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Moderate cardiac enlargement is re- demonstrated. The aorta is mildly tortuous. The mediastinal and hilar contours appear similar. Focal consolidative opacity within the posterior aspect of the right upper lobe is concerning for pneumonia. Patchy atelectasis also noted in the lung bases. No pleural effusion or pneumothorax is present. The pulmonary vasculature is not engorged. There are moderate degenerative changes noted in the thoracic spine.
history: <unk>f with cough, immunosuppressed
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Ap upright and lateral views of the chest provided.there is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is unchanged with mild cardiomegaly again noted. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with hypoglycemia, recent pna // ? infectious process
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Pa and lateral views of the chest. No prior. Lungs are clear. There is no pulmonary vascular congestion. Costophrenic angles are sharp. Cardiomediastinal silhouette is within normal limits.
<unk>-year-old male with atrial fibrillation with shortness of breath. rule out chf.
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There are streaky bibasilar opacities. Superiorly, the lungs are clear without focal consolidation. There is moderate cardiomegaly as on prior and tortuosity of the descending thoracic aorta. Prominence of the right hilum as seen as confluence of hilar vasculature on prior ct scan without enlargement. No acute osseous abnormalities.
<unk> year old woman with asthma exacerbation // r/o infiltration
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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. Bony structures are unremarkable.
left rib pain after a fall.
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Pa and lateral chest radiographs demonstrate a left chest dual pacing device, its leads which appear intact and stable in position. Heart size is mildly enlarged. There is central vascular engorgement without overt evidence of pulmonary edema. Blunting of the left costophrenic angle is likely atelectatic in etiology. There is no pleural effusion or pneumothorax. There is no evidence to suggest pneumonia.
history: <unk>f with ? pna, dyspnea // ? acute cardiopulm process, ? pna
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The minimally displaced sternal fracture is incompletely evaluated by lateral radiographs but appears grossly stable from the prior study. The nondisplaced rib fractures seen on ct are not appreciated on these radiographs. There is mild hyperinflation but no pneumothorax, pleural effusion, pulmonary edema, mediastinal shift, or focal consolidation.
<unk>f with chest pain, rib fxs, and sternal fx after a fall <num> days ago with worsening pain and sob, evaluate pneumonia or pneumothorax.
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Pa and lateral chest radiographs demonstrate persistent elevation of the right hemidiaphragm and small pleural effusion with bibasilar atelectasis. Median sternotomy wires and cabg clips are noted. There is no focal consolidation or pneumothorax. Multiple pleural plaques are noted. The cardiac, hilar, and mediastinal contours are within normal limits.
dyspnea and chest pain. evaluation for acute process.
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The heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are identified.
struck by a car.
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Compared a study from <unk>, there has been interval increase in the loculated right pleural effusion, now moderate in size with atelectasis at the right lung base. There is also a small left pleural effusion. The cardiomediastinal silhouette and hilar contours are stable. The previous right apical and basilar pneumothoraces have resolved. Included upper abdomen is unremarkable. Mid thoracic vertebral body compression fracture is again noted.
<unk> year old woman with right pleural effusion s/p right thoracentesis, assess for interval change.
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The cardiac silhouette size is normal. The aorta is tortuous. The aortic knob and descending thoracic aorta again demonstrates mild calcifications. New hazy diffuse opacities are demonstrated in both lungs. No pleural effusion or pneumothorax is identified. Mild degenerative changes are seen in the thoracic spine.
weakness, balance difficulties.
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The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No fracture.
<unk>m with sudden onset dyspnea // evaluate for effusion or acute pulmonary process
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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are again noted. The heart remains markedly enlarged. There is mild pulmonary edema noted, new from prior. Patient is slightly rotated to the left. Mediastinal contour stable. No pneumothorax. No large effusion. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk> year old man with increase sob // r/o pna exacerbation of chf
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation, or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size top normal. Lap band is in place, difficult to evaluate. Otherwise, partially imaged upper abdomen appears unremarkable.
epigastric pain.
