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There has been no significant interval change to the right apical parenchymal opacities, partly fibrotic and partly consolidative, with elevation of the right hilus likely related to known history of tb. Small right apical lateral calcified granuloma is also noted. The left lung is grossly clear. There is no new focal consolidation to suggest acute infectious pathology. The cardiac silhouette is unchanged. There is no pleural effusion or pneumothorax. There is no dilation of the aortic root.
history: <unk>f with right upper back pain radiating to front, evaluate for aortic root dilation or acute cardiopulmonary process.
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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. Right lateral eighth rib fracture is re- demonstrated.
history: <unk>m with recent rib fx c/o pain // r/o fx
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with new onset diabetes, fatigue
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Apart from subsegmental atelectasis in the lingula, the lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with chest tightness, dyspnea, cough
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The heart is mildly enlarged. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear.
chest pain. history of sickle cell anemia.
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Pa and lateral views of the chest provided. Evaluation is markedly limited due to large body habitus and low lung volumes. There is mild hilar engorgement and possible mild pulmonary edema. No convincing signs of pneumonia, effusion or pneumothorax. The heart is mildly enlarged. The mediastinal contour appears somewhat prominent likely due to position and ap technique. Otherwise no change
<unk>f with cough, fever // r/o pna
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The chest radiograph is limited by suboptimal patient positioning and rotation. Lungs are hyperinflated with heterogeneous bibasilar opacities, right greater than left. There is no pleural effusion or pneumothorax. Mild cardiomegaly is noted with numerous mediastinal surgical clips and intact sternal wires. Linear opacities projecting over the left lung are likely due to underlying scarring with suspected deformities of the anterior ribs as well, potentially due to remote prior trauma or surgery.
<unk>m with fatigue. evaluate for pneumonia or chf.
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The heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are visualized.
chest pain.
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Frontal and lateral chest radiographs demonstrate low lung volumes and a heart which is top-normal in size. Other than mild bibasilar atelectasis, the lungs are clear. There is no pleural effusion or pneumothorax.
productive cough. evaluate for pneumonia.
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Patient is status post median sternotomy, cabg, and coronary artery stenting. Cardiac, mediastinal and hilar contours are normal. Scarring within the lung apices, more so on the right, is unchanged. No focal consolidation, pleural effusion or pneumothorax is identified. Pulmonary vasculature is not engorged. The no acute osseous abnormality is present.
history: <unk>m with confusion
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The cardiac silhouette is borderline enlarged. Again noted is enlargement of the main pulmonary artery, possibly due to pulmonary arterial hypertension. Opacity is seen at the right lung base, which may represent atelectasis. No definite pleural effusion or pneumothorax is identified.
history: <unk>f with chest pain // chest pain
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An ill-defined right basilar opacity may be due to aspiration or infection. There is no pneumothorax. The heart and mediastinum are within normal limits. Regional bones and soft tissues are unremarkable.
<unk> year old woman with a history of mm now with persistent cough. please evaluate for pneumonia.
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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified.
fall.
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. The heart size is normal. Mediastinal and hilar contours are normal. No acute bony abnormalities are detected.
multiple myeloma, pre-bmt evaluation.
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. The azygous vein is enlarged and unchnaged. Otherwise, the cardiomediastinal and hilar contours are normal.
cough and shortness of breath.
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The lungs remain hyperinflated. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. No pulmonary edema is seen.
history: <unk>f with weakness // evidence of pneumonia
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Pa and lateral views of the chest provided. Mild opacity at the left lung base appears most compatible with atelectasis though difficult to exclude a very early pneumonia. Right lung is clear. No large effusion or pneumothorax. Heart size is normal. Mediastinal contours unremarkable. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with sob // eval pneumonia
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Opacity in the right base is linear, and likely the result of atelectasis. The cardiac silhouette is moderately enlarged. There is mild interstitial pulmonary edema. The mediastinal contours are unchanged with calcification noted of the aortic knob. There is no pneumothorax. Abdominal surgical clips are unchanged.
<unk>-year-old female with weakness, question chf.
