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Pa and lateral views of the chest provided. Airspace consolidation in the right lower lobe is concerning for pneumonia. No large effusion or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact. Small retrocardiac opacity may represent a small hiatal hernia.
<unk>f with ams // infiltrate
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There is improved aeration of the left lobe. No pneumothorax is seen, and there is no new focal consolidation. Heart size is normal.
<unk> year old woman with left vats lung biopsy// check interval change
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The ankle hyperinflated. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Aortic knob calcification is seen. There may be a hiatal hernia. No displaced fracture seen.
history: <unk>m s/p fall // evidence of fracture
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The cardiac, mediastinal and hilar contours appear unchanged allowing for differences in technique including leftward rotation. There is newly apparent but vague medial right basilar opacity, also detectable on the lateral view. There is no pleural effusion or pneumothorax.
nausea and hyperglycemia in the setting of diabetes.
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Mild cardiomegaly is stable. The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with sickle cell crisis and sob // evaluate for penumonia
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Left pectoral pacemaker with leads that are intact and appropriately positioned. Sternotomy wires are also intact and appropriately positioned. Linear opacities within the left lower lung likely reflect atelectasis or scarring. No additional focal consolidations. No pulmonary edema. Stable enlargement of the cardiomediastinal silhouette with calcifications of the aortic knob. Stable enlargement of the right hilum. Small left pleural effusion. No pneumothorax.
history: <unk>f with r cva vs r lower thoracic pain, ttp, prior hx utis with similar symptoms // eval ? r sided effusion, atelectasis, infiltrate
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There is no focal consolidation, pleural effusion, vascular congestion, or pneumothorax. The aorta is tortuous. The heart size is normal. The cardiac, mediastinal, and hilar contours are within normal limits.
productive cough for one week with diffuse end-expiratory rhonchi.
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Compared to the prior chest radiograph, the pa view is more under penetrated. However, there is no evidence of focal consolidation, pleural effusion, or pneumothorax. There may be slight bibasilar atelectasis. Cardiomediastinal and hilar silhouettes are unchanged and are unremarkable.
<unk>f with chest pain. evaluate for acute process.
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As compared to prior chest radiograph from <unk>, there has been interval resolution of right mid lung opacities. There is unchanged right pleural and parenchymal scarring at the right base laterally. Moderate cardiomegaly is stable and there is no evidence of congestive heart failure. The hilar and mediastinl contours are normal. A left pacemaker is in place with two leads terminating in the right atrium and right ventricle, expected locations.
<unk>-year-old female patient with recent admission for pneumonia and chf versus pulmonary hemorrhage. study requested for assessment of radiographic improvement.
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The lung volumes are relatively low with left basilar atelectasis, unchanged from the prior study with persistent mild pulmonary vascular congestion, also stable since the prior radiograph. There is no evidence of focal opacity, pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable.
shortness-of-breath. reason for dyspnea or interval change from prior.
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There is a small left pneumothorax which is stable in size compared to prior study. Architectural distortion with linear and pleural opacities at the right apex is stable and consistent with history of prior treatment. There is also a right lower lung nodule, better seen on the ct scan dated <unk>. Cardiomediastinal and hilar contours are stable. Left chest port remains with tip in the low svc.
<unk>-year-old with small cell lung cancer and left-sided pneumothorax. evaluate interval change.
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In comparison with study of <unk>, the opacity at the right base is no longer seen. This would be consistent with clearing of pneumonia. Port-a-cath remains in place. The heart and lungs are otherwise unchanged.
pneumonia on antibiotics.
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As compared to the previous radiograph, there is no relevant change. The lung volumes continue to be normal. Minimal atelectasis at both lung bases. Symmetrical apical bilateral thickening. Moderate cardiomegaly is present but otherwise the cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk> y/o f with dyspnea.
