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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 chest pain and epigastric pain // chest pain, please eval for pneumonia or pulmonary edema
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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 rightward curvature of the thoracic spine is noted.
history: <unk>m with shortness of breath
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with chest pain and shortness of breath
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The lung volumes are normal. No pleural effusions. No pneumothorax. Normal structure and transparency of the lung parenchyma. No evidence of pneumonia. No pulmonary edema. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures.
sweat, chills, evaluation for pneumonia.
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Lungs are well expanded clear. Mediastinal contours, hila, and cardiac silhouette are normal. No pleural effusion or pneumothorax.
<unk>m with generalized weakness // pna?
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The heart size is normal. There is no pulmonary vascular congestion. The hilar and mediastinal contours are unremarkable. Linear opacities in the lingula and left lower lobe are compatible with subsegmental atelectasis. Remainder of the lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of chest pain, please evaluate.
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Unchanged elevation of the left hemidiaphragm. Mild unchanged blunting of the right costophrenic angle which may reflect atelectasis. There is no pleural effusion or pneumothorax identified. The appearance of the cardiomediastinal silhouette is unchanged. Two suture wires projecting over the left hemithorax are unchanged.
<unk> year old man with ? of rll opacity of consolidation on portable cxr // pna? vs atelectasis
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities demonstrated.
history: <unk>m with altered mental status// eval for pneumonia
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Frontal and lateral views of the chest are compared to exams from <unk> and <unk>. The lungs remain clear of consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unchanged, noting mild compression deformities in the mid thoracic spine and hypertrophic changes in the spine.
<unk>-year-old female with dementia and feeling unwell.
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Cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. Mild atherosclerotic calcifications are seen in the aortic knob. The pulmonary vasculature is normal. Linear opacities within the left lung base likely reflect subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. Vertebra plana of the t<num> vertebral body is re- demonstrated. Remote fracture of the distal right clavicle is also noted.
history of cancer, dyspnea.
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The lungs are well expanded and grossly clear without evidence of focal consolidation. No evidence of pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette hilar contours are normal.
<unk>f with reported shortness of breath associated with swallowing. // r/o pna, rib fracture
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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 productive cough and subjective fever for the past <num> days.
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The lungs are well-expanded and clear. Moderate cardiomegaly is stable. Anterior wedge deformities in the vertebral bodies of the mid thoracic spine are unchanged. Extensive degenerative changes of the thoracic spine and bilateral shoulders are stable. Left chest wall pacemaker with intact leads appears unchanged.
<unk> year old woman with wheezes and rales // r/o pna, atelectasis, infection
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Frontal and lateral views of the chest were obtained. The lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. Cervical spinal hardware is incompletely imaged.
dyspnea and cough.
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There has been interval removal of right ij catheter. Minimal basilar atelectasis/scarring is seen. No focal consolidation, pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Evidence of a hiatal hernia is seen.
history: <unk>m with kidney transplant, here with abd pain, needs infectious workup // please eval for pna
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The patient is status post coronary artery bypass graft surgery. A dual-lead pacemaker/icd device is in place with leads again terminating in the right atrium and ventricle, respectively. Within the limitations of technique, the cardiac, mediastinal and hilar contours appear stable including cardiomegaly. The lung volumes are low. There is no pleural effusion or pneumothorax. The lungs appear clear within the limitations of technique.
history of icd, presenting with syncope.
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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. The imaged upper abdomen is unremarkable.
history of strep in blood cultures. question infiltrate.
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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Cholecystectomy clips are noted in the right upper quadrant.
fever. evaluate for pneumonia.
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Single lead defibrillator with the lead terminating in the right ventricle. There is no pneumothorax. Moderate cardiomegaly and small left pleural effusion is unchanged since <unk>. No consolidation. Cardiomediastinal borders and hilar structures are normal.
<unk> year old woman with cardiomyopathy s/p icd // r/o pnuemo and lead placement
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Since the prior study, there is marked interval change with obscuration of the right lung base. There appears to be a large effusion on the lateral film and there is atelectasis in the right lung base. There is added density in the region of the right hila which could represent atelectasis, adenopathy or mass. There is a gas density in the right lower chest which could represent lung or possibly subdiaphragmatic air or bowel. I would recommend a right-side-up decubitus film to evaluate for pneumoperitoneum or pneumothorax. There is blunting of the left cp suggesting small effusion. There is no chf. Degenerative changes are present in the spine.
history: <unk>f s/p unwitnessed fall // unwitnessed fall; poor historian; left eye ecchymosis and edema
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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities, mid thoracic dextroscoliosis is noted.
