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Frontal and lateral views of the chest demonstrate normal lung volumes. There is no pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unchanged. Moderate cardiomegaly is unchanged. There is mild pulmonary edema. Sternotomy wires are in place, the most superior of which is fractured. Partially imaged upper abdomen is unremarkable.
cough and fevers.
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The lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
history of fever, rule out infectious process.
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Frontal and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old male with shortness of breath.
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Heart size is normal. The mediastinal and hilar contours are normal. Lungs are hyperinflated. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen.
<unk>f with chest congestion, subjective fevers.
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A right port-a-cath is in unchanged position. There has been interval removal of a right pleural catheter. Compared to the prior study the pleural effusions have increased now moderate greater on the right than the left with worsening moderate pulmonary edema.
<unk> year old woman with esrd s/p txp, chf pw fluid overload // assess pleural effusion
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There is a three-lead pacemaker/icd device that appears unchanged. The heart is at the upper limits of normal size with a left ventricular configuration. The lung volumes are low. The mediastinal and hilar contours appear unchanged. Similar to prior findings, there is mild interstitial prominence suggesting vascular congestion. No focal consolidation is seen. There is no definite pleural effusion or pneumothorax. The bones appear probably demineralized with degenerative changes throughout the mid-to-lower thoracic and visualized upper lumbar spines. A lower thoracic compression deformity of a moderate loss in height appears unchanged.
malaise.
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.incidental note is made of bilateral breast implants.
<unk> year old woman with ra. cdiff colitis, on prednisone with productive cough and crackles on exam. evaluate for focal consolidation.
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The cardiac, mediastinal and hilar contours are within normal limits. Lungs are clear and the pulmonary vasculature normal. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen.
fall, left arm pain, hypotension.
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The cardiomediastinal and hilar contours are within normal limits. Port-a-cath catheter is seen on the right terminating at the upper svc, not significantly changed from prior chest examination. There is increased focal opacity at the right middle and upper lung fields, concerning for pneumonia. There is also an area of increased opacity at the lingula. There is no pleural effusion or pneumothorax.
fever. rule out pneumonia.
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The cardiomediastinal silhouettes are normal. The bilateral hila are unremarkable. There is mild lung hyperinflation, unchanged since prior study. Subtle increased opacity of the right peripheral lung apex likely relates to pleuroparenchymal scarring, unchanged from <unk>. Otherwise, the lungs are clear. There is no pulmonary vascular congestion. There is no pneumothorax or effusion.
a <unk>-year-old woman with a syncopal episode, evaluate for acute process.
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The lungs are normally expanded and clear, without focal airspace opacity to suggest pneumonia. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Degenerative changes are seen along the spine.
nausea, vomiting and dizziness. evaluate for infiltrate.
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The heart is borderline in size. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
constitutional symptoms, cough and runny nose.
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Lung volumes are low. This accentuates the size of the cardiac silhouette which is likely within normal limits. The mediastinal and hilar contours are unremarkable. There is no pulmonary edema. Linear opacities in the lung bases are compatible subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
diabetes mellitus, hypertension, chest pain.
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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. Note is made of calcifications along the aortic knob.
history: <unk>f with copd, hepc, fibromyalgia, t<num>dm, presenting with worsening glycemic control, hypertension, and increasing sob // assess for etiology sob
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Ill-defined opacities at the right lung base are nonspecific and may represent atelectasis. No pleural effusion or pneumothorax. Heart size and cardiomediastinal contours are normal.
history: <unk>m with altered ms*** warning *** multiple patients with same last name! // ? pna
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Compared to exam from two days prior there has been clearing of some of the areas of vague opacity. On today's study there is increased bronchial cuffing and narrowing of bronchial lumens. Heart size is normal with mild tortuosity of thoracic aorta. Mild central pulmonary vascular engorgement without frank interstitial edema persists. There is no dense consolidation. Pleural surfaces are clear without effusion or pneumothorax.
chest pain.
