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As compared to the previous radiograph, the pleural effusions have minimally decreased. Signs suggesting mild-to-moderate pulmonary edema are present in unchanged fashion. Borderline size of the cardiac silhouette. No evidence of pneumonia or pneumothorax.
status post cabg, evaluation for effusion.
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The lungs are clear. There is no consolidation or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with chest pain and sob // eval for infiltrates
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Again seen is a round opacity in the left upper lobe which corresponds to the laceration seen on the prior ct. This is unchanged compared to the prior exam. The left third rib fracture is not clearly seen on this exam. The previously noted right upper lobe nodules on the ct also cannot be clearly seen on this exam. No new focal consolidations are identified in the lungs. The mediastinal and hilar borders are unremarkable. There appears to be interval increase in the left-sided pleural effusion; however, this may be secondary to differences in patient positioning compared to the prior exam. There is stable moderate cardiomegaly.
<unk>-year-old female with a history of rib fractures who presents for evaluation.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Again seen is a small right hydro pneumothorax, minimally increased from the prior study. A left retrocardiac opacity is minimally increased and again likely reflects a combination of pleural effusion and adjacent atelectasis or consolidation. Evidence of pneumothorax.
<unk> year old woman with persistent air leak // r/a ptx
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In comparison with <unk> study there is no longer presence of a right pleural effusion and associated right lower lobe atelectasis. Left moderate pleural effusion and left lower lobe atelectasis remains unchanged, which is best seen on the lateral view. Cardiomediastinal silhouette stable.
<unk> year old man with sob // please eval for pleural effusion
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A left pacemaker with leads in the lower right atrium and right ventricle is unchanged from prior radiographs. No focal consolidation, pleural effusion or pneumothorax. Stable mild cardiomegaly.
meningiomas, evaluate the revo pacemaker prior to mri.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with seizure // eval for infection
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Hyperdensities seen below the left hemidiaphragm. Surgical clips are noted in the right axilla.
<unk>-year-old female with metastatic breast cancer, now with decreased breath sounds on the right side. evaluate for evidence of effusions.
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The cardiomediastinal contours are unremarkable. There is redemonstration of right upper lobe atelectasis with interval increase in aeration. There is slight deviation of the trachea to the right. Minimal interstital lung markings at lung bases could represent atelectasis or focal scarring. There are no pleural effusions or pneumothorax.
<unk>-year-old male patient with history of chf, cad, ckd, presenting with lightheadedness. study requested for evaluation of infection or mass.
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The lung volumes are slightly low. There is mild bibasilar atelectasis. Heart size is normal. The mediastinal hilar contours are normal. There is no pleural effusion or pneumothorax.
<unk> year old man with crohns on infliximab, mtx p/w sbo, now w fever and hypoxia. // r/o pna
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Heart size is mildly enlarged with mild tortuosity of the thoracic aorta. Hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
dyspnea on exertion.
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected.
<unk>-year-old female with chest pain.
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The heart is mildly enlarged but unchanged. The mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present.
productive cough for <num> weeks.
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Cardiac conduction device is contiguous with leads terminating in the right atrium and right ventricle. There is no evidence of free air. There is moderate cardiomegaly and mild pulmonary edema.
history: <unk>m with recent ercp with sphincterotomy with increasing ruq pain // eval for free air
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. There is a mildly enlarged cardiac silhouette, which can be compatible with mild cardiomegaly and/or pericardial effusion. The mediastinal silhouette is within normal limits.
history: <unk>f with fever and chest pain // r/o infiltrate
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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. Degenerative spurring in the thoracic spine noted anteriorly. No free air below the right hemidiaphragm is seen.
<unk>f with chest tightness // ?pna
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The heart is mild to moderately enlarged. The patient is status post coronary artery bypass graft surgery. A right-sided picc line terminates in superior vena cava. Bilaterally, there are small pleural effusions. Mild to moderate interstitial abnormality is most consistent with pulmonary edema. Fissures are thickened.
shortness of breath. history of congestive heart failure.
