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The lung volumes are low. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Mild cardiomegaly is again noted. The aorta is calcified, as seen previously. A nodular opacity projects over the anterior third rib, unchanged from prior.
<unk>-year-old female with seven days of productive cough.
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There is slightly increased density of the right hemithorax on the frontal view, which is more pronounced than on prior examinations. On the lateral view, there is not an obvious correlative focus of consolidation. The cardiac and mediastinal silhouettes appear unchanged overall and within normal limits given technique. There is no evidence of pleural effusion or pneumothorax. Osseous structures appear unremarkable.
cough, abnormal physical examination suspicious for aspiration pneumonia.
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Ap upright and lateral views of the chest provided.the heart remains markedly enlarged with a prosthetic mitral valve again seen. Mediastinal contour appears normal. Clips project over the right hilum. Bilateral humeral head replacement noted. There is mild blunting of the cp angles bilaterally likely indicative of small pleural effusions. No convincing evidence for edema or pneumonia. No pneumothorax.
<unk>f with dyspnea
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal in size. A density projecting adjacent to the right heart border is most consistent with a pericardial cyst, and is unchanged from the prior ct in <unk>.
chest pain.
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Low lung volumes with bronchovascular crowding. Atelectasis is again seen in the left lung base. The lungs are otherwise clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Degenerative changes are seen in the spine.
weakness.
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Compared with prior radiographs on <unk>, there is a subtle retrocardiac opacity. There is bronchiectasis of the right lower lobe. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. A right-sided port-a-cath terminates at the cavoatrial junction.
<unk> year old man with multiple myeloma with cough // r/p pna
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The examination is limited secondary to underpenetration due to patient body habitus. The heart remains significantly enlarged, which may be secondary to cardiomegaly or pericardial effusion, but essentially unchanged as compared to the prior examination. The aorta is tortuous and unfolded. The lung volumes remain mildly low, and there is bibasilar atelectasis. Patient is rotated to her right, with the right heart border simulating and a region of abnormality in the right lung. There is a possible small left pleural effusion. No pneumothorax is identified. Multilevel degenerative changes are noted within the thoracic spine.
history: <unk>f history of diabetes, atrial fibrillation, hypertension, chf, and morbid obesity, now presenting with nausea and vomiting for <num> hr.
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Moderate enlargement of cardiac silhouette is re- demonstrated. The aorta is tortuous. The pulmonary vasculature is normal, and the hilar contours are unremarkable. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities. Multilevel mild degenerative changes within the thoracic spine are again noted.
fever.
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Heart size and cardiomediastinal contours are normal. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
history: <unk>m with chest pain // ? ptx
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One ap upright and lateral view of the chest. There is no focal consolidation. Heart is mildly enlarged and there is mild vascular congestion. There is no pleural effusion or pneumothorax. Again seen is right shoulder arthroplasty. There is decreased demineralization of all of the bones. The wedge deformity in the upper lumbar spine is similar to prior study.
malaise, question pneumonia.
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No consolidation is identified. Trace right pleural effusion or scarring is similar to <unk>. There is no pneumothorax. Enlarged cardiac silhouette is similar to before.
<unk>m with cough and fever, pls eval pna // <unk>m with cough and fever, pls eval pna
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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.
chest pain and shortness of breath.
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Frontal and lateral chest radiographs demonstrate stable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax evident. No displaced rib fractures identified. Unchanged deformity of the right humeral head.
fall, right frontal head strike, weakness, evaluate for acute cardiopulmonary process.
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Frontal and lateral views of the chest. Lung hyperexpansion is similar to prior and suggestive of copd. No focal consolidation, pleural effusion, or pneumothorax. Heart size and cardiomediastinal contours are stable.
chest 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. No free air below the right hemidiaphragm is seen.