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Pa and lateral chest radiographs. The lungs are well expanded. Peribronchial opacification in the left lower lobe is more likely due to bronchial inflammation than pneumonia. Mild cardiomegaly and mediastinal and pulmonary vascular engorgement are unchanged.
cough and fever.
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The lungs are hyperinflated but clear of focal consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>-year-old female with fever.
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Frontal and lateral views of the chest demonstrate mildly prominent cardiac silhouette. Atherosclerotic arch calcifications are noted. The mediastinal and hilar contours are within normal limits. The left lung is clear of confluent consolidation or pleural effusion. A tiny focus of opacity in the lateral left upper lobe corresponds with a focus of linear opacity on ct dated <unk>, suggestive of chronic infection/inflammation. In the right lung, streaky right upper lobe opacities persist, which also likely reflect chronic change. There is trace if any small right pleural effusion, with a persistent rounded right costophrenic contour, previously confirmed to be rounded atelectasis on ct. Surgical <unk> are seen in the subdiaphragmatic location. Multilevel lower thoracic wedge compression deformities are unchanged as compared to prior ct from <unk>. There is no evidence of pneumothorax or pulmonary edema.
<unk>-year-old female with pleural effusion, here for evaluation.
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Frontal and lateral chest radiograph demonstrate a moderately enlarged heart with a tortuous thoracic aorta, unchanged in appearance when compared to radiograph dated <unk>. The lungs are clear bilaterally without focal consolidation, pleural effusion, or pneumothorax. There is no overt pulmonary edema. Incidental note of surgical clips within the neck most likely thyroid related.
<unk>-year-old female with cough, wheezing, and shortness-of-breath on lying flat. evaluate for heart failure.
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Frontal lateral views of the chest. The lung volumes are low, which accentuates the bronchovascular structures. Additionally, fine details obscured by overlying soft tissue. Within these limitations, there is no pleural effusion, pneumothorax or focal airspace consolidation. Linear atelectasis is seen anteriorly on the lateral view. The cardiac silhouette remains moderately enlarged. The hilar structures and mediastinum are unremarkable. Calcifications are noted within the aortic arch. A left-sided pacemaker is unchanged in orientation.
fall while on coumadin. evaluate for bleeding.
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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
history: <unk>f with asthma, today with cough and difficulty breathing // please evaluate for acute infectious process
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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 chest pain
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The cardiac silhouette is enlarged. The right hila is also prominent the likely secondary to known right hilar lymphadenopathy. As compared to prior examination from exam of <unk>, the degree of congestion has improved. However, known lung nodules are better assessed on prior chest ct. There is extensive background of copd. There is no focal consolidation concerning for pneumonia. The rounded density in the left chest wall is again seen, compatible with known left fourth rib osseous metastasis.
<unk> year old man with rcc metastatic to bone and lungs, copd. c/o mild doe recently and cough. // please r/o acute process, change in tumor burden please r/o acute process, change in tumor burden
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Patient is status post median sternotomy and aortic valve replacement. Heart size is borderline enlarged, unchanged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormality is detected including no displaced fractures.
history: <unk>m with left rib pain
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There is no focal consolidation, pleural effusion or pneumothorax. Atelectasis is noted at the lung bases bilaterally. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
history: <unk>f with cp // pna?
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The heart is normal in size. The heart is moderately tortuous. There is a very small pleural effusion on the right. There is no definite pleural effusion on the left, but the possibility cannot be excluded. Mild pleural thickening at each lung apex is consistent with minor scarring. There is a nodular focus projecting over the medial right lower lung which may correspond to a focus projecting over the posterior right lower lobe, a possible pulmonary nodule in the right lower lobe. Otherwise the lungs appear clear.
lower extremity swelling.
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Visualized osseous structures are without an acute abnormality.
<unk>-year-old female with hemoptysis.
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The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal. There is no displaced rib fracture. Cholecystectomy clips are noted in the right upper quadrant of the abdomen.
fall.
