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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Prosthetic tricuspid valve is identified. No acute osseous abnormalities.
history: <unk>m with l sided weakness, awoke with symptoms at <num>a. // eval for stroke, eval for pna
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No focal consolidation is seen. Some ovoid calcification is noted at the bilateral lung apices and right peritracheal region. The lungs otherwise appear clear. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. The aorta is calcified and tortuous. Dual lead left-sided pacemaker is seen with leads extending to the expected positions of the right atrium and right ventricle.
history: <unk>f with recurrent syncope, falls, head strikes, fatigue // ? acute traumatic bleed or injury, ? pneumonia
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As compared to the previous radiograph, there is no relevant change. The lung volumes are normal. There is no evidence of fibrotic or other diffuse lung disease. No focal parenchymal opacities. No pulmonary edema. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours. Azygos lobe as anatomical variant.
end-inspiratory crackles bilaterally, evaluation of lungs for fibrotic lung disease.
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Again seen is marked tortuosity of the thoracic aorta and large right and left pulmonary arteries, which exaggerates the mediastinum size. Heart size is at the upper limits of normal no chf, focal infiltrate, or effusion is detected. There is no pneumothorax. <num> mm nodular density seen in the right midzone, between rhe <unk> and <unk> anteiror ribs, likely represents artifact due to a nipple shadow, as there is no correlate on the <unk> chest ct. Surgical clips noted in the upper abdomen. No free air identified beneath the diaphragms.
right upper quadrant pain and tenderness. question pneumonia.
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In comparison with chest radiographs from <unk>, lung volumes remain low. Predominantly linear bibasilar opacities are unchanged and likely reflect atelectasis. There is no focal consolidation, effusion, or pneumothorax. There is no central vascular congestion or overt pulmonary edema. The cardiomediastinal silhouette is normal. Cholecystectomy clips are seen in the right upper quadrant. Surgical hardware from prior posterior fusion surgery in the cervical spine is noted.
<unk> year old man with copd exacerbation, cough, shortness of breath // any infiltrate or edema
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. There is a <num>-mm granuloma at the right base. Cardiac and mediastinal contours are normal.
wheezing.
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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with chest pain // r/o ptx
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Cardiomediastinal silhouette is within normal limits. There are no focal consolidations, pleural effusion, or pulmonary edema. There are no pneumothoraces. There is no abnormal masses or calcifications. Bony structures are intact.
<unk> year old woman with <num> weeks of drenching night sweats, mild shortness of breath. // r/o mass, evidence of tb. no known exposures.
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Evaluation is somewhat limited by low lung volumes. However, minimal bibasilar atelectasis is similar in appearance to <unk>. There are no new focal consolidations or pleural effusions. There is no pneumothorax. The heart and mediastinum are within normal limits.
<unk>-year-old male with history of poorly controlled diabetes and pneumonia presenting with cough and chills.
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Linear opacities at the lung bases bilaterally likely reflect atelectasis. No focal consolidations to suggest pneumonia. No evidence of pulmonary edema. Stable enlargement of the cardiomediastinal silhouette. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with <num> lb weight gain in <num> days // eval chf
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Heart size is top 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 recent influenza // r/o infiltrate
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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
history: <unk>f with diverticulitis, sudden onset pain hours ago // ? free air under diaphragm
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The cardiac, mediastinal and hilar contours appear stable. The lung volumes are low. There are small suspected bilateral pleural effusions, possibly increased, particularly on the right. Persistent perihilar opacities are more prominent on the left than right, similar to prior findings, but have continued to improve substantially. Streaky right posterior basilar opacities may be due to atelectasis associated with a subpulmonic effusion.
acute renal failure. history of cirrhosis.
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Pa and lateral views of the chest provided. Patient is status post vats vagotomy. Previously seen small left pneumothorax is not visualized. Stable small left pleural effusion. Minimal left chest wall subcutaneous emphysema. No pneumomediastinum. The right lung is clear. The cardiomediastinal silhouette is normal.
<unk> year old woman with acute chest pain with vomiting s/p vats vagotomy // pneumomediastinum
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with headache, +cmv load, transplant pt // pna?
