs are otherwise clear and there is no effusion. Cardiomediastinal silhouette is within normal limits. Proximal left humeral hardware is identified. Diffuse osteopenia is also seen.
<unk>-year-old female with recent stroke-like symptoms and shortness of breath over several weeks.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. No fracture is identified.
status post bicycle crash. evaluate for fracture.
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Compared with the immediate prior study of <num> hr before, right base pleural effusion has further decreased and associated compressive atelectasis has improved. Pleurx catheter still cannot be traced from the chest wall through its course. This is better evaluated on the concurrent abdominal radiograph, which demonstrates that the catheter is within the chest. Otherwise there is little change from radiographs obtained earlier the same day.
<unk> year old woman with mpe s/p right pleurx placement // please assess if pleurx is in abdomen or chest. kub view also ordered.
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There is no focal consolidation or pulmonary edema noted. The aorta is mildly tortuous, but unchanged in appearance. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are normal without effusion or pneumothorax.
chest pain
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Lungs are well expanded without new focal airspace opacity. Left lower lobe opacity has improved. Probable trace bilateral pleural effusions. A right chest tube is grossly unchanged in position. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal, noting an adjacent soft tissue density almost certainly representing the neo esophagus.
<unk> year old man s/p esophagectomy // check interval change
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Frontal and lateral chest radiographs demonstrate stable cardiomegaly. Lungs are clear. No pleural effusion or pneumothorax present. Pacing wires are stable in position. Left-sided picc line likely terminates within the right atrium.
hyperglycemia, renal transplant, assess for infection.
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Ap and lateral views of the chest. The lungs are essentially clear. There is no large effusion or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits noting a tortuous aorta and atherosclerotic calcifications of the aortic arch. No definite acute osseous abnormality detected however there is mild height loss of a midthoracic vertebral body which is age indeterminate.
<unk>-year-old female with facial droop.
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There is mild to moderate pulmonary edema. On the lateral view, there is increased opacity projecting over the mid to lower thoracic spine and descending thoracic aorta. This may correspond to increased opacity projecting over the right hilar region on the frontal view. Degree of cardiomegaly which is moderate is similar compared to prior. Median sternotomy wires are noted. Dense atherosclerotic calcifications are noted in the thoracic aorta.
<unk>m with cough, fever // r/o pna
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The patient is status post sternotomy. There is no pleural effusion or pneumothorax. The cardiac, mediastinal and hilar contours appear stable. The lungs appear clear. There has been no significant change.
chronic cough.
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The heart appears mildly enlarged. The aortic arch is calcified. The mediastinal and hilar contours are otherwise unremarkable. There is no pleural effusion or pneumothorax. The lungs appear clear. The bones appear demineralized.
weakness. question pneumonia.
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An opacity is again noted overlying the left lower lung on the ap view only and most likely representative of a nipple shadow. Otherwise, the lungs are clear with no evidence of a consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified.
cough and fever.
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Patient is status post median sternotomy and cabg. Left-sided aicd device is re- demonstrated with leads in unchanged positions. Heart size is mildly enlarged. Mediastinal and hilar contours are unremarkable. Lung volumes are low. Pulmonary vasculature is not engorged. Patchy opacities are demonstrated in the lung bases. No pleural effusion or pneumothorax is present. Degenerative changes are noted throughout the imaged thoracic spine as well as within the imaged shoulders.
history: <unk>m with recent trauma, negative ct chest at the time now with reports of low sats and lethargy.
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Cardiac silhouette size remains normal. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Persistent ill-defined opacities within both lung bases are perhaps minimally worse in the interval with probable trace bilateral pleural effusions. No pneumothorax is detected. There are no acute osseous abnormalities. Mild degenerative changes are noted in the lower thoracic spine.
history: <unk>f with recent pneumonia
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Enteric tube terminates in the stomach. Clips overlie the right neck. Low lung volumes. Borderline heart size. No pleural effusion. No definite focal consolidation or pneumothorax. Hazy opacity at the left lung base, probable atelectasis. No evidence of pneumoperitoneum on upright image.
<unk> year old woman pod #<unk> s/p partial small bowel resection and bso with fever // please evaluate for pneumonia and free air
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Mild bibasilar atelectasis. Heart size is normal. Mediastinal and hilar contours are normal.
<unk> year old man with aids and a non-productive cough. // any pulmonary infiltrates?
