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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is stable. No acute osseous abnormalities, hypertrophic changes noted in the spine. .
<unk>m with cp, sob and l shoulder pain pls eval for edema pna and also shoulder pathology // history: <unk>m with cp, sob and l shoulder pain pls eval for edema pna and also shoulder pathology
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Mild cardiomegaly is re- demonstrated. The aorta is unfolded. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Linear opacities in the lung bases are compatible with regions of subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is evident. Mild degenerative changes are noted in the thoracic spine.
<unk> year old man with atrial tachycardia
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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 bony abnormalities are identified.
patient with shortness of breath for one day. evaluate for pneumonia.
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In comparison with the study of <unk>, there is little definite change. The opacification on the left appears less prominent, though this may in large part reflect differences in technique.
to assess for change.
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Lung volumes are normal. There is no consolidation, pleural effusion or pneumothorax. Streaky opacities in the right upper lung and right mid lung are unchanged and compatible with superimposed calcified pleural plaques, as demonstrated on the <unk> chest ct. Cardiomediastinal contours are normal. No acute osseous abnormalities.
<unk> year old man s/p kidney transplant with cough with green sputum // pneumonia?
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Frontal and lateral views of the chest. Frontal view is limited secondary to patient's rotation. There is no definite focal consolidation. Chronic changes in the lungs again seen compatible with patient's history of copd. Cardiomediastinal silhouette is grossly within normal limits given projection. No acute osseous abnormality is identified. Old right lateral ninth rib fracture is identified.
<unk>-year-old male with known copd, presents with fever, chills and coarse breath sounds.
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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 dyspnea
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
history: <unk>f with chest pain, shortness of breath // ? pna
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Lung volumes are low. The cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is seen. There is minimal retrocardiac atelectasis. No acute osseous abnormalities present.
left-sided chest pain.
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There is no focal opacity, pleural effusion, pneumothorax or pulmonary edema. The heart and mediastinal contours are normal.
ms <unk>. evaluate for infiltrate.
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Small nodular opacities in the right apex, new since <unk> have progressed since <unk>. Moderate cardiomegaly and upper lobe vascular engorgement are stable since <unk>, both worsened since <unk>. Mediastinal and hilar adenopathy documentated as recently as chest ct <unk> has not progressed. There is no pleural effusion.
<unk>-year-old male with chf and dyspnea, question effusion.
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The lungs are well-expanded and clear. Mild vascular congestion is slightly increased from <unk> without pulmonary edema or pleural effusion. Mediastinal contours, hila, and cardiac borders are normal. Left chest icd pacing device is unchanged.
<unk> year old man with cough, increased sputum production and leukocytosis. // r/o pna.
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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.
<unk> year old man with hx of lymphoma, colon cancer and hx of thrombosis in arm with <num> week of dyspnea. // pneumonia?
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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>f with left-sided flank/lower chest pain. tender to palpation over lower ribs. // rib fracture? pneumonia?
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal. There are no concerning lytic or sclerotic bone lesions. There is a mild convex right thoracic scoliosis.
<unk> year old woman with chest tightness and fevers // widened mediastinum? pulm infiltrate? ptx?
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Lung volumes are mildly decreased with crowding of the central bronchovascular structures. There is a left lung opacity concerning for pneumonia. The heart is normal in size, and there is no pleural effusion or pneumothorax.
<unk>-year-old male with dyspnea, chest pain and back pain. evaluate for acute process.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. Surgical clips seen in the right upper quadrant suggestive of prior cholecystectomy. Osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old female with shortness of breath and fatigue. question pulmonary edema.
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Markedly improved aeration of left lower lobe. Improvement in bilateral perihilar and right infrahilar opacities with residual heterogeneous opacities remaining. Small, residual bilateral pleural effusions. Normal cardiomediastinal and hilar contours.
<unk>-year-old man with possible pneumonia. assess left lower lobe atelectasis and bilateral effusions for interval change.
