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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 malaise, fatigue and elevated wbc.
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Frontal and lateral views of the chest. There is persistent small left-sided pleural effusion. There is mild pulmonary vascular congestion but no confluent consolidation. The cardiac silhouette is slightly enlarged but unchanged. No acute osseous abnormalities detected.
<unk>-year-old female with pancreatic cancer presenting with shortness of breath and worsening bilateral lower extremity edema.
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Hyperinflated lungs are clear. There are no pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are normal. Pulmonary vascularity is normal.
<unk>-year-old male with asthma and severe wheezing. evaluate for pneumonia.
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal.
<unk>-year-old female with seizure, evaluate for infiltrate.
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Interval decrease in the small left pleural effusion and resolution of the trace right pleural effusion. Otherwise, no significant interval change. Stable appearance of the cardiomediastinal silhouette with moderate cardiomegaly. No pneumothorax. The left-sided dual lead pacer cardiac device is intact and unchanged in position, with <num> tip in the right atrium and the other in the right ventricle. Stable, mild multilevel degenerative changes including anterior osteophytes in the visualized thoracic spine.
<unk>-year-old man complaining of dyspnea; evaluate for pneumonia or effusions.
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The heart is mildly enlarged. There has been interval removal of the right chest tube. Lung volumes are low. Surgical chain sutures are again seen in the right middle lobe as well as adjacent atelectasis. There is no pneumothorax. There is a small amount of fluid seen along the major fissure on the right, which is minimally increased from the prior study.
<unk> year old woman s/p rml // r/o ptx post ct removal
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This study is technically limited due to the patient's body habitus and positioning. Allowing for this limitation, the lungs are hypoinflated, resulting in bronchovascular crowding, but there is no focal opacity suggestive of pneumonia. There is no pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are unchanged from the previous examination. Cardiac size is unchanged.
patient with history of metastatic melanoma to the liver and worsening jaundice. evaluate for pneumonia.
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The lungs are hyperinflated, with flattening of the diaphragms. There is diffuse increase in interstitial markings bilaterally which may be due to chronic interstitial lung disease although superimposed mild interstitial edema is not excluded. No definite focal consolidation is seen. . No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with cough, wheeze, fever // pna
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear. Cardiomediastinal silhouette is within limits. Atherosclerotic calcification is again noted at the aortic arch. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with intermittent chest pain, history of stents in the past.
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Lungs are clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pneumothorax, pleural effusion, pulmonary edema, or pneumonia.
<unk> year old woman with crohn's disease and mild dyspnea // eval for mass, hyperinflation
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In comparison with the study of <unk>, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
cough, to assess for pneumonia.
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There is no focal consolidation, pleural effusion, or pneumothorax. The heart size is normal. The mediastinal and hilar contours are within normal limits.
fever.
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Right central venous catheter tip projects over the expected region of the svc-ra junction, unchanged. Lung volumes have markedly improved. Bilateral pleural effusions persist but have decreased in the interim, now small. Elevation of the left hemidiaphragm is overall unchanged with associated atelectasis and underlying gaseous distension of the bowel in the left upper quadrant. No focal consolidation, edema, or pneumothorax. The heart size is normal. The descending thoracic aorta is slightly tortuous or ectatic, unchanged.
<unk> year old woman with giant paraesophageal hernia s/p lap repair evaluate for interval change.
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Note is made of a left apical mass consistent with the known left lung tumor. No other pulmonary nodules are identified. There is no evidence of a perilesional hematoma or pneumothorax. No pleural effusions are identified. Heart size is within normal limits. No evidence of a destructic bone lesion.
pa and lateral chest radiograph following ct-guided percutaneous core biopsy of left apical tumor mass.
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A lingular opacity in left mid lung zone consistent with pneumonia. Cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old with 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. Mild biapical pleural thickening is unchanged. Mild degenerative changes are noted in the mid thoracic spine.
history: <unk>f with chest pain // eval for structural process
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The lungs are clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.
history: <unk>m with facial trauma, new atrial fibrillation // eval for acute process
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Frontal and lateral views of the chest demonstrate normal lung volumes and no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Mild tortuosity of the descending aorta is noted. There is no pulmonary edema. Left sided rib fractures, involving left posterior <num>th rib and left lateral <unk>, <unk> and possibly <num>th ribs are of indeterminate age; given lack of recent trauma or point tenderness at these locations, they are more likely not acute. Degenerative changes are seen along the spine.
patient with chest pain. assess for pneumonia or pneumothorax.