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Lung volumes are low which along with ap technique exaggerates the cardiac silhouette which remains normal in size. Mediastinal and hilar contours are unremarkable. Bronchovascular crowding is attributable to low lung volumes without definite vascular congestion or interstitial edema. There is no focal consolidation suggestive of pneumonia. Pleural surfaces are clear without effusion or pneumothorax. Extensive thoracolumbar fixation hardware is incompletely imaged.
high fever and abdominal pain, evaluate for pneumonia.
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Bibasilar atelectasis along with probable interstitial nterstitial abnormalities at the right lung base are relatively stable. There is no evidence of focal consolidation concerning for pneumonia. There is no pleural effusion. Cardiac size is top normal. No pulmonary edema. There is continued height loss in multiple vertebral bodies of the thoracic spine, relatively stable from the ct from <unk>, contributing to the severe kyphosis. The aorta is tortuous.
history: <unk>f with dyspnea // eval for volume overload
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Minimal patchy right basilar opacity is noted. The left lung is clear. Previously demonstrated nodule seen on ct is not clearly visualized on the chest radiograph. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with rash and altered mental status
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The heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized.
fevers, left-sided chest pain.
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Cardiac silhouette size is mild to moderately enlarged. Mediastinal and hilar contours are unchanged. The pulmonary vasculature is not engorged. Patchy opacities in the lung bases likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>f with code stroke
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Lung is well inflated, with small linear atelectasis in the left lower lobe. In the appropriate clinical setting, pneumonia should be considered. Mild flattening of the hemidiaphragm is for mild hyperinflation. Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax.
<unk> years old man with severe asthma presents with worsening cough and wheezing. evaluation for pneumonia or other cause of cough.
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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. Thoracic scoliosis is seen. No pulmonary edema is seen.
history: <unk>f with possible seizure // r/o chf/pneumonia
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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.
lower extremity weakness, chest pain, and nausea.
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
<unk>m with chest pain and palpitations.
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Compared to <unk>, minimal residual pulmonary edema is seen. Small residual left pleural effusion is likely. Compared to preop radiograph on <unk>, previously seen fibrosing interstitial lung disease account for bilateral opacities. The heart size is normal and unchanged. The mediastinal and hilar contours are unchanged. Right jugular catheter is in right atrium, unchanged from prior. No pneumothorax seen. Sternotomy wires are aligned and intact. Aortic calcification is unchanged.
<unk> year old man with chronic pul fibrosis s/p cardiac surgery. evaluate interstitial lung disease.
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There is upper zone re-distribution of pulmonary vascularity and minimal prominence of perihilar vascularity, suggesting pulmonary venous hypertension or slight congestion. No focal opacities are demonstrated. The lung volumes are low. There is no pleural effusion or pneumothorax. The patient is status post incompletely characterized lower anterior cervical fusion.
shortness of breath and bilateral lower extremity edema. question fluid overload. also history of copd.
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Pa and lateral views of the chest were provided. Midline sternotomy wires and mediastinal clips are again noted. There is no convincing signs of pneumonia. No pleural effusion or pneumothorax is seen. Cardiomediastinal silhouette is stable with coronary stents again noted. On the lateral view there is diaphragmatic eventration noted anteriorly involving the right hemidiaphragm. Mid thoracic spine compression deformities appear grossly stable. Degenerative changes at the right shoulder are noted. No free air is seen below the right hemidiaphragm.
<unk>-year-old female with shortness of breath.
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The lungs are hyperinflated but clear. There is no pleural effusion or pneumothorax. Tortuosity of the thoracic aorta is stable. The heart size is normal. There is marked thoracic kyphosis with anterior wedge compression deformities of <num> adjacent mid thoracic vertebral bodies. Compression deformity of a lower thoracic vertebral body is new since <unk>.
<unk> year old woman who presents with body pain. exam with mid t-spine tenderness. evaluate for acute process.
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Cardiac silhouette size remains mildly enlarged. Mediastinal contours are unremarkable. There is mild upper zone vascular redistribution. Patchy opacities are noted in the bases, which may reflect areas of atelectasis though contusion or infection cannot be excluded. No pleural effusion or pneumothorax is identified. No displaced fractures are seen.
history: <unk>f with fall
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Frontal and lateral views of the chest demonstrate stable slightly low lung volumes. The heart is normal in size. The mediastinal and hilar contours are within normal limits. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion. Intraspinal nerve stimulator is unchanged. A gastrostomy tube is noted. There are prominent air-filled bowel loops with a few scattered fluid levels, to be clinically correlated. No displaced osseous injury is evident however could be further assessed on dedicated rib series.