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Left chest wall dual lead pacing device is again seen. The lungs are now clear. There is no effusion or vascular congestion. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips are again seen. Hypertrophic changes seen in the spine without acute osseous abnormality.
<unk>m with syncope // pneumonia? injury?
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The lung volumes are normal. There is no evidence of pleural effusion. No pneumothorax. No direct or indirect signs of pe. No evidence of rib fractures. The size of the cardiac silhouette is normal. There is no pulmonary edema and no evidence of lung nodules or masses.
history of chest pain, evaluation for acute process.
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As compared to the previous radiograph, the pleurx catheter on the right is in unchanged position. A large hiatal hernia continues to be seen. The effusion on the right has minimally increased, but the extent of the right basal atelectasis is unchanged. Unchanged appearance of the left lung. No presence of left pleural effusion.
right pleural effusion, questionable recurrence.
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The heart is normal in size. The cardiomediastinal contour is within normal limits. Lung volumes are low, causing some bronchovascular crowding. There is no focal consolidation identified. Opacity at the right hilum is similar appearing to the prior examination, given differences in inspiration.mild diffuse interstitial changes are present. There is no evidence of pleural effusion or pneumothorax.
<unk>m with shortness of breath after breathing in volcanic ash out of country // eval heart and lungs
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The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. The hilar pleural surfaces are normal. There is no subdiaphragmatic free air.there is a small hiatal hernia.
history: <unk>f with abdominal pain // ?free air
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No focal consolidation, pleural effusion or pneumothorax is detected. Heart and mediastinal contours are within normal limits.
<unk>-year-old female with chest pain radiating to the arm and back.
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In comparison with the study of <unk>, the previously described pneumomediastinum has decreased, with only a faint suggestion of gas. No evidence of acute focal pneumonia, vascular congestion, or pleural effusion. Of incidental note is an old healed fracture of the right clavicle.
asthma with possible pneumomediastinum or pneumonia.
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As compared to the previous radiograph, a pre-existing left pleural effusion has slightly increased in extent. The pre-existing right pleural effusion is constant. Bilateral areas of atelectasis at the lung bases. Borderline size of the cardiac silhouette without pulmonary edema. No evidence of pneumonia in the well-ventilated lung areas. Left pectoral pacemaker. Normal course and position of the pacemaker leads.
chronic heart failure, exacerbation, evaluation for interval change.
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The lungs are grossly clear. There is no consolidation, effusion or edema. The cardiac silhouette is top-normal. No acute osseous abnormalities.
<unk>f with fever, headache, cough // evaluate for intrapulmonary process, infection, pneumonia
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Mild cardiomegaly is stable. Small to moderate bilateral effusions are stable. Bibasilar opacities larger on the right side are likely atelectasis but superimposed infection cannot be excluded. Right upper lobe opacity is more conspicuous than before seen in the frontal view. The osseous structures are unremarkable
<unk> year old woman with cp and sob // ? acute process
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Pa and lateral chest radiographs were obtained. The lungs are well expanded. A right lower lobe opacity projects over the spine leading to a "spine sign." the opacity is less clearly seen on the frontal projection. The right heart border is sharp. There is no additional consolidation effusion or pneumothorax. Cardiac and mediastinal contours are normal.
shortness of breath cough.
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The cardiac, mediastinal and hilar contours appear within normal limits. Blunting of the left costophrenic angle suggests the possibility of very small effusion. There is no pleural effusion on the right. The lungs appear clear. Several old right-sided rib fractures appear unchanged. Mild degenerative changes are similar along mid to lower thoracic levels. A lower thoracic interspace shows new moderate narrowing over the long interval suggesting degenerative change. The vertebral body heights appear preserved.
acute cognitive decline, gait changes, and severe mid back pain.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with cough // eval infiltrate
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Frontal and lateral views of the chest were performed (<num> exposures). The lungs are hyperinflated. There is no pleural effusion, pneumothorax or focal airspace consolidation. Cardiac and mediastinal contours are normal. The hilar and pleural surfaces are unremarkable. There are no acute osseous abnormalities seen.
left-sided chest pain, rule out pneumonia.
