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Frontal and lateral views of the chest. Compared to prior, there is no change. Subtle opacity in the left suprahilar region is unchanged and as previously characterized. The lungs are otherwise clear. Rounded opacity over the right lung base laterally on one of the frontal views is most compatible with a nipple shadow. Streaky right basilar opacity is most likely atelectasis given low lung volumes. Trace bilateral effusions are identified. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcification is seen at the aortic arch. No acute osseous abnormalities identified.
shortness of breath.
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The lungs are clear without consolidation or edema. Blunting of the posterior costophrenic angles suggests trace bilateral effusions. Cardiomediastinal silhouette is stable. Mild moderate hiatal hernia is noted on the lateral view. Compression deformities in the mid to lower thoracic spine are unchanged. Median sternotomy wires and mediastinal clips again noted.
<unk>f with sob pls eval pna and edema
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There has been no significant change since the prior study. Subtle left basilar opacity is similar and could relate to basilar atelectasis. No new focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with sob // acute process
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The lungs are low in volume which gives an appearance of bronchovascular crowding. Despite this, an increase in pulmonary markings could reflect mild pulmonary edema. Linear opacities in the left lower lobe may reflect linear atelectasis without definite findings of pneumonia. No pleural effusion or pneumothorax is identified. Heart size is top normal. Marked upper mediastinal widening is due to chronic adenopathy and thymic enlargement, documented on chest cta <unk>.
shortness of breath. assess for pneumonia.
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Again noted are surgical clips at the gastroesophageal junction. The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk>f with fever, assess for pneumonia.
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The lungs are hypoinflated accounting for bronchovascular crowding. No focal opacities concerning for pneumonia are identified. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old male with hypoxia.
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There is a small to moderate persistent left pleural effusion, smaller when compared to previous exam. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Anterior cervical fixation hardware is partially visualized as well as an ivc filter in the abdomen.
<unk>f with epigastric pain s/p endoscopy <num> days ago // upright ot eval for free air
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Frontal and lateral radiographs of the chest show a dobbhoff feeding tube coiled within the stomach with the tip now extending upward and terminating at or above the level of the gastroesophageal junction. The dobbhoff tube should be retracted to better position within the stomach. A small right pleural effusion is unchanged from <unk>. A small left pleural effusion is greater than the right and new from <unk>. The lungs are otherwise clear without focal consolidation or pneumothorax. The pulmonary vasculature is not engorged. The mediastinal and hilar contours are within normal limits. The cardiac silhouette is normal in size.
<unk>-year-old female with history of drug and alcohol abuse, admitted with acute alcoholic hepatitis, here to evaluate for pneumonia.
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The heart is mildly enlarged, as before. The aortic arch is calcified. The mediastinal and hilar contours appear unchanged. There is a similar mild interstitial abnormality and an irregular appearance of interstitial markings in the upper lungs suggestive of emphysema. There is no pleural effusion or pneumothorax. Patchy opacities in the lingula and left lower lobe suggest minor atelectasis, unchanged. The bones are probably demineralized. Minimal degenerative changes are present along the thoracic spine.
lung cancer, undergoing radiation therapy; found orthostatic at radiation today.
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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.
history: <unk>m with cp, sob // pna?
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Lung volumes are normal. There is no consolidation. A nodular opacity projects over the left lung there is some entering <num> x <num> cm, which is new from <unk>. No correlate on the lateral view is identified, and this may represent a nipple shadow or something projecting over the skin. No evidence of pulmonary edema. Cardiomediastinal contours are normal. Surgical clips are noted along the right apex.
<unk> year old woman with bilat leg swelling // r/o chf
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The lungs are clear. Incidentally noted is an azygos fissure. Cardiac silhouette is top-normal as on prior. Atherosclerotic calcifications of the thoracic aorta is noted. There is a chronic left lateral seventh rib fracture.
<unk>m with cp, ekg changes since this am // eval ? edema, infiltrate
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As compared to the previous radiograph, the surgical material after right apical vats is still clearly visible. No evidence of recurrent pneumothorax on the current image. No other complications, normal-appearing lung parenchyma. Normal-appearing cardiac silhouette.
right spontaneous pneumothorax, status post vats. followup.
