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The cardiac silhouette is mildly enlarged. There is evidence of prior cabg. Midline sternal wires are intact and well aligned. The central pulmonary vasculature is somewhat congestion, without overt edema. There is no pleural effusion or pneumothorax. The lungs are grossly clear without definite consolidation.
<unk> year old man with productive cough of <num> days' duration; cxr done <unk> @ ucc showed "no pneumonia"; examination shows coarse rhonchi @ both lung bases // please assess for pneumonia
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. Again noted are diffusely increased interstitial markings, improved since the prior examination. There is no large pleural effusion or pneumothorax. A vague left basilar opacity is noted, which could represent atelectasis or in the appropriate clinical context, pneumonia. There is mild biapical pleural thickening
history: <unk>f with cp // infiltrate
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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. The visualized osseous structures are unremarkable.
history of cough, chest tightness. please evaluate for 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 and unremarkable.
history: <unk>m with r-sided chest pain // evaluate for acute process
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Left chest wall dual lead pacing device is again seen. Linear opacity in the left midlung is most suggestive of atelectasis. The lungs are otherwise clear without effusion, consolidation or edema. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires are again noted. No acute displaced fractures are seen. Proximal left humeral and left lateral fourth rib fractures are chronic.
<unk>m with confusion s/p fall on coumadin // r/o acute process/bleed
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The lungs are clear without focal consolidation. Bibasilar opacities have subsequently resolved since <unk>. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk> year old woman treated for recent cap/copd exacerbation at <unk> <unk>. ongoing green sputum eval for persistent pna vs bronchitis. // <unk> year old woman treated for recent cap/copd exacerbation at <unk>. ongoing green sputum eval for persistent pna vs bronchitis.
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Pa and lateral views of the chest were provided. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged bony structures are intact. No free air is seen below the right hemidiaphragm.
<unk>-year-old female with shortness of breath, assess for pleural effusion.
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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. No pulmonary edema is seen.
history: <unk>f with chest pain // acute process
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Repeat frontal and additional lateral view shows that the right base is clear and there is no evidence of acute pneumonia.
possible right basilar consolidation.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion, pulmonary edema or pneumothorax.
history: <unk>m with substernal cp // eval for consolidation
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A stimulator lead again projects over the left supraclavicular and paraspinal region. 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 epilepsy, <num> week of more frequent seizures
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The lungs are well expanded. There is interval increase in interstitial markings and prominence of the pulmonary vasculature, suggestive of mild pulmonary edema. Linear atelectasis in the lateral left lung is unchanged since <unk>. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is mildly enlarged.
history: <unk>f with generalized weakness // r/o pna
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Frontal and lateral chest radiographs show the lungs to be well expanded and clear. The pleural surfaces are normal. A trace amount of intraperitoneal free air is seen below the right hemidiaphragm in this post-operative patient. The mediastinal contours and cardiac silhouettes are normal.
<unk>-year-old male with medically refractory ulcerative colitis status post colectomy and fever, question pneumonia.
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Heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is seen.
fever.
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There is no focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with cough and sob h/o asthma*** warning *** multiple patients with same last name! // cough and sob
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The multifocal bilateral opacities have essentially completely resolved since <unk>. Left pleural effusion has also completely resolved. Residual background emphysematous changes most prominent in the right upper lung with scarring and pleural thickening as well as background post-left upper lobectomy changes with elevation of the left hemidiaphragm are unchanged compared to <unk>. Blunting of the left costophrenic angle reflects thickening/scarring. A calcified perihilar node is unchanged. The heart is normal in size. The descending thoracic aorta is slightly tortuous, unchanged. Dextroconvex scoliosis of thoracic spine is overall similar with similar distortion of thoracic cage. Prominent degenerative changes in the thoracic spine are also overall unchanged.
<unk> year old man with history of lung cancer status post left upper lobectomy and recent multifocal pneumonia. evaluate for resolution of pneumonia.
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No pneumothorax following left thoracentesis. Appearance of left lower lobe mass is unchanged. There are small bilateral pleural effusions. Moderate cardiomegaly as well as tortuosity of the descending thoracic aorta is also stable.
<unk> year old man s/p left thoracentesis, evaluate for left pneumothorax.
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The lungs are symmetrically well-expanded and clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The pulmonary vasculature is not engorged. The trachea is midline. The visualized upper abdomen shows no free air beneath the right hemidiaphragm. No displaced fracture is seen.
chest pain, here to evaluate for acute cardiopulmonary process.
