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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Prominence of the aortopulmonary window is again noted and likely representative of enlargement of the main pulmonary artery. The cardiomediastinal silhouette is stable with lead aicd in place. Degenerative changes are again visualized involving the thoracic spine.
evaluation of patient with shortness of breath.
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Heart size is mildly enlarged. Mediastinal and hilar contours are unchanged with mild unfolding of the thoracic aorta again noted. Pulmonary vasculature is not engorged. Lungs are clear. No pleural effusion or pneumothorax is present. Right-sided picc is re- demonstrated with tip terminating at the confluence of the brachiocephalic veins. Inferior vena cava filter is also noted projecting over the upper right mid abdomen.
history: <unk>f with altered mental status, needs infection workup
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits.
<unk>-year-old female with acute dyspnea.
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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 sob, palpitations, neuropathy // infiltrate
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No subdiaphragmatic free air is noted. No rib fractures are identified.
<unk>-year-old female with left upper quadrant pain. evaluate for evidence of free air under the diaphragm.
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Frontal and lateral views of the chest were performed. The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar and pleural structures are normal. The imaged upper abdomen is normal. There are no displaced rib fractures appreciated.
chest pain, evaluate for fracture or pneumothorax.
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Left base opacity could be due to atelectasis versus consolidation due to infection or aspiration. Additional left base subsegmental atelectasis is seen. There is mild right mid lower lung atelectasis. No large pleural effusion is seen. There is no evidence of pneumothorax. The cardiac silhouette is top-normal. The aorta is somewhat tortuous. There may be some mild right perihilar peribronchial wall thickening.
history: <unk>m with post op dyspnea // r/o 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>f with intermitted cp // r/o occult process
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Streaky atelectasis is noted at the left lung base. Lungs are otherwise clear of consolidation, pleural effusion or pneumothorax. Pulmonary vascular congestion is mild. Mild cardiomegaly persists. Aortic arch calcifications are incidental finding.
history: <unk>m with dyspnea // please evaluate for acute cp process
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Compared to chest radiographs from <unk>, there has been interval development of an air-fluid level within the right axilla containing surgical clips, which could represent a developing fluid collection or abscess. Upper mediastinal widening has improved, consistent with probable evolving postoperative hematoma. Tiny bilateral pleural effusions are unchanged. Bibasilar atelectasis has improved. Moderate cardiomegaly is stable.
<unk> year old man pod <num> from a bentall // eval effusion
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Heart size remains moderately enlarged. Mediastinal and hilar contours are similar. The pulmonary vasculature is not engorged. Small bilateral pleural effusions are likely present. Subsegmental atelectasis is noted in the left lung base. No focal consolidation or pneumothorax is identified. There are minimal degenerative changes noted in the thoracic spine. Increased opacity projecting over the left posteolateral seventh rib is unchanged, and likely related to underlying metastasis.
history: <unk>m with altered mental status
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Moderate cardiomegaly has increased compared to the previous exam. The mediastinal and hilar contours are unchanged, with mild tortuosity of the thoracic aorta again demonstrated. Atherosclerotic calcifications are again throughout the aorta. The pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is visualized. Unchanged compression deformities of several lower thoracic vertebral bodies are again demonstrated with diffuse demineralization of the osseous structures.
chest pain and arm pain
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Pa and lateral views of the chest provided. Multiple surgical clips are noted in the neck. 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 weakness, sarcoid // acute process
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The heart is mildly enlarged, and a right cardiac device and its dual leads are in stable position. There is no overt pulmonary edema, pleural effusion or focal consolidation. There is scarring in the left lung base.
<unk> year old female with right sided chest pain.
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Pa and lateral views of the chest again demonstrate cardiomegaly, unchanged from prior. Obscuration of the right lung base could be infectious in the appropriate clinical setting. There are tiny bilateral pleural effusions. There is no pneumothorax. Tubing from a gastric band is noted within the abdomen.
crackles at the lung bases with fatigue, evaluate for atelectasis or pneumonia.
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The cardiomediastinal and hilar contours are within normal limits. There is peribronchial thickening in the right lower lobe, likely related to a chronic, nonacute inflammatory change. Dense right apical thickening likely represents pleural calcification. Lungs are otherwise clear. There are no pleural effusions. There is no pneumothorax. Visualized osseous structures are grossly intact.
<unk>-year-old female patient with cough for one week, left lower lobe rhonchi. study requested for evaluation of abnormalities.