<unk>-year-old female with right-sided pain status post fall. question trauma.
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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. Bilateral nipple shadows are visible. There is mild subpleural thickening that appears unchanged at each lung apex. The lungs appear otherwise clear. There is no pleural effusion or pneumothorax. The chest appears somewhat hyperinflated.
left anterior chest pain.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with seizure // eval for acute process
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal. There is increased density of visualized osseous structures
<unk>m with shortness of breath, evaluate for acute process.
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Mild enlargement of the cardiac silhouette is again noted with left ventricular predominance. The aorta is tortuous but unchanged mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. Lung volumes are low with streaky and linear opacities in the lung bases compatible with atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. The osseous structures are diffusely demineralized with compression deformity of a vertebral body at the thoracolumbar junction appearing unchanged.
history: <unk>f with sudden onset of severe back pain <num> days ago /
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of focal consolidation or effusion. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with fever.
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Compared with the prior radiograph, the left picc tip has been retracted slightly, now projecting at the mid svc. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. No evidence of free subdiaphragmatic air, on this limited evaluation.
<unk>-year-old woman with hx crohn's disease, luq ttp x <num> days. evaluate for free air, picc placement, and focal consolidation.
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Left chest wall port catheter tip is in the right atrium, as on prior. Pulmonary vascular congestion and edema are mild. There are moderate bilateral effusions and lower lung volume loss. There is no pneumothorax. Cardiomegaly is severe.
<unk> year old man with poems admitted for chf exacerbation // evaluate for effusions, any progression or interval change from last cxr
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Lateral left upper lung opacity with scarring and <unk> fiducial markers is grossly stable since the prior study. Adjacent lesions and the left upper lobe concerning for tumor recurrence are better assessed on prior pet-ct and chest ct. Prominence of the hila is grossly stable. No definite new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.
syncope, chest pain x.
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Postsurgical changes in the right lung appear similar. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits. There has been interval removal of the left central venous catheter.
<unk>-year-old male with lymphoma, now feeling unwell.
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Pa and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is normal. Osseous structures are unremarkable.
<unk>-year-old female with asthma presents with cough and wheezing. productive cough.
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Cardiomediastinal contours are normal. Aside from minimal improved atelectasis in the left lower lobe, the lungs are clear. There is no pneumothorax or pleural effusion.
<unk> year old man with fevers and general malaise // further eval of prior abnormal xray
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax. No radiopaque foreign body. Mild thoracolumbar degenerative changes are similar to prior.
<unk>-year-old male with chest pain. evaluate for pneumonia.
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The lungs are clear. Heart size is at the upper limits of normal, with a markedly tortuous aorta. No pleural effusions or pneumothorax.
<unk>-year-old female with dyspnea.
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Heart size is normal with mild unfolding of the thoracic aorta. Cardiomediastinal silhouette and hilar contours are otherwise unremarkable. Lungs are mildly hyperinflated but clear. Pleural surfaces are clear without effusion or pneumothorax. Hyperdensities in the right upper quadrant are likely surgical clips.
chest pain and malaise.
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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.
cough and fever.
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Pa and lateral views of the chest provided. Multiple foreign bodies are again seen within the soft tissues of the right shoulder and upper back. These likely represent shot gun pellets. Lungs are clear without signs of pneumonia or edema. No large 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 tachycardia, chest pain, marginally elevated temp
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Ap upright and lateral views of the chest provided. Lung volumes are low. 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, fever // eval pna
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Marked cardiomegaly is unchanged. A loculated fluid collection in the left pleura is also unchanged. No new focal opacities are seen. Persistent left paramediastinal opacities are compatible with prior radiation changes. Surgical clips are seen at the level of the ge junction.
shortness of breath.
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There is a tracheostomy tube in place. The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart is normal in size. There is no pulmonary edema. The mediastinal contours are normal.
<unk>-year-old female with left cheek pain. please evaluate.
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There is an opacity in the left lower lobe that is only appreciated on the lateral view, and is suspicious for pneumonia. No other focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
history: <unk>m with dyspnea // r/o acute process
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Cardiomegaly is stable. The aortic arch stent as well as tricuspid and mitral valve hardware are again seen. The pulmonary vasculature is normal. Given the patient's clinical presentation, linear lucency inferior to the heart is likely air within a loop of bowel rather than pneumomediastinum or pneumoperitoneum. No pleural effusion or pneumothorax.