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Mediastinal and hilar contours are unremarkable. Appearance of a rounded opacification in the right upper mediastinal corresponds with vessels exaggerated by patient rotation. Heart size remains top normal. Lungs are clear. No pleural effusion or pneumothorax. Stable eventration of the right hemidiaphragm again noted. Redemonstration of multiple compression deformities throughout the thoracic spine with slight progression of the most superior, thoracic compression deformity.
somnolence, assess for infectious process.
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A pa and lateral chest radiograph demonstrates well inflated lungs bilaterally. There is no focal opacity. There is no pneumothorax, pleural effusion, or evidence of pulmonary edema. Cardiomediastinal and hilar contours are within normal limits.
<unk>f with chest tightness, palpitations // please evaluate for acute abnormality
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There is no focal consolidation, pleural effusion or pneumothorax. Linear opacities at the left lung base most likely atelectasis. A well-circumscribed nodule in the right lower lung is most likely a nipple shadow. Adjacent to the right ninth anterior rib is bony callus from a healing fracture. Multiple additional healed rib fractures are present on the right. An old left clavicular fracture is noted.
<unk>m with chest pain s/p fall // evaluate for cw injury
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The lungs are clear of focal opacities concerning for infection. A <num> cm calcified structure projects over the descending aorta on the frontal view in the left hemithorax. This is likely a calcified lymph node. An additional calcified granuloma, sub-<num>-mm in size is also noted in the left hemithorax projecting underneath the sixth posterior rib. Cardiac size and hilar contours are unremarkable. No pleural effusion or pneumothorax. No abdominal free air.
epigastric pain.
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There is no new lung consolidation. Patient has severe hyperinflation and lower lobe bronchiectasis that are unchanged since <unk>. Some of the nodules shown on recent ct <unk> <unk> are seen in left lower lung, but were better assessed by ct. Mediastinal and cardiac contours are normal. There is no pneumothorax.
copd, bronchiectasis, worsening of dyspnea, pft down, evaluation for infiltrate.
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The patient is status post median sternotomy. Cardiac silhouette size remains mildly enlarged. The aorta is tortuous. Moderate size hiatal hernia is again noted. Hilar contours are within normal limits, and pulmonary vasculature is not engorged. Streaky atelectasis is seen in the lung bases without focal consolidation. Lungs are hyperinflated of suggestive of underlying copd. No pleural effusion or pneumothorax is present. Compression deformity at the thoracolumbar junction is unchanged, and partially imaged is posterior fusion hardware within the lumbar spine.
history: <unk>m with severe dyspnea on exertion
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Chest pa and lateral radiograph demonstrates interval removal of a left-sided chest tube without evidence of pneumothorax. Cardiomediastinal and cardiac silhouettes are unremarkable. Stable plate-like atelectasis noted in the left lower lobe. The known left lower lobe pulmonary nodules are below the level of resolution of chest radiograph. No pleural effusion evident. No osseous abnormalities are identified.
vats left lower lobe nodule biopsy, post-chest tube removal, please evaluate for pneumothorax.
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There is persistent increased opacity projecting over the left lung base as well as blunting of the lateral costophrenic angle on the left. Elsewhere, lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with hepatitis c, recent endocarditis and new abdominal distension. please asses w/doppler for thrombosis and for ascites. // r/o ascites and thrombosis
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Lung volumes are lower on the current exam. Despite this, there increased interstitial markings seen bilaterally. There is no confluent consolidation or effusion. Cardiac silhouette appears enlarged but likely accentuated by lower lung volumes. No acute osseous abnormalities.
<unk>m with recent diagnosis of influenza // eval for pneumonia
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The lung volumes are normal. Potentially enlarged cardiac silhouette with triangular configuration, potentially suggestive of pericardial effusion. No evidence of pulmonary edema, atelectasis, pleural effusion or other acute lung pathology. At the time of dictation and observation, <time> a.m., on <unk>, the referring physician <unk>. <unk> was paged for notification. Echocardiography should be the next diagnostic step.
chest pain, evaluation for acute process.
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Lung volumes are slightly low, resulting in mild prominence of the cardiac silhouette. Allowing for this, the cardiomediastinal silhouette appears normal. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for pneumonia or effusion in a <unk>-year-old man with chest pain.