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The lungs are without focal consolidation to suggest pneumonia. There is slight indistinctness of the mid portion of the right hemidiaphragm, unchanged from prior study and likely due to scarring from prior episode of pneumonia. There is no pleural effusion or pneumothorax. The heart is normal in size. Normal cardiomediastinal silhouette.
abnormal lung sounds in the right lower lung with cough for multiple weeks, assess for pneumonia in the right lower lobe.
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Heart size is normal. Mediastinal and hilar contours are unremarkable with atherosclerotic calcifications again noted at the aortic knob. The pulmonary vasculature is normal and the lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
hearing loss.
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As compared to the previous radiograph, there is no relevant change. Partial left shoulder replacement. Borderline size of the cardiac silhouette with tortuosity of the thoracic aorta. Status post sternotomy and cardiac surgery. No pulmonary edema. No pneumonia. No pleural effusion. Minimal atelectasis at the lung bases.
cough, 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>f with left rib pain.
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There is small left lower lobe consolidation. There is no effusion or pneumothorax. There is mild pulmonary vascular congestion and streaky left basilar atelectasis. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>f with pre op // pre op
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A right picc has been placed since the most recent prior study with the tip terminating at the cavoatrial junction. The lungs are symmetrically well expanded and well aerated without focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The trachea is midline. There is no free air beneath the right hemidiaphragm. No acute osseous abnormalities are detected.
intermittent fever and dyspnea, here to evaluate for pneumonia.
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Ap portable upright and lateral views of the chest provided. Lungs are clear. No focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact.
<unk>m with chest pain
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The lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with asthma, previous intubation p/w dyspnea // inciting pna vs uncomplicated asthma flare
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A dual lead left-sided pacemaker is seen with leads terminating in the right atrium and right ventricle, expected locations. The cardiac silhouette is again mild to moderately enlarged. The hilar and mediastinal contours are within normal limits. There is mild tortuosity of the descending aorta. The lungs are hyperinflated and there is some flattening of the diaphragms which may relate to copd. There is no new focal consolidation, pleural effusion or pneumothorax.
shortness of breath.
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The cardiomediastinal silhouettes are within normal limits. There is a tortuous thoracic aorta. The bilateral hila are within normal limits. Subtle opacification within the right lower lung likely represents basilar atelectasis. . There is no pulmonary vascular congestion. There is no pneumothorax or effusion.
a <unk>-year-old woman with chest pain radiating to the back, concern for dissection or infection.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with cocaine use, tachycardia
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal hilar contours are normal.
cough, dyspnea on exertion and multiple uris symptoms.
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The heart size is normal. The hilar and mediastinal contours are unremarkable. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
<unk>-year-old female with rheumatoid arthritis, on methotrexate, with one month of cough, congestion and hypoxemia.
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Patient is status post median sternotomy and cabg. Mild cardiomegaly is re- demonstrated. Widening of the superior mediastinum is due to underlying lymphadenopathy, better appreciated on the prior ct. Previous pattern of mild pulmonary edema has improved. Large amount of fluid remains loculated in the minor fissure. Moderate size left and right pleural effusions are re- demonstrated, not substantially changed in the interval. Bibasilar patchy airspace opacities likely reflect areas of compressive atelectasis. No pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>m with hfref, cad, and afib who presents with afib with rvr, shortness of breath, and neck tightness
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Frontal and lateral views of the chest. Et and enteric tubes are no longer visualized. The lungs are hyperinflated but clear of consolidation, effusion, or pulmonary vascular congestion. Cardiomediastinal silhouette is stable. Median sternotomy wires again noted. No acute osseous abnormalities detected.
<unk>-year-old male with shortness of breath.