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A ventriculoperitoneal shunt courses along the medial right hemithorax. The lung volumes are low. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
shortness of breath and right chest pain.
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Frontal and lateral radiographs of the chest show stable eventration of the right anterior hemidiaphragm. The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. No focal opacities are present, and the pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits and unchanged from <unk>.
<unk>-year-old female with history of wegener's granulomatosis, on chronic immunosuppressive therapy, now with two-day history of productive cough, here to evaluate for pneumonia.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with cough // cough
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The heart is normal in size. The aorta is moderately tortuous. The lungs appear clear. There are no pleural effusions or pneumothorax. The bony structures are unremarkable.
chest pain.
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The lungs are symmetrically well expanded and well aerated without focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The pulmonary vasculature is not engorged. The visualized upper abdomen is unremarkable.
productive cough, here to evaluate for pneumonia.
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Pa and lateral views of the chest were obtained. The lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable.
<unk>-year-old male with history of aml. now with cough.
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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 fevers of unclear origin, significant recent travel, r/o pna // r/o pna
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. There is elevation of the left hemidiaphragm with minimal left base atelectasis. No focal consolidation, pleural effusion, or pneumothorax. A <num> x <num> cm thin-walled cyst in the right lung is similar to <unk>.
chest pain.
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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. No pulmonary edema is seen.
complicated surgical history status post roux-en-y a and choledochal cyst removal with right upper quadrant pain for <num> days.
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No focal consolidation, pleural effusion or pneumothorax identified. The size of the cardiomediastinal silhouette is within normal limits. The thoracic vertebral body heights are maintained.
<unk> year old man with hx of metastatic prostate cancer with fevers to <num> // please evaluate for evidence of pneumonia
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There is new left lower lobe opacity compatible with infection. Elsewhere, lungs are clear. Lobulated contour abutting the aortic arch and projecting over the ap window on the frontal view is compatible with thoracic aortic aneurysm with prior dissection. No acute osseous abnormalities.
<unk>f with weakness, infectious work-up // eval pna
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There is persistent mild elevation of the right hemidiaphragm. Bilateral perihilar opacities are seen which could relate to fluid overload, however, multifocal infection may be present in the appropriate clinical setting. The cardiac silhouette is top-normal to mildly enlarged. Aortic knob calcification is seen. There is no pleural effusion or pneumothorax.
history: <unk>f with cough, fever // assess pna
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Compared to the prior study, the right chest tube has been removed. There is no right pneumothorax. Right basilar atelectasis and small right pleural effusion persist. There is likely a small left pleural effusion with minimal left basilar atelectasis. As before, the upper mediastinum is widened with recent surgery as well had the patient has a gastric pull-through with a small amount of residual barium from the upper gi performed on <unk> remaining within the intrathoracic portion of the stomach. No unexpected mediastinal findings.
<unk> year old man s/p mie // r/o ptx post ct removal
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax is present. The pulmonary vascularity is normal. No acute osseous abnormalities are seen.
hyperglycemia.
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Frontal and lateral radiographs of the chest were acquired. The lungs are hyperinflated, but clear. There are small bilateral pleural effusions. The cardiac and mediastinal contours are normal. There is no pneumothorax. Known t<num> compression fracture is better assessed on recent ct from <unk>.
altered mental status. evaluate for pneumonia.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. Indistinct pulmonary vascular markings are seen throughout the lungs. There is no evidence of frank consolidation or large effusion. The cardiac silhouette is massively enlarged, similar in configuration compared to prior. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with chest tightness.
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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. Clips are noted within the right upper quadrant of the abdomen.
history: <unk>f with cough
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Pa and lateral views of the chest provided. Dense consolidation is seen in the left lower lobe concerning for pneumonia. Findings appear stable. There may be small bilateral pleural effusions as well. Mid upper lungs appear well aerated. No pneumothorax or evidence of edema. The cardiomediastinal silhouette is grossly unchanged with an unfolded calcified thoracic aorta. Bony structures are grossly intact
<unk>m with new o<num> req, recent pna // characeterization of recent pna, new o<num> req
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Patient has been extubated since prior exam and ng tube has been removed. The lung volumes are now normal. Right lower lung consolidation could be compatible with aspiration or pneumonia. There is no pneumothorax or pleural effusion. Cardiac contour is top normal. Patient has vp shunt.
patient with seizure, fever, rule out cardiopulmonary disease.