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>f with cough*** warning *** multiple patients with same last name! // ? pna
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There is hazy opacity projecting over the right lung base which could be in part due to atelectasis and overlying soft tissues. Lungs are otherwise clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with left inframammary, axillary pain // please evaluate for acute abnormality
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The heart appears normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. No fracture is identified. Mild reversed s-shaped curvature is noted along the thoracic spine.
traumatic fall. question rib fractures.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. Symmetric pleural parenchymal scarring is noted at the apices bilaterally. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with chest heaviness/shortness of breath
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. Cardiac silhouette is at the upper limits of normal in size, but there is no vascular congestion or pleural effusion. Specifically, no evidence of acute focal pneumonia.
cough, on methotrexate, to assess for toxicity.
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The lung volumes are low. The cardiac, mediastinal and hilar contours appear unchanged including surgical clips projecting along the anterior left side of the mediastinum. A confluent opacity in the left lower lobe is concerning for pneumonia. There is also a small component of opacification in the lingula. Elsewhere the lungs appear clear. There no pleural effusions or pneumothorax.
history of pneumonia, presenting with shortness of breath.
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Inspiratory volumes are slightly low. There is new platelike atelectasis the right lung base. Again seen is patchy opacity in the right cardiophrenic region, similar to the prior study. There is subsegmental atelectasis at the left lung base, similar to the prior study. Slight lateralization of left hemidiaphragm and minimal blunting of the left costophrenic angle is unchanged . No chf or gross right effusion. Radiographs or limited for assessment of pulmonary embolism, but no pathognomic changes of pe are identified.
<unk> year old woman <num> hours s/p x<num> episodes of presyncope w/ desats and hypotension following coughing // please asses for interval change, ?pna ?pe
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. A faint linear density abuts the left heart border likely a small area of platelike atelectasis or scarring. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with cp
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. No evidence of pulmonary edema. An azygos fissure is noted. No free air under the right hemidiaphragm is present. Degenerative changes involve bilateral acromioclavicular joints and left shoulder joint.
history: <unk>f with cough, higher sugars than normal // ? pneumonia
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There are low lung volumes compared to prior study. There is a slightly increased haziness at the lung bases; however, this may be due to lower lung volumes. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable. The aorta is tortuous and unchanged.
altered mental status, evaluate for acute intrathoracic process.
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Lungs are clear. The cardiomediastinal silhouette is within normal limits. Peripherally calcified breast implants are again noted. Right shoulder arthroplasty is also noted.
<unk>f with chest pain // eval for ptx
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Comparison with prior studies is complicated due to magnifying effect of ap view on the heart. Allowing for those limitations, there lung volumes are low, but there is no definite focal opacity. The left lower lung field cannot be assessed in the frontal view due to obliteration by magnified heart shadow, but the lateral view does not demonstrate focal opacities or pleual effusion at this level. There is no pleural effusion or pneumothorax.
<unk>-year-old female with weakness and fever. evaluate for acute cardiopulmonary process.
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Mild s-shaped scoliosis of the thoracolumbar spine is present.
progressive ascending weakness.
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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. Previously seen right middle lobe opacity on ct is not well seen on the current exam. The pulmonary vasculature is not engorged, and there is no overt pulmonary edema. The cardiomediastinal and hilar contours are within normal limits. Trace of calcification of the aortic knob is re-demonstrated. No acute osseous abnormality is detected.
history of aml with recent relapse, on chemotherapy currently, now with dizziness and fall, here to evaluate for underlying infection.
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In comparison to the chest radiographs obtained <num> days prior, small, bilateral pleural effusions are unchanged and there has been interval improvement of some parenchymal opacities seen on recent chest radiograph. <unk> opacities appear to project over the anterior and posterior ribs, raising the possibility repetitive stress fractures in the setting of copd and chronic cough. There are multiple old rib fractures, which appear unchanged. Heart size is normal without pulmonary edema.
<unk> year old woman with recent pulmonary edema and pleural effusions on cxr, still with mild sob, recent viral sx // eval for pna and or resolution of symptoms
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Pa and lateral views of the chest. No focal consolidation, pleural effusion or pneumothorax. A calcified granuloma noted in the right lower lung. Cardiomediastinal silhouette is normal.
left upper quadrant pain.