<unk> year old man with esrd seen in clinic today without any pain or other symptoms for pre kidney transplant evaluation // r/o malignancies, nodules, infections
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Frontal and lateral views of the chest show no pleural effusion, pneumothorax, or focal airspace consolidation. Cardiac and mediastinal contours are normal. The hilar structures are unremarkable. The pulmonary vasculature shows no evidence for pulmonary edema. Bilateral nipple shadows are again noted. A coronary stent is present.
syncope and leukocytosis. evaluate for pneumonia.
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As compared to the previous radiograph, there is an improvement with increased lung volumes, potentially reflecting improved ventilation. Borderline size of the cardiac silhouette. Normal hilar and mediastinal structures. No evidence of pleural effusions, pneumonia or pulmonary edema. No lung nodules or masses.
continued cough and wheezing, evidence of copd.
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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 is deformity of the left seventh posterior rib.
<unk>f with h/o cva now with pleuritic cp and dizziness // ?pneumonia
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Lung volumes are low and accentuate heart size and interstitial markings. No focal consolidation, effusion or pneumothorax. There is no central vascular congestion congestion without overt pulmonary edema. Mild hilar prominence and mild cardiomegaly are stable.
<unk>m +cp // <unk>m +cp
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The cardiac, mediastinal and hilar contours appear unchanged. There is mild cardiomegaly and unfolding of the thoracic aorta. The lungs appear clear. There are no pleural effusions or pneumothorax. Thin anterior flowing osteophytes are present along the thoracic spine.
cough and weakness.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No bony injuries identified.
the patient with right arm numbness and weakness. evaluate for bony injury.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear. There is no pneumothorax or effusion. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with left-sided chest pain after lifting up to a <num>-pound man over his head and throwing him.
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The heart appears to be mildly enlarged. Thoracic aorta is tortuous. Cardiomediastinal contours are otherwise unchanged from the prior study. Lungs are better expanded and the density seen over the right upper lobe on the prior study is no longer appreciated. No focal areas of consolidation to suggest pneumonia. No pleural effusions and no pneumothorax.
<unk>-year-old gentleman with cough for two weeks, ? pneumonia.
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No focal consolidation, pleural effusion, evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No overt pulmonary edema is seen. Evidence of old right mid clavicular fracture is seen.
cough.
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. Mild thoracic scoliosis.
history: <unk>f with dyspnea // eval for ptx
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No focal consolidation is seen. There is blunting of the left costophrenic angle on the frontal view, not well appreciated on the lateral view which may be due to pleural thickening or atelectasis, however, very trace pleural effusion is not entirely excluded. No pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.
history: <unk>m with req pre op cxr // pre-op
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Medial right lower lobe consolidation is worrisome for pneumonia. No large pleural effusion is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with dyspnea // cpd?
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The cardiomediastinal and hilar contours are within normal limits. There is tortuosity of the descending aorta. Lungs are hyperinflated and there are coarsened interstitial markings which could relate to chronic lung disease. There is no focal consolidation, pleural effusion or pneumothorax.
left-sided chest pain. rule out pneumonia.
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<num> views of the chest demonstrate clear lungs. The cardiac, hilar, and mediastinal contours are normal. No pleural abnormality is seen.
chest pain, shortness of breath, and dizziness.
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A left-sided port-a-cath is unchanged in position with the tip in the proximal right atrium. The right apical chest tube has been removed since the preceding radiograph. Small bilateral pleural effusions are unchanged from the prior study. Residual barium from concurrent esophagram is noted in the neoesophagus in the right hemithorax in its paramediastinal course. A dilated collection of barium is seen below the right hemidiaphragm with an apparent focal narrowing distally, which is better seen on recent esophagram. No focal consolidation or pneumothorax is present. The cardiac and mediastinal silhouettes are unchanged.
<unk>-year-old male status post minimally invasive esophagectomy, now with new back pain, here to evaluate for interval changes.
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In comparison with the study of <unk>, there is little overall change. Substantial tortuosity of the aorta with no evidence of vascular congestion, pleural effusion, or cardiomegaly. No acute pneumonia. Of incidental note are clips from previous thyroid surgery.
persistent dry cough.