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New since the prior study is increased opacity in the right infrahilar region, worrisome for pneumonia. There is a small to moderate right pleural effusion. Left lung is clear. No pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Patient is status post median sternotomy and cabg. Left-sided port-a-cath is again seen, terminating at the cavoatrial junction.
history: <unk>m with bactermia, advanced panc ca // pna?
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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 chest examination of <unk>. Heart size and appearance of thoracic aorta are unchanged. Right-sided cardiac contour obliterated partly by the retrocardiac structure which is a component of the known neo-esophagus contours and existed already on a previous chest ct of <unk>. Pulmonary vasculature is not congested and there are no signs of new acute pulmonary parenchymal infiltrates anywhere in the lungs. The lateral and posterior pleural sinuses are free from any fluid accumulation. No pneumothorax is present in the apical area. Specifically, no suspicious densities are identified in the right lower lobe area where suspicious crackles were noted.
<unk>-year-old male patient with history of esophageal cancer and neo-esophagus operation. the patient has now crackles on right base. questionable infectious process in right lower lobe ?
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Pa and lateral views of the chest provided. Hilar congestion persists without significant pulmonary edema. No convincing evidence of pneumonia or large effusion. No pneumothorax. Cardiomegaly is again noted. Mediastinal contour is stable with aortic calcification. Bony structures are intact.
<unk>f with increasing sob // pneumonia?
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No priors. The lungs are clear. The cardiomediastinal silhouette and hila are normal. There is no pleural effusion or pneumothorax.
<unk>-year-old man with chest pain.
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As compared to prior chest radiograph from <unk>, there has been no significant change. There is unchanged airlessness of the left lower lung with elevation of left hemidiaphragm. Atelectasis of the right lung base has worsened since <unk> but remains unchanged since yesterday. There is a stable small right pleural effusion. There is no pneumonia or pneumothorax. Cardiomediastinal silhouette is unchanged. There is subcutaneous emphysema in the upper neck on the right. Displacement of the osteotomy of the right posterior fourth rib is unchanged.
<unk>-year-old male patient status post thoracotomy and tracheobronchoplasty. study requested for evaluation of interval change.
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Lungs are relatively hyperinflated and there is relative lucency projecting over the right upper lung with changes in the underlying parenchyma raising the possibility of emphysema. There is also left apical scarring. There is no focal consolidation or edema. Moderate-sized hiatal hernia is noted. No acute osseous abnormalities. Right shoulder arthroplasty changes are noted.
<unk>m with headache // ?pna
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The cardiomediastinal silhouettes are stable and within normal limits. The bilateral hila are unremarkable. The lungs are clear. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk>m with short episode of substernal chest pain and dyspnea , now resolved, evaluate for pneumothorax or other acute process.
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There is hazy opacification at the left base, which is likely atelectasis, although underlying infection cannot be excluded. There is no edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Anterior cervical spinal fusion hardware is present, although only partially evaluated on these images.
chills for a week. known displaced cervical spine hardware and new neurological symptoms. evaluate for pneumonia.
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No evidence of consolidation to suggest pneumonia is seen. There is some retrocardiac atelectasis. A small left pleural effusion may be present. No pneumothorax is seen. No pulmonary edema. A right granuloma is unchanged. The heart is mildly enlarged, unchanged. There is tortuosity of the aorta.
altered mental status and headache.
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Lung volumes are stable. There are bilateral basilar opacities which may correspond to a opacity seen on lateral views anterior to the major fissure and is concerning for pneumonia in <num> or both of these lobes. The cardiomediastinal and hilar contours are normal. The pleural surfaces are normal. Stable impression fractures of the mid thoracic spine. Stable degenerative changes of thoracic spine.