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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. Hypertrophic degenerative changes are noted in the thoracic spine.
history: <unk>f with chest pain, please evaluate for acute cp process
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Again seen is an abandoned icd with leads ending in the right atrium, right ventricle and left ventricle. There is moderate cardiomegaly. The lungs are clear, the cardiomediastinal silhouette is otherwise normal. There is no change from <unk>.
<unk>-year-old woman with crackles at the left lung base.
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Cardiac size cannot be evaluated. Large left pleural effusion is new. Small right effusion is new. The upper lungs are clear. Right lower lobe opacities are better seen in prior ct. There is no pneumothorax. There are mild degenerative changes in the thoracic spine
<unk> year old woman with ?pleural effusion // ?pleural effusion
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A left pectoral aicd is unchanged with two leads terminating in the right atrium and right ventricle, as before. The cardiac silhouette remains severely enlarged, compatible with known dilated cardiomyopathy. The mediastinal and hilar contours are unchanged. The lungs are clear without focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax. No pulmonary vascular congestion or edema is noted.
history of idiopathic dilated cardiomyopathy, now with aicd firing, here to evaluate for acute pulmonary fluid overload.
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Right perihilar mass is again seen, similar in appearance. Slight prominence of the left hilum is stable. Evidence of right upper lobe emphysema is seen. There is no new focal consolidation. No pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable.
dyspnea, chest pain x.
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Frontal and lateral radiographs of the chest demonstrate intact sternal wires with prosthetic mitral valve noted. Compared to the prior radiograph, there has been interval resolution of the bibasilar atelectasis. The lungs are now clear. The cardiac and mediastinal contours are normal. No pleural abnormality is seen.
recent mitral valve repair and atelectasis on prior chest x-ray. shortness of breath. evaluate for nodules or any abnormality.
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Note is again made of a linear opacity in the lingula, which is unchanged from the prior study and likely represents a scar. No focal consolidation concerning for pneumonia is detected. Biapical pleural thickening is noted, which appears symmetrical. No significant pleural effusion or pneumothorax is detected. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. A bulge at the aortic arch is stable from the prior study and corresponds to the patient's known pseudoaneurysm. The trachea is midline. Right-sided rib deformities are also unchanged.
palpitations, here to evaluate for acute cardiopulmonary process.
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Ap and lateral chest radiographs were provided. Again seen are diffuse coarse interstitial opacities affecting both lung fields compatible with interstitial lung disease, essentially unchanged from the most recent prior radiograph. Right subpleural opacity likely represents chronic pleural effusion. A right port-a-cath catheter tip terminates at the cavoatrial junction. Cardiomediastinal silhouette is stable. Contrast is seen within the stomach. The bones are intact.
<unk>-year-old with fever and shortness of breath. rule out pneumonia, chf.
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Lungs are well-expanded without focal consolidation, pleural effusion or pneumothorax. The cardiac size is normal. The mediastinal silhouette is normal.
<unk> year old woman with multiple myeloma, pre bone marrow transplant workup.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. Low lung volumes are seen on the current exam, particularly on the lateral. Linear opacity at the right lung base is most suggestive of atelectasis. There is no large confluent consolidation, no large effusion. Cardiac silhouette is enlarged with stable configuration. Triple-lead pacing device again seen with lead tips unchanged in position. Right picc seen with tip projecting across the midline with tip on the left similar to <unk> but changed since <unk> when it was more appropriately positioned. Osseous and soft tissue structures are unchanged noting multiple compression deformities in the lower thoracic spine.
<unk>-year-old female with chf, presenting with altered mental status.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are present. There are mild anterior osteophytes within the mid thoracic spine.
fever.
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The lungs are well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour and hila are unremarkable.
<unk> year old woman with pancytopenia cough, chest congestion. assess for pneumonia appear.
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Pa and lateral views the chest were reviewed. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear. Pulmonary vasculature is within normal limits.
cough, fever.