<unk>m with cough x <num> days // eval pneumonia
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The lungs are normally expanded and clear. There are numerous healed right lateral rib fractures and probable scarring in the right lower lung. Heart size is normal. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.
history: <unk>m with cough, chills and sob. concern pna // cough and sob x <num>d
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Compared with prior radiographs on <unk>, there is a opacity in the right lower lung, which is not substantially changed from previous radiographs, however may represent pneumonia in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are normal.
<unk> year old man with one week history of productive cough, fatigue, and pleuritic chest pain. // please evaluate for pneumonia/acute pulmonary process.
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Pa and lateral images through the chest demonstrate clear lungs bilaterally. Visualized cardiomediastinal and hilar contours are within normal limits. No evidence of pleural effusion. No definite pneumothorax is identified. A bb is identified in the posterior lateral soft tissues at the level of the <unk> left rib anteriorly. No definite rib fracture is identified. There is no free intra-abdominal air.
<unk>-year-old female status post fall with left posterior pneumothorax.
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Ap upright 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> year old man with crackles rll // infiltrate
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Hyperlucency of the apices corresponds to underlying emphysema. Increased interstitial opacities at the bases bilaterally corresponds to scarring and atelectasis as seen on the ct from <num> day prior. Heart size is top-normal. No evidence of consolidation, pleural effusion, or pneumothorax.
history: <unk>m with cirrhosis and gi bleed // assess for pna
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A right-sided vp shunt is noted coursing over the right hemi thorax. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. .
history: <unk>f with cp, blood in vomit //
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The patient is status post coronary artery bypass graft surgery. There is also a dual-lead pacemaker/icd device in place with leads again terminating in the right atrium and ventricle, respectively. The cardiac, mediastinal and hilar contours appear unchanged including mild cardiomegaly. There is no pleural effusion or pneumothorax. Calcified pleural plaques are again present bilaterally. The lungs appear clear.
shortness of breath.
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As compared to the previous radiograph, the right-sided chest tube has been removed. An approximately <num> cm right pneumothorax, limited to the very right lung apex is visible on the current image. No left-sided pneumothorax, the left apical pleural scars. There is no evidence of tension. Otherwise, the radiograph is unchanged. At the time of dictation and observation, <time> p.m., on <unk>, the referring physician, <unk>. <unk> was paged for notification and the findings were discussed over the telephone.
recurrent pneumothoraces, the right chest tube was pulled today. evaluation.
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The lungs are clear. No effusion or pneumothorax is noted. Heart and mediastinal contours are within normal limits.
<unk>-year-old male with two episodes of syncope and sick contacts.
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Nodular opacities projecting over the lung bases which could be nipple shadows. Lungs are otherwise clear without consolidation, effusion, or pneumothorax. Cardiac silhouette is top-normal. There is tortuosity of the descending thoracic aorta. No acute osseous abnormalities.
<unk>m with htn and cp // pulmonary edema
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The cardiac silhouette size is normal. The mediastinal and hilar contours are within normal limits. Pulmonary vascularity is normal. The lungs are clear. There is hyperinflation of lungs with flattening of the diaphragms which may suggest underlying copd. No pleural effusion or pneumothorax is present. No acute osseous abnormality is seen.
shortness of breath.
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The cardiac silhouette size is borderline enlarged. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No fractures are identified.
cough, left-sided chest pain for several days.
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Heart size normal. Abnormal left paramediastinal line at the level of the aortic arch and poor visualization of the aortic arch. Obliteration of the retrosternal space on the lateral radiograph (may be seen in patients with increased bmi). No pulmonary edema. No airspace consolidation. No suspicious pulmonary nodules or masses. No pneumothorax. No pleural effusion. Spondylotic changes of the thoracic spine. Mild kyphotic deformity of the lower thoracic spine.