<unk> year old woman with cough and malaise.crackles at the left base // ? pneumonia
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Pa and lateral views of the chest demonstrate well-expanded and clear lungs. The heart is normal in size and cardiomediastinal contour is unremarkable. There is no pleural effusion and no pneumothorax.
<unk>-year-old woman with chest pain, history of polysubstance abuse, evaluate for pneumonia or pneumothorax.
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Right-sided port-a-cath tip terminates in the mid svc. Lung volumes are low. Heart size is. The aorta is mildly tortuous. Mediastinal and hilar contours unremarkable. There is no pulmonary vascular congestion. Patchy ill-defined opacity within the right lung base likely reflects atelectasis. <num> mm nodular opacity projecting over the left mid lung field is demonstrated. There is no pleural effusion or pneumothorax.
history: <unk>m with syncope after chemo session, dehydration
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Opacity in the medial right lower hemithorax likely reflects volume loss in the right middle lobe seen on prior ct although pneumonia cannot be excluded. No edema, effusion, or pneumothorax. Heart size is normal. Mediastinal contours are unchanged. A hiatal hernia is small. Rib fractures on the right are similar in appearance. Incompletely imaged right humerus fixation hardware.
<unk> year old woman with fever and hypoxia. evaluate for acute process.
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Heart size is normal. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Patchy left lower lobe opacity has minimally improved from the previous study but persists. Remainder of the lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities identified.
history: <unk>m with pneumonia, worsening symptoms
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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. Linear atelectasis is noted at the left lung base.
<unk>f s/p tah on <unk> who presents w/<num> day of fever, abdominal pain vomiting // evaluate for acute process, infection
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Pa and lateral views of the chest were obtained. Heart is normal size, and cardiomediastinal silhouette is stable. Lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old woman with cough, evaluate for pneumonia.
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The right lung is clear without consolidation. The previously seen equivocal opacity was likely from superimposed normal vessels in the setting of low lung volumes. The left hilum remains mildly prominent due to patient's known tumor, but is much improved from the previous chest radiograph on <unk>. There is no pleural effusion or pneumothorax. The size of the cardiac silhouette is at the upper limits of normal and unchanged.
non-small cell lung cancer with fevers. possible opacity seen on portable film. reevaluate.
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As compared to the previous radiograph, there is no relevant change. A minimal left pleural effusion might have occurred in the interval. Effusion is limited to the dorsal aspects of the costophrenic sinus. The heart continues to be borderline in diameter, but there is no evidence of pulmonary edema. No pneumonia. Minimal atelectasis at the left lung base. Normal hilar and mediastinal contours.
history of cml, epigastric pain, decreased breath sounds at the right lung base, evaluation.
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Since the prior radiograph, there has been significant improvement in the right-sided pleural effusion, the fluid currently seen along the lateral pleural surface of the right lung, in the region of the pleural catheter. Right lung volume has reduced since the prior study with lower position of the fissure, indicative of right middle and lower lobe atelectasis. The left lung is clear. Heart size is top-normal. No pneumothorax.
<unk> year old man with cad s/p nstemi on <unk> transferred with right lower lobe pneumonia and question of loculated pleural effusion. assess pneumonia and effusion.
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Known bilateral small pulmonary nodules are noted but not clearly delineated on this study. Linear left basilar atelectasis is again noted. Otherwise the lungs are without any new focal consolidation, effusion or pneumothorax. Cardiac and mediastinal contours are stable and within normal limits. Right-sided port-a-cath tip in the mid svc.
metastatic colon cancer for developing pneumonia.
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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old man with fever, please assess for pneumonia.
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with fevers and chills and nausea.
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Ap upright and lateral views the chest provided. There is subtle elevation of the left hemidiaphragm unchanged with persistent retrocardiac and left lower lobe opacity which is mostly linear in appearance likely reflecting atelectasis or scarring though difficult to exclude a subtle pneumonia at this location. Right lung is clear. No large effusion or pneumothorax. Heart size is normal. Mediastinal contours unremarkable. Imaged bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with fever, headache.
