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There is no focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is top normal in size. A left chest aicd and leads are in unchanged positions. Median sternotomy wires and surgical clips are again noted projecting over the mediastinum.
<unk>m p/w hypotension with right knee pain/effusion, and erythematous right foot, evaluate for acute cardiopulmonary process.
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Cardiac, mediastinal and hilar contours are within normal limits. The pulmonary vasculature is not engorged. Hyperlucent and hyperexpanded left upper lobe with hypoplastic vasculature appears unchanged compatible with bronchial atresia. Remainder of the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is demonstrated.
history: <unk>f with left bronchial atresia presents with epigastric pain // please eval for pna
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In comparison with the study of <unk>, there is little overall change in the bilateral areas of opacification with continued enlargement of the cardiac silhouette. The appearance most likely is consistent with a combination of multifocal pneumonia and pulmonary vascular congestion.
pneumonia.
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Patient had recent mitral valve repair. Mild pulmonary edema has worsened since <unk>. Left moderate pleural effusion is unchanged. Right lower lung opacity could be dependent edema or atelectasis. Mediastinal contour and mild cardiomegaly is stable. Degenerative changes are in the left shoulder.
evaluate patient for pleural effusion.
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Cardiomediastinal contours are unchanged. Patient has known emphysema. Small right effusion has minimally decreased. Right lower lobe atelectasis has decreased. There is no evident pneumothorax. There are moderate degenerative changes in the thoracic spine. There are no new lung abnormalities.
<unk> year old man with pleural effusion // eval
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
chronic abdominal pain with right upper quadrant pain.
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Pa and lateral views of the chest provided. Midline sternotomy wires are noted. There is persistent left lower lobe atelectasis accounting for retrocardiac opacity. Difficult to exclude a superimposed pneumonia though overall pattern appears similar. Right lung is clear. No large effusion or pneumothorax. Overall cardiomediastinal silhouette appears similar to prior
<unk>m with pmh cabg p/w chest pain // ?consolidation
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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 w/chest pain // <unk>f w/chest pain
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Low lung volumes are seen with secondary crowding of the bronchovascular markings. Bibasilar opacities are most likely atelectasis, they are not seen on the lateral view which is somewhat limited by respiratory motion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with lightheaded // ? pna
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Pa and lateral views of the chest provided. Right chest wall single lead pacer is again noted with single lead extending into the region of the right ventricle. Midline sternotomy wires and prosthetic cardiac valve are again seen. The heart remains moderately enlarged. The mediastinal contour is normal. There is no focal consolidation concerning for pneumonia. No large effusion or pneumothorax seen. No signs of congestion or edema. Imaged bony structures are intact. No free air below the right hemidiaphragm seen.
<unk>m with c/o "sick all over", eval for pna
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The cardiomediastinal and hilar contours are within normal limits. There is no definite evidence of focal consolidation, pleural effusion or pneumothorax.
colitis and fever/chills. question pneumonia.
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The lungs are clear. Marked cardiomegaly is unchanged. Mediastinal contours are stable. There is no pleural effusion or pneumothorax. No displaced rib fractures are identified.
lower rib pain after 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>. The heart size is normal. No configurational abnormality is identified. Unremarkable appearance of thoracic aorta and mediastinal structures. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. Skeletal structures grossly unremarkable. Observed similar as on the preceding examinations, there are multiple small surgical clips overlying mediastinal and cardiac shadows on the frontal view and identified to be in the chest wall area when comparing it with the lateral view. Most of these markers existed already on the preceding examination, however, there are new additional two markers at the lower neck area bilaterally. Reason and cause of these is unknown.
<unk>-year-old male patient with bypass surgery, evaluate for interval change.
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Frontal and lateral radiographs of the chest show improved but persistent subcutaneous emphysema, now predominantly confined to the anterior abdominal and chest wall. A large right hydropneumothorax with increased pleural fluid and air component occupies the right hemithorax. The right lung base cannot be evaluated due to the presence of the hydropneumothorax. No mediastinal shift is appreciated. There has been interval removal of a right-sided picc line. The left lung is clear with improved atelectasis from <unk>. The cardiomediastinal silhouette is partially obscured, but appears within normal limits and overall unchanged from <unk>.
<unk>-year-old female with newly-diagnosed lung cancer and pleural effusion status post thoracentesis, here to reevaluate for interval changes.
