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In comparison with the study of <unk>, there are lower lung volumes that probably account for the increase in prominence of the transverse diameter of the heart. Streaks of atelectasis or scarring are again seen at both bases. There is no definite evidence of acute focal pneumonia or vascular congestion.
pleuritic chest pain and possible cardiomegaly.
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Ap and lateral radiograph of the chest demonstrates hyperinflated lungs with flattening of the diaphragms. Cardiac silhouette is markedly enlarged due to large pericardial effusion better seen on same day ct. There is no large right pleural effusion. Scarring at the lung apices noted.
<unk>-year-old female with shortness of breath and pericardial effusions.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
<unk>f with hx of seizures presenting with ? seizure. // ? pneumonia / acute cardiopulmonary process
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Upright ap and lateral radiographs of the chest. The lungs are clear. There is hyperinflation of the lungs evidenced by increased anterior clear space and flattening of the diaphragms, suggestive of chronic obstructive pulmonary disease. Increased prominence of interstitial markings likely represents chronic lung disease. The aorta is tortuous. There is bilateral lower lobe atelectasis. There is no pneumothorax or pleural effusion. There is no pulmonary edema.
<unk>-year-old man with weakness. evaluate for pneumonia.
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
<unk>f with tachycardia, cough, sore throat for <num> days, evaluate for pneumonia..
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As compared to the previous radiograph, the pre-existing right parenchymal opacity at the lung base almost completely cleared. Substantially improved is the pre-existing retrocardiac parenchymal opacity. No newly appeared parenchymal opacities. The tip of the right-sided picc line is <num>-<num> cm below the cavoatrial junction. Mild fluid overload and moderate cardiomegaly, combined to tortuosity of the thoracic aorta persist.
evaluation for right-sided opacity after hemodialysis.
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Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal.
smoke inhalation.
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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 pleuritic l sided chest pain, hx pe
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs demonstrate a small residual opacity in the right infrahilar region and are otherwise clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with recent rml pna, now with recurrent sxs, diffuse rhonchi, wheezes // r/o pna
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Interval removal of a right central venous line. A right picc line terminates in the mid svc, unchanged from the prior examination. Numerous intact sternotomy wires are again noted. A retrocardiac opacity containing an air-fluid level is compatible with a large hiatal hernia. There is adjacent compressive atelectasis though lungs are otherwise clear. No large effusion or pneumothorax. Mediastinal contour is unchanged. Bony structures are intact.
<unk>m with fever, recent avr
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Mild enlargement of the cardiac silhouette is re- demonstrated. Mediastinal contour is unremarkable. There is mild pulmonary vascular congestion with small bilateral pleural effusions, findings which appears new in the interval. Streaky atelectasis is noted in the retrocardiac region. No pneumothorax is identified. There are mild degenerative changes seen in the thoracic spine.
history: <unk>m with shortness of breath
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Frontal on lateral chest radiographdemonstrates well expanded and clear lungs.no pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.
shortness of breath like pneumonia. assess for pneumonia.
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Pa and lateral chest radiographs were obtained. The extensive biapical upper lobe opacities have nearly completely resolved. There are minimal faint peripheral speckled opacities in the right upper and left upper lobes at the sites of prior multifocal consolidations. No new consolidations, effusion, or pneumothorax is present. The heart and mediastinal contours are normal. The heart and mediastinal contours are normal.
<unk>-year-old woman with cough.
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Cardiomediastinal silhouette is stable. Moderate right pleural effusion has decreased in size with better aeration of the right lung. The left lung is clear. There is no left pleural effusion. No pneumothorax.
<unk> year old man with pleural effusion // eval
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Ill-defined airspace opacity in the right lower lung may represent atelectasis or early consolidation. There is no pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is normal.
<unk>f with chest pain, evaluate for pna, chf.
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Pa and lateral views of the chest provided. Hardware partially imaged in the cervical spine. There is mild interval progression of interstitial lung disease with slightly increased peripheral reticulation as compared with most recent prior imaging studies. Difficult to exclude a superimposed pneumonia though none is clearly seen. No large effusions or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures appear grossly intact.
<unk>m with sob, history of interstitial lung disease.
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Frontal and lateral views of the chest. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. Osseous structures demonstrate no acute abnormality.
<unk>-year-old male with acute substernal chest pain.
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The lungs are well inflated and clear. There is no effusion, consolidation, or pneumothorax. The cardiac and mediastinal contours are normal.