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Bibasilar opacities may be due to atelectasis although an infectious process is not excluded, particularly on the right. No large pleural effusion is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
cough for <num> days and chills.
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Ap upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with persistent cough, fever, wheeze // evaql for pna
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Patient is status post mitral valve repair with median sternotomy sutures unchanged in appearance compared to the prior study. There is a small left pleural effusion and tiny right pleural effusion. A right-sided picc terminates in the mid to distal svc. Calcified left hilar lymph nodes unchanged compared to the prior study. Left lower lobe atelectasis is also unchanged.
<unk> year old woman with pod<num> mvr sj // evaluate for effusion/atelectasis
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In comparison to <unk> portable chest radiograph, the patient is again rotated. Hyperinflation of both ungs and flattening of the hemidiaphragms are attributable to copd. Heterogeneous coalescing opacification at the lung bases, right greater than left, has progressed slightly, most consistent with worsening aspiration pneumonia. The right costophrenic angle is blunted by a small right pleural effusion. Cardiomediastinal and hilar contours are normal.
<unk> year old man with copd now with tachypnea rr > <unk>, low grade fevers cxr ?r basilar pneumonia // ?pneumonia
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The heart size is normal. The hilar and mediastinal contours are normal aside from mild tortuosity of the aorta. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of stroke. please evaluate for aspiration.
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The lungs are clear. Cardiomediastinal silhouette and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old woman with cough, recent multifocal 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.
<unk> year old woman with chf and asthma // heart size?
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. Bony structures are unremarkable. There has been no significant change.
chest pain.
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There is a faint <num> cm, linear metallic object projecting over the anterior heart. Given provided history of prior ivc filter, this may represent a migrated filter fragment likely residing within the right ventricle. Lungs are clear. No pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. No pulmonary edema.
reported object in chest. evaluate position of object.
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The lungs are clear. There is no pleural effusion or pneumothorax.
history: <unk>f with <num> hours of worsening ruq and chest pain // eval for acute processeval for cholecystitis or acute biliary pathology
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The lungs are well expanded and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Visualized osseous structures are within normal limits and upper abdomen is unremarkable.
<unk>m with chills, neck stiffness, hiv with cd<num> of <num>. assess for pneumonia or intracranial mass.
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Frontal and lateral views of the chest demonstrate normal lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is top normal. There is mild pulmonary vascular congestion, which is unchanged since prior. Partially imaged upper abdomen is unremarkable.
shortness of breath.
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Heart size is normal. The aorta remains mildly tortuous with atherosclerotic calcifications again seen at the aortic knob. Hilar contours are unremarkable. Pulmonary vasculature is not engorged. Lungs remain hyperinflated. Linear opacities in the lung bases likely reflect areas of subsegmental atelectasis and/or scarring. No focal consolidation, pleural effusion or pneumothorax is detected. No acute osseous abnormalities seen.
history: <unk>f with episode of anterior chest pain radiating across chest and to jaw
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The heart size is normal. The hilar and mediastinal contours are within normal limits. A right-sided pacemaker generator pack and leads projecting into the right atrium and ventricle are unchanged in configuration. There is no pneumothorax, focal consolidation, or pleural effusion.
discomfort at the pacemaker site following weight lifting.
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Unchanged mild cardiomegaly. Normal mediastinal and hilar contours. Unchanged thoracic scoliosis. Blunting of the left costophrenic angle suggests a small left pleural effusion with underlying atelectasis and possible superimposed pneumonia. No definite soft tissue abnormalities.
<unk>-year-old man with a history of sickle-cell disease admitted for back pain, now febrile with decreased breath sounds at the bases bilaterally. evaluate for pneumonia.
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Low lung volumes cause bronchovascular crowding and bibasilar atelectasis. Mild pulmonary vascular congestion without pulmonary edema. The cardiomediastinal silhouette, including mild cardiomegaly, and tortuous aorta is stable. There is no pleural effusion, pneumothorax. Left lower lobe atelectasis has improved.