<unk>f with chest pain // evaluate for ptx, pneumonia, volume status, effusion
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The heart size is mildly enlarged. The aorta is tortuous and diffusely calcified. The mediastinal and hilar contours otherwise are within normal limits. Lungs are clear and the pulmonary vascularity is within normal limits. There appears to be a small hiatal hernia. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
blood in sputum.
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Pa and lateral views of the chest provided. Lung volumes are low. 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 cp x <num> days sob today // cp sob
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Postoperative changes of right upper lobectomy are again seen. Right chest wall port catheter tip at the ra svc junction. There is more conspicuous opacity at the lateral aspect of the left lung overlying the posterior left eighth rib which corresponds to the nodular opacity on prior chest ct. Known other bilateral pulmonary nodules are not clearly depicted on this chest x-ray. There is no consolidation, effusion, or vascular congestion. The cardiomediastinal silhouette is stable. No acute osseous abnormalities identified.
<unk>f with tachycardia, on chemo, pls eval for pna // history: <unk>f with tachycardia, on chemo, pls eval for pna
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Lungs are fully expanded and clear without consolidations or suspicious pulmonary nodules. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.
<unk> year old man with <num> lb weight loss in last <num> months // please evaluate for possible underlying causes
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There is interval enlargement of the left pneumothorax. Minimal left basilar atelectasis and blunting of left costophrenic angle. The right lung is clear. The size of the cardiomediastinal silhouette is within normal limits. The mediastinal structures remain midline.
<unk> year old man pedestrian struck pneumothorax // monitor left-sided pneumothorax, standing expiratory film please
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Pa and lateral chest radiographs demonstrate no focal consolidations, pleural effusion, or pneumothorax. The heart size is normal. There is mild tortuosity of the aorta. The cardiomediastinal silhouette is otherwise unremarkable. Sclerotic appearance of the thoracic vertebral bodies likely represents osseous metastatic disease.
fatigue and fever. history of prostate cancer.
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormalities are seen.
cough.
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A retrocardiac opacity which appears to localize to the left lower lobe is noted, corresponding with patient's known left lower lobe mass. There is an associated, small, left pleural effusion, similar appearance to the patient's prior pet-ct examination. The remainder of the lung parenchyma is grossly clear, without focal consolidation, pneumothorax or pulmonary edema identified. The heart size is normal. The mediastinal and hilar contours are normal.
metastatic breast cancer, now with dyspnea on exertion and wheezing.
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A single-lead pacemaker device terminates in the right ventricle. The heart is moderately enlarged. There is no definite pleural effusion or pneumothorax, but fissures appear thickened. There is a mild interstitial abnormality including haziness of pulmonary contours, suggesting mild pulmonary edema. Mild bilateral pleural thickening along each lowe chest appears stable. The chest is probably hyperinflated.
shortness of breath. question pneumonia.
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Pa and lateral chest radiographs demonstrate linear opacities in the lower lungs, likely representing atelectasis. No opacity convincing for pneumonia is seen. Cardiomediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. No evidence of pulmonary edema. Blunting of the left costophrenic angle appears to been present on prior study, may reflect pleural thickening. There is no large pleural effusion. No pneumothorax. There is no air under the right in diaphragm.
<unk>f with cardiomyopathy and crackles in the bilateral bases on lung exam
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Heart size is normal. The aorta remains tortuous and calcified particularly at the aortic knob. Enlargement of the right hilum is compatible with the presence of an underlying mass, which appears somewhat decreased in size compared to the previous chest radiograph. Previously noted pleural and pulmonary nodules in the right lung are less conspicuous on the current chest radiograph compared to the prior study. Patchy opacities in the lung bases likely reflect areas of atelectasis. There is a small right pleural effusion which appears relatively unchanged from the prior chest ct. No new focal consolidation or pneumothorax is present. The pulmonary vasculature is not engorged. There are no acute osseous abnormalities.
history: <unk>f with lung cancer, metastatic, doe, gait instability // ?disease progression, new cpd
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The heart size remains mildly enlarged. Mediastinal and hilar contours are unchanged. There is no pulmonary vascular congestion. Re- demonstrated are patchy opacities within both lung bases, slightly progressed in the interval. No pleural effusion or pneumothorax is seen. Mild degenerative changes in the thoracic spine.
cough.