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Left sided central venous catheter tip terminates in the right atrium. Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. Rounded calcification projecting over the right upper quadrant of the abdomen is compatible with a known calcified mass in the right kidney.
history: <unk>m with shortness of breath
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is mildly enlarged. The aorta is tortuous. <unk> be mild central pulmonary vascular engorgement without overt pulmonary edema.
history: <unk>f with syncope vs new onset seizure //
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Probable background hyperinflation/copd, though inspiratory volumes on the frontal view are slightly low. Again seen are sternotomy wires and multiple mediastinal clips, with linear radiodensities seen adjacent to the right mainstem bronchus, similar to the prior study. The cardiomediastinal silhouette is unchanged. No chf or effusion. Subsegmental atelectasis is present at both lung bases. However, no focal consolidation is identified. Within the limits of plain film radiography, no hilar adenopathy or pulmonary nodules are identified. (subtle abnormalities might not be apparent radiographically.) biapical pleural thickening is similar to the prior study. Again seen is slight accentuation of thoracic kyphosis, with minimal degenerative changes and slight nonacute wedging of multiple mid thoracic vertebral bodies. Relative increased density of the t<num> vertebral body is compatible with previously described findings.
history: <unk>m with cp // c/f pna, possible extension of mets
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Pa and lateral views of the chest. Low lung volumes exaggerate mild bibasilar atelectasis. There is evidence of bronchial cuffing that may indicate very mild pulmonary edema or mild bronchial inflammation. No evidence of pneumonia. No pneumothorax or pleural effusions. Mild cardiomegaly is stable.
tib-fib fracture, evaluate for pneumothorax or pneumonia.
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The lungs are well expanded and clear. No pleural abnormality is seen. The heart size is normal. The hilar and mediastinal silhouettes are unremarkable.
<unk> year old woman with sickle cell, in crisis with chest pain, cough, shortness of breath, low grade temp // assess for acute changes
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The lungs are well inflated and clear. No focal consolidation, effusion, or pneumothorax is present. The heart is mildly enlarged.
<unk>-year-old man with dementia.
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The lung volumes are very low with associated bronchovascular crowding. Right port-a-cath terminates in the right atrium. Bibasilar opacities likely reflect atelectasis. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Moderate thoracic kyphosis and a significantly deformed sternum are noted. Diffuse sclerotic osseous metastatic disease is seen. A left humerus fracture is poorly visualized. Sternal fracture/deformity is again noted.
shortness of breath, history of cancer.
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Frontal and lateral radiographs of the chest demonstrate normal heart size. The cardiomediastinal silhouette and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax. No displaced rib fracture identified. Dextroscoliosis is unchanged. Extensive atherosclerotic calcification of the descending aorta is also unchanged.
patient with alzheimer's status post unwitnessed fall yesterday. question rib fracture or pneumothorax
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The lungs are clear. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are normal without effusion or pneumothorax.
chest pain.
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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>. A permanent pacer is identified in left anterior axillary position and seen to be connected to an intracavitary ic device seen to terminate with the electrode in the periphery of the right ventricular cavity. The position of the device is completely unchanged in both frontal and lateral views in comparison with the followup examination at the time of installation. The heart size is at the upper limit of normal variation demonstrating a relative prominence of the left ventricular contour, a finding which in conjunction with the moderately widened and elongated thoracic aorta suggests systemic hypertension. The pulmonary circulation, however, is not congested and there is no evidence of any acute pulmonary infiltrate. Pleural sinuses are free laterally and posteriorly, and no pneumothorax exists in the apical area. Mild degree of degenerative changes is seen in the thoracic spine without evidence of any vertebral body compression.
<unk>-year-old female patient with three months of cough, evaluate for infiltrates or pulmonary edema.
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The lung volumes are low which accentuates the linear and interstitial opacities. An ill-defined opacity in the left lung in the third/fourth interspace has increased since the prior can be early pneumonia. No pneumothorax. Mild to moderate gastric and small bowel distension partially visualized.
