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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>f with hx migraines presenting with bilateral latissimus dorsi pain, sob. neuro exam intact. // evidence of rib fracture? focal infiltrate/consolidation?
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A left-sided, single lead icd is seen in appropriate position. Heart size is top normal. The mediastinal and hilar contours are normal. There is persistent elevation of the left hemidiaphragm, which is grossly unchanged from the prior study. The pulmonary vasculature is normal. Lungs are clear. There may be a meniscal effusion on the left however no large pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with effusion // effusion f/u
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Widespread ground glass opacities have improved compared to previous chest radiographs but there are diffuse reticular and subtle nodular opacities present bilaterally. No pneumothorax, pulmonary edema or pleural effusion noted. Heart and mediastinal contours are normal. No bony abnormalities noted.
<unk>-year-old male with history of aids with recurrent chills, fatigue, sweats.
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The patient has taken a deeper inspiration compared to prior study. There is no pneumonia. The lungs are clear. The aorta is slightly tortuous. The cardiac contour is normal. There is no pleural effusion.
patient with sudden onset of chest pain. rule out pneumothorax or pneumonia.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>m with l shoulder pain and tenderness. uri sx. // fx?
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There is slight blunting of the bilateral posterior costophrenic angles may be due to trace pleural effusions versus pleural thickening. Right base opacity is seen with differential diagnosis including atelectasis, infection, or aspiration. The cardiac silhouette is moderately enlarged. The aorta is calcified. There is minimal pulmonary vascular congestion without overt pulmonary edema.
history: <unk>f with hx of dchf, increased weight and abdominal distension, presenting as transfer from rehab. // r/o pleural effusions
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The heart size is normal. The mediastinal and hilar contours are unchanged and within normal limits. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is visualized. No acute osseous abnormalities present.
congestive heart failure, presents with fatigue.
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Pa and lateral chest radiographs demonstrate persistent right middle lobe atelectasis and otherwise hyperinflated lungs with flattening of the diaphragm bilaterally. No new focal consolidation is concerning for pneumonia. No pleural effusion or pneumothorax is identified. The cardiomediastinal and hilar contours are otherwise stable.
history: <unk>f w pmh copd, cad, presenting with sob
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. Overall appearance is very similar to radiographs from <num> months prior.
<unk>m with cough, evaluate for pneumonia.
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The previously demonstrated right apical pneumothorax is no longer definitively identified. There are right-sided postsurgical changes again noted. Multiple bilateral lung nodules, better evaluated on prior chest ct, are once again noted. No focal consolidation, pleural effusion, or pulmonary edema is identified. The heart size is normal. Mediastinal contours are normal.
history of lung cancer status post wedge resection, now with pneumothorax following chest tube removal.
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There is increased retrocardiac opacity which could represent a left lower lobe pneumonia. Blunting of the left costophrenic angle is overall unchanged without obvious pleural effusion on the lateral view. The right lung is clear. The heart is top-normal and appears increased from the prior exam but may be secondary to lower lung volumes on today's exam. Multilevel degenerative changes of the thoracic spine are unchanged. No pneumothorax or pulmonary edema.
<unk>m with diabetes presenting with cough and sore throat. evaluate for pneumonia.
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Patchy right upper lung opacity seen on the frontal view is worrisome for pneumonia. The left lung is clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with cough // ?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, with the cardiac silhouette top-normal in size..
history: <unk>f with near syncope, cough, sputum // ? acute cardiopulm process
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Pa and lateral views of the chest. Left chest wall port is seen with catheter tip in the upper svc. The lungs are grossly clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with exertional dyspnea.
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The cardiac silhouette is normal. There is no pleural effusion or pneumothorax. Mediastinal contour is unremarkable. There is left upper lobe nodular opacities, not seen in <unk>. There is no focal consolidation. No acute osseous abnormality.
<unk>f with cough and chest pain, evaluate for pneumothorax or pneumonia..
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The heart size, mediastinal, and hilar contours are normal. The lungs demonstrate mild bibasilar atelectatic changes, although are without focal consolidation, pleural effusion, or pneumothorax. Degenerative changes of the thoracic spine are seen.
