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Left-sided pacer device is noted with leads terminating the right atrium and right ventricle. Mild cardiomegaly is re- demonstrated. Atherosclerotic calcifications are noted at the aortic knob. Mediastinal and hilar contours are unchanged. Mild pulmonary vascular engorgement is similar compared to the prior study. Patchy atelectasis is noted in the lung bases without focal consolidation. No pleural effusion or pneumothorax is present. There are mild degenerative changes in the thoracic spine.
history: <unk>m with worsening dyspnea on exertion
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No overall change compared to the prior exam. The lungs are well-expanded and clear. No focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. Stable cardiomediastinal silhouette, hila, and pleura. Stable mildly tortuous descending aorta.
<unk>-year-old man with a history of latent tb, with symptoms there thought likely to be from influenza. evaluate for pneumonia.
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The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild degenerative changes affect the lower thoracic spine. Surgical clips project over the medial left epigastric region.
chest pain and shortness of breath.
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In comparison with the study of <unk>, there is more prominent enlargement of the cardiac silhouette with indistinctness of engorged pulmonary vessels, consistent with worsening pulmonary vascular congestion. Some atelectatic component at the bases is probably present. In the appropriate clinical setting, possibility of superimposed infection would have to be seriously considered. Blunting of the costophrenic angles is consistent with small bilateral pleural effusions.
fever and thrombocytopenia with hypoxia.
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The lungs are clear. There is no pleural effusion or pneumothorax. Mediastinal and cardiac contours are normal. Diffuse mild degenerative spine disease is unchanged.
patient with cough, weight loss, esophageal stricture.
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The lungs are normally expanded and clear. The cardiac silhouette is normal. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. There is calcification of the aortic arch. There is no subdiaphragmatic free air.
epigastric and chest pain.
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Compared with the prior radiograph, the heart is stably enlarged. Increased interstitial markings and pulmonary vascular congestion suggest interstitial pulmonary edema. There is also a small bilateral pleural effusion. Severe degenerative changes of the right glenohumeral joint are again seen.
history: <unk>f with worsening dyspnea. evaluate for pulmonary edema.
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Pa and lateral views of the chest. No prior. The lungs are hyperinflated but clear of consolidation or large effusion. The cardiomediastinal silhouette is within normal limits noting a slightly tortuous aorta. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with chest pain.
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Frontal and lateral views of chest were obtained. The heart size and cardiomediastinal contours are normal. Right base linear opacities are chronic and compatible with atelectasis or scarring. Slight elevation of the lateral aspect of the apparent right hemidiaphragm is compatible with a tiny pleural effusion. No focal consolidation or pneumothorax. Chronic right <unk> rib fracture is unchanged.
<unk>-year-old male with chest pain. rule out pneumonia.
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Lung volumes are low. Heart size is accentuated as a result, appearing borderline enlarged. Mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
chest pain.
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Frontal and lateral chest radiographs demonstrate somewhat low lung volumes, though the lungs are clear without pleural effusion or pneumothorax. The cardiac silhouette is normal in size, the mediastinal contours are normal. The pulmonary vasculature is normal.
<unk>-year-old female with cough.
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Both lungs are well expanded and clear. There are no lung opacities of concern. Heart size is normal. Mediastinal and hilar contours are unremarkable. Both pleural spaces are normal.
lung disease.
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Hazy opacity at the right lung base may represent atelectasis. However, differential would include a small contusion or infection in the appropriate clinical setting. No other consolidation. No pleural effusion or pneumothorax. Cardiomediastinal contours are normal. No acute osseous abnormalities. No subdiaphragmatic free air.
<unk>f with mvc , restrained, pain in anterior chest along seatbelt line.
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In comparison with the study of <unk>, there is little change in the appearance of the heart and lungs. Cardiac silhouette is within normal limits and there is no vascular congestion or pleural effusion or acute focal pneumonia. Port-a-cath extends to the lower portion of the svc.
colon cancer with palpable nodule at left chest, poc site.
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The cardiac silhouette is mildly enlarged. The mediastinal silhouette and pulmonary vasculature are unremarkable. Along the left heart border is an opacity, which in the appropriate clinical context could represent a pneumonia. There is no pleural effusion or pneumothorax.
history: <unk>m with bloody sputum // infiltrate
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No focal consolidation, pneumothorax, pleural effusion or pulmonary edema is seen. Vascular pattern suggests emphysema. Heart and mediastinal contours are within normal limits. There is mild anterior wedging of a lower thoracic vertebral body.