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Allowing for differences in technique, with rotation of mediastinal structures to the right, the cardiac, mediastinal, and hilar contours are probably unchanged allowing for differences in technique. A few streaky opacities remain in the left lower lobe, but for the most part, opacities at both lung bases have mostly resolved, completely on the right side. There is no definite pleural effusion or pneumothorax. The bones appear demineralized. Severe lower thoracic compression deformity appears unchanged.
altered mental status.
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Lung volumes are low, causing bronchovascular crowding. No focal opacity to suggest pneumonia is seen. No pleural effusion, pneumothorax, or overt pulmonary edema is seen. A known <num>-mm right lower lobe pulmonary nodule seen by ct is not well evaluated on this exam. The heart size is normal.
chest pain for one hour.
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Pa and lateral chest radiographs confirm that the left picc is malpositioned within the azygos vein. Exam is otherwise remarkable for persistent bibasilar linear atelectasis, with minimal improvement in the left lower lobe.
<unk> year old woman with change in picc position // check line placement
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There is a retrocardiac opacity seen on the frontal view which is not confirmed on the lateral view. There are bilateral atelectatic changes. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
<unk> year old man with low grade temp, wheezes // is there pneumonia
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Frontal and lateral chest radiograph demonstrates well expanded and clear lungs with no focal consolidation identified. Linear opacity within the left lower lung base consistent with atelectasis. There is no pleural effusion or pneumothorax. Re- demonstration of calcified granuloma projecting over the right midlung and better demonstrated on ct dated <unk> (<time>). The cardiomediastinal and hilar contours are within normal limits.
<unk>-year-old male with cough and fever on chemotherapy for cholangiocarcinoma.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with cough and congestion // evaluate for pneumonia
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In comparison with study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. The right ij catheter again extends to the right atrium.
cml with worsening cough.
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The heart size is normal. The mediastinal and hilar contours are unchanged, with aorta appearing tortuous and diffusely calcified. The hilar contours are normal, and the pulmonary vasculature is not engorged. Blunting of the costophrenic angles posteriorly on the lateral view suggests trace bilateral pleural effusions. Minimal streaky opacities in the lung bases may also reflect atelectasis. There is no pneumothorax. There are mild degenerative changes noted in the thoracic spine.
dyspnea and chest pressure.
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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.
flu symptoms since <unk>, cough, fever, malaise, runny nose.
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Interval increase and pulmonary vasculature when compared prior with mild pulmonary vascular congestion. Mild to moderate cardiomegaly, also increased since the prior. No pleural effusions or pneumothorax. No acute focal consolidation.
<unk> year old man with sob, wheezing, lower extremity swelling. h/o bronchospasm, h/o septal ablation for ihss // r/o pneumonia, chf. ? etiology of sob.
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The thoracic aorta is tortuous, with aortic arch calcifications noted. Otherwise, the cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. An <num> mm opacity projecting over the left lower lung is likely a nipple shadow. Otherwise, the lungs are hyperinflated but clear without focal consolidation. There is no evidence of pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or pleural effusion.
<unk>m with chest burning, evaluate for pneumonia or effusion.
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Pa and lateral chest radiograph demonstrates hyperexpanded lungs. Lungs are otherwise clear without a focal consolidation. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion, pneumothorax, or evidence of pulmonary edema.
<unk>f with cough x <num> days with crackles in bilateral lower lobes // ? pneumonia
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Moderate bilateral pleural effusions, are not significantly changed in size. A loculated component of hydropneumothorax on the left is decreased in size from yesterday. Volume loss in the left lung base is unchanged. Anterior mediastinal mass is unchanged. Pulmonary vasculature is normal.
<unk>-year-old male with an anterior mediastinal mass status post vats biopsy and chest tube removal.
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Mild subsegmental atelectasis is present at the left base. The aorta is tortuous. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk>m with chest pain, eval for pneumothorax.
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There is increased left basal atelectasis with associated volume loss. Right basal atelectasis is stable. There is no evidence for pulmonary edema. The cardiomediastinal silhouette appears unchanged from prior. Pleural effusions are small, if any.