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Pa and lateral views of the chest provided. Lung volumes are low limiting evaluation. There is pleural thickening along the lateral right mid lung. There is bibasilar atelectasis without convincing evidence for pneumonia. A retrocardiac opacity may reflect the presence of a hiatal hernia. The heart is mildly enlarged. No large effusion is seen. No pneumothorax. No edema or congestion. Bony structures are intact.
<unk>m with chest pain, recent stent placement // ?cause of chest pain
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with cough // eval for pna
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Since the radiographs obtained <num> days prior, no significant changes are appreciated. Lung volumes remain low and mild elevation of the left hemidiaphragm with mild left lower lobe atelectasis are unchanged. The lungs are clear without focal consolidation. Cardiomediastinal and hilar silhouettes are normal. Pleural surfaces are normal.
<unk> year old man with apls, febrile with leukocytosis, c/o cough // evidence of pna?
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The lungs are clear. There is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Osseous structures are unremarkable.
<unk>-year-old female with infectious workup.
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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. A right-sided port-a-cath ends in the proximal svc. There are multiple sclerotic vertebral bodies.
history: <unk>f with bilateral lower extremety swelling // eval for pulmonary edema, possibly secondary to chf
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Multiple right and left apical focal opacities are compatible with parenchymal scarring seen on the <unk> ct chest exam. Severe emphysematous changes are seen in the lungs with flattening of the diaphragm. There is no focal consolidation, pulmonary edema, or pneumothorax. The cardiomediastinal, hilar, and pleural surfaces are unchanged. Compression deformities in the lower thoracic/upper lumbar vertebral bodies are unchanged.
<unk>m with sob // eval pneumonia
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unremarkable. There is no pleural effusion or pneumothorax. The lungs appear clear. A mild compression deformity of l<num> appears unchanged allowing for differences in technique. However, healed left posterolateral rib fractures involving the sixth and seventh ribs and possibly the eighth are unchanged. A right anterolateral seventh rib fracture shows callus suggesting that it is also subacute or older.
cough, hypotension and tachycardia.
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Lungs are clear. No pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. Mediastinal and hilar contours are unremarkable. Lumbar spine hardware is partially visualized.
left shoulder pain. evaluate for pneumonia.
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There is a right lower lobe opacity measuring <num> x <num> cm which contains an air-fluid level. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk>m with cough for one week // concern for pneumonia
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Pa and lateral chest radiographs demonstrate low lung volumes with linear atelectasis at the left lung base. The lungs are otherwise clear, representing improvement from prior exams. The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax.
mvc with known aspiration. evaluation for interval change.
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The patient has recently had <num> right-sided pleural drainage catheter removed. Minimal right-sided subcutaneous emphysema is noted. An additional right-sided pleural drainage catheter remains in place. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with sponaneous ptx, one chest tube removed // please time imaging study for <num>pm, assess for pneumothorax
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The patient is status post mitral valve replacement. A dual-lead pacemaker/icd device appears unchanged. The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. The lungs appear clear. Diaphragms are flattened suggesting hyperinflation. Mild-to-moderate degenerative changes along the lower thoracic spine appear similar.
fever. history of cancer.
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In comparison to prior radiograph from <unk>, there is now complete opacification of the right hemithorax, likely due to reaccumulation of known large right pleural effusion/hepatic hydrothorax, with complete right lung collapse. There is mild leftward shift of mediastinal structures, similar to prior exams. The visible cardiomediastinal silhouette is unchanged. Increased left central bronchovascular prominence and diffusely prominent interstitial markings throughout the left lung are compatible with pulmonary vascular congestion and mild pulmonary edema. There are no focal lung consolidations. There is no pneumothorax or left pleural effusion.
a <unk>-year-old man with confusion, evaluate for infiltrate.
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The lungs appear mildly hyperinflated. Faint reticular nodular opacities at the bilateral bases are unchanged from <unk> or slightly increased and likely reflect chronic interstitial changes. No focal consolidation concerning for pneumonia is detected. There is no pleural effusion or pneumothorax. Mild right apical scarring is noted. There is no overt pulmonary edema. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits and unchanged with tortuosity of the thoracic aorta. Two rim-calcified densities projecting over the right upper quadrant of the abdomen measuring <num> and <num> cm are compatible with a large gallstone seen on the prior abdominal ultrasound as <unk>. Multilevel degenerative changes are noted in the thoracolumbar spine.
chest pain for the past four hours, here to evaluate for pneumonia.
