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The lungs remain clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with hiv not taking medications, presents with fever/cough for <num> weeks // assess for infection
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The heart size is normal. The mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion or pneumothorax is detected. No acute osseous abnormalities are seen.
chest pain and syncope.
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The lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no evidence of pneumothorax, pulmonary edema, pleural effusion or focal pneumonia.
<unk>-year-old female with symptomatic anemia and shortness of breath. evaluation for infiltrate.
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The cardiac, mediastinal and hilar contours are stable. The heart is borderline in size. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. No fracture is identified. There is vague sclerosis in a linear fashion along the lower part of the scapula which may be due to a prior fracture. Correlation with physical findings is suggested.
right rib pain after a fall. question rib fracture or pneumothorax.
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A single-lead pacemaker device terminates in the right ventricle in an unchanged position. The heart is again moderately enlarged. The aorta is mildly tortuous. Similar to prior findings, there is upper zone redistribution of pulmonary vasculature suggesting pulmonary venous hypertension. The lungs appear clear. There are no pleural effusions or pneumothorax. The chest appears hyperinflated.
shortness of breath and right upper quadrant pain.
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Hd catheter is in standard position cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old man with esrd here for hd initiation // hx of positive ppd, x-ray needed for initiation of outpatient hemodialysis
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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.
<unk>f with cough // evaluate for pneumonia
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Patient is status post median sternotomy and cardiac valve replacements. The cardiac silhouette remains enlarged, similar to prior. There is moderate to large right pleural effusion which appears slightly increased as compared to the prior study, with overlying atelectasis. Right basilar consolidation is difficult to exclude. No pneumothorax is seen on the current study.
history: <unk>m with dyspnea and cough // r/o acute process
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Right-sided port-a-cath is stable in position. No pneumothorax is seen. There is no pleural effusion. There is persistent eventration of the left hemidiaphragm with overlying mild atelectasis. No definite focal consolidation is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. Partially imaged are surgical clips in the right upper abdomen.
history: <unk>f with lethargy // pna?
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Ap and lateral views of the chest provided. Lung volumes are somewhat low. Allowing for this, 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 esrd p/w pounding sensation in chest, sob at <num>am // ? intrathoracic pathology
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The patient is status post median sternotomy and cabg. The heart is mildly enlarged but unchanged. Aortic calcifications are present, with the mediastinal contours relatively stable. There is mild pulmonary edema, new compared to the prior exam. Left-sided pleural thickening is re- demonstrated, unchanged. No pleural effusion or pneumothorax is identified. As noted previously, focal calcification overlying the right <num>nd rib anteriorly is unchanged and may reflect a bone island, granuloma, or calcified pleural plaque. Degenerative changes of the thoracic spine are noted.
fever.
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The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. There is no pleural effusion or pneumothorax.
cough. evaluate for pneumonia.
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In comparison with study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
allergic rhinitis with productive cough and fever.
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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. There is no pulmonary edema.
<unk>m with shortness of breath, evaluate for pneumonia.
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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 chest discomfort // eval for cardiopulm process
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Emphysema is severe. An subtle opacity in the right suprahilar lung is the mass seen on torso ct. Cardiomediastinal silhouette remains stable. The pulmonary vasculature is mildly prominent in the lower lobes and likely physiologic but a mild case of edema cannot be excluded. The lungs are without a new focal consolidation, effusion, or pneumothorax. No acute fractures are identified.
altered mental status.
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Pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
asthma exacerbation and low-grade fever. evaluate for pneumonia.
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As compared to the previous radiograph, there is no relevant change. Normal lung volumes. Normal appearance of the lung parenchyma. Normal size of the cardiac silhouette and of the hilar and mediastinal contours. No radiographic findings likely to explain the clinical presentation.
chest pain, nonsmoker.
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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 pleuritic chest pain, hx of pneumothorax
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The lungs are hyperinflated with paucity of the pulmonary vasculature consistent with known emphysema seen better on prior ct. Stable appearance of postradiation fibrosis in the right upper lobe. The left lung is clear. Cardiomediastinal and hilar contours are stable. Stable calcifications of the aortic arch. The right pleural effusion has worsened with compressive basilar atelectasis. Stable degenerative changes of thoracic spine. .
<unk> year old woman with pleural effusion // eval
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Pa and lateral views of the chest provided. Effacement of the right and left heart border likely secondary to epicardial fat pads. 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 acute mental status changes.