<unk> year old woman with cough x <num> weeks // r/o cap vs other
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Frontal and lateral chest radiographs demonstrate unchanged linear opacity in the left lower lung compatible with scar. The lungs are well expanded. There is no pleural effusion or pneumothorax. The cardiac silhouette remains mildly enlarged, the mediastinal contours are normal. A lap gastric band is noted which is changed in orientation as can be seen in prolapse. There are surgical clips in the right upper quadrant.
chest discomfort.
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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 // fluid? pna? acutecardiopulmonary process?
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with altered mental status
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There is a vague asymmetric opacity in the left lower lobe which may represent an area of early infection. Remainder of the lungs are clear. Cardiac and mediastinal silhouette are normal. Hilar contours are unremarkable without pulmonary vascular congestion. No pleural effusion or pneumothorax.
cough.
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The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax. There is a healed left clavicular and left posterior ninth rib fracture.
cough. evaluate for pneumonia.
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Pa and lateral views of the chest demonstrate moderately enlarged heart size, unchanged since the prior study. There has been interval resolution of bilateral pleural effusions with atelectasis. The lungs are clear, with no evidence of pulmonary edema, pneumothorax or focal consolidation.
<unk>-year-old female with shortness of breath and chest pain. evaluation for pneumonia.
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A right-sided port-a-cath terminates in the high right atrium versus cavoatrial junction. There are low lung volumes due to a sub-optimal inspiratory effort; accounting for changes due to this, the cardiomediastinal silhouettes are stable and within normal limits. Calcifications are noted in the aortic knob. The bilateral hila are unremarkable. Subtle opacities at the bilateral lung bases likely relates to bibasilar atelectasis. A retrocardiac opacity is compatible with known large hiatus hernia. The lungs are otherwise clear. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion. The osseous structures are again noted to be diffusely sclerotic, compatible with known diffuse metastatic disease.
<unk>-year-old woman with fever and hypoxia, evaluate for pneumonia.
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Frontal and lateral views of the chest demonstrate low lung volumes, which accentuates bronchovascular markings. There is no pleural effusion, focal consolidation or pneumothorax. Linear opacity in the left lung base likely represents atelectasis. Hilar and mediastinal silhouettes are unchanged. Mild perihilar vascular congestion is noted. Heart size is top normal. Moderate hiatal hernia is present.
altered mental status and chest pain. study obtained prior to vq scan.
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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 contours are unremarkable.
history: <unk>f with chest pain, high fever, cough // eval for pna
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Heart size is normal. Calcified left hilar lymph node and calcified nodule in the left mid lung field are unchanged, compatible with prior granulomatous disease. Aortic knob calcifications are present. The mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is not engorged. Right basilar and left lateral pleural calcifications are present suggestive of prior asbestos exposure. No focal consolidation, pleural effusion or pneumothorax is seen. Patchy opacities in the lung bases likely reflect atelectasis. There are mild degenerative changes in the thoracic spine.
history: <unk>m with weakness, fever // eval for pna
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Moderate left pleural effusion with overlying atelectasis is seen, underlying consolidation is not excluded. Trace right pleural effusion is difficult to exclude. Otherwise, the right lung is grossly clear. The cardiac silhouette is top-normal. The aorta is calcified and tortuous. A left-sided port-a-cath terminates in the region of the low svc/cavoatrial junction.
history: <unk>m with sob // acute process
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>f with left-sided chest burning.
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The cardiac silhouette size is top normal. The aorta is mildly tortuous. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Minimal patchy opacities are demonstrated in the right lower lobe which may be infectious in etiology. Left lung is clear. No pneumothorax or pleural effusion is identified. No acute osseous abnormalities seen.
history: <unk>f with cough and fever
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In comparison with the study of <unk>, there are somewhat lower lung volumes, but no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
right-sided flank and chest pain.
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A left mid lung mass with a clip is reidentified with associated thoracotomy changes. In the background of diffuse bilateral interstitial thickening, there are areas of ill defined patchy opacities in the right lower lung. Obscuration of the margin of the left hemidiaphragm suggests left lower lobe consolidation. A spine sign as well as patchy opacities in the posterior costophrenic sulci are seen in the lateral view. Mild cardiomegaly is unchanged. There might be a small left sided effusion.
patient with dyspnea. evaluate for infection.