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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
<unk>m with afib and leg swelling // r/o acute process
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The lungs are well inflated and clear. The cardiomediastinal silhouette is unremarkable. Hilar and pleural surfaces are normal.
history: <unk>m with cp // r/o pna. ptx
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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 new neuro symptoms.
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The cardiac silhouette is normal. The mediastinal contour is normal without evidence of widening. There are no pleural effusions, focal opacities, or pneumothorax. The hila and pleura are normal.
<unk> year old woman with blood pressure difference in l (<unk>) and r (<unk>) arms but asymptomatic // concern for dissection
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Increased interstitial markings are seen predominantly centrally. There is no confluent consolidation or layering effusion. There is suggestion of fluid within the fissure. The cardiac silhouette is mildly enlarged. No acute osseous abnormality is identified.
<unk>m with htn, ckd with nstemi // cp, elevated troponin
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When compared to prior, previously seen consolidation in the right lung has nearly resolved as has the right-sided pleural effusion. There is hazy left mid lung opacity which is more conspicuous compared to prior. Left picc is seen with tip at the ra svc junction. Cardiomediastinal silhouette is stable. Tipsagain identified in the right upper quadrant as well as multiple abdominal clips. No acute osseous abnormalities.
<unk>m with cirrhosis presenting with elevated wbc no localizing infection // pneumomia
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There is no free air beneath the right hemidiaphragm.
history: <unk>f with chest pain // eval cardiomegaly
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Pa and lateral views of the chest. No prior. Lungs are clear. Cardiomediastinal silhouette is within normal limits.
<unk>-year-old female with left chest pressure. question cardiomegaly.
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In comparison with study of <unk>, there is no interval change and no convincing evidence of acute pneumonia, vascular congestion, or pleural effusion.
possible pneumonia.
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In comparison with the study of <unk>, there is little overall change. Again there are relatively low lung volumes, but no evidence of pneumonia, vascular congestion, pleural effusion, or pneumothorax. No rib fracture is appreciated. If this is a serious clinical concern, special oblique rib views could be obtained.
fall, to assess for rib fractures.
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The cardiac silhouette size is normal. The aortic knob is calcified. The mediastinal and hilar contours are within normal limits. Patchy ill-defined opacity is noted within the periphery of the left lower lobe. There is no pleural effusion or pneumothorax. Multilevel degenerative changes are seen in the thoracic spine. Partially imaged is a inferior vena cava filter.
fever.
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The lungs are clear. There is no focal consolidation, effusion, or edema. Mean sternotomy wires and prosthetic aortic valve are noted. Incidentally noted are bilateral cervical ribs.
<unk>m with cough and chills // ?pneumonia
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The cardiac, mediastinal and hilar contours appear stable. Lung volumes are low. Opacities in the lingula suggest pneumonia in the appropriate setting. Elsewhere, the lungs are probably clear although it is difficult to exclude vague additional area of possible infection in the left lower lobe. Elsewhere the lungs appear clear. There is no pleural effusions or pneumothorax. Bones appear demineralized.
altered mental status.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Apart from subsegmental atelectasis in the left lung base, the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>m with etoh intoxication, status post fall with swelling to right forehead. crackles right lung base.
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The lungs are clear. There is no pneumothorax. The heart and mediastinum are within normal limits. Regional bones and soft tissues are unremarkable. Mild elevation of the right hemidiaphragm is stable.
<unk> year old man with esrd working up for kidney transplant // lungs clear with no disease processes?
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Pa and lateral views of the chest <unk> labeled <time> are submitted. However, the time stamp is incorrect as this study is being dictated at <time>.
<unk> year old woman with pancreatic cancer likely metastatic to liver now short of breath after <num>lns // rue out metastases, pna, pulmonary edema rue out metastases, pna, pulmonary edema
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old male status post ammonia ingestion.
