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Heart size is mildly enlarged. The aorta is unfolded. The mediastinal and hilar contours are otherwise unremarkable. The pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
right ankle reduction post fracture, preoperative assessment.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Small anterior osteophytes are present along the lower thoracic spine.
chest pain.
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Lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities identified. Surgical clips are seen in the right upper quadrant suggesting prior cholecystectomy.
<unk>f with chest pain // please evaluate for pneumonia, mediastinal widening, cardiac size.
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Pa and lateral views of the chest provided. Patient with known interstitial lung disease. Allowing for slight differences in technique, there has been no significant interval change in extensive interstitial reticular opacity compatible with known ild. No convincing evidence of a superimposed pneumonia, effusion or pneumothorax. Overall cardiomediastinal silhouette is stable. Bony structures appear intact.
<unk>f with overall pain, rheumatoid flare.
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The lung volumes are normal and the lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. Bilateral apical thickening is symmetric and unchanged. Heart is normal size. The mediastinal and hilar contours are unremarkable.
chest pain. evaluate for an infiltrate.
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As compared to the previous radiograph, there is no relevant change. Normal lung volumes. Normal structure and transparency of the lung parenchyma. No acute or chronic lung parenchymal changes. No pleural effusions. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours. The ribs appear normal on the chest film. However, if clinically indicated, a separate rib series could be obtained.
left lower lobe chest pain, duration of one year, evaluation.
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There is a right chest port-a-cath which terminates in the mid svc. The lungs are overall clear without focal consolidation. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax. There is no free air under the diaphragm.
<unk>f on steroids p/w epigastric pain, rule out acute abdominal pathology.
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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 sle on immunosuppression with rhonchi and wheezing
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There is bilateral hilar fullness and pulmonary vascular congestion. Opacity projects over the spine on the lateral radiograph. There is no pleural effusion or pneumothorax. Heart size is top-normal.
history: <unk>f with h/o copd, osa, at <unk> with acute hypoxia to <unk>% on <num> l nc. // assess for infiltrate, pnthx, edema
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The lung volumes are low. The heart size remains mildly enlarged. The mediastinal and hilar contours are unchanged. There is crowding of the bronchovascular structures without overt pulmonary edema noted. Left basilar opacification with obscuration of the left hemidiaphragm persists, and may reflect atelectasis though infection or aspiration cannot be excluded. No pleural effusion or pneumothorax is detected. Minimal linear opacities in the right lung base also reflect subsegmental atelectasis. There are multilevel degenerative changes in the thoracic spine with anterior bridging osteophytes.
fever.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. Mild calcification is noted in the right lower paratracheal station, likely representing a calcified lymph node. The aorta is tortuous. There is no pleural effusion. There is blunting of the left costophrenic angle which may represent a small pleural effusion.
<unk>-year-old female with generalized weakness and near syncope. evaluate for infiltrate.
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A large mass is seen within the left upper lobe measuring approximately <num> cm x <num> cm, consistent with a pancoast tumor better evaluated on the prior ct from <unk>. Mediastinal, specifically ap window, adenopathy was also seen on prior ct. A small left pleural effusion is seen. Note is made of mild pulmonary vascular congestion, however no definite evidence of pulmonary edema. Moderate cardiomegaly, is stable.
<unk>m with dyspnea // ? acute cardipulm process
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.
shortness of breath.
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Pa and lateral chest views were obtained with patient in upright position. The heart size is within normal limits. No configurational abnormality is identified. Thoracic aorta unremarkable. The pulmonary vasculature is not congested. Lateral and posterior pleural sinuses are free from any fluid accumulation. There is a mild elevation of a left-sided hemidiaphragm apparently related to a rather gas distended colon. No significant skeletal abnormality are identified within the chest area. There exists no prior chest examination or records available for comparison.
<unk>-year-old male patient with malignancy of liver, assess for pleural effusion in the chest.
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
history: <unk>m with cough, right lower chest pain, evaluate for pneumonia.
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There are low lung volumes. Allowing for changes due to this, the cardiomediastinal silhouettes are stable and within normal limits, with a mildly tortuous thoracic aorta. Mild prominence of the cardiac silhouette likely relates to low lung volumes and ap technique. There is no focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk>m with weakness, syncope, evaluate for pneumonia.
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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 without focal consolidation concerning for pneumonia. The upper abdomen is unremarkable. No acute osseous abnormalities detected.