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Ap upright and lateral views of the chest provided. Midline sternotomy wires again noted. Right ij central venous catheter is been removed. The heart remains mildly enlarged. There is hilar congestion without frank edema. No large effusion or pneumothorax. No convincing evidence for pneumonia. Cardiomediastinal silhouette is stable. Bony structures are intact.
<unk>f with fever // eval for infection
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As compared to the previous radiograph, there is no relevant change. The right internal jugular vein catheter is in unchanged position. No evidence of pneumonia or other lung parenchymal disease. No pneumothorax. Normal size of the cardiac silhouette. No pleural effusions.
febrile neutropenia, recent cough, evaluation for potential pneumonia.
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Lung volumes are low. Heart size is mildly enlarged. Mediastinal contours appear similar. There is mild pulmonary edema with small bilateral pleural effusions. Bibasilar patchy opacities likely reflect areas of atelectasis. No pneumothorax is demonstrated. Osseous structures are diffusely demineralized without definite acute abnormality.
history: <unk>f with altered mental status
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The patient is status post median sternotomy and cabg. Heart size remains mildly enlarged. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. The lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. No radiopaque foreign bodies are visualized.
possible aspiration of an apple slice.
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The heart remains borderline enlarged. The mediastinal and hilar contours are unchanged with mild tortuosity of the thoracic aorta noted. The pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.
productive cough for <num> days.
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Pa and lateral views of the chest provided. Midline sternotomy wires again noted. There is persistent left pleural effusion which is moderate in size. A left basal chest tube is again noted. Compressive atelectasis in the left lower lung is also likely stable from prior. The right lung remains clear. No pneumothorax. Bony structures appear grossly intact.
<unk>m with chest tube, bloody output
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There is stable appearance of right basal opacity. Left retrocardiac opacity has improved. Small to moderate bilateral pleural effusions are still present and appears smaller on the right. No pneumothorax is seen. Stable cardiomegaly is again seen. Median sternotomy wires are aligned and intact.
<unk> year old woman s/p avr // eval for pleural effusions
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Right chest wall port-a-cath is again noted. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is stable. Catheter again seen in the right upper quadrant.
<unk>m with pancreatic ca p/w fever // r/o infiltrate
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The lungs are clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No focal consolidations are seen. No pulmonary edema, pneumothorax, or pleural effusion. Anterior osteophytes are noted in the thoracic spine on the lateral view.
history: <unk>m with palpitations // acute process
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As compared to the previous radiograph, an anterior and lateral radiograph is not provided. The leads are in expected anatomical position. The course of the leads is unremarkable. There is no pneumothorax. The lateral radiograph, however, reveals minimal dorsal pleural effusions limited to the dorsal aspect of the costodiaphragmatic sinuses. No evidence of pulmonary edema.
evaluation for lead placement.
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Frontal and lateral chest radiographs demonstrate a dialysis catheter with the tip terminating in the mid svc. The cardiomediastinal silhouette is unchanged. Pulmonary edema is similar to <unk>, but improved from <unk>. Left base atelectasis is also improved. There is no pleural effusion or pneumothorax. No clear sternal fracture is identified.
status post cardiac arrest requiring compressions, with a tender sternum for the past several days and now rising leukocytosis. evaluate for acute process.
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The left-sided dual lead pacemaker appears in adequate position with leads terminating in the right atrium and right ventricle. The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
<unk>m with hypotension // eval for pna eval for pna
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The heart size is normal. The hilar mediastinal contours are normal. There has been near-resolution of a previously-seen right lower lobe opacity. No new consolidation, pleural effusion or pneumothorax is detected. The visualized osseous structures are unremarkable.
history: <unk>m with chest pain, weakness, recent pna // eval for interval change in rll opacity.
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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. No fracture is seen.
right upper chest pain after fall. evaluate for fracture.
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Pa and lateral chest radiographs were obtained. A small left pleural effusion has decreased in size since thoracentesis. No pneumothorax is present. Elevation of the left hilus and minor fissure and tenting of the left hemidiaphragm are sequelae of radiation changes. The right lung is clear. The cardiac and mediastinal contours are normal.