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Bibasilar patchy opacities are demonstrated with a probable small right pleural effusion. The cardiomediastinal silhouette is mildly enlarged without priors for comparison. The pulmonary vasculature is not engorged. No pneumothorax is seen. There are no acute osseous abnormalities.
<unk>m with altered mental status this morning. ?cardiopulmonary change
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Pa and lateral views of the chest. There are mild interstitial opacities bilaterally indicating mild interstitial pulmonary edema. There is increased pulmonary vascular congestion. There is no focal parenchymal opacities concerning for pneumonia. There is no pleural effusion or pneumothorax. The left transvenous pacemaker wires are in appropriate position. The mild cardiomegaly is stable. The mediastinal contours are normal.
chest pain, palpitations, question pneumonia or chf.
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Moderate enlargement of the cardiac silhouette is re- demonstrated. The mediastinal and hilar contours are unchanged. There is mild pulmonary edema, similar compared to the previous exam. Small right pleural effusion is also demonstrated, unchanged. There is no focal consolidation or pneumothorax. No acute osseous abnormalities demonstrated.
right hip pain, end stage renal disease.
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Heart size and mediastinal contours are stable. Median sternotomy wires are unchanged. The patient has known severe upper lobe predominant centrilobular emphysema better seen on prior ct. Distortion of the architecture, bilateral pleural thickening with scarring, granuloma of the left apex and hyperinflated lungs are unchanged. No pleural effusion or pneumothorax. Old healed right clavicular fracture is unchanged.
<unk> year old man with cough and fever, bibasilar crackles, concern for pna // eval for pna
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As compared to the previous radiograph, all monitoring and support devices have been removed. Normal lung volumes without evidence of pleural effusions or pneumothorax. Normal transparency and structure of the lung parenchyma. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours. No pneumonia, no pulmonary edema.
status post hernia repair and fundoplication, evaluation of interval change.
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Pa and lateral chest radiographs are provided. There is a retrocardiac opacity with obscuration of the left hemidiaphragm compatible with left lower lobe atelectasis or infection. Within the lateral segment of the right middle lobe, there is a peripherally located consolidative opacity, which may be infectious in nature. However, the downward displacement of the fissure suggests volume loss and thus an obstructing mass cannot be excluded. Pulmonary infarction also cannot be excluded due to the wedge shaped peripheral consolidation. There is prominence of the pulmonary vasculature which may indicate pulmonary congestion. Multiple nodular opacities are also noted in both lungs. Cardiomediastinal silhouette is difficult to assess due to obliteration of heart borders. There is no pneumothorax. The osseous structures are intact.
<unk>-year-old woman with fever, cough. evaluate for infiltrate.
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There is minimal bilateral lower lung atelectasis. The lungs are otherwise clear. The heart is mildly enlarged, as before. The descending thoracic aorta is slightly tortuous, unchanged. The trachea is deviated to the right at the level of the thoracic inlet. There are no pleural effusions. No pneumothorax is seen.
cough. assess for pneumonia.
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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.
chest pain.
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The cardiac silhouette remains enlarged. There are persistent bilateral left greater than right pleural effusions with bilateral left greater than right opacities. There is no pneumothorax.
immunocompromise presenting with 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>f with cough and wheezing x <num> months
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In comparison with the study of <unk>, there is little change in the appearance of the heart and lungs. No definite evidence of rib fracture, though oblique views could be obtained if this is a serious clinical concern. No pneumothorax. Minimal atelectatic changes at the bases in a patient with hyperexpansion consistent with some chronic pulmonary disease. Wedging of a lower thoracic vertebral body is seen, most likely representing a chronic process.
pain with fall over anterior rib.
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Lung volumes are normal. There is no consolidation, pleural effusion or pneumothorax. No pulmonary edema. Cardiomediastinal contours are normal. No acute osseous abnormalities identified. No subdiaphragmatic free air.