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In comparison with study of <unk>, there is no change or evidence of acute cardiopulmonary disease. Specifically, no evidence of acute pneumonia.
cough.
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The cardiac, mediastinal and hilar contours appear within normal limits. The lung volumes are low and the right hemidiaphragm is moderately elevated compared to the left. This appears substantial and may be due to an eventration of the right hemidiaphragm, enlarged liver or phrenic nerve paralysis. The lungs appear clear aside from streaky right basilar opacity associated with the elevated hemidiaphragm on the right. There is no pleural effusion or pneumothorax.
hypotension and pre-syncope.
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Ap upright and lateral views of the chest provided. Picc line enters the right upper extremity with tip in the low svc. Elevated right hemidiaphragm is again noted. Cardiomediastinal silhouette is unchanged with stable cardiomegaly. There is hilar congestion with resolved pulmonary edema. No large effusion or pneumothorax. Imaged osseous structures are intact.
<unk>f with recent hospitalization for sepsis now with sinus tachycardia // consolidation
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There are relatively low lung volumes. Left mid lung linear atelectasis/scarring is noted. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable.
<unk>m w/tiredness, please eval for occult pna // <unk>m w/tiredness, please eval for occult pna
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More apparent on the current exam is a right basilar opacity with a spine sign on the lateral view. The left lung remains clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with fever, tachycardia, crackles l chest // eval for pna,
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with chest pain, shortness of breath and leg swelling // r/o chf
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There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Drains project over the chest. The imaged upper abdomen is unremarkable.
bilateral mastectomy with fever, question infection.
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Comparison can be made to <unk>. The heart is normal in size. The mediastinal and hilar contours appear within normal limits. Incidental note is made of an azygos fissure, which is a common normal variant. There is a similar mild prominence of central pulmonary arterial vascularity but fairly similar with no definite evidence for acute change. The bony structures are unremarkable.
epigastric vein, rigors and night sweats. patient with hiv.
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The inspiratory lung volumes are slightly decreased. 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 silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The trachea is midline. The visualized upper abdomen is unremarkable.
dyspnea worse at night, here to evaluate for pulmonary edema or other acute cardiopulmonary process.
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In comparison with the study of <unk>, there is little change and no evidence of acute pneumonia, vascular congestion or pleural effusion.
persistent cough.
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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. No signs of congestion or edema. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with new afib, chest pain // ? effusion, consolidation
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Relative crowding of the bronchovascular markings are likely secondary to low volumes. An opacity in the right lower lobe most likely represents vessels, with no correlate on lateral view. The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
<unk> year old man with persistent cough chest congestion/tightness, evaluate for pneumonia.
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The lungs are clear. The cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
patient after fall.
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Frontal and lateral views of the chest. Sternotomy cerclage hardware and mediastinal clips are intact. Right ij central catheter has been removed. Heart size and cardiomediastinal contours are stable. Small bilateral pleural effusions with bibasilar atelectasis are similar to prior. No new focal consolidation or pneumothorax.
<unk>-year-old male with chest pain.
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Cardiac, mediastinal and hilar contours are normal. Linear opacity within the left upper lobe likely reflects an area of scarring. No focal consolidation, pleural effusion or pneumothorax is present. Pulmonary vasculature is normal. There are mild degenerative changes of the thoracic spine.
history: <unk>m with repeated falls, head strike
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The lungs are clear. There is no evidence of pneumonia. Increased density on the lateral view overlying the lower thoracic spine is due to osteophyte bridge. There is no pleural effusion or pneumothorax. Cardiac contour is normal.
patient with two weeks of cough, subjective fever, vesicular breath sounds over left middle lung posteriorly and bibasilar crackles, rule out pneumonia.