<unk>m with leg swelling, evaluate for acute process.
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Mild hyperinflation and flattened diaphragms is consistent with copd. Left basilar bronchiectasis is stable, although new impaction cannot be excluded. There is no consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
history of copd with cough. evaluate for pneumonia.
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Prominent reticular interstitial markings suggest underlying chronic pulmonary disease. Mildly increased retrocardiac opacification may represent left lower lobe pneumonia in the proper clinical setting. Given severe scoliosis and kyphosis, comparison to any prior studies (which are not available for review at this time) would be useful in assessing for relevant changes. There is elevation the right hemidiaphragm, likely related to eventration.there is no pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. The aorta is tortuous and partially calcified. There is severe scoliosis, kyphosis, and demineralization.
coughdecr bs lll // r/o pna
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A port-a-cath terminates at the cavoatrial junction. 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.
dyspnea on exertion.
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A left-sided picc line terminates in the svc. Lung volumes are decreased. There is atelectasis of the left lung base. No focal abnormality concerning for pneumonia is identified. There is no pneumothorax. Catheters are seen overlying the upper abdomen.
picc line, confirm placement.
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The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities.
<unk>m with syncope // evaluate for cardiomegaly
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Two views were obtained of the chest. The lungs are low in volume without focal consolidation, pleural effusion, or pneumothorax. The heart is mildly enlarged with normal cardiomediastinal contours.
<unk>-year-old female with chest pain and back pain. assess for infiltrate.
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Frontal and lateral chest radiographs demonstrate stable hyperinflation of the lungs with relative lucency of the bilateral upper lungs consistent with emphysema. No focal opacification concerning for pneumonia. Cardiomediastinal and hilar contours are unremarkable. Aortic arch vascular calcifications evident. No pleural effusion or pneumothorax identified.
shortness of breath in setting of hypertension. evaluate for acute process.
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Lung volumes are low. The heart size is borderline enlarged. The mediastinal and hilar contours are unchanged. There is no pulmonary vascular congestion. No focal consolidation, pleural effusion or pneumothorax is present. Previously noted right central venous catheter has been removed as well as the right picc. There are no acute osseous abnormalities demonstrated. There are mild degenerative changes in the lower thoracic spine.
history of liver transplantation with altered mental status for <num> week.
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Compared with <unk>, there is a new moderate to large left pleural effusion and basilar atelectasis, underlying consolidation is difficult to exclude. There is a small right pleural effusion. No pneumothorax is seen. Cardiomediastinal silhouette is unchanged. A left chest wall pacemaker defibrillator is present with leads terminating in the right atrium, right ventricle, and coronary sinus.
<unk>f with sob, recent pacemaker placement // ? effusion, consolidation
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Pa and lateral views of the chest. The lungs remain clear. Cardiomediastinal silhouette is normal. Radiopaque density again projects over the anterior right neck. Soft tissues and osseous structures are otherwise unremarkable.
<unk>-year-old male with weakness.
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Pa and lateral views of the chest provided. Lungs are grossly clear. No pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are normal.
<unk> year old man with no significant past medical history, migrating to <unk>, immigration requesting cxr for tb screen // tb screen
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Extremely low lung volumes are again noted with secondary crowding of the bronchovascular markings. The lungs however clear focal consolidation, or effusion. The cardiomediastinal silhouette is grossly within normal limits. No acute osseous abnormalities identified noting anterior wedging of lower thoracic vertebral bodies with associated kyphosis.
<unk>f with cough fevers // cough/fever
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There is no focal consolidation or pneumothorax. A small left pleural effusion and left lower lobe linear atelectasis is unchanged since the prior study. Unchanged left upper lobe linear atelectasis. Interval improvement in right lower lobe atelectasis. The cardiomediastinal silhouette is unchanged. Median sternotomy in a wires are intact. The imaged upper abdomen is unremarkable. Unchanged right sixth and seventh rib fractures.
history: <unk>m with s/p recent cabg w/ sob and fatigue // acute process?