<unk>-year-old male with dyspnea
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with fever // please evaluate for acute abnormality
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Left-sided pacer device is stable in position. The cardiac and mediastinal silhouettes are stable. Slight increase in opacity projecting over the right mid lung is grossly stable compared to multiple priors and may be due to overlap of structures. Calcification along the right diaphragm is again seen. No pleural effusion or pneumothorax.
history: <unk>m w/ recently placed pacemaker presents s/p fall. // ct head: ? bleed
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There is persistent elevation of the right hemidiaphragm. Mild left base atelectasis/scarring is seen. There is no large pleural effusion seen. There is no focal consolidation or evidence of pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. The previously seen catheter projecting over the upper abdomen is no longer seen.
cough.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. The lungs are well aerated, without focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for pneumonia or edema in a patient status post fall <num> week prior, now with lightheadedness.
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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. Moderate degenerative changes are seen within the imaged thoracic spine. No subdiaphragmatic free air is present.
history: <unk>m with epigastric pain
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The cardiomediastinal and hilar contours are stable. Surgical clips are seen projected over the left hemi thorax as before. A large subpulmonic left pleural effusion is again demonstrated and similar in extent to <unk>. Opacity at the left base suggests compressive atelectasis. The right lung is clear. There is no pneumothorax. Postsurgical changes in the left hemi thorax are stable.
<unk> year old man with lymphoma // history of pleural effusions. please assess for changes.
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The lungs are well expanded and clear. The right hilum appears mildly prominent but is unchanged compared with <unk>. Otherwise, the cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old male with generalized weakness. assess for infiltrates or acute cardiopulmonary findings.
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old woman with exam findings possibly consistent with myasthenia <unk> // thymoma
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Pa frontal and lateral chest radiograph demonstrates mutiple lung nodules, up to a centimeter in diameter scattered in all lobes. Background reticulation throughout the lungs reflects widespread interstitial abnormality. Best identified in the right lower lung zone, there is bronchial wall thickening and likely bronchiectasis. The right hilum is mildly enlarged, suggesting adenopathy. There is no pleural effusion or pneumothorax. Heart size is normal.
<unk>-year-old female with <num> month history of cough.
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Interval removal of a left-sided dialysis catheter. No evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are stable with the cardiac silhouette enlarged and likely prominence of the main pulmonary artery. There is mild pulmonary vascular congestion. Left mid lung linear atelectasis/scarring is seen. No pleural effusion is seen. Right subclavian stent re- demonstrated.
history: <unk>f with hd catheter that got accidentally pulled out // ?pneumothorax
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Thoracolumbar s-shaped scoliosis is noted with posterior fixation hardware identified. There is no evidence of hardware complication. No acute osseous abnormalities.
<unk>m with pain with swallowing, acute onset this am // rule out pneumomediastinum
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Pa and lateral views of the chest were reviewed and compared to the prior studies. Unchanged bibasilar linear opacities are more prominent on the left than on the right and are likely aatelectasis. The cardiac and mediastinal contours are normal. There is no pneumothorax or pleural effusion. Free intraperitoneal air has increased and is expected in a peritoneal dialysis patient. Prominence of air filled small bowel loops in the upper abdomen could represent ileus.
fever and peritonitis in a patient on peritoneal dialysis.
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In comparison with study of <unk>, there is little change in the substantial right pleural effusion with concomitant lower lobe collapse. Probably some much less prominent atelectatic changes with a possible pleural effusion on the left. Enlargement of the cardiac silhouette persists, enhanced by the low lung volumes. Dual-channel pacer device has leads extending to the right atrium and apex of the right ventricle. No definite pulmonary vascular congestion.
pleural effusion and collapse, to assess for change.
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Compared to most recent prior exam, there has been interval development of a small right pleural effusion. There is new mild interstitial edema. Heart size is moderately enlarged, as seen previously. Mediastinal contours are stable. No pneumothorax is seen. Increased density of the major fissure may represent fluid, pleural thickening, or other material within the fissure. There has been interval removal of an intestinal catheter.
<unk>-year-old male with substernal chest pain.