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The right-sided picc line terminates in the distal cavoatrial junction/proximal right atrium. The mild pulmonary edema and left lower lobe atelectasis that were seen on the last chest radiograph have resolved. There are no focal consolidations, pleural effusions or pneumothorax bilaterally. The heart is slightly enlarged. No acute osseous abnormalities.
<unk> year old woman with lymphoma // confirm picc placement
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Lung volumes are normal. There is no focal consolidation, pleural effusion or pneumothorax. Heart is top-normal in size. There is no subdiaphragmatic free air. No acute osseous abnormalities are identified.
history: <unk>f with chest pain // infiltrate or pneumothorax
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Right mid to lower lung atelectatic changes are seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. No pulmonary edema is seen. Mediastinal contours are unremarkable.
history: <unk>f with pleuritic chest pain // eval heart and lungs
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The cardiac silhouette is enlarged. The pulmonary vasculature is prominent and unchanged since prior examination. No focal consolidation is noted. There is no pneumothorax or pleural effusion. Again noted is a left-sided pacemaker with stable position of <num> leads. There is evidence of prior cabg. Median sternotomy wires are intact and well aligned. Degenerative changes are seen at the left glenohumeral and acromioclavicular joints.
<unk>m with chest pain possible acs // pna? ptx?
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Ap and lateral chest radiograph demonstrate hyperinflated clear lungs . The heart is within upper limits of normal in size. Patient is status post median sternotomy. There is no pulmonary edema. There is no pleural effusion or pneumothorax. No acute osseous abnormality is detected.
<unk>-year-old male status post fall.
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Severe cardiomegaly and tortuosity of the thoracic aorta is unchanged from <unk>. The hilar contours are unremarkable. There is no evidence of fluid overload. Lungs are mildly hyperinflated as on prior exam. There is no definite focal consolidation. There is no effusion or pneumothorax.
asthma with worsening dyspnea.
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Heart size is mildly enlarged. The aorta is mildly tortuous with atherosclerotic calcifications noted at the aortic knob. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Minimal streaky and linear opacities in the lung bases likely reflect areas of atelectasis. No pleural effusion, focal consolidation or pneumothorax is identified. Mild degenerative changes are seen in the thoracic spine.
history: <unk>f with confusion and fever
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There is no focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk> year old man with fevers // eval for pneumonia
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Pa and lateral views of the chest provided. Cardiomegaly is noted with a left ventricular configuration. There is no focal opacity concerning for pneumonia. No effusion or pneumothorax. No hilar congestion. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with edema, kidney failure, liver failure // evaluate for fluid overload, acute process
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Pa and lateral chest radiographs demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion, pneumothorax, or evidence of pulmonary edema. Imaged upper abdomen is unremarkable.
history: <unk>m with doe // eval for infiltrate
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with dyspnea on exertion // evaluate for pneumonia
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Small left pleural effusion is stable compared to <unk>. There is no consolidation or pneumothorax. Sternotomy wires are intact. Mildly enlarged cardiac silhouette is unchanged.
<unk> year old man with pleural effusion // eval
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Low lung volumes cause bibasilar linear atelectasis. There is no pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is normal. The known mildly displaced rib fracture is not appreciated.
<unk>f with chest pain after car accident with +airbag deployment evaluate for rib 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.
history: <unk>m with reported swallowing of metal cuticle tool. // assess for fb
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. No fractures are identified.
<unk>f w/sternal pain after mvc // <unk>f w/sternal pain after mvc
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The cardiac, mediastinal and hilar contours are normal. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There is marked gaseous distention of the stomach. No acute osseous abnormality is seen.
elevated blood sugars.
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Cardiac silhouette size is normal. The aorta is slightly unfolded. Mediastinal and hilar contours are unremarkable. The lungs are hyperinflated. Patchy opacities in the lung apices, more pronounced on the right, likely reflect areas of scarring. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities detected.
history: <unk>f with microcytic anemia // eval for infection
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The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pneumonia, no pulmonary edema. No pleural effusions.
<unk> year old woman with h/o pneumonia (rll) while in <unk> on <unk>. // ?clearing of pneumonia
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with ulcerative colitis - r/o tb // <unk> year old woman with ulcerative colitis - r/o tb
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Small bilateral pleural effusions are unchanged from the prior study. No focal consolidation or pneumothorax is present. The pulmonary vasculature is prominent with fluid in the fissures. The cardiac silhouette is top normal in size. The mediastinal and hilar contours are unchanged. There are multiple pathological rib fractures and diffuse osseous sclerosis, unchanged. There has been interval placement of a nasogastric tube.