<unk>m with cp, sob // eval for pna
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Since <unk> the left thoracostomy tube has been removed and a small amount of fluid has accumulated in the previous small pneumothorax in the posterior left costal pleural space. Moderate left basal atelectasis is unchanged. The lower esophageal stent has not migrated and its caliber is intact. Small amount of contrast an agent in the mediastinum reflects prior demonstrated leakage. The right lung is clear. Right pic line ends close to the superior cavoatrial junction.
<unk> year old woman s/p esophageal diverticulum resection c/b esophageal leak, now all ct d/c'd // please eval for interval change
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Heart size is normal. Atherosclerotic calcifications are noted within the thoracic aorta. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Patchy opacity in the left lung base is concerning for pneumonia. Minimal atelectasis is seen in the right lung base. Right lung is clear. No pleural effusion or pneumothorax is seen. Moderate to severe degenerative changes of the thoracic spine are present.
history: <unk>m with chest pain // eval for pneumonia
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. There is no pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are within normal limits. Visualized osseous structures are without an acute abnormality. Note is made of several surgical clips in the anterior mediastinal space.
<unk>-year-old female with hemoptysis.
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Heart size is top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Linear opacities in the lingula are compatible with subsegmental atelectasis. Remainder of the lungs are clear without focal consolidation. No pleural effusion or pneumothorax. No acute osseous abnormality.
history: <unk>m with chest pain
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No previous images. There are multiple chain sutures in the right upper abdomen with mild elevation of the hemidiaphragm. No acute pneumonia, vascular congestion, or pleural effusion. Mild tortuosity of the descending aorta without cardiomegaly. Hemodialysis catheter extends to the right atrium.
renal disease, for output hemodialysis.
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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.
<unk>-year-old female with weakness. evaluate for pneumonia.
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As compared to the previous radiograph, the alignment of the sternal wires is unchanged. All monitoring and support devices have been removed. Better seen on the lateral radiograph are bilateral mild-to-moderate pleural effusions, restricted to the dorsal aspect of the costophrenic sinuses. Moderate cardiomegaly, no pulmonary edema. No pneumonia. Mild atelectasis at the left lung bases. Mild bilateral symmetrical apical scarring.
aortic replacement, evaluation for pleural effusions.
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The cardiac, mediastinal and hilar contours appear unchanged. Streaky left basilar opacity suggests minor atelectasis. There is no pleural effusion or pneumothorax. The chest is hyperinflated. Right lateral pleural thickening is stable. An anterior flowing osteophyte is noted, unchanged along the thoracic spine.
cough and dysphagia.
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Small left pleural effusion is slightly improved.mild pulmonary edema is improved. There is persistent pulmonary vascular redistribution. Cardiomegaly is severe. Calcified tubular structure overlying the cardiac silhouette on lateral view may be calcified or stented right coronary artery.
<unk> year old woman with heart failure, being diuresed, on oxygen // pulmonary edema, fibrosis
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged with tortuous aorta, hiatal hernia and mild cardiomegaly. Linear opacity in the right lung base is similar to the remote prior study and likely represents atelectasis or scarring. . Blunting of the left posterior costophrenic sulcus likely represents a bochdalek's hernia. Multiple chronic appearing rib fractures are unchanged from the prior study. Hyperinflation suggests copd.
<unk>m with altered mental status, slurred speech evaluate for pneumonia or bleed.
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There is no evidence of pneumothorax. There is a small left pleural effusion. There is mild cardiomegaly which is stable from <unk>. There is no pulmonary edema. Cardiomediastinal borders and hilar structures are normal.
<unk> year old man s/p cabg ct out // assess for ptx
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There is moderate cardiomegaly, stable. The mediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. The lungs are well-expanded and without focal consolidation. Pulmonary vasculature is within normal limits. A calcified granuloma in the right upper lobe is again noted. A left axillary single lead pacemaker is present with lead terminating in the right ventricle as expected.
<unk>m with chest pain, acute process?
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In comparison with the study of <unk>, there is little overall change. The heart is normal in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia. Streaks of fibrosis or atelectasis are seen overlying the cardiac silhouette on the lateral view.
copd and right chest pain.
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There is a persistent moderate right pleural effusion with small left pleural effusion with associated compressive atelectasis. The lungs are otherwise clear. Partially visualized heart is moderately enlarged. Mediastinal contour and hila are within normal limits. A left anterior chest dual lead pacemaker is in appropriate position with tips in the right atrium and right ventricle. A right porta cath tip is in the right atrium, unchanged from previous examination although evaluation the right heart border is limited due to effusion and atelectasis.