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk> year old woman with psc, gerd, obesity, jaundice. // please assess for any cardiopulmonary abnormalities.
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Ap and lateral views of the chest demonstrate low lung volumes, with bibasilar atelectasis, as well as a more linear area of atelectasis in the posterior left lower lobe. A pleural effusion is present on the left. The heart size is top normal, with median sternotomy wires and mediastinal clips, unchanged from the prior study. Peribronchial cuffing and bilateral interstitial prominence is increased since the prior study, compatible with mild pulmonary edema. No focal consolidation concerning for pneumonia is identified. There is no pneumothorax.
<unk>-year-old female with weakness. evaluation for pneumonia.
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The heart is normal in size. There is mild unfolding and calcification along the thoracic aorta. The lungs appear clear. A small pleural effusion is suspected on the left. The left posterior costophrenic sulcus is excluded and it is difficult to exclude a pleural effusion on the right. Curvilinear lines project over the right hemithorax, probably artifactual and due to soft tissue, noting lung markings which extend fully to the periphery in all areas.
status post fall.
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Pa and lateral views of the chest provided. Mild basilar atelectasis noted. No convincing evidence for pneumonia or edema. No large effusion or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact. Metallic coil projects over the upper abdomen as on prior.
<unk>m with fever // eval for pna
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No previous images. Hyperexpansion of the lungs is consistent with chronic pulmonary disease. However, no evidence of acute focal pneumonia, vascular congestion, or pleural effusion.
weight loss in longterm smoker.
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There is mild volume loss in the left lung base with associated chain sutures suggesting prior segmentectomy. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is within normal limits.
<unk>f with left shoulder pain s/p fall, evaluate for shoulder dislocation
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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. Bony structures are intact.
<unk>m with hx of etoh abuse, p/w agitation // eval pna
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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>m with cp // eval for infiltrate, cm, pneumo
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The cardiomediastinal and hilar contours are within normal limits. Increased opacity at the left lower lobe is concerning for pneumonia or aspiration. The right lung is clear. There is no pleural effusion or pneumothorax.
hiccups, shortness of breath.
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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 difficulty breathing
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In comparison with study of <unk>, there has been substantial clearing of the consolidation in the right mid zone as well as at the right base. Most of the residual opacification probably represents fibrotic scarring in the patient with hyperexpansion of the lungs with flattening of the hemidiaphragms.
pneumonia followup.
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As compared to the previous radiograph, the lung volumes have decreased. There is subsequent increase in density of the lung parenchyma. Unchanged is the course of the right venous access line and position of the defibrillator devices. Also unchanged is the appearance of a mild scar in the left lung. There is continued elevation of the left hemidiaphragm. Neither the frontal nor the lateral radiographs show evidence of focal parenchymal opacities suggesting pneumonia. Unchanged normal size of the cardiac silhouette. No pneumothorax.
low-grade temperature, questionable pneumonia.
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Frontal and lateral chest radiographs demonstrate clear, well-expanded lungs without pleural effusion or pneumothorax. Scarring in the left costophrenic angle is unchanged from <unk> years prior. The pulmonary vasculature is normal. The cardiac silhouette is normal in size, the mediastinal contours are normal.
<unk>-year-old male with chest pain. please evaluate for acute process.
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The cardiac silhouette is increased in size, now severely enlarged. There is a left pectoral cardiac device with its leads in unchanged position projecting over the right atrium and ventricle. The patient is status post median sternotomy and coronary artery bypass. There is mild central vascular congestion without overt pulmonary edema. There is no pleural effusion or pneumothorax.
<unk>-year-old female with increasing dyspnea. evaluate for pulmonary edema and congestive heart failure.
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.