<unk>-year-old male with chest pain.
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There has been interval placement of a right chest wall port with catheter tip at the ra svc junction. Low lung volumes are again noted, the lungs remain posterior clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with recent fall // evaluate for cardiomegaly
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Pa and lateral views of the chest demonstrate the lungs are well expanded, with no evidence of focal pneumonia, pleural effusion, or pulmonary edema. The cardiomediastinal silhouette is unremarkable. Cholecystectomy clips are present in the right upper quadrant.
<unk>-year-old female with history of cirrhosis. now presenting with fever. evaluation for pneumonia.
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The tip of an accessed right pectoral mediport extends to the superior cavoatrial junction. Pain right middle lobe airspace opacity is compatible with known pneumonia. The left lung is clear. There is a new small right pleural effusion. There is no pneumothorax.
<unk> year old man with recent pna now with +fatigue and pain with cough and inspiration and course crackles to rll. evaluate for consolidation
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There has been interval removal of the swan-ganz catheter. The prosthetic valve is again visualized. There is some linear atelectasis in the left lower lung. Otherwise lungs are clear. Heart size is minimally enlarged.
status post mvr.
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Pa and lateral chest radiographs were provided. There is no focal consolidation or pneumothorax. The lungs are well expanded. The cardiomediastinal silhouette is unchanged with mild tortuosity of the descending thoracic aorta. No displaced rib fractures. Clips are present in the neck.
history of right chest wall pain and tenderness status post fall landing on the right side. evaluate for rib fracture or pneumonia.
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Mild lingular and left base atelectasis/scarring is again seen. No focal consolidation, pleural effusion, or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. No pulmonary edema is seen. No displaced fracture is identified.
history: <unk>f with chest pain // eval for acute process
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. No pleural effusion or pneumothorax.
<unk>-year-old female with myasthenia <unk> and shortness of breath. evaluate for evidence of infiltrate.
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The heart size is mildly enlarged, but unchanged compared to the prior, with a tortuous course of the thoracic aorta. Linear opacities in the right midlung likely represent focal scarring, also unchanged. The lungs are hyperinflated, with no pleural effusion, pneumothorax, pulmonary edema, or focal airspace opacity. Surgical clips projecting over the lower anterior mediastinum are again noted.
history: <unk>f with sob, cp // pna?
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As compared to the previous examination, there is no relevant change. The retrocardiac opacity described in the chest x-ray from <unk> is caused by a localized portion of left basal pleural fat. This change also leads to minimal blunting of the left diaphragmatic contour on the frontal radiograph. The changes are seen in similar manner on the chest x-ray from <unk>. No other changes. Borderline size of the cardiac silhouette. No pulmonary edema. No evidence of pneumonia.
adrenal insufficiency, retrocardiac opacity seen on ap film. no cough or leukocytosis, evaluation for pneumonia.
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Heart size is normal. The aorta remains tortuous and a small hiatal hernia is again noted. Mediastinal and hilar contours are otherwise unchanged. Pulmonary vasculature is normal. Linear opacity within the lingula is compatible with an area of subsegmental atelectasis. Remainder of the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are mild degenerative changes noted in the thoracic spine.
history: <unk>f with recent dvt presents with leg swelling
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The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
epigastric back and chest discomfort. evaluate for infiltrate.
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The lungs are clear and well expanded bilaterally with no areas of focal consolidation, pleural effusion or evidence of pneumothorax. The cardiomediastinal silhouette is within normal limits. The pleural surfaces are unremarkable.
<unk>-year-old female with cough, hemoptysis and pleuritic chest pain.
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No focal lobar consolidation. No overt pulmonary edema. Nodular opacity projecting over the right eighth posterior rib, main represent a nodule or superimposed bronchovascular markings, due to decreased inspiratory effort. No pleural effusion or pneumothorax. Moderate cardiomegaly.
<unk> year old man with chf, htn, diabetes, mechanical aortic valve replacement on warfarin, presenting with several days of hemoptysis. // please assess for pneumonia vs pulmonary edema
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Cardiac silhouette size is mildly enlarged. The aorta is slightly unfolded. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormality is visualized.
history: <unk>f with chest pain
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There is a focal opacity in the right middle lobe compatible with pneumonia. The left lung is grossly clear. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax. The diaphragms are slightly flattened and there may be background hyperinflation.
productive cough and right back pain, evaluate for pneumonia.