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Enlargement of the cardiac and mediastinal silhouettes is stable. Enlargement of the main pulmonary artery suggests underlying pulmonary hypertension. Patient is status post median sternotomy and cardiac valve replacement. There are small bilateral pleural effusions. Enlargement and indistinctness of the hila and mildly increased interstitial markings with mild bilateral patchy alveolar opacities suggest mild pulmonary edema. There are degenerative changes at the acromioclavicular and glenohumeral joints.
history: <unk>f with nausea, vomiting and dyspnea // r/o chf
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Heart size is mildly enlarged, unchanged. The aorta is calcified diffusely. Mediastinal and hilar contours are similar. Mild pulmonary vascular congestion is present. No focal consolidation, pleural effusion or pneumothorax is identified. Known nodular opacity in the right lower lobe with adjacent bronchiectasis is better assessed on previous ct. Patchy atelectasis is seen in the lung bases. There are no acute osseous abnormalities.
history: <unk>m with new confusion.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is a streaky opacity projecting over the left mid lung, probably in the lingula, which is suggestive of atelectasis, but which could potentially represent an early focus of pneumonia. There is no pleural effusion or pneumothorax. Small osteophytes are noted along the thoracic spine.
question septic emboli or pneumonia.
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Cardiomediastinal silhouette is unremarkable. Prominence of the central pulmonary vasculature is similar to prior examination. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
cough and fever.
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The lungs remain clear. Again noted is a retrocardiac hiatal hernia, similar to prior. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with altered mental status. question pneumonia.
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Moderate enlargement of the cardiac silhouette is re- demonstrated. The aortic knob is calcified. Mild pulmonary edema is new in the interval. Mediastinal and hilar contours are unchanged. There is no pleural effusion, focal consolidation or pneumothorax. Patchy opacities in the lung bases likely reflect areas of atelectasis.
history: <unk>m with dyspnea on exertion
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is mildly enlarged. . Mediastinal contours are unremarkable. Hilar contours are stable and unremarkable.
history: <unk>m with fever, chest pain // eval for pna
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Ap 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 dizziness // pna?
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Heart size is top-normal. The aorta is tortuous. There the pulmonary vasculature is normal. Lungs are hyperexpanded. The diaphragms are flat and low, as before. No pleural effusion or pneumothorax is seen. Unchanged right scapular deformity and healed right rib fractures.
history: <unk>m with chest pain. evaluate for acute process.
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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. The cardiomediastinal silhouette is within normal limits. Old healed posterior right eighth rib fracture is again seen. Osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old male with chest pain and cough.
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Lung volumes are low. Heart size is mildly enlarged. The mediastinal contour is unchanged. There has been interval increase in size of the pleural effusion on the right, now moderate, with associated right basilar opacity likely reflective of compressive atelectasis. Patchy left basilar opacity may also reflect atelectasis. Crowding of bronchovascular structures is demonstrated without overt pulmonary edema. No acute osseous abnormality is detected.
history: <unk>m with dyspnea, orthopnea, left -flank discomfort
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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 left-sided chest pain // question left-sided pleural or parenchymal abnormality
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The heart is enlarged. There may be a small apical left pneumothorax, evidenced by an apparent pleural line just inferior to the posterior second rib. There is a left-sided pigtail catheter with bilateral pleural effusions and a retrocardiac opacity, for which developing pneumonia could be considered in the appropriate clinical setting.
<unk> year old woman with left effusion s/p <unk>, pig tail left in place with <num>ml out. ? ptx
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There are relatively widespread hilar and mediastinal lymph node calcifications. Moreover, calcified granulomas are present in the lung parenchyma, right and left. No acute lung parenchymal changes, in particular no pneumonia or pulmonary edema. Normal size of the cardiac silhouette. No pleural effusions.
evaluation for cough.
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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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Course throughout the mediastinum. Its tip is not seen. When compared to the examination from <unk> there appears to be a progressive worsening of diffuse airspace opacities, most projectional <num> some more confluent areas particular in the right lower lung zone and to the left lower lung zone in the retrocardiac position concerning for developing infection. There is no good evidence of effusion.
<unk> year old man with cirrhosis and worsening hepatic encephalopathy, concern for underlying infectious process // eval for e/o pna
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal. The osseous structures and upper abdomen are unremarkable.
<unk>f with sle c/b nephritis who presents with palpitations, anemia, doe, evaluate for interval change.
