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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Multiple old appearing lateral right-sided rib deformities are new since <unk>, but otherwise appear old, and involve at least the right lateral third, fourth, fifth, and sixth ribs, with possible overlying pleural thickening.
history: <unk>m with cp // eval for ptx
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Lung volumes are low and there is crowding at both bases. On the lateral view, there is increased opacity projecting over the lower lobes posteriorly. It is unclear if this is all due to volume loss or if an infectious infiltrate is present. The heart size continues to be mildly enlarged. The mediastinal silhouette is unchanged compared to prior.
cough, question pneumonia.
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As compared to the previous radiograph, there is now unchanged a normal post-surgical appearance of the left hemithorax with <unk> in expected position and mild elevation of the left hemidiaphragm. No acute changes in the left lung parenchyma. Unchanged normal appearance of the right lung.
status post left thoracotomy, status post left upper lobectomy.
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Pa and lateral views of the chest. There are low lung volumes which cause crowding of the pulmonary vasculature. There is mild bilateral bibasilar atelectasis. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
chest pain.
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Pa and lateral views of the chest. The lungs are clear of infiltrate or effusion. Cardiomediastinal silhouette is normal. Osseous and soft tissues are unremarkable. No free air seen below the diaphragm.
<unk>-year-old woman with chills and recent abdominal procedure. question free air.
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Ap and lateral chest radiographs. Right-sided pectoral pacemaker leads are in stable position. Diffuse interstitial opacities, dilation of the mediastinal veins, and small bilateral pleural effusions are consistent with pulmonary edema. Moderate cardiomegaly is stable. There is no pneumothorax.
dyspnea.
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Lungs are well expanded and clear. Mediastinal contour, hila, and cardiac silhouette are normal. No pleural effusion or pneumothorax. No radiographic evidence of rib fracture.
<unk>m with bilat rib pain // ?fractured ribs
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Ap and lateral views of the chest demonstrate consolidations in the right upper and bilateral lower lobes, compatible with multifocal pneumonia. There is no pneumothorax or large pleural effusion. The cardiomediastinal silhouette is stable in appearance, with persistent mild cardiomegaly.
<unk>-year-old female with cough for one month, with shortness of breath and chest pain.
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no evidence of pleural effusion, pulmonary edema, or pneumothorax. There is no air under the right hemidiaphragm.
<unk>m with f/c, n/v, muscle pain x<num> days // any pna
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are hyperinflated but clear without focal consolidation. No pleural effusion or pneumothorax is identified. No radiopaque foreign body is present. There are no acute osseous abnormalities. No subdiaphragmatic free air is demonstrated.
history: <unk>m with epigastric pain
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Pleural based opacity along the mid right lateral chest corresponds to that seen on recent prior pet-ct. There is blunting of the posterior right costophrenic angle consistent with small right pleural effusion with overlying atelectasis, underlying pleural lesion better assessed on ct. Prominence of the right hilum is similar to prior chest ct. No definite new focal consolidation. No evidence of pneumothorax. Cardiac and mediastinal silhouettes are stable.
history: <unk>f with dyspnea // ? acute cardipulm process
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As compared to the previous radiograph, the preexisting left parenchymal opacity has almost completely resolved and is barely visible on today's radiograph. The scars and minimal elevation of the right hemidiaphragm persists. No other changes in appearance of the lung parenchyma. Moderate cardiomegaly. No pleural effusions.
cough, normal chest x-ray, evaluation.
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The exam was limited by technique and body habitus. Within the limitation, the lungs are clear without a focal airspace consolidation or pulmonary edema. There is no pleural effusion or pneumothorax. The mediastinal contours are normal. The heart size is slightly enlarged. The azygous vein is prominent.
bilateral lower extremity swelling. evaluate for pulmonary edema.