<unk> year old man with leukocytosis. evaluate for pneumonia.
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There is re- demonstration of moderate cardiomegaly with tortuous aortic arch. Atherosclerotic calcifications are noted within the arch. There is mild prominence of the pulmonary vasculature and trace edema. There is some increased density at the posterior base seen on lateral view only. There is no effusion or pneumothorax. The rib fractures identified on prior chest ct are not well evaluated on this study.
status post mechanical fall with right-sided rib fractures, pulmonary contusions and desaturations.
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Compared to the prior radiograph from <unk>, there is unchanged appearance of what appears to be eventration of the left hemidiaphragm with loops of bowel in the thorax. The visualized lung fields are clear, however the left lower lobe is obscured and infectious process in this area cannot be excluded. Cardiomediastinal contours are unchanged
history: <unk>f with chest pain // eval for pna, pneumothorax
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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified. Mild degenerative changes are noted throughout the thoracic spine.
left-sided chest pain.
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Frontal and lateral chest radiographs were obtained. A left-sided chest tube remains in place. A persistent left apical pneumothorax is now smaller in size. A small, rounded right lower lung opacity corresponds to the nodule seen on outside pet ct from <unk>. A left pleural effusion is present with associated compressive atelectasis. The heart size is top normal. Mediastinal and hilar contours are stable.
patient with pleuravac changed to pneumostat, rule out pneumothorax.
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Pa and lateral views of the chest. No prior. The lungs are clear of consolidation. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with chemotherapy for breast cancer. fever.
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Prior left picc is no longer visualized. The lungs are clear of consolidation, effusion, or vascular congestion. The cardiomediastinal silhouette is stable. Old healed left posterior ninth rib fracture is again identified. Hypertrophic changes are noted in the spine.
<unk>m with fever // r/o pna
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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax evident. No displaced rib fracture is identified. There is straightening of the normal thoracic kyphosis.
patient with chest wall pain status post sports injury. sports injury obtained two weeks ago.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of consolidation or effusion. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with two week worsening progressive cough with sputum.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastial silhouette is unremarkable.
right-sided chest pain.
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The cardiac, mediastinal and hilar contours appear stable. The chest is hyperinflated. There is no pleural effusion or pneumothorax. The lungs appear clear.
fever and altered mental status.
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Two views were obtained of the chest. The examination is limited by poor penetration likely secondary to the patient's body habitus. Within this limitation, the lungs appear well expanded without focal consolidation to suggest infectious process. No pleural effusion or pneumothorax is seen. The heart and mediastinal contours are unchanged.
fever, assess for pneumonia.
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Frontal and lateral radiographs of the chest demonstrate well-expanded lungs. There is bibasilar atelectasis, left greater than right. Chronic blunting of the posterior costophrenic angles reflects pleural thickening and bochdalek hernia. The cardiomediastinal and hilar contours are unchanged. The descending thoracic aorta is very tortuous. There is no pneumothorax. There are healed fractures of the posterior right <unk> and <num>th ribs.
right-sided chest pain. evaluate for pneumothorax or widened mediastinum.
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Moderate cardiomegaly is unchanged. Right middle lobe cavitation and right upper, middle, and lower lobe focal opacities are stable. Improved trace bilateral pleural effusions. No pneumothorax. The distal tip of a left picc terminates in the region of the the superior cavoatrial junction. Intact sternotomy wires and tricuspid valve replacement are unchanged. Medial displacement of the gastric bubble suggests splenomegaly seen on prior ct examination.
<unk> year old woman s/p tvr // eval for pleural effusions
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There is no consolidation, pleural effusion, or pneumothorax. There is no pulmonary edema. Mild cardiomegaly is unchanged. Left pectoral defibrillator with its lead terminating in the right ventricle is unchanged in position.