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The patient is status post median sternotomy. Heart size is normal. Mediastinal and hilar contours are unremarkable, and the pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated.
dyspnea on exertion, arrythmia.
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Minimal patchy opacity is seen within the left lower lobe, findings which could reflect early developing pneumonia. Right lung is clear. No pneumothorax or pleural effusion is demonstrated. No acute osseous abnormality is identified.
history: <unk>f with cough, hypoxia
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There is cardiomegaly, mild to moderate and increased pulmonary vascular engorgement, although no frank edema. The hilar counters are normal. There is no pleural effusion or pneumothorax.
<unk>-year-old man with shortness of breath.
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Near resolution of small pleural effusions and bibasilar atelectasis. There is mild linear bibasilar atelectasis. The heart is top-normal in size, unchanged. Thoracic aortic calcifications are unchanged. No pneumothorax. Degenerative changes in the thoracic spine are noted. No definite fracture.
history: <unk>f with s/p fall onto back, r shoulder. // eval ? traumatic injury
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There is no evidence of focal consolidation, pleural effusion, or pneumothorax. Prominent pulmonary hilar vasculature is consistent with mild vascular congestion. The heart size continues to be mildly enlarged.
patient with history of hypertension presenting with mid sternal chest pain. evaluate for pneumonia.
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Patient is status post median sternotomy and cabg. Mild enlargement of the cardiac silhouette is unchanged. The mediastinal and hilar contours are similar with atherosclerotic calcifications noted at the aortic knob. Pulmonary vasculature is not engorged. Patchy atelectasis is seen in the lung bases without focal consolidation. No pleural effusion or pneumothorax is present. Bilateral shoulder arthroplasties are incompletely imaged.
history: <unk>f with chest pain, dyspnea
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear. There is no pneumothorax. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old man with chest pain.
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New left lower lobe ill-defined opacity adjacent but not obscuring the left heart border. Right lung is clear and pleural surfaces are normal. Heart size, mediastinal contour and hila are normal without lymphadenopathy. Radiopaque opacity projects posterior to the mid thoracic vertebral body and is a bullet.
<unk>-year-old male with productive cough and chills for three weeks. assess for pneumonia.
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Note is made of a right sided aortic arch. Heart size is normal. Cardiomediastinal silhouette and hilar contours are otherwise normal. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
chest pain.
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As compared to the previous radiograph, a pre-existing left pleural effusion has completely resolved. There is no evidence of new effusion. No pulmonary edema and no fluid overload. Unchanged moderate cardiomegaly and sternal wires. Unchanged vascular stent in the left axillary region.
questionable pneumonia.
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Retrocardiac opacity is likely due to atelectasis in the setting of low lung volumes. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits.
<unk>f with chest pain // ? acute cardiopulm process
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Osseous structures are unremarkable.
<unk>-year-old male iv drug user presents with shortness of breath.
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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size. Surgical clips seen in the left upper quadrant. Mid thoracic dextroscoliosis is noted.
<unk>f with chest pain radiating to let arm // acute cardiopulm disease
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with chest pain // r/o infiltrate
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Pa and lateral views of the chest provided. An aicd a projects over the left chest wall with lead extending to the region the right ventricle unchanged. Lungs are clear and well expanded. No focal consolidation, effusion, or pneumothorax is seen. A rounded density projecting over the left lung base is compatible with a nipple shadow. There is no evidence of pulmonary edema. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with dizziness and sob pls eval for pna
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The heart is normal in size. The mediastinal and hilar contours appear stable. There are no pleural effusions or pneumothorax. There is small-to-moderate hiatal hernia with an air-fluid level which is better depicted on the frontal views. The osseous structures are unremarkable.
stroke and smoking history.
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The cardiac silhouette size is unchanged, top normal in size. The mediastinal and hilar contours are within normal limits given the low lung volumes. Bronchovascular crowding is present, but no overt pulmonary edema is noted. No focal consolidation, pleural effusion or pneumothorax is definitely seen. There is likely minimal atelectasis in the lung bases. No acute osseous abnormality is visualized.
hypotension.
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The lungs are clear. Heart size is top normal. Mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.
<unk>f with c/f lmca cva // eval for acute process
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Frontal and lateral views of the chest demonstrate stable appearance of calcified pleural thickening and parenchymal scarring within the right basilar hemithorax with volume loss and adjacent old rib fractures. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette remains enlarged, though stable in size. Atrial and biventricular leads are stable in position from a left chest pacemaker.