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Mild enlargement of the cardiac silhouette is again noted, unchanged. The mediastinal and hilar contours are similar. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. Cholecystectomy clips are demonstrated in the right upper quadrant of the abdomen.
history: <unk>f with chest discomfort, hypertension
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Lung volumes are low. This accentuates the size of the cardiac silhouette which is likely within normal limits. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Linear opacities within the right lung base likely reflect subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. Clips from prior cholecystectomy are noted in the right upper quadrant of the abdomen. There are no acute osseous abnormalities.
dyspnea.
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Severe dextroscoliosis of the thoracolumbar spine is present. Large bilateral pleural effusions are relatively unchanged compared to the prior exam, with associated bibasilar atelectasis. Assessment of the cardiac silhouette size is limited, as is evaluation of the mediastinal and hilar contours. Mild pulmonary vascular congestion appears present. Calcification of the thoracic aorta is noted. No pneumothorax is identified.
hypoxia and cough.
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Frontal and lateral views of the chest demonstrate normal heart size and mediastinal contour. There is prominent right hilar/infrahilar opacity which could represent confluence of vascular structures, but can potentially represent early infection or even potentially a mass. A mild interstitial prominence suggests there may be mild congestion. There is no pneumothorax or large effusion. There is trace if any dependent atelectasis. Multilevel thoracic spondylosis is present.
a <unk>-year-old male with fever. question pneumonia.
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Pa and lateral chest radiograph demonstrates a clear lungs bilaterally. No focal opacity convincing for pneumonia is identified. There is no pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
<unk>-year-old male with hepatitis-c and alcoholic cirrhosis with jaundice and malaise.
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The lungs are well expanded. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
<unk>-year-old with chest pain. evaluate for acute process.
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Cardiomediastinal contours are normal. There are large bilateral pleural effusions right greater than left associated with adjacent atelectasis. The osseous structures are unremarkable
<unk> year old woman with recoverinyg from acute pancreatitis, quite bil breath sounds, some extremity edema // assess for presence/extent of pleural effusions
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Compared to <unk>, heart size is normal and unchanged. The aorta is calcified, indicating atherosclerosis. Lungs are hyperinflated and there is a background of emphysema. The right-sided pleurx catheter is poorly visualized but appears unchanged in position. Slight increase in right pleural effusion. Again seen are multiple lesions throughout the chest representing metastatic disease, grossly unchanged. Again seen are fiducial markers in medial aspect of the right upper lobe. There is persistent blunting of the left costophrenic sulcus, likely representing a small pleural effusion or pleural thickening. No pneumothorax. No acute osseous abnormality.
<unk>-year-old woman with pleurx catheter, small cell lung cancer. now with leakage around the catheter and chest pain. evaluate for worsening effusion or pleurx misplacement.
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Cardiomediastinal silhouette is within normal limits. New faint right basilar opacity may represent atelectasis, although superimposed infection is not excluded in this clinical setting. No pneumothorax or pleural effusions detected.
<unk>m with fever, malaise. evaluate for infectious process.
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Lung volumes are low, resulting in bronchovascular crowding. Bibasilar atelectasis is mild. The heart is upper limits of normal. The aorta is tortuous. No pneumothorax, pleural effusion, or consolidation.
<unk> year old woman with abd pain // eval for acute pathology
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Again noted are pleural thickening and calcified pleural plaques, one area in particular projecting over the right mid lung is more apparent on today's study than on prior images, but is felt to be a projectional area of increased opacity due to pleural plaques. Attention should be paid to this area on followup. Right ij line is unchanged. Cardiac and mediastinal silhouettes are unchanged.
followup effusions and atelectasis.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal.
history: <unk>m with <num> day hx of intermittent r sided cp, no sob // eval for cardiomegaly
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. There is no pneumothorax or pleural effusion. The lungs are clear. A minimally displaced fracture is noted of the posterior left third rib. Nondisplaced fifth and sixth rib fracture may also be present.
<unk>m with left chest pain after bicycle accident
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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 displaced fracture is seen.
history: <unk>f with cp // evidence of pnumonia or pneumothorax
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Compared with the prior chest radiograph, the lungs remain hyperinflated with flattening of the bilateral hemidiaphragms and increased ap diameter, consistent with mild emphysema. Left base atelectasis/scarring is unchanged. No focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are unchanged.