<unk>-year-old woman with recurrent left pleural effusion status post thoracentesis.
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Frontal and lateral chest radiographs again demonstrate linear lucency along the anterior mediastinum and superior cardiac silhouette, best seen on lateral view. This is similar in appearance compared the prior chest radiograph, with any changes in configuration likely related to redistribution of existing air. No increased or additional lucency is identified. The lungs are again clear, without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for interval change in a patient with chest pain and pneumomediastinum seen on recent chest radiograph.
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Frontal and lateral views of the chest. Lower lung volumes are seen on the current exam, particularly on the frontal view. Relatively linear left basilar opacity is likely due to atelectasis as it is not seen on the lateral view. Elsewhere, the lungs are clear. There is no effusion or pulmonary vascular congestion. Degree of cardiomegaly is unchanged, given lower inspiratory volumes. No acute osseous abnormality is identified. Gaseous distention of the colon seen below the left hemidiaphragm.
<unk>-year-old female with generalized weakness for one week.
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Pa and lateral radiographs of the chest demonstrate clear lungs without focal consolidation, pleural effusion, or pneumothorax. The inspiratory lung volumes are slightly decreased from the prior study with minimal increased bronchovascular markings in the bilateral bases consistent with atelectasis. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The pulmonary vasculature is not engorged. No rib fracture is identified.
<unk>-year-old female status post fall off a bicycle, now with tenderness over the right hip, here to evaluate for acute intrathoracic process.
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In comparison with the study of <unk>, there is a vague area of increased opacification at the left base that could represent a developing consolidation. The remainder of the study is essentially unchanged except for poor definition of the left heart border, which also could indicate a lower lung consolidation.
lymphoma with methotrexate, now with fever.
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. The lungs are hyperinflated with flattening of the diaphragm bilaterally. The cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Osseous structures are without acute abnormality.
<unk>-year-old female with dizziness.
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Pa and lateral views of the chest. The lungs are clear. There is no consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes are noted in the spine. No acute osseous abnormality is are noted.
<unk>-year-old female with chest pain.
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Frontal and lateral chest radiographs demonstrate multiple sternotomy wires. The cardiomediastinal silhouette appears normal. Again seen is a large multiloculated left pleural effusion, bigger since yesterday. Nevertheless there is improve aeration in the left upper lobe--<unk> left heart border is slightly less obscured. There is no right pleural effusion. No pneumothorax is present.
lung cancer, now with dyspnea and chest pain.
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Bilateral lower lobe consolidations are worrisome for multifocal pneumonia. There is also subtle right apical opacity, new since the prior study which may be due additional site of infection. There may be a small left pleural effusion. No pneumothorax is seen. The cardiac silhouette remains mildly enlarged. Mediastinal contours are unremarkable and stable.
history: <unk>m with dyspnea, ili. hx liver transplant with recurrent ascities. // eval heart and lungs
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Peribronchial cuffing and diffuse interstitial abnormality. Normal pleura and mediastinal surfaces. Mild cardiomegaly, predominately left ventricular enlargement is chronic, but there is insufficient vascular engorgement today to suggest acute cardiac decompensation.
history: <unk>m with shortness of breath // eval for pna or ptx
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. There is no evidence of pulmonary edema.
history: <unk>m with chest pain // chest pain
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As compared to the previous radiograph, the pre-existing right apical pneumothorax has completely resolved. An area of lateral pleural thickening is unchanged. The displaced right clavicular fracture is constant in appearance. The rib fractures are not well visualized on today's image, with exception of the ninth right rib, and are better evaluated on the ct examination of <unk>.
multiple rib fractures, evaluation.
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Redemonstrated is a vp shunt is seen coursing anteriorly. As compared to <unk>, there has been no significant interval change. There is a stable, tiny residual right apical pneumothorax. The lungs are otherwise clear. The heart size is normal. Mediastinal contours are normal. No bony abnormality is detected.
recent pneumothorax status post chest tube removal, document resolution.