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Pa and lateral chest radiograph demonstrate a subtle opacity in the left lower lobe posteriorly overlying the lower thoracic spine on the lateral view with associated slight obscuration of the posterior left hemidiaphragm. Streaky opacity at the left lung base thought likely atelectatic in etiology. Heart size is normal. Patient is status post median sternotomy. Wires appear intact. Surgical clips project over the left mediastinal border. No evidence of pulmonary edema, pleural effusion, or pneumothorax.
history: <unk>m with fever // pna
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Portable ap upright chest radiograph was provided. Midline sternotomy wires and mediastinal clips are again seen. The lungs are clear bilaterally. The cardiomediastinal silhouette appears grossly unremarkable. No large effusion or pneumothorax. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with nausea, chest discomfort
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As compared to the previous radiograph, the <unk> of the millimetric left apical pneumothorax are unchanged. There is a zone of indistinct and very subtle parenchymal opacity, corresponding to the ct confirmed contusion area. The left rib fractures are unchanged. On the right, there is minimal atelectasis of lung parenchyma, adjacent to the right heart border. No pleural effusions. No pneumonia, no pulmonary edema.
pneumothorax, evaluation for interval change.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is normal. Linear opacities in the left mid lung field peripherally may reflect scarring or subsegmental atelectasis. Remainder of the lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities detected.
shortness of breath.
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The heart size is normal. Minimal tortuosity of the thoracic aorta is noted. The mediastinal and hilar contours otherwise are within normal limits. The pulmonary vascularity is normal. Minimal patchy opacity is demonstrated within the lower lobes on the lateral view, but difficult to localize on the frontal view, possibly within the left lower lobe. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are seen.
<unk>'s, acute onset of shortness of breath.
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In comparison with the earlier study of this date, there is no interval change following placement of the chest tube on waterseal. No evidence of pneumothorax. Patient has taken a somewhat better inspiration.
chest tube on waterseal, to assess for pneumothorax.
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There has been interval placement of a transvenous dual lead pacemaker. The these appear to be in appropriate position. No pneumothorax seen. No pleural effusion or consolidation seen. Air-filled bowel loops are seen under the diaphragm consistent with chilaiditi syndrome. No free air under the diaphragm.
<unk> year old woman with sss s/p dual chamber ppm. // assess lead placement and r/o ptx.
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Assessment is limited due to poor positioning and underpenetration secondary to body habitus. Allowing for these limitations: there is no focal pulmonary opacity. The conspicuous interstitial pattern is felt to be related to superimposition of tissue due to patient's body habitus. The cardiomediastinal contour is unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with dyspnea and chest pain. evaluate for evidence of pneumonia or edema.
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Heart size is mild to moderately enlarged,unchanged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen. Minimal streaky opacity in the left lung base likely reflects atelectasis. No acute osseous abnormalities are seen. Healing fracture of the right mid clavicle is re- demonstrated. Clips are seen within the right upper abdomen.
diabetes mellitus, hhs.
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Pa and lateral views of the chest are compared to previous exam from <unk>. Left-sided picc line is no longer seen. The lungs are clear of consolidation or effusion. Cardiac silhouette is slightly enlarged, unchanged from prior. Surgical clips seen in the midline in the lower chest/upper abdomen. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with dizziness.
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. Linear opacity at the left lung bases consistent with atelectasis. There is no focal lung consolidation.
<unk>-year-old woman with dizziness, evaluate for pneumonia
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The lungs are clear, cardiomediastinal silhouette and hila are normal. The pulmonary arteries are slightly prominent or granulomatous lymph node calcifications causing sligthly prominent hila. There is no pleural effusion and no pneumothorax.
<unk>-year-old with fever.
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Ap and lateral views of the chest. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. Cardiac silhouette is enlarged but stable. The aorta is tortuous. Degenerative changes seen at the shoulders bilaterally. No acute osseous abnormality detected.
<unk>-year-old female with right lower extremity swelling and pain. shortness of breath.
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Pa and lateral views the chest provided demonstrate clear well expanded lungs. Focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f complains of cough.
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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Left fifth posterior rib bone island is again noted. No acute osseous abnormalities.
<unk>m with arm and chest pain, most likely msk // bony abnormalities?
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In comparison with the study of <unk>, there is little overall change. The tip of the right picc line extends to cavoatrial junction or possibly the upper right atrium. Continued low lung volumes with minimal atelectatic changes at the bases. No acute pneumonia or vascular congestion.
increasing white count and possible free air.