<unk>m, h/o antiphospholipid syndrome with dvts and cutaneous vasculitis, s/p recent left renal biopsy complicated by hematoma <unk>, off anticoagulation due to hematoma, presenting with worsening leukocytosis and left flank pain after recent discharge, with ct a/p showing stranding around left kidney. now with epigastric and r chest pain with some chest // eval for pna
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
history: <unk>f with pre syncope, sob // r/o ptx
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A small right and moderate left pleural effusions are new since <unk>. There is moderate left lower lobe atelectasis. Underlying consolidation cannot be entirely excluded. There is no pneumothorax. The cardiac and mediastinal contours remain within normal limits.
cough.
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Frontal and lateral radiographs of the chest demonstrate well expanded lungs. Linear atelectasis is seen in the left base. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with chest pain // ?pna
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Pa and lateral views of the chest. The lungs are clear without focal consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
<unk>-year-old female with right chest pain, recent staph pneumonia.
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. There is no pleural effusion or pneumothorax. No acute osseous abnormalities are visualized.
fall onto right chest.
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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Atherosclerotic calcifications are noted at the aortic arch. No acute fractures identified.
evaluation of patient with chest pain.
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The lungs are hyperinflated but clear without focal consolidation or edema. Cardiomediastinal silhouette is stable. No acute osseous abnormalities. Hypertrophic changes noted in the spine.
<unk>m with dyspnea // r/o chf
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Cardiomediastinal silhouette is within normal limits. Lungs are clear. There is no pleural effusion or pneumothorax. Bones and the upper abdomen are grossly unremarkable.
<unk>m with seizure. r/o underlying infection
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The heart is normal in size. There is a small convexity at the expected site of the left atrial appendage, possibly reflecting enlargement of the left atrial appendage. The mediastinal and hilar contours appear unremarkable, noting only calcification along the aortic arch. The lungs are hyperinflated. There is no definite pleural effusion or pneumothorax. Slight scarring is noted at each lung apex. In addition, projecting over the left lung apex and clavicle is a nodular density of about <num> mm in size, possibly a lung nodule. Linear opacities projecting over the left upper lobe suggest minor scarring. The bones are probably demineralized. There is a mild biconcave compression deformity involving an upper thoracic vertebral body. A mid thoracic vertebral body shows mild but probably chronic loss in height. Two lower thoracic vertebral bodies also show minimal compression deformities. Mild degenerative changes are noted along the mid thoracic spine.
progressive left upper quadrant pain, worse after eating. question perforated viscus.
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The lungs are hypoinflated and slightly limit the study and exaggerate the pulmonary vascular findings. However, no consolidation, effusion, or pneumothorax is detected. Cardiomediastinal silhouette is not enlarged.
chest pain and shortness of breath.
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As compared to the previous radiograph, there is no relevant change. Post-surgical changes in the left upper lung and fibrotic changes in the right upper lung with massive deviation of the hilar structures deviating the hila towards the upper lung zones. Inflated lower lungs show no evidence of pneumonia or other acute parenchymal change. No pleural effusion on the frontal image. On the lateral image, there is blunting of the left costophrenic sinus dorsally, which could reflect a small quantity of pleural fluid. Normal size of the cardiac silhouette. Normal appearance of the chest wall.
chronic granulomatous disease, cough and malaise, evaluation for pneumonia.
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Frontal and lateral chest radiographs demonstrate a an unchanged cardiomediastinal silhouette and persistently low lung volumes. Bilateral pulmonary opacities are decreased compared to the most recent chest radiograph, but there is persistent bibasilar atelectasis. No pleural effusion or pneumothorax is identified.
breast cancer on chemotherapy, presented with a right humeral fracture and hypoxemia <num> week ago with new ground-glass opacities on ct chest, thought to be chemotherapy induced pneumonitis. evaluate for interval change.
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Patient is rotated somewhat to the right.subtle patchy left base opacity could be due to atelectasis versus a pneumonia. There may be slight blunting of the posterior costophrenic angles which may be due to trace pleural effusions. No pneumothorax is seen. The cardiac silhouette remains enlarged. The aorta is unfolded and calcified. Skin fold is noted overlying the left hemi thorax.
<unk>f w/cough x<num> days, please eval for pna // <unk>f w/cough x<num> days, please eval for pna
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The heart is borderline in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There is no pleural effusion or pneumothorax. Streaky opacity at the left base suggests minor atelectasis. Otherwise, the lungs appear clear. No rib fractures identified. There is mild s-shaped curvature to the thoracolumbar spine and the bones are possibly demineralized to some extent.
left rib pain. question acute process.