<unk>-year-old male with metastatic prostate cancer, on home hospice, now with five-day history of nausea and vomiting and leukocytosis, here to evaluate for pneumonia.
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Subtle opacity at the left lower lung may be due to atelectasis, however, early consolidation due to infection or aspiration is not excluded. No pulmonary edema is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with bradycardia // ? infiltrate
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Frontal and lateral radiographs of the chest demonstrate a small apical right-sided pneumothorax. A chest tube is seen projecting over the right hemithorax. There is stable cardiomediastinal widening. The left lung is clear.
<unk>-year-old female status post right lower lobectomy. evaluate for pneumothorax.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>f with cough, wheeze // pna?
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Heart size is normal. The mediastinal and hilar contours are normal. On the lateral view, there may be some residual pneumomediastinum noted anterior to the trachea. 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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<num> views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart and mediastinal contours are unremarkable with post cabg changes noted.
chest pain.
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Pa and lateral radiographs of the chest were acquired. The lungs are clear. The cardiac and mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
lightheadedness and cough, evaluate for infiltrate.
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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. Mild calcification of the aortic knob is similar to prior.
history: <unk>f with nausea, fatigue, cough x several days // eval ? infiltrate
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Frontal and lateral views of the chest demonstrate hyperexpanded lungs, the chest diameter is increased in ap dimension. Lungs are clear without pleural effusion, focal consolidation, or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Bronchial wall thickening is most evident at lung bases.
patient with history of copd. study obtained for pre-operative planning.
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The lungs are clear. There is no pleural abnormality. The cardiac and mediastinal silhouettes are unchanged.
<unk> year old woman with a n history of leukemia with worsened cough. please evaluate for infiltrate. // <unk> year old woman with a n history of leukemia with worsened cough. please evaluate for infiltrate.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present. Mild degenerative changes are seen in the thoracic spine. Cholecystectomy clips are present in the right upper quadrant of the the abdomen.
right upper quadrant pain and cough.
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The lungs remain hyperinflated. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>f with cp // evidence of pneumothorax or pna
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Frontal and lateral chest radiographs demonstrate clear lungs bilaterally. There is no focal consolidation, pleural effusion, or pneumothorax. Slight atelectatic changes at the right base are unchanged since prior examination. There is persistent elevation of left hemidiaphragm consistent with patient's known history of hiatal hernia. Mild cardiomegaly is stable. A tortuous atherosclerotic descending aorta is noted.
<unk>-year-old male with cough and left lower lung pain. evaluate for pneumonia.
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There is no focal consolidation, pleural effusion, or pneumothorax. Dense small rounded opacity in the left lower lobe could be a lung nodule or a bone island. The cardiomediastinal silhouette is normal. There is no evidence of recent or non-recent tb. Osseous structures demonstrate no acute skeletal abnormality.
<unk>-year-old man with well-controlled hiv, frequent travel to <unk>, new positive quantiferon gold, no symptoms; rule out evidence of active tb.
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The lungs are clear without focal consolidation, effusion, or edema. Mild cardiac enlargement is noted. Tortuosity of descending thoracic aorta is noted. No acute osseous abnormalities.
<unk>f with bradycardia, generalized weakness // eval for acute process
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Ap and lateral views of the chest are compared to previous exam from <unk>. When compared to prior, there has been no significant interval change in the size of the bilateral pleural effusions. There is no significant pulmonary vascular engorgement. Cardiac silhouette is grossly unchanged but limited due to bibasilar abnormalities. Hypertrophic changes are again seen in the spine. G-tube not clearly identified. No free air identified below the diaphragm.
<unk>-year-old male with recent paraesophageal hernia repair, ng tube placement who presents with nausea and vomiting, coffee grounds in his g-tube. evaluate for free air and g-tube placement.
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Lordotic positioning. Heart size is borderline enlarged. There is mild unfolding of the aorta, which is unchanged. There is equivocal upper zone redistribution, but no overt chf. No focal infiltrate or consolidation identified. Possible minimal atelectasis in the right cardiophrenic angle. No effusion.
cough and fever with shortness of breath. evaluate for pneumonia.
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Cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. Scattered bilateral airspace opacities, slightly sparing the lung apices, are again noted, slightly worsened from the prior study, consistent with a multifocal pneumonia. Surgical clips and a biliary stent are seen in the right upper quadrant. There has been interval removal of a malpositioned right picc line.
desaturation.