<unk>-year-old man, rule out cough and pneumonia.
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The heart and mediastinal contours appear normal. The lungs are clear. There is no pleural effusion or pneumothorax. Again is noted in the left apex, a rounded mass, better characterized on ct from <unk>.
<unk>-year-old male with left upper lobe mass status post biopsy.
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The lungs are well expanded and clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>m with fever // eval pneumonia
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In comparison with the study of <unk>, there is again some shift of the mediastinum to the left with elevation of the hemidiaphragm, consistent with the previous surgical procedure. No evidence of acute pneumonia or vascular congestion or pleural effusion.
left upper lobe vats.
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Small right pleural effusion with associated atelectasis in right lower lobe. No pneumothorax. The cardiac and mediastinal silhouettes are unchanged. Right picc with tip in the mid svc. Interval removal of ng tube.
<unk> year old woman s/p pelvic exenteration, colostomy and urostomy placement, with recurrent fevers. // ? pneumonia
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Right subclavian infusion port tip is in mid svc. Mild vascular engorgement with peribronchial cuffing in the absence of cardiomegaly. No pleural effusion, pneumothorax, or focal density. Mediastinal contour is normal and no bony abnormality.
male with fever and recently intubated, assess for pneumonia.
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Right mid lung linear atelectasis/scarring is seen. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac silhouette is top-normal in size. Mediastinal contours are unremarkable. Surgical clips are noted left upper quadrant.
history: <unk>m with dyspnea // r/o acute process
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Pa and lateral radiographs of the chest demonstrate clear lungs without focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The pulmonary vasculature is not engorged.
<unk>-year-old female with cough and fever, here to evaluate for pneumonia.
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Stable appearance of the cardiomediastinal silhouette and the right upper chest status post right upper lobectomy. Chronic posterior right rib fractures are unchanged. No pneumothorax.
history: <unk>f with cough // pna
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Compared with the prior radiograph, no significant change. There is no new focal consolidation, pleural effusion, or pneumothorax. The aorta is tortuous, and the cardiomediastinal silhouette is within normal limits. Multiple surgical clips again noted in the neck, likely from prior thyroidectomy.
<unk>-year-old woman with history of myasthenia <unk>, hypothyroidism, and sarcoidosis presents with weakness. evaluate for acute process.
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. Mild bibasilar atelectasis is noted. The cardiomediastinal silhouette is stable in this patient status post previous median sternotomy and cabg. Moderate acromioclavicular degenerative changes bilaterally are stable prior studies.
<unk>m with chf presenting with weakness and sob, evaluate for pneumonia.
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Ap and lateral radiographs of the chest were obtained. Lungs are slightly lower in volume than on the previous examination with interval increase in its interstitial opacity which suggests mild pulmonary edema. In this context, subtle pneumonia could be obscured. The heart remains mildly enlarged with tortuous aorta.
<unk>-year-old gentleman with shortness of breath and abdominal pain, assess for pneumonia or edema.
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There has been slight interval decrease in small to moderate left pneumothorax, and a stable small left pleural effusion. The right lung remains clear. The heart and mediastinum are within normal limits. Multiple left rib fractures are also noted.
status post atv accident with multiple rib fractures and left pneumothorax. evaluate pneumothorax.
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Left-sided aicd device is re- demonstrated with single lead terminating in right ventricle. The heart size remains mildly enlarged. Mediastinal and hilar contours are unremarkable, and the pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
congestive heart failure history, dizziness, hematemesis.
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Again noted are bibasilar opacities, not significantly changed from the prior radiograph on <unk>. At the right lung base, this appears to be due to a moderately-sized pleural effusion with adjacent atelectasis as seen on the ct abdomen/pelvis. However, underlying infection is difficult to exclude. There is no pneumothorax. Heart size is moderately enlarged.
<unk>m with history of worsening shortness o fbreath, diarrhea, abdominal pain // please eval for pneumonia
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with palpitations // eval for acute process
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The heart size is normal. The mediastinal and hilar contours are relatively unchanged with mild unfolding of thoracic aorta. The pulmonary vascularity is not engorged. Bibasilar airspace opacities have a somewhat linear configuration are likely related to atelectasis. Infection, however, cannot be excluded particularly at the right lung base. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
confusion and vertigo.
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Frontal and lateral views of the chest demonstrate well expanded, clear lungs. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion, consolidation, or pneumothorax.
chest pain. evaluate for widened mediastinum.