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Pa and lateral views of the chest provided. Lungs are clear. Heart size is mildly enlarged. The aorta is markedly unfolded. Mediastinal prominence likely reflect vascular ectasia. No large effusion or pneumothorax is seen.
<unk>m with new ams, and crackles on lll // eval for head bleed, and pna
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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 chest pain
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Cardiac silhouette size remains mildly enlarged. Mediastinal and hilar contours are unchanged. Mild pulmonary vascular congestion is noted, slightly improved in the interval. Previously noted patchy ill-defined opacities within both lungs appear somewhat improved, likely reflective of resolving infection. No new focal consolidation, pleural effusion or pneumothorax is present. Right picc tip terminates in the mid svc. Severe multilevel degenerative changes are noted in the thoracic spine.
history: <unk>m with fever, hypotension, increased right knee pain
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As compared with prior examination dated <unk>, there is minimal interval change. Redemonstrated is a dual channel cardiac pacer with leads in satisfactory position. The patient is status post aortic valve replacement and cabg with intact median sternotomy wires noted. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema.
<unk>f with fevers // infiltrate?
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The lungs are clear without focal consolidation worrisome for pneumonia, effusion, or pneumothorax. Mild cardiomegaly is noted. There is tortuosity of the descending thoracic aorta. Chronic deformity of the proximal right humerus suggests prior fracture. Exuberant calcifications in the region of the coracoclavicular ligament and widening of the left ac joint suggests prior injury.
<unk>m with gradual onset severe epigastric pain, associated with n/v, general weakness; no improved //
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Lung volumes are appreciably lower than in <unk> when large air-filled stomach traversed the midline hiatus hernia. Today opacification in the right lower hemithorax is best explained by right lower lobe collapse. The new fluid collection in the hernia looks like a segment of colon. Left lung and right upper lobes are clear. Heart size top-normal.
<unk> year old woman with subjective sob after vhr // eval for pulmonary edema of or gastric bubble with upright
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Port-a-cath tip projects over upper svc. G-tube is in place. Expansile, mixed lytic and sclerotic lesion of the right distal clavicle is noted.
fever.
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Left-sided port-a-cath tip terminates in the svc. Lung volumes are low. Heart size is top normal, and accentuated due to low lung volumes. Mediastinal and hilar contours are within normal limits. There is no focal consolidation, pleural effusion or pneumothorax. Minimal left basilar streaky atelectasis is seen. There are mild multilevel degenerative changes within the imaged cervical lumbar spine.
history of glioblastoma and prostate cancer presenting with increasing weakness and lethargy.
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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.
<unk>f with car accident, strike l knee to dash, prior l-spine surgery.
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Lung volumes are slightly low were compared to prior. There is faint right basilar opacity on the frontal view an seen anteriorly on the lateral view as well. The lungs are otherwise clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Multiple surgical clips project over the bilateral chest wall. No acute osseous abnormalities.
<unk>f with total body pain // eval for infiltrate/edema
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The lungs are well inflated. There is no pleural effusion, pneumothorax or focal airspace consolidation. The heart is normal size. The mediastinal and hilar structures are unremarkable. A right upper paratracheal opacity is unchanged from <unk> and is likely vascular. Mediastinal clips are noted. There is no displaced rib fracture.
fall with right hip pain. evaluate for fracture.
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Lungs are clear. Cardiomediastinal silhouettes and hilar contours are stable. No pleural effusion or pneumothorax is present. Evaluation of the bony structures reveals no rib fractures.
<unk>-year-old woman with left posterior pain, rule out fracture.
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The patient is status post median sternotomy and cabg. Left-sided dual-chamber pacemaker device is re- demonstrated with leads terminating in the right atrium and right ventricle. Moderate cardiomegaly is similar when compared to the prior study. There is mild pulmonary vascular congestion, not substantially changed from prior. Small bilateral pleural effusions are re- demonstrated, though the previously seen fluid tracking in the right minor fissure is less evident on the current exam. Bibasilar airspace opacities are present, and may reflect atelectasis but infection cannot be excluded. There is no pneumothorax. No acute osseous abnormality is visualized.
altered mental status and left lower extremity weakness after a fall.
