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Patient is status post median sternotomy. Postsurgical changes are again noted at the left hemi thorax with left mid lung scarring and left base retrocardiac opacity. There is also right perihilar and infrahilar opacity, similar in distribution compared to the prior ct from <unk> although may be slightly increased, could be due to radiation pneumonitis and superimposed postprocedural change although overlying infection is not excluded. No pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with sob // sob
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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.
fever.
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Ap upright and lateral views of the chest provided. Aside from mild lower lung atelectasis, the lungs appear clear. The heart and mediastinal contours are unchanged. No large effusion or pneumothorax is seen. No overt edema. Bony structures are intact.
<unk>m with unknown hx // please evaluate for infectious process
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Left lower lobe opacity is new from the prior study and could reflect atelectasis, though aspiration or pneumonia remain alternate considerations. There is no pleural effusion or pneumothorax. Heart is normal in size. Normal cardiomediastinal silhouette.
dyspnea and rhonchi in the left upper lung field. assess for pneumonia.
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The lungs are clear. There is no consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Tortuosity of the descending thoracic aorta is noted. No acute osseous abnormalities.
<unk>f with right sided chest pain // eval for chf/pneumonia
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Moderate right pleural effusion is increased compared to <unk>. On the lateral view, pleural fluid collection is noted between right upper, middle, and lower lobes. Right upper lung and left lung are clear. There is no pneumothorax. Cardiomediastinal silhouette is normal size.
<unk> year old man with recent fall causing rib fx and pleural effusion, s/p right thoracentesis // check interval change in right pleural effusion
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The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
chest pain. evaluate for pneumothorax.
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Compared to the most recent prior radiographs, the left pleural effusion with adjacent atelectasis has improved; however, the right pleural effusion is now larger with associated atelectasis. Moderate to severe cardiomegaly is stable. Pacer leads are in standard position. There is no evidence of pulmonary vascular congestion. The aorta is stably torturous and sternal wires are in unchanged position. No pneumothorax.
recent cardiothoracic surgery question.
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The lungs are clear without focal consolidation, effusion, or edema. Opacity at the left costophrenic angle is compatible with a fat hernia. Left chest wall triple lead pacing device is again seen. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with chf, cad, asthma, s/p pacer w/ dypnea, nausea x <num> days // eval ? infiltrate, edema
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Two views the chest provided. Lung volumes are low limiting assessment. Cardiomegaly is again noted. There is mild hilar congestion without frank pulmonary edema. Retrocardiac opacity likely represents atelectasis. No pneumothorax or effusion. Mediastinal contour is stable with atherosclerotic calcifications at the aortic knob. Bony structures are intact.
<unk>-year-old man with fever and cough, evaluate for pneumonia.
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Moderate cardiomegaly is a stable. Moderate left pleural effusion has increased. There is no pneumothorax. Surgical chain in the right lung is again noted. Degenerative changes in the thoracic spine and left rib fractures are unchanged
<unk> year old man with pleural effsuion // interval change
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The lungs appear clear without focal consolidation to suggest pneumonia. Moderate enlargement of the cardiac silhouette. The aorta is tortuous. The hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There is loss of height of multiple thoracic vertebrae.
<unk> year old woman with x<num> week productive cough, chills, sore throat // r/o pna
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Pa and lateral chest radiographs. The right hemidiaphragm is elevated, which may be the patient's baseline. Blunting of the right costophrenic angle does not definitely represent a pleural effusion when compared with the lateral view. There is no focal consolidation or pneumothorax. The cardiomediastinal silhouette is normal. Cholecystectomy clips are noted in the right upper quadrant.
history: <unk>f with chest pain/sob // acute process
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Frontal and lateral views of the chest. The lungs are mildly hyperinflated but clear of consolidation, effusion, or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality identified.
<unk>-year-old male with shortness of breath. question chf.