<unk>-year-old female with tia-like symptoms. please evaluate for acute infectious process.
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Two views of the chest demonstrate clear lungs without effusion or pneumothorax. The cardiac silhouette is normal in size, mediastinal contours are normal.
<unk>-year-old male with syncope and right shoulder pain. evaluate for pneumothorax.
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Pa and lateral views of the chest demonstrates stable cardiomegaly. Fibrotic changes particullary at the periphery of the lung parenchyma are stable. There is no evidence of pleural effusion. No focal consolidation is seen. There is moderate tortuosity of the thoracic aorta
<unk>-year-old female with shortness of breath.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits. There is no radiographic evidence for large free intraperitoneal air.
<unk>-year-old female with upper abdominal pain.
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Ap and lateral views of the chest were reviewed. The cardiomediastinal and hilar contours are unchanged. Elevation of the right hemidiaphragm is again noted with post-surgical changes in the right chest from prior right upper lobectomy. Low lung volumes are again appreciated. Slight increase in interstitial markings may indicate an element of pulmonary vascular congestion. Right shoulder replacement is noted.
fall, acute mental status change with crackles on lung exam.
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Right-sided aicd device, with <num> leads in place. Median sternotomy wires are intact. There is mild pulmonary vascular congestion, without overt pulmonary edema. Small bilateral pleural effusions. No focal consolidation or evidence of pneumothorax. Calcified pleural plaques are noted on the left. There is calcification of the anterior longitudinal ligament of the thoracic spine consistent with dish.
history: <unk>m with chf, afib on eliquis, pacemaker, w/ increasing sob, orthopnea // eval ? edema, infiltrate
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. There has been no significant interval change. .
history: <unk>m with ruq abdominal pain with uri symptoms. // eval for acute process
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with cough, fever to <num> // please assess for pneumonia
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The lung volumes are low. The heart has a left ventricular configuration. The mediastinal and hilar contours are unremarkable within the limitations of technique. There is no pleural effusion or pneumothorax. The lungs appear clear.
dysphagia.
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Pa and lateral views of the chest provided. Retrocardiac opacities projecting over the right and left lower lungs in the appropriate clinical setting may represent pneumonia. No pleural effusion or pneumothorax. Hilar contours are normal. Moderate cardiomegaly is mildly increased from <unk>.
<unk> year old woman with fevers and hypotension s/p breast surgery yesterday. // rule out lung 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>. The heart size remains normal. No configurational abnormality is present. Thoracic aorta is markedly widened and elongated but no local contour abnormalities are identified. Remarkable is the absence of any significant wall calcifications in this generally widened and elongated aorta. 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 evidence of pneumothorax in the apical area.
<unk>-year-old male patient with cough for two and a half weeks, fever daily since <unk>. nonsmoker, crackles in bilateral lower lung fields, no wheezing or pleural rub, no leg swelling or jugular vein distention, evaluate for pneumonia.
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The lungs are hyperinflated but clear without focal consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch.
<unk>m with weakness and lightheadedness // ?cpd
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The heart is not enlarged. Aorta is calcified and unfolded. Right paratracheal soft tissues likely represent vascular structures in someone of this age. The lungs are hyperinflated, suggesting background copd. No chf, consolidation, pleural effusion or pneumothorax detected. No subdiaphragmatic free air detected. Linear densities projecting over lower right chest likely represent surgical clips. Multilevel degenerative changes are noted throughout the thoracic spine. Mild anterior wedging of several mid thoracic vertebral bodies is noted, but does not appear acute.
history: <unk>f with altered ms // pna
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The lungs appear hyperexpanded consistent with emphysema. No focal opacity is identified. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are normal without effusion or pneumothorax.
history of copd and pneumonia. evaluation for resolution.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with left chest pain// eval for acute pathology
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Rounded density measuring <num> mm within the right upper lobe likely reflects a calcified granuloma. Streaky opacities in the lung bases are compatible with areas of atelectasis. No pleural effusion or pneumothorax is identified. No displaced fractures are seen. Multilevel degenerative changes are noted in the thoracic spine. Anterior wedge compression deformity at the thoracolumbar junction is of indeterminate age. Degenerative changes are also noted involving the right glenohumeral joint.
history: <unk>f with chest pain status post compressions
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Frontal and lateral radiographs of the chest demonstrate prominence of the central pulmonary vasculature without evidence of pulmonary edema. There is mild right basilar atelectasis. The cardiac silhouette is unchanged. Note is made of calcified right hilar and mediastinal lymphadenopathy. The aorta is tortuous. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with dyspnea // eval for pna or chf
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The endotracheal tube and nasogastric tube have been removed. The left-sided picc is at the cavoatrial junction. Improved aeration of the left lower lobe and right lower lobe. Linear subsegmental along the right minor fissure is unchanged. No interstitial edema. No pneumothorax or significant pleural effusions.