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Ap and lateral chest radiographs were obtained. A left lingular airspace opacity obscures the left heart border. Right basilar airspace opacities are new since <unk>. The pulmonary vasculature is more prominent since the prior study. Atelectasis along the right minor fissure is unchanged. Moderate cardiomegaly is similar.
hypoxia.
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Compared to the prior study, moderate cardiomegaly is unchanged. No overt pulmonary edema. Unchanged positioning of the right-sided pacemaker leads. Trace bilateral pleural effusions without pneumothorax. Ribs appear somewhat sclerotic, difficult to exclude underlying metastasis. Midline sternotomy wires again noted.
<unk>-year-old man with weakness. evaluate for pneumonia.
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A port-a-cath terminates in the right atrium. There is a similar degree of right perihilar opacification but with a change in morphology, probably due to atelectasis. There is a small pleural effusion on the right, but no definite pleural effusion on the left, although the posterior costophrenic angle is difficult to assess.
malignant pleural effusion and pancreatic cancer.
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The lungs are clear, there is no consolidation, effusion or vascular congestion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified. Coronary artery stents are identified.
<unk>f with chest pain // eval for widened mediastinum or volume overload
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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 with <num> days of productive cough // ? pna
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Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear. Cardiomediastinal silhouette is within normal limits. Descending thoracic aorta is slightly tortuous, as on prior. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with intermittent chest pain.
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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.
one month of cough.
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The lungs are hyperinflated. Findings suggest chronic obstructive pulmonary disease. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with sob and fevers // r/o acute process
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In comparison with the study of <unk>, there is little interval change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
hyponatremia with altered mental status.
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The right picc ends in the lower svc. Small right pleural effusion is unchanged. No pneumothorax. Mild bilateral atelectasis has decreased. Cardiomediastinal contours are stable.
right-sided pleuritic chest pain. evaluate for pneumothorax.
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Pa land lateral views of the chest. Relatively low lung volumes are seen. The lungs are grossly clear without confluent consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with cough, fever, and chills. question pneumonia.
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The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Hypertrophic changes noted in the spine.
<unk>m with cough, dyspnea // eval for pna, acute process
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Pa and lateral views of the chest. No prior. The lungs are clear. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with fever, seizure.
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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 pa and lateral chest examination of <unk> also paying attention to preceding portable chest of <unk> and pa and lateral chest of <unk>. The on next preceding examination identified apical small hydropneumothorax cavity has now filled incompletely indicating progression of scar formation. Left basal pulmonary changes unfortunately have also progressed. Now complete obliteration of the left diaphragmatic contour indicating airlessness of the left upper lobes lateral and posterior segments. When comparison is extended to the study of <unk>, at that time beginning signs of left lower lobe atelectasis have increased. Comparison made between the lateral views also suggests some new infiltrates higher up anteriorly which were not present to the same degree at that time.
<unk>-year-old male patient status post vats of left upper lobe, check interval change.
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Frontal and lateral views of the chest are compared to previous x-ray from <unk> and cta chest from <unk>. Large right-sided pleural effusion is unchanged. Large hiatal hernia is better characterized on the current exam due to air within the stomach. Left-sided pleural calcification is again noted. Superiorly, the lungs remain clear without focal consolidation. Cardiomediastinal silhouette is difficult to assess but grossly unchanged. Multiple old bilateral rib fractures are again noted.
<unk>-year-old male with shortness of breath.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax.
chest pain.
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The left pectoral transvenous defibrillator is in unchanged position with tips terminating in right atrium and right ventricle. Left lower lobe pleural effusion has increased slightly. No consolidation. No pneumothorax. The cardiac silhouette is top normal but unchanged. The mediastinum is normal.
<unk> year old man with lt peural effusion, assess for change in size // re-accumulation of lt pleural effusion
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Irregular left perihilar opacity is again seen, better characterized by prior pet-ct. Additional linear opacity on the lateral view seen posteriorly is also unchanged likely atelectasis or scarring. Prior left lower lobectomy changes are again noted including volume loss on the left and pleural based thickening/scarring. There is no new consolidation or effusion. Cardiomediastinal silhouette is stable. No acute osseous abnormalities. Vascular stent projects over the left upper extremity and surgical clips project over the left chest laterally. Chronic deformities of the left ribs are also noted.
<unk>m with productive cough, and fevers // r/o acute process.