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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>-year-old woman with left shoulder pain, left chest pain since <unk>:<num>.
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The lungs are slightly hyperinflated. There is no focal consolidation concerning for pneumonia. Faint retrocardiac opacification on the lateral view may represent a small hiatal hernia. Biapical scarring is noted. No pleural effusion or pneumothorax is present. The pulmonary vasculature is not engorged, and there is no overt pulmonary edema. The cardiomediastinal and hilar contours are within normal limits. Healed right posterior rib fractures are noted.
history of asthma, now with fever and dry cough, here to evaluate for pneumonia.
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Heart size is top normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with dyspnea, chest pain
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The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes.
<unk> year old woman with cough x weeks // prob bronchitis, smokes
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is normal. The osseous structures and upper abdomen are unremarkable. Bronchial wall thickening is minimal.
<unk>f with altered mental status, evaluate for acute cardiopulmonary process.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with syncope and chest pain
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There are opacities in the right lower and left upper lobes worrisome for multifocal pneumonia. There is no pleural effusion and no pneumothorax. The cardiomediastinal silhouette and hila are normal. Pulmonary vascularity is normal.
<unk>-year-old woman with cough.
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The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pneumothorax, pulmonary edema, or focal airspace opacification concerning for pneumonia.
history: <unk>f with cp // evidence of pneumothorax or cause of cp
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Frontal and lateral radiographs of the chest demonstrate an area of focal opacification in the right lung base concerning for aspiration or pneumonia. Persistent blunting of both costophrenic angles is consistent with small bilateral pleural effusions. Again seen is prominence of interstitial markings, suggestive of chronic lung disease or elevation of pulmonary vascular pressure. The cardiomediastinal and hilar contours are unchanged. Incidental note is made of a gaseous dilation of the esophagus and a large hiatial hernia. There is no pneumothorax.
<unk>-year-old female with bacteremia of unclear source. evaluate for pneumonia.
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Lungs are fully expanded and clear, and pneumothorax can no longer be identified. No interval change in small left pleural effusion. Heart size, mediastinal contour and hila are normal. No acute displaced rib fracture is seen on radiograph today.
<unk>-year-old female with ninth and tenth posterior rib fractures and t<num> through t<num> transverse process fractures, with displacement of t<num>. small pneumothorax seen on the left. assess pneumothorax and rib fractures.
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A pacer unit projects over the left chest with a lead in the coronary sinus. Severe cardiomegaly persists. Small bilateral pleural effusions are present with underlying atelectasis. There is no pneumothorax. Pulmonary edema is slightly worse.
an <unk>-year-old female with shortness of breath.
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Both lungs are symmetrically hyperinflated with flattening of the bilateral hemidiaphragms, compatible with copd. Biapical opacities are likely related to scarring. No significant pleural effusion, focal consolidation, or pneumothorax is detected. No pulmonary edema is noted. The cardiac silhouette is normal in size. The mediastinal contours are within normal limits. The visualized upper abdomen is unremarkable.
<unk>-year-old male with shortness of breath, here to evaluate for acute cardiopulmonary process.
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No focal opacity to suggest pneumonia is seen. There is cephalization of the vasculature and mild volume overload. No pneumothorax is seen. There is flattening of the diaphragms. No significant pleural effusion is present. The heart is mildly enlarged and there is tortuosity of the aorta, both unchanged.
left arm weakness, concerning for cerebrovascular accident.
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There low lung volumes, which results in bronchovascular crowding. There is moderate pulmonary edema, new over the interval. Cardiomegaly is unchanged. No pneumothorax, consolidation or large pleural effusion.
history: <unk>m with h/o ckd, chf // eval for ptx, pulmonary edema
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Compared to prior, there has been interval improvement of the pulmonary edema which has nearly resolved. The lungs are hyperinflated. Effusions have essentially resolved. Cardiac silhouette is enlarged but stable in configuration. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormality is identified.
<unk>f with h/o afib not anticoagulated presenting s/p fall // please eval for pneumonia, fractures, other pulmonary processes