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Right pacemaker lead terminates in the right ventricle. Stable, moderate cardiomegaly. There is stable tortuosity of the thoracic aorta. The pulmonary vasculature is within normal limits. There is stable scarring at the right base with a right juxtaphrenic peak and mild volume loss. There is no focal consolidation to suggest pneumonia. The pleural surfaces are normal.
<unk>-year-old woman with cough and fever. evaluate for pneumonia.
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The lungs are hyperinflated and hyperlucent with flattening of the hemidiaphragms, consistent with chronic pulmonary disease, similar to <unk>. Subtle increased opacity in the left lower lobe since <unk> on the frontal view may reflect atelectasis as no corresponding opacity is appreciated on the lateral projection. Mild elevation of the left hemidiaphragm is unchanged since at least <unk>. No pleural effusion or pneumothorax. Biapical, left greater than right pleural thickening is also unchanged. The right lung is clear. No mediastinal widening. Tortuosity of the descending thoracic aorta is unchanged. Mild dextroconvex scoliosis of the upper thoracic spine is also unchanged. Slight loss of anterior vertebral body height in a mid thoracic vertebral body is probably similar to the prior exam in <unk>.
<unk>-year-old woman presenting with chest pain. evaluate for pneumonia.
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Pa and lateral views of the chest. There is a small right pleural effusion. Low lung volumes limit evaluation for lower lung pathology. Streaky left basilar atelectasis is noted. No definite consolidation or pneumothorax.
<unk>-year-old male with shortness of breath after wedge resection.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits. There is dextroconvex upper thoracic kyphoscoliosis and anterior osteophytosis.
<unk>-year-old female with altered mental status.
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The previous bilateral pleural effusions have resolved. The heart size remains moderately enlarged. The patient status post aortic valve replacement, cabg and median sternotomy. No evidence of pneumonia or pneumothorax.
history: <unk>f with chest pain // chest pain
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There are persistent small bilateral pleural effusions, not significantly changed. There is no focal consolidation worrisome for infection. Small hiatal hernia is noted. The cardiomediastinal silhouette is stable. Atherosclerotic calcifications noted at the aorta. Mid thoracic compression deformities are unchanged.
<unk>f with delirium, lle swelling // infiltrate, dvt?
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Subtle increased opacity of the lower lung on lateral view likely is on the left. No pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits.
<unk>-year-old female with cough.
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The lungs are clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pleural effusion or pneumothorax is seen.
cough and fever. evaluate for pneumonia.
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The lungs are clear without focal consolidation, effusion, or edema. Surgical chain sutures project over the right lung laterally. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with sob and hypoxia // eval pneumonia
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A right pleurex catheter is in place. The volume of the right pleural effusion is unchanged since the previous study. Left basilar atelectasis is stable. There is no pneumothorax or focal consolidation. The cardiomediastinal silhouette is unchanged.
<unk> year old man with pleural effusion // eval
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Lung volumes are low. Bilateral pulmonary opacities as well as hilar fullness are seen which could represent moderate pulmonary edema, particularly since chest radiograph in <unk> showed mild cardiomegaly and upper lobe pulmonary vascular engorgement, signs of cardiac decompensation, however infection should be considered in the appropriate setting. There may be small bilateral pleural effusions. No pneumothorax. The heart is top-normal in size and the aorta is tortuous.
<unk> year old man complaining of cough. // any disorder in the chest that may be causing non-productive cough?
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In comparison with study of <unk>, the patient has taken a much better inspiration. The right jugular catheter has been removed. Diffuse areas of pulmonary opacification are seen bilaterally. Much of this may well reflect persistent but slow clearing of pulmonary edema. However, areas of more coalescent opacification in the right upper, right lower, and left lower lung zones could represent developing areas of consolidation.
multifocal pneumonia with pulmonary edema after fluid resuscitation.
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The lungs are well-expanded and clear. Note is made of mild pulmonary vascular congestion, without frank edema. The previously described right upper lobe consolidation has resolved. The heart remains enlarged. The aorta is tortuous. There is no pneumothorax, pleural effusion, or consolidation. Again seen are severe degenerative changes in the bilateral shoulders, right greater than left.
history: <unk>m with ams // eval for pneumonia
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In comparison with study of <unk>, the cardiac silhouette remains at the upper limits of normal in size, and there is substantial tortuosity of the aorta. However, no evidence of acute focal pneumonia, vascular congestion, or pleural effusion.
upper epigastric pain, to assess for pneumonia.