<unk> year old man with esrd for pre kidney transplant eval. r/o infections, nodules, malignancy.
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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. Cardiac silhouette size is normal.
history: <unk>f with cp // cardiomegaly
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The lungs are clear without focal consolidation noting slightly decreased inspiratory effort on the frontal view. The trachea is deviated to the left at the thoracic inlet. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with fevers, chills, and swelling of neck // evaluate for goiter, neck inflammation
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Pa and lateral views of the chest provided. Low lung volumes. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stably prominent with an unfolded thoracic aorta. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with chest pain
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with chest pain
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
<unk>f with dyspnea // eval for structural process, pulmonary edema
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The heart size is normal. The hilar and mediastinal contours are normal. There is a diffuse chronic interstitial abnormality. More dense opacity seen at the lung bases. A superimposed infectious process is suspected. The lungs are hyperinflated. There is a <num>-cm nodule in the right upper lobe, for which a ct is recommended to evaluate for malignancy. There is no evidence of a pneumothorax or pleural effusion. The visualized osseous structures are unremarkable.
history of bilateral pneumonia and nstemi. please evaluate.
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Pa and lateral views of the chest are compared to previous exam from <unk>. Lower lung volumes seen on the current exam. The lungs, however, appear grossly clear. Cardiomediastinal silhouette is within normal limits given poor inspiratory effort.
<unk>-year-old male with chest pain.
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In comparison to the chest radiographs obtained <unk>, a single pulmonary nodule adjacent to the anterior right third rib has increased in size, but is essentially unchanged since ct chest dated <unk>. Lungs are fully expanded without any focal consolidations. No pleural effusions or pneumothorax. Heart size is normal. Cardiomediastinal hilar silhouettes are stable. Descending thoracic aorta is tortuous, but unchanged. A left-sided port with subclavian central venous catheter terminates in the mid svc.
<unk> year old woman with metastatic rectal ca p/w fatigue and diarrhea // evaluate for pna or acute pulmonary process
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Pa and lateral views of the chest. Increased interstitial markings seen throughout the lungs. There are small bilateral pleural effusions. Cardiac silhouette is mildly enlarged. No acute osseous abnormality is identified.
<unk>-year-old female with shortness of breath and palpitations.
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Opacities at the right lung base and left midlung laterally are most suggestive of surgical chain sutures. Chronic changes also seen in the left suprahilar region, unchanged, potentially postsurgical. The lungs are otherwise clear. There is no consolidation, effusion, or edema. The cardiomediastinal silhouette is stable. Tortuosity of the thoracic aorta with atherosclerotic calcifications is noted. No acute osseous abnormalities. Surgical clips noted in the abdomen.
<unk>f with pain s/p mva // r/o rib fracture and right middle finger fracture
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Ap upright and lateral views of the chest provided. Lung volumes are low. Allowing for this, the lungs appear clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No displaced rib fractures are identified.
<unk>m with swollen l ankle and contusions to <unk> <unk> chest // r/o fxs <num>/ fall <unk>' from ladder
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Ap upright and lateral views of the chest provided. Mild basal atelectasis noted. Lungs are otherwise clear though hyperinflated and somewhat lucent likely reflecting known emphysema. Cardiomediastinal silhouette is stable. Bony structures are intact. No free air below the right hemidiaphragm. Calcifications are prominent in the right and left neck likely reflecting prominent carotid bulb calcification. Bony defect at the right distal clavicle may reflect acute or chronic injury for which clinical correlation advised.
<unk>m with cough // eval infx process
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Pa and lateral views of the chest provided. Previously noted picc line is been removed. Hilar congestion with mild interstitial edema noted. Consolidation noted in the lower lobes which may reflect a superimposed pneumonia. Small effusions likely present. No pneumothorax. Cardiomediastinal silhouette is stable. Diffusely sclerotic osseous structures again noted consistent with metastatic disease.
<unk>m with fevers and concerns for infilitrate
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New multifocal opacities, some of which are indistinct, are present in the mid right lung, lower right lung, and lower left lung. A small left pleural effusion is new. Top normal heart size is unchanged. Dual-chamber pacemaker leads are unchanged in position, likely the right atrium and right ventricle. No pulmonary edema.