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity normal. Lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
intermittent chest pain.
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Ill-defined airspace opacity in the medial right lower lung may represent atelectasis related to low lung volumes. The upper lungs are mildly hyperinflated. There is no pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette, including a tortuous descending aorta, is unchanged.
<unk>f with chest pain, nausea, shortness breath, evaluate for pneumonia.
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Pa and lateral views of the chest. Transvenous pacemaker leads end in the right atrium, right ventricle, and coronary sinus. One of the leads is broken proximally. Aorta is calcified and tortuous but not dilated. Lungs are clear without consolidation. Heart, mediastinal and hilar contours are normal. No pleural effusion or pneumothorax. No evidence of pulmonary vascular engorgement or pulmonary edema. Mild cardiomegaly.
bilateral lower extremity edema, evaluate for chf.
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Ap and lateral chest radiograph provided. Lungs are hyperinflated though clear. There is no focal consolidation within the lungs bilaterally. A nipple shadow projects over the right lung base. There is no pleural effusion, pulmonary edema or pneumothorax. Cardiomediastinal and hilar contours are within normal limits. Visualized osseous structures demonstrates no acute abnormality.
<unk>-year-old female with weakness.
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Severe pulmonary edema has significantly improved and is now mild. Residual opacity at the lung bases is slightly asymmetric on the left, which could still be resolving pulmonary edema. Close attention to this area on followup is suggested to rule out pneumonia. There are also small bilateral pleural effusions. There is no pneumothorax.
patient with non-stemi, stent, now with leukocytosis, low-grade fever, please evaluate for pneumonia.
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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. An old well-healed fracture of the right mid clavicle is again noted.
shortness of breath and cough.
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The heart size is normal. The aorta remains tortuous with mild aortic knob calcifications demonstrated. Mediastinal and hilar contours are otherwise unchanged. Left-sided port-a-cath tip terminates in the lower svc, unchanged. The pulmonary vascularity is not engorged. Known scattered right lung nodules compatible with metastases are better seen on the prior chest ct, with the largest nodule noted laterally in the right lower lobe measuring <num> mm. Other pleural based metastatic lesions of the right hemithorax are better assessed on the recent ct. No focal consolidation, left-sided pleural effusion or pneumothorax is identified. Trace right pleural effusion appears to be present. Destruction of the right <num>th rib laterally is re- demonstrated.
weakness and history of renal cell carcinoma.
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax or pleural effusion. No evidence of pulmonary edema. No air under the right hemidiaphragm is identified.
history: <unk>m with etoh withdrawal, fever // any acute cardiopulm process
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Frontal and lateral radiographs of the chest were acquired. Lung volumes are low, causing exaggeration of the heart size and accentuation of the pulmonary vasculature. The lungs are clear. The heart size is within normal limits. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Multilevel degenerative changes of the thoracolumbar spine are noted. Spinal fusion hardware is seen within the lumbar spine.
chest pain for the past two hours. assess for pneumonia or evidence of effusion.
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Frontal and lateral views of the chest were obtained. The lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. No displaced rib fracture is identified, although the inferior most left lower costal margin is not imaged.
<unk>-year-old woman with focal left-sided rib pain in the left lower costal margin with tenderness to palpation.
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Study is somewhat limited by patient's body habitus. Heart size is top normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.
seizure and low o<num> sats.
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When compared to prior, lower lung volumes are seen with secondary crowding of the bronchovascular markings. The lungs remain clear without consolidation, effusion, or overt pulmonary edema. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>f with cp // eval for infection pna
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Subtle left lower lobe opacity raises concern for pneumonia. No prior lateral view of the chest is available for comparison. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with increasing hypoxia on home o<num> // eval for acute process, attn. to effusion, pna
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The lungs remain hyperinflated. Biapical pleural thickening is seen. Background of chronic interstitial markings is again seen. Right apical nodular opacities have essentially resolved since the prior study with possible minimal residual remaining. There also has also been decrease in size/cysts conspicuity of a right lower lung nodular opacity. No new focal consolidation is seen. No evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No pleural effusion is seen.
history: <unk>f with chest pain // eval for pneumothorax
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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 appear within normal limits.
cough. question pneumonia.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs are clear. There is no evidence for pleural effusion or pneumothorax. The bony structures are unremarkable.
back pain. question pneumothorax.