<unk>f with weakness. assess for pneumonia.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
<unk>f with maliase cancer // eval for pna
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Pa and lateral views of the chest. The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with cough and shortness of breath.
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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 pain // r/o acute process
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Patchy opacification at the right base, localized to the right lower lobe on the lateral, concerning for early or developing pneumonia. Possible subtle patchy opacity at the left base. No additional focal consolidations. No pulmonary edema. Allowing for lower inspiratory volumes, cardiomediastinal silhouette is probably unchanged compared with <unk>. No pleural effusion or pneumothorax.
history: <unk>m with presyncope and palpitations // eval ? edema, infiltrate . review of prior x-ray reports indicates a history of mrsa abscess ease.
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Cardiac, mediastinal, and hilar contours are within normal limits. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is present. No displaced rib fractures are identified.
right upper quadrant abdominal pain, prior contusion to the right lower chest.
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. The heart size remains normal. No configurational abnormalities seen. Mild degree of general thoracic widening and elongation but stable in comparison with previous study. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. Similar as on the preceding examination, there are multiple rib abnormalities with locally distended structures of the ribs, but no acute fractures are seen. These osseous changes in this patient with history of multiple myeloma appear stable and no significant interval change can be identified. The same holds for the appearance of the thoracic spine with at least two vertebral bodies that are reduced in height.
<unk>-year-old male patient three months status post autotransplant for multiple myeloma, now with fevers and productive cough, evaluate for pneumonia.
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Ap upright and lateral chest radiograph is compared to prior study dated <unk>. Low lung volumes persist with mild scarring at the left lung base. No focal opacity convincing for pneumonia is detected. Heart is moderately enlarged and aorta unfolded. There is dextroscoliosis of the thoracic spine. No acute osseous abnormality is seen. There is no pleural effusion or pneumothorax.
<unk>-year-old female with new onset hypoxia.
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The mediastinal and cardiac silhouettes are stable and unremarkable. The hilar contours are stable. Again seen are multiple gunshot fragments projecting over the lateral left hemithorax.
cough, wheezing for <num> days.
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The inspiratory lung volumes are decreased from the prior study. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The pulmonary vasculature is not engorged, and there is no overt pulmonary edema. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The trachea is midline. The visualized upper abdomen demonstrates no free air beneath the right hemidiaphragm. No displaced rib fractures are detected.
right-sided chest wall pain status post mechanical fall, here to evaluate for pneumothorax or rib fracture.
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with shaking chills and cough.
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Ap upright and lateral views of the chest provided. Patient's chin obscures the superior mediastinum. On the lateral view the patient's arm overlaps with the chest limiting assessment. The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable with mild to moderate cardiomegaly re- demonstrated. Imaged osseous structures are demineralized though intact with left shoulder arthroplasty again noted. High riding right humeral head is indicative of chronic rotator cuff disease, unchanged. No free air below the right hemidiaphragm is seen.
<unk>f with lethargy // eval for infiltrate
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Pa and lateral views of the chest provided. Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable with mildly enlarged heart size. Coronary stents project over the heart. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with dyspnea // eval for acute process
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Pa and lateral views of the chest were provided. A <num> mm nodular opacity projecting over the left lung base is seen on the frontal projection. Otherwise, the lungs appear clear. No pleural effusion or pneumothorax is seen. The heart and mediastinal contours appear normal. The imaged osseous structures appear intact. No free air is seen below the right hemidiaphragm.
<unk>-year-old man with shortness of breath.
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Pa and lateral views of the chest are compared to previous exam from <unk>. Better inspiratory effort is seen on the current exam. The lungs are now clear. There is no effusion. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with right upper quadrant pain. history of pancreatitis.
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There is mild asymmetrical elevation of the left hemidiaphragm, of uncertain chronicity. Mild left basilar atelectasis is present. The heart is not enlarged. The aorta is markedly tortuous. There is no pneumothorax, pleural effusion, or pneumonia.
history: <unk>f with cva symptoms, now resolved. // acute process?
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Compared with the prior study, lung volumes are lower causing bronchovascular crowding and accentuation of the heart size. There is no focal consolidation, effusion, or pneumothorax. Areas of perifissural thickening and atelectasis are similar to the prior study.
<unk>f with history of copd, coming in with wheezing, doe. evaluate for pneumonia or pulmonary edema.
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The lungs are free of focal consolidations, pleural effusions or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified.