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There has been no significant interval change. Expansile lytic lesions involving the lateral right fourth and posterior left seventh rib are re- demonstrated. Associated pleural thickening along the right lateral mid hemi thorax is again seen. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable given differences in technique and inspiration.
<unk> year old man with mm who now has productive sputum and ra sats in low <num>s // focal consolidation that would explain hypoxia
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Compared with <unk>, sternotomy wires and mediastinal clips are now present. Mild cardiomegaly is again seen. There is borderline upper zone redistribution, without overt chf. There is possible minimal subsegmental atelectasis of the left lung base. No focal consolidation or pleural effusion is identified. The right hemidiaphragm is again noted to be eventrated. Incidental note again made of mild degenerative spurring in the thoracic spine.
history: <unk>m with wekaness // pna?
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Pa and lateral views of the chest provided. Lungs are clear. Pulmonary hilar vascular markings appear prominent. No pleural effusion or pneumothorax. No convincing evidence for pneumonia or edema. Cardiomediastinal silhouette appears within normal limits. Bony structures are intact.
history: <unk>m with dyspnea // pna?
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There is no focal consolidation, effusion, or pneumothorax. Cardiomegaly is mild and accompanied by pulmonary vascular congestion. The cardiomediastinal silhouette is otherwise normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>m with new onset jaundice and dyspnea // eval for cirrhosis, effusion
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Pa and lateral views of the chest demonstrate slight elevation of the right hemidiaphragm, unchanged since <unk>, with a subtle opacity of the right lung base likley representing pneumonia, less likely atelectasis. There has been interval removal of tracheal y-stent. There is no pleural effusion. The cardiomediastinal silhouette is unremarkable. The hilar structures are normal in appearance. There is no pneumothorax. Cholecystectomy clips are noted in the right upper quadrant pain, best seen on the lateral view.
<unk>-year-old female with hemoptysis. evaluation for infiltrate or effusions.
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Lung volumes are unchanged compared to prior study. There is mild cardiomegaly. No pulmonary vascular congestion, pleural effusion <unk> <unk> b lines seen. No consolidation <unk> pneumothorax seen. The visualized bony structures are unremarkable in appearance.
<unk> year old woman with alcoholic hepatitis and cirrhosis, cough and crackles on lung exam // evaluate for pneumonia, vs edema, vs atelectasis
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As compared to prior chest radiograph from <unk>, there has been no significant change. The cardiac silhouette remains enlarged. There is calcification of the aortic knob. There is mild pulmonary edema. No large effusions are identified. There is no focal consolidation or pneumothorax.
worsening dyspnea and back pain. evaluate evidence of chf.
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There are slightly low lung volumes, which results in mild bronchovascular crowding. The cardiomediastinal and hilar contours are unremarkable. The aorta is tortuous. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with cp/palps // r/o acute process
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The large right pleural effusion occupying approximately half of the right hemithorax has increased with associated volume loss. A moderate left pleural effusion is also slightly increased with associated atelectasis. Moderate cardiomegaly persists with mild pulmonary vascular congestion. A left chest wall port-a-cath is in unchanged position.
<unk> year old woman with s/p kidney with increased sob // r/o chf
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A left axillary pacemaker generator and two intact pacing leads are in standard position. Again seen are small punctate calcifications in the mid left lung that are unchanged since <unk>. The lungs are otherwise clear. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are normal without effusion or pneumothorax.
evaluation for pneumothorax.
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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 is normal in size with normal mediastinal and hilar contours.
syncope.
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Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax. There has been interval removal of the right subclavian infusion port.
history of breast cancer with new onset left-sided chest pain.
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The lung volumes are slightly lower than on the prior study, accentuating perihilar structures. The cardiomediastinal silhouette is stable. There is no pleural effusion, pulmonary edema, or focal consolidation concerning for pneumonia. Multiple old left-sided rib fractures are again seen.
history: <unk>m with shortnes of breath // acute process?