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Frontal and lateral chest radiographs demonstrate a right subclavian line which terminates at the cavoatrial junction, unchanged, as well as an enteric tube the which courses below the diaphragm and off the inferior edge of the image. There is persistent mild cardiomegaly. There is no focal consolidation or pneumothorax. Small bilateral pleural effusions are noted, as well as plate-like atelectasis in the left base. The visualized upper abdomen is unremarkable.
evaluate for effusion or infiltrate in a patient with hyponatremia, altered mental status, and respiratory failure with dullness at the right base on physical exam and persistently increasing leukocytosis.
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Lungs are hyperinflated and clear. Coarse interstitial markings in the bilateral lung bases likely reflects chronic lung disease. The cardiomediastinal and hilar contours are unchanged. The heart remains mildly enlarged. Calcifications are seen at the aortic arch. No pneumothorax, pleural effusion, or consolidation.
history: <unk>m with cough and chills x<num> hrs // c/o productive cough
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The lungs are slightly hyperexpanded with early findings of copd. There is a rounded relative hyperlucency projecting over the left lateral mid lung field, which likely corresponds to a thin-walled cyst on the pet-ct of <unk>. There are coarse interstitial lung markings predominantly in the bilateral lung bases. There is no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The cardiac silhouette is top normal in size. A density projecting over the left heart on the frontal view with no correlate on the lateral view likely represents a dense costochondral calcification. The mediastinal and hilar contours are within normal limits.
tachycardia, here to evaluate for acute cardiopulmonary process.
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Mild prominence of interstitial markings is again noted and stable in comparison to prior studies, likely chronic. There is increased opacity overlying the right lower lobe which may be representative of a developing pneumonia. Otherwise, the remainder of the lungs are clear. Cardiomediastinal silhouette remains stable. The aorta appears mildly tortuous.
cough with a relative with pneumonia.
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The lungs are symmetrically well expanded and well aerated without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. There is no pulmonary vascular congestion or overt pulmonary edema. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits with mild tortuosity of the thoracic aorta. Partial calcification at the aortic knob is noted. No acute osseous abnormality is detected.
dyspnea on exertion, here to evaluate for pneumonia.
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Pa and lateral chest radiographs demonstrate clear lungs. The heart size is normal. The cardiac, hilar, and mediastinal contours are normal. There is no pleural effusion or pneumothorax.
palpitations and shortness of breath. evaluation for cardiopulmonary disease.
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As compared to the previous radiograph, there is no relevant change. The previously seen opacity in the right apical lung is no longer visible. There is marked overinflation but no evidence of acute changes. Marked diaphragmatic flattening. Known pleural calcifications. No acute changes.
copd, evaluation for new opacities.
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Frontal and lateral chest radiographs demonstrate a normal cardiac silhouette size. Thoracic aorta is diffusely calcified and mildly tortuous. Mediastinal and hilar contours are unchanged. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. There are multilevel degenerative changes of the thoracic spine.
nausea and vomiting.
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is top-normal in size. The aorta is somewhat tortuous. Surgical clips overlie the right lower hemi thorax.
history: <unk>f with l foot bimalleolar fracture. // pre-op
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Tracheostomy tube remains in place. Enteric tube is no longer visualized. Lung volumes are low. Asymmetric right upper lung parenchymal opacity has waxed and waned over multiple prior exams. Streaky left basilar opacity is likely atelectasis. The cardiomediastinal silhouette is stable. Chronic deformity of the proximal left humerus is again noted, likely from prior fracture.
<unk>f with tracheostomy, incr secretions // eval for acute process
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Lungs are clear of focal consolidations worrisome for pneumonia. There is, however, asymmetric pleural thickening at the left lung apex. This is adjacent to a healed rib and clavicular fracture and likely related to prior trauma. Cardiac silhouette is mildly enlarged. The aorta is slightly tortuous. There is no pleural effusion, pneumothorax or pulmonary edema.
hyponatremia. question pulmonary process.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with cough, fevers / ? pneumonia
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The lungs are hyperinflated, consistent with known emphysema. Mild chronic bibasilar interstitial opacities are again seen, unchanged from prior exam. Heart size is top normal. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable. Diffuse calcified atherosclerotic disease of the aorta is noted.
cough, dyspnea, history of copd.