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Frontal and lateral radiographs of the chest were acquired. Lung volumes are slightly low. The lungs are clear. Bulging of the posterior cardiac border is redemonstrated. There are no pleural effusions. No pneumothorax is seen.
new onset pleuritic chest pain. assess for cause of chest pain.
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Compared with the prior exam, there has been reaccumulation of a small to moderate left pleural effusion with mild associated compressive atelectasis. There is no right-sided pleural effusion. The bilateral chest tubes are in unchanged position. The right-sided central line is in unchanged position. There is no focal consolidation, pneumothorax, or pulmonary edema.
<unk> year old woman with follicular lymphoma s/p b/l chest tube placement // evaluate chest tube placement
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Stable cardiomegaly without evidence of congestive heart failure. Focal linear scar in the periphery of the left mid lung with otherwise clear lungs. No definite pleural effusion. Scoliosis is noted as well as wedge compression deformity at l<num>, similar to prior abdominal ct of <unk>. Additional compression deformities in the thoracic spine are grossly similar to previous chest radiograph of <unk>. .
<unk> year old woman with crackles left side // ? pna, chf
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Extensive reticulation and small pulmonary nodules, most profuse at the lung bases, have progressed since <unk>. There is no consolidation, large lung mass, appreciable pleural effusion or findings of central adenopathy. The cardiomediastinal silhouette is normal. A right port-a-cath ends in the right atrium just beyond the superior atriocaval junction.
colon cancer, cough, and dyspnea.
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Lungs are clear without focal consolidation, edema or effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cp and sob x <num> month // assess for infiltrate, edema, cardiomegaly, other acute process
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Biapical pleural thickening is again noted. Multiple bilateral small pulmonary nodules noted on chest ct are not clearly delineated on this study. Otherwise, the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified. Mild degenerative changes are noted throughout the thoracic spine.
chest pain.
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Ap upright and lateral views of the chest provided. Lung volumes are low limiting assessment. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable and likely normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with multiple recent falls.
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No focal consolidation, pleural effusion, or pneumothorax is seen. Heart and mediastinal contours are within normal limits.
<unk>-year-old female with chest pain.
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The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Streaky opacity in the left lower lobe is concerning for pneumonia. Right lung is clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is identified.
history: <unk>m with fever unknown origin
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Frontal and lateral chest radiographs demonstrate clear lungs without pleural effusion or pneumothorax. The cardiac silhouette is normal in size. The mediastinal contours are normal.
<unk>-year-old female with cough and fatigue, rule out pneumonia.
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Lung volumes are slightly low. Heart size is borderline enlarged. Mediastinal and hilar contours are within normal limits. There is no overt pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is identified. No subdiaphragmatic free air is present. Punctate calcifications in the region of left upper quadrant may reflect ingested contents within the bowel.
history: <unk>m with abdominal pain and fever
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. There is a mild diffuse interstitial abnormality that appears new including fissural thickening suggesting mild vascular congestion. No free air is identified.
left-sided abdominal 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 stable. No pulmonary edema is seen.
history: <unk>f with pre-syncope // eval cardiomegaly
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The cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are present.
cough, nausea, vomiting.
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A calcified right breast prosthesis is noted. Right-sided central venous catheter tip terminates in the mid svc. Heart size is normal. Mediastinal and hilar contours are unremarkable. Small right pleural effusion is noted. No focal consolidation, pulmonary vascular engorgement, or pneumothorax is identified. Right posterior <unk> and <num>th rib fractures are minimally displaced. Clips are seen in the right upper quadrant compatible with prior nephrectomy. L<num> compression deformity is chronic.
right rib pain.
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Pa and lateral views of the chest provided. Equivocal retrocardiac opacity raises potential concern for a very mild pneumonia in the left lower lobe. Otherwise the lungs are clear. There is no pleural 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 fever, cough // eval for infiltrate
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A right ij central venous catheter ends in the proximal right atrium. Median sternotomy wires are present. There is a small left pleural effusion. The cardiac silhouette is enlarged with a indistinct left cardiac border. Mediastinal clips are present. There is mild interstitial edema.
<unk> year old woman s/p cabg, evaluate for pleural effusion..
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Lung volumes are lower than prior, with increased interstitial markings. Cardiomegaly is unchanged. There is a focal area of opacification in the left lateral mid lung, seen previously. There is no pleural effusion or pneumothorax. Pacing wires unchanged in position, median sternotomy wires are present. Right shoulder deformity unchanged. T<num> compression fracture also stable.