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Consolidation is seen in the superior segment of the right lower lobe. The left lung is clear. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouette are unremarkable.
history: <unk>f with c/o cough with fever/chills // ? pna
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The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. Streaky right basilar opacity suggests minor atelectasis. The lungs appear otherwise clear.
chest pain.
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Moderate levoconvex scoliosis of the thoracic spine is stable. Since the prior radiograph, there is increased hazy opacification of the right lower lobe, which is confirmed on the lateral view. There is no pleural effusion or pneumothorax. Heart size and mediastinal contours are stable.
history: <unk>f with chest pain, sob, cough // any evidence of consolidation or ptx?
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Pa lateral images of the chest. The lung volumes are mildly decreased from prior exam. There is a retrocardiac opacity which is concerning for pneumonia or aspiration. There is a subtle medial right lung base opacity which may relate to vascular structures, but could also represent an additional site of consolidation. No large pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette is unremarkable.
fever.
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Frontal and lateral chest radiographs demonstrate clear, well-expanded lungs without pleural effusion or pneumothorax. There is minimal linear atelectasis seen in the left lower lung. Cardiac silhouette remains normal in size, the mediastinal contours remain normal. The pulmonary vasculature is normal. Vp shunt tubing is noted.
<unk>-year-old female with vp shunt, question pneumonia.
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Patient is status post right total pneumonectomy with expected postoperative changes including rightward shift of mediastinal structures. Right-sided port-a-cath tip appears to terminate in the low svc. Heart size is difficult to assess given the prior pneumonectomy, but the cardiac and mediastinal contours appear unchanged. Patchy opacities are demonstrated within the left lung base. No left-sided pleural effusion or pneumothorax is present. Small hiatal hernia is again visualized. No acute osseous abnormalities are detected.
history: <unk>f with cough for <num> week, history of lung cancer. right total pneumonectomy.
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.
history: <unk>f with pain over her entire body // r/o pna
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Rounded opacity projecting over the left lung base is very likely to represent a nipple. Otherwise, the lung parenchyma is unremarkable. Normal size of the cardiac silhouette. No pneumonia, no pulmonary nodules, normal hilar and mediastinal contours. No pleural effusions.
amyloidosis, pre-bone marrow transplant.
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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. There are fractures involving the left seventh and eighth posterior rib which appear mildly displaced. No free air below the right hemidiaphragm is seen.
<unk>f with pain s/p fall // rib fx?
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The lung volumes are low. Again, there is vascular engorgement, interstitial thickening and hazy perihilar opacities consistent with mild pulmonary edema. This is not significantly changed from the prior exam. There is no focal consolidation. There is no pleural effusion or pneumothorax. The mediastinal contours are normal. The heart size is moderately enlarged, and stable from prior exam.
significant peripheral edema. evaluate for pulmonary edema.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>m with hx marginal zone b cell lymphoma, hep c cirrhosis, now with pancytopenia (anc<num>), <num> weeks severe abd pain and wt loss // acute process, recurrence of lymphoma
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The cardiac, mediastinal and hilar contours appear stable. Increased relative density of the left lung compared to the right may be due to an asymmetry in positioning. No definite focal opacity is visualized. There is no pneumothorax or pleural effusion. Bony structures are unremarkable.
epigastric pain.
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As compared to the previous radiograph, there is no relevant change. Known scoliosis with subsequent asymmetry of the rib cage. No change in appearance of the lung parenchyma, in particular no pneumonia, no pulmonary edema and no pleural effusions. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours.
left-sided chest pain, rule out abnormality.
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Frontal and lateral radiographs of the chest demonstrate low lung volumes with resulting bronchovascular crowding. The cardiomediastinal and hilar contours are unchanged. The heart is top normal in size. There is no pleural effusion, pneumothorax, or consolidation.
altered mental status. evaluate for infection.
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The lungs are mildly low in volume but clear. No pleural abnormalities are seen. The heart is mildly enlarged. The mediastinum and the hilar contours are normal. Left-sided port terminates in low svc.
<unk> year old woman with history of frequent pna. evaluate for pneumonia.
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The right port-a-cath seen on <unk> chest radiograph has been removed. The lung volumes are low. The left basilar linear atelectasis seen in prior study have resolved. There are no opacities, consolidations, nodules seen. The mediastinal silhouette, hila, and pleural surfaces are normal. The heart size is top-normal but could be exaggerated by low lung volumes. There is no pneumothorax seen. No fractures nor acute bony abnormalities noted.