<unk> year old woman with non-ischemic cm s/p icd extraction and implant. // rule out pneumothorax
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Cardiac silhouette size appears mild to moderately enlarged, increased compared to the previous radiograph. Mediastinal and hilar contours are unchanged. The pulmonary vasculature is not engorged. No focal consolidation is identified. Blunting of the right costophrenic angle suggests a trace pleural effusion. No pneumothorax is seen with scarring noted at the lung apices. There are mild degenerative changes noted in the thoracic spine.
history: <unk>f with pericardial effusion
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.
history: <unk>m with cough // cough
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Surgical clips overlying the lower lungs and left axilla likely reflect prior breast surgeries and left axillary exploration. Small left pleural effusion. Normal cardiomediastinal and hilar contours. Clear lungs.
<unk>-year-old woman with a history of cirrhosis. clinical concern for pneumonia.
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Frontal and lateral views of the chest demonstrate low lung volumes. Moderate right pleural effusion is increased since prior. Right lung base opacities likely reflect compressive atelectasis. There is trace left pleural effusion, unchanged. Mild pulmonary edema is new since <unk>. More confluent opacity in the left lung base also appears new. Hilar and mediastinal silhouettes are unchanged. Heart is mildly enlarged. Aortic arch calcifications are noted. Pacemaker leads project over right atrium and ventricle. There is no pneumothorax.
shortness of breath.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Small left pleural effusion persists with adjacent atelectasis in the left lung base. No new focal consolidation or pneumothorax is seen. No acute osseous abnormalities are demonstrated.
history: <unk>m with dyspnea and pedal edema // r/o acute process
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Ap upright and lateral views of the chest provided. Dual lead pacer midline sternotomy wires and aortic valve replacement again noted. Cardiomegaly is re- demonstrated with large retrocardiac hiatal hernia. No focal consolidation concerning for pneumonia. No effusion or pneumothorax. Mediastinal contour stable. Bony structures are intact.
<unk>m with cough
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Lungs are well-expanded and clear. Minimal biapical scarring is unchanged. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with fever // eval for pna
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Compared with the radiograph from <unk> there is worsening hilar engorgement and pulmonary vascular dilatation consistent with congestive heart failure. Right lower lung opacities represent a combination of pleural thickening, post-pleurodesis changes, small effusion and right middle and lower lobe atelectasis. No new focal opacities are seen. Bilateral post-radiation fibrotic changes are better characterized on prior ct from <unk>. The cardiac silhouette is stable. A left subclavian line terminates in the distal svc.
<unk>f with dlbcl and recurrent right effusion s/p thoracocentesis. pneumothorax?
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Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. Hilar and mediastinal silhouettes are unchanged. Heart size is top normal. There is no focal consolidation or pneumothorax. There is minimal blunting of the right costophrenic angle, suggestive of possible trace pleural effusion.
cough and chest pain, assess for pneumonia.
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The cardiomediastinal and hilar contours are within normal limits. There is mild atelectasis in the right middle and right lower lobes. There is no pneumothorax, pleural effusion or focal consolidation. No definite displaced rib fracture identified.
history: <unk>m with l chest wall pain after fall // eval for fx
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The lateral view suggests minimal bronchiectasis in the superior segment of one of the lower lobes, which may have been present previously. Lungs are otherwise clear. There is no pleural effusion, pulmonary edema, or pneumothorax. Heart size and mediastinal contour are normal. Full left and main pulmonary artery junction is normal for this patient, and unchanged. No bony abnormality.
<unk>-year-old female with history of worsening mucus production and blood streaks. assess for infectious process.
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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. Bony structures are unremarkable. Cholecystectomy clips project over the right upper quadrant.
weakness and occasional chest pain.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with cough and phlegm for <num> months // lesions?
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The lungs are well expanded and clear without focal consolidation, pleural effusion, or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. There is no free air under the diaphragm.