<unk> year old woman with myeloma // increased shortness of breath. prior effusions. assess for changes.
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Pa and lateral views of the chest provided. A lateral projection a small nodular opacity projects over a lower thoracic vertebral body, possibly a calcified granuloma or bone island. Otherwise the lungs appear clear. Cardiomediastinal silhouette is normal. No pleural effusion or pneumothorax. Bony structures appear intact. No free air below the right hemidiaphragm.
<unk>m with fever and chest pain // r/o infiltrate, effusion
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Lung volumes are normal. There is no focal consolidation, effusion, or pneumothorax. There is no central vascular congestion or overt pulmonary edema. Mediastinal and hilar contours are normal. Heart size is normal. Vp shunt catheter overlies the right hemithorax and terminates in the abdomen. Enteric tube projects over left upper quadrant.
history: <unk>m with recent discharge for sah/sdh,basilar artery aneurysm p/w agitation // ?bleed
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Small right pleural effusion is with likely overlying right base atelectasis. Right base opacity most likely due to atelectasis although small area of consolidation is difficult to exclude. The left lung is clear. There is no left pleural effusion. No pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No pneumomediastinum is seen or evidence of free air beneath the diaphragms.
history: <unk>m with back pain s/p endoscopy // acute process
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The cardiomediastinal and hilar contours are stable with mild tortuosity of the descending aorta. There is no pleural effusion or pneumothorax. There is no pulmonary edema or focal consolidation concerning for pneumonia. There is no abnormality in the right upper lobe concerning for a nodule.
question right upper lobe nodule on chest x-ray.
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Mild bibasilar atelectasis is seen without definite focal consolidation. Incidental note is again made of an azygos lobe. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with full body shake, ? rigor, no uri sx // eval for pna
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Pa and lateral views of the chest were provided. The heart remains moderately enlarged. Trace pleural effusion is again noted. There is no evidence of pneumonia or pneumothorax. Bony structures are intact.
<unk>-year-old female with chest pain, palpitations.
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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 pleuritic chest pain and shortness of breath
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Heart size is normal. Mediastinal contours are unchanged. There is no pulmonary vascular congestion or pneumothorax. Moderate size right pleural effusion is similar in size, with adjacent right basilar atelectasis. Multiple nodular opacities throughout the lungs, most predominantly in the lung bases, are compatible with known metastases, and are similar in size and number compared to the previous radiograph. Osseous destruction of the right <unk> and <unk> posterior ribs is re- demonstrated.
decreased right base breath sounds.
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Lung volumes are low. The cardiomediastinal silhouette is similar to the most recent examination. There is mild engorgement of the pulmonary vasculature. No definite consolidation is identified. There is no large pleural effusion or pneumothorax.
history: <unk>m with alcohol abuse, seizures, ?infection*** warning *** multiple patients with same last name! // eval for pna
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In comparison with the study of <unk>, there again are ill-defined lower lobe opacities bilaterally, which may be secondary to a chronic inflammatory process as suggested on the prior ct from <unk>. No evidence of focal consolidation or vascular congestion. Persistent relative elevation of the left hemidiaphragmatic contour.
bone marrow transplant with fever and chills.
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Ap upright and lateral chest radiographs were obtained. Bilateral calcified pleural plaques and basilar reticular opacities, consistent with known fibrotic changes related to asbestosis, are re- demonstrated without new opacity to suggest pneumonia. There is no pleural effusion or pneumothorax. The heart is stably enlarged with tortuous and calcified intrathoracic aorta.
seizure-like activity assess for pneumonia.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax.
history of chest pain. please evaluate.
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Frontal and lateral views of the chest demonstrate unchanged linear areas of scarring in the left mid lung with adjacent pleural thickening. The lungs are otherwise well expanded and clear. Mild cardiomegaly is unchanged. Hilar contours are normal. There is no pneumothorax or pleural effusion. There are degenerative changes about the right acromioclavicular joint.
new diagnosis of systolic heart failure with right-sided chest fullness for <num> days, assess for pleural effusion.