<unk>-year-old female with chest pain
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Subtle apparent fibrotic changes in the medial right upper lung seen on the frontal view versus external artifact. No definite acute focal consolidation is seen. Areas of subcentimeter rounded calcification projecting over the right mid to lower lung most likely reflect calcified granulomas. Minor left basilar atelectasis is noted. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with chest pain radiating to l back // please eval for any pna, cardiomegaly, widened mediastinum
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The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The heart is normal size. The mediastinal and hilar contours are unremarkable.
fever. evaluate for pneumonia.
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The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits. No displaced fractures identified.
<unk>m with left sided chest pain after mcc on <unk>, tenderness to left lateral <num>th rib // eval for pna, rib fracture
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Frontal and lateral views of the chest were compared to previous exam from <unk> and ct from <unk>. The lungs are clear, were not obscured by overlying cardiac pacing device. There is blunting of the left posterior costophrenic angle compatible with bochdalek hernia identified on prior ct. Cardiac silhouette is enlarged but stable. Dual-lead pacing device lead tips again seen in the right ventricular apex and right atrium. Degenerative changes noted at the right glenohumeral and acromioclavicular joints. Mild compression deformity again seen in the lower thoracic vertebral body.
<unk>-year-old female with shortness of breath.
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As compared to the previous radiograph, the lung volumes have decreased. The sternal wires are in unchanged alignment. Moderate cardiomegaly that is new, combined to minimal interstitial markings and crowding of the vascular structures at the lung bases, likely reflecting mild-to-moderate pulmonary edema. No evidence of pneumonia. No pleural effusions.
dyspnea, pulmonary edema, pneumonia.
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Lung volumes are low, somewhat accentuating pulmonary vascular markings. Bibasilar opacities present in the prior radiograph are still apparent, although substantially less so. The upper lungs appear clear. Cardiomediastinal silhouette and hilar contours appear normal.
<unk>-year-old man with pneumonia. question changes.
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Frontal and lateral radiographs of the chest demonstrate hyperexpanded lungs. Band like density at the right cardiac border which may represent right middle lobe pneumonia. An additional vague opacity in the left lower lobe also may represent atelectasis versus consolidation. Minimal left apical scarring is present. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax.
<unk>-year-old female with recent right middle lobe pneumonia. evaluate for progression.
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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 shortness of breath
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The lateral view is suboptimal due to patient positioning. Dual lead left-sided pacer device is stable in position. Bibasilar opacities are seen which may be due to pleural effusions and overlying atelectasis but consolidations are not excluded. There is prominence indistinctness of the central pulmonary vasculature suggesting congestion. The cardiac silhouette is not well assessed but appears enlarged. Mediastinal contours are stable.
history: <unk> with sob // pna?
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Lung volumes are somewhat low. The heart has increased in size from prior exam, the azygos vein is more prominent than on prior, and there is a new right pleural effusion, consistent with a volume overload state. There is an opacity at the right lung base, likely representing atelectasis given the short time course of development from prior. The opacity in the right medial lung likely represents the cardiac silhouette shifted due to patient rotation. The lungs are otherwise clear. There is no left pleural effusion or pneumothorax. A vp shunt is noted passing to the right chest.
history: <unk>m with coarse breath sounds, pre-op // eval for infiltrate
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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with cough // r/o infiltrate
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Minimal basilar atelectasis is seen without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable and stable.
history: <unk>f with acute on chronic psychosis // r/o pneumonia or incracranial process
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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 compared to upright radiograph from <unk>.. Aorta is coarsely calcified. Patient is status post median sternotomy.
history: <unk>m with c/o sob // ? pna
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The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
history: <unk>m with general malisase cough x <num> days // r/o pna
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In comparison with the study of <unk>, there has been no change or evidence of acute cardiopulmonary disease or old granulomatous disease.
positive ppd.