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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. No displaced fracture is identified.
history: <unk>f with fall, ?headstrike, hx vonwillebrands, ttp r chest wall // eval for acute process, intracranial bleed, rib fractures
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There is no evidence of focal consolidation, pneumothorax, or pulmonary edema. Trace bilateral effusions are noted. Allowing for ap projection, the heart is top-normal in size. The cardiomediastinal silhouette is otherwise unremarkable.
history: <unk>f with hyopglyc cough pls eval pna // eval pna
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There are new bibasilar opacities, greater on the left. The left hilum is prominent. The heart is normal in size. A nodule in the right upper lobe corresponds to the fdg-avid right upper nodule identified on prior pet-ct. Focal lucencies indicate that this lesion may be cavitated.
history of metastatic lung cancer, altered mental status and new oxygen requirement.
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Frontal and lateral chest radiographs demonstrate well expanded and clear lungs. There is no mass or infiltrate identified. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with chronic cough. evaluate for mass or infiltrate.
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The aorta has calcifications and is mildly tortuous. There is stable cardiomegaly. There is no pulmonary congestion, pleural effusion, or pneumothorax. There are no pulmonary nodules.
<unk>-year-old with unexplained weight loss and history of breast cancer.
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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 neck swelling, fever
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The lungs are symmetrically well-expanded and well aerated without focal consolidation, pleural effusion or pneumothorax. No pulmonary lesions are detected by conventional radiography. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected. Multilevel degenerative changes are seen throughout the mid to lower thoracic spine. There is mild dextro convex curvature of the thoracic spine.
history of melanoma with right-sided chest discomfort for the past month.
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A right-sided dual-lead pacemaker is in adequate position with its leads terminating in the right atrium and right ventricle, expected locations. As compared to prior chest radiograph, small bilateral pleural effusions have improved. Bibasilar atelectasis still remains. There is some engorgement of the hila, which could represent mild pulmonary congestion. There is no new focal consolidation or pneumothorax. The cardiomediastinal and hilar contours are within normal limits. No definite fracture identified.
<unk>-year-old woman with fall, inability to bear weight on right lower extremity and pain with rom of right upper extremity. evaluate for fracture.
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The heart is moderately enlarged, unchanged from <unk>. There is mild pulmonary edema. There are small bilateral pleural effusions with fluid tracking along the right costophrenic sulcus. Bilateral basilar opacities are likely atelectasis. There is no pneumothorax. The mediastinal and hilar contours are unchanged. Eventration of the right hemidiaphragm is less conspicuous on this study.
dyspnea. rule out pneumonia or cardiomegaly.
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Ap and lateral radiographs of the chest. A right chest wall port is noted with the catheter in the upper-to-mid portion of the svc. Again noted are chronic right pleural and parenchymal scarring with volume loss. Right-sided rib resection is also again seen. Compared to the prior radiograph, there are subtle new multifocal, reticulonodular opacities in both upper lobes. There is also a subtle new focal opacity in the left lower lobe.
patient with lymphoma in remission, prior chemotherapy-induced pneumonitis, now with fever and malaise for one week. evaluate for infiltrate.
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The apical opacity on the right, caused by a known malignancy, is unchanged. There is no relevant pleural effusion on the right, just minimal costophrenic blunting. Unchanged appearance of the left lung. Unchanged appearance of the cardiac silhouette.
pleural effusion, evaluation.
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The lungs are symmetrically well aerated and well expanded. No focal consolidation concerning for pneumonia, pleural effusion or pneumothorax is detected. The pulmonary vasculature is not engorged and there is no pulmonary edema. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The visualized upper abdomen shows no free air beneath the right hemidiaphragm.
history of duodenal ulcer, now with abdominal pain, here to evaluate for free intraperitoneal air.
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A port-a-cath terminates at the cavoatrial junction. The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. There is similar mild relative elevation of the right hemidiaphragm. Streaky right posterior basilar opacities are compatible with minor atelectasis. Otherwise, the lungs appear clear. Bony structures are unremarkable aside from mild degenerative changes which are unchanged along the mid to lower thoracic spine.
on chemotherapy for ovarian cancer, presenting with abdominal pain and leukocytosis.
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Pa and lateral views of the chest provided. Lungs appear hyperinflated with lucent upper lungs which could reflect emphysema. No convincing signs of pneumonia or edema. No large effusion or pneumothorax. The heart is normal in size. Mediastinal contours unremarkable. Bony structures are intact. No free air below the right hemidiaphragm. Clips are noted in the upper abdomen on the lateral projection.
<unk>m with cp // pna?