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Bilateral basilar predominant changes associated with pulmonary fibrosis appear stable. The heart is top-normal in size. Pulmonary vasculature is not engorged. No pleural effusion or pneumothorax. Elevation the right hemidiaphragm is stable.
<unk> year old man with intersitial lung dz (ra-on humira), now w/ <unk># weight loss, uncontrolled coughing. // ? any suspicious lesions?
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with chest pain
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Heart size is normal. Mediastinal and hilar contours are within normal limits. The pulmonary vascularity is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is visualized. No acute osseous abnormalities are visualized.
headache, intermittent muscle tightening in the right forearm.
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Pa and lateral views the chest were provided. The lungs are clear without focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours appear stable and within normal limits. The imaged osseous structures are intact.
<unk>-year-old female with altered mental status.
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Lower lung volumes are seen on the current exam. Bibasilar opacities are likely secondary to atelectasis. Superiorly, lungs are clear. Cardiac silhouette is within normal limits noting noted is accentuated by low lung volumes. Tortuosity of the thoracic aorta is again noted. No acute osseous abnormalities.
<unk>m with chest pian // acute process?
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>-year-old woman with chest pain. evaluate for pneumothorax.
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Large area of consolidation is seen involving the left mid to lower lung and possibly portion of the inferior left upper lobe. Given patient history, findings are concerning for mass of aspiration. Alternatively, patient could have underlying infection. The right lung is clear. No pleural effusion or pneumothorax is seen. Cardiac silhouette is top-normal. The aorta is calcified. Mediastinal contours are unremarkable. Multiple old left-sided rib fractures are seen. Anchor screws are noted over the right humeral head.
history: <unk>m with concerns for aspirating this am during endoscopy // aspiration pna?
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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>m with dyspnea, exertional cp
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There is a small nodular opacity in the left lower lung suggestive of metastatic disease, better evaluated by the ct chest dated <unk>, which demonstrated multiple radiographically occult pulmonary metastases.there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. The right chest wall port ends at the cavoatrial junction.
<unk> year old man with crackles on b/l bases, right>left. metastatic pancreatic cancer to lungs. on gemcitabine chemotherapy. low grade temp. decreased bp // r/o pneumonia vs fluid overload. wet <unk> to np <unk>
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Relatively low lung volumes are noted with crowding of the bronchovascular markings. Bibasilar opacities are identified. There is no effusion, pneumothorax, or overt pulmonary edema. Cardiac silhouette is slightly enlarged but likely accentuated due to lower lung volumes. No acute osseous abnormalities identified.
<unk>m with fatigue, poor po intake // eval pna
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The cardiac silhouette size is top normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are detected.
fever, cough.
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Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. Mild basilar atelectasis is noted. No pleural effusion. No focal consolidation or pneumothorax. Cardiomediastinal and hilar silhouette appear stable and within normal limits. Bones appear intact.
chest pain. assess for widened mediastinum.
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Left-sided aicd device is noted with single lead terminating in the right ventricle. Heart size remains moderately enlarged. Aorta is tortuous. The mediastinal and hilar contours are otherwise unchanged. Pulmonary vasculature is mildly prominent, with cephalization as seen previously, which suggests chronic pulmonary venous hypertension, without overt pulmonary edema. No focal consolidation, pleural effusion, or pneumothorax is identified. There are no acute osseous abnormalities.
history: <unk>m with dyspnea, history of congestive heart failure
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Bilateral parenchymal opacities, most pronounced in the right perihilar region is concerning for infection given the provided history. Increased opacities in the bilateral infrahilar regions could be infection or aspiration. Horizontal linear opacity projecting over the right mid lung may be focal scarring. The heart remains enlarged. Pulmonary vascular congestion persists. <num>-mm opacity just to the right of the trachea is probably a vessel on-end, although could also be a nodule. There may be a trace right pleural effusion on the lateral view. No large pleural effusion or pneumothorax. Severe levoconvex scoliosis of the upper thoracic spine, mild dextroconvex scoliosis of the lower thoracic spine, and mild levoconvex scoliosis of the upper lumbar spine is overall unchanged with associated severe distortion of the thoracic cage and appearance of the mediastinum. The bones are diffusely demineralized, making it difficult to assess for fractures; however, significant loss of vertebral body height at multiple levels in the thoracic spine is noted and appears to have been present on the ct from <unk>. The stomach is distended with fluid and gas.