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No large pleural effusion is seen although trace pleural effusion be difficult to exclude. Right base opacity is worrisome for pneumonia. There is moderate pulmonary vascular congestion. No pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable.
history: <unk>f with dka, cp, sob // eval for pleural effusion
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Pa and lateral chest radiographs were provided. The left chest wall pacemaker is present with leads in the right atrium and right ventricle. Median sternotomy wires are intact. Mediastinal clips are noted. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There may be bibasilar subsegmental atelectasis. The lungs are hyperinflated with flattening of the diaphragms. Cardiomediastinal silhouette is normal.
intractable vomiting for <num> weeks. question intrathoracic process.
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There is no focal consolidation, pleural effusion or pneumothorax. Left lung base opacity most likely represents atelectasis. Heart size is normal. No acute osseous abnormalities are identified. No free air under the right hemidiaphragm.
history: <unk>f with cp // pna?
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The lungs are fully expanded and clear. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Pleural surfaces are unremarkable.
<unk> year old man with cough, evaluate for infection.
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There is a new opacity in the retrocardiac region that effaces visualization of the medial hemidiaphragm as visualized on the pa view. Elsewhere, the lungs remain clear. There are no pleural effusions or pneumothorax. The cardiac, mediastinal and hilar contours appear stable.
upper abdominal pain and fever.
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Lung volumes are low. The heart size is top normal. Mediastinal and hilar contours are unchanged with calcification of the aortic knob re- demonstrated. The pulmonary vascularity is normal. Minimal atelectasis is seen in the retrocardiac region. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
cough, asthma exacerbation.
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The left-sided pacemaker leads are in the right atrium and apex of the right ventricle respectively. There is mild cardiomegaly, stable compared to multiple exams dated back to <unk>. No focal consolidations are identified. There is a small right pleural effusion. There is no pneumothorax.
<unk>-year-old female with a new pacemaker who presents for evaluation of lead position.
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The cardiomediastinal and hilar contours are within normal limits. A subtle opacity in the right midlung on prior is no longer visualized. There is no effusion or pneumothorax. No acute osseous abnormalities.
<unk>f with productive cough, recent pna // r/o pna
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The cardiac, mediastinal and hilar contours appear stable. The heart is borderline in size. There is no pleural effusion or pneumothorax. The lungs appear clear.
dyspnea on exertion and leg swelling.
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The lungs are well-expanded and clear. No focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette, hila, and pleura are normal.
<unk> year old woman with chest pain and shortness of breath. // eval for cardiopulmolnary process
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Pa and lateral views of the chest provided. The lungs appear hyperinflated and hyperlucent with flattened diaphragms suggestive of underlying copd/emphysema. The heart is top-normal in size. No focal consolidation, effusion or pneumothorax is present. There is subtle prominence of the main pulmonary arterial mobile along the left mediastinal border. Please correlate for pulmonary arterial hypertension. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with cough prod of yellow sputum x <num> week // eval pna
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Again, there is chronic elevation of the left hemidiaphragm with basilar atelectasis. Bibasilar atelectasis is seen. No large pleural effusion is seen. There is no definite new focal consolidation. Cardiac and mediastinal silhouettes are grossly stable.
history: <unk>m with c/o sob and hx cauda equina secondary to l<num> herniated dsic, copd, bronchiectasis with emphysema // ? pna
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There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>m with palpitations*** warning *** multiple patients with same last name! // ? ptx, effusion, consolidation
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The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. Mild degenerate changes are seen throughout the thoracic spine.
<unk> year old man with cerebrovascular risk factors p/w new deficits // any intrathoracic process
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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.
<unk> year old woman with cough // ? lesion
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In comparison with the study of <unk>, there is substantial decrease in retrocardiac opacification. Minimal atelectatic changes are seen at the bases. No evidence of focal pneumonia, vascular congestion, or pleural effusion.
postoperative fever, to assess for pneumonia.
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The heart appears normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax
fever, chills, and diffuse body aches.
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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 cough subjective fever // pna
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The heart size is within normal limits. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is not engorged. No focal consolidation, pleural effusion or pneumothorax is seen. Mild atelectasis within the right lung base is present. There are no acute osseous abnormalities.
dyspnea.
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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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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.
history: <unk>f with dyspnea // r/o acute process
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Pa and lateral views of the chest reviewed. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded without focal consolidation. Pulmonary vasculature is within normal limits.
cough.