<unk> yr old female with sob and chest pain on inspiration // ? infection vs effusion
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
patient with cough, fever and wheezing. evaluate for infiltrate.
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Upright pa and lateral views of the chest show small bilateral pleural effusions with overlying minimal subsegmental atelectasis. No focal parenchymal consolidation suggestive of pneumonia is seen and the heart and mediastinal contours show no suspicious interval change. Curved tubing is projected in the right upper quadrant.
<unk>f s/p lap ccy with fever // pna
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Pa and lateral views of the chest provided. Minimal scarring in the left lower lung noted. Otherwise lungs are clear. 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 stroke // eval for pna
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>f with right upper quadrant pain.
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No previous images. Cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia. Aortic valve is seen and there is a single sternal wire that appears to be intact.
porcine aortic valve with syncope, to assess for cardiomegaly.
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.
dyspnea, congestion, chest pain.
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Lung volumes are decreased, mdct and there are linear bibasilar opacities which likely represent atelectasis. No large pleural effusion or pneumothorax. Cardiomediastinal contours are normal.
history: <unk>m with chest pain, dyspnea cough // acute cardiopulm disease
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There is mild-to-moderate cardiomegaly. Calcification in the aortic knob is noted. Otherwise, the mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs are well expanded without focal consolidation concerning for pneumonia. A <num> cm round opacity projects at the lung base posteriorly, best seen on the lateral view. This is not definitively identified on the frontal view but may be present at the left lung base. The upper abdomen is unremarkable. Surgical clips are noted projecting over the breast tissue on the lateral view.
<unk>-year-old with mild chest pain and shortness of breath, history of breast cancer.
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In comparison with study of <unk>, there has been substantial clearing of the left basilar opacifications. There may be some residual consolidation, though most of the appearance suggests atelectasis.
postoperative ileus with temperature.
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Frontal and lateral chest radiographdemonstrates well expanded and clear lungs.no pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.
history of depression with chest swelling. assess for infiltrate or pulmonary congestion.
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Minimal left base atelectasis is seen without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Degenerative changes are seen along the spine.
history: <unk>m with history of renal cancer s/p resection <unk>, who presents with intermittent chest pain to left side x <num> days // eval for acute process vs. bony lesion
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Chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. Lungs are clear. No pleural effusion or pneumothorax is evident. Minimal elevation of left hemidiaphragm noted, possibly due to gaseous distention. No displaced rib fracture identified. No thoracic spine fractures or malalignment identified.
status post mvc, restrained in rear. presents with midline tenderness of the c and t spine. <unk> evaluate for fracture.
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Chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar, and cardiac contours. There may be minimal left base atelectasis. No focal consolidation is seeen. No pleural effusion or pneumothorax evident.
patient with hodgkin's lymphoma status post chemotherapy, presenting with hemoptysis last night. please evaluate for acute process.
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Patient is status post median sternotomy and cabg. Severe cardiomegaly is re- demonstrated. The aorta is tortuous. There is no pulmonary vascular congestion. There is minimal atelectasis in the left lung base. No pleural effusion, focal consolidation or pneumothorax is present. Multiple clips are seen in the left upper quadrant of the abdomen. There is diffuse demineralization of the osseous structures with mild right loss of height of several thoracic vertebral bodies in the lower thoracic spine.
history: <unk>f with crackles bilaterally
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Pulmonary vascular congestion and mild interstitial pulmonary edema have increased compared with the prior study with new small to moderate left and trace right pleural effusions. Right lung base opacity is most likely related to pulmonary edema, however a superimposed infectious process is difficult to exclude. Hyperinflation is unchanged.
<unk>f with dyspnea, evaluate for fluid overload, pneumonia
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The lungs are hyperinflated, with flattening of the diaphragms and increased ap diameter, consistent with chronic obstructive pulmonary disease.no focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. The aortic knob is slightly prominent, which could be due to tortuosity, although underlying mild aortic dilatation is not excluded and could be further evaluated for on nonurgent chest ct.
history: <unk>f with <num> month hx of shortness of breath with exertion // evaluate for chf, possible malignancy, pneumonia
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Lungs are clear of consolidation, effusion or pneumothorax. Heart size is mildly enlarged. Mediastinal and hilar contours are normal. No free air under the right hemidiaphragm. Several right-sided rib fractures are chronic.