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Frontal and lateral views of the chest. Vague opacity overlying the left heart border is not confirmed on the lateral view but is new since <unk>. No pleural effusion or pneumothorax. The heart size and cardiomediastinal contours are normal.
<unk>-year-old female with history of acute promyelocytic leukemia, presenting with cough and shortness of breath.
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Frontal ap and lateral views of the chest were obtained. Slightly increased opacity in the right middle lobe since <unk> may represent early or developing pneumonia in the appropriate clinical setting. No other opacity is seen. Pulmonary vasculature is engorged without overt pulmonary edema. There is no pleural effusion or pneumothorax. The heart size is normal. Mediastinal silhouette and hilar contours are normal. A left port-a-catheter ends in the lower svc.
altered mental status and weakness.
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A dual-lead pacemaker/icd device appears unchanged with leads again terminating in the right atrium and ventricle, respectively. The lung volumes are low. Allowing for that, the cardiac, mediastinal and hilar contours are probably unchanged. On the right, the lungs appear clear without pleural effusion. On the left there is patchy opacification in the lingula and left lower lobe but no pleural effusion. There is no pneumothorax. Mild degenerative changes affect the mid through lower lumbar spine.
chest pain. question pneumonia.
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The cardiac silhouette is enlarged. Present slight re-expansion of the left lower lobe. The central pulmonary vasculature is engorged. A small residual left-sided pleural effusion is suspected. No definite focal consolidation is identified. There is no pneumothorax. A brachiocephalic vein stent is again seen. A dialysis catheter is seen extending from the ivc into the right atrium.
<unk>m with ha, lethargy, on coumadin. // eval for bleed/infection
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In comparison with the prior examinations, there is no significant change. There are <num> chest tubes in place on the left with persistent, largely stable hydro pneumothorax along the lateral aspect of the left chest. There are persistent, diffuse, bilateral pulmonary opacity, consistent with edema. The cardiomediastinal silhouette is unchanged since prior examination, with rightward displacement of the trachea from the aorta,
<unk> year old woman s/p open l sup segmentectomy and lingulectomy c/b hemothorax req takeback and pna // ? interval change, attn to r lung opacity c/f pna and l hemothorax
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The lungs are well expanded. Several punctate calcified nodular opacities are seen scattered in the right lung corresponding to findings on ct examination. Lungs are otherwise clear. Mediastinal contour, hila, and cardiac silhouette are normal. No pleural effusion or pneumothorax.
<unk>f <num> days s/p physical fight // r/o internal bleed/internal process
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As compared to the previous radiograph, there is unchanged evidence of a scoliosis with subsequent asymmetry of the rib cage. No acute changes, in particular no pleural effusions, no pneumonia and no pulmonary edema. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours.
cough, evaluation.
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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 history of exertional chest pain that is new for <num> week, shortness of breath going up <unk> flights of stairs.
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Ap and lateral views of the chest. There is mild indistinctness of the pulmonary vasculature more pronounced than prior portable film from <unk>. The lungs are clear of confluent consolidation or large effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with hypoglycemia.
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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 cp // 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>f with leukocytosis // evaluate for pneumonia
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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>. The heart size remains normal. No configurational abnormality is present. Unremarkable appearance of thoracic aorta. No wall calcifications. Mediastinal structures are 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. No pneumothorax in the apical area as seen on the frontal view. Skeletal structures of the thorax grossly unremarkable.
<unk>-year-old male patient with fever, cough and nasal congestion, persistent since travel to <unk> in <unk>. assess cardiopulmonary vascular architecture.
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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 chest pain // acute process
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There is no substantial change in the large right mid and lower lung consolidation with air bronchograms. The left lung is clear. Cardiomediastinal silhouette including a calcified right hilar node is stable. A small left and moderate right pleural effusions are unchanged. No pneumothorax.
<unk> year old man with history of tuberculosis (in childhood) and constrictive pericarditis with chf who had recent pneumonia and bilateral pleural effusions. (hospitalized <unk> - <unk>). // any worsening of opacities in right lung? any worsening of pleural effusions?
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The cardiac, mediastinal and hilar contours are unchanged, with mild tortuosity of the thoracic aorta again noted. Heart size is normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities seen.
chest pain.
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Multiple median sternotomy wires are noted. The mediastinal contours are within normal limits. There are aortic arch calcifications. The cardiac silhouette is borderline enlarged. The bilateral hila are within normal limits. There are low lung volumes. There is mild pulmonary vascular congestion without pulmonary edema. Right cardiophrenic angle opacity likely reflects crowding of normal bronchovascular structures. There is no focal consolidation. There is no pneumothorax. Equivocal trace right pleural effusion.