<unk> year old woman with wegener's on immunosuppression presents with chest congestion, dyspnea. // ? pneumonia
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No focal consolidation is seen. There may be minimal pulmonary vascular congestion without overt pulmonary edema. No pleural effusion or pneumothorax is seen. Cardiac silhouette is top-normal.
history: <unk>m with fall and weakness // r/o pna
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Pa and lateral chest radiographs. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
<num> days of dyspnea, wheezing and cough.
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Enteric tube tip is within the stomach. A right subclavian central venous catheter tip terminates in the lower svc, unchanged. Patient has been extubated. Heart size is mild to moderately enlarged. Widened mediastinal contour is unchanged. There is crowding of the bronchovascular structures with mild pulmonary vascular congestion. Persistent consolidative opacity in the right upper lobe likely reflects continued pneumonia. Streaky bibasilar opacities may reflect areas of atelectasis. Small bilateral pleural effusions are likely present. No pneumothorax is demonstrated. Degenerative changes are noted in the right acromioclavicular joint as well as within the imaged thoracic spine.
history: <unk>m with altered mental status
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The chest is hyperinflated. The lungs appear clear. Bony structures are unremarkable. Surgical clips project over the right upper quadrant of the abdomen.
chest pain.
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Ap and lateral views of the chest. The lungs are grossly clear with possible mild left basilar atelectasis. There is no pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are stable.
found down at home, head laceration, evaluate for pneumonia.
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The lungs are clear of consolidation, effusion, or vascular congestion. There is suggestion of a nodular opacity projecting over the anterior right fifth rib. The cardiomediastinal silhouette is within normal limits. Mild atherosclerotic calcifications seen at the aortic arch. No acute osseous abnormalities identified.
<unk>f with <num> days of dizziness, head pain found to have new hyponatremia to <num>. // any evidence of pulmonary pathology?
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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 chest pain // eval for acute process
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The patient is status post left upper lobectomy with postsurgical changes noted in the left hemi thorax. Cardiac, mediastinal and hilar contours are unremarkable. No focal consolidation, pleural effusion or pneumothorax is demonstrated. The lungs are hyperinflated. No acute osseous abnormalities present.
<unk> year old man with cough, dyspnea and fever
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In comparison with study of <unk>, there is no change or evidence of acute cardiopulmonary disease. No evidence of old granulomatous disease.
positive ppd.
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Pa and lateral views of the chest were obtained. The lungs are clear bilaterally with no evidence of focal consolidation or pulmonary edema. No pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There is no evidence of free air below the right hemidiaphragm.
fever, chills, fatigue, and cough.
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Evaluation of pulmonary detail is somewhat limited, particularly on the ap view, by soft tissue attenuation. The lung volumes are low. The heart is mild to moderately enlarged. The mediastinal and hilar contours are unremarkable. The lungs appear clear. There are no pleural effusions or pneumothorax. Mild degenerative changes are present along the thoracic spine.
general malaise.
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with chest pain // evaluate with acute process
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Heart size is mildly enlarged. The aorta is tortuous. Pulmonary vasculature is not engorged. Hilar contours are unchanged. Lungs are hyperinflated. New focal opacity is seen within the left lower lobe as well as patchy nodular opacity within the left lower lobe, findings concerning for multifocal pneumonia. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities. Deformity of the right mid clavicle compatible a remote fracture is re- demonstrated.
history: <unk>m with shortness of breath
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Cardiomediastinal contours are normal. Right lower lobe opacity is unchanged, otherwise the lungs are clear. There is no pneumothorax. Blunting of the posterior cp angle on the left could be scarring or pleural effusion. . The osseous structures are unremarkable
<unk> year old woman with pain in her anterior chest wall following coughing from bronchitis // r/o fracture
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Right picc and right jugular venous catheter have been removed in the interim. Pulmonary edema, slightly asymmetric and more prominent on the right is mild. The heart size is top-normal. The left pleural effusion has resolved. No pneumothorax. No focal consolidation. The mediastinum is not widened.
<unk> year old man with t<num>dm <unk> whipple, asplenia, ckdiii w/ nephrolithiasis s/p pcn, recent ugib (<unk>), recent admission for babesiosis found to have new leuckotyosis // rule out infection
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In comparison with the study of <unk>, there is little overall change. Again there is evidence of prior radiation change in the right hilum with continued right effusion and apparent substantial volume loss in the right lower lung. Several nodular opacifications are again seen in the apices, consistent with findings on a previous chest ct. No evidence of acute focal pneumonia.
pleural effusion.