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The cardiac silhouette size is normal. The aorta is mildly tortuous. Pulmonary vascularity is normal. The lungs are clear. Hilar contours are normal. No pleural effusion or pneumothorax is identified. There are mild multilevel degenerative changes in the thoracic spine.
fall, head trauma.
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.
history: <unk>m with dizziness // ? 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 unremarkable.
history: <unk>m with bloody diarrhea x <num> days and acute abdominal pain, llq and midline pain, hx of diverticulitis, pancreatitis, cirrhosis, htn, dmii // evaluate for diverticulitis, bleeding, inflammation
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The cardiac, mediastinal and hilar contours appear unchanged. A convex appearance of the right upper mediastinal contour appears unchanged and was shown to reflect tortuosity of the right innominate artery on the prior ct. Streaky opacities in the lower lungs and plate-like opacification in the lingula appear similar and suggest minor atelectasis or scarring. Streaky posterior opacities on the lateral view appears somewhat more prominent than on the prior radiographs, however, but appear fairly similar to a lateral scout view from a recent prior ct. Accordingly atelectasis is suspected. Moderate degenerative changes are similar along the thoracic spine. Degenerative changes also which effect each shoulder, particularly the right side. The bones appear demineralized.
generalized weakness on chemotherapy to treat metastatic pancreatic cancer.
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In comparison with the study of <unk>, the pulmonary vessels are less engorged and indistinct, consistent with some improvement in pulmonary vascular status. Hemodialysis catheter has been placed with its tip in the right atrium. Continued prominence of the cardiac silhouette without definite acute consolidation.
hemodialysis, to assess for latent tb.
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Ap and lateral views of the chest: the lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation to suggest pneumonia. The heart size is normal. The mediastinal contours are unremarkable. Calcification of the anterior longitudinal ligament is noted.
fevers, rule out acute process.
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. As before, there is status post sternotomy. Heart size has not changed. A previously existing left-sided picc line has been removed. No pneumothorax is present in the apical area. Left-sided blunting of lateral pleural sinus and moderate elevation of diaphragmatic contours exists as before. Pleural scar formations in this area have increased in thickness, but there is no evidence of free fluid remaining, or any cavitation noted. No new pulmonary abnormalities. The right-sided pleural densities remain rather unchanged and the same holds for thickening of the interlobar fissure in its dorsal superior extension, simulating the appearance of an atelectasis. No new pulmonary parenchymal abnormalities are seen and the thickening of the pleural space in the right-sided apical area is stable. No evidence of pneumothorax.
<unk>-year-old male patient with left-sided empyema, status post left vats, intrapleural pneumolysis and decortication on <unk>. evaluate.
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Since the prior chest radiograph performed earlier on the same date, the right lung base opacity has worsened. Mild to moderate pulmonary vascular congestion persists with mild interstitial edema and a small right pleural effusion. Mild cardiomegaly is again noted.
<unk>-year-old male with history of atrial fibrillation, now with dyspnea.
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.
<unk>-year-old female with pleuritic chest pain. rule out infiltrate.
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Lung volume is low. Small left pleural effusion is similar to <unk>. Cardiac silhouette and pulmonary vasculature is exaggerated by low lung volumes. There is no focal consolidation. Known rib fractures seen on prior ct is not visualized on this radiograph.
history: <unk>m with chest pain // ? worsening l effusion
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The far right lateral costophrenic angle is just outside the field of view. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.
pregnant woman with cough and left sided wrist pain.
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Ap and lateral views of the chest. The lungs are clear without focal consolidation, effusion, or pulmonary vascular congestion. Mild cardiomegaly is seen but likely accentuated due to ap technique. Lucency below the right hemidiaphragm compatible with free intraperitoneal air not unexpected in the setting of peritoneal dialysis. No acute osseous abnormality is identified.
<unk>-year-old female with chest pain. additional history per ed dashboard is end-stage renal disease with peritoneal dialysis.