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A dobbhoff tube is seen with its tip projected over the stomach. There is bibasilar atelectasis with no evidence of consolidation. The mediastinal and hilar contours are normal. The heart is normal in size. There is no osseous abnormality identified.
<unk> year old man with increasing sob // please assess for infilatrate
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Eventration on the right hemidiaphragm is again noted. No acute osseous abnormality is visualized.
history: <unk>f with thoracic and lumbar spine tenderness status post fall. right scapular bruising and tenderness to palpation.
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Multiple right posterior rib fractures through <unk> to <num>th ribs and an anterior right second rib fracture, many of which are minimally displaced appear no different in comparison to the prior radiographs. No pneumothorax. Asymmetric right hemithorax volume is attributed to the multiple rib fractures. Minimal right lower lobe opacity, probably atelectasis, has significantly resolved since <unk>. Heart size is top normal, unchanged. Mediastinal and hilar contours are unremarkable. There is no pleural abnormality.
<unk>-year-old man status post fall with rib fractures.
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The lungs are well expanded and clear. Minimal leftward tracheal deviation has been present since at least the radiograph from <unk> and may be related to goiter. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with weakness. evaluate for evidence of pneumonia.
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. A nodular opacity overlying the right lung apex likely represent summation of rib shadows. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. The osseous structures are unremarkable. No radiopaque foreign body.
<unk>-year-old female with chills.
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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>. Comparison suggests mild regression of heart size and thymus, simultaneously lesser marked perivascular haze in the pulmonary circulation compatible with dehydration in patient previously suffering from fluid overload. The previously identified local suspicious hazy densities in the right mid lung field and lower lobe area as well as left upper lobe area have all regressed and suggest improvement of the previously identified multifocal densities suspicious to constitute exacerbation of the patient's chronic copd status. No new parenchymal abnormalities are seen. The lateral and posterior pleural sinuses remain free as they were before.
<unk>-year-old male patient admitted with copd exacerbation and volume overload.
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The large left hydropneumothorax is unchanged, with elevation of the left hemidiaphragm. The subcutaneous air is slightly decreased. There is persistent colonic ileus. The small right pleural effusion is unchanged. The heterogeneous consolidation in the right upper lobe is unchanged.
<unk> year old man s/p completion left pneumonectomy // check interval change, check loculated air pockets left lung space
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Frontal and lateral views of the chest. The lungs remain clear without consolidation, effusion, or pulmonary vascular congestion. The cardiac silhouette is stable. Moderate hiatal hernia is again noted. Mild compression deformity of a lower thoracic vertebral body is unchanged since <unk>.
<unk>-year-old female with bilateral lower extremity edema. question pulmonary edema.
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As compared to the previous radiograph, the size of the known right apical pneumothorax has increased from <num> to <num> cm. The chest tube has been slightly pulled back. There is no evidence of tension. Unchanged position of the post-surgical clips in the right mid and lower lung. Unchanged appearance of the left lung, unchanged course of the port-a-cath.
status post right lung surgery.
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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 pleuritic l sided chest pain
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Ap and lateral chest radiograph demonstrate clear lungs bilaterally. There is no focal opacity worrisome for infectious process. Cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax or pleural effusion. There is no evidence of pulmonary edema. There is no air under the right hemidiaphragm.
<unk>m with chest pain // r/o acute process
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Minimal interval decrease in size of the opacity in the superior segment of the left lower lobe. Unchanged left pleural effusion. The right lung is clear. The size and appearance of the cardiomediastinal silhouette is unchanged.
<unk> year old woman with left opacity // enlargement of left opacity
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As compared to the previous radiograph, there is unchanged evidence of a right chest tube. The extent of both the left and the right pleural effusion are constant. Constant massive parenchymal opacities, right more than left. Moderate cardiomegaly. No pneumothorax.
pleural effusions, evaluation.
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Bilateral pleural effusions have resolved. There remains an area of focal opacity at the right lung base which is likely mostly atelectasis, however given it's distribution in the lateral view, it is felt that there is likely a superimposed infection. Linear atelectasis is also noted of the left lung base. The cardiomediastinal and hilar contours are within normal limits.
<unk> year old woman with pleural effusion // evaluate.
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Left small pleural effusion has improved since <unk> with compressive atelectasis. There is no new consolidation. The right lung is unremarkable. The mediastinal and cardiac contours are within normal limits. There is no pneumothorax.
patient with the recent pancreatitis, hypertriglyceridemia, recent hospitalization for presumed gastroenteritis, worsening of pain, diarrhea, rule out pneumonia.