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Frontal and lateral views of the chest were obtained. The patient is status post cabg with median sternotomy and intact sternal wires. Mild enlargement of the cardiac silhouette is similar to the prior study. Since the prior study, there is improved aeration of the lungs with mild bibasilar atelectasis. No overt pulmonary edema. Aortic tortuosity is unchanged.
dyspnea, history of chf.
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The lungs are fully inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact.
status post fall, evaluate for fracture.
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Pa and lateral views again demonstrate bilateral atelectasis. The distal tip of the picc is still not visualized but is in at least the right atrium. There is no pneumothorax.
evaluation of left picc placement. position not identifiable on portable radiographs.
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Pa and lateral views of the chest provided. No large volume aspiration or definite signs of pneumonia. There is subtle increased opacity in the medial right lung base which raises potential concern for minimal aspiration. No large effusion or pneumothorax. The heart is mildly enlarged. Mediastinal contours unremarkable. Bony structures are intact. No free air below the right hemidiaphragm peer
<unk>f with post-procedural respiratory distress after choking on juice +wheezing bilaterally
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Cardiac silhouette remains mildly enlarged. Mediastinal contours are unremarkable. There is left basilar atelectasis. Slight blunting of the left costophrenic angle on the frontal view is not substantiated on the lateral view and may be due to atelectasis. No large pleural effusion is seen. There is no pneumothorax. No focal consolidation is seen. Degenerative changes are seen along the spine.
history: <unk>f with sob, sputum production // eval for structural process, pneumonia
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No previous images. The cardiac silhouette is within upper limits of normal in size and there is tortuosity of the aorta. No vascular congestion or pleural effusion. Specifically, no evidence of acute focal pneumonia.
immunosuppressive therapy, to assess for pneumonia.
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally, well inflated symmetrically. Cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax or pleural effusion. There is no air under the right hemidiaphragm. Pulmonary vasculature is within normal limits. There is no displaced fracture identified.
<unk>f with sob, rib pain // rib fx
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Pa and lateral chest radiographs. Allowing for differences in technique, the size of the right pneumothorax is not significantly changed. However, small pleural effusion is now visible. Again noted are parenchymal abnormalities throughout the right lung, better characterized on recent pet-ct. The cardiomediastinal silhouette is normal.
lung nodule biopsy complicated by pneumothorax. evaluation for interval change.
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There is no significant change compared with prior radiograph. The right lung is hyperinflated, with large emphysematous bullae seen in the right lower lung. There is elevation of the left hemidiaphragm, also unchanged from prior. There is no new focal opacity concerning for pneumonia. Multiple nodules in both lungs seen in prior ct cannot be appropriately evaluated with a radiograph. There is no pleural effusion or pneumothorax. Cardiac size cannot be evaluated due to superimposition of the diaphragm. No subdiaphragmatic free air is identified.
<unk>-year-old male with copd flare, shortness of breath, cough. evaluate for evidence of pneumonia.
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Pa and lateral views of the chest provided. Lung volumes are low. There is left lower lobe consolidation concerning for pneumonia. Mild right basal atelectasis noted. There is likely a small left pleural effusion. Cardiomediastinal silhouette appears grossly unchanged. Imaged osseous structures are intact.
<unk>f with worsening productive cough, hx of pna // ? pneumonia
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There is a focal opacity in the right lower lobe. The lungs are otherwise clear. Moderate cardiomegaly is not significantly changed. The descending thoracic aorta is slightly ectatic, as before. There are no pleural effusions. No pneumothorax is seen. Degenerative changes of the thoracolumbar spine are again noted.
mental status change, evaluate for infiltrate.
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax or pleural effusion. The osseous structures demonstrates no acute abnormality.
<unk>-year-old male with chest pain.
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There is no free intra-abdominal air. There is no pleural effusion, pneumothorax or focal airspace consolidation. There is likely an epicardial fat pad. The patient is status post a midline sternotomy.
epigastric and right upper quadrant pain. evaluate for free air.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with <unk> // eval for pna
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Pa and lateral radiographs elevation of the right hemidiaphragm. The cardiomediastinal silhouette is enlarged. There is no evidence of pleural effusion or pneumothorax.
confusion.