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The lungs are clear with no evidence of a consolidation. There is tortuosity of the thoracic aorta. Mediastinal and hilar contours are otherwise within normal limits. There is no pleural effusion or pneumothorax. No acute fractures are identified.
fever, malaise, and history of pneumonia.
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Lungs are clear. Heart size is top-normal. No pulmonary edema. No pleural effusion or pneumothorax. Densely calcified breast implant.
<unk> year old woman with dyspnea // concern for acute process: pna vs pulm edema
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Pa and lateral views of the chest. The lungs are clear. There is no effusion, consolidation, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. Single lead pacing device is seen with lead tip in the right ventricular apex. Osseous structures are unremarkable.
<unk>-year-old male with chf and worsening shortness of breath.
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Pa and lateral views of the chest provided. Elevated right hemidiaphragm again noted. Interval removal of the feeding tube. Lungs appear clear without focal consolidation, large 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 etoh cirrhosis, decompensated // ?infection
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Patient is status post median sternotomy and cabg. Cardiac silhouette size is within normal limits. The aorta remains tortuous. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is visualized. There are mild degenerative changes noted in the thoracic spine. Surgical anchors project over the right proximal humerus.
history: <unk>m with aortic stenosis // evaluate for cardiomegaly
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In comparison with study of <unk>, there is little overall change in the appearance of the heart and lungs. No evidence of acute abnormality. Vns stimulator is in place. No evidence of break in the opaque lead.
pain in area of generator, to assess for fractured lead.
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The cardiomediastinal contours within normal limits. Stable elevation of the right hemidiaphragm again noted. There is no free air or pneumothorax. Mild right basal atelectasis, otherwise clear lungs. There is no free air below the right hemidiaphragm. There is no fracture or dislocation.
<unk>m with chest pain and epigastric pain // r/o free air or pneumothorax
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Pa and lateral views of the chest. The lungs are clear of consolidation, effusion or pulmonary vascular congestion. Left chest wall triple lead pacer device seen with the tips unchanged in position. Cardiomegaly is unchanged. No acute osseous abnormalities detected.
<unk>-year-old male with cough and chest pain.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits. Lung volumes are low.
<unk>-year-old female with shortness of breath.
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Compared with the prior radiograph, lung volumes are slightly lower. The right ij central line has been removed. The right lung is clear. No pneumothorax. Bilateral small pleural effusions are unchanged. Intact median sternotomy wires.
<unk> year old man s/p cabg with + click. eval for broken wires.
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Pa and lateral views of the chest. Low lung volumes. Old left rib fractures are seen. There is increased opacity in the retro cardiac area . It is only seen on the frontal view and may represent crowding of vessels due to poor inspiratory effort; however, cannot rule out pneumonia given patient's clinical symptoms. No pleural effusion or pneumothorax. Cardiac, mediastinal and hilar contours are normal.
<unk>-year-old man with cough and rhinorrhea and chills, hiv, and hep c.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
<unk>f with confusion // 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.
history: <unk>f with <num>x vomiting, sharp chest pain
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. There is no pneumothorax or pleural effusion. Cardiomediastinal and hilar contours are within normal limits. There is no pulmonary edema. No air under the right hemidiaphragm is seen. Relative to prior study performed <unk>, there has been interval removal of a dobhoff tube.
history: <unk>f with etoh cirrhosis, cholelithiasis, hx of pancreatitis, hx of functional abdominal pain, here with diffuse abdominal pain and no bm in <unk> weeks. also reports spitting up a small amount of blood today // any evidence of biliary obstruction/cholecystitis, pancreatitis, bowel obstruction?
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Pa and lateral views of the chest. Correlation is made to ct torso from <unk>. When correlated to ct scan, there has been no significant interval change. There are bilateral somewhat nodular regions of consolidation in the lungs bilaterally. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. The osseous and soft tissue structures are unremarkable.
<unk>-year-old male with cough.