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal. The prosthetic valve and sternal wires are seen. Mild pulmonary vascular congestion is present.
cough, history of valve replacement. evaluate for pneumonia.
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The lungs are clear of consolidation or effusion. The cardiomediastinal silhouette is within normal limits for technique. No acute osseous abnormalities identified.
<unk>f with l hip fx // pre-op
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Postoperative changes of right pneumonectomy are again seen with complete opacification of the right hemithorax with associated right-sided volume loss. The left lung remains clear. No acute osseous abnormality is identified.
<unk>m with sob // r/o pna
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Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
history: <unk>f with cough, sob // ? pna
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Pa and lateral views of the chest provided. Lung volumes are low. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Slightly sclerotic appearance of the bony structures suggest renal osteodystrophy. No free air below the right hemidiaphragm is seen.
<unk>m with sob, history of renal transplant // pna?
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No rib fractures are identified.
<unk>-year-old female with syncopal fall are right thoracic pain.
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A left picc terminates in the upper svc. In comparison with the prior exam, it appears to be slightly pulled back. A small metallic density overlies the left apex and appears to be within the subcutaneous tissue on the lateral view. It is unchanged. Cervical spine hardware is partially imaged, and unchanged. The lung volumes are low. The lungs are clear without a focal airspace consolidation or pulmonary edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The osseous structures are unremarkable; specifically, vertebral body height is maintained in the thoracic spine.
worsening low back pain. has a history of l<num>-<num> epidural and retroperitoneal abscess, status post surgery.
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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is within normal limits. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. Multiple surgical clips are noted in the left upper quadrant of the abdomen compatible with prior bowel surgery.
nocturnal dyspnea, here to evaluate for acute cardiopulmonary process.
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Pa and lateral views of the chest. Linear opacities identified at the lung bases suggestive of atelectasis versus scarring. There is no effusion or confluent consolidation. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.
<unk>-year-old female with chest pain.
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As compared to the prior chest radiograph, there is been a slight interval improvement in the right pleural effusion, as well as more significant improvement in the bibasilar atelectasis. The known right middle lobe mass is now more conspicuous. There is a stable, small left pleural effusion with adjacent atelectasis. The upper lungs are clear without focal consolidation or pneumothorax. The heart size is normal. Mediastinal and hilar contours are normal.
known right middle lobe metastatic disease, now with hypoxia and dyspnea.
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Lung volumes are low. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The ascending thoracic aorta is chronically tortuous and/or dilated, unchanged since <unk>. The cardiomediastinal silhouette is otherwise within normal limits.
history: <unk>m with cough // ? pna
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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.
cough, completed antibiotics, not better. rule out pneumonia.
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Pa and lateral views of the chest provided. Right port-a-cath ends at the upper svc. Lungs are grossly clear. No pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are normal.
<unk> year old man with poc dysfunction // eval poc
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Lungs are clear. Cardiomediastinal silhouette and hilar contours are unremarkable. No pleural effusion or pneumothorax is identified. The healing pathologic fracture of the known lytic lesion in the posterior aspect of the right sixth rib appears to have slightly increased callus formation on today's exam.
<unk>-year-old man with multiple myeloma prebmt study. rule out metastatic diseases.
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Frontal and lateral views of the chest. Mild cardiomegaly and cardiomediastinal contours are stable. Slightly increased interstial opacities diffusely, as seen on the prior radiograph, consistent with chronic lung disease. No focal consolidation, pleural effusion, or pneumothorax. Chronic right rib fracture is unchanged. Right upper quadrant clips are consistent with cholecystectomy.
<unk>f with nausea, vomiting, diarrhea, abdominal pain. history of cholecystectomy and appendectomy. // abdominal pathology?
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Heart size is normal with moderate unfolding of the thoracic aorta. Surgical clip projecting over the right hilus is unchanged, as are post-surgical changes in right lung. Cardiomediastinal silhouette and hilar contours are otherwise normal. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
chest pain.