<unk>-year-old woman presenting with hypoxia. evaluate for pneumonia.
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As compared to the prior examination dated <unk>, there has been no significant interval change. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits. There is persistent thoracic kyphosis with mild wedging of a mid thoracic vertebral body.
history: <unk>f with cough and back pain // evaluate for pneumonia
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Cardiomediastinal and hilar contours are normal. Right basilar atelectasis is identified. There is a small new right pleural effusion. No left pleural effusion. Lungs are otherwise clear without focal consolidation or pneumothorax. Compared with the prior radiograph of <unk>, significant subcutaneous emphysema has resolved.
<unk>f with hypervolemia. eval for pleural effusion.
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Lines and tubes: left-sided picc terminates at the cavoatrial junction. Lungs: well inflated and clear. Pleura: there is no pleural effusion or pneumothorax mediastinum: persistent cardiomegaly and prominence of hilar vasculature. Bony thorax: prosthetic cardiac valve sternal sutures and surgical clips remain unchanged in position.
<unk> year old man with endocarditis, continued fevers // eval for new pneumonia or other pulmonary process
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no evidence of pulmonary edema, pneumothorax, pleural effusion or focal pneumonia.
<unk>-year-old male with left-sided chest pain. evaluation for pneumonia.
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There is a tortuous and calcified thoracic aorta. The cardiomediastinal silhouettes are stable. As on prior exams, diffuse interstitial prominence and stable moderate cardiomegaly is consistent with mild pulmonary edema. Prominence of the right hilum is unchanged. There is improved aeration of the left lung base in comparison to prior radiograph. There is no focal lung consolidation. There is no pneumothorax or pleural effusion.
an <unk>-year-old woman with chest pain, evaluate for pneumonia.
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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. Chronic widening of the right ac joint is unchanged. No free air below the right hemidiaphragm is seen.
<unk>f with increased confusion // r/o pna
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is demonstrated. No pneumoperitoneum is seen. A biliary stent is partially imaged in the right upper quadrant of the abdomen.
history: <unk>m with right upper quadrant pain, nausea, vomiting, serosanguineous drainage from jp drainage
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Cardiomediastinal silhouette is unchanged. Apparent blunting at the right lateral costophrenic angle is due to pleural fat as seen on <unk> cta. There is no concerning parenchymal consolidation. There is no evidence for rib fracture, however dedicated rib series is more sensitive. There is no evidence of pneumothorax. Mild elevation of right hemidiaphragm is grossly stable.
<unk>m status post fall with mechanical fall, tripping over sidewall, landing on the left side, left rib pain question rib fracture.
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The cardiac silhouette is moderate to markedly enlarged. Blunting of the costophrenic angles suggests small bilateral pleural effusions. There is mild to moderate pulmonary edema. No definite focal consolidation is seen although one would be difficult to exclude at the left lung base. No pneumothorax is seen.
history: <unk>m with hypoxia, hypotension // pna?
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Interval increase in cardiac size with cephalization of pulmonary blood vessels and mild vascular indistinctness suggesting early interstitial edema. No alveolar edema. No pleural effusions. No focal airspace consolidation to suggest pneumonia. Spondylotic changes of the thoracic spine.
<unk> year old man with chf, asthma, increasing shortness of breath // any infiltrate or edema
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In comparison with chest radiograph from <num> day earlier, there is no significant change. Enteric feeding tube terminates in the proximal stomach with side ports beyond the gastroesophageal junction. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are stable. Heart size is normal.