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Lung volume are low. There are bilateral diffuse interstitial opacities, with associated hilar indistinctness and vascular upper re-distribution. Foci of more patchy opacities are seen in the right lower lobe. Chronic elecvation of left hemidiaphragm with left basilar opacity is also seen. Severe cardiomegaly is not significantly changed from prior. There might be small bilateral pleural effusions. There is no pneumothorax. Severe degenerative changes of both shoulders are present.
<unk>-year-old female with vomiting. evaluate for acute process.
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Pa and lateral views of the chest. No prior chest x-ray for comparison; however, correlation is made to images from ct scan of the abdomen and pelvis from <unk>. Low lung volumes are seen. Although there is opacity in one of the lower lobes on the lateral view, this area was clear on prior chest ct and is most compatible with atelectasis. Blunting of the posterior costophrenic angles are also compatible with atelectasis. Cardiomediastinal silhouette is within normal limits as are the osseous and soft tissue structures.
<unk>-year-old female with new desaturations, fever and diaphoresis.
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A picc line has been removed. The cardiac, mediastinal and hilar contours appear unchanged. The right lung remains clear. There is again mild relative elevation of the left hemidiaphragm with patchy opacification most suggestive of atelectasis, although somewhat improved. There is no pleural effusion or pneumothorax. Prior healed fractures involve the right posterolateral sixth and seventh ribs. The bones are probably demineralized.
increasing lower extremity edema; question fluid overload.
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Lung volumes are lower compared to the previous study. Heart size is normal. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is detected. There are no acute osseous abnormalities.
history: <unk>m with worsening cough and asthma // concern for infectious process, pneumonia
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Linear opacity at the right lung base is most compatible with scarring. There is a left basilar opacity partially silhouetting the hemidiaphragm. Some of this may also be due to atelectasis and scarring although underlying effusion would be possible as well. Superiorly, lungs are clear. The cardiomediastinal silhouette is within normal limits. Old healed right posterior rib fractures are noted. Left upper quadrant coils are again noted.
<unk>m with history of splenectomy, chronic pancreatitis, whipple, and pleural effusions presents with acute onset fever and dyspnea. // evaluate for consolidation vs pleural effusion
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Frontal and lateral views of the chest demonstrate a transverse fracture involving the posterior aspect of the left fifth rib, which is minimally displaced. No additional fractures are identified. There is no pneumothorax. Lungs appear well aerated without focal consolidation or pleural effusion. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable. Several surgical clips project over posterior elements of the spine on the lateral view.
patient with trauma, who now presents with left chest tenderness.
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Mild enlargement of the heart is re- demonstrated. Mediastinal contours are unchanged. There is mild pulmonary edema, with asymmetric opacity in the right lung compared to the left which may reflect asymmetric pulmonary edema. Small bilateral pleural effusions, right greater than left are also noted, with bibasilar atelectasis. No pneumothorax is detected. Moderate multilevel degenerative changes are noted in the thoracic spine.
history: <unk>m with shortness of breath
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Compared to prior, there has been interval resolution of the previously seen right lower lobe consolidation. There is no focal consolidation, effusion, or edema. Massive cardiomegaly is again seen. Left chest wall dual lead pacer is seen with leads in stable position at the right ventricular apex and left right atrium. Ventriculoperitoneal catheter projects over the right chest wall. No acute osseous abnormalities identified
<unk>f with afib, shf (ef <unk>%), cad who presents with pre-syncopal episode. also with malaise, worsening doe and crackles on lung exam. // assess for acute infiltrate, pulmonary edema
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There are low lung volumes and mild left base atelectasis. Left base opacity has decreased as compared to the prior study. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable.
history: <unk>m with liver failure septic with unknown source // pneumonia
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There is no focal consolidation, pleural effusion or pneumothorax. Streaky left retrocardiac opacities most likely represents atelectasis. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified. A stimulator device is seen in the left anterior chest wall. Left hemidiaphragm is elevated.
history: <unk>f with l-chest wall tenderness // evaluate for trauma, acute process
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No consolidation or edema is evident. Median sternotomy and cabg again noted. There is aortic tortuosity similar to prior exams. The cardiac silhouette remains borderline enlarged. No effusion or pneumothorax is noted. The osseous structures are otherwise grossly unremarkable. Long segment and multiple coronary stents are evident as on prior studies.
significant coronary history with productive cough and lower extremity edema.