<unk>m with chest pain. eval for acute process.
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Ap and lateral views of the chest. There is no confluent consolidation. There is however increased interstitial markings throughout the lungs. There is no effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.
<unk>-year-old male with altered mental status.
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Redemonstrated is a right-sided ij central venous catheter, the tip of which extends into the upper to mid svc. The patient is status post cabg and avr, with sternotomy wires noted to be well aligned. There is a moderate sized left pleural effusion identified with adjacent atelectasis. A smaller right-sided pleural effusion is also noted. No focal consolidations are noted within the lung parenchyma. Stable, post-operative air is noted with in the anterior mediastinum on the lateral projection. There is no evidence of pneumothorax or pulmonary edema identified. There is apparent cardiomegaly, although this is incompletely assessed due to the left-sided pleural effusion. Mediastinal contours appear to be stable.
status post cabg and avr, evaluate for effusions or pneumothorax.
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Pa and lateral views of the chest provided. Picc line is been removed. There is no focal consolidation, effusion, or pneumothorax. Minimal prominence of the pulmonary hila with some minimal perihilar streaky opacity could reflect central airways inflammation in the correct clinical setting. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with fever, immunosuppressed // any e/o pna?
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The cardiac silhouette size is mildly enlarged. The aorta is tortuous. Pulmonary vascularity is normal. Streaky opacities in the lung bases may reflect atelectasis although developing infection particularly in the left lung base cannot be completely excluded. Vague <unk> millimeter nodular opacity projects over the left anterior <num>st rib. No pleural effusion or pneumothorax is present. No acute osseous abnormality is seen. No definite displaced rib fractures noted.
dyspnea after fall.
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
<unk>f with ams // eval for pna
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Cardiomediastinal contours are normal. Faint diffuse mainly peripheral opacities predominantly located in the mid and lower lungs have increased. There is no pneumothorax or left pleural effusion. Small right effusion is unchanged. There are mild degenerative changes in the thoracic spine. Ivc filter is partially imaged. Central catheter is in standard position.
<unk> year old woman with hypoxia, pancreatic ca, recent pleural effusion s/p <unk> // r/o pulmonary edema, increased pleural effusion from prior
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In comparison with study of <unk>, there is again hyperexpansion of the lungs consistent with chronic pulmonary disease. However, there is no evidence of acute focal pneumonia, vascular congestion, or pleural effusion.
cough, to assess for pneumonia.
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The heart size is normal. The aorta is tortuous. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vascularity is normal. Previously noted right upper lobe peripheral opacification has resolved. No new focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormalities are detected. There are mild degenerative changes throughout the thoracic spine. No subdiaphragmatic free air is identified.
right-sided abdominal and back pain.
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Lung volumes are low and the lungs are clear. Mediastinal contours, hila, and cardiac borders are normal. No pleural effusion.
<unk> year old woman with cough, fevers. // ?infiltrate
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Compared to <unk> chest x-ray, there is new patchy opacity at the right lung base, slight blunting of the right costophrenic angle, and minimal, if any, atelectasis at the left lung base. No gross left effusion. No chf. Cardiomediastinal silhouette unchanged. Biventricular pacemaker again noted. No pneumothorax detected.
sss (??) status post biventricular pacemaker implant, continued chest pain. chest,
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The lungs are clear. Heart size is top normal. Hilar and mediastinal contours are normal. No pleural abnormality is seen.
history: <unk>f with chest pain. evaluate for acute cardiopulmonary process.
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Stable left-sided icd. Lung volumes are low with left lower lobe atelectasis. Moderate left pleural effusion is new from <unk>. There is no pulmonary edema. Heavily calcified aorta and thoracic vertebral wedge deformity is unchanged.