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The cardiomediastinal and hilar contours are within normal limits. Note is made of coronary artery calcifications. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. Pulmonary nodules identified on prior chest ct are not appreciated on this examination.
history: <unk>f with chest pain // presence of infiltrate presence of infiltrate
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The lungs are relatively hyperinflated, suggesting chronic obstructive pulmonary disease. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax.the cardiac silhouette is top-normal to mildly enlarged.
cough, a etoh, question pneumonia
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Cardiac silhouette size is normal. Right paratracheal mass appears unchanged from the previous chest ct allowing for differences in modality. Prominence of the right hilum is unchanged and due to adenopathy, better assessed on prior ct. There is continued volume loss in the right lung with elevation of the right hemidiaphragm. Known right upper lobe spiculated lesion is re- demonstrated. No focal consolidation, pleural effusion or pneumothorax is present. The pulmonary vasculature is not engorged. No acute osseous abnormalities detected.
history: <unk>f with svc encasement here with shortness of breath
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The cardiomediastinal and hilar contours are normal. The lung volumes are low, but no focal pulmonary abnormality, especially, no hilar abnormality is seen. No consolidation, pulmonary edema, pleural effusion, or pneumothorax is seen.
<unk>-year-old man with questionable left hilar abnormality, to assess interval change after antibiotic treatment.
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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 remains unchanged and is within normal limits. No configurational abnormality is seen. Mild widening and elongation of the thoracic aorta is noted, but no local contour abnormalities or wall calcifications 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. The lateral view discloses a mildly accentuated kyphotic curvature in the thoracic spine, not excessive for patient's age and there is no evidence of vertebral body compression fractures. In comparison with the next preceding chest examination of <unk>, the at that time described mild blunting of the lateral pleural sinuses is not present anymore. An interesting observation is that on both lateral views, there was never any fluid accumulation in the posterior dependent pleural sinuses, thus free pleural effusion cannot be identified.
<unk>-year-old female patient with bilateral pleural effusions and chronic cough. examined to date with normal echo, lft, kidney function, concern for underlying lung disease, assess for interval change.
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A pacer is seen overlying the left anterior chest with intact lead terminating in the right ventricle. The lungs are hyperinflated but clear. There is no pleural effusion or pneumothorax. Moderate cardiomegaly is noted.
<unk>m with s/p mechanical fall. now complaining of pain s/p fall. fracture?
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Cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Calcified pleural plaque partially obscures assessment of the left lung base. No focal consolidation, pleural effusion or pneumothorax is present. Multilevel degenerative changes are seen in the thoracic spine. Surgical anchors project over the right humeral head.
history: <unk>m with fall, pre op for trimalleolar fracture
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Lungs are hyperinflated. Heterogeneous airspace opacities are predominantly present in the right lower and to a lesser extent in the right upper and middle lobes. There are subtle opacities in the left lower lobe as well. Heart is normal size and cardiomediastinal silhouette is stable. There is no pulmonary edema. No pleural effusion or pneumothorax.
<unk> year old man with copd // aspiration pna
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The large right pneumothorax has increased in size. Right pleural catheter is unchanged in position. There is worsening pulmonary edema. A left upper lobe opacity may be edema however a pneumonia cannot be excluded. No pleural effusion is seen. The cardiac, hilar and mediastinal silhouettes are unremarkable.
<unk> year old man with r ptx // compare to previous and extend
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In comparison with the study of <unk>, there is again some enlargement of the cardiac silhouette with tortuosity of the aorta. Opacification at the left base is again consistent with a small effusion and some basilar atelectatic change. Central vascular engorgement is again noted. No evidence of acute focal pneumonia.
acute limb ischemia, pre-operative chest.
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Pa and lateral radiographs through the chest demonstrate clear lungs bilaterally with low lung volumes. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Again noted is a left humeral head prosthesis.
<unk>-year-old female with weakness and vague symptoms.
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There has been interval improvement/ resolution of previously seen left mid lung consolidation. No new consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with recent pna, now with confusion // eval infiltrate
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. The bony structures are unremarkable.
fever, cough, shortness of breath and fatigue.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. There is trace bibasilar atelectasis. There is no edema. Pleural surfaces are clear without effusion or pneumothorax.
history: <unk>m with fatigue +fever // pneumonia?
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Frontal and lateral views of the chest demonstrate low lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Bibasilar opacities most likely represent atelectasis. Partially imaged upper abdomen is unremarkable.
patient with history of hiv, positive ppd, however, is asymptomatic.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. On the current exam, the lungs are clear of consolidation. There is no effusion, no pneumothorax. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with hypotension. question pneumonia.
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A picc line has been removed. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. A mild interstitial abnormality with peribronchial cuffing suggests mild pulmonary edema. There is a mild compression deformity along the lower thoracic spine and another along the mid thoracic spine. These are concordant with prior thoracic mr findings without any increased loss in vertebral body height.
fever, on chemoradiation.