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Sternotomy wires are unchanged as are mediastinal clips. A pacer defibrillator unit projects over the left chest with leads in the right atrium and right ventricle as well as a set of abandoned leads, all similar to prior exam. The heart continues to be enlarged but not changed from prior exam. The mediastinal contours are not widened. The lungs demonstrate prominent pulmonary vasculature and mild edema. There is no large pleural effusion or pneumothorax.
<unk>-year-old male with chest pain.
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As compared to the previous radiograph, there is marked improvement in lung volumes, reflecting improved ventilation. There is no evidence of pneumonia, no pulmonary edema. No pleural effusions. Old displaced rib fractures on the right with small accompanying pleural thickening.
intoxication, shortness of breath, questionable pneumonia.
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The hilar contours are unremarkable. The heart is top normal in size. There is no pneumothorax, pleural effusion, or consolidation.
chest pain. evaluate for cardiopulmonary process.
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Frontal and lateral chest radiographs were obtained. Consolidation in the right middle lobe is new. The left lung is fully expanded and clear. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion.
patient with fever, rule out pneumonia.
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When compared to prior, the right-sided pigtail catheter is no longer visualized. Size of the right pleural effusion seen laterally and superiorly is not significantly changed given differences in technique. Underlying parenchymal opacities are also unchanged. Rightward mediastinal shift is again noted. Left lung remains clear. No acute osseous abnormalities.
<unk>m with shortness of breath // eval for pleural effusion
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Tracheostomy tube is in stable position. Pulmonary vascular congestion is again noted. Focal linear opacity in the left midlung is chronic and may be due to scarring. There is no pleural effusion. Cardiomegaly is again noted. No acute osseous abnormalities.
<unk>f with trach, difficulty breathing // eval infiltrate
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Pa and lateral radiographs of the chest demonstrate clear lungs. Mild cardiomegaly is chronic. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. Multiple surgical <unk> can be seen in the right axilla and along the back. No displaced fractures are seen.
chest tenderness after fall, evaluate for fracture. no localizing information could be obtained from the requisition or the<unk> medical record. no skin marker is present to indicate the site of tenderness.
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The lungs are clear and the cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax.
history: <unk>f with shortness of breath.
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Normal heart size, pulmonary vascularity. Trace bilateral pleural effusions, more apparent. Thoracic curve convex to the right. No pneumothorax. Minimal left basilar opacity, likely atelectasis. Right lung is clear.
<unk> year old woman with fever and dka. // please evaluate for pneumonia.
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Ap upright and lateral views of the chest provided. Consolidation in the left lower lobe is concerning for pneumonia. No large effusion or pneumothorax. Heart size is mildly enlarged. Mediastinal contour is stable. Bony structures are intact. Chronic degenerative changes at the shoulders again noted. Tiny surgical clips are noted projecting over the lower neck.
<unk>f with cough // pna, chf
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Pa and lateral chest radiographs. Right-sided port-a-cath tip terminates in the lower svc. The lungs are hyperexpanded with apical pleural parenchymal scarring. However, there is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
fever, evaluation for pneumonia.
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The cardiomediastinal and hilar contours are stable. Lungs are clear. There is no pneumothorax, pleural effusion or focal consolidation.
dyspnea.// eval for cardiopulmonary process
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bones are intact. Imaged upper abdomen is unremarkable.
<unk>-year-old female with right upper quadrant and right flank pain, evaluate for infiltrate or free air.
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Pa and lateral views of the chest. The lungs are clear. There is no evidence of effusion, pneumothorax or pulmonary vascular congestion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.
<unk>-year-old female with cough, fevers, chills.
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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.
