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Pa and lateral chest radiographs demonstrate clear lungs. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
weakness.
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There is mild cardiomegaly. The hilar and mediastinal contours are normal. Lung volumes are increased. There are persistent interstitial reticular opacities within the upper lobes bilaterally, better characterized on prior ct examination. There is no focal consolidation concerning for pneumonia. There are no pleural effusions or pneumothorax. There are degenerative changes along the lower thoracic spine.
<unk>-year-old female patient with newly diagnosed pulmonary hypertension and hypoxemia.
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Pa and lateral views of the chest were reviewed and compared to the prior studies. The lungs are clear without focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. Tortuosity of the ascending aorta is again noted; otherwise, the cardiac and mediastinal contours are normal.
influenza-like illness and fever.
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Lungs are low in volume resulting in bronchovascular crowding. Within this limitation, mild pulmonary vascular congestion is suspected. Bibasilar left greater than right opacities are most likely atelectasis though superimposed infection would be difficult to exclude. There is no pleural effusion. The heart is top-normal in size.
shortness of breath and chest pain.
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Linear opacity in the right base likely represents fibrosis as this is unchanged since <unk>. The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pneumonia, no pulmonary edema. No pleural effusions.
<unk> year old woman smoker who has cough, feverish, crackles in the bases, eval for pna // ?pneumonia?
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with chest pain
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Pa and lateral chest radiographs demonstrate clear lungs bilaterally. Linear opacity at the base of the left lung is most likely atelectatic in etiology. Cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax, evidence of pulmonary edema, or pleural effusion. No free air under the right hemidiaphragm is identified.
<unk>-year-old female history of palpitations.
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No definite focal consolidation is seen. Previously noted pulmonary nodules on prior chest ct from <unk> were better seen on ct. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with flank pain, fever // eval for infiltrate
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Pa and lateral views of the chest. The lungs are clear without focal consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. The thoracic aorta is tortuous. No acute osseous abnormalities.
<unk>-year-old male with weakness and palpitations.
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Moderate cardiomegaly, mediastinal silhouette and hilar contours are unchanged from prior exam. Increased retrocardiac opacities are not substantiated on the lateral view. Lungs are clear. There is no pleural effusion or pneumothorax.
atrial fibrillation with shortness of breath and history of asthma being started on amiodarone.
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Right-sided port-a-cath tip terminates in the mid svc. Previously noted left picc has been removed. Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is visualized. No acute osseous abnormality is detected.
history: <unk>f with cough, shortness of breath
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Ap upright and lateral chest radiographs demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. No evidence of pulmonary edema. There is no air under the right hemidiaphragm.
<unk>f with ams, nausea/vomiting // evidence of infiltrate
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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.
right-sided chest pain.
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The lung volumes are very low and appear slightly decreased since <unk>. Opacity in the right upper lobe silhouettes the right paratracheal stripe, however, this appears relatively unchanged since the <unk>. There is mild pulmonary vascular congestion. No pneumothorax or large pleural effusion identified. The aorta is tortuous. The heart size appears stable. A large left diaphragmatic hernia contains loops of bowel and appears similar in size since <unk>. The bones are demineralized. There are old right rib fractures.
history: <unk>f with mechanical fall // eval infiltrate, effusion
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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. There is no evidence of pneumomediastinum. No acute osseous abnormality is detected.
history: <unk>m with cp after smoking marijuana // ptx? pneumomediastinum?
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Patient is s/p left upper lobectomy. Cardiomegaly is mild. The ascending aorta is tortuous. The pulmonary vasculature is normal. No focal consolidation, pleural effusion, or pneumothorax. Pectus excavatum but no evidence of acute abnormality or intrathoracic malignancy.
<unk> year old woman s/p left lung resection for cancer
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Mild bibasilar atelectasis is seen. No definite focal consolidation. No pleural effusion or pneumothorax is seen. Mediastinal contours are unremarkable. Cardiac silhouette is top-normal to mildly enlarged.
<unk> year old man with ampullary adenocarcinoma and recent biliary stent now presenting with fevers to <num>, also cough // assess for pneumonia
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Patient is status post left upper lobe wedge resection mild left-sided volume loss is again noted. The lungs are otherwise clear. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits. There is possible irregularity of the lateral left seventh rib. Anterior cervical fixation hardware is noted.
<unk>f with s/p fall with l rib pain // r/o rib fx
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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 right rib pain, anterior just below breast s/p fall // rib fx? ptx?
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In comparison with the study of <unk>, there are again bilateral pleural effusions, more prominent on the left, with compressive atelectasis and volume loss in the left lower lobe. No evidence of vascular congestion. Overall, little change between the two studies.
pleural effusion.
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Pa and lateral views of the chest demonstrate relative flattening of the hemidiaphragms, as before, likely due to underlying copd. Bilateral pleural thickening with areas of calcification are stable in appearance. Otherwise, the lungs are clear, with no focal opacities. There is no pleural effusion. The cardiomediastinal silhouette is unremarkable and the heart size is normal.
<unk>-year-old man with hyperglycemia and crackles in the right lower lobe. evaluation for infiltrate.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with <num> weeks of ongoing productive cough and treatment with abx for bronchitis with no resolve, right anterior rib pain // please eval for infection/pna/as well as right anterior rib fx
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well expanded and clear. Pulmonary vasculature is within normal limits.
shortness of breath.
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The lungs are hyperinflated, likely due to emphysema. A widespread interstitial abnormality is most consistent with superimposed fibrosis. There is no focal abnormality to suggest pneumonia. There is no vascular congestion, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Compression deformities in the mid thoracic spine are of uncertain age, though likely old.
fever. evaluate for pneumonia.
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Ap and lateral views of the chest. There is mild cardiomegaly. There is bibasilar atelectasis. No pleural effusion or pneumothorax. No sternal abnormalities identified on the lateral film. There is kyphosis of the thoracic spine. The mediastinal and hilar contours are normal. Mild bibasilar atelectasis.
subdural hematoma, sternal tenderness, evaluate for sternal injury.
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Mild cardiomegaly is a stable. The lungs are hyperinflated consistent with copd. There is no pneumothorax. Right lower lobe consolidation has resolved. There is atelectasis in the left lower lobe. The there is mild biapical scarring. There are mild degenerative changes in the thoracic spine
<unk> year old woman with recent pna treated, but still wtih persistent dyspnea on exertion // r/o pulmonary effusion, assess interval change
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Cardiac, mediastinal and hilar contours are unchanged with the heart size appearing borderline enlarged. Coronary artery stent is re- demonstrated. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with chest pain
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The heart size is within normal limits. The mediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. A percutaneously placed g-tube sits just left of midline in the upper abdomen. There is no subdiaphragmatic free air.
<unk>-year-old female with shortness of breath as well as malnutrition and recent g-tube placement.
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Cardiomediastinal silhouette is within normal limits. Lungs are symmetrically expanded and clear. There is no pleural effusion or pneumothorax.
history: <unk>m with chest pain // ?pna, ?ptx
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The cardiomediastinal silhouettes are stable, within normal limits. The bilateral hila are unremarkable. Mild elevation of the left hemidiaphragm is noted. The lungs are clear. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion. There is no acute displaced rib fracture identified.
<unk>m with right rib pain and left hip pain after assault.
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Bilateral basal predominant linear opacities are consistent with patient's known interstitial lung disease without significant change, or in fact mild improvement from the prior study. No focal consolidation, pleural effusion or pneumothorax is seen. The heart is normal in size with normal mediastinal contours.
cough and chest pain.
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There are two nodules in the left upper and mid lung, which are concerning for metastatic disease. The superior nodule measures <num> mm and the inferior nodule measures <num> mm. There is an opacity at the left base with associated volume loss which could represent atelectasis or consolidation. There is no pneumothorax or pleural effusion. The cardiomediastinal silhouette is normal.
neutropenic fever. new focal opacity.
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Pa and lateral radiographs of the chest demonstrate normal heart size. Patient is status post median sternotomy and valve replacement. The cardiomediastinal silhouette show the heart size to be top normal. Hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax. No displaced rib fracture identified.
chest pain. evaluate for acute process.
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Sternotomy wires, a mitral valve prosthesis and cabg clips are constant. The moderate right pneumothorax is unchanged as has been noted on multiple prior chest radiographs since <unk>. There is no shift of the mediastinum to suggest tension. Retrosternal lucency could reflect a loculated component of air, an acceptable finding after sternotomy. As the lung volumes have improved, the bronchovascular crowding and retrocardiac atelectasis have improved. Bibasilar linear atelectasis is similar. The cardiac and mediastinal contours are unremarkable.
status post mitral valve repair, evaluate prior to discharge.
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In comparison with study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. Dual-channel pacer device with leads in good position in a patient with intact midline sternal wires. No evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
intermittent dyspnea.
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. <num> mm nodular opacity within the right upper lobe is similar compared to the prior ct chest allowing for differences in technique. Lungs are otherwise clear. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormality is visualized.
history: <unk>f with left arm swelling and pain
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are stable in appearance compared to <unk> radiograph. Prominence of the azygos vein contour and central pulmonary vascularity is also unchanged since that time.
history: <unk>m with cough // eval for pna
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The lungs are well-expanded and clear. There is no pneumothorax, pleural effusion, pulmonary edema, or focal airspace consolidation. The cardiomediastinal silhouette is unremarkable. Scoliotic curvature of the thoracic spine is noted.
history: <unk>f with chest pain // eval for ptx or pna
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The lungs are clear. There is no effusion, pneumothorax or consolidation. The cardiomediastinal silhouette is normal, no evidence of pneumomediastinum. No acute osseous abnormalities.
<unk>m with r sided cp, sob. // ptx?
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Compared with the prior study, the heart has minimally enlarged with new pulmonary vascular engorgement. There is no pleural effusion, pneumothorax, or focal consolidation.
<unk>f with vertigo and possible dka. evaluate for pneumonia.
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Osseous structures are intact.
<unk>-year-old female with mild dyspnea, left lower chest pain, evaluate for lower lobe pneumonia.
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities.
<unk>-year-old female with fever and tachycardia.
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Heart size is mildly enlarged but unchanged. Mediastinal contour is similar, with diffuse atherosclerotic calcifications seen throughout the aorta. Hilar contours are unchanged, with mild vascular indistinctness suggestive of mild pulmonary vascular congestion. Patchy opacities in the lung bases may reflect areas of atelectasis but infection is not excluded. The lungs are hyperinflated. No pleural effusion or pneumothorax is identified. Old right-sided rib fractures are again seen. Bilateral humeral prostheses are incompletely imaged.
history: <unk>f with hypotension, eval for pneumonia // acute process?
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The heart is normal in size. There is mild unfolding along the descending aorta. The mediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. Streaky right middle lobe opacity suggests minor atelectasis or scarring.
vertigo. question cerebellar stroke.
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Frontal and lateral views of the chest. Relatively low lung volumes are seen, but the lungs are clear. The cardiomediastinal silhouette is within normal limits. Mild mid thoracic dextroscoliosis is noted. No acute osseous abnormality is identified.
<unk>-year-old female with epigastric pain radiating to her flank.
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Right-sided port-a-cath is unchanged in position, and terminates near the superior cavoatrial junction. Previously noted left upper lobe opacity has improved, and suggests resolving infection. There are bilateral pleural effusions, left greater than right, which have increased from <unk>. Adjacent bibasilar opacities most likely represent compressive atelectasis, although infection should be considered in the appropriate clinical setting. No pneumothorax. Cardiomediastinal contours are unchanged. No acute osseous abnormalities identified.
<unk> year old woman with met breast cancer // increasing sob--<unk> evaluate pleura, lungs and pericardium compare to recent chest imaging available in our system
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.
chest pain.
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There is evidence of left pneumonectomy with increasing fluid in pleural space as expected with decrease in air component. Mediastinum is unchanged in position. Previously noted right upper lobe opacity has improved consistent with improving pneumonia. There is stable right lower lobe atelectasis and small pleural effusion. Stable mild multilevel degenerative changes of the thoracic spine are noted.
<unk>-year-old female status post left pneumonectomy.
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Pa and lateral chest views were obtained with upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. As shown on previous chest examination, pulmonary vasculature with increased basal translucency coinciding with low positioned and flattened diaphragms is consistent with chronic copd. Comparison with the next preceding study, there are two thin peripheral plate atelectasis on the right base which were not present to the same extent on the previous examination. No other acute parenchymal infiltrates can be identified. No pneumothorax has developed. Previously described right-sided port-a-cath system introduced via the right internal jugular vein approach remains in unchanged position terminating in the lower svc. No pneumothorax has developed.
<unk>-year-old male patient with chronic lymphatic leukemia, increasing cough, assess for abnormalities.
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Pa and lateral views of the chest were reviewed and compared to the prior study. There is bilateral apical pleural thickening. The lungs are clear and well expanded without evidence of vascular congestion, pleural effusion, or pneumothorax. There is flattening of the hemidiaphragms. The cardiac and mediastinal contours are normal. No concerning osseous or soft tissue lesions.
unintentional weight loss, tobacco use.
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A right-sided tunneled line is unchanged in position. The heart size is normal. The hilar and mediastinal contours remain within normal limits. Again seen is central pulmonary vascular congestion, with mild pulmonary edema overall improved since <unk>. Small bilateral pleural effusions are decreased in size. There is no pneumothorax.
<unk>m w esrd, fluid overload w b/l pleural effusions, now s/p <unk> hd session, still o<num> dependent // eval interval change in pleural effusions/edema, now s/p hd session today
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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 fatigue, chills, and aches // evidence of infiltrate
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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. No pulmonary edema is seen.
history: <unk>m with chest pain // eval for pneumonia
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There are bibasilar opacities worrisome for multifocal pneumonia. Aspiration is also in the differential diagnosis, depending on the clinical scenario. The cardiac and mediastinal silhouettes are stable, as are the hila contours. There is no pleural effusion or pneumothorax.
fever and cough, decreased breath sounds on left.
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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.
chest pain.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with ms and pain // eval for infection
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The cardiac silhouette is mildly enlarged. The mediastinal contour is normal. Low lung volumes. No overt edema or pneumonia. There is no pleural effusion or pneumothorax.
<unk>m with weakness, evaluate for pneumonia..
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In comparison with the study of <unk>, the patient has taken a better inspiration. Pacer leads are essentially unchanged and there is no evidence of pneumothorax.
new pacer device.
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The lungs are well inflated and clear. There is enlargement of the central pulmonary arteries suggestive of underlying pulmonary arterial hypertension. The aorta is tortuous. The cardiac silhouette is normal in size. There is no pleural effusion or pneumothorax.
<unk>f with chest tightness and dyspnea since <unk> with associated productive cough. evaluate for acute cardiopulmonary 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 hallucinations, ams. // r/o infectious process
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Pa and lateral images of the chest demonstrate well expanded lungs. There is an area of gas above the right lung again seen which is similar to previous imaging. There is subcutaneous air noted on the right side of the body and intramuscular free air within the pectoralis muscles on the right. There is interval improvement of the opacity in the upper portion of the right lung. The right lower lobe appears unchanged. The left lung remains clear. Cardiomediastinal silhouette appears unchanged.
<unk>-year-old female status post thoracotomy and complicated medical course, now status post chest tube to waterseal.
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Pa and lateral views the chest provided. A tiny density projecting over the heart may be ap in full closure device. Lungs are clear. No large effusion or pneumothorax. Bony structures are intact. No free air below the right hemidiaphragm.
history of pfo, cva, tia is present with transient left arm numbness this afternoon.
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A right pectoral pacemaker with leads terminating in the right atrium and right ventricle is unchanged in position. Sternotomy wires, epicardial pacer wires and mediastinal clips are constant. The heart is mildly enlarged, which accounting for technique, is unchanged. There is central vascular congestion without overt pulmonary edema. No pleural effusion or pneumothorax. An opacity in the right low lung, only appreciated on the frontal view, could reflect atelectasis or infection. There is no rib fracture.
right side rib pain after fall, rule out acute process.
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At least four, contiguous, partially displaced rib fractures are noted involving the right lateral ribs <unk>. Generalized haziness over this region may reflect underlying pulmonary contusion or soft tissue edema. There is no pneumothorax, pleural effusion, or frank pulmonary edema. The cardiac silhouette is normal. The descending thoracic aorta is mildly tortuous. A probable chronic right shoulder fracture these noted.
history: <unk>m with seizure, on seizure meds // eval pna
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Low lung volumes accentuate the bronchovascular markings, and there is no focal consolidation or pleural effusion. The heart size is normal.
<unk>-year-old male with dyspnea, fever, cough. evaluate for evidence of infiltrate.
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As compared to the previous radiograph, the size of the cardiac silhouette is moderately increased. Given lower lung volumes, there is more crowding of the vascular and bronchial structures, notably at the lung bases, but no pulmonary edema is present. No pneumonia. No pleural effusions. No lung nodules or masses.
stroke and fever, questionable pneumonia. rule out pathologic process.
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Large opacity in the left mid lung, better assessed on torso ct <unk>, has grown since previous radiograph two weeks ago. There is also greater heterogeneous opacity at the right lung base where there was a similar peripheral lung and pleural lesion. First consideration, to exclude multifocal lung infection, is unlikely given clinical situation described to me by medical house officer. It would appear to be caused by aggressive multifocal malignancy, either lung or metastatic breast cancer, per provided history. Bilateral diffuse interstitial abnormality has worsened from prior, probably edema, perhaps on the background of interstitial lung disease/fibrosis. Bilateral pleural effusions are small, but slightly larger. Heart is not enlarged. There is no pneumothorax.
<unk>-year-old female with history of pleural effusions, now with posterior back pain for two days. evaluate pleural effusions or evidence of pneumonia.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with cough ongoing
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>f with substernal chest pain ucg ordered // evaluate cardiomediastinal shadow
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen. Degenerative changes are again seen along the spine.
history: <unk>f with tachycardia, syncope, sob // pulmonary edema?
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no pneumomediastinum. There is no lung consolidation.
<unk>-year-old woman who smokes marijuana every day complaining of chest pain after dry-swallowing pill, evaluate for pneumomediastinum
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Diffuse reticular and nodular opacities bilaterally are unchanged from the prior study. More focal opacity in the lingula has slightly increased from <unk>, but is similar to <unk> and may represent a waxing and waning abnormality. There is no new consolidation, and no pleural effusion or pneumothorax. Biapical pleural thickening is unchanged. The cardiac and mediastinal silhouettes and hilar contours are stable.
bronchiectasis with new worsening cough and sputum. evaluate for pneumonia.
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The lungs are well-expanded and clear. No focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette, hila, and pleura are normal. The stent projects over the area of the stomach below the diaphragm, but migration cannot be assessed as it was not present on the most recent exam. Interval removal of the right ij catheter, and interval placement of a right port-a-cath, with the tip ending in the approximate cavoatrial junction. Stable position of the median sternotomy wires.
<unk> year old man with recurrent esophageal cancer, now with worsening cough and ? aspiration/dysphagia. s/p recent esophageal stent placement. // please evaluate for stent migration, infiltrates
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In comparison with study of <unk>, the area of increased opacification in the left upper zone is less prominent, though still probably reflecting pneumonia. Bibasilar atelectasis and trace effusions are again seen and the dual-channel pacer device remains in place.
right lower lobe rales.
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Pa and lateral views of the chest. Lower lung volumes seen on the current exam. Bibasilar opacities are likely due to secondary atelectasis. There is no effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>-year-old male with dizziness and diaphoresis.
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Mild left base atelectasis is seen. There is no definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with fall from car, ha, hematoma // ? ich, fx,
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with chills, immunosuppressed // eval for pna
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. There is no pulmonary edema. No displaced fracture is seen.
<num> week chest discomfort.
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Frontal and lateral radiographs of the chest demonstrate normal heart size. Normal mediastinal and hilar contours. Clear lungs. No pleural effusion or pneumothorax. No displaced rib fracture.
shortness of breath. question pneumonia.
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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.
left upper quadrant pain, evaluate for effusion.
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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 chest pressure
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There is no evidence of focal consolidation,pleural effusion,pneumothorax,or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits. There are no granulomas or hilar adenopathy.
<unk> year old woman with granulomatous mastitis // ? lung tuberculosis or mediastinal <unk> <unk>/w sarcoidosis
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Ap and lateral views of the chest <unk> at <time> are submitted. Best possible images were obtained in this patient with a large body habitus.
<unk> year old woman with diastolic hf and recurrent asthma exacerbations, with increase in cr. // <unk> year old woman with diastolic hf and recurrent asthma exacerbations, with increase in cr. any signs of volume overload? difficult to assess clinically in morbidly obese woman. <unk> year old woman with diastolic hf and recurrent asthma exacerbations, with increase in cr. any signs of volume overload? difficult to assess clinically in morbidly obese woman.
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Lung volumes are low. There is mild elevation of the right hemidiaphragm with new right lower lobe subsegmental atelectasis. The left lung is clear.
<unk>-year-old male with hepatic cellular carcinoma presenting with shortness of breath.
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There is mild lateral left basilar atelectasis/scarring. Slight blunting of the posterior right costophrenic angle may be due to a trace pleural effusion. No evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. Surgical clips are partially seen in the upper abdomen.
fever.
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The heart is mildly enlarged. There is moderate unfolding of the thoracic aorta, but otherwise the mediastinal and hilar contours appear within normal range. There is mild-to-moderate relative elevation of the right hemidiaphragm. No pleural effusion or pneumothorax is seen. There are patchy predominantly streaky opacities at both lung bases that are suggestive of minor atelectasis. Otherwise, the lungs appear clear. Moderate anterior osteophyte formation is noted throughout the thoracic spine. Cholecystectomy clips project over the right upper quadrant.
chest pain and lightheadedness.
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The lungs are well expanded and clear. There is no focal consolidation, effusion, pneumothorax. Median sternotomy wires are intact. Mediastinal vascular clips are in stable position.
cough.
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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>m with syncope, evaluate for pneumonia.
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In comparison with the study of <unk>, there is no change in the appearance of the port-a-cath, with its tip in the mid portion of the svc. The remainder of the examination is essentially within normal limits with no evidence of pneumonia, vascular congestion, or pleural effusion. The mild loss of height of l<num> is difficult to appreciate on the current study.
to evaluate for indwelling port.
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In comparison to the chest radiographs obtained <unk>, no significant changes are appreciated. Lungs are fully expanded and clear without consolidations or suspicious pulmonary nodules. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.
<unk> year old woman with ongoing cough. on prednisone for temporal arteritis. previous films, ct at <unk> // ? infiltrate.
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Cardiac silhouette size is mildly enlarged. Aorta is tortuous and diffusely calcified. Aortic core valve device is re- demonstrated. Mediastinal and hilar contours are otherwise stable, and no pulmonary vascular congestion is demonstrated. Linear opacities in the left lung base are compatible with subsegmental atelectasis. Remote right-sided rib fractures are again noted. The right humeral head appears to be anteriorly dislocated relative to the glenoid fossa. The left humeral head demonstrates bone multiple surgical anchors. No pleural effusion or pneumothorax is identified.
history: <unk>f status post fall just prior to arrival, struck front of head on toilet bowl, also with bief episode of chest pain earlier today that resolved with <num> nitroglycerin
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is not enlarged. The aorta is slightly tortuous. External artifact appears to overlie the anterior abdomen.
history: <unk>f with ams // pna?
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Low lung volumes are again noted. There relatively dense left basilar opacity silhouetting the hemidiaphragm. This is likely in part due to an effusion although superimposed consolidation is also suspected. Surgical chain sutures project over the right mid lung. The right lung is otherwise grossly clear within limitation of low lung volumes. The cardiomediastinal silhouette is grossly within normal limits. No acute osseous abnormalities.
<unk>f with dyspnea, hx of recent pna // eval for infiltrate, effusion
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The lungs are hyperexpanded. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. Cervical fusion hardware is noted within the lower cervical spine.
history: <unk>m with wheezing, smoker, no medical care x<unk> yrs // ? cardiopulmonary abnormality
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Relatively low lung volumes are noted. Streaky bibasilar opacities are likely secondary to atelectasis. The lungs are otherwise clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with altered mental status // eval for acute process
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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 abnormality. Small sliver of lucency seen just below the right hemidiaphragm is compatible with known free intraperitoneal air seen on recent ct abdomen.
<unk>m with perforated diverticulitis on ct // preop
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Visualized osseous structures are without an acute abnormality.
<unk>-year-old female with dyspnea.
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Pa and lateral views of the chest provided. Lungs are grossly clear. Lung volumes are decreased. Increased density at the lung base seen on the lateral projection likely represents a pleural or soft tissue thickening. No pneumothorax. A moderate amount of subcutaneous emphysema along the left chest wall is unchanged. A small left pleural effusion is unchanged. Hilar and cardiomediastinal contours are normal. Left, minimally displaced rib fractures are stable. <unk> be some extrapleural collections of hematoma along the left chest wall.
<unk> year old man with mx l rib fx's, s/p pigtail removal, +dyspnea // eval l ptx. please do standing expiratory pa film
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As compared to the previous radiograph, a pre-existing left pleural effusion has substantially increased in size and extent. The effusion now occupies approximately one-quarter of the left hemidiaphragm. As a consequence, areas of atelectasis are seen. The size of the cardiac silhouette continues to be moderately enlarged. No changes in the right lung. The alignment of the sternal wires is constant. At the time of dictation and observation, <time> p.m., on <unk>, the referring physician <unk>. <unk> was paged for notification.
dyspnea, status post cardiac surgery, evaluation.
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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 recurrent aspiration pneumonia. new aspiration event a few days ago, now with cough // assess for infiltrate