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Frontal and lateral radiographs of the chest were obtained. There is mild enlargement of the cardiac silhouette. The moderate right pleural effusion with opacity in the right lower lobe. Prominence of the interstitial markings is noted greater on the right than the left which could reflect asymmetric pulmonary edema. Chain suture in the left upper lung is unchanged. There is a <num> mm nodular opacity projecting over the left upper lung which is not clearly visualized on the lateral. An additional <num> mm nodular opacity projecting over the right upper lung is not clearly visualized on the lateral. No pneumothorax.
shortness of breath, question edema or pneumonia.
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The lungs are clear without focal or diffuse abnormality. The pulmonary vasculature is unremarkable. No pleural effusion or pneumothorax. The osseous structures are unremarkable. No radiopaque foreign bodies.
<unk>-year-old man with cough. evaluate for cardiopulmonary process.
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Small right-sided pleural effusion with fluid along the fissure is new since the prior. The left lung remains stable with scarring in the left apex. Mild cardiomegaly unchanged with dual lead pacemaker in similar position. Dilatation of the ascending thoracic aorta and unfolding unchanged.
<unk> year old woman with pleural effusion // eval
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Moderate to severe cardiomegaly is similar to the prior examination. Hilar contours are unremarkable with mild prominence of the central pulmonary vasculature though there is no frank interstitial edema. Lungs are clear. The pleural surfaces are clear without effusion or pneumothorax. Median sternotomy wires are intact. Surgical clips are noted along the upper left mediastinum from prior left hemithyroidectomy.
hypoglycemia
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The lung bases are relatively underpenetrated presumed due to overlying soft tissue. Bibasilar atelectasis is seen without definite focal consolidation. There is no pleural effusion or pneumothorax. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable.
history: <unk>f with head strike //
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Pa and lateral views of the chest provided. Lungs are hyperinflated and hyperlucent suggesting copd. There is bilateral hilar prominence which could reflect pulmonary arterial hypertension and possibly central congestion. The heart is mildly enlarged. No focal consolidation concerning for pneumonia. No effusion or pneumothorax. The mediastinal contour is stable. Bony structures are intact.
<unk>m with productive cough, mild hypoxia // eval for pna
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The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion.
new onset seizure.
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Pa and lateral views the chest were viewed. Given low lung volumes, the cardiac <unk> are within normal limits. There is no pleural effusion or pneumothorax. No focal consolidation is seen. Pulmonary vasculature is within normal limits.
fever, cough.
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The patient is status post median sternotomy and aortic valve replacement. Heart size is mildly enlarged but unchanged. The aorta remains tortuous. The hilar contours are normal, and there is no pulmonary vascular congestion. Except for a granuloma within the left upper lobe, the lungs are essentially clear. Previously noted small bilateral pleural effusions have nearly resolved with only residual fluid noted on the left. There is no pneumothorax. Mild degenerative changes are noted in the thoracic spine.
dyspnea for <num> weeks.
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Ap upright and lateral views of the chest. There is mild interstitial pulmonary edema and moderate cardiomegaly. There is no pleural effusion or pneumothorax. There is no focal consolidation.
bradycardia, evaluate for infectious process, cardiomegaly, or effusion.
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Pa and lateral chest radiograph demonstrate right lateral hazy opacity, may reflect early pneumonia. Additionally within the left lower lobe, a more focal opacity suspicious for a nodule is identified. Heart size is within normal limits. Mediastinal and hilar contours are unremarkable. There is no pleural effusion. There is no pleural effusion or pneumothorax. Degenerative changes about bilateral acromioclavicular joints are moderate. Clips are noted projecting over the right upper quadrant. Aortic valvular calcifications are noted.
<unk>-year-old female with chest pain.
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Lung volumes are low. Increased retrocardiac opacity compared to the prior exam may reflect normal bronchovascular crowding and atelectasis in the setting of low lung volumes; however, infection appropriate clinical situation cannot be excluded. Left lower lung atelectasis has increased in the interim. No large pleural effusion. The heart size is moderately enlarged, probably similar to the prior exam when accounting for lower lung volumes. The mediastinum is not widened. No pneumothorax. No acute osseous abnormality
<unk>-year-old with shortness of breath and poor air movement on exam. pneumonia vs pleural effusion?