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of <unk>. Comparing the frontal views, the chest findings are grossly unaltered. The on next previous examination diagnosed tiny remnant of pneumothorax in the left apical area is again observed and constitutes a linear density running parallel at <num> mm distance from the apical skeletal chest wall. Review of chest ct of <unk> and also old chest ct from <unk> demonstrated that the patient had some old apical scar formations, which match the linear density. A significant pneumothorax can be ruled out. It can be stated, however, that there exists a mild blunting of the left posterior pleural sinus, indicative of a small pleural effusion. This was also present on the preceding chest examination, lateral view. On the chest examination of <unk>, the posterior pleural sinus was free.
<unk>-year-old female patient status post trauma with left-sided small apical pneumothorax, now hypotensive, evaluate for interval change in pneumothorax or other acute process.
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Right chest wall port is in standard position. The lungs are clear and the cardiomediastinal contour is normal. No pleural effusion or pneumothorax.
history: <unk>m with hx of pancreatic ductal adenocarcinoma with liver mets p/w <num> day of fever, change in chronic ruq pain.
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Pa and lateral views of the chest provided. Mild bibasilar atelectasis is noted. No convincing evidence for pneumonia or edema. No large effusion or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with presenting with n/v/d hx of crohns with new onset r sided chest pain that radiates down r arm. ekg sinus tach
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The heart is again mildly enlarged. Streaky posterior left lower lobe opacity is unchanged and suggests minor atelectasis. Distention of suprahilar vessels suggests baseline pulmonary venous hypertension. Cuffed airways suggest underlying inflammatory airway disease but there is no evidence of acute process. There is no pleural effusion or pneumothorax.
dyspnea.
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Non-displaced anterior fifth left rib fracture is new. Necrotic cavitating right upper lobe mass with air-fluid level was better assessed in previous chest ct. Bibasilar opacities are mostly compatible with aspiration or pneumonia. Pleural effusion is small if any. There is no pneumothorax.
patient with metastatic lung cancer, now with left-sided chest pain on palpation, located anteriorly; please assess for bone versus chest etiology.
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Pa and lateral views of the chest provided. Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. Mild effacement of the right inferior heart border is due to a prominent epicardial fat pad. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with sob, asthma, pls eval pna
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Ap upright and lateral views of the chest provided. Low lung volumes persist and there is mild scarring at the left lung base unchanged. No large effusion or pneumothorax. The heart remains mild to moderately enlarged. The aorta is unfolded. There is a dextroscoliosis of the t-spine. Bony structures appear grossly intact. No acute displaced rib fracture is identified.
<unk>f with left sided chest pain, hx of rib fx in similar area // eval for new rib fx
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There is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Multiple rib deformities consistent with the patient's known history of multiple myeloma are little changed from <unk>.
history of multiple myeloma, chest congestion, and cough. low-grade fevers for five days.
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The heart is borderline in size. Aside from dextropositioning, the mediastinal and hilar contours are otherwise unremarkable. Incidental note is made of an azygos fissure which is consistent with a normal variant. Mild biapical pleural thickening is consistent with minor scarring at each lung apex. The lungs appear otherwise clear. There is no pleural effusion or pneumothorax.
seizure.
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There is no evidence of pneumomediastinum. The cardiomediastinal silhouette is normal. There is no focal consolidation, pleural effusion, or pneumothorax.
evaluate for chest pain, evaluate for pneumomediastinum.
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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.
history: <unk>f with chest pain // eval for cardiopulm process
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Pa and lateral views the chest were viewed. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Low lung volumes with streaky opacities at both lung bases may represent atelectasis or infection in the correct clinical setting.
history multiple myeloma now with chills and rigors.
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Frontal and lateral chest radiographs demonstrate bilateral pleural plaques, more confluent on the left, which result in increased opacity of the left hemithorax. The ground-glass opacification seen within the left upper lobe is not definitely appreciated on the current study, though may be obscured by overlying pleural plaques. There is no pleural effusion, or pneumothorax. The cardiac silhouette remains top normal in size, with note made of coronary arterial stents. Mediastinal contours are normal, with the exception of calcification of the aortic arch. Previously noted mediastinal lymphadenopathy is not well seen. A radiodense structure in the right upper quadrant may reflect contrast within a colonic diverticulum.
<unk>-year-old male with question infiltrate seen on pet from <unk>, continues to have chronic cough.
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There is mild left base atelectasis seen on the frontal view without clear correlate on the lateral view. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The aorta is slightly tortuous. The cardiac silhouette is not enlarged. There is no overt pulmonary edema.
multiple sclerosis, presenting with flaring fever.