<unk>-year-old man with a two-day history of orthopnea, evaluate for acute cardiopulmonary process.
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Pa and lateral views of the chest are compared to previous exam from <unk>. A subtle increased opacity projecting over the heart on the lateral view which is not corroborated on the frontal and may be due to atelectasis. Elsewhere, lungs are clear. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with cough.
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The lungs well expanded and clear. There is no pleural effusion or pneumothorax. Hila appear prominent though this is similar to prior exams. The cardiomediastinal silhouette is unremarkable.
<unk>m with shortness of breath, fever, ivdu // eval for pneumonia
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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips again noted. Lung volumes are low. Allowing for this, the lungs appear clear without convincing signs of pneumonia or edema. No large effusion or pneumothorax is seen. Cardiomediastinal silhouette is stable. Bony structures are intact with similar pattern of chronic degeneration at the bilateral shoulders.
<unk>f with <num>d of midsternal chest pain
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Volume loss is seen in the right hemithorax, similar to prior exams. Opacities at the right lung apex and the right costophrenic angle are consistent with known pleural thickening and loculated pleural effusion. The opacities in the left lung base, concerning for pneumonia or aspiration in the right clinical setting. Right pulmonary mass and pulmonary nodules were better assessed on ct. The cardiomediastinal silhouette is unchanged from prior.
history: <unk>f with dyspnea // r/o acute infectious process
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The cardiac, mediastinal and hilar contours are within normal limits. Pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities visualized.
leukocytosis, depression, anxiety.
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A left-sided pacemaker is seen in place with two pacing leads terminating over the right atrium and proximal right ventricle. No evidence of pacer lead fracture. The lungs are clear. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are normal without effusion or pneumothorax.
evaluation of pacemaker and lead placement.
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The heart size is mildly enlarged but unchanged. Mediastinal and hilar contours are stable, with mild calcification of the aortic arch. Mild pulmonary edema is improved compared to the prior study. Minimal patchy opacities in the lung bases may reflect atelectasis. Small bilateral pleural effusions are noted, not significantly changed from the prior exam. There is no pneumothorax. No acute osseous abnormality is seen. Deformity of the sternum on the lateral view suggests an old healed fracture.
exertional dyspnea.
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No displaced rib fractures are seen, and no acute osseous abnormalities are detected.
upper back pain and midline cervical spine tenderness to palpation after motor vehicle collision.
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Pa and lateral views of the chest were viewed. The heart size is top normal. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear. Pulmonary vasculature is within normal limits.
vomiting.
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Frontal and lateral chest radiographs demonstrate marked cardiac enlargement, unchanged compared to <unk>. Lungs are fairly well-aerated without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with stroke symptoms.
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Small, irregular peribronchial opacities in the right midlung suggest early bronchiolitis or pneumonia. There is no focal consolidation. There is no pleural effusion. Cardiomediastinal and hilar silhouettes and pulmonary vasculature are normal.
<unk> year old man with history recurrent pneumonia, now with cough/fever for <num> day // rule out pneumonia
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In comparison with the earlier study of this date, with the chest tube on water seal, there is no evidence of pneumothorax. Remainder of the study is essentially unchanged.
vats decortication with chest tube on water seal.
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Heart size is normal. Aortic knob is calcified. Mediastinal and hilar contours are unremarkable. Lungs are hyperinflated without focal consolidation. No pleural effusion or pneumothorax is present. Scarring within the lung apices appear symmetric. Pulmonary vasculature is not engorged. No subdiaphragmatic free air is present. There are minimal degenerative changes noted in the thoracic spine.
history: <unk>f with history of chf presents with severe abdominal pain
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The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
fevers and chills as well as cough. assess for pneumonia.
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The lungs are slightly hyperinflated but clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. There is no free air below the diaphragm. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk> year old man with h/o gerd presenting with severe pleuritic ruq pain. // eval for pna
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Pa and lateral views of the chest. The lungs are clear without focal consolidation, effusion, or pulmonary vascular congestion. No acute osseous abnormalities. Surgical clips project just deep to the anterior abdominal wall in the lateral view.
<unk>-year-old female with hypoglycemia.