<unk>-year-old woman with chills and sputum.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well-expanded and clear without focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits. There is no pneumoperitoneum.
history: <unk>m in mvc with loc, airbag deployment, ruq pain, right flank pain*** warning *** multiple patients with same last name! // any bleeding
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The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There has been interval removal of an endotracheal tube and enteric tube since the prior examination. There is no evidence of pneumothorax, pleural effusion, pulmonary edema, or focal opacification. No acute osseous abnormalities are detected.
history: <unk>m with report of rib fractures and recent ptx // ? ptx, effusion
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There is redemonstration of right middle lobe collapse, not significantly changed in appearance compared to the prior study from <unk>. There is minimal left lower lung atelectasis/scarring. Heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
recently diagnosed right middle lobe collapse. assess for change in right middle lobe collapse.
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Pa and lateral chest radiographs were provided. Right middle lobe consolidation is now seen. There is no pleural effusion or pneumothorax. Biapical scarring is stable. The cardiomediastinal silhouette is normal. The bones are intact.
<unk>-year-old female with cough.
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A single-lead pacemaker device terminates in the right ventricle. There is a fiducial marker projecting over an area of opacification in the left lower lobe that includes an irregular mass-like component as well as substantial underlying pleural thickening along the left lower lateral chest. The most recent comparison is the frontal scout view from the ct of <unk>; there is now greater opacification in the vicinity of the fiducial marker than seen earlier. The lateral view also suggests peripheral consolidation in the same area of the left lower lobe. Calcified pleural plaques are present. The lungs are hyperinflated. Mild-to-moderate compression deformities of the mid-to-lower thoracic spine appear similar. The bones are demineralized. A chronic-appearing right posterolateral fifth rib fracture appears unchanged.
hemoptysis and shortness of breath.
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Pa and lateral views of the chest provided. Previously noted picc line has been removed. Mild right middle lobe atelectasis is noted. No focal consolidation concerning for pneumonia. No effusion or pneumothorax. No signs of congestion or edema. Cardiomediastinal silhouette is normal. Imaged bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with esophageal cancer presenting w/ chest pain.
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No visible pneumothorax seen following removal of right pigtail catheter. Chronic left pleural and parenchymal scarring is noted, and the cardiac and mediastinal contours are normal.
<unk>-year-old man status post pigtail for pneumothorax, pigtail removed. assess for pneumothorax.
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There are multifocal, bilateral parenchymal opacities specifically projecting over the left mid and lower lung as well as low right lower lung. Prominence of the left hilum should be due to underlying adenopathy. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with pleuritic chest pain, mid-scapular back pain // eval for pna
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The lung volumes are low. The heart is at the upper limits of normal size. The mediastinal and hilar contours are unremarkable. The lungs appear clear. There are no pleural effusions or pneumothorax. Small anterior osteophytes are present along the lower thoracic spine.
fatigue and dizziness.
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The lungs are well-expanded and clear. There is no hilar or pleural abnormality. The cardiomediastinal silhouette is stable. Median sternotomy wires, aortic core valve, and prosthetic mitral valve are unchanged. No acute osseous abnormalities are detected. Minimal anterior height loss of multiple thoracic vertebra is unchanged.
<unk>f with increasing dyspnea on exertion // eval for infiltrate and edema
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Pa and lateral views of the chest. In the left lower lobe, there is an opacity that obscures the diaphragm consistent with pneumonia. There is likely a small left pleural effusion. The right lung is clear and there is no pleural effusion on the right. The cardiomediastinal silhouette is normal. There is no pneumothorax.
fever and pleuritic chest pain, evaluate for pneumonia or pneumothorax.
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Prominence of the interstitial markings is once again present and likely due to pulmonary edema superimposed on emphysema. Cardiac silhouette is again top normal in size. No pleural effusion or pneumothorax. No convincing evidence of pneumonia. Coarse calcifications in the left axilla could be due to calcified lymph node and is unchanged from multiple prior studies.
<unk>-year-old woman with three days of confusion. question pneumonia.
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Frontal and lateral views of the chest. Volume loss in the right hemithorax inferior and postthoracotomy changes are compatible with history of right lower lobar lobectomy. Linear opacity at the left lung base suggestive of atelectasis versus scarring. The lungs are clear of consolidation or effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.