<unk>-year-old male with shortness of breath, evaluate for pneumonia or heart failure.
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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, dyspnea
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The cardiomediastinal and hilar contours within normal limits. The lungs are well expanded. There is mild atelectasis at the right lung base. Otherwise, there is no focal consolidation, pleural effusion or pneumothorax.
chest pain, shortness of breath. rule out cardiomegaly.
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Right small pneumothorax has slightly improved from <unk>.<num> to <unk>.<num> mm. An air-fluid level is seen in the right basal pleura. Air overlying the right mediastinum is probably compatible with a gastic pull up in this patient with esophageal cancer. Bibasal atelectasis is slightly improved. Left lung is unremarkable.
patient with pneumothorax followup.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without pleural effusion or pneumothorax. There is left base atelectasis.
<unk>f with dyspnea, chest/flank discomfort // ? acute cardipum process
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Two views were obtained of the chest. The lungs are low in volume but clear. Elevation of the right hemidiaphragm has increased. There is no pleural effusion or pneumothorax. Left subclavian port-a-cath terminates in the mid svc. The heart is not well assessed due to low lung volumes but cardiomediastinal contours appear unremarkable. Ovoid corticated radiodensity projecting in the vicinity of the left shoulder could reflect an intra-articular body. Degenerative cervical spine changes are noted.
shortness of breath, hypotension.
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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Chain sutures are noted projecting over the right mid lung, unchanged compared to prior examination. Otherwise, lungs are clear. No pleural effusion or pneumothorax.
flu-like symptoms, evaluate for acute process.
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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 is smildly enlarged. There is no pulmonary edema. Prominent interstitial opacities at the lung bases.
patient with fatigue. assess for infection.
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The lungs are clear without focal consolidation. There is slight blunting of the bilateral posterior costophrenic angle suggesting trace pleural effusions. No pneumothorax is seen peer the cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen.
history: <unk>m with chest pain and sob // r/o pna, chf
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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. Chronic rib deformities are re- demonstrated.
history: <unk>m with pain in l ribs, worse with movement and inspiration, presenting s/p fall. // l rib fx?
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Assessment is slightly limited by patient rotation. Lung volumes are slightly low. Heart size is normal. Mediastinal and hilar contours are grossly unremarkable. Patchy opacities in the lung bases may reflect areas of atelectasis in the setting of low lung volumes. No pulmonary edema, pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
history: <unk>m with fever and cough
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The patient remains scoliotic.lung volumes are relatively low. There is diffuse increase in interstitial markings bilaterally which may relate to chronic lung disease and/ or interstitial edema. No large pleural effusion is seen. Left base retrocardiac opacity may be due to combination of atelectasis and interstitial lung disease/edema, however, consolidation due to infection or aspiration not excluded in the appropriate clinical setting. No pneumothorax is seen. The cardiac and mediastinal silhouettes are stable, with with prominence of the main pulmonary artery suggesting component of pulmonary hypertension..
history: <unk>f with cough and sob // please eval for pulm edema vs pna
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Normal heart size, mediastinal and hilar contours. Stable tortuosity of the thoracic aorta. No focal consolidation, pleural effusion or pneumothorax. Unchanged calcified <num> mm granuloma in the right lower lobe. The trachea is deviated to the left likely by the known thyroid goiter, unchanged from prior.
history: <unk>f with htn urgency, occasional sob // ? infiltrate, cardiac silhouette
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
fever and chest pain.
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Extensive, accentuated and dilated bronchi, most predominant in the right lung, are unchanged. There is slight improvement in aeration of the right lung base. Hyperinflation of the left lung is stable. There is no focal consolidation worrisome for pneumonia, pleural effusion or pneumothorax. A nodule seen in the right upper lung is thought to correspond to an area of scarring seen on the prior chest ct (<num>
bronchiectasis and from mac now on antibiotics for <unk> year. evaluate for improvement.
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Ap supine and lateral views of the chest provided. Lungs are clear. Cardiomediastinal silhouette is normal. Bony structures are intact.
<unk>f with headache, n/v, multiple recent falls with pain/tenderness // eval for ich, mass, trauma
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Lung volumes are low, accounting for some bronchovascular crowding. No focal parenchymal opacities are identified. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
patient with fever and respiratory distress and wheezing. evaluate for pneumonia.