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The heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Heterogeneous opacity at the left lung base is worrisome for pneumonia. There are scattered increased reticular lung markings and fibrotic changes particularly at the right lung base and right lung apex. There is no pleural effusion or pneumothorax.
type <num> diabetes, three weeks' cough and post-tussive emesis. assess 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 rcc, prostate cancer, ckd presenting with generalized weakness and cognitive impairment. had similar presentation when diagnosed with pna last month. // please eval for pna
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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 hx cardiomyopathy, doe, please evaluate for chf
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are seen. Partially imaged is cervical spinal fusion hardware.
fall <num> days ago with left mid axillary rib tenderness.
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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
<unk>m w/chest pain and fever, please eval for pna, mediastinal widening // <unk>m w/chest pain and fever, please eval for pna, mediastinal widening
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Ap and lateral views of the chest. Relatively low lung volumes are seen; however, the lungs are clear without focal consolidation or effusion. The cardiomediastinal silhouette is stable given lower lung volumes on the current exam. No acute osseous abnormalities are noted.
<unk>-year-old male with altered mental status.
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The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
fevers. evaluate for pneumonia.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Degenerative changes noted at the right shoulder.
<unk>f with ams, c/f tox/metabolic encephalopathy // eval ? infection
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A globular appearance of the cardiac silhouette, is unchanged from prior. Some tortuosity of the descending aorta is noted. Median sternotomy wires are unchanged in appearance. There is no focal lung consolidation to suggest pneumonia. There is no pleural effusion or pneumothorax. Views of the upper abdomen are unremarkable.
<unk>f with immunosuppresion, fevers, evaluate for pneumonia.
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Ap and lateral views of the chest. The lungs are clear without consolidation or pleural effusion. The cardiomediastinal silhouette is stable. No acute osseous abnormalities detected noting old healed left lateral rib fractures and lower thoracic vertebroplasty changes.
<unk>-year-old female with follicular lymphoma and weakness.
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax, pleural effusion, or consolidation.
<unk>m s/p high risk dcd renal txp <unk> called in for pancreas transplant // preop for pancreas transplant
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Frontal and lateral chest radiographs were obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
patient with multiple myeloma, evaluate eligibility for auto bone marrow transplant.
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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.
<unk> year old man with neck/jaw/chest pain, ear fullness, recent uri // acute cardiac/pulmonary process
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Lungs are fully expanded and clear. Heart size is normal. Cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
<unk> year old man with cough, sore throat // evaluate for pneumonia
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Median sternotomy wires and clips are in place from prior cabg. Cardiac silhouette is top normal with mild tortuosity of thoracic aorta. Minimal tracheal deviation pattern is slightly increased since <unk> and is suggestive of an enlarged left thyroid lobe. Hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
palpitations.
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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. Degenerative spurring noted anteriorly in the thoracic spine. No free air below the right hemidiaphragm is seen.
<unk>f with chest pain // r/o pna
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Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormality is visualized.
history: <unk>f with weakness
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The lungs are clear, although hyperinflated. Cardiac size is normal. There is no pleural effusion, pneumothorax, pulmonary edema or pneumonia. Bones are intact.
shortness of breath.
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There is moderate cardiomegaly. There is mild pulmonary vascular congestion without overt edema, effusion, or consolidation. Osseous structures are unremarkable. There is no definite focal consolidation.
<unk>m with sob // ? pul edema
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Normal cardiomediastinal and hilar contours. Normal pleural surfaces. Clear, mildly hyperinflated lungs. No acute pneumonia, pleural effusion, pneumothorax, or pulmonary nodules. No definite osseous or soft tissue abnormalities.
<unk>-year-old man with a significant smoking history, now with cough and weight loss. evaluate for pneumonia or lung cancer.
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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. Visualized osseous structures are without acute abnormality.
<unk>-year-old male with dyspnea.
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Unchanged thoracic vertebral body compression deformity with prior vertebroplasty. Mild cardiomegaly but no pulmonary edema. Lungs are clear aside from a right mid lung zone granuloma that is unchanged. There is no pneumonia.
<unk>-year-old woman with history of asthma, now with cough. please assess for pneumonia.
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The patient is status post median sternotomy and cabg. Heart size remains normal. Mediastinal and hilar contours are unchanged. The pulmonary vascularity is normal. Elevation left hemidiaphragm is stable. Retrocardiac opacity is nonspecific and could reflect atelectasis, pneumonia or aspiration. No large pleural effusion or pneumothorax is identified. There are mild degenerative changes in the thoracic spine.
chest pain.