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Pa and lateral views of the chest were obtained. Heart is top normal in size and cardiomediastinal contour is stable. There is mild pulmonary edema. The lungs are otherwise clear without focal consolidation, pleural effusion or pneumothorax.
<unk>-year-old man with chest pain and atrial fibrillation, evaluate for pulmonary edema.
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Pa and lateral chest radiographs were provided. There is a large central mass in the right upper and mid lung zones, likely involving the mediastinum consistent with patient's known history of lung cancer. There is associated collapse of the right upper lobe. A small cavity in the left mid lung zone, as seen on mri, is likely a metastasis. There is prominence of the interstitial markings. Elevation of the right hemidiaphragm suggests phrenic nerve involvement from the large lung mass. There is no pleural effusion or pneumothorax.
cough, fevers, known lung cancer, infection.
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Frontal and lateral chest radiographs were obtained. Low lung volumes and right middle lobe scarring are unchanged. Lungs are otherwise clear without focal areas of consolidation. Heart is normal in size, and mediastinal contour is within normal limits. There is no pleural effusion and no pneumothorax. Position of right-sided port-a-cath with the tip near the cavoatrial junction is unchanged.
history of tracheomalacia, atrial fibrillation, diabetes, and myasthenia, presenting with fever, progressive productive cough for four days, evaluate for pneumonia.
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As compared to the previous radiograph, the central venous access line and the nasogastric tube have been removed. The lateral radiograph shows bilateral dorsal pleural effusions. The frontal radiograph shows additional parenchymal opacities at both lung bases. The changes could represent both atelectasis and pneumonia. No evidence of pulmonary edema but moderate cardiomegaly is present. At the time of observation and dictation, <time> p.m., on <unk>, the referring physician <unk>. <unk> was paged for notification.
complains of cough and shortness of breath, fevers and wheezing. rule out pneumonia.
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Pa and lateral views of the chest provided. Airspace consolidation is noted within the right lower lobe concerning for pneumonia. Findings are new from prior. Lungs appear hyperinflated likely <num> day emphysema. No large effusion or pneumothorax is seen. Cardiomediastinal silhouette is stable. Bony structures are intact.
<unk>f with fever // r/o pna
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Heart size is normal. The aorta is mildly tortuous. The mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is not engorged. Linear opacities in the lung bases, more pronounced on the left, likely reflect areas of subsegmental atelectasis. No definite large pleural effusion or pneumothorax is present. There are no acute osseous abnormalities detected.
<unk> year old man with leukocytosis, part of infectious workup
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
cough, arm, and neck pain.
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Pa and lateral views of the chest were reviewed. 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.
palpitations.
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In comparison with the study of <unk>, there is little interval change. No evidence of acute pneumonia, vascular congestion, or pleural effusion.
shortness of breath and copd.
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The heart size remains mild to moderately enlarged. The mediastinal contour is unchanged with a right paratracheal mediastinal fiducial clip again noted with adjacent post-treatment changes. The lungs are hyperinflated with flattening of the diaphragms compatible with copd. The pulmonary vascularity is normal and the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Multilevel degenerative changes are noted in the thoracic spine.
fever, worsening shortness of breath, oxygen dependent.
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The lungs are clear except for nonspecific, relatively symmetrical biapical pleural and parenchymal scarring. The cardiomediastinal silhouette, hila contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
<unk>m with ams // eval for pna
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. Bony structures are unremarkable.
cough, shortness of breath, right-sided rhonchi and wheezing.
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Cardiomediastinal contours are stable in appearance. No focal areas of consolidation are present within the lungs. There are no pleural effusions. Multiple healed rib fractures are again demonstrated as well as multifocal sclerotic abnormalities in the spine, consistent with metastases. No definite new rib fracture on this chest radiograph which was not tailored to evaluate the ribs
<unk> year old woman with metastatic breast cancer // left rib pain and cough, r/o fracture, pneumonia, rib mets
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable. Note is made of mild bibasilar atelectasis.
history of syncope. please evaluate for acute cardiopulmonary disease.
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The lungs are clear without focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiac, mediastinal and hilar contours are within normal limits. The aortic knob is well defined. The trachea is midline. No acute osseous abnormality is detected.
code stroke with abdominal pain and back pain, here to evaluate for pneumonia, pleural effusion, or mediastinal widening.