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The heart size is normal. The mediastinal and hilar contours are unchanged, with mild calcification of the aortic knob. Hilar contours are stable. Pulmonary vascularity is not engorged. Innumerable pulmonary nodules are seen in both lungs compatible with metastatic disease. Small right pleural effusion appears increased in size compared to the prior exam. There is associated right basilar opacity which may reflect compressive atelectasis. Streaky left basilar opacity also may reflect atelectasis. There is no pneumothorax. Mild degenerative changes are seen in the thoracic spine. A lytic lucency within the left proximal humerus measuring <num> mm is not fully assessed on this study.
fever of unknown etiology.
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Heart size is top normal. The mediastinal silhouette and hilar contours are stable. The lungs are clear without focal consolidation, pneumothorax or effusion. No acute bony abnormality is identified.
cough, fever and tachycardia.
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Frontal and lateral views of the chest demonstrate stable cardiomegaly and mild thoracic aortic tortuosity, as well as atherosclerotic calcifications in the aortic arch. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion. No displaced rib fracture is appreciated. Mild thoracic kyphosis is unchanged. No compression deformity is identified.
<unk>-year-old female status post unwitnessed mechanical fall while on coumadin.
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The lungs are hyperinflated and diaphragms are flattened, consistent with copd. There is mild to moderate cardiomegaly. Aorta is densely calcified and unfolded. Mitral annulus calcification is noted. There is upper zone redistribution, but no overt chf. There is blunting of the costophrenic angles posteriorly with evidence for small right effusion and tiny left effusion. Minimal bibasilar atelectasis, but no frank consolidation. Ill-defined focal density at the right lung base laterally may represent artifact due to overlying rib shadows -- attention to this area on followup films is requested. Osteopenia and degenerative changes of the thoracic spine are noted.
<unk> year old woman with afib // r/o pna,
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Subtle patchy left base retrocardiac opacity is seen which may be due to atelectasis but subtle infectious process is not excluded. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with chest pain // cardiopulmonary process?
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Opacity in the left upper lobe representing bony island in a rib or lung nodule. The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. . No pneumonia, no pulmonary edema. No pleural effusions.
<unk> year old man with persistent cough x several months // r/o malignancy
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Pa lateral chest radiographs were obtained. Lungs are hyperinflated but clear. Rounded focal opacities seen at the right lung base likely represents a nipple shadow. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Again noted is a large hiatal hernia. Note is made of mild compression deformities of two vertebral bodies at the thoracolumbar junction of indeterminate age.
chest pain and productive cough, evaluate for acute process.
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No significant interval change from the prior exam. Bandlike linear opacity in the left lower lobe is unchanged, perhaps chronic scarring as well as slight blunting of the left costophrenic angle. No focal consolidation, edema, effusion, or pneumothorax. The heart is top-normal in size, overall unchanged. The mediastinum is not widened. No acute osseous abnormality.
history: <unk>f with shortness of breath, mildly elevated d-dimer // eval for pna, ptx
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
cough.
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Cardiac silhouette size is mildly enlarged but unchanged. The mediastinal contour is similar. Mild pulmonary vascular congestion is demonstrated. Lungs are hyperinflated. Blunting of the costophrenic angles posteriorly suggests trace bilateral pleural effusions. Patchy opacities in lung bases may reflect atelectasis. No pneumothorax is identified. There is diffuse demineralization of the osseous structures of multilevel severe degenerative changes. Compression deformity of a low thoracic vertebral body, similar to the previous examinations. Extensive degenerative changes of the left glenohumeral joint is again noted. There appears to be chronic inferior subluxation of the right shoulder.
history: <unk>f with hypotension and nausea
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. There is no pneumothorax or pleural effusion. Although not tailored for assessment of the ribs, no displaced rib fracture is evident.
<unk>-year-old male with right hand fourth and fifth mcp pain status post bike collision. question rib fracture.
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Pa and lateral chest views have been obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. The heart size remains unchanged and is within normal limits. Thoracic aorta unremarkable. No pulmonary vascular congestion is present. The previously described right-sided pleural thickenings that include a blunting of the right lateral sinus, varying degree of thickening along the right lateral wall and a linear density overlying the right upper lobe in which the resection was performed appear rather unchanged. It is noted, however, that there exists a loculated small pneumothorax in the right apical area mostly located anteriorly with a small air-fluid level which was not present on the previous examination. As this development was rather surprising, efforts were made to reach the referring physician <unk> <unk>. Information was given at <time> p.m. That the patient had been discharged to home with a drainage tube in the apical area in place. The tube was later removed. This finding explains presence of a small loculated pneumothorax with air-fluid level in this area. I recommend followup examination in another two weeks to see its resolution.