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Hyperinflated lungs and flattening of the diaphragms consistent with emphysema. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk> yo f pt with pleuritic chest pain ant center and post center for several months // eval for cause of pleuritic pain
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Patient is status post median sternotomy and cabg. 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. slurred speech
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
palpitations and shortness of breath.
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Ap and lateral views of the chest. Lateral view is limited as patient's arms are down by her side. The lungs appear clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected. Surgical clips are identified in the upper abdomen.
<unk>-year-old female with confusion.
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The chest, pa and lateral. The lungs are clear. Moderate cardiomegaly is stable. Hilar and mediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
hypoxia and 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 stable. No pulmonary edema is seen.
<unk> year old woman with fever // r/o pneumonia
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Resolution of the right middle lobe and right lower lobe pneumonia that was present in the previous exam on <unk>. Stability of the two small linear fibrotic band the in the middle third of the right lung where there was a round mass-like pneumonia in <unk>. Pulmonary hyperinflation. The mediastinal and cardiac contours are normal. There are multiple old consolidated left rib fractures.
man with recent pneumonia, assess for clearing.
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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 hyponatremia
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Heart size is normal. The mediastinal and hilar contours are normal. The is slight leftward tracheal deviation is related to a known thyroid goiter. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. Thin, oblique and linear opacity seen at the base of the right lung is most likely some atelectasis. Biapical scarring is noted.
<unk> year old woman with h/o pe/dvt in <unk>, not on anticoag currently, presenting with pleuritic right-sided back pain off and on x <num> weeks. also with fall <num> months ago, possible this is msk or rib fx in etiology. // r/o pna, rib fracture
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Heart size is normal. The mediastinal and hilar contours are unremarkable. There is a moderate-sized right pleural effusion. Right sided pleural-based nodularity as well as multiple scattered nodules in both lungs are better noted on the outside ct chest exam. The largest nodule is noted in the right lower lobe and measures <num>-cm. No left-sided pleural effusion or pneumothorax is identified, and there is no pulmonary vascular congestion. There are no acute osseous abnormalities.
nonproductive cough, possible lung mass versus infection.
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Left-sided port-a-cath is noted with tip terminating in the svc. The cardiac, mediastinal and hilar contours are within normal limits. Innumerable rounded lesions are demonstrated diffusely within both lungs compatible with metastatic disease. Overall, the metastatic disease within the lungs appears grossly progressed in the interval. No focal consolidation, pleural effusion or pneumothorax is identified. No definite osseous metastatic lesions are seen.
stage iv colon cancer with chest pain and shortness of breath.
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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>m with ftt, <num>lb weight loss // r/o acute process
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top normal. The mediastinal and hilar contours are unremarkable. No displaced fracture is seen.
chest pain.
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Frontal and lateral views of the chest. There are new bilateral increased interstitial markings throughout the lungs with central pulmonary vascular engorgement. There is no pleural effusion. The cardiac silhouette is mildly enlarged, new since prior as well. Hypertrophic changes are noted in the spine. Surgical clips seen in the upper abdomen.
<unk>-year-old female with shortness of breath. question pneumonia or edema.
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Lung volume is low. Left lung base opacity may reflect atelectasis, however pneumonia is possible in correct clinical setting. There is no pneumothorax or pleural effusion. Cardio mediastinal silhouette is normal size. T<num> vertebral body compression deformities unchanged. Right shoulder did dislocation is unchanged.
history: <unk>f with weakness and delirium // r/o acute process, ?infx
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Study is somewhat limited due to patient rotation. Right-sided pacemaker device with leads terminating in the right atrium and right ventricle is again noted. The patient is status post median sternotomy and cabg. Cardiac silhouette size is normal, with a left ventricular predominance. The aorta remains tortuous and diffusely calcified. There is no pulmonary vascular congestion. Streaky left basilar opacity could reflect atelectasis or infection. No pleural effusion or pneumothorax is definitively seen. There is diffuse demineralization of the osseous structures with evidence of prior kyphoplasty of t<num> with adjacent clips.
pacemaker, prostate cancer, fall and feeling unwell with nausea.
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The heart is normal in size. Mild unfolding of the thoracic aorta appears unchanged. The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. There has been no significant change allowing for differences in technique including better inspiration on this examination. There is no free air. Bony structures are unremarkable.
epigastric abdominal pain radiating to the chest.