<unk> year old woman with recent micu course complcioated by laryngel edema // e/o pulm edema
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The lungs are clear. There is no pleural effusion or pneumothorax. Air just inferior to the left hemidiaphragm is most likely intraluminal as demonstrated on subsequent ct. An air-filled distended loop of small bowel is seen in the left upper quadrant. There is stable thoracic dextroscoliosis.right picc is no longer seen.
<unk>m with high grade sbo // pre op
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with fever, ivdu hiv pls eval pna
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Cardiomediastinal silhouette is within normal limits. Calcifications are noted in the aortic arch and along the proximal head and neck vessels. Lungs are symmetrically hyperinflated similar to the prior examination. There is no consolidation or pleural effusion. No pneumothorax.
history: <unk>f with confusion, tia symptoms // eval for pneumonia
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Moderate bilateral pleural effusions with associated bibasilar atelectasis are identified. Right pleural effusion appears stable and left pleural effusion appears slightly increased compared to <unk>. There is pulmonary vascular congestion with mild pulmonary edema. Cardiac silhouette is exaggerated by low lung volumes.
history: <unk>m with sob // infiltrate or edema
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The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is visualized.
history: <unk>f with chest pain
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Heart size is not enlarged. The thoracic aorta remains widened with calcium deposits in the wall at the level of the arch. Again noted is a small density in the left mid lung zone which has increased in size compared to the prior exam. There remains irregular distribution of peripheral pulmonary vasculature and flattened diaphragms typical for copd.
<unk>-year-old with copd, follow up lung nodule.
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Lung volumes are relatively low with secondary crowding of the bronchovascular markings. There is no focal consolidation, effusion, or overt edema. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>m with pmh of dchf here with dyspnea and weight gain // any evidence of pulmonary edema/pleural effusions?
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No previous images. The heart is normal in size and lungs are clear without vascular congestion or pleural effusion. Mild pectus deformity. Specifically, no evidence of nodular opacity in the left lung.
lung nodule seen on shoulder x-ray at outside hospital.
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Frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no consolidation, pleural effusion, or pneumothorax.
history of pancreatitis with abdominal pain and elevated lactate. evaluate for pneumonia or pulmonary edema.
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There is near complete opacification of the left hemithorax with only a small amount of aerated parenchyma in the mid/upper left lung. The right heart border is visible and there is no mediastinal shift. The left heart border is obscured and heart size cannot be assessed. The right lung is well expanded and clear. Overlapping aortic stents are unchanged in position and an indentation along the upper margin of the stent appears similar. The sternotomy wires and surgical clips are noted. Degenerative changes are again seen in the shoulders. Surgical clips project over the right upper quadrant, as before.
<unk>f with s/p aaa who presents with cough, sputum and sob decrease breath sounds on the left // eval for pna
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Frontal and lateral views of the chest were obtained. Low lung volumes results in bronchovascular crowding. There is mild bibasilar atelectasis. No focal consolidation, pleural effusion, or pneumothorax. Heart size is normal. The mediastinal and hilar contours are normal. Serpiginous sclerosis in the humeral heads bilaterally may represent bone infarcts, similar to ct <unk>.
chest pain.
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There is mild cardiomegaly. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Lungs are adequately expanded and clear without focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits. The upper abdomen is unremarkable.
<unk>f with sob, chest pain described as pressure. recent travel to <unk> // eval for pna vs dissection
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>f with dizziness, dyspnea // r/o pna
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Again seen are calcific densities projecting over the left lung base which are unchanged. Not definitively calcified right base pulmonary nodule is seen projecting over the posterior eighth rib. The lungs are otherwise clear with consolidation. The cardiomediastinal silhouette is within normal limits.
<unk>m with tremor, weakness // eval for pneumonia
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There has been interval removal of <num> of the left-sided chest drains without evidence of of a pneumothorax. A small amount of pleural fluid tracks along the left chest wall. Airspace opacity in the left mid lung likely reflects re-expansion pulmonary edema and is unchanged compared to the prior study. Infection cannot be definitively excluded. Linear atelectasis of the right lung base. Persistent left basilar atelectasis. A left subclavian catheter terminates at the proximal svc.