<unk>m hx dm<num>/esrd s/p spk c/b nstemi presented to osh with nausea/emesis here w/ ileus vs sbo now with a low grade temp, productive cough // assess for pneumonia, assess location of ng
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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
<unk> year old man with esrd for pre kidney transplant evaluation // r/o cardiopulmonary abnormalities
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There is similar moderate elevation of the right hemidiaphragm. A mild interstitial abnormality and cephalization of pulmonary vascularity suggests slight congestion, but otherwise the lungs appear clear. There is no pleural effusion or pneumothorax. The bones are probably demineralized.
shortness of breath and left lower lobe crackles.
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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 sore throat, fevers, malaise
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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Osseous structures are unremarkable. There is no visualized rib fracture.
<unk>f with <num> wks l flank vs l thoracic wall pain // eval ? l effusion, l rib injury ;
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable. Degenerative changes are seen in the thoracic spine.
febrile neutropenia, evaluate for pneumonia.
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A large aortic pseudoaneurysm arising from the arch is re- demonstrated, similar in configuration compared to the prior study. Moderate cardiomegaly is also unchanged and there is re- demonstration of a a moderate size hiatal hernia. Streaky opacity in the right lung base may reflect an area of atelectasis though infection is not excluded. There is no pulmonary edema or pneumothorax. Left lung is grossly clear. Marked atherosclerotic calcifications are seen involving the aorta. Several ring like densities within the left upper quadrant of the abdomen may reflect diverticula with residual contrast.
altered mental status.
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The patient is status post median sternotomy, cabg, and aortic and mitral valve prostheses. Left-sided pacemaker device is noted with single lead terminating in the right ventricle, unchanged. Moderate cardiomegaly is re- demonstrated. The aorta is tortuous and diffusely calcified. There is mild interstitial pulmonary edema, similar compared to the previous exam. Small bilateral pleural effusions, left greater than right are noted, with interval increase in the amount of pleural fluid on the left. No pneumothorax is demonstrated. Patchy opacity in the retrocardiac region likely reflects atelectasis. Diffuse demineralization of the osseous structures is noted. Several clips are demonstrated within the upper abdomen.
congestive heart failure, orthopnea, shortness of breath.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild loss in height of two mid thoracic vertebral bodies appears unchanged.
chest pain.
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As compared to the previous radiograph, no relevant change is noted. Severe scoliosis with subsequent asymmetry of the rib cage. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours. No pleural effusions. No lung nodules or masses. No evidence of pneumonia.
weight loss, nonsmoker, evaluation.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear.
productive cough.
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart continues to be enlarged. The mediastinal contours are normal.
<unk> year old woman with cough
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Frontal and lateral views of the chest were performed. The heart has decreased in size from the prior study but remains mildly enlarged. There is prominence of the central vasculature without overt signs of pulmonary edema. Bibasilar atelectasis is noted. There is no pleural effusion or pneumothorax. A tortuous and a dilated aorta is again noted. Sternotomy wires and mediastinal clips are unchanged.
recent aortic root repair and right lower extremity dvt now with persistent fevers.
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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.
history: <unk>f with chest pain // eval for structural process
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Heart size is mildly enlarged. The aorta is tortuous with atherosclerotic calcifications noted diffusely. Mediastinal and hilar contours are otherwise unremarkable. Emphysematous changes are again demonstrated with lung hyperinflation and flattening of the diaphragms. No evidence of pulmonary edema. There is no focal consolidation, pleural effusion or pneumothorax seen. Minimal linear opacities in the lung bases likely reflect areas of atelectasis. No acute osseous abnormalities identified.
history: <unk>f with malaise, dictation cutoff, left lower lobe rales // ? pneumonia
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Heart size is normal. The aorta is mildly unfolded. The mediastinal hilar contours are normal. Lungs are clear. No pleural effusion, focal consolidation or pneumothorax is present. Hypertrophic changes are noted within the mid thoracic spine.
history: <unk>f with <num> days of cough, influenza-like illness // please eval for consolidation, infiltrate
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
syncope.