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Patient is status post median sternotomy and cabg.no focal consolidation is seen. There is no pleural effusion or pneumothorax the cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen.
history: <unk>f post fall, no focal neuro deficits, alert and oriented // <unk> yo female seen post fall, evaluate for chest infection
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Again seen is the moderate left pleural effusion, unchanged since most recent radiograph from <num> day prior, with stable small right pleural effusion. Left lower lobe atelectasis stable. Right upper lobe opacity mildly improved from yesterday but now new opacity in the right lower lung concerning for multi-focal pneumonia secondary to aspiration. The cardiac and mediastinal silhouettes are unchanged. Median sternotomy wires again seen.
<unk> year old man with cabg // check l pleural effusion
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No displaced rib fractures are detected. The lungs are symmetrically well expanded without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette, mediastinal and hilar contours are within normal limits. The trachea is midline. There is no free air beneath the right hemidiaphragm.
right chest wall pain status post assault, here to evaluate for fracture.
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Lungs are clear. No focal consolidation, effusion, or pleural effusion. No pneumothorax. The heart is normal in size. The mediastinum is not widened. There is probably mild apical pleural thickening bilaterally.
<unk>-year-old woman presenting with chest pain. evaluate for infiltrate.
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Flattening of diaphragms and widening of the ap diameter of the thorax is compatible with underlying copd. Lung volumes are slightly decreased compared to the previous radiograph. Small bilateral pleural effusions have increased since the prior study, and there worsening patchy bibasilar airspace opacities which could reflect atelectasis but infection is not excluded. Heart size also appears mildly enlarged with mild pulmonary vascular congestion, both of which have increased since the prior radiograph. Chain sutures are noted in the left mid lung. There is no pneumothorax. No acute osseous abnormalities detected.
history: <unk>f with slurred/slow speech, status post parietal lobe tumor resection
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The lungs are clear. There is no effusion, consolidation, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with shortness of breath // eval for pna
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.
hyperglycemia, fatigue and malaise.
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Lung volumes are low. Heart size is accentuated as a result and appears mildly enlarged. Mediastinal and hilar contours are unremarkable. Crowding of the bronchovascular structures is present without overt pulmonary edema. Patchy and streaky opacities in the lung bases likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. Fusion hardware within the lower lumbar spine is partially imaged. Compression deformity of a mid lumbar vertebral body as well as mild loss of height anteriorly of a vertebral body at the thoracolumbar junction are of indeterminate age.
history: <unk>f with cough and confusion
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The lungs are well aerated and clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are notable for chronic left clavicular fracture.
<unk>m with history of alcoholism and seizure disorder presenting with absence seizure // aspiration or pneumonia
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Frontal and lateral views of the chest. The lungs are hyperinflated but clear of consolidation or effusion. There is no pulmonary vascular congestion. The cardiac silhouette is moderately enlarged, likely progressed since prior. Tortuous descending thoracic aorta is noted. Chronic deformities seen involving the glenohumeral joints bilaterally, more significantly on the right where there has been resorption on both sides of the joint and possible dislocation. This has appearance of neuropathic joints.
<unk>-year-old female with shortness of breath and history of chf.
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The cardiac, mediastinal, and hilar contours appear unchanged, allowing for differences in technique. The lung volumes are low, particularly in that setting, streaky opacities in both lower lungs are most suggestive of minor vague bibasilar atelectasis. These opacities are also not present on the lateral view which appears to have been obtained with better inspiratory effort. The hemidiaphragms are flattened. Degenerative changes along the mid thoracic spine with small-to-moderate anterior osteophytes appear similar. There is similar mild rightward convex thoracic spinal curvature.
question pneumonia.
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal. There are surgical clips in the left upper quadrant.
<unk>-year-old male with sickle cell presents with rib cage pain. evaluate for infectious process, effusion or consolidation.
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There is an opacity at the right lung base, which may represent developing infection. Lungs are otherwise free of focal consolidation. No pleural effusion. There is a <num> cm left apical pneumothorax. No pneumothorax on the right. Cardiomediastinal contours are normal. No acute osseous abnormalities identified. No subdiaphragmatic free air.
history: <unk>f s/p fall with right rib pain and neck pain // evaluate c-spine for trauma, cxr to evaluate for pneumothorax, trauma