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The lungs remain clear without focal consolidation or effusion. The cardiomediastinal silhouette is normal. Surgical clips in the upper abdomen are again noted. No acute osseous abnormalities identified. Sclerotic focus in the right humeral head has the appearance of a bone island and is unchanged since <unk>.
<unk>m with fever // eval for pna
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Frontal and lateral views of the chest demonstrate normal lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially limited upper abdomen is unremarkable.
chest pain. assess for pneumonia or pneumothorax.
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The lungs are clear. There is no pneumothorax. Heart size is normal. The thoracic aorta is tortuous. Mammilation of the right hemidiaphragm is unchanged. Mild upper thoracic spine kyphosis is unchanged.
<unk> year old woman with h/o liver transplant now with a persistant elevated wbc. please eval for any infectious process. // pt is s/p liver transplant now with persistant wbc, please eval for infectious process.
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Pa and lateral views of the chest were obtained. There is a new focal consolidation at the right lung base which could represent pneumonia in the appropriate clinical setting. There is elevation of the left hemidiaphragm, unchanged since the prior study. There is no evidence of pulmonary edema or pleural effusion. There is no pneumothorax. The heart size is normal.
<unk>-year-old man with fever and productive cough for one month. elevated white blood cell count. evaluation for pneumonia.
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Ap upright and lateral views of the chest provided. Lung volumes are low. Retrocardiac opacity is noted which could reflect the presence of known hiatal hernia. No convincing signs of pneumonia or edema. No large effusion or pneumothorax. The heart appears mildly enlarged. Aortic calcification is noted. The mediastinal contour is unchanged. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with fatigue and pre-syncope. // ?pna
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Heart size is at the upper limits of normal, similar to <unk>. No chf, focal infiltrate, effusion or pneumothorax detected. No rib fracture identified on these lung technique films. No free air seen beneath the diaphragm. Mild right convex curvature of the thoracic spine is suggested, similar to the <unk> radiograph.
<unk> year old man with l sided pleuritic chest pain // ?pleural effusion, other findings
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No previous images. There are relatively low lung volumes without pulmonary vascular congestion. Opacification at the left base, most likely reflects pleural effusion and underlying volume loss in the left lower lung. However, in the appropriate clinical setting, supervening pneumonia would have to be considered.
pancreatitis with fever.
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Heart size is moderately enlarged but unchanged. The aorta is tortuous. Mediastinal and hilar contours are similar. No pulmonary edema is seen. There is no focal consolidation, pleural effusion or pneumothorax identified. Mild degenerative changes are seen in the thoracic spine.
history: <unk>f with slurred speech, l lung crackles // acute process?
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The heart is normal in size. The mediastinal and hilar contours are unremarkable. Streaky medial right lower lung opacity suggests minor atelectasis. Otherwise, the lungs appear clear. There are no pleural effusions or pneumothorax. Along the mid thoracic spine, there is a mild wedge compression deformity, which is age-indeterminate and not necessarily recent but somewhat unusual in this age group.
right-sided chest pain after bicycle accident.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with hx asthma here w/tachycardia and wheezing, here from <unk> // evaluation for acute pulmonary process
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As compared to the previous radiograph, the extent of the loculated right pleural effusion is unchanged. In addition, an air-fluid level is seen in the retrosternal lung region. This finding is indicative for a substantial amount of free pleural ventral air. The second air-fluid level is seen in the region of the lung apex. The pleural effusion causes mild-to-moderate atelectasis. The pre-existing right soft tissue air collection has almost completely resolved. On the left, the lung appears normal. Normal size of the cardiac silhouette.
status post right thoracotomy, evaluation of interval change.