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Pa and lateral views of the chest provided. Vp shunt tubing crosses the right hemi thorax. 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>m with cough *** warning *** multiple patients with same last name! // eval for pneumonia
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man after fall to chest <num> weeks ago now with intermittent shortness of breath // <unk> year old man after fall to chest <num> weeks ago now with intermittent shortness of breath eval for fracture
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Left-sided pacer device is noted with leads terminate in the right atrium and right ventricle. The cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. The pulmonary vasculature is not engorged. Lungs appear clear. No focal consolidation, pleural effusion or pneumothorax is present. Previously noted pulmonary nodules seen on chest ct are not clearly assessed on the current chest radiograph. Mild compression deformity involving the superior aspect of the l<num> vertebral body appears new in the interval with the l<num> vertebral body superior endplate compression deformity appearing unchanged.
history: <unk>f with pre-syncope
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. No definite rib fracture is identified, but dedicated rib radiographs would be more sensitive and may be considered if there remains strong clinical suspicion for rib fracture.
mvc with pain // eval for fx
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Pa and lateral chest radiograph demonstrates a increased opacification within the right mid and lower lung zone. Streaky opacities at the left lung base is likely secondary to atelectasis. Relative to prior examination dated <unk>, cardiomediastinal and hilar contours are stable. Patient is status post median sternotomy, wires which appear intact. Patient has known severe upper lobe predominant centrilobular emphysema. Architectural distortion and bilateral pleural thickening is not significantly change relative to prior examination. A granuloma within the left upper lobe is stable. There is no pleural effusion, pneumothorax, or evidence of pulmonary edema. A healed right clavicular fracture is unchanged.
<unk>-year-old male with cough and chest pain.
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The heart is top normal in size. The hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with c<num>-<num> ligament fx // eval for effusion, consolidation, or fluid overload. pre-op
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Although there is apparent mild opacity left lung base, on the chest ct performed approximately the same time, there is no infiltrate to explain this, therefore this likely represents a summation of shadows. The cardio-mediastinal silhouette is unremarkable. No significant pleural effusion or pneumothorax.
history: <unk>m with rle pain similar to prior dvt, l cp and sob, high risk pe // dvt, pe, ha ?ich
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Frontal and lateral views of the chest. There is mild pulmonary edema superimposed on the known chronic lung disease. A small focal area of opacification is seen at the right lung base. There are small bilateral pleural effusions, best appreciated on the lateral view. No pneumothorax. Cardiac size is moderately enlarged. Coronary stent is also noted. A calcified and tortuous aorta is present.
chest pain. evaluate for effusions, pneumonia or cardiomegaly.
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An ill-defined opacity is seen which is appreciated only on the lateral view located in the posterior and lower lungs. This is seen only on the lateral view. This may be located in either of the lower lobes. Upper lungs are clear. There is no pleural abnormality. Heart size, mediastinal and hilar contours are normal. Mild atherosclerotic calcification is present in the aortic arch.
to evaluate for consolidation.
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Cardiac silhouette size remains moderately enlarged, mildly increased compared to the previous exam. Moderate pulmonary edema is demonstrated with perihilar haziness and vascular indistinctness, as well as small bilateral pleural effusions. Mediastinal contour is unremarkable. No pneumothorax is demonstrated. There are no acute osseous abnormalities.
history: <unk>m with atrial fibrillation with rapid ventricular rate
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There is mild pulmonary vascular congestion, without overt pulmonary edema. Bibasilar linear atelectasis. No other consolidation. No pleural effusion or pneumothorax. Mild cardiomegaly. Cortical irregularity along the left lateral scapula is consistent with a prior fracture. Old right ninth rib fracture.