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Frontal and lateral chest radiographs demonstrate well expanded and clear lungs bilaterally. Cardiomediastinal and hilar contours are unremarkable. Pleural surfaces are normal. There is no pleural effusion or pneumothorax. Thoraolumbar scoliosis is mild to moderate.
<unk>-year-old female with cough x<num> weeks. evaluate for pneumonia.
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The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No subdiaphragmatic free air is demonstrated.
<unk>-year-old female with a history of gallstones, now with epigastric pain and intermittent fevers.
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There has been interval removal of a right internal jugular central venous catheter.patient is status post median sternotomy and cabg. The cardiac and mediastinal silhouettes are similar compared to the prior study, with the cardiac silhouette possibly slightly smaller in size as compared to the prior study. Mild pulmonary vascular congestion is similar compared to the prior study. Small left and possible trace right pleural effusions are re- demonstrated. No new focal consolidation is seen.
history: <unk>f with fever, tachypnea s/p cabg // eval for acute process, attn. to pna
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No previous images. There is mild hyperexpansion of the lungs, raising the possibility of some chronic pulmonary disease in this patient who has undergone previous cabg procedure. The second sternal suture shows several breaks. Cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute pneumonia.
persistent cough, to assess for pneumonia.
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The cardiomediastinal silhouette is unremarkable. The lung fields are clear. No evidence of fracture. No pneumothorax or pleural effusion. Osseous structures are unremarkable.
history: <unk>f with cp and fatigue // chest pain on the l side
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Pa and lateral chest radiographs were obtained. The lungs are well inflated and clear. No consolidation, nodule, effusion, or pneumothorax is present. The heart and mediastinal contour are normal. A left-sided port-a-cath enters the left ij and terminates in the mid svc. Position is unchanged from <unk>.
<unk>-year-old woman with cord along left side of neck, catheter placed <unk>. evaluate for cvl port-a-cath placement.
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The lungs are again hyperinflated. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. No overt pulmonary edema is seen.
dyspnea.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen.
cough
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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size. Chronic fractures of the right seventh and left eighth ribs are again noted. The aorta is minimally unfolded.
<unk>f with cough // evaluate for pneumonia, acute process
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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>m with cough. pneumonia?
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Frontal and lateral chest radiographs were obtained. Blunting of the left costophrenic angle, left pleural thickening and left hemidiaphragm elevation are unchanged from prior exams. The lungs are otherwise clear. Heart and mediastinal contours are normal. Leads of a dual-chamber pacemaker terminate in appropriate locations. Left basilar scarring is unchanged.
<unk>-year-old man with chest pain, increased sputum, rule out pneumonia.
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The cardiomediastinal silhouette and hilar contours are unremarkable. Slight increased attenuation projecting over bilateral lung bases is similar to prior examination and corresponds to soft tissue folds on the lateral view. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. No overt traumatic abnormality is identified.
status post fall with chest pain, headache and head strike.
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Ap and lateral views of the chest are compared to previous exam from <unk>. There are increased interstitial markings seen in the lungs. There is no confluent consolidation or effusion. Cardiac silhouette is enlarged but stable in configuration given differences in technique and positioning. Osseous and soft tissue structures are unchanged noting degenerative changes at the acromioclavicular joints.
<unk>-year-old female with worsening swelling in legs. question chf.
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Patient is status post median sternotomy and cabg. The heart size is mildly enlarged but unchanged. Mediastinal and hilar contours appear similar with diffuse atherosclerotic calcifications of the thoracic aorta again noted. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. Moderate degenerative changes are noted in the thoracic spine.
history: <unk>m with bilateral lower extremity swelling // evaluate for pleural effusion
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Heart size is normal. There is mild unfolding of the descending aorta. The hila are unremarkable. There is no pleural effusion or pneumothorax. Lungs are well-expanded and clear without focal consolidation concerning for pneumonia.
<unk>m with chest pain // eval for acute process
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The lungs are clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.
history: <unk>f with chest pain // ? acute cardiopulm process
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old female with flu-like illness.