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There is chronic blunting of the right costophrenic angle along with right lateral pleural thickening, findings similar to the prior exam. This maybe related to the patient's previous loculated pleural effusion and pleurodesis. There is no evidence of pneumonia or pneumothorax. Cardiac silhouette is normal in size. Elevation of the right hemidiaphragm is unchanged.
history: <unk>m with chest pain
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Pa and lateral views of the chest. There has been interval resolution of the previously identified left upper lobe opacity. There is no new region of consolidation or effusion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.
<unk>-year-old female with nausea, chills and sweats. history of gpa on steroids.
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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.
<unk>-year-old female with chest pain. evaluate for acute process.
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Heterogeneous right lower lung opacities are not significantly changed compared to the prior study from <unk>, likely subsegmental atelectasis. There is also an area of atelectasis in the right mid lung, not significantly changed. The left lung is clear. Mild cardiomegaly is unchanged. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Healing right-sided rib fractures are noted. Deformity of the manubrium is redemonstrated.
etoh abuse and pancreatitis, presenting with cough. evaluate for pneumonia.
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Patient is status post median sternotomy, aortic arch stent graft repair, and aortic valve replacement with multiple clips noted projecting over the right axillary region. Severe cardiomegaly is again noted with diffusely dilated thoracic aortic contour compatible with known dissection and subsequent aortic graft repair. Overall, the cardiac and mediastinal contours are unchanged. There is mild pulmonary vascular congestion, worse in the interval. Retrocardiac opacity appears unchanged compatible with atelectasis with similar-appearing small left pleural effusion. There has been interval improvement in the right basilar patchy opacity compatible with improving atelectasis, with decreased size of the right pleural effusion which is partially loculated in the fissure. No pneumothorax is detected. No acute osseous abnormalities seen.
history: <unk>f with recent thoracic aortic aneurysm repair now with chest pain
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Frontal and lateral views of the chest. No prior. The lungs are clear. There is no effusion, consolidation, or pneumothorax. Cardiac silhouette is slightly enlarged. Median sternotomy wires with mediastinal clips are noted. Hypertrophic changes are noted in the spine. Osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old male with crackles at the left base.
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Right basal ground-glass and alveolar opacities are compatible with pneumonia as shown in recent ct. Left lung is unremarkable. There is no pneumothorax or pleural effusion. Left-sided port-a-cath ends in lower svc. Mediastinal and cardiac contours are within normal limits.
patient with metastatic breast cancer on treatment, recent staging ct shows infiltrate in left lower lung and right middle lobe. we went to see if we can follow this by chest x-ray.
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Pa and lateral views of the chest were obtained. The heart is normal size and cardiomediastinal contour is stable. Linear scarring in the lungs and pleural scarring resulting in the elevation of the right lung base laterally is unchanged. There is no focal consolidation, pleural effusion or pneumothorax.
<unk>-year-old woman with chest pain, evaluate for pneumothorax.
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Marked cardiomegaly is stable from the most recent prior examination. There is mild pulmonary vascular congestion and mild interstitial edema. There are no pleural effusions or pneumothorax. Opacity at the base of the right lung likely reflects mediastinal fat, scarring and atelectasis as demonstrated on recent ct.
history: <unk>f with cough // ?pna
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The lungs are better expanded compared to the prior exam. No focal consolidation, effusion, pneumothorax, or edema. The heart is top-normal in size. The mediastinum is not widened. The hila are unremarkable. No acute osseous abnormality. Again, a left sided device in the left lateral chest wall with wires tracking up to the neck are unchanged.
<unk>-year-old female presenting with seizure. evaluate for pneumonia.