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Lungs are now clear. There is no evidence of cardiac decompensation. The aorta is generally large and calcified, little changed since <unk>. However the contour of the proximal descending portion, where there may be separation of intimal calcification from the aortic margin could be due to chronic dissection or ulceration with periaortic bleeding, and as such raises concern for acute changes. Heart size is normal.
history: <unk>m with chest pain, mild crackles on the right please evaluate for pneumonia or edema // history: <unk>m with chest pain, mild crackles on the right please evaluate for pneumonia or edema
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Pa and lateral views of the chest demonstrate relatively low lung volumes, as before, with no evidence of pneumothorax or pleural effusion. There is prominence of the bilateral hilar vasculature, representing mild congestion with no frank pulonary edema. No focal opacity is identified within the lungs. The cardiomediastinal silhouette is stable in appearance. The patient is status post cabg.
palpitations. evaluation for pneumonia.
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Lung volumes are low. The heart appears enlarged, which may be exaggerated due to low lung volumes. The cardiomediastinal and hilar contours are within normal limits. Bibasilar opacities are likely related to small pleural effusions and atelectasis however, in the appropriate clinical setting, a superimposed pneumonia cannot be excluded. There is no evidence of pneumothorax.
<unk> year old man with fever, leukocytosis // r/o pneumonia
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The patient is rotated to the right. Right base opacity is seen which could be due to atelectasis although underlying consolidation is not excluded in the appropriate clinical setting. The cardiac and mediastinal silhouettes are stable. No pneumothorax is seen. No large pleural effusion seen.
history: <unk>f with ab pain // pna?
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Pa and lateral views of the chest. The lungs are clear. There is no consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
<unk>-year-old female with cough and chest pain.
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The cardiac silhouette is normal in size. The hilar and mediastinal contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with chest pain // acut eprocess
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Relatively low lung volumes are again noted with secondary crowding of the bronchovascular markings. Right picc is seen with tip projecting over the lower svc, better seen on the lateral projection. There is no definite consolidation or effusion there is apparent enlargement of the cardiac silhouette which is likely accentuated by low lung volumes and ap technique, unchanged.
<unk>m with recent treatment for prostatitis and ams, testicular ttp // eval for ich, pneumonia, subcutaneous gas, periprostatic abscess
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Dobbhoff tube courses past the diaphragm and out of view. Mediastinal silhouette and heart borders are normal. There is no pleural effusion. Linear opacity in the right lower lobe represents segmental atelectasis.
<unk> year old man with dobhoff // dobhoff placement
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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 s/p renal transplant now with cough, congestion // evaluate for pneumonia
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Moderate cardiomegaly has been stable compared to exams dated back to at least <unk>. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion, pneumothorax. The visualized osseous structures are unremarkable. Mild bibasilar atelectasis.
history: <unk>m with fever. please evaluate for pneumonia.
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There is status post sternotomy and presence of multiple surgical clips is indicative of previous bypass surgery. The heart is mildly enlarged with a configuration suggesting a left ventricular prominence. Mild left atrial enlargement is also present as seen on the lateral view. The thoracic aorta is mildly widened and elongated and demonstrates calcium deposits in the wall, mostly at the level of the arch. The pulmonary vasculature demonstrates an upper zone redistribution pattern. There is presently no evidence of interstitial or alveolar edema and the lateral and posterior pleural sinuses are free. No evidence of acute new parenchymal infiltrates are identified and no pneumothorax is seen in the apical area. When comparison is made with a single view chest examination of <unk>, findings are grossly unaltered, but it is noted that the upper zone redistribution pattern was not present at that time.
<unk>-year-old female patient with progressive shortness of breath, any concerning features, any signs of copd.
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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 cold symptoms and coughing for <num> days. // ? pneumonia
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There is dextroscoliosis of the thoracic spine. The patient is status post median sternotomy. A <num> mm nodule overlying the right lower hemi thorax is stable dating back to <unk>. On today's exam the lungs appear clear. There is no pleural effusion. There is no pneumonia, no pneumothorax and no pulmonary edema. A sclerotic focus is noted in a mid thoracic vertebral body measuring approximately <num> mm but this is also stable dating back to <unk>.
evaluate for interval change weakness.
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No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema, or pneumothorax is present. The heart size is normal. No displaced fracture is identified. Surgical clips are noted projecting over the right upper quadrant.
fall. pain over the right shoulder and humerus.
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The lungs are poorly inflated. There is mild vascular cephalization but no focal opacities. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.
<unk>-year-old man with chest pain. evaluate for intrathoracic process.