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Lung volumes are low. Cardiac silhouette size is normal and unchanged. Mediastinal and hilar contours are similar. Pulmonary vasculature is normal. Linear opacities in the lung bases are compatible with areas of subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is detected.
history: <unk>m with increased confusion and weakness // eval for pneumonia
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As compared to the previous radiograph, there is unchanged evidence of a probably loculated right pleural effusion, a small left pleural effusion that is restricted to the left costophrenic sinus. Moderate cardiomegaly is unchanged. No pulmonary edema. However, at the right lung base, an indistinct parenchymal opacity is visually more obvious than on the previous image. The opacity is also seen on the lateral view and could represent atelectasis or pneumonia. Close followup is required.
diastolic heart failure, history of pleural effusion, evaluation for pneumonia.
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There is no focal consolidation, pleural effusion, or pneumothorax. Lungs are hyperexpanded, and there are bullous changes at the apices and prominence of the interstitial markings consistent with emphysema. Linear opacities at the bases are likely atelectasis. There is prominence of the hilar contours which are stable since <unk>. Cardiomediastinal silhouette is otherwise unremarkable and unchanged. Osseous structures are intact.
productive cough x <num> days, rule out acute infectious process.
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Heart is mildly enlarged. No overt pulmonary edema is seen. A focal bandlike right basilar opacity is present and could represent atelectasis. There is no pneumothorax or pleural effusion.
<unk>-year-old man with chf and weakness, evaluate for fluid overload.
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Lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. Spinal fusion hardware is noted extending from t<num> to the lumbar spine. There is no evidence of hardware complication.
history of shortness of breath. question pneumonia.
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Single upright ap image of the chest. The lungs are well expanded there is a retrocardiac opacity with an air-fluid level consistent with a hiatal hernia. No focal mass or consolidation is seen in the lungs. There is no right pleural effusion there is a small left pleural effusion. No pneumothorax is seen. The cardiomediastinal silhouette is unremarkable. There is a fracture of the distal right clavicle which is widely separated, with <num> cm inferior distraction of the distal fracture fragment. The glenohumeral joint is still congruent.
fall with report of clavicle fracture.
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Lung volumes are low. This accentuates the size of the cardiac silhouette which is mildly enlarged. Mediastinal contours unchanged with the aorta appearing unfolded. There is crowding of the bronchovascular structures with peribronchial cuffing, mild pulmonary vascular congestion, and increased hazy opacity within the right lung, likely due to worsening asymmetric mild pulmonary edema. Mild elevation of the right hemidiaphragm is unchanged. No pleural effusion or pneumothorax is identified.
history: <unk>m with history of hcv now presenting with right upper quadrant pain.
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Low lung volumes bilaterally. Patient status post left vats wedge resection. Small left apical pneumothorax is decreased. Moderate bibasilar atelectasis. No appreciable pleural effusion is seen. The cardiac and mediastinal silhouettes are unchanged.
<unk> year old woman s/p vats lll wedge // check left ap ptx
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Frontal and lateral views of the chest. The lungs are clear where not obscured by overlying cardiac leads and wires. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. Hypertrophic changes are seen in the spine with a mild mid thoracic dextroscoliosis.
<unk>-year-old female with chest pain.
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As compared to the previous image, pre-existing process in the right upper lobe has completely resolved. The process is neither visible on the frontal nor on the lateral radiograph. Currently, no other lung parenchymal changes are seen, except for minimal bilateral symmetrical pleural irregularities. Moderate cardiomegaly without pulmonary edema. Minimal tortuosity of the thoracic aorta.
questionable right upper lobe pneumonia.
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Low lung volumes accentuate bronchovascular markings. Bibasilar opacities likely represent atelectasis. There is no pulmonary edema. Heart size is top normal. Partially imaged upper abdomen is unremarkable.
persistent cough and leukocytosis. assess for pneumonia.