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Upright ap and lateral views of the chest demonstrate low lung volumes, contributing to mild bibasilar atelectasis and relative crowding of the hilar structures bilaterally. There is no pleural effusion, overt pulmonary edema or pneumothorax. No focal consolidation is identified. The cardiomediastinal silhouette is unremarkable.
<unk>-year-old man with crackles in the bilateral lungs. evaluation for pulmonary edema.
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The lungs are clear without infiltrate or effusion. The cardiac and mediastinal silhouettes are normal. There is no focal infiltrate or effusion.
severe malnutrition.
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Median sternotomy wires are intact. Mild cardiomegaly may be minimally increased. Mediastinal and hilar contours are normal. The lungs are hyperinflated but clear. There is no pulmonary edema. There is no pleural effusion or pneumothorax. Degenerative changes in the thoracic spine are re- demonstrated.
<unk> year old woman with new productive cough // effusion/ vascular congestion/ pneumonia/ aspiration?
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Frontal and <num> lateral chest radiographs were obtained. Right basilar atelectasis is minimal. Right basilar scarring is similar. Cardiomegaly is unchanged. There is no consolidation effusion or pneumothorax.
left chest pain.
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There is a small left pleural effusion and probable trace right pleural effusion. Possible trace right pleural effusion is noted. Increased interstitial markings are seen bilaterally, particularly at the bases. This could be in part due to atelectasis given effusions although chronic interstitial process or potentially aspiration is possible. There is moderate cardiomegaly. Atherosclerotic calcifications are seen at the aortic arch. Median sternotomy wires are intact. No acute osseous abnormalities.
<unk>m with sob // eval for pulmonary edema
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As compared to the previous radiograph, there is no relevant change. Minimal dorsal pleural effusions, only visible on the lateral chest radiograph. No evidence of pneumonia. Mild overinflation. Borderline size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta.
hiv, cough, questionable pneumonia.
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Ap upright and lateral views of the chest provided. Overlying ekg leads are present. The lungs appear grossly clear bilaterally. The heart is top-normal in size. The mediastinal contour is normal. No large effusion or pneumothorax is seen. The imaged bony structures are intact. No displaced fracture is seen.
<unk>f with likely seizure, fall // eval for acute process, trauma
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with cough // cough
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There is subtle opacification within the left lower lung, which is localized to the lower lobe on the lateral, representing an early/developing pneumonia. No pulmonary edema. Heart size is normal. The mediastinal and hilar contours are normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with cough // acute process
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and hyperinflated lungs. There is a small to moderate right pleural effusion. No appreciable pleural fluid is seen on the left. Diffusely increased opacity bilaterally likely reflects mild pulmonary edema. Slightly increased opacity in the right mid lung may reflect atelectasis related to the pleural effusion, but an infectious process cannot be excluded. There is no appreciable pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with shortness of breath.
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with productive cough.
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Pulmonary vascular congestion and mild to moderate pulmonary edema are present. Possible small bilateral pleural effusions are noted. There is no lobar consolidation or pneumothorax. The patient is status post cabg and the heart is moderately enlarged. No acute osseous abnormalities are detected.
history: <unk>f with umltiple falls and history of congestive heart failure. // r/u fracture
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Pa and lateral chest radiographs were obtained. Comparison is made to prior radiograph dated <unk>. Triangular retrocardiac density is localized on the lateral film to correspond with the anterior aspect of the left lower lobe abutting the major fissure, in the appropriate clinical setting, this may reflect pneumonia. Cardiomediastinal contours appear within normal limits. There is no pleural effusion or pneumothorax.
<unk>-year-old male with shortness of breath and cough.
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In comparison with the study of <unk>, there is a little overall change and no evidence of acute focal pneumonia. Areas of fibrotic scarring are again seen bilaterally. Cardiac silhouette is within upper limits of normal in size. Mild increase in the ap diameter of the chest and flattening of the hemidiaphragms suggests some underlying chronic pulmonary disease.
fever, to assess for pneumonia.
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No comparison is available. The lung volumes are normal. Normal size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta. No pleural effusions. No pulmonary edema. No evidence of pneumonia. No lung nodules or masses.
persistent cough for six weeks.