<unk> year old man with cough x one week; decreased lll breath sounds // evaluate for abnormalities
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The lungs are clear without focal consolidation, effusion, or pneumothorax. Linear left basilar opacity is compatible with atelectasis. The cardiomediastinal silhouette is within normal limits. Mildly tortuous descending thoracic aorta is noted. No displaced fractures identified.
<unk>f with left rib pain after fall. // rib fracture?
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Chronic obscuration of the left heart border may be due to a combination of lingular scarring and a prominent pericardial fat pad. The lungs are otherwise clear. The cardiomediastinal silhouette is unchanged. There are no pleural abnormalities. There is a right-sided port-a-cath ending in the mid svc. There is inferior subluxation of the left humeral head with respect to the glenoid, not significantly changed compared to the dedicated shoulder radiographs from <unk>.
<unk> year old woman with breast cancer new onset fever up to <num> over the weekend. // eval pna.
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When compared to chest radiograph dated <unk>, this frontal and lateral radiograph is unchanged. The lungs are well expanded and clear. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax or pleural effusion.
<unk>-year-old female with fever cough and wheezing. evaluate for infiltrate.
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>m with pain
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Frontal and lateral views of the chest. The heart is mildly enlarged, similar to prior, with stable cardiomediastinal contours. Left apical scarring is similar to prior. Lungs are otherwise clear without focal or diffuse abnormality. No pleural effusion or pneumothorax is visualized. The pulmonary vasculature is unremarkable. Left humeral head screws are incompletely imaged.
<unk>-year-old female with cough and subjective fever.
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Heart size is top normal. The mediastinal and hilar contours are unremarkable. No pulmonary edema is present. There is no focal consolidation, pleural effusion or pneumothorax. Streaky left lower lobe opacity may reflect atelectasis. No acute osseous abnormalities seen.
history: <unk>f with blast crisis
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Pa and lateral views of the chest demonstrate normal lung volumes without focal consolidation, pleural effusion or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.
cough, assess for pneumonia.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. Low lung volumes are again seen on the current exam. Basilar opacities on the lateral view are most suggestive of atelectasis given low lung volumes. Superiorly, the lungs are clear. Cardiomediastinal silhouette is within normal limits. Surgical clips are seen in the upper abdomen. Osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old female with lightheadedness.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax.
history weakness, fevers, chills. please evaluate for acute intrathoracic abnormalities.
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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 cvl attempt // r/o 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 exertional chest pain // r/o acute process
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In comparison with the study of <unk>, the patient has taken a much better inspiration. The cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia.
left chest pain.
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear, with the exception of a <unk>-mm nodular density in the left first interspace, which is stable since at least <unk>. There is no pneumothorax, vascular congestion or pleural effusion. Mild rib deformity in the right lower ribs may be projectional but could potentially represent prior injury.
<unk>-year-old male with productive cough and shortness of breath. question acute process.
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A tiny right apical pneumothorax in the position of the recently removed chest tube is seen. There is a small left pleural effusion seen. Right lower lobe atelectasis is stable. There is stable subcutaneous emphysema seen in the soft tissues of the right hemithorax.
<unk>-year-old male status post vats. study is to evaluate recent chest tube removal.
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The lung volumes are low. The heart is at the upper limits of normal size with a left ventricular configuration. Moderate relative elevation of the right hemidiaphragm is noted compared to the left side. Patchy opacity along the posterior aspect of the right hemidiaphragm can probably be attributed to atelectasis, but pneumonia cannot be excluded by this study; the opacity is new since the prior radiographs but perhaps similar to an interval mr allowing for differences in technique. Bony structures are unremarkable. No pleural effusion or pneumothorax.
nash cirrhosis and cough.
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable and stable since the prior examination. Again seen is a large left-sided hiatal hernia containing bowel causing apparent elevation of the left hemidiaphragm. The lungs are grossly clear. There is no pleural effusion or pneumothorax. No definite fracture is identified.