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Lung volumes are low. Heart size remains moderately enlarged. Extensive tortuosity of the aorta is again noted. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Linear and patchy opacities are noted in the right lung base, likely atelectasis. No focal consolidation, pleural effusion or pneumothorax is detected. No acute osseous abnormality is present. There is no subdiaphragmatic free air.
history: <unk>f with dementia and abdominal pain, nausea, vomiting, now with low grade temperature and oxygen saturations in low <unk>'s, high aspiration risk
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There no pleural effusions and pneumothorax. Bony structures are unremarkable.
syncope and elevated white blood cell count.
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No significant change in the appearance of the port-a catheter, heart, mediastinum or lungs. There is no new infiltrate.
colon cancer, now with fever and consolidation.
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In comparison with the study of <unk>, there are mild atelectatic changes at the left base. No evidence of acute focal pneumonia or vascular congestion.
cough and drenching night sweats.
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Severe cardiomegaly is unchanged compared to the prior exam. Aortic knob calcifications are re- demonstrated. The pulmonary vascularity is normal, and the hilar contours are stable. Lungs are clear without focal consolidation. No large pleural effusion or pneumothorax is detected,although a trace right pleural effusion may be present. There are no acute osseous abnormalities.
cough, rhonchi, fever and diffuse abdominal pain with vomiting.
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Pa and lateral views of the chest. As on prior there are diffuse reticulonodular opacities in the lungs compatible with the patient's known chronic underlying lung disease. Enlargement of the hilar as also seen unchanged. There are new small bilateral pleural effusions. There is no new confluent consolidation. Cardiomediastinal silhouette is unchanged as are the osseous and soft tissue structures.
<unk>-year-old male with dyspnea. history of anger langerhan cell histiocytosis.
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No previous images. The heart is normal in size and lungs are clear without vascular congestion or pleural effusion.
cough, to assess for pneumonia.
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Suboptimal patient positioning and low lung volumes. Blunting of the left costophrenic angle may reflect pleural thickeing or small effusion. No localized consolidation. Mild cardiomegaly. No pneumothorax. No pulmonary
<unk> year old man with unknown pmh who presents with <unk> infection, c/o persistent cough, concern for pna // evidence of pna
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Cardiac silhouette size remains mildly enlarged. The aorta is diffusely calcified. Bilateral paramediastinal and opacities are compatible with post radiation changes. Mediastinal contour is similar, and known subcarinal mass as well as mediastinal lymphadenopathy is better assessed on the previous ct. Pulmonary vasculature is normal. Streaky atelectasis is seen in the left lung base. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Previously noted left upper lobe pulmonary nodule is better demonstrated on ct.
history: <unk>f with atrial fibrillation with rapid ventricular rate, thyroid cancer, history of carcinoid
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Minimal left base atelectasis is seen. There is no focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with sob // r/o pna
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There is mild-to-moderate cardiomegaly. There appears to be focal consolidation overlying the right lower lung concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of cutaneous lupus, one month of progressive and worsening cough. please evaluate.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear without focal consolidation concerning for pneumonia. There is mild increased bronchial wall thickening. Pulmonary vasculature is within normal limits. The upper abdomen is unremarkable. No acute osseous abnormality is detected.
<unk>m with cough, myalgias // eval for pna
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with <num> weeks productive cough, subjective fevers.
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Compared with the prior radiograph, there are unchanged but opacities posteriorly along the diaphragmatic contours, likely due to localized diaphragmatic defects, either congenital or acquired. Cardiac silhouette,, mediastinal, and hilar contours are unchanged. No focal consolidation, pleural effusion, or pneumothorax. Calcified tortuous aorta is again seen. Remote left sixth posterior rib fracture is again seen.
<unk>f with hx paranoid schizophrenia s/p fall with fever and left lower chest bruising. pneumonia? broken ribs?
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Streaky right middle lobe opacity is less conspicuous on today's exam, potentially atelectasis. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with aids prod cough // r/o infiltrate
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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 two weeks of cough, wheeze and doe; crackles at bases // assess for pneumonia or other
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Triple lead left-sided aicd is stable in position. The cardiac and mediastinal silhouettes are stable. There is minimal interstitial edema. No pleural effusion or pneumothorax is seen. There is no lobar consolidation. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with cough // ?pna
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The cardiac, mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The chest is hyperinflated. A streaky opacity at the left lung base indicates minor atelectasis. Otherwise, the lungs appear clear.
wheezing.