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Pa and lateral views of the chest provided. There is no focal consolidation or pneumothorax. The appearance of the mediastinum is stable. Heart size is normal. Expected postoperative changes in the right pleura. Left lower lobe opacities have minimally decreased, consistent with improving atelectasis. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk> year old woman s/p tracheobronchoplasty // perform at <num>am on <unk>. r/o interval change
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Lungs are well-expanded and clear. No pleural effusion. Moderate cardiomegaly is unchanged. Cardiomediastinal and hilar silhouettes are unremarkable. Dense aortic calcifications are noted. A a left pectoralis pacemaker with right atrial and right ventricular leads is unchanged.
<unk> year old woman with hx of chf // left sided crackles
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Cardiomediastinal silhouette is unremarkable. There is no pleural effusion or pneumothorax. There is no concerning focal parenchymal consolidation. The imaged bony structures are unremarkable.
<unk>f s/p mechanical fall down <unk> flight of stairs, complains on pain in r shoulder, r hip, r knee, l foot, discomfort in neck
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Mild to moderate enlargement of cardiac silhouette is noted. The aorta is tortuous and demonstrates calcification of the aortic knob. The pulmonary vascularity is normal, and the hilar structures are unremarkable. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is visualized. Minimal biapical scarring is seen. There are no acute osseous abnormalities.
chest pain, ekg changes.
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There is retrocardiac opacity silhouetting the medial hemidiaphragm compatible with consolidation and possible component of atelectasis. This was present on prior. Elsewhere, lungs are clear. The cardiomediastinal silhouette is stable. Median sternotomy wires are again noted. Free intraperitoneal air is noted below the right hemidiaphragm. Peg tube is new from prior.
<unk>m with increased secretion from trach // eval for pneumonia
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Pa and lateral views of the chest were provided. There is no focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. A focal eventration of the right hemidiaphragm is noted.
<unk>-year-old man with shortness of breath, assess pleural effusion, known pancreatitis.
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The lungs are hypoinflated, and no focal consolidation, pleural fusion or pneumothorax is seen. The central bronchovascular structures are accentuated by the low lung volumes. The heart size is normal. A hiatal hernia is again seen. The patient is status post left mastectomy, and surgical clips project over the left chest. Degenerative changes of the mid-thoracic spine are noted. Previously noted pulmonary nodules are not well appreciated on this radiograph and better seen on the chest ct.
<unk>-year-old female with pleuritic chest pain, low-grade temperature, hypotension, right lower lobe crackles and wheezing on physical exam. evaluate for pneumonia.
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities seen.
<unk> pack-year smoker with chest pain.
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Status post icd with leads in standard placement. Previously seen bilateral effusions are resolved and bibasilar atelectasis continue to improve. Decreased vascular congestion bilaterally. Cardiomegaly slightly improved as well. No evidence of pneumothorax or pneumomediastinum. No focal consolidation.
<unk> year old woman with recurrent vomiting, recent icd placement, subcutaneous thickening above xyphoid. // eval for subcutaneous air at site of skin thickening above xyphoid
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. There is a small hiatal hernia.
<unk>-year-old woman with cough, evaluate for pneumonia
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Since the prior radiograph, a dual lead permanent pacemaker is been placed with leads overlying the expected locations of the right atrium and right ventricle, with no evidence of pneumothorax. Stable cardiomegaly and tortuosity of the thoracic aorta. Lungs are clear.
<unk> year old woman s/p dual chamber ppm // assess leads placement and r/o ptx.
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Two views were obtained of the chest. Increased interstitial abnormality with <unk> b-lines and trace pleural effusions is consistent with mild to moderate pulmonary edema. There is no pneumothorax. The heart is normal in size with normal cardiomediastinal contours. Mediastinal surgical clips, valvular prosthesis and median sternotomy wires are noted.
worsening dyspnea on exertion. syncopal episode, assess for acute process.
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Heart size is normal. Mediastinal and hilar contours are unchanged with similar elevation of the left pulmonary artery. The patient is status post left upper lobectomy with scarring in the medial aspect of the left upper lung field re- demonstrated. Interstitial opacities within the left lung base and left lateral subpleural region are better demonstrated on prior ct. Scarring within the right upper lobe is also unchanged. No new focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
history: <unk>f with asthma here with fevers, cough, shortness of breath
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There is dense consolidation at the right apex with central cavitation. The left lung is clear, better assessed on the subsequent ct scan. There is no pleural effusion or pneumothorax. Heart is normal size.