<unk> year old man s/p l vats decortication now with apical chest tube removed. // assess for interval ptx.
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The lungs are clear. No pleural effusion, pulmonary edema, or pneumothorax is present. The cardiomediastinal and pleural surface contours are normal.
cough for three weeks.
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The heart is at the upper limits of normal size. There is no pleural effusion or pneumothorax. There is vague opacity obscuring the left cardiac margin, probably within the lingula. Elsewhere, the lungs appear clear. Old remodeled fractures involve the posterior lateral third through fifth ribs on the left only.
altered mental status.
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The cardiomediastinal silhouette is normal. The hila are normal. The lungs are well expanded and clear. No pleural abnormalities. No pneumothorax. The visualized bones and soft tissues are normal.
<unk>-year-old female with copd and cll now presenting with dyspnea and cough. evaluate for infection.
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No acute change or new consolidation. The right subpleural wedge-shaped and right hilar opacities are consistent with known carcinoma and hilar lymphadenopathy, unchanged from <unk>. Bilateral lower lobe predominant reticular nodular interstitial abnormality is unchanged, better assessed on chest cta from <unk>. Right upper lung and retrocardiac lucencies are consistent with underlying emphysema. Left chest wall pacemaker is unchanged in appearance.
<unk> year old man with sclc p/w weakness, cough, leukocytosis and o<num> requirement // evaluate for infiltrate
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There are low lung volumes. Evidence of large hiatal hernia is seen with retrocardiac lucency. Prominence and indistinctness of the hila and slight increase interstitial markings bilaterally suggest fluid overload. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Aortic calcifications are seen.
history: <unk>f with weakness // ? pna
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In comparison with the study of <unk>, there is little overall change in the substantial left pleural effusion with underlying compressive atelectasis. No evidence of acute focal pneumonia or vascular congestion or change in the cardiomediastinal silhouette.
fusion.
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Port-a-cath terminates in the lower svc. Cardiomediastinal silhouette is stable. Lungs are hyperinflated. There is no focal consolidation, pleural effusion, or pneumothorax. No pulmonary edema.
<unk> year old woman with fevers s/p whipple on <unk> // please assess for pna
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The heart size is normal. The mediastinal and hilar contours are within normal limits. The pulmonary vascularity is normal. No definite focal consolidation, pleural effusion or pneumothorax is present. Minimal, likely right middle lobe, linear atelectasis is noted. There is no acute osseous abnormality.
fevers, cough, left-sided abdominal pain and immunosuppression.
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As compared to <unk>, nodular opacities with basilar predominance have increased. Mild pulmonary vascular congestion is stable. Mild cardiomegaly. No significant pleural effusions. No pneumothorax.
<unk> year old man with respiratory failure currently being treated for pneumonia // assess for pneumonia vs. pulmonary edema
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A right-sided picc is in-situ, this appears to have been withdrawn when compared to the prior study and now terminates in the mid svc. No pneumothorax seen. The cardiomediastinal contour is within normal limits, the heart is not enlarged. No consolidation, pneumothorax or pleural effusion seen.
picc line placement
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Frontal and lateral views of the chest were obtained. The lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal.
fever.
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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 night sweats, lives in group home
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A left chest wall pacer and and dual leads are in stable position. The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
<unk>m w/syncope and vt // <unk>m w/syncope and vt
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The lungs are mildly hyperexpanded with widening of the ap diameter, similar to the prior, consistent with known diagnosis of copd. There are no focal airspace opacities to suggest pneumonia. There is mild scarring or atelectasis at the right base. The cardiomediastinal silhouette, hilar contours, and pleural surfaces and are stable. The aorta is calcified and tortuous. There is no large pleural effusion or pneumothorax.
cough, rule out infiltrate.
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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. Bilateral nipple jewelry is seen.
history: <unk>f with chest pain // eval for infiltrate
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Pa and lateral views of the chest are compared to previous exam from <unk>. Somewhat linear opacity in the right upper lobe is most suggestive of scarring and is unchanged from prior. Biapical scarring is also noted. There is no superimposed new region of consolidation nor effusion. Cardiomediastinal silhouette is unchanged. Right hilum is tented superiorly likely from scarring detailed above. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with hyperglycemia, no obvious signs of infection.