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Pa and lateral views of the chest provided. There is known massive enlargement of the aorta accounting for widened mediastinal silhouette. Left basal opacity is consistent with effusion and atelectasis. The right lung remains clear. The heart size is grossly unchanged though left heart border is partially effaced. No free air below the right hemidiaphragm. Bony structures appear intact.
<unk>m with type b aortic dissection, discharged today and now with increasing abdominal pain (has not taken bp meds) and constipation
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified although there are hypertrophic changes in the spine.
<unk>m with chest pain // eval for pna, chf
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Frontal and lateral views of the chest. No prior. Low lung volumes are noted. Lungs are clear without consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with left-sided chest pain.
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Diffused increased interstitial markings are most prominent within the left lower lobe, in correlate with subpleural fibrosis on the reference ct abdomen and pelvis examination. Increased lung volumes may explain the apparent improvement in the diffuse interstitial abnormality, or alternatively, that the patient may have been in mild pulmonary edema yesterday. Bilateral hilar enlargement may be secondary to lymphadenopathy or dilated pulmonary arteries. There is no lobar consolidation, pneumothorax, or large pleural effusion. The heart size is top-normal. The thoracic aorta is heavily calcified.
history: <unk>f with preop for ccy // evidence of infection
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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 degenerative changes are noted in the thoracic spine. Biliary stent is seen in the right upper quadrant of the abdomen.
history: <unk>m with acute onset jaundice status post ercp x<num>
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The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with chest pain // chest pain, r/o pneumo
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Ap upright and lateral views of the chest provided. Lung volumes are low limiting evaluation. There is mild hilar congestion and mild interstitial pulmonary edema. No large effusion or pneumothorax. No acute bony abnormalities. Vague nodular opacity in the left mid lung is equivocal and followup post diuresis is advised.
<unk>f with multiple falls here s/p fall, occipital head strike
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No previous images. The heart is normal in size and lungs are clear without vascular congestion or pleural effusion. Specifically, no evidence of hilar or mediastinal adenopathy.
arthralgias, to assess for adenopathy.
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Heart size is normal. The aorta demonstrates atherosclerotic calcifications at the knob. The mediastinal and hilar contours are otherwise unremarkable. The pulmonary vasculature is normal. Minimal linear opacities within the lung bases, more pronounced on the left, likely reflect areas of subsegmental atelectasis. A small left pleural effusion is likely present. There is no focal consolidation or pneumothorax. There are mild degenerative changes noted in the thoracic spine. No definite displaced rib fracture noted.
history: <unk>m with fall and left rib pain // eval rib fractures
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Right ij central line tip low svc. Stable cardiac enlargement, pulmonary vascularity. Interstitial prominence has mildly improved, likely improving edema. Stable left basilar opacity, likely atelectasis. Small bilateral pleural effusions, more apparent.
<unk> year old woman with esrd and increase o<num> requirement, inability to lie flat. // pulmonary edema?
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The lungs are now clear. There is no effusion or pulmonary edema. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
<unk>m with cd<num> <num> p/w sob // ro infiltrates, pna
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There are increased interstitial opacities at the lung bases bilaterally without focal consolidation to suggest pneumonia. Cardiomediastinal silhouette is normal. No pleural effusion or pneumothorax.
history: <unk>m with fevers and myalgias. evaluate for pneumonia.
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Pa and lateral views of the chest provided. Cervical fusion hardware is noted at the base of neck. Volume loss in the right lung reflect prior right upper lobectomy. Lucency of the lungs is related to underlying emphysema. Right apical cap again noted. No large effusion or pneumothorax. No convincing evidence for pneumonia. Cardiomediastinal silhouette is unchanged.
<unk>f with abd pain, hx pancreatitis, poor air movement b/l lung bases // eval for pleural effusion
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Pa and lateral views of the chest provided. The heart is mildly enlarged. Hilar congestion is noted with interstitial pulmonary edema and small bilateral pleural effusions. No pneumothorax is seen. Bony structures are intact.
<unk>f with dyspnea on exertion
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Left-sided pacemaker device with leads terminating in the right atrium and right ventricle is re- demonstrated, unchanged. Heart size remains mildly enlarged. The mediastinal and hilar contours are similar. No pulmonary vascular congestion is present. Minimal atelectasis is noted in the right lung base. No new focal consolidation, pleural effusion or pneumothorax is visualized.
history: <unk>m with chest pain