<unk>f with weakness // acut eproces?
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A left central venous catheter terminates in the mid svc, unchanged from prior. The cardiomediastinal and hilar contours are within normal limits. There is an opacity at the right lung base which was not seen on <unk>. There is no pneumothorax, fracture or dislocation. A chronic deformity of the right humeral head is better evaluated on radiograph <unk>. Sub diaphragmatic calcifications are unchanged. Limited assessment of the abdomen is unremarkable.
history: <unk>f with sob // ? pna,consolidation
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are identified.
chest pain.
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In comparison with the study of <unk>, there is little change and no evidence of acute focal pneumonia or other abnormality.
leukemia with transplant, now with cough.
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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>f with cp // evidence of pneumothorax
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There has been no significant interval change since prior exam with significant hyperinflation of the lungs compatible with chronic pulmonary disease. No focal consolidations identified. The cardiomediastinal silhouette and hilar contours are unchanged. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Unchanged right scapular deformity as well as severe kyphosis of the thoracic spine.
<unk> year old woman with worsening cough following what was likely an initial viral uri. please evaluate for a secondary pneumonia.
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Frontal and lateral views of the chest were obtained. Heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No displaced rib fracture is appreciated.
fall and rib pain.
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Pa and lateral views of the chest provided. Right chest wall port-a-cath is noted with catheter tip in the region of the svc. There is marked elevation of the right hemidiaphragm. Lungs appear clear. 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.
history: <unk>f with lymphoma, in for infectious workup and escalation of therapy // shortness of breath
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The lungs are well expanded and clear without focal consolidation or pneumothorax. There is no right pleural effusion. Blunting of the left costophrenic sulcus may represent a small effusion or pleural thickening. Heart size is normal. Mediastinal silhouette and hilar contours are normal. Minimally displaced fractures of the left second posterior and anterolateral third and fourth ribs are seen. The other known left rib fractures are not well visualized on this study. The left scapular fracture is again seen.
<unk>-year-old man with rib fractures.
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Ap and lateral views of the chest are compared to portable film from earlier the same day. Right basilar opacity on this two-view exam is less conspicuous. There is, however, mildly increased density in this region likely due to costochondral calcifications superimposed on probable bibasilar bronchiectasis/scarring. Lungs are clear of large confluent consolidation. There is no definite pulmonary vascular congestion. Cardiac silhouette is slightly enlarged. Lower thoracic/upper lumbar compression deformity is suspected due to acute kyphosis in this region. However, cortical margins are difficult to delineate given osteopenia and overlying diaphragmatic contours.
followup right basilar opacity on portable exam.
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As compared to the previous radiograph, there is no relevant change. Known suture line in the right lung. Borderline size of the cardiac silhouette. Normal transparency and structure of the lung parenchyma. Minimal tortuosity of the thoracic aorta. Normal-appearing mediastinum, no acute changes. Notably no pneumonia, pulmonary edema or pleural effusions.
tracheobronchomalacia evaluation.
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
ventricular tachycardia, to get a pacer today. pre-operative assessment.
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The patient is status post wedge resections of the right upper lobe, right lower lobe, and left upper lobe for metastatic sarcoma. Stable, resultant postsurgical scarring and suture lines are identified within these regions. A large pleural based mass is seen within the left lateral lung, comparable in size relative to the recent chest ct examination. There has been interval placement of a left-sided subclavian central venous catheter, the tip of which is seen within the lower svc. There is no evidence of consolidation, pneumothorax, pulmonary edema, or pleural effusion. The cardiomediastinal silhouette is stable.
evaluate port placement.
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There has been increase in size and lytic bone lesion involving the right posterior <unk> lateral rib . There is no focal airspace consolidation. The cardiac and mediastinal silhouettes are normal.
multiple myeloma with low-grade fever.