<unk>f with chest pain // r/o infiltrate
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Right-sided port-a-cath tip terminates within the low svc. The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is not engorged. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Clips are noted projecting over the posterior aspect of the mid abdomen, as well as <num> stents within the right upper quadrant. No acute osseous abnormalities are visualized.
history of cholangiocarcinoma and cholangitis.
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The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. A prominent pericardial fat pad is present, but otherwise aside from patchy bibasilar atelectasis, the lungs appear clear. There is no pleural effusion or pneumothorax. Hyperinflation is present.
copd and severe asthma with headache and chest pain.
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In comparison to the study of <unk>, there is little change. Post-surgical clips are seen in the left axillary region. However, no evidence of pneumonia, vascular congestion, pleural effusion, or acute bone abnormality.
myxofibrosarcoma in left periscapular area.
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Left base atelectasis is seen without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is mildly enlarged. Mediastinal contours are unremarkable. Degenerative changes are seen along the spine.
history: <unk>f with fever // please eval for pna
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Subtle heterogeneous opacity in the right lower lobe is only seen on frontal projection. The lungs are otherwise well inflated with bibasilar atelectasis. A <num> cm well-circumscribed circular lesion projecting over the right heart border has mildly increased since <unk>. No pleural effusion or pneumothorax. Stable mild cardiomegaly is noted. Mediastinal contour and hila are unremarkable.
<unk>f with nonproductive cough and exacerbation of her copd. assess for pneumonia
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Hypoinflated lungs with vascular crowding. Difficult to exclude mild pulmonary edema given low lung volumes. Bibasilar atelectasis with retrocardiac left lower lobe opacity. Top normal heart size. Mediastinal contour and hila are otherwise unremarkable. Limited assessment of the upper abdomen is unremarkable.
<unk> year old woman with hemoptysis, recent cta with ground glass opacity. assess for progression of findings or pneumonia.
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There is some atelectasis in the left lower lobe but the lungs are elsewhere clear. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No displaced rib fractures are appreciated.
<unk>-year-old female with trauma. please evaluate for rib fractures.
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Cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
chest pain and tachycardia.
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size. Mediastinal and hilar contours are within normal limits. The patient is status post median sternotomy, and mediastinal surgical clips are noted.
<unk>-year-old female with dysphagia. evaluate for hiatal hernia.
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Pa and lateral views of the chest provided. The lungs are hyperinflated suggesting emphysema with lower lung atelectasis. No large effusion or pneumothorax is seen. No convincing evidence for pneumonia. The heart and mediastinal contours appear normal. Bony structures are intact. No free air below the right hemidiaphragm. A metallic structure overlies the left breast.
<unk>f with sob // r/o acute process
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In comparison with the study of <unk>, several of the multiple right-sided rib fractures seen on ct are now evident. There is increasing opacification at the right base most likely consistent with atelectasis and effusion. In the appropriate clinical setting, supervening pneumonia would have to be considered. The left lung is relatively clear with probably some mild atelectatic changes at the base.
fall with right rib fractures and pneumothorax.
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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 cough x <num> days. currently undergoing ivf // eval for pneumonia, effusion
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Bilateral ground-glass opacities have significantly improved, but are not completely resolved. Considering the characteristics of these opacities and a ct scan, it was highly suggestive of pneumocystis infection there is no pleural effusion or pneumothorax. Mediastinal and cardiac contours are normal.
follow up resolution of pneumonia, symptomatically improved.
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As compared to the previous examination, there is no relevant change. There is unchanged evidence of bilateral hilar and mediastinal contour abnormalities and increased density. The lung parenchyma has a similar appearance, without obvious areas of fibrosis. The lung volumes are overall normal. No pleural effusions. Borderline size of the cardiac silhouette.
sarcoid, off methotrexate therapy, evaluation.
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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 l<num> s<num> disc bulge who will be going for discectomy- preop chest
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There is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is unremarkable. There are mild degenerative changes in the spine.