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Streaky left retrocardiac opacity likely represents atelectasis. No other consolidation, pleural effusion or pneumothorax. Cardiomediastinal contours are normal. No subdiaphragmatic free air. No acute osseous abnormalities identified.
history: <unk>m with shortness of breath // please evaluate for acute abnormality
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Frontal and lateral chest radiographs were obtained. Median sternotomy wires are intact. Left chest pacemaker has leads terminating in the right atrium and right ventricle. On the frontal view only, there is a subtle area of increased radiodensity in the right upper lobe. There is persistent moderate cardiomegaly with left atrial enlargement. The mediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax.
patient with cough, fever for one week, rule out pneumonia.
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Pa and lateral views of the chest show severe copd with paucity of lung markings in the upper lung zones. The lungs are hyperinflated with flattening of the diaphragms. These findings are unchanged from the prior exam. Linear opacities at the left base appears stable from prior exam and are likely due to atelectasis or scarring. In the proper clinical setting, an early pneumonia cannot be completely excluded. There is no pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is normal.
short of breath. evaluate for pneumonia or chf.
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The lungs are clear. The cardiac and mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
chest pain. evaluate for pneumothorax or pneumonia.
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There is blunting of the bilateral posterior costophrenic angles, concerning for trace pleural effusions. Patchy left base retrocardiac opacity is seen and and underlying consolidation is not excluded. The cardiac and mediastinal silhouettes are grossly stable. No pneumothorax is seen. Multiple subcentimeter pulmonary nodules seen on the lung bases a prior abdomen/ pelvis ct from <unk> were better assessed on ct.
history: <unk>m with cancer, weakness, fever // eval pna
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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. Patient is status post median sternotomy and cardiac valve replacement. .
history: <unk>f with fever in setting of chronic prednisone use. // pneumonia
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The heart is normal in size. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs appear clear.
chest pain.
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The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. Cardiac silhouette is slightly enlarged, new since remote prior. Degenerative changes are noted at the acromioclavicular joints bilaterally.
<unk>f with shortness of breath // eval for pna
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The lungs are well expanded and clear. There is no mass, consolidation, nodule, effusion, or pneumothorax. The heart size is top-normal.
scapular pain.
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Heart size is mildly enlarged but unchanged. The aorta remains tortuous. Mediastinal and hilar contours are similar. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>f with hypokalemia, weakness, nausea, chest tingling likely related to low potassium. on diuretics.
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion. Multiple healed right posterolateral upper rib fractures are noted. Lateral view is limited by overlying arms.
<unk>-year-old male with three weeks of cough, presenting with dizziness. question pneumonia.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with chest pain // chest pain
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The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified. Surgical clips in the upper abdomen identified.
<unk>f with dyspnea // infiltrate?
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Two pa and one lateral view of the chest are provided. There is no focal consolidation, pleural effusion or pneumothorax. Lung volumes are low. There is linear atelectasis in the lingula and at the left lung base the cardiomediastinal silhouette is unremarkable.
<unk>-year-old with chest pain, question pneumonia.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with sob, postop, rle swelling // pna? dvt?
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Right-sided port-a-cath tip terminates at the junction the svc/right atrium. Lung volumes are low. Mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. Patchy atelectasis is noted in the lung bases without focal consolidation. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities detected.
history: <unk>m with malaise
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The heart size is normal. The hilar and mediastinal contours are normal. There is a small amount of right-sided atelectasis. Otherwise, the lungs are clear. No focal consolidation, pneumothorax or pleural effusions are seen. Incidental note is made of unilateral degenerative changes in the mid-thoracic spine across two or three vertebral bodies, with osteophytes extending off the left vertebral border. The visualized portion of the vp shunt does not demonstrate any kinking.