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Chest pa and lateral radiograph demonstrates unremarkable cardiomediastinal and hilar contours. Minimal bibasilar atelectasis is noted, right greater than left. No opacification concerning for pneumonia noted. No pleural effusion or pneumothorax evident. No osseous abnormalities identified.
cough for one week, evaluate for pneumonia.
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Pa and lateral views of the chest provided. Lungs are hyperinflated with flattened diaphragms suggestive of copd. 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 presyncope, chest pain
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Frontal and lateral radiographs of the chest demonstrate moderate size right and small left pleural effusions with adjacent compressive atelectasis. Diffuse increased interstitial lung markings and engorged pulmonary vasculature is concerning for pulmonary edema. Stable appearing left apical hydro-pneumothorax. Heart and mediastinal contours are unchanged.
<unk> year old woman with lung cancer, copd, mucous plugging, hypoxia, now on aggressive pulmonary toilet // interval change
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with recrudence of stroke symptoms. r/o infection // ?pneumoni
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Pa and lateral views of the chest provided. Lungs remain hyperinflated with linear densities in the lower lungs likely representing atelectasis or scarring. No focal consolidation to suggest pneumonia. No edema or congestion. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is stable and normal. Bony structures are intact.
<unk>m with shortness of breath // acute process?
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Extremely low lung volumes without definite consolidation. Heart size is likely normal, allowing for low lung volumes. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. There are multilevel degenerative changes of the visualized thoracolumbar spine.
<unk>f with dyspnea and right upper quadrant pain. evaluate for pneumonia, free air under diaphragm
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The cardiac silhouette is mildly enlarged with tortuosity of the thoracic aorta. The hilar contours are unremarkable. The lungs are mildly hyperinflated, but are otherwise clear without focal consolidation. Pleural surfaces are clear without effusion or pneumothorax.
fever and cough.
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Cardiac contours are normal. The aorta is tortuous, unchanged from prior. The lungs are hyperexpanded and clear. There is no pneumothorax or pleural effusion. Multiple healed left rib fractures are noted. The left hemidiaphragm is moderately elevated. Left shoulder arthroplasty is incompletely imaged
<unk> year old man with cirrhosis and small pericardial effusion seen on abdominal ultrasound // please eval for size of cardiac silhouette
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
chest pain. shortness of breath.
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There is a faint opacity projecting over the left upper lower lobe worrisome for developing pneumonia. There is no pleural effusion or pneumothorax. The lungs appear otherwise clear.
cough.
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Subtle <unk> mm opacity projects over the lateral right upper hemi thorax above the level of the posterior lateral right sixth rib of unclear etiology; finding may be external to the patient. Recommend shallow oblique radiographs for further assessment. The left lung is clear. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with hx of kidney transplant, left flank pain and fever // evaluate for pneumonia
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The heart is at the upper limits of normal size. The mediastinal and hilar contours are unremarkable, taking into account moderate rightward convex curvature of the thoracic spine. There is patchy opacification in the left lower lung, particularly in the right middle lobe, and to a lesser degree more posteriorly, in the right lower lobe where streaky opacities are seen. There is no pleural effusion or pneumothorax. There is mildly exaggerated kyphotic curvature and slight degenerative change noted along the visualized upper lumbar spine.
cough and congestion. question pneumonia.
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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. Evidence of dish is seen along the thoracic spine.
history: <unk>f with facial and arm numbness, // evaluate for acute process
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Frontal and lateral radiographs of the chest were acquired. There has been interval removal of a right picc. There is evidence of prior cabg including intact midline sternotomy wires and scattered mediastinal surgical clips. Lung volumes are low, decreased compared to the prior study from <unk>. There is pulmonary vascular congestion with mild interstitial pulmonary edema. Additionally, there are new dense opacities at the left lung base, possibly related to prominent vascular structures, although pneumonia is not excluded. Mild enlargement of the cardiac silhouette is not significantly changed. Mediastinal contours are unchanged. There are no definite pleural effusions. No pneumothorax is seen.
altered mental status. assess for pneumonia.
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Elevation and eventration of the right hemidiaphragm is noted. No focal consolidations, large effusions or pneumothorax. Cardiomediastinal silhouette is unremarkable. Retrocardiac density could reflect a hiatal hernia.
fevers and altered mental status.