<unk>-year-old with nausea, vomiting, and dry cough. evaluate for infiltrate.
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In comparison with the study of <unk>, there is little overall change. Hyperexpansion of the lungs with flattening of the hemidiaphragms is consistent with chronic pulmonary disease. However, there is no acute focal pneumonia or evidence of interstitial prominence to suggest amiodarone toxicity. No vascular congestion or pleural effusion. Evidence of healed rib fractures on the left. Of incidental note is extensive calcification in the region of the carotid bifurcations.
shortness of breath, on amiodarone.
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In comparison with the study of <unk>, there is improved aeration without evidence of pulmonary vascular congestion or acute focal pneumonia. Postoperative scarring is again seen in the right lung and there is continued elevation of the left hemidiaphragmatic contour.
lung cancer with current smoking, now with increasing productive cough.
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The previously identified left basilar atelectasis has almost completely resolved. Minimal linear opacification persists. There is no focal airspace consolidation, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is unchanged. The heart size remains mildly enlarged. Sternal wires are intact.
chest pain.
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No focal consolidation is seen. The posterior costophrenic angles are somewhat underpenetrated due to patient body habitus, but grossly appear clear. No large pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are stable, ing given differences in technique and patient position..
history: <unk>f with pmh of copd, htn, coagulopathy presents to the ed w dyspnea, headache, and left groin pain. // does she have any infiltrates on her cxr? does she have a fracture or avulsions of l hip?
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with asthma // acute process?
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The cardiac, mediastinal and hilar contours appear unchanged. Patchy opacities in the right mid and left lower lungs appear unchanged while perhaps the only change is increasing nodular foci in the left mid lung, probably localizing to the lingula or left lower lobe. A mild compression of t<num> is unchanged.
shortness of breath.
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Compared to prior, small bilateral pleural effusion is likely. However, there is no evidence for pulmonary edema or pneumonia. Severe enlargement of cardiomediastinal silhouette is unchanged. Left-sided dual-chamber pacemaker appear unchanged. Sternotomy wires are aligned and intact.
<unk> year old man with copd, cough, shortness of breath. evaluate for pneumonia.
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Frontal and lateral chest radiographs demonstrate clear, well expanded lungs. The cardiac and mediastinal contours are normal. Pleural surfaces are normal. A piercing is noted along the anterior aspect of the manubrium.
<unk>-year-old female with dyspnea, diabetes and fatigue, evaluate for pneumonia.
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The cardiac, mediastinal and hilar contours are unremarkable with the exception of mild aortic knob calcifications. The heart size is normal. Lungs are clear. No pleural effusion or pneumothorax. No pulmonary vascular congestion. No acute osseous abnormalities are detected.
chest pain and desaturation.
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In comparison with study of <unk>, there is little change. Moderate cardiomegaly is stable without vascular congestion. Dual-channel pacer device remains in place. Specifically, no evidence of interstitial changes to suggest amiodarone toxicity.
amiodarone, to assess for toxicity.
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The cardiac, mediastinal and hilar contours appear unchanged allowing for mild rotation of the film. There is no pleural effusion or pneumothorax. The lungs appear clear.
chest pain.
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Pa and lateral radiographs of the chest depict a new implantable defibrillator device with one lead positioned in the right atrium and the other coursing along the inferior border of the heart, terminating within the right ventricle. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion and the pulmonary vascularity is normal.
evaluate lead position in a patient with recent implantation of right-sided dual-chamber pacemaker.
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Heart size cardiomediastinal contours are stable. There is persistent mild pulmonary vascular congestion without frank pulmonary edema. There is no focal consolidation, pleural effusion, or pneumothorax. Subsegmental atelectasis is noted at the right base.
<unk>f with hypoxia, evaluate for pneumonia.