<unk>-year-old male with cough and hypereosinophilia who presents for evaluation for a granulomatous lesion.
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Pa and lateral views of the chest provided. Subtle opacity is noted in the right lower lung, likely representing atelectasis, less likely pneumonia. No radiopaque foreign body or signs of pneumothorax/pneumomediastinum. Heart size is normal. Bony structures are intact.
<unk>m with esophageal foreign body sensation after eating food.
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Pa and lateral views of the chest were provided. Lung volumes are low. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. There is no overt evidence for pulmonary edema. The imaged bony structures are intact. No free air is seen below the right hemidiaphragm.
<unk>-year-old male with dyspnea, assess for acute abnormality.
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The lungs are well expanded and clear. There has been significant improvement in vascular congestion and mild interstitial pulmonary edema compared with the previous exam. The heart is mildly enlarged, unchanged from prior. Cardiomediastinal and hilar contours are otherwise unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with multiple comorbidities and chest pain for <num> day and cough for several weeks.
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Pa and lateral views of the chest provided. Lung volumes are low with atelectasis in the lower lungs, right greater than left. No large effusion or pneumothorax. No convincing signs of pneumonia though bronchovascular crowding the lower lung somewhat limits assessment. The heart is mildly enlarged. Mediastinal contour is normal. No signs of congestion or edema. Bony structures are intact.
<unk>m with confusion, shortness of breath
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That right subclavian pheresis catheter is noted with the catheter tip at the proximal right atrium. No other central lines are identified. The lung volumes are low and exaggerated pulmonary vascular markings. Mild left basilar atelectasis/scarring persists; otherwise the lungs are clear. Heart size remains top normal.
central access issues, evaluation for line placement.
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Pa lateral images of the chest. The lungs well expanded and clear. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable.
new numbness, gait weakness.
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Moderate enlargement of the cardiac silhouette is re- demonstrated. The mediastinal and hilar contours are relatively unchanged. Crowding of bronchovascular structures is present as result of low lung volumes, but mild pulmonary vascular congestion is likely present. No focal consolidation, pleural effusion or pneumothorax is demonstrated. Moderate multilevel degenerative changes are noted in the thoracic spine. Multiple compression deformities in the thoracolumbar junction are re- demonstrated. Degenerative changes of the left glenohumeral joint are noted with a high riding left humerus.
history: <unk>f with fever, dementia
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
history of hypertension. please evaluate for cardiomegaly.
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Frontal and lateral views of the chest. Right chest wall double-lumen port is seen with tip in the mid svc. There is a <num>-cm nodule projecting over the right lower lung on the frontal view, which is most likely a nipple shadow. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified noting multiple posterior left rib fractures, which appear old.
<unk>-year-old male with fevers and chest pain.
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Right ij central line tip in the right atrium, similar. Sternotomy, with mvr. There are bilateral pleural effusions, mildly worsened on the right. Increased right basilar opacity, likely atelectasis. Increased heart size, pulmonary vascularity. Minimal retrosternal pneumomediastinum, in keeping with recent surgery. Stable left basilar atelectasis.
<unk> year old woman pod <unk> mvr // effusion/atelectasis
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Moderate cardiomegaly is stable. The aorta is tortuous. Aortic stent is in unchanged position. There is minimal vascular congestion. There is no pneumothorax or pleural effusions. There are degenerative changes in the thoracic spine. There is pectus carinatum.
<unk> year old woman with dyspnea // r/o chf
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal. No bony abnormality is detected.
low-grade fever and leukocytosis.
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The lungs are clear. There is no pneumothorax. The cardiomediastinal silhouette is stable. No acute osseous abnormality is identified.