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The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. There is no new focal consolidation concerning for pneumonia. There are stable emphysematous changes of right upper lobe with chronic fibrosis of the right upper lobe medially, presumably due to prior radiation treatment. The left lower lobe opacity has apparently resolved, which would be better assessed by chest ct.
cryptogenic organizing pneumonia with stable symptoms and tapering steroid dose.
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The heart is mildly enlarged with a left ventricular configuration, as before. The mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable. There has been no significant change.
syncope, left-sided headache and right-sided visual change.
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Bibasilar atelectasis is noted. No lobar consolidation, pleural effusion, pneumothorax, or overt pulmonary edema is seen. Minimal biapical scarring is noted. The heart size is normal. Mediastinal contours are normal. Multiple, bilateral, chronic rib fractures are seen again.
intermittent hypoxia.
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities demonstrated.
chest pain.
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Pa and lateral views of the chest provided. Lung volumes are low limiting assessment. Lower lung atelectasis with bronchovascular crowding noted. There is no convincing evidence for pneumonia, edema, effusion or pneumothorax. The cardiomediastinal silhouette appears stable. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with t<num>dm, found down with hypoglycemia
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Pa and lateral views of the chest. No prior. Extremely low lung volumes are seen particularly on the lateral. Linear bibasilar opacities therefore are suggestive of atelectasis. There is no large confluent consolidation. Costophrenic angles are sharp. Cardiomediastinal silhouette is within normal limits. Lucency under the right hemidiaphragm is confirmed as interposition of colonic loops above the liver on the lateral. Soft tissues and osseous structures are unremarkable.
<unk>-year-old male with new afib, atrial flutter, presents with bright red blood per rectum. evaluate for infiltrate.
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The lungs are well expanded and clear. The aorta is heavily calcified and heart is top-normal in size. No evidence of pneumonia, pulmonary edema, or pleural effusions. A calcified right breast implant and thoracic scoliosis is unchanged in appearance from <unk>.
<unk> year old woman with smoking hx and hyponatremia. // any neoplastic process?
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Pa and lateral views of the chest provided. There is platelike left basal atelectasis. Otherwise the lungs appear clear. Cardiomediastinal silhouette is normal. No large effusion or pneumothorax. Bony structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with sob // ? pna
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The lungs are hyperinflated with an increased ap diameter, which is likely exaggerated by the thoracic spine kyphosis. Heart size is moderately enlarged but stable. There is no focal consolidation, pulmonary edema or pneumothorax. Blunting of the costophrenic angles bilaterally is likely a function of small pleural effusions, better characterized on the ct from the same day. A significantly calcified aortic knob is again noted.
history: <unk>f s/p fall with laceration to head // r/o acute process
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The aorta is tortuous with a right-sided arch. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk> year old woman with left sided pleuritic chest pain and desaturation to <unk>% with ambulation. // r/o source of desaturation and symptoms.
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Cardiac pacemaker leads project over the right atrium and the right ventricle. Tip of the interrupted right-sided vp shunt is at the level of the aortic arch. Heart size is top normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Left platelike scar is similar to prior. Biapical pleural scarring is worse on the left. Calcified granulomas are seen in the left apex. No pleural effusion or pneumothorax. Calcified aorta is again seen.
<unk> year old woman s/p dual chamber pacemaker. // confirm lead placement
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Pa and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Spinal fusion hardware is noted in the thoracolumbar spine. No displaced fractures are present.
status post mvc with mid right chest wall tenderness. question fracture.
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Left-sided dual-chamber pacemaker device is noted with leads terminating within the right atrium and right ventricle. Moderate enlargement of the heart size is re- demonstrated, and there is tortuosity of thoracic aorta, unchanged. Atherosclerotic calcifications of aorta are re- demonstrated. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. There are mild degenerative changes noted in the thoracic spine.
history: <unk>m with past medical history of stroke, intermittent shortness of breath, now with right eye vision loss
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The cardiomediastinal hilar contours are within normal limits. The lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. Free air is seen below the diaphragm, consistent with recent surgery.
right-sided onset of chest pain, ovarian surgery today. rule out pneumothorax.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
<unk>-year-old man with a history of left periscapular discomfort who presents for evaluation of pneumothorax.