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In comparison with the study of <unk>, there is little overall change. Mild blunting of the right costophrenic angle is again seen. Low lung volumes with elevation of the right hemidiaphragm. No acute focal pneumonia or vascular congestion.
right-sided empyema after chest tube drainage.
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The lungs are symmetrically well expanded and well aerated without focal consolidation concerning for pneumonia. No pleural effusion or pneumothorax is detected. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The trachea is midline. No acute osseous abnormality is detected. The visualized upper abdomen is unremarkable.
cough and fever, here to evaluate for pneumonia.
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Compared with prior exam, there is no significant interval change in opacification of the right lower lung, likely a combination of large pleural effusion, with some fluid tracking into the minor fissure, and consolidation/atelectasis of the rll. The left lung is clear. Heart size cannot be assessed due to obscuration of the right heart border. There is no left-sided pleural effusion or pneumothorax.
<unk>-year-old male with history of liver cirrhosis with chest pain and cough. evaluate for pneumonia.
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The cardiac silhouette and pulmonary vasculature are unremarkable. There is mild obscuration of the left heart border. There are minimal bibasilar opacities likely atelectasis. No definite mass is identified. There is no pleural effusion or pneumothorax.
history: <unk>f with brain mass // r/o mass
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Lung volumes are slightly low. Heart size is normal. The aorta is tortuous. The mediastinal and hilar contours are otherwise unremarkable. There is minimal atelectasis in the lung bases. No focal consolidation, pleural effusion or pneumothorax is present. There are multilevel degenerative changes in the thoracic spine. No acute osseous abnormalities seen.
weakness.
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The lungs are clear. There is no pneumothorax. Mild cardiomegaly is stable. Radiopaque coronary stents project over the right heart border. Regional bones and soft tissues are unremarkable.
<unk> year old woman with productive cough // 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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Pa and lateral views of the chest were obtained. A right-sided picc is present with tip at the origin of the right brachiocephalic vein. A portion of the picc is seen to take a turn in the axilla. Heart is top normal in size, and cardiomediastinal contour is unchanged. Lungs are symmetrically expanded and clear. There is no focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old woman with nonfunctional picc line, evaluate placement.
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Frontal and lateral views of the chest. Lungs are clear of consolidation or effusion. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits. Multiple right-sided rib fractures are identified, not definitely changed since recent prior examination. No definite new fracture is identified on this non-dedicated exam.
<unk>-year-old female with chest wall pain status post domestic abuse.
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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. There is a possible azygos lobe. No pulmonary edema is seen. There has been no significant interval change.
history: <unk>m with gib // acute process?
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The heart size remains mildly enlarged but stable. The mediastinal or hilar contours are similar, with tortuosity and diffuse calcifications of the thoracic aorta again noted. As before, there is prominence of the right paratracheal stripe which is attributable to the presence of tortuous vessels and mediastinal lipomatosis as seen on the prior ct of the chest from <unk>. Lateral pleural thickening at the lung bases bilaterally is again noted, unchanged. Streaky airspace opacities in lung bases may reflect atelectasis though aspiration or infection cannot be excluded. No pleural effusion or pneumothorax is visualized. There is no pulmonary vascular congestion. A nephrostomy catheter is noted on the lateral view.
shortness of breath.
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.
history: <unk>f with syncope // r/o chf, pneumonia
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Cardiac silhouette size remains mild to moderately enlarged. The mediastinal and hilar contours are similar. Lungs are hyperinflated with attenuation of pulmonary vascular markings towards the apices compatible with upper lobe predominant mild to moderate emphysema. There is no pulmonary edema. Linear and patchy bibasilar airspace opacities likely reflect a combination of scarring and atelectasis. Blunting of the right costophrenic angle is chronic, likely reflective of pleural thickening. No pleural effusion or pneumothorax is otherwise demonstrated. There is no focal consolidation. Moderate multilevel degenerative changes are seen in the thoracic spine.
history: <unk>f with cough, sputum production