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Scattered areas of linear atelectasis/ scarring are seen, particularly in the left mid to lower lung and right lung base. No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with dyspnea // eval for infiltrates
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The lungs are hyperinflated with marked emphysematous changes most pronounced within the upper lobes. Chain sutures are seen within the left upper lobe. Linear scarring is noted within the anterior aspect of the left upper lung lobe, unchanged. Left suprahilar opacity is unchanged and better assessed on the prior ct. No new focal consolidation, pleural effusion or pneumothorax is present. The heart size is normal. Calcifications of the aortic knob are re- demonstrated. Mediastinal and right hilar contours are unchanged. No acute osseous abnormalities detected. Partial resection of the left <num>th rib is again noted.
fevers and shortness of breath.
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The cardiomediastinal and hilar contours are normal. The lungs are well expanded and clear, without consolidation or pulmonary edema. The pleural surfaces are smooth, without pleural effusion or pneumothorax.
<unk>-year-old immunocompromised male patient with cough and chest tightness.
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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 upper limits of normal in size. No evidence of vascular congestion, pleural effusion or acute focal pneumonia.
chronic pulmonary eosinophilia with increased cough.
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The heart size is normal. The hilar and mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion, pneumothorax. The visualized osseous structures are unremarkable.right upper quadrant surgical clips are noted.
history of motor vehicle accident, chest pain. please evaluate.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. The kyphotic curvature of the mid thoracic spine is again mildly exaggerated including similar mild degenerative changes.
dizziness. history of prior stroke.
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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. Mild dextroscoliosis of the thoracic spine is present.
history: <unk>f with substernal chest pain, worse with palpation, recent viral illness
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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 with the cardiac silhouette is top-normal. No pulmonary edema is seen.
history: <unk>f with <num> day of lightheadedness, palps // eval for cardiomegaly, consolidation
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Pa and lateral upright views of the chest. Allowing for technical considerations there is no focal consolidation or congestive heart failure. No pleural effusions. Left costophrenic angle cleared on the frontal view. No pneumothroax. The cardiomediastinal silhouette is normal. No bony abnormalities. No free air below the right hemidiaphragm.
evaluation for pneumonia in a <unk> year old man with hypoglycemia.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable. There is no free air.
severe pain, constipation, nausea, vomiting.
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The lungs are normally expanded. <num> mm right upper lobe nodule has been previously reported. There is no pleural effusion or pneumothorax. The heart is top normal. The mediastinal and hilar contours are normal.
history: <unk>m with hx mi and presumed pe presenting with l-sided chest pain // eval for cardiopulmonary process
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. There is mild cardiomegaly, otherwise the cardiomediastinal and hilar contours are normal.
afib, copd, cough, smoking history, evaluate for lung lesion or chf.
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Pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and mediastinal contours. There is no pneumothorax or pleural effusion. There is no pulmonary edema.
cough, tachycardia.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. Azygos fissure is incidentally noted.
abdominal and chest pain.
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The heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no effusion or pneumothorax. Visualized osseous structures are grossly unremarkable.
chest pain, pleuritic. evaluate for pneumothorax.
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No obvious acute fracture is seen although clinical concern is high, ct is more sensitive. Chronic deformities at the bilateral distal clavicles. There is minor basilar atelectasis without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No overt pulmonary edema is seen.
history: <unk>m with <unk> s/p fall, ?b/l rib pain, no obvious crepitus or deformity // ?obvious fx
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Ap upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with fall today here with facial laceration and pain of the right humerus, right hip, knee and leg.
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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 fatigue, chest heaviness // ?opacity, fluid
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The lungs are well inflated and clear bilaterally with no masses or lesions identified. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable and within normal limits. The pleural surfaces are unremarkable.
<unk>-year-old female with cough and right pleuritic pain.
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The cardiac silhouette is normal in size. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with cough, dyspnea, fever // eval for pneumonia
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Frontal and lateral radiographs of the chest demonstrate stable moderate enlargement of the cardiac silhouette. There is mild pulmonary edema. Small bilateral pleural effusions are also slightly increased from prior. No pneumothorax. Multiple compression deformities in the thoracic spine are unchanged.
history of chf with shortness of breath.
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Pa and lateral chest radiographs were provided. The lungs are hyperexpanded with prominent interstitial markings consistent with copd. There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is notable for tortuous aorta. The heart is not enlarged. Imaged upper abdomen is unremarkable. There is mild wedging of mid thoracic vertebral bodies.
history of shortness of breath for one week, evaluate for pneumonia or pulmonary edema.