<unk>f with chest pain // r/o pneumothorax
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Lung volumes are improved. Moderate left pleural effusion is unchanged given differences in technique. There is mild pulmonary vascular congestion. There is interval right basilar patchy atelectasis. The heart is normal in size.
<unk> year old man with hepatic hydrothroax, pleural effusion, cough, fever, rule out pneumonia superimposed on pleural effusion. question superimposed infection.
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Increased interstitial markings diffusely and bilaterally suggests interstitial edema versus atypical infection per no large pleural effusion is seen. There is no pneumothorax. The aorta is tortuous. The cardiac silhouette is not enlarged. Right-sided port-a-cath terminates at the cavoatrial junction/ proximal right atrium.
history: <unk>m with c/f lymphomatous meningitis, fever, occipital headache, neck stiffness // eval for pna. nchct for evidence of ich, safety of lp
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with chest pain// cardiac workup
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The lungs are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. There is no free air under the hemidiaphragms. No pancreatic calcificaitons visualized. Osseous structures are intact.
<unk>-year-old man with history of chronic pancreatitis and hirschsprung disease. evaluate for free air and evidence of pancreatic calcification and chronic pancreatitis.
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Ap upright and lateral views of the chest provided. Clips are noted in the right peritracheal region. Retrocardiac opacity is compatible with known gastric pull-through. The lungs appear clear without focal consolidation concerning for pneumonia. No large effusion or pneumothorax is seen. Heart size is normal. Mediastinal contour is stable. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with hx of esophageal resection p/w n/v // r/o effusion
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The lungs are clear of focal consolidation. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with two weeks of worsening cough despite increased mdi and steroid taper.
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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, fever, pleuritic chest pain // acute process, infiltrate
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with cp and sob
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Pa and lateral chest radiograph demonstrates a subtle opacity involving the left lower lobe. Remaining lungs are clear. Cardiomediastinal and hilar contours are within normal limits. Imaged osseous structures and upper abdomen are without an acute abnormality.
<unk>-year-old male with a cough and productive sputum.
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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. There is a vague opacity in the lateral aspect of the right upper lobe immediately above the minor fissure with bronchial cuffing. A similar finding is noted in the left upper lung but the latter may refer to the lingula since the lateral is suggestive of vague anterior opacity at that location. Bony structures are unremarkable.
fever, cough, pleuritic chest pain, diarrhea and headache. patient with hiv including very low cd<num> count.
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Large cicatricial cysts in the lung apices, parenchymal scarring and architectural distortion are similar to the prior study. Lateral view suggests new material may have collected in one of the large cystic spaces, possible mycetoma. Volume loss at the lung apices with associated elevated of the hila is also unchanged. The pulmonary artery is newly enlarged, elevated, and lobulated. There is a new dense opacity in the left lower lobe and to a lesser extent at the right base. There is no pleural effusion or pneumothorax. The heart is not enlarged.
<unk> year old woman with severe pneumonia and resp failure in early <unk> // assess for degree of clearance of infiltrates emphysema, history of aspergillosis in the setting of bronchiectasis and cavitary lung disease.
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Pa and lateral chest radiograph demonstrate no focal consolidation. Minor left base atelectasis/ scarring is noted. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Osseous structures demonstrates no acute abnormality.
<unk>-year-old male with epigastric pain radiating to chest.
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Pa and lateral views of the chest provided. Lung volumes are somewhat low limiting assessment with bronchovascular crowding noted in the lower lungs. No convincing evidence for pneumonia or edema. No large effusion or pneumothorax is seen. Cardiomediastinal silhouette appears grossly unremarkable. Bony structures are intact
<unk>m with shortness of breath, chest pain
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Ap and lateral views of the chest are provided. The patient is status post median sternotomy and cardiac valve replacement. There is no focal consolidation, pleural effusion, or pneumothorax. There is no evidence of chf. Heart size is mildly enlarged, but stable. There are degenerative changes along the spine. There are aortic calcifications.
<unk>-year-old man with lethargy, question pneumonia.