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Again seen is a very large hiatal hernia, unchanged in configuration since <unk>. No superimposed pulmonary consolidation, pleural effusion, or pneumothorax is detected. The heart size remains normal. There is moderate tortuosity of the thoracic aorta. Calcifications are again seen throughout the trachea and proximal bronchi.
history: <unk>f with recent pneumonia, treated one month ago, here for followup for resolution // eval for pneumonina
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There is new right lower and possibly middle lobe consolidation. There is right pleural effusion, possibly loculated tracking along the right upper lung laterally. No pneumothorax is detected. Heart size is difficult to evaluate in the setting of overlying consolidation, but is likely within normal limits. The aorta is tortuous.
<unk>-year-old female on chemotherapy, now with cough and acute chest pain.
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The lung volumes are low. Pulmonary edema is mildly improved. Left lung base subsegmental atelectasis is unchanged. There is no pneumothorax. Generalized osteopenia and left shoulder degenerative changes are noted.
<unk>-year-old female with shortness of breath and known chf with episode of hypotension; evaluate for infectious process.
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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion, consolidation, or pneumothorax.
history: <unk>m with htn, hld presents with substernal chest pain at rest with sob, n, diaphoresis // evaluation for substernal chest pain
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Left chest tube has been removed. Minimal air in small pleural effusion at left costodiaphragmatic angle is seen. There is no apical pneumothorax. Left lower lung opacity is probably due to incomplete reexpansion of the lung. Cardiac contour is top normal. Port-a-cath is in adequate position.
metastatic pancreatic cancer, on chemo; large left pleural effusion, chest tube insertion, pleurodesis, chest tube removal.
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Moderate left pleural effusion has slightly decreased size compared with prior study of <unk>. Residual density overlying the heart likely represents loculated effusion with superimposed rounded atelectasis. Small right pleural effusion is unchanged. The trace fluid in the right minor fissure has decreased. There is no pneumothorax or pulmonary edema. There is stable moderate cardiomegaly.
<unk> year old man with pleural effusion // eval
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Cardiac silhouette size is normal. The aorta remains tortuous, with pronounced ascending aortic contour, as seen previously. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with headache
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The lungs are well inflated. There is no focal consolidation. No evidence of pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal.
<unk>f w/cough, please eval for pna
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Pa and lateral views of the chest provided. Bibasilar atelectasis persists. Tiny effusions difficult to exclude. Cardiomediastinal silhouette stable. No pneumothorax. Bony structures appear intact.
<unk>m with rib pain // ? pleural effusion
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Frontal and lateral views of the chest. There is no pleural effusion, pneumothorax or focal airspace consolidation. The heart size is normal. The mediastinal and hilar structures are unremarkable.
nausea for <num> weeks. evaluate for an acute cardiopulmonary disease.
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The lungs are clear. The aorta is slightly tortuous. The heart size is top normal. No pleural effusion, pneumothorax, or pneumonia. There is no evidence of pneumomediastinum on this radiograph. The patient's known swallowed chicken bone is seen at the very edge of the film; no other foreign bodies are present. The trachea is midline.
swallowed chicken bone.
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Pa and lateral views of the chest demonstrate clear lungs. Cardiac size is normal. No pleural effusion or pneumothorax.
<unk>-year-old female with fever, question pneumonia.
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Redemonstrated is a left port-a-cath terminating in the right atrium. The right hemidiaphragm remains elevated, likely secondary to ascites. Persistent, bilateral, moderate pleural effusions are essentially unchanged as compared to the prior examination. The upper lung fields are grossly clear. The lower cardiac borders are obscured with appear unchanged from prior exam.
<unk> year old woman with gastric carcinoma and diminished lung sounds/crackles at right base // please assess for pna or pleural effusion
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The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. There is a new nodular focus projecting over the left costophrenic angle which is suspected to represent a nipple shadow or potentially a small focus of atelectasis given nodular character, however, followup pa view without and with nipple markers is recommended for confirmation.
shortness of breath and productive cough.
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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.
<unk> year old man with new doe // any explanation for doe on cxr?