<unk>-year-old male with cough. history of right lower lobectomy.
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The lungs are mildly hyperinflated. There is a rounded opacity measuring <num> x <num> cm projecting over the descending aorta, best seen on the lateral view. There is no pleural abnormality. The heart size is normal. The mediastinal and hilar contours are normal.
<unk> year old man with resp congest, former smoker, rll crep // r/o rll pna
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Left-sided port-a-cath tip terminates in the mid svc. The heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
hemodialysis dependent end-stage renal disease, weakness, fatigue.
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On the lateral view, projecting posteriorly at the level of the mid to lower thoracic spine seen there is a <num> x <num> cm ovoid opacity which appears to overlap both a vertebral body and beyond, suggesting it is in soft tissue. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
pain
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The lungs are clear without focal consolidation. Pleural thickening seen along the left lung laterally. There is no effusion. Cardiomediastinal silhouette is within normal limits. Tortuosity of the descending thoracic aorta is noted. There are no acute osseous abnormalities. Partially fused mid thoracic vertebral bodies may be congenital, unchanged.
<unk>f with abdominal pain // eval for signs of volvulus
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Frontal and lateral radiographs of the chest demonstrate minimal change since <unk>. Lungs are clear and the cardiac and mediastinal contours are normal. No pleural abnormality is detected.
persistent cough. evaluate for cause of cough.
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Lungs are hyperinflated. Bulla are noted within both lung apices. Cardiac, mediastinal and hilar contours are normal. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormalities are present.
chest pain.
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The heart and mediastinal contours are unchanged from the prior study of <unk>. Lung fields are clear with no focal opacities to suggest pneumonia. No pneumothorax or pleural effusion.
<unk>-year-old lady with history of a small-cell lung cancer status post chemoradiation and radiation esophagitis presenting with hemoptysis and productive cough.
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Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax. The visualized osseous structures are grossly intact; however, cross-sectional imaging or bone scan would be more sensitive for detection of lytic lesions.
<unk> year old woman with chest pain, musculoskeletal // lytic lesiosn? hx of bc
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There is an increase in the right pleural effusion. There is no left pleural effusion and the left lung is grossly clear. The left cardiomediastinal and hilar border is stable. The previously mentioned widening of the mediastinum at the level of the azygos vein is difficult to appreciate on this study.
<unk>-year-old with hcc and new shortness of breath.
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Since the prior exam, there is a new opacity involving the central portions of the right lung. Other than mild left basilar atelectasis, the left lung is clear. There is no pleural effusion or pneumothorax. The heart is mildly enlarged, and appears slightly bigger than in the prior exam. The mediastinal contours are normal. The known left lower lobe granuloma is not well evaluated on this exam.
history of a prior liver transplant with cough, malaise, and hemoptysis.
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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. Bony structures are unremarkable.
fever.
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
history: <unk>f with cp, pls eval pna or edema
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The previously seen small left pneumothorax has resolved. The left sixth and seventh rib fractures are stable. No consolidation. The hila and pulmonary vasculature are normal. No pleural effusions. The cardiomediastinal silhouette is normal.
<unk> year old man with l <unk>rib fx; small left ptx // interval eval ptx
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There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No evidence of free air below the diaphragm.
<unk> year old man presents with syncope. evaluate for pneumonia or pulmonary edema.
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Battery pack overlies the left mid chest. Mild pulmonary vascular congestion appears slightly worse compared to the prior study. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with weight gain, leg swelling, doe, cp // eval for acute process, attn to chf
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There is a left pectoral pacemaker with leads terminating in the right atrium and right ventricle. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable. Surgical material is seen in the right mid lung.
chest pain and dyspnea. evaluate for infiltrate.
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Cardiac, mediastinal and hilar contours are normal. There are minimal atelectatic changes at the lung bases. Otherwise the lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are present.
assault to the left side of the body.