<unk>-year-old male with chest pain for <num> weeks
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Lung volumes are low and clear. No focal consolidation, effusion, or pneumothorax is present. The hila are normal and distinct on this pa exam. Previous hilar opacity was most likely artifact. Top normal heart size is accentuated by low lung volumes.
<unk>-year-old woman with elevated white blood cell count and question hilar adenopathy versus infiltrate on portable radiograph.
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Enlarged lymph nodes in the aorticopulmonary window and left hilum appear less prominent than on the prior radiograph. Cardiomediastinal contours are otherwise stable. Within the lungs, persistent reticular opacities are demonstrated bases. There are no new areas of consolidation and there is no pleural effusion or pneumothorax. Note is made of previous median sternotomy and aortic valve procedure.
<unk> year old woman with hodgkins disease s/p abvd with sob // lung scan r/o pe
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Lung volumes are low. There is bilateral hilar prominence with ill distinct vascular contours. The heart is top-normal. There is no definite pleural effusion or pneumothorax. There are no concerning parenchymal consolidations.
<unk>f with cp, sob // infiltrate?
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Heart size remains mild to moderately enlarged but unchanged. The mediastinal contour is similar. Right middle lobe mass is again noted, as seen on the previous exam. Mild pulmonary edema is new in the interval. Additionally, patchy ill-defined opacities are seen in the lung bases, also progressed since the previous study. No pleural effusion or pneumothorax is identified. Focal areas of right lateral pleural thickening with adjacent chronic rib fractures are again noted. Remote left-sided rib fractures are also again noted.
<unk> year old woman with rigors, immunosuppressed on chemo, concern for possible pneumonia
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The cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Lungs are well-expanded. Again seen is an irregular increased density along the right lateral lower chest, consistent with calcified pleural plaques, seen on prior chest ct. Two new areas in the right upper lung. On the lateral view there is correlate of opacity projecting over the right upper lobe making the suspicious for parenchymal opacity. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>f with cough and fever.
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Patchy opacity within the right lung base may reflect early pneumonia. There is no pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormalities detected.
<unk>-year-old with fever and congestion.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
patient with chest pain. evaluate for acute process.
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Previously seen left-sided pulmonary opacities have essentially resolved with mild residual atelectasis/ scarring at the left lung base. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Lower lateral left-sided rib deformity re- demonstrated.
<unk> year old man needs vq scan, ? needs cxr prior // needed prior to vq scan
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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified.
chest pain.
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Pa and lateral images of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history of asthma and positive ppd treated, now with chronic cough for <num> month, clear sputum, wheezing.
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A dual-lead pacemaker/icd device appears unchanged. The patient is status post sternotomy and aortic valve replacement. The lungs are hyperinflated. The cardiac, mediastinal and hilar contours appear unchanged. Basilar reticulation suggesting mild interstitial lung disease appears unchanged. Otherwise, lungs appear clear. There are no pleural effusions or pneumothorax. Mild degenerative changes are similar along the lower thoracic spine, including small-to-moderate anterior osteophytes.
palpitations.
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Cardiac silhouette size is top normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities detected. There is no subdiaphragmatic free air.
history: <unk>m with acute onset abdominal pain with vomiting. // please assess for free air under the diaphragm
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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 abnormality. Clips from prior cholecystectomy are demonstrated in the right upper quadrant of the abdomen.
chest pain.
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Ap and lateral views of the chest. Previously seen right picc is no longer visualized. The lungs are essentially clear noting linear opacity at the base on the lateral view suggestive of atelectasis. There is no effusion. Cardiomediastinal silhouette is unchanged as are the osseous structures which are notable for posterior thoracolumbar spinal fixation hardware. No free air is seen below the diaphragm.
<unk>-year-old female status post open cholecystectomy <unk> presents with mid epigastric pain.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. There has been interval resolution of the left lower lobe opacity. Heart and mediastinal contours are stable.
<unk>-year-old male with cough.