<unk>f with s/p fall
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Pa and lateral views of the chest were reviewed and compared to the prior study. Left pectoral bielectrode pacemaker leads end in the right atrium and right ventricular apex respectively. The cardiac and mediastinal contours are normal. The lungs are clear without focal consolidation, pulmonary edema, pleural effusion or pneumothorax. There are no concerning osseous or soft tissue lesions.
evaluation of pacemaker lead position.
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Aicd is in appropriate position. As compared to the prior exam, there are increasing perihilar opacities and vascular indistinctness compatible with moderate pulmonary edema. The heart size is moderately enlarged. No pleural effusion. No pneumothorax. Assessment of the lung apices is obscured by the patient's chin and neck soft tissues projecting over this region. Multiple clips are noted in the upper abdomen.
history: <unk>f with dyspnea on exertion
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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 pain // r/o pneumonia
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The small right apical pneumothorax has resolved. Interval improved aeration at the right lung base. Small right pleural effusion. Stable appearance of the left plate-like atelectasis. No focal consolidation or pulmonary edema. The heart is top-normal in size. Stable appearance of the cardiomediastinal silhouette and hila.
<unk>-year-old woman status-post right lower lung lobectomy in <unk>. evaluate for interval change.
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The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable. No significant change.
cough. history of hiv and aids.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
dyspnea on exertion. rule out pulmonary process.
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Left side port-a-cath tip terminates in the low svc. Cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. Lungs remain hyperinflated with flattening of the diaphragms and lucency of the lungs which is most pronounced in the bases compatible with alpha <num> antitrypsin deficiency. Scarring within the lung bases is unchanged. Blunting of the costophrenic angles posteriorly bilaterally likely reflect chronic pleural thickening. No new focal consolidation, pleural effusion or pneumothorax is present. Mild compression deformities in the thoracic spine are unchanged.
alpha <num> antitrypsin deficiency with copd, altered mental status, hyperglycemia and upper respiratory tract infection.
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Ap upright and lateral views of the chest provided. The heart appears top-normal in size. The lungs are clear without focal consolidation, large effusion or pneumothorax. Mediastinal contour is normal. Bony structures are intact. No free air below the right hemidiaphragm. Vascular calcification is noted in the left upper quadrant.
<unk>f with generalized weakness and fatigue // eval for pna
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There is no pneumothorax. There is no pleural effusion or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable.
pleuritic chest pain. evaluate for a pneumothorax.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with sudden onset substernal cp at <num>am // eval for acute cardiopulm process, ptx
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The lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk> year old woman with h/o dm, hld, hep c, anxiety and depression with diffuse wheezing and basilar crackles appreciated // eval pulm edema, pna
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Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Linear opacities within both lung bases likely reflect areas of subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. Hyperinflation of the lungs with attenuation of the pulmonary vascular markings in the upper lobes suggests emphysema. Mild degenerative changes are noted in the thoracic spine.
history: <unk>f with left low chest pain
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There is a large left-sided pleural effusion which is new since all the prior studies as well collapse of the left lower lobe. There is also a new small right-sided pleural effusion. Cardiac size is not able to be assessed due to effusion. There is no pneumothorax.
shortness of breath.
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The patient is status post median sternotomy and cabg. The cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Lungs are hyperinflated with flattening of the diaphragms, findings compatible with copd. Pulmonary vasculature is not engorged. Minimal atelectasis is seen in the right lung base with tenting of the diaphragm. No pneumothorax or pleural effusion is demonstrated. Diffuse idiopathic skeletal hyperostosis is noted within the imaged thoracic spine. Remote left-sided rib fractures are also noted.
history: <unk>m with asymptomatic hypotension
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Frontal and lateral views of the chest. Heart size is normal and cardiomediastinal contours are stable with tortuosity of the thoracic aorta and rightward deviation of the trachea. No focal consolidation, pleural effusion, or pneumothorax. There is no evidence of free air beneath the diaphragms.
<unk>-year-old female with shortness of breath and abdominal pain.