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The patient is status post aortic valve replacement and median sternotomy with the wires intact. The lung volumes are lower, resulting in new mild bibasilar atelectasis; otherwise, no focal consolidations concerning for pneumonia are identified. There is no pleural effusion or pneumothorax. The cardiomediastinal contours are stable. Mild cardiomegaly is persistent compared to exams dated back to <unk>.
history of atrial lead dislodgement, status post revision. please evaluate.
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There is elevation the right hemidiaphragm. Bibasilar atelectasis is noted. There are no focal consolidations concerning for pneumonia. No pleural effusion or pneumothorax. Cardiac size is normal.
<unk>m with chest pressure // eval for pulmonary process
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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 dm, vomiting, upper abd pain // pna?
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Pa and lateral chest radiographs. There is a small pneumothorax visible along the right costophrenic angle. There is no focal consolidation or pleural effusion. The cardiomediastinal silhouette is normal.
history: <unk>f with cough/fever/cp // ? infiltrate
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Pa and lateral views of the chest demonstrate an enteric tube passing through the esophagus, below the diaphragm into the stomach. The lung fields are low bilaterally, with no evidence of focal pneumonia, or pleural effusion. The cardiac size is mildly enlarged, and there is evidence of perihilar bronchial cuffing, likely representing early congestive heart failure. On the lateral view, multiple prominent loops of bowel are seen with air-fluid levels, better assessed on concurrent radiographs of the abdomen.
<unk>-year-old female with abdominal pain, status-post ng tube placement.
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Focal air space consolidations in the posterior aspects of the right infrahilar region, left upper lobe and left lateral lung base are consistent with multifocal pneumonia. Small left pleural effusion is minimally worse, if at all. There is no pneumothorax. No evidence of vascular congestion or cardiac decompensation. Mediastinal and hilar contours are stable. Heart size is normal.
<unk> year old man with probably cough, fever // r/o pneumonia
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are detected.
<num> weeks of cough and rhonchi in the right upper lobe.
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The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. The hilar and pleural surfaces are normal. There is no subdiaphragmatic free air.
history: <unk>f with left sided chest pain, shortness of breath
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is similar mild-to-moderate relative elevation of the left hemidiaphragm compared to the right. There is no pleural effusion or pneumothorax. The lungs are clear. Minimal degenerative changes are similar along the thoracic spine.
hiv, presenting with cough, myalgia, and sputum production.
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Again seen is a small right pleural effusion, slightly increased since the previous exam appear. There is no increasing opacity in the right lower lobe as well as persistent opacity in the right middle lobe obscuring the lower margin of the right heart border concerning for worsening infectious process. Linear opacities in the right mid lung are likely atelectasis. There is persistent cardiomegaly. Median sternotomy wires are intact. The imaged upper abdomen is unremarkable.
history: <unk>f with cp and ap and vomitng // ? pna
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Lung volumes are low. The cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. The aortic knob is calcified. There is no pulmonary edema. Crowding of the bronchovascular structures is noted with streaky bibasilar opacities most likely reflective of atelectasis. Infection however is not completely excluded. There is no large pleural effusion or pneumothorax. Multiple right axillary clips are again demonstrated.
cough, fever.
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Again, there are low lung volumes and mild bibasilar atelectasis. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. There is no overt pulmonary edema. No displaced fracture is seen. Overall, there has been no significant change since the prior study.
chest pain.
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Ap upright and lateral views of the chest demonstrate low lung volumes. Cardiac silhouette is likely accentuated by the ap technique and low lung volumes, but is proabaly mildly enlarged. Increased bibasilar opacification is most compatible with atelectasis. Blunting of the costophrenic sulci on the lateral view likely represents small bilateral pleural effusions. There is no pneumothorax. Old right rib fracture and tracheostomy tube noted.
<unk>-year-old woman status post fall, right leg swelling, left knee pain, dyspnea.
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Heart size is borderline enlarged. Mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax is present. Pulmonary vasculature is normal. There are no acute osseous abnormalities. Clips are seen within the right upper quadrant of the abdomen.
history: <unk>f with chest pain
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The heart size normal. The patient is had median sternotomy and cabg otherwise mediastinal silhouette is normal. Again seen is pleural thickening with multiple calcified pleural plaques and left apical scarring. There are no pleural effusions.