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The cardiac silhouette is obscured by a moderate-sized right pleural effusion. There is a small left pleural effusion. Known pulmonary nodules are better assessed on prior dedicated chest ct examination.there is no new focal consolidation or pneumothorax. A right port-a-cath catheter likely terminates in the right atrium.
history: <unk>f with metastatic pancreatic cancer p/w sob // extent of pleural effusion
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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 s/p mvc with head trauma
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Posterior basilar opacity best seen on the lateral view may be due to atelectasis, aspiration, infection is not entirely excluded in the appropriate clinical setting. No large pleural effusion is seen. There is no pneumothorax. The cardiac silhouette is moderately enlarged. The aorta is calcified. A right-sided central venous catheter terminates at the proximal right atrium.
history: <unk>m with ams // pna?
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Left picc terminates in the lower svc. Internal external biliary stent is in similar position to prior. A peg overlies the gastric bubble. Heart size and cardiomediastinal contours are stable. Lungs are essentially clear. No pneumothorax.
confirm position of picc.
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Ap and lateral upright radiographs of the chest were obtained. The lungs are normally expanded and clear. The cardiomediastinal silhouette and hilar contours are normal. There is no focal airspace consolidation. The osseous structures are grossly intact.
<unk>-year-old female with cough, acute onset hallucinations. evidence of infection.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well-expanded and clear without focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits.
<unk>m with chest pain and dyspnea // r/o acute process
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The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cough and sob x <num> days // ? pneumonia
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The cardiomediastinal silhouette is unchanged. The hila are prominent, with prominent patchy opacities surrounding the left hilum and atelectasis at left-greater-than-right bases. Small faint opacities may also be present on the right lung laterally . There is minimal atelectasis at the right base, with possible minimal blunting of the right costophrenic angle. No gross effusion. The left costophrenic angle is clear. Doubt chf.
<unk> year old man with pcp <unk> // assess for improvement vs worsening?
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The cardiac, mediastinal and hilar contours appear stable. There are several small calcified nodules in the left upper lung suggesting granulomas which are unchanged. Mild subpleural thickening at each lung apex is also unchanged. There is a small-to-moderate new left-sided pleural effusion, patchy associated opacity concerning for pneumonia. Vague right basilar opacity suggesting minor atelectasis is similar to the prior study. Mild degenerative changes are present along the thoracic spine.
cough and leukocytosis.
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. New the heart size is normal. The mediastinal and hilar contours are normal. Cervical spine hardware is partially seen.
<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. Clips are noted in the right upper quadrant of the abdomen compatible with prior cholecystectomy. Surgical anchor projects over the left proximal humerus.
history: <unk>f with altered mental status
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No focal consolidation, pleural effusion, evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is diffuse increased slight diffuse increased interstitial markings is stable as compared to <unk>.
altered mental status and tachycardia unknown source that began this morning.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of focal consolidation, effusion or pneumothorax. Right-sided central line is seen with catheter tip in unchanged position with tip at the ra svc junction/upper right atrium, similar to prior. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with chest pain, esophagitis.
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Pa and lateral chest radiograph demonstrates well-expanded and symmetric lungs. A focal consolidation convincing for pneumonia is identified. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Visualized osseous structures are without an acute abnormality.
<unk>-year-old male with recent clinical diagnosis of pneumonia. presents with syncope.
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The heart is moderately enlarged, and there is moderate pulmonary edema with bilateral pleural effusions. No focal consolidation or pneumothorax is seen. There is a left cardiac device with its leads in stable position over the right atrium and ventricle.
<unk>-year-old female with one day of shortness of breath and history of congestive heart flare. evaluate for pneumonia.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax.
chest pain.
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In comparison with study of <unk>, there has been essentially complete clearing of the diffuse bilateral pulmonary opacifications. No evidence of acute abnormality at this time. Monitoring and support devices have all been removed.
pneumonia and chf, to assess for resolution.
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Linear right lower lung opacities again seen suggestive of scarring. The lungs are otherwise clear without focal consolidation. Known spiculated left lower lobe pulmonary nodule is not identified. There is enlargement of the hila compatible with known adenopathy which is more prominent on the right compared the left. Calcified right paratracheal node is also again noted. No acute osseous abnormalities
<unk>f with copd p/w <num> wk doe, cough, wheezing. // eval ? infiltrate vs pulm edema vs bronchial cuffing