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>f with chest pain. evaluate for acute 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. There are no acute osseous abnormalities.
history: <unk>m with chest pain
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Mild enlargement of the cardiac silhouette is re- demonstrated. The aorta is tortuous. Mediastinal and hilar contours are otherwise unchanged. Pulmonary vasculature is normal. Previously noted chronic focal opacity along the lateral aspect of the left lung base adjacent to a remote left lateral rib fracture is less conspicuous on the current exam. Lungs are otherwise clear. No pleural effusion or pneumothorax is seen. Mild degenerative changes are noted in the thoracic spine.
history: <unk>m with weakness
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Slight prominence of the hilar with subtle lobulated contour could be due to underlying lymph nodes in this patient with history of sarcoidosis. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouette are unremarkable.
history of sarcoidosis with chest pain.
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The lungs are hyperinflated but clear. The cardiac contour is normal. Relative hilar prominence is better evaluated on subsequent chest ct. There is no pleural effusion or pneumothorax. Left shoulder is better visualized on dedicated shoulder x-ray from the same date.
<unk>-year-old male with left shoudler cellulitis, necrotic tissue, maggots, assess for osteomyelitis, fracture .
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Streaky right midlung opacity is again seen, which could potentially represent atelectasis. Faint bibasilar opacities which could be due to atelectasis versus scarring. The lungs are otherwise clear. There is no effusion or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk> year old man with htn, asthma, presenting to ed for acute on subacute progressive abd pain and fever. does have intermittent sob // assess for pna cauase for sob
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The lungs are moderately inflated, compatible with copd. The heart is top normal or mildly enlarged. Chronic biapical scarring is mild. There is no sign of acute pulmonary edema. There is no pleural effusion or pneumothorax.
patient with new atrial fibrillation, idiopathic cardiomyopathy, is there evidence of congestive heart failure?
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
bacteremia.
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In comparison with the study of <unk>, there is more fluid at the left base. There is an adjacent area of relative lucency, though it is similar to the appearance of the lung above a thin line of opacification, which most likely represents a displaced fissure relating to the prior surgery. The right lung is essentially clear.
thoracentesis, to assess for pneumothorax.
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Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax.
positive ppd.
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The lung volumes are low which causes crowding of bronchovascular structures. Opacity adjacent to the right heart border likely represents crowded vessels. The heart size is top normal, unchanged since <unk>. The aorta is tortuous. No pleural effusion or pneumothorax identified.
history: <unk>m with fever, cough // acute process?
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The lateral view is somewhat suboptimal due to slight patient motion. Given this, there appears to be right lower lobe opacity which could be due to pneumonia, aspiration and/or atelectasis. Linear left base atelectasis is noted. No pleural effusion is seen. No evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. Gaseous distention of bowel is partially imaged in the upper abdomen and not well assessed.
history: <unk>f with cva history p/w rhoncorous breath sounds and oxygen requirement (new) // ?consolidation
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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified. A left paravertebral opacity at the level of the mid thoracic spine represents a prominent osteophyte.
history: <unk>m with sob and cough // pneumonia?
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There is relative elevation of left hemidiaphragm, not significantly changed. Mild adjacent atelectasis is noted. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. Right picc tip projects over the mid svc.
<unk>f with fever // fever
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There is left apical opacity which correlates with previously seen presumably post radiation fibrosis. Given differences in technique, the appearance has not significantly changed. The lungs are otherwise clear despite relatively low lung volumes. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires are intact. No acute osseous abnormalities.
<unk>m with third degree heart block // acute process
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The lungs are well expanded and clear. Cardiac size is top-normal. Cardiomediastinal and hilar contours are otherwise unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with shortness of breath and wheezing. evaluate for 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.
history: <unk>m with cough, diminished breath sounds on right lower lung fields
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Lung volumes are low. Assessment of the medial lung apices is slightly limited by the patient's chin and neck projecting over and obscuring these regions. Heart size appears mildly enlarged, accentuated by low lung volumes. The mediastinal and hilar contours are unchanged. Crowding of bronchovascular structures without pulmonary edema is demonstrated. Minimal patchy atelectasis is seen in the lung bases without focal consolidation. No pleural effusion or pneumothorax is present. Hypertrophic changes are noted within the thoracic spine.
history: <unk>m with recent tkr washout and spacer, anemia, question of pneumonia on rehab chest radiograph