<unk> year old man with cough // cough/copd
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There has been interval removal of a left-sided port-a-cath. Low lung volumes persist and there is persistent elevation of the right hemidiaphragm. Since the prior study, there has been increase in left perihilar and lower lobe opacities worrisome for pneumonia. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable.
history: <unk>m with ipf and lll nsclc s/p recent xrt and chemo here for worsening doe and lethargy. // evaluate for pna
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Pa and lateral views of the chest provided. <unk> hyperinflated and lucent with slightly increased lower lung platelike atelectasis. No convincing signs of pneumonia. No large effusion or pneumothorax. Scarring in the apices again seen. Cardiomediastinal silhouette is unchanged. Bony structures are intact.
<unk>f with non-productive cough malaise, low grade temps
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Lung volumes are slightly reduced compared to the previous exam. The heart size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. The lungs are clear. There is no focal consolidation, pleural effusion or pneumothorax. There are mild degenerative changes in the thoracic spine. No free air is seen under the diaphragms. No definite evidence for pneumomediastinum.
chest pain status post endoscopy.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with substernal chest pain // pna?
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
history: <unk>m with cp // ptx? pulm edema?
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Cardiomediastinal silhouette is grossly unchanged. The right lung is clear. Pleural effusion is small, if any. Left midlung opacity has decreased from prior. In addition, there is mild increased mediastinal shift to the left.
<unk> year old man with metastatic lung adenocarcinoma post right upper lobe lobectomy presenting for worsening shortness of breath in the setting of nivolumab induced pneumonitis, evaluate for pneumonia.
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The lungs are clear, without consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. The acute right distal clavicular fracture is not significantly changed compared to the prior radiograph.
history: <unk>f with sah, needs cxr per neuro // please eval for infectious process
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Pa and lateral views of the chest provided. Partially imaged cervical spinal fusion hardware noted. Lungs are hyperinflated and clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Mid thoracic spine anterior osteophytes are noted. No free air below the right hemidiaphragm is seen.
<unk>m with history of cad, presenting with chest pain and left arm pain.
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The expected location of right midline in the right upper arm is not included in the frontal view and is not well evaluated on the lateral view. . The heart is not enlarged. No chf, focal infiltrate, effusion, or pneumothorax is detected. No catheter or other line is seen over the chest itself. Possible mild scoliosis in the upper thoracic spine.
history: <unk>f s/ midline placement <num> days ago p/w pain, midline doesn't flush // eval midline placement
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There is right middle lobe peribronchial opacification. Without prior film of the recent pneumonia, it is difficult to be certain, but presumably this is a clearing of right middle lobe pneumonia. Alternatively this can be bronchiectasis. Compared to the chest radiograph from <unk>, the opacification is more conspicuous. There is no pleural effusion, pulmonary edema, or pneumothorax. Emphysematous changes in the bilateral lung apices, more so on the right than left, are similar compared to <unk>. Cardiomediastinal silhouette is normal size and unchanged.
<unk> year old man with recent pneumonia // assess for clearing
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Pa and lateral views of the chest demonstrate well expanded and clear lungs. Heart is normal in size and cardiomediastinal contour is unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old man with right rib pain, rule out fracture.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with cough, fever // eval for pna
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Ap and lateral chest radiographs were provided. Lucent lesion in the right upper lobe is compatible with mycetoma as seen on the prior chest ct. The superimposed consolidation in this area seen on the prior study has improved. There are prominent interstitial markings, increased in a chronic manner since <unk>. No new focal consolidation, pleural effusion or pneumothorax is present. The cardiomediastinal silhouette is unchanged. The bones are intact.
history of multiple sclerosis, knee pain, rule out infiltration.
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There is a moderate right-sided pleural effusion, as seen on the recent ct, with associated parenchymal opacity, most suggestive of atelectasis. The pleural effusion is similar to the recent prior ct but possibly decreased somewhat since the prior radiographs, although a possible difference in patient orientation is a confounding factor regarding the comparison. The left lung remains clear. A picc line terminates at the cavoatrial junction.
fever. question pneumonia.
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Pa and lateral views of the chest. Lungs are hyperinflated. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Vagal nerve stimulator in the left chest wall is noted.
<unk>-year-old female with tingling in arms and legs and cough. evaluate for pneumonia.
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Known bilateral nodular opacities in the lungs are not clearly delineated on this exam. Increased opacity projecting over the anterior left second and third ribs compatible with healing fractures. There is no new consolidation. Blunting of the right costophrenic angle is compatible with known small effusion. Cardiomediastinal silhouette is stable. No acute osseous abnormalities, compression deformity of a lower thoracic vertebral body is unchanged. .
<unk>f with pancytopenia // eval for pneumonia