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Bilateral pleural effusions, greater on the right with overlying atelectasis. No pneumothorax identified. The size of the cardiomediastinal silhouette is within normal limits. Unchanged prominent interstitial markings bilaterally.
<unk> year old man with abdominal sepsis, hypoxia // ?interval change
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal.
subjective fever and chills status post back surgery, evaluate for pneumonia.
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There is a right chest mediport in place with tip at the cavoatrial junction. The lungs are clear. There is no pleural effusion, or pneumothorax. The cardiac silhouette is normal in size, and the mediastinal contours are normal. Contrast excretion is seen within the left renal collecting system.
<unk>-year-old female with epigastric pain, nausea, and vomiting.
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The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. The left lower lobe opacity seen on the recent prior study persists and is consistent with pneumonia in the correct clinical setting. However, there is mild increase in interstitial markings without alveolar opacities, consistent with mild pulmonary edema.
shortness of breath, question pneumonia in a patient with pancreatic cancer.
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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 displaced rib fracture is seen. No free air below the right hemidiaphragm is seen.
<unk>f with fall with headstrike, loc and l sided rib pain // eval acute injury
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The lungs are clear without consolidation or edema. Since the prior exam, a small right pleural effusion has developed. There is possibly a tiny left pleural effusion, too. There is no pneumothorax. The mediastinal contours are normal. The heart is mildly enlarged and unchanged.
cough. evaluate for pneumonia.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no pleural effusion, pneumothorax or focal consolidation.
intermittent chest tightness. evaluate for cardiac process.
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The lungs remain hyper inflated. Again seen are multi focal areas of hazy opacity at the left lung base and right upper lobe concerning for multi focal pneumonia. There is unchanged background bronchiectasis. The cardiomediastinal silhouette is stable. There is no pleural effusion or pneumothorax.
<unk>-year-old woman with chest pain and shortness of breath, evaluate for pneumonia.
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The heart size is normal. There is mild pulmonary vascular congestion, otherwise the hilar and mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. There is no evidence of a pneumothorax. The small right pleural effusion. Left lower lobe atelectasis.
history of possible sepsis. please evaluate for pneumonia.
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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.
<unk>-year-old woman with nasal congestion, cough, shortness of breath, evaluate for pneumonia.
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Frontal and lateral chest radiographs demonstrate mild patchy opacification in the medial right lower lung, likely represents prominent bronchovascular markings. No focal opacification concerning for pneumonia identified. No pleural effusion or pneumothorax present. Stable mid thoracic vertebral compression fractures identified.
recent seizures, pneumonia.
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are demonstrated.
chest pain, history of pulmonary embolism.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of consolidation or effusion. Cardiac silhouette is slightly globular in appearance, similar in configuration compared to prior. There is a linear lucency just below the right hemidiaphragm suggestive of free intraperitoneal air, which is partially visualized on the lateral as well. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with sickle cell and abdominal pain. question free air, consolidation. recent cholecystectomy.
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Since the chest radiograph obtained <num> days prior, lung volumes are improved, pulmonary edema has resolved, small right pleural effusion has resolved, and left pleural based malignant disease +/- loculated effusions have decreased in size. There is no evidence of focal consolidation. Healed posterior right eighth and ninth rib fractures are unchanged.
<unk> year old woman with progressive multiple myeloma. new cough. neutropenic // cough, neutropenic, lll diminished breath sounds. ? infiltrate
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Ap and lateral images of the chest. There are low lung volumes. Prominent pulmonary vasculature and interstitial markings are consistent with mild pulmonary edema. Small bilateral pleural effusions are seen. There is no pneumothorax. The cardiomediastinal silhouette is enlarged, similar to prior exam.
dyspnea.
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The lung volumes are normal. There are no pleural effusions. Normal aspect of the lung parenchyma, without evidence of lung nodules or masses. No pulmonary edema. No pneumonia. Mild enlargement of the cardiac silhouette, mild tortuosity of the thoracic aorta. Slightly atypical calcification at the level of the right first rib costochondral junction.
questionable pulmonary nodules.