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Moderate cardiomegaly is stable compared to the prior exam. The aorta is mildly tortuous, and mild widening of the mediastinum is likely post-operative. There appears to be interval increase in a small left-sided pleural effusion with adjacent atelectasis. There has been interval improvement in the mild pulmonary edema. The median sternotomy wires appear to be intact without evidence of fracture.
history of cabg, who presents for pre-discharge evaluation.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
sore throat, cough. please evaluate for pneumonia.
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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 woman with hx positive ppd; believes may have had bcg vaccine in <unk>; living in <unk> since <unk> // hx positive ppd
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Frontal and lateral views of the chest demonstrates an opacification of the right lung base, which likely represents chronic right pleural effusion, and is essentially unchanged from <unk>. The lungs are otherwise clear. The heart is stably enlarged. The mediastinal and hilar contours are unchanged. There is no pneumothorax. There is no left pleural effusion.
recurrent pleural effusion status post thoracentesis x<num>, followup effusion.
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Sternotomy wires are intact. There is no focal consolidation, pleural effusion or pneumothorax. Mild cardiomegaly is stable, otherwise the cardiomediastinal and hilar contours are normal.
<unk>f with weakness // eval for pna
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There is a moderate size right sided pneumothorax. There is no secondary mediastinal shift. Streaky right basilar opacity is likely atelectasis. There are multiple right-sided rib fractures including an acute appearing anterior right fourth rib fracture which is mildly displaced. Discontinuity with mild displaced of the posterior right third rib is new since <unk>. There are chronic appearing fractures of the posterior right seventh and eighth ribs as well as the lateral left upper ribs. Small fracture fragment seen at the inferior aspect of the distal clavicle suspicious for fracture. Surgical clips noted in the abdomen.
<unk>m with r shoulder pain, cp s/p fall // ? fracture or traumatic injury
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
chest pain.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with cough, fatigue
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Heart size is normal. The mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Scarring is demonstrated within the lung apices. Hazy ovoid opacification is seen projecting over the medial aspect of the left apex measuring approximately <num> x <num> cm, not seen on the previous study or on the lateral, and could potentially be artifactual. Remainder of the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Diffuse atherosclerotic calcifications are seen in the thoracic aorta.
history: <unk>f with cough
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The lungs are clear of consolidation, effusion, or vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with dm, p/w labile fsbg // ?infection
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The cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. No overt pulmonary edema is demonstrated. Patchy right basilar opacity likely reflects atelectasis. Known emphysematous changes are better assessed on the previous ct. No focal consolidation, pleural effusion or pneumothorax is present. Multilevel degenerative changes in the thoracic spine are re- demonstrated. Right humeral head prosthesis and intramedullary rod within the left humerus are partially visualized. Remote healed right rib fractures are re- demonstrated.
fall with confusion.
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Frontal and lateral views of the chest were performed. The lung volumes are low, which results in vascular crowding and exaggeration of ascending aorta. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The imaged upper abdomen is unremarkable. There are no acute osseous abnormalities.
cough, rule out acute process.
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The lungs are well expanded and are clear, with the exception of mild bibasilar atelectasis, left greater than right. The cardiac silhouette and mediastinal contours are normal. There is no pleural effusion or pneumothorax.
<unk>-year-old male with elevated white count and recent abdominal surgery, question pneumonia.
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Hazy opacification in the superior segment of the right lower lobe is new since the prior study, concerning for pneumonia. There is no pleural effusion, pneumothorax, or overt pulmonary edema. The left lung is grossly clear. The cardiomediastinal silhouette is unremarkable.
history: <unk>m with cough, fever // ? pna
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Ap upright and lateral views of the chest provided. Cardiomediastinal silhouette remains prominent. Pleural base calcification as seen on prior ct accounts for opacity overlying the right mid to lower lung. There is no focal consolidation concerning for pneumonia. There is mild hilar congestion without frank edema. No large effusion or pneumothorax. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with abdominal pain since this morning worse in the rlq. pt endorses chills. generalized ttp
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As compared to prior chest radiograph from <unk>, findings are essentially unchanged. Lung fields are clear. There are no new focal consolidations, pleural effusions, pulmonary edema, or pneumothorax. The cardiomediastinal and hilar contours are within normal limits.
<unk>-year-old male patient with aml status post allogeneic stem cell transplant with recent hospitalization for pneumonia. study requested for evaluation of pneumonia resolution.