<unk>m with chest pain
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The cardiac and mediastinal contours appear unchanged including moderate tortuosity of the aorta. The heart is probably normal in size. Elevation of the right hemidiaphragm with substantial opacity involving the right hilum and nearby cardiophrenic sulcus appear similar compared to the recent prior examination. Regarding the lung parenchyma, no definite nodules are demonstrated radiographically.
hemoptysis. history of renal cell carcinoma with pulmonary metastases.
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The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion. The left clavicle appears intact.
<unk>-year-old man with left mid clavicular chest pain, tender to palpation, evaluate for fracture or pneumothorax.
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Scarring in the right middle lobe is unchanged.the lungs are otherwise clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with chest pain // chest pain
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The lungs are clear besides mild right basilar atelectasis. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with weakness, nausea // presence of infiltrate
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No localizing history is available. No dedicated rib films are obtained as part of this examination. Allowing for this, the cardiomediastinal silhouette is unchanged, with a heart size at the upper limits of normal. The aorta is calcified and minimally unfolded. There is upper zone redistribution, without overt chf. There is minimal bibasilar atelectasis, right-greater-than-left, which is slightly more pronounced than on <unk>. No pneumothorax is detected. No focal consolidation or effusion is identified. No lucent or sclerotic rib fracture line or displaced rib fracture is detected. Focal calcifications within the abdomen anterior to the lumbar spine likely lie within the aortic wall, as suggested on the pet scan from <unk>.
history: <unk>f with fall , right rib bruising // fx? ptx? . review of prior imaging studies refers to a history of chronic lymphocytic leukemia.
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Pa and lateral views of the chest provided. Midline sternotomy wires are again noted with fragmented superior most wire. Lung volumes are low. Coronary stents project over the heart. There is no focal consolidation, large effusion or pneumothorax. No signs of congestion or edema. The heart size is normal. Mediastinal contours unremarkable. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with ams, chest pain // eval for pna, acute process
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Pa and lateral views the chest provided. Blunting of the right cp angle likely reflects mild pleural thickening. Lungs are otherwise clear without signs of pneumonia, edema, or pneumothorax. No large effusion seen. Cardiomediastinal silhouette appears grossly unremarkable. The imaged bony structures are intact. No free air below the right hemidiaphragm.
<unk> <unk> m w/ history of hcv cirrhosis and hcc s/p liver transplant x<num> in <unk> (outside <unk> criteria) on tacrolimus with post-transplant course c/b intrahepatic biliary duct strictures s/p internal-external drain (admitted to <unk> <unk> for removal of drain and placement of <num> stents by ercp), cmv hepatitis (dx <unk>) clinically treated w/ foscarnet and valganciclovir, and cirrhosis who presents with fevers and acute onset back pain. // eval for pna
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There is no new lung consolidation. Left lower lung atelectatic band has completely resolved. Mediastinal and cardiac contours are normal. There is no pneumothorax or pleural effusion.
patient with fever, cough, wheeze, the lung exam is relatively normal. rule out pneumonia.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Mild degenerative changes are noted in the thoracic spine.
history: <unk>m with ankle injury, syncope
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Patient is status post median sternotomy and cabg with electronic device noted projecting over the mid sternum. Heart size is top-normal. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No displaced fractures are evident.
history: <unk>f with fall complaining of neck pain. immunocompromised and will like to evaluate for rib fractures.
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There is some atlectasis at the right base, but the lungs are otherwise clear. There is no evidence of pneumonia. The aorta is mildly tortuous but the heart is normal in size. The hilar contours are normal. The pleural surfaces are clear without effusion or pneumothorax.
recent right lower lobe pneumonia. evaluation for interval change.
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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, with stable prominence of the ascending aorta.
<unk> year old woman with cp // cp
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There is a small right apical pneumothorax. The lungs are otherwise clear. There is no mediastinal shift. Cardiac silhouette is within normal limits. No rib fractures identified.
<unk>m with pain/sob // ? collapsed lung
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The lungs are clear. There is no consolidation or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities.
<unk>f with cough, chest pain // eval for cardiopulm process
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Minimal lateral right base atelectasis is seen. There is no focal consolidation. No evidence of pneumothorax is seen. There is no pleural effusion. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
chest pain
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The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. The imaged osseous structures are grossly unremarkable including both clavicular heads.
chest pain. sister with sapho syndrome. assess for enlargement/sclerosis of one or both medial clavicles. also assess for pneumothorax.