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Frontal and lateral radiographs of the chest demonstrate hyperexpanded lungs with dilated, thickened bronchi, worse centrally and in the bilateral upper lobes and the superior segment of the left lower lobe. These findings are consistent with chronic changes of cystic fibrosis. The cardiomediastinal and hilar contours are unremarkable. There is no superimposed pneumothorax, focal consolidation, or pleural effusion.
<unk> year old man with cystic fibrosis, with cough, shortness of breath // any acute infiltrates
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There is no pneumonia, consolidation, pleural effusion or pneumothorax. A <num> mm nodular opacity in the right mid lung zone may represent a new discrete lung nodule. The ascending aorta is tortuous, similar to the prior exam. The cardiomediastinal silhouette is otherwise normal. New lung nodule.
recent hospitalization for pneumonia. evaluate for resolution.
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Lung volumes are somewhat low. Mild cardiac enlargement persists. Pulmonary vascular engorgement and indistinctness of hilar structures is now seen consistent with mild pulmonary edema. No pleural effusion or pneumothorax is noted.
history: <unk>f with doe hx of chf // effusion vs. pna?
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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.
chest pain and high blood pressure. evaluate for congestive heart failure.
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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.
subjective fever after surgery.
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The heart is mildly enlarged. There are streaky opacities in the bilateral bases, likely reflecting atelectasis. The mediastinal contours are normal, with note made of calcification of the aortic knob. The pulmonary vasculature is normal. Clips are noted in the left apex.
<unk>-year-old female with right upper quadrant pain.
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Frontal lateral chest radiographs demonstrate low lung volumes. Cardiomediastinal silhouette is normal. The lungs are clear. There is no pleural effusion or pneumothorax.
chest pain
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Again noted are bilateral upper and lower lobe nodular opacities consistent with the patient's previously visualized bronchiolitis and better delineated on dedicated ct. Lungs remain hyperinflated without a new focal consolidation otherwise. Right apical pleural thickening is again noted. There is no pulmonary edema or pleural effusion. Cardiac and mediastinal contours are within normal limits. No acute fractures are identified.
shortness of breath and chest pain with history of recent bronchiolitis.
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A left-sided picc line terminates in the mid superior vena cava. 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.
febrile neutropenia.
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Pa and lateral chest radiographs demonstrate bilateral interstitial and alveolar opacities, worst at the lung bases and left worse than right along with mild cardiomegaly. There is no large pleural effusion or pneumothorax.
shortness of breath in post-partum female. rales on exam and concern for pulmonary edema.
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The lungs are hypoinflated. In comparison to the prior examination, the cardiomediastinal silhouette appears stable. The pulmonary vasculature is mildly indistinct, though not significantly changed since prior examination. No definite pneumothorax or pleural effusion is noted.
<unk>m with history <unk> <unk>'s who presented to ed after syncopal vs mechanical fall, no c/o headache and right knee pain // intracranial hematoma?right knee injury?
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The lungs are clear without focal consolidation. There is no pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are within normal limits.
<unk>m with etoh abuse, hcv treated presenting with chest pain. evaluate for pneumonia or widened mediastinum.
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Assessment is limited by patient rotation. A moderate to large right pleural effusion is demonstrated with right basilar opacification, possibly reflective of compressive atelectasis though pneumonia is difficult to exclude. Heart size cannot be determined due to the presence of the moderate to large right pleural effusion. The aorta appears diffusely calcified. Hazy perihilar opacification bilaterally is more pronounced on the right and may reflect asymmetric pulmonary edema. Mild widening of the superior mediastinal contour appears relatively unchanged may reflect underlying lymphadenopathy, as demonstrated on the previous ct. No left-sided pleural effusion or pneumothorax is clearly seen. There is evidence of prior vertebroplasty of a vertebral body at the thoracolumbar junction.
history: <unk>f with history of chf, here with decompensated chf, with asymmetric lung exam (suspect pleural effusion vs pneumonia on right).