<unk>-year-old female patient status post resection of infected and ruptured lung cyst (pneumatocele). also pulmonary total decortication. evaluate for interval change.
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The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with cp. // eval for cause of cp
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Portions of the right heart border are obscured to a greater degree than on the previous examination, localized anteriorly on the lateral, is concerning for an early right middle lobe pneumonia or intervally developed scarring from prior infection. The remainder of the lung is well aerated. A left midlung nodule is new from the previous examination in <unk>. There is no pleural effusion or pneumothorax. Heart and mediastinal contours are unchanged with clips projecting over the anterior chest.
<unk>-year-old woman with history of pneumonia, cough, chills, and pleuritic chest pain and prior breast cancer and radiation therapy.
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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 productive coughx fever for the past <num> days
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A shunt catheter courses down the right hemi thorax and is coiled in the right upper quadrant. There is no focal consolidation, pleural effusion or pneumothorax. The heart is mildly enlarged which may be technical. The imaged upper abdomen is unremarkable. Chronic deformity of the left shoulder is unchanged. Old left first and second rib and right lower lateral rib fractures are chronic.
<unk>f with fall, altered mental status // rib fracture, pna
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Lung volumes are low. Right perihilar bronchial wall thickening is new. 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> year old man with myalgias // rule-out pneumonia
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Pa and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is stable noting mild cardiomegaly. No acute osseous abnormality detected.
<unk>-year-old female 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 stroke
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Pa and lateral views of the chest. No prior. The lungs are clear of consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with history of positive ppd with night sweats.
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Lung volumes are low. The cardiac silhouette is enlarged. Bibasilar opacities have substantially improved since <unk> with residual patchy and linear opacities remaining, right greater than left. Bilateral pleural effusions have also decreased in size with residual small effusions.
history: <unk>m with febrile hypotension // eval for pna
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Cardiac size is top-normal. Patient has known a hiatal hernia. Small loculated right effusion is unchanged. There is no pneumothorax. Minimal bibasilar atelectases are present otherwise the lungs are clear.
<unk> year old woman with pleural effusion // eval
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The heart appears mild to moderately enlarged. Heterogeneous opacification of the left lung appears markedly improved. Similarly, there has been improvement in opacities in the right mid-to-upper lung, probably including substantial improvement in the superior segment of the right lower lobe. Patchy opacity layering along the minor fissure suggests atelectasis. A pigtail catheter has been removed. There is recurrent opacification of the right lower hemithorax, probably reflecting pleural effusion, most likely moderate in size but difficult to quantify, as well as increasingly dense opacification of the right middle lobe suggesting atelectasis or consolidation.
shortness of breath.
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Pa and lateral chest radiographs were obtained. Lung volumes are low. There are bibasilar interstitial pulmonary opacities. There is no effusion or pneumothorax. Cardiac and mediastinal contours are normal.
fever, cough common dyspnea.
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The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. There is no lung nodule or mass. There is no focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits.
shortness of breath in a smoker with chest discomfort.
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The lung volumes are low. There is no evidence of pneumonia. The heart size is top-normal and the hilar contours are normal. The pleural surfaces are clear without effusion or pneumothorax.
cough for <num> weeks.
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
<unk>-year-old man with chest pain.
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Streaky right middle lobe opacity is most compatible with atelectasis. There is no consolidation worrisome for pneumonia. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk> year old woman with hx of behcets' now w/ pleuritic cp // r middle lobe infiltrate vs atelectasis
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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 chest pain, recent fever and chills // please eval for infiltrates
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In comparison with the earlier study of this date, the tip of the picc line is in the mid-to-lower portion of the svc. There is again enlargement of the cardiac silhouette with pulmonary vascular congestion and moderate bilateral pleural effusions with basilar atelectatic changes. Cervical fusion device is again seen.
picc placement.
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Lung volumes are low. This accentuates the size of the cardiac silhouette which appears mildly enlarged. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Minimal patchy opacities in the lung bases likely reflect atelectasis in the setting of low lung volumes. No pleural effusion, focal consolidation or pneumothorax is present. No acute osseous abnormality is identified.
history: <unk>f with asthma exacerbation