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There is a new right lower lobe heterogeneous opacity compared to radiographs from <unk>, concerning for pneumonia. Lung volumes are slightly low, but otherwise clear. There may be a tiny right pleural effusion. No pneumothorax is seen. The cardiac and mediastinal contours are normal. A ventriculoperitoneal shunt is seen overlying the right chest wall.
seizure and fever to <num> degrees. evaluate for acute intrathoracic process.
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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 cough, fever. // pneumonia?
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Lower lung volumes seen on the current exam. The lungs remain clear of focal consolidation, effusion, or edema. The cardiomediastinal silhouette is stable. Bilateral hilar enlargement compatible with underlying adenopathy, better characterized on prior ct.
<unk>f with cp // pneumonia?
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. A left-sided pacemaker is unchanged with leads in the right atrium and right ventricle.
chest pain.
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Aside from right lower lobe atelectasis, the lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old man with coronary artery disease, now with left chest pain and left arm paresthesias. evaluate for pneumonia, effusion, pneumothorax.
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Pa and lateral views of the chest. There are clips in the left hilar region from prior surgery. The lungs are clear. No evidence of pneumonia. The heart size is top normal. No pleural effusion or pneumothorax. No pulmonary vascular congestion or pulmonary edema.
non-hodgkin's lymphoma, shortness of breath.
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Frontal and lateral views of the chest. Despite low lung volumes, the lungs are clear. There is no evidence of consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified. No free air below the diaphragm.
<unk>-year-old female with right upper quadrant pain and shortness of breath.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. No evidence of active or latent tb.
<unk> year old man with ulcerative colitis awaiting remicaid treatment. // question of previous tb findings or latent tb. question of previous tb findings or latent tb.
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Patient is status post median sternotomy and ascending aortic repair. Heart size is normal. The mediastinal and hilar contours are unchanged. Elevation of the left hemidiaphragm is chronic with subsegmental atelectasis re- demonstrated in the left lower lobe. Lungs are otherwise clear without focal consolidation. No pleural effusion or pneumothorax is present. Pulmonary vasculature is not engorged.
history: <unk>m with history of marfan's having chronic chest pain
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Frontal and lateral views of the chest demonstrate interval marked improvement of bilateral scattered opacities representing aspiration. Appearance of post esophagectomy pull-through is unchanged. There is no pneumothorax or large pleural effusion. Minimal left apical thickening is noted.
<unk>-year-old male status post recent esophageal dilation with aspiration. question interval change.
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Lung volumes are low. There is faint opacity at the left base. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax.
overdose, hypoxia. evaluate for aspiration.
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Mild compression deformities of several thoracic vertebral bodies is stable.
<unk>m w/weakness, hiv, cough, nightsweats, please eval for pna, tb, atypical lung infection // <unk>m w/weakness, hiv, cough, nightsweats, please eval for pna, tb, atypical lung infection
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Pa and lateral views of the chest, with a repeat pa view for a total of three exposures were obtained. The lungs are well inflated and clear bilaterally, with no evidence of pleural effusion, pneumothorax, pulmonary edema, or focal consolidation. Median sternotomy wires and mediastinal vascular clips are unchanged since the prior study. The cardiomediastinal contours are stable.
<unk>-year-old man with chest pain. evaluation for acute process.
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The cardiac, mediastinal and hilar contours appear stable. There is probably a small new pleural effusion on the left side only with minimal associated atelectasis. However, lung fields appear otherwise clear. There is no evidence for pleural effusion on the right.
right-sided chest pain.
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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 cervical radiculopathy, plan for surgical intervention // pre-op
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
shortness of breath.
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Pa and lateral views of the chest provided. The heart is top-normal in size. The lungs are clear bilaterally. There is no pleural effusion or pneumothorax. Mediastinal contour is normal. No signs pneumomediastinum. Bony structures are intact.
<unk>f with cough, hemoptysis // free mediastinal air? pna?
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Since the last chest radiograph performed earlier this morning, there has been interval expansion of the right-sided pneumothorax. This is particularly noticeable on the lateral and inferolateral aspect of the right lung, with no significant change in the right apex. No evidence of tension. The right chest tube is unchanged in position since the prior cxr. No other interval changes are noted. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk> year old woman with pneumothorax // new pneumostat placement
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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. Clips are noted in the left upper quadrant of the abdomen. There is no subdiaphragmatic free air.
history: <unk>f with chest pain and abdominal distention
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. There are approximately <num> punctate densities projecting over the region of the aortic valve. These could potentially be calcific or metallic.
<unk>f with cough // cough