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Increased retrocardiac opacity may reflect atelectasis. There is suggestion of mild peribronchiolar cuffing. No pleural effusion or pneumothorax. No evidence of rib fracture on this nondedicated exam. Anterior wedging of a lower thoracic vertebral body with approximately <unk>% anterior loss of vertebral body height is new since <unk>, however the age is indeterminate. Aortic knob calcifications have progressed since <unk>. The heart is mildly enlarged. The mediastinum is not widened.
history: <unk>f with s/p fall head strike and loc // eval for any injuries
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is mildly enlarged. No pulmonary edema is seen
history: <unk>f with weakness // pna?
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Dual-chamber pacemaker-icd leads are in standard location. Heart size is moderately enlarged but stable. The lungs are clear with no evidence of pneumonia, pulmonary edema, or pleural effusion. No pneumothorax. Osseous structures are intact.
history: <unk>m with productive cough, ? pna // ? pneumonia
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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The heart size is normal. The cardiac, hilar and mediastinal contours are normal.
history of alcoholism with one week of fever, productive of cough. evaluation for pneumonia.
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Pa and lateral views of the chest. The lungs are clear without confluent consolidation. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with substernal chest pain.
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Patient is status post right-sided pneumonectomy. Hyperexpansion of the left lung is noted as well as mediastinal shift to the right, all similar compared to prior. No acute osseous abnormalities.
<unk>m with copd, incr secretions, diffuse wheezing // eval for pna
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There is small right pleural effusion seen on the lateral view only, decreased from prior study. No focal consolidation. No pneumothorax. The cardiomediastinal and hilar contours are normal.
possible right-sided pneumonia. status post <num> l paracentesis.
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The lungs are clear without infiltrate or effusion. The picc line position is unchanged. There is no pneumothorax.
chest fullness aspiration risk due to tube feeds.
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Ap upright and lateral chest radiographs demonstrates no focal opacity convincing for pneumonia. Chronic appearing scarring at the right lung base and mid lung are unchanged. Cardiomediastinal and hilar contours are within normal limits. A left chest wall port is identified its tip terminating in the low svc in unchanged position. There is no pleural effusion or pneumothorax. Visualized osseous structures demonstrates no acute abnormality. Note is made of several clips in the right axilla. No free air is identified injured the right hemidiaphragm. .
<unk>-year-old female with metastatic breast cancer and nausea. found to have crackles on right lower lung.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. There is been no significant change.
cough and pedal edema.
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Pa and lateral views of the chest provided. Right hemidiaphragm remains mildly elevated. 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 fatigue // eval for pna
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Lungs are well expanded. Heart appears normal in size and configuration. Trachea is midline. Cardiomediastinal contours are unremarkable. Again an opacity is noted projecting over the anterior first rib on the right at the level of the sternal notch, which appears to be unchanged from the prior study. This likely represents changes associated with the empyema and the subsequent debridement. There is also minimal blunting of the right costophrenic angle possibly representing small effusion or atelectasis, which was also seen on the prior radiograph. No significant pleural effusions and no pneumothorax. Bony structures appear to be intact.
<unk>-year-old gentleman with right sternoclavicular joint empyema status post debridement, assess for interval changes.
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Frontal and lateral views of the chest were obtained. The heart is of normal size with stable cardiomediastinal contours. The aorta is mildly tortuous, similar to prior. Lungs are clear. No pleural effusion or pneumothorax. Pulmonary vascular markings are normal. No radiopaque foreign body.
<unk>-year-old male with chf, presenting with shortness of breath. evaluate for pulmonary edema.
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The lung volumes are exceedingly low, resulting in crowding of bronchovascular structures. Patchy opacity at the left lung base may reflect atelectasis or pneumonia. There is no pleural effusion or pneumothorax. Heart is normal size. Mediastinal hilar contours are unremarkable. Clips are seen overlying the thyroid bed.
fevers and cough. rule out pneumonia.
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The degree of airspace opacity has increased when compared to the prior study, particular at the left lung base although there is likely also involvement of the right lower lung. No pneumothorax. No pleural effusion. The cardiomediastinal contour is normal. The visualized bony structures demonstrate moderate multilevel degenerative change.
this is an <unk>-year-old gentleman with a h/o chronic low back/leg pain, ckd, rcc s/p cyberknife in <unk>, and mild cognitive impairment/alzheimer's who presents with syncope and vomiting. // reassess interval changes with prior lower lobe opacities
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Patient is status post median sternotomy. Heart size is borderline enlarged. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. There are mild to moderate multilevel degenerative changes demonstrate in the thoracic spine.
history: <unk>m with syncope
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Heart is mildly enlarged with a left ventricular configuration. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
right-sided pleuritic chest pain.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear. Pulmonary vasculature is within normal limits.
syncope, diaphoresis.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. There is mild bibasilar atelectasis. Blunting of the left costophrenic angle is likely secondary to pleural thickening, as seen on prior ct. Heart and mediastinal contours are stable with rightward shift of the trachea secondary to enlarged left lobe of the thyroid, as seen previously. The aorta is tortuous and calcified.
<unk>-year-old female with intermittent chest pain and left neck and arm pain.
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The lungs are clear of consolidation, effusion, or pneumothorax. There is an <num>mm nodular opacity projecting over the right mid lung and the anterior right third and posterior right sixth ribs. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with cough and chest pain // eval for pneumonia and chf
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In comparison with study of <unk>, in the upright position, there are large bilateral pleural effusions at the bases with compressive atelectasis. No evidence of vascular congestion or pneumothorax.
postoperative, to assess for effusions and pneumonia.
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Pa and lateral views the chest. When compared to prior, there has been no significant interval change. The lungs are clear without focal consolidation effusion, or pulmonary edema. The cardiomediastinal silhouette is stable. No acute osseous abnormalities identified.
<unk>m with dyspnea // acute process?
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The heart is at the upper limits of normal size. There is mild unfolding and calcification along the aorta. There is no pleural effusion or pneumothorax. The chest is mildly hyperinflated. The lungs appear clear. Surgical clips project over the right upper quadrant.
chest pain and left lower extremity weakness. question intracranial hemorrhage.
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Chest, upright ap and lateral. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. There is minimal biapical scarring, which is stable.
preoperative evaluation prior to evacuation of subdural hematoma.
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Crowding of the bronchovascular structures at the lung bases likely contributes to slightly increased opacification at both lateral lung bases. The lungs are grossly clear. A left pectoral pacemaker sends leads to the right atrium and right ventricle. There is no pneumothorax. Mild cardiomegaly and a small hiatal hernia are present. The bones are osteopenic. A partially imaged sclerotic lesion at the right humeral head is likely an enchondroma.
<unk> year old woman with pacemaker for mri. // patient has a pacemaker. please evaluate leads for mri.
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There is pulmonary vascular congestion and mild edema which is new since prior. More confluent opacities seen at the lung bases bilaterally. Small bilateral pleural effusions are likely, though not particularly well assessed as <num> costophrenic angle is not included on the lateral view. Cardiac silhouette is moderately enlarged as on prior. No acute osseous abnormalities.
<unk>m with increasing doe, <unk> edema, c/f chf // eval ? edema, cardiomegaly
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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified.
depression and shortness of breath.
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A left-sided dual chamber pacemaker is in unchanged position, with leads terminating in the right atrium and right ventricle. Pulmonary arteries are enlarged. There is mild calcification of the aortic arch. Mild streaky opacities in the right upper lung are likely related to prior radiation changes. No new focal consolidation is identified. No pneumothorax or pulmonary edema present.
<unk> year old woman with af, sss s/p dual chamber pacemaker via l subclavian vein // pneumothorax, lead positioning pneumothorax, lead positioning
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits denoting atherosclerotic calcifications at the arch. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with chest pain.
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The lung volumes are low, limiting evaluation. On one of the lateral views, there is a small wedge-shaped opacity overlying the heart in the distribution of the right middle lobe. This could represent focal atelectasis, although a small right middle lobe pneumonia is difficult to completely exclude. The lungs are otherwise clear. There is no edema, pleural effusion, or pneumothorax. Previously seen small bilateral pleural effusions have essentially resolved in the interval. The mediastinal contours are normal. The heart is mildly enlarged, and allowing for technique, unchanged from prior exams. Degenerative changes are noted in the lower thoracic spine.
two days of chills, muscle aches, and wheezing. evaluate for pneumonia.
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Hyperexpanded lungs with flattened diaphragms consistent with emphysema. Small right pleural effusion. Chronic vascular calcifications within the left subclavian artery are stable, unchanged from <unk>. The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pneumonia, no pulmonary edema. Mild degenerative disc disease of the thoracic spine.
<unk> year old woman with pleural effusion // eval
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Again seen is mild prominence of the interstitial markings compatible with mild pulmonary edema. Trace bilateral pleural effusions have nearly resolved since the previous exam. The heart remains enlarged and the aorta is tortuous.
chest pain, evaluate for acute process.