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Patient is markedly kyphotic. Cardiac silhouette size remains mild to moderately enlarged. Mediastinal contour is similar with tortuosity of the thoracic aorta again noted. Lungs are hyperinflated without focal consolidation. Interstitial opacities are seen within the lung bases as well as the right upper lobe, potentially atelectasis or chronic interstitial change. Pulmonary vasculature is not engorged. No pleural effusion or pneumothorax is present. Renal osteodystrophy is again noted with loss of height of several thoracic vertebral bodies. Multiple clips are noted in in the region of the gastroesophageal junction.
history: <unk>f with fever
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The patient is status post coronary artery bypass graft surgery. Lines, tubes, and drains have been removed. The cardiac, mediastinal and hilar contours appear stable. Slight residual blunting of the left costophrenic angle suggests a very small effusion. In the basal left lower lobe, there is a focal opacity. Whether this may be residual improved atelectasis associated with fairly recent prior surgery or pneumonia is uncertain, but in general the lungs are much better aerated, including the left base.
fever. status post coronary bypass surgery.
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Pa and lateral chest radiographs were obtained. A multifocal pattern of airspace opacities most severely involves the right upper lobe but also involves the right lower and left lower lobes. Cardiomegaly is mild. Aortic arch calcifications are minimal. There is no effusion or pneumothorax.
shortness of breath cough and hypoxia.
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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. The aorta appears tortuous. Bones are diffusely demineralized and limited evaluation for an acute fracture. However, no acute fractures are identified. Mild degenerative changes are visualized throughout the thoracolumbar spine.
trauma, status post fall with right-sided pain.
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The cardiac silhouette is moderately to severely enlarged. Mediastinal contours are stable. There is no pulmonary edema. No definite focal consolidation is seen. There is no large pleural effusion although left pleural effusion be difficult to exclude.
history: <unk>f with cough // ? pneumonia
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Ap upright and lateral views of the chest provided. Clips in left axilla noted. There are low lung volumes limiting assessment. Cardiomegaly is mild. There is mild pulmonary edema and congestion. No large effusion or pneumothorax. No convincing evidence for pneumonia. Mediastinal contour appears relatively stable. Bony structures appear intact with chronic degenerative disease at the shoulders with high riding humeral heads indicative of chronic rotator cuff disease.
<unk>f with anemia, fatigue
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Frontal and lateral views of the chest. Linear opacity is again seen at the right lung base laterally, suggestive of atelectasis. The lungs are clear of consolidation suspicious for pneumonia, effusion, or pulmonary vascular congestion. Cardiac silhouette is enlarged but stable in configuration compared to prior. Atherosclerotic calcifications noted in the ascending aorta. No acute osseous abnormality is identified. Degenerative changes are seen at the shoulders bilaterally.
<unk>-year-old female with cough and fever. question infiltrate.
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities demonstrated. Fusion of <unk> mid thoracic vertebral bodies is unchanged.
chest pain.
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The cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
asthma and upper respiratory tract infection symptoms.
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The lung volumes are low but clear. Heart size is top-normal, unchanged since <unk>. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.
history: <unk>f with cough, blood // pna?
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There is significant opacification of the right hemi thorax, with some residual aerated right upper lobe, better seen on chest ct to be a combination of neoplasm, inflammatory consolidation, atelectasis, and pleural effusion. The left lung is clear. There is no left-sided effusion. No pneumothorax is identified. The left cardiac margin is preserved.
<unk>-year-old female with shortness of breath and weakness
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Pa and lateral chest radiographs provided. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. No radiopaque foreign body is identified.
<unk>-year-old female with cough after eating a piece of steak. evaluate for retained foreign body or other acute process.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The lungs are relatively hyperinflated, with flattening of the diaphragms. The cardiac and mediastinal silhouettes are unremarkable. The hilar contours are unremarkable. There is no pulmonary edema.
dyspnea, chest pain
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There is no focal consolidation, pleural effusion, or pneumothorax. Lungs are clear. A right central line tip terminates in the mid-to-low svc. Cardiomediastinal silhouette is unchanged. Osseous structures are unremarkable.
pancreatic cancer, hypotension and abdominal pain. question intra-abdominal abscess, neck fracture.
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Heart size is top-normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Minimal patchy atelectasis is noted in the left lung base. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormality is visualized.
history: <unk>f with fever // please evaluate for acute process
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Right lower lobe opacification is persistent and has consolidated medially. Moderate cardiomegaly is stable and the slight pulmonary edema present on previous examination has resolved. The mediastinal contours, heart borders, and bilateral hemidiaphragms are unchanged without evidence pleural effusion or pneumothorax. Cervical spinal fusion hardware is partially visualized.
<unk> year old man with history of hiv and rll pna, treated w/ levoflox, w/ crackles at r base // ?interval changes, rll pna
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Pa and lateral views of the chest. Postoperative changes of right upper lobectomy are again seen with linear hyperdensity in the right paratracheal region, unchanged. The lungs are clear new consolidation. Faint opacity projects over the anterior right <num>th rib compatible with scarring, unchanged. The lungs are otherwise clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.
<unk>-year-old male status post fall on ice. history of right upper lobectomy for non-small cell lung cancer.
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The cardiac silhouette is normal in size. The hilar and mediastinal contours are within normal limits. There is persistent elevation of the right hemidiaphragm with interposition of the colon superior to the liver. The lungs are clear. There is no focal consolidation, pleural effusion or pneumothorax.
<unk>m with hypotension and sob // eval for pneumonia
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There is moderate cardiomegaly, not significantly changed since prior examination. There is mild pulmonary vascular congestion. However there is no overt pulmonary edema. There is a focal area of linear atelectasis at the right lower lobe. No focal consolidation, pleural effusion or pneumothorax identified.
history: <unk>f with copd, with cough, fevers, dyspnea // ? acute intrathoracic process ? acute intrathoracic process
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal. Mild thoracic scoliosis is noted.
chest pain x<num> days, evaluate for pneumonia.
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There are small bilateral pleural effusions, right greater than left. There is diffuse increase in the interstitial markings consistent with mild to moderate interstitial edema. The cardiac silhouette is top-normal to mildly enlarged. The mediastinal contours are stable. No pneumothorax is seen.
dyspnea.
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The lungs are relatively well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pneumothorax, pleural effusion, pulmonary edema, or focal consolidation worrisome for pneumonia. Multilevel degenerative changes are noted throughout the thoracic spine. Healing right humeral surgical neck fracture is again noted.
history: <unk>f with abdominal pain // evaluate for pulmonary effusion
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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Degenerative changes are noted in the spine. Old healed left upper and lateral rib fractures are again noted.
<unk>m with r rib pain // ? fracture
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The right hemidiaphragm is significantly elevated, with platelike atelectasis in the right lung base. A left chest wall pulse generator with single defibrillator lead is in place. Biapical pleural thickening is noted. The heart is mildly enlarged. There is no pulmonary edema, pneumothorax, or focal consolidation.
history: <unk>f with chest pain // eval for pna
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No previous images. The cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia. There is apparent calcification in coronary vessels as well as the area of the mitral annulus.
diabetes with end-stage renal disease.
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A portion of the bilateral lung fields is partially obscured by overlying deep brain stimulator pulse generators. There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified.
<unk>m with advanced <unk>'s, test requested by neuro prior to admission // eval for acute cardiopulmonary process
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Again, there is a diffuse interstitial abnormality most marked in the upper lobes with associated bronchiolectasis, similar to the prior exam, and compatible with the patient's history of sarcoidosis. Enlargement of the hila, due to lymphadenopathy, is unchanged. There is no focal opacity, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is unchanged, and normal.
history of asthma, copd, presenting with shortness of breath and wheezing. evaluate for pneumonia.
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Chest pa and lateral radiograph demonstrates unremarkable cardiomediastinal and hilar contours. Picc line is identified, terminating in the cavoatrial junction. Opacification in the right middle lobe likely represents bronchovascular structures exagerrated by rotation. No pleural effusion or pneumothorax identified. Degenerative changes are noted in the thoracic spine.
increasing weakness, evaluate for pneumonia.
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A left port-a-cath is unchanged in position with tip projecting over the cavoatrial junction. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax.
aol status post chemo the opposite with productive cough.
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The heart is top normal in size. The aortic knob is calcified. Streaky retrocardiac opacities suggest atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified.
<unk> year old woman with dyspnea, ?aspiration // infiltrate
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Linear left basal atelectasis is seen. Additionally, there is an <num> mm round left apical nodular opacity, may represent a pulmonary nodule or bone island. Apical lordotic views are recommended for further assessment.
<unk>-year-old man with pleuritic left-sided chest pain.
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New focal consolidative opacity is noted within the left upper lobe and lingula compatible with pneumonia. Heart size is unchanged. The mediastinal and hilar contours are similar with diffuse atherosclerotic calcifications of the aorta again noted. Lungs are hyperinflated with chronic pleural calcifications noted at the apices. Moderate left and trace right pleural effusions are noted. Pulmonary vasculature is not engorged. There are moderate degenerative changes noted throughout the thoracic spine along with similar s-shaped scoliosis.
history: <unk>f with shortness of breath
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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 dyspnea/chest pain // acute process
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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, generalized ache // eval for pneumonia
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<num> views of the chest. The lungs are clear with elevation of the left hemidiaphragm as before. Slight blunting of the left costophrenic angle could be due to pleural thickening or small pleural effusion. There is no right pleural effusion or pneumothorax. Heart and mediastinal contours are unchanged with tortuous aortic contour noted along with mild scoliosis.
failure to thrive and altered mental status,.
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The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with back pain, sob since recent flight // eval for ptx
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
<unk>m with hand injury, preop film // preop
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Moderate cardiomegaly has been stable dating back to at least <unk>. There has been interval increase in mild pulmonary edema. No focal consolidations concerning for pneumonia are identified. Bibasilar streaky opacities most likely reflect atelectasis. Probable small left pleural effusion. There is no evidence of pneumothorax. Left-sided dual channel pacer is unchanged in position.
history: <unk>f with weakness. please evaluate for pneumonia.
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Lung volumes accentuate pulmonary vascular crowding. No pneumonia. No pleural effusion. Mediastinal contour, hila, and cardiac silhouette are normal.
<unk>f with hypotension*** warning *** multiple patients with same last name! // eval for pna
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The lungs are clear of focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with seizure ams // pna
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As compared to the previous radiograph, there is a minimal atelectasis at the right lung bases. Otherwise, the lung parenchyma is unremarkable. Neither the frontal nor the lateral radiographs show evidence of pleural effusions. The tracheostomy tube is removed and the right subclavian catheter is also removed. Left-sided tubular structure in the neck and along the left apex is not appreciated on the lateral radiographs.
status post tracheostomy removal. evaluation.
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As compared to the previous radiograph, the severity and extent of the pre-existing upper lobe opacity has decreased. Also decreased is the extent and severity of a pre-existing retrocardiac atelectasis. No overt pulmonary edema. Unchanged moderate cardiomegaly with tortuosity of the thoracic aorta. Extensive vascular calcifications.
copd, right upper lobe opacity, chronic heart failure, evaluation.
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
chest pain.
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No focal consolidation is seen peer there is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen.
history: <unk>m with palpitations // acute process
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Compared with the most recent prior study <unk>, moderate to severe cardiomegaly, hilar enlargement bilaterally, and moderate pulmonary vascular are unchanged, consistent with history of pulmonary hypertension. The previously multifocal nodular opacities in confluent right lower lobe consolidation have resolved. There is no pleural effusion, pneumothorax, or frank pulmonary edema. <unk> intact median sternotomy wires and a mitral valve prosthesis are unchanged. A right ij central venous catheter has been removed.
<unk> year old woman with pmh esrd from htn s/p r sided lurt in <unk>, dchf, afib, mechanical mvr on warfarin, pvd s/p left superficial femoral artery stent in <unk> for nonhealing ulceration who presents for <unk> and fluid overload // evaluate for chf exacerbation
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In comparison with the study of <unk>, there is little change. Continued low lung volumes may be accentuating the mild enlargement of the cardiac silhouette. No evidence of vascular congestion, pleural effusion, or acute focal pneumonia. There may be mild retrocardiac atelectatic streaking.
nausea, vomiting and abdominal pain.
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The lungs are well expanded and clear. Marked enlargement of the cardiac silhouette is unchanged without signs of failure or vascular congestion. There is no pleural effusion or pneumothorax. Sternal closure wires are intact. Tortuous descending thoracic aorta is noted.
asthma with coronary artery disease status post bypass and aortic valve replacement with shortness of breath, cough and chest tightness.
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Lung volumes are low. The patient is status post median sternotomy. Heart size remains borderline enlarged, unchanged. Mediastinal contours are similar. There is crowding of the bronchovascular structures without overt pulmonary edema. Patchy opacities are noted in both lung bases, not substantially changed in the previous exam. No new focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormalities seen. Percutaneous catheter is noted within the upper abdomen.
history: <unk>m with abdominal pain x several days, emesis this am, history of cva, aspiration risk
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As compared to the previous radiograph, the lung volumes are unchanged. Status post left shoulder surgery. No evidence of pleural effusions or pneumothorax. The size of the cardiac silhouette continues to be borderline, without evidence of pulmonary edema. In the interval, the tortuosity of the thoracic aorta has increased and the diameter of the aortic arch and aortic knob also appears increased. This effect could in large parts be due to patient rotation. However, there also is the possibility of an aortic disease at the level of the arch and proximal part of the descending aorta. Therefore, if clinically possible, a cta of the aorta should be performed to rule out acute aortic disease. At the time of dictation and observation, <unk>:<num> a.m., the referring physician, <unk>. <unk>, was paged for notification. At <time> a.m. On the same day, findings were discussed over the telephone with dr. <unk>, <unk> the recommendation for a cta.
epigastric pain, right-sided abdominal pain, evaluation.
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Expiratory lung volumes. A left pigtail pleural catheter is again present. No discrete pneumothorax is identified. No focal consolidation or pleural effusion. The size of the cardial mediastinal silhouette is within normal limits.
<unk> year old man w/ ptx treated w/ chest tube, placed to water seal // left pigtail chest tube placed to water seal, <num>pm standing expiratory cxr to monitor ptx
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Lung volumes are low. Given ap technique, the heart is mildly enlarged. There is mild interstitial edema. No focal consolidation or pneumothorax is seen.
<unk>-year-old male with cough, chest pressure. evaluate for pulmonary edema vs pneumonia.
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A left-sided of battery pack and pacemaker lead is noted with the leads terminating in the right atrium and the right ventricle. Median sternotomy wires are noted to be broken with a small lucency in between then, perhaps a sign of chronic dehiscence. There is mild-to-moderate cardiomegaly, particurally an englarged left ventricle. Hilar contours are normal.
<unk>-year-old woman status post dual-chamber pacemaker on <unk> via left subclavian approach. evaluate lead positioning.
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Lung volumes are low. There is no evidence of pulmonary edema or pneumonia. Heart size is top-normal. Mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.
history: <unk>f with sob, cp // chf?
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The cardiomediastinal and hilar contours are within normal limits. There is atelectasis at the left lung base. Otherwise, no focal consolidations concerning for pneumonia are identified. There are no pleural effusions, pneumothorax or pulmonary edema. Visualized osseous structures are grossly unremarkable.
<unk>-year-old female patient with lupus and emphysema, presenting with wheezing. study requested to rule out pleural effusion or pneumonia.
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Pa and lateral views of the chest provided. Lung volumes are low though allowing for this there is no focal consolidation, effusion or pneumothorax seen. No signs of edema. Heart and mediastinal contour appears stable. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with cough, report of pna diagnosis at osh several days ago // ?pna
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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. Mild prominence of the pulmonary vasculature and azygos is noted without evidence of interstitial edema. The cardiomediastinal silhouette is normal.
chest pain.
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The heart appears mildly enlarged. The aorta is mildly tortuous. There is no pleural effusion or pneumothorax. The lungs appear clear. There is a very mild anterior wedge compression deformity of a lower thoracic vertebral body, likely chronic. Mild degenerative changes are noted along the mid thoracic spine. There is also mild s-shaped thoracolumbar curvature.
chest pain.
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Pa and lateral images of the chest. Multiple opacities are again seen in the bilateral lungs, consistent with known metastatic disease and grossly stable. No definite new opacity is seen to suggest pneumonia, however cannot exclude an infectious process in the presence of the multiple lung opacities. A loculated right pleural effusion is seen, similar prior exam. Cardiomediastinal silhouette is unchanged from prior exam.
history of known metastatic pulmonary disease, now with cough.
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The lung volumes are low, limiting evaluation and accentuating the bronchovascular structures. There is no focal airspace consolidation, pulmonary edema, pleural effusion, or pneumothorax. The mediastinal contours are normal. The heart size is at the upper limits of normal. Post-surgical changes from a prior cabg are unchanged. Sternal wires are intact. A small rounded opacity behind the heart is stable and may represent a small hiatal hernia.
diabetes and generalized weakness. evaluate for pneumonia.
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Normal heart size, and hilar contours. There is an opacity in the retrosternal space on the lateral view, though this is not a true lateral view and could be related to technique. No focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with cough // r/o infectious process
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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 chest pain // please eval for cardiopulmonary process
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Compared to chest radiographs from <unk>, mild bibasilar atelectasis has improved. No focal consolidation. No large pleural effusion. No pneumothorax. Mediastinal and hilar contours are normal. Mild cardiomegaly is stable. Dish is noted in the thoracic spine.
<unk> year old woman with severe copd, asthma now with doe, infxtious sx // any sign of pna
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Cardiac leads overlie the right chest and terminate over the right atrium and ventricle in unchanged configuration. The cardiomediastinal silhouette is stable and within normal limits. The hila are unremarkable. The lungs are clear without focal consolidation. There is no pulmonary venous congestion or pulmonary edema. The left pleural effusion has resolved. There is no right pleural effusion. There is no pneumothorax.
<unk>f with cp and sob, recent pericardial effusion, rule out acute process.
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Slightly decreased lung volumes leads to crowding of the bronchovascular structures. Allowing for differences in inspiration, mild cardiomegaly is unchanged. There is no overt pulmonary edema, large pleural effusion, pneumothorax, or lobar consolidