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Upright ap and lateral views of the chest demonstrate vague bilateral perihilar ground glass opacities which in an asthmatic favors an atypical airways infection/inflammatory process. Difficult to exclude congestion and edema however and clinical correlation is advised. Sternotomy wires are noted. No pneumothorax or effusion.
<unk>f with hx asthma presenting w/ cough and hypoxia
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with productive cough, fever // infiltrate suggestive of pneumonia
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Cardiomediastinal contours are normal. Bibasilar atelectasis are minimal increased. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old woman with cirrhosis, concern for pneumonia // please assess for evidence of pneumonia
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Pa and lateral chest radiographs were provided. There is no focal consolidation, pneumothorax or pleural effusion. Mild-moderate cardiomegaly persists. There is no evidence of chf.
<unk>-year-old man with substernal chest pain after vomiting, evaluate for cardiopulmonary process.
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Cardiomediastinal silhouette and hilar contours are unremarkable. Left lung base consolidation with focal loss of the hemidiaphragmatic contour is compatible with pneumonia. The remainder of the lung fields is clear. The pleural surfaces are clear without effusion or pneumothorax.
fever and cough.
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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. The bony structures are unremarkable aside from minimal degenerative changes seen along the mid portion.
chest pain after iron infusion. question cardiomegaly.
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There is a new opacity at the lateral right upper lung. Remainder of the lungs are clear. Heart size is normal. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.
history: <unk>m with pleuritic r sided cp and cough // acute process
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There is a moderate pleural effusion on the right. Streaky atelectasis is seen at the left lung base. There is no pneumothorax. The heart appears enlarged, although the right border is obscured by the effusion. No acute osseous abnormalities are identified.
<unk>m with new afib/cp/sob
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Frontal and lateral views of the chest. Relatively lower lung volumes are again seen with crowding of the bronchovascular markings. There is no evidence of consolidation, effusion or overt pulmonary edema. The cardiomediastinal silhouette is stable with similar degree of cardiomegaly likely accentuated by low lung volumes. No acute osseous abnormalities.
<unk>-year-old male with chest pain and shortness of breath. history of diastolic heart failure.
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Lower lung volumes seen on the current exam. The lungs are grossly clear without consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with right shoulder pain and ttp and midthoracic ttp
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax.
post-operative fever.
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. Mildly tortuous appearance of the ascending aorta and slight unfolding of the descending aorta appear unchanged. The lungs remain hyperinflated with diaphragmatic flattening, compatible with emphysema. There is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old male with productive cough. question infiltrate.
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The lungs are clear without evidence of consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There is no radiopaque foreign body visualized within the chest.
swallowed a sewing needle. evaluate for foreign body.
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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, pleural effusions, or pneumothorax. The visualized osseous structures are unremarkable.
history of chest pain. please evaluate for pneumonia.
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There is persistent alveolar infiltrate in the right lower lung with some interval partial clearing. There continues to be a small amount of volume loss/infiltrate in the retrocardiac region. Overall, the appearance is improved compared to the study from the prior day with persistent right lower lobe infiltrate.
followup, question infiltrate.
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Since <unk>, the heart has increased in size, accompanied by azygos vein distension in increase caliber of upper lobe vessels. Within this context, new basilar predominant interstitial opacities likely represent interstitial edema. Additionally, asymmetrically distributed multifocal areas of consolidation have developed predominantly in the juxta hilar regions, right greater than left, with extension into the upper lobe on the right. Exam is otherwise remarkable for healed left rib fractures.
<unk> year old man with cough // cough
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Significant interval decrease in the cavitary opacity in the right lower lobe with minimal residual linear opacity. The lungs are otherwise clear. No pleural effusions or pneumothorax. The cardiomediastinal contours are unremarkable.
<unk> year old man with crohns with lung abscess one month ago, still some dyspnea after <num> month treatment. // f/u for lung abscess
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Ap and lateral views of the chest. Compared to prior study, the small bilateral pleural effusions have decreased. Mild bibasilar atelectasis is redemonstrated. There is no focal consolidation and no pneumothorax. Previously noted mild pulmonary edema has improved. The cardiomediastinal and hilar contours are stable.
right-sided chest pain.
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There is a new mass-like appearance to the left hilum worrisome for underlying neoplasm and in addition the left upper mediastinal contours are newly thickened and lobular which raises concern for coinciding lymphadenopathy. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.
cough.
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No focal consolidation, pleural effusion, or pneumothorax is seen. Heart and mediastinal contours are within normal limits. There is evidence for underlying copd. Aortic calcification is again noted. Right port-a-cath appears in similar position. Right staghorn renal calculus is again noted.
<unk>-year-old female with dizziness.
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The lungs are clear of focal consolidation, pleural effusion or pulmonary edema. The heart size is normal. The patient is status post median sternotomy, and there are aortic calcifications.
<unk>-year-old female with cough since <unk>. evaluate for acute process.
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Left dual-lead pacer is unchanged in appearance. Trace left greater than right pleural effusions are similar in appearance to the previous examination without evidence of pneumothorax. Changes of emphysema are noted. The heart is moderately enlarged with pericardial calcifications again seen. Rounded opacity projecting over the cardiac apex is likely due to pericardial calcficiations though a loculation of fluid or rounded atelectasis could have a similar appearance.
<unk>-year-old man with chest pain after thoracentesis, assess for pneumothorax.
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The lungs are well inflated and clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.
<unk>m with ams // eval for pneumonia
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Moderate cardiomegaly is re- demonstrated. The mediastinal and hilar contours are unchanged. No pulmonary edema is present. There are small bilateral pleural effusions. Patchy opacities in the lung bases likely reflect atelectasis. No pneumothorax is detected. No acute osseous abnormality is seen.
history: <unk>m with chest pain, cough
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Bilateral multifocal opacities are unchanged since the prior study. Cardiomediastinal silhouette is also unchanged. There is no pneumothorax or new areas of focal consolidation. There is no significant pleural effusion.
<unk>-year-old female with overdose and aspiration. evaluate for interval change.
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Frontal and lateral views of the chest. Somewhat linear left basilar opacities seen, most suggestive of atelectasis. Lungs are otherwise clear without focal consolidation. There is trace blunting of the posterior right costophrenic angle as on prior which could be due to trace effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old male with fever, with presyncope.
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The lungs are well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Mild degenerative changes of the thoracic spine noted.
<unk>f with several areas of chest tightness radiating to back. assess for vessel dilation or abnormality? cardiopulmonary abnormality?
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Frontal and lateral radiographs of the chest. Small bilateral pleural effusions as well as left lower lobe mass and chronic left lower lobe collapse are all unchanged since the prior radiograph. The lungs are otherwise clear with no new focal opacity. The heart is unchanged and top normal. Mediastinal contours are normal without lymphadenopathy. Emphysematous changes characterized by increased ap diameter and flat diaphragms as well as hyperinflated lungs are also unchanged. Calcified aorta is again seen.
history of pleural effusion. monitoring.
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Ap and lateral views of the chest are compared to previous exams from <unk>. Linear opacities identified at the lung bases, most suggestive of atelectasis given their configuration. There is also subtle residual retrocardiac opacity which has improved since <unk>. Elsewhere, the lungs are clear. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with recent history of pneumonia, unclear compliance with treatment. evaluate for progression.
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Right central venous catheter terminates in the low svc. The heart is top normal. The mediastinal and hilar contours are normal. The lungs are normally expanded and clear. There is likely a small right pleural effusion blunting the posterior costophrenic sulcus.
fever (possibly neutropenic). evaluate for pneumonia.
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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. Osseous structures an acute abnormality
<unk>m with chest pain
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Ap upright and lateral views of the chest provided. There is no focal consolidation or pneumothorax. There are trace bilateral pleural effusions. Pulmonary vascular congestion is mild. Left basilar atelectasis is mild. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>m with weakness // ? pneumonia
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Patient is rotated somewhat to the right. Left base linear atelectasis/scarring is seen. The left hemidiaphragm is somewhat elevated with gaseous distension of the stomach beneath. No large pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. There is moderate to severe compression of vertebral body at the thoracolumbar junction, new since <unk>, but of otherwise indeterminate age.
history: <unk>f with ams. // ? pneumonia
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The lungs are hyperinflated suggesting chronic obstructive pulmonary disease without focal consolidation. There is no pleural effusion or pneumothorax. The heart is normal in size. Normal cardiomediastinal silhouette. Only seen on the lateral is a vertically oriented object projecting over two vertebral bodies which may be a surgical device or external to the patient. It has been present on multiple prior examinations and correlation with patient history is recommended. Findings were discussed with dr. <unk> by dr. <unk> at <unk> on <unk> by phone.
chest pain and shortness of breath. assess for pneumonia.
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The pulmonary vasculature is unremarkable. The lungs are clear without focal or diffuse abnormality. No pneumothorax, pneumomediastinum, or pleural effusion. Osseous structures are unremarkable. No radiopaque foreign body.
<unk>-year-old male with hiv, presenting with dysphagia for solids and liquids. evaluate for pneumomediastinum or other acute chest pathology.
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No focal consolidation, pleural effusion or pneumothorax identified. No bulky hilar adenopathy identified. The size of the cardiomediastinal silhouette is within normal limits.
<unk> year old woman with new onset suspected reactive arthritis // evaluate for sarcoid
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The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with fatigue, uri sx, subjective fevers since <unk> // any acute cardiopulmonary process
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The heart is mildly enlarged. The aorta is moderately tortuous. Otherwise, mediastinal and hilar contours are unremarkable. Linear opacity in the lingula is most consistent with minor scarring. Otherwise, the lungs appear clear. There are no pleural effusions or pneumothorax.
syncope and head injury.
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In comparison with the study of <unk>, there is little overall change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, pleural effusion, or discrete mass.
nephritis on immunosuppression, to assess for lung mass.
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is normal. A right pectoral port-a-cath catheter tip terminates within the right atrium.
<unk>f with fever on chemotherapy, evaluate for pneumonia.
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There is dense opacification of the left lower lung zone with upper lobe collapse and central adenopathy. There is rightward deviation of trachea. Large left pleural effusion is observed with a lower lung zone mass presumed. The right lung is unremarkable. There is no pneumothorax. The most of the cardiac border is obscured by left lower lung opacity.
<unk>-year-old male with hypoxia and newly diagnosed lung cancer.
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The lungs are well expanded and clear without lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. There is a nondisplaced fracture through the mid portion of the right clavicle. No displaced rib fractures are identified. There is no pneumothorax
history: <unk>m with right shoulder pain s/p fall off bike // r/o fracture s/p fall
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The lungs are clear of airspace or interstitial opacity. The cardiac silhouette is top-normal. No pleural effusions or pneumothorax. No acute or aggressive osseus changes.
<unk> year old woman with new doe on an mtor inhibitor // evidence of pulmonary edema
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Left-sided port-a-cath is again noted in similar position. There is focal opacity projecting lateral to the right hilum seen anteriorly on the lateral view which is new from prior. Elsewhere, lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cough // ?pna
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An enteric tube is seen which courses through the stomach and tip appears to be post pyloric in position. Lung volumes are low. The cardiac, mediastinal and hilar contours are normal. Patchy opacities in the lung bases may reflect aspiration or infection and appear progressed in the interval. No pleural effusion or pneumothorax is seen. There is no pulmonary edema.
cough.
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Pa and lateral views of the chest. The lungs are clear of consolidation, effusion, or vascular congestion. Cardiomediastinal silhouette is stable. Median sternotomy wires are again noted. Osseous structures demonstrate no acute abnormality.
<unk>-year-old female with chest pain and shortness of breath.
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There are low lung volumes. The heart size remains top normal in size. The mediastinal and hilar contours are stable. Pulmonary vascularity is normal. There is minimal bibasilar atelectasis, but no focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities detected.
hypoglycemia.
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Pa and lateral views of the chest provided. Lungs are clear. Heart size is normal. There are no pleural effusions.
h<num>f with cough // eval for infiltrate
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There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is normal. There is no focal lung consolidation. There is a dextroscoliosis of the thoracic spine. There is no acute osseous abnormality.
<unk>-year-old woman with chest pain for <num> months.
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Interval increase of cardiomegaly and/or pericardial. The hila are normal. There is no pleural effusion and no pneumothorax. Atherosclerotic calcification of the abdominal aorta is seen. No displaced rib or clavicle fractures. The height of the thoracic and upper lumbar vertebral bodies is normal.
<unk>-year-old renal transplant with thoracic back pain and fever.
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Cardiac, mediastinal or hilar contours are unchanged and within normal limits. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion, focal consolidation or pneumothorax is visualized. No acute osseous abnormality is detected.
chest pain.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk> year old woman with cough // eval for infiltrate
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Since prior, there has been a slight decrease in the size of a right apical pneumothorax, which now measures <num> cm. There is no evidence of tension. The lungs, heart, and mediastinum are normal.
<unk> year old man with post-pull had small ptx, evaluate interval change.
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In comparison with the earlier study of this date, there has been removal of the right chest tube with no evidence of pneumothorax. Little change in the appearance of the heart and lungs. Persistent right percutaneous emphysema along the right lateral chest wall and upper abdomen.
chest tube removal, to assess for pneumothorax.
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Mediastinal contour is unchanged. Heart size is normal. There is no pneumothorax or pleural effusion. There is mild vascular congestion but no focal consolidation.
<unk>-year-old woman with shortness breath evaluate for pneumonia
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The cardiac silhouette is stably enlarged. Lung volumes are low with associated crowding of bronchovascular structures at the lung bases. There is stable mild, unchanged indistinctness of the pulmonary vasculature. Trace bilateral pleural effusions are noted as demonstrated on recent abdominal ct from the same date.
history: <unk>f with s/p vomiting contrast // eval for aspiration
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. Cardiac silhouette is within normal limits, and there is no acute pneumonia or vascular congestion or pleural effusion.
asthma and cough.
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The lungs are clear without focal consolidation or pneumothorax. The cardiomediastinal silhouette is stable. Tortuosity of descending thoracic aorta is noted. No acute osseous abnormalities.
<unk>m with presyncope. // pna? ptx?
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.
<unk>f with c/o fever/chills and sore throat with cough.
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The lungs are well inflated and clear. There are no focal opacities. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female status post liver transplant with tachycardia and fever. evaluate for evidence of pneumonia.
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The lungs are well expanded and clear. There is no focal consolidation. The heart is top normal in size. There is no pneumothorax. The left costophrenic angle is not well visualized, which may reflect a trace pleural effusion.
<unk>-year-old female with weakness.
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The cardiomediastinal silhouette is normal. Previously seen patchy retrocardiac opacity has resolved. The lungs are clear without focal consolidation. There is no pneumothorax or pleural effusion. Views of the upper abdomen are unremarkable.
<unk>m with sob, evaluate for pneumonia.
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In comparison with the study of <unk>, there is no significant change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
hiv with dyspnea on exertion and cough.
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. No pleural effusion, focal consolidation or pneumothorax. No pulmonary edema. Partially imaged upper abdomen is unremarkable.
cough.
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There is a new wedge-shaped opacity extending to the pleura in the inferior portion of the right upper lobe. There may and lungs are clear without pleural effusion, pneumothorax, or focal consolidation. Heart size, mediastinal, and hilar contours are unchanged.
<unk>m with hemoptysis. evaluate for mass. per prior chest x-rays, patient has a history of positive ppd.
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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 rib and chest pain // fracture?
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Frontal and lateral radiographs of the chest. Tracheostomy tube is in unchanged expected position. Numerous rounded opacities are noted in both lungs which are increased in size and number compared to the prior study consistent with patient's known metastatic disease no pleural effusion or pneumothorax. Normal heart size. Stable aortic tortuosity. No definite pneumonia.
foreign body in the esophagus question pneumonia.
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There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits.
fever and crackles in the right lower lobe.
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The lungs are normally expanded and clear. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.
history: <unk>f with chest pain // eval for pna
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The lungs are clear. The cardiomediastinal silhouette and hilar contours are unremarkable. No pleural effusion or pneumothorax. The bones appear intact.
<unk>-year-old woman with chest pain and shortness of breath.
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Frontal and lateral radiographs of the chest were acquired. There is collapse of the right middle lobe. There is also minimal left lower lung atelectasis. The lungs are otherwise clear. The heart size is normal. The mediastinal contours are normal. Blunting of the posterior costophrenic angles could be due to trace pleural effusions. There is no pneumothorax. Healed bilateral rib fractures are redemonstrated.
hypoxia. assess for pneumonia.
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Lung volumes are low exaggerating the cardiac silhouette and pulmonary vasculature. Heart size is top normal with mild tortuosity of the thoracic aorta. Hilar contours are unremarkable. There is consolidation of the right lung base with loss of the hemidiaphragmatic contour reflecting probably pleural effusion with either associated atelectasis or possible pneumonia. The upper lung fields are clear. There is no pneumothorax.
right-sided chest pain, evaluate for pneumonia.
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There are small bilateral pleural effusions. There is a right basilar opacity medially on the frontal view, not confirmed on the lateral. The lungs are otherwise clear. There is no focal consolidation. The cardiomediastinal silhouette is within normal limits. Left sided picc is seen with tip in the lower svc.
<unk>f with fever wbc // eval for pna
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Heart size is top normal. Mediastinal and hilar contours are unchanged with mild leftward deviation of the trachea due to a known thyroid goiter again noted. Pulmonary vasculature is not engorged. Linear opacities within the lung bases likely reflect areas of atelectasis or scarring. No focal consolidation, pleural effusion or pneumothorax is demonstrated. Degenerative changes are again seen within the imaged spine.
history: <unk>f with right facial droop and right upper extremity weakness, history of old stroke, altered mental status
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Lung volumes are low with crowding of bronchovascular structures. There are increased pulmonary interstitial markings with fullness of the bilateral hila, likely reflecting some mild pulmonary edema. No focal consolidation is identified. Bibasilar atelectasis is again seen. There is no pneumothorax. Small bilateral pleural effusions are possible. Heart size remains enlarged.
<unk>f w/nausea, vomiting, rigors, please eval for pna
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There may the mild bilateral pleural thickening versus prominence of the pleural flat. Trace pleural effusions not excluded. Left basilar atelectasis. No definite focal consolidation. The cardiac silhouette is mildly enlarged. Mediastinal contours are grossly unremarkable. There are degenerative changes at the right acromioclavicular joint.
history: <unk>m with chest pain sob, mild wheezing // please eval for pna
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable. There is suggestion of a hiatal hernia.
history: <unk>f with syncope*** warning *** multiple patients with same last name! // eval pna
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Prominent perihilar vasculature suggests pulmonary vascular engorgement. There is blunting of the posterior left costophrenic angle worry raising concern for a trace pleural effusion. No focal consolidation is seen. There is no evidence of pneumothorax. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable.
history: <unk>f with weakness // pna?
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The lungs remain hyperinflated consistent with patient's history of underlying emphysema. Areas of calcified pleural plaques previously demonstrated on ct account for the focal calcific densities overlying bilateral lungs. There are no focal consolidations, effusions, or pneumothoraces. The cardiomediastinal silhouette is normal. No acute fractures are identified.
evaluation of patient with epigastric pain.
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The cardiac, mediastinal and hilar contours appear unchanged including mild-to-moderate unfolding of the descending thoracic aorta. There is new retrocardiac opacity in the left lower lobe, worrisome for pneumonia. The chest is hyperinflated. There is no pleural effusion or pneumothorax.
cough and shortness of breath.
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The cardiomediastinal and hilar contours are stable. There is no pneumothorax. There may be a small left pleural effusion. Streaky bibasilar opacities likely representing atelectasis or scarring are similar to the prior exam. There is no new focal consolidation concerning for pneumonia. There is no pneumoperitoneum.
history: <unk>f with ruq pain likely cholangitis w/ r diaphragmatic insp pain, ? r axillary pain // r/o acute cp process, r pleural effusion
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The heart is mildly enlarged and there is pulmonary vascular redistribution with hazy ill-defined vascularity and small bilateral effusions. Compared to the prior study the amount of fluid overload has increased
history: <unk>m with diabetes, recent pna // eval for tachycardia, recent pna
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The lungs are clear. There is no consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. No free intraperitoneal air.
<unk>m with vomiting, upper abdominal pain // any vascular congestion or acute cardiopulmonary process?
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The lungs remain hyperinflated, with flattening of the diaphragms and increased ap diameter, consistent with chronic obstructive pulmonary disease. There is left base atelectasis/scarring. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with cp // r/o cardiac v infectious
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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. Prominent anterior spurs noted throughout the mid to lower t-spine. No free air below the right hemidiaphragm is seen.
<unk>m with hiccups/fever and uri s/s- r/o pna
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The lungs are well expanded. Increased bilateral interstitial opacities are present, with more consolidative processes in the right lung base partially obscuring the right hemidiaphragm margin and the left upper lung. The right basilar opacities appear worsened than in the previous studies. Blunting of the right posterior costophrenic sulcus in the lateral view suggests a small right sided pleural effusion. There is no left-sided pleural effusion. Mild cardiomegaly is stable. Otherwise, cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax.
palpitations and shortness of breath.
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The cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax.
productive cough.
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is with normal limits. No acute osseous abnormalities.
<unk>m with h/o pna <num> month ago, ? worsening infection // ? acute cardipulm proces
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In comparison to the prior study there is no substantial change. The heart is normal size and cardiomediastinal contours stable. Lungs remain hyperinflated suggesting underlying emphysema. Post treatment changes in the left midlung are overall unchanged given differences in technique. There is no new consolidation, pleural effusion, or pneumothorax.
<unk>f with fever, copd, cough, tachpnea, hypoxia // ? pna
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with chest pain
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Heart remains enlarged. Mitral valve replacement and median sternotomy wires are unchanged. The lungs are clear without focal consolidation, effusion, or edema. No acute osseous abnormalities identified.
<unk>f with chf and dyspnea // pulmonary edema?
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The heart size is top normal. The mediastinal and hilar contours are unremarkable. The lungs are well expanded and clear. There is evidence of prior left mastectomy. There is no pulmonary edema, pleural effusion or pneumothorax. The osseous structures are unremarkable.
<unk>-year-old with right elbow fracture and chest wall pain.
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Resolution of the hydropneumothorax in the right apex which is now replaced with pleural effusion. A small right basilar pleural effusion is also noted. There has been interval expansion of the right lung with decrease in observed right lower zone atelectasis. There has been a stable shift in the mediastinum and heart to the right. Left lung is emphysematous but otherwise unremarkable. There are post-surgical changes seen in the right lateral ribs with interval increase in rib retraction likely secondary to volume loss.
<unk>-year-old male status post right upper and right middle lobectomy.
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Pa and lateral views of the chest are provided. The lungs are clear of opacities concerning for an infectious process. Cardiomediastinal silhouette is unremarkable. There is a tortuous aorta. A <num> mm nodule in the left hemithorax overlying the sixth rib is present for which a non urgent chest ct should be performed if no earlier chest xrays are available for comparison. No pleural effusion or pneumothorax.
<unk>-year-old man with altered mental status. question pneumonia.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs remain clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable. Median sternotomy wires are again noted. The osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old with past medical history of aortic valve repair x<num> with perioperative stroke and mi presents with three weeks of productive cough and malaise, one day of chest heaviness.
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Pa and lateral views of the chest provided. Clips in the left axilla noted. Subtle linear opacity in the left lung base likely represents atelectasis. Retrocardiac opacities compatible with hiatal hernia. Lungs otherwise clear. Cardiomediastinal silhouette is normal. Bony structures appear intact.
<unk>m with cough // acute process?
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Pa and lateral chest views were obtained with patient in upright position. The heart size is within normal limits. No configurational abnormality is identified. Thoracic aorta unremarkable. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. Skeletal structures of the thorax grossly within normal limits. The next preceding pa and lateral chest examination in our records is dated <unk>. Comparison with today's examination does not demonstrate any significant interval change.
<unk>-year-old male patient with elevated crp, end-stage renal disease, with suspected lumbar spine infection, evaluate for pulmonary infection.
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Pa and lateral views of the chest demonstrates clear lungs. Cardiac silhouette is normal in size. Hilar contours are normal. No pleural effusion or pneumothorax.
fever.
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There are diffuse bilateral parenchymal opacities, left worse than right. There are also small bilateral pleural effusions. Degree of cardiomegaly is unchanged. No acute osseous abnormalities.
<unk>m with chest pain and dyspnea // r/o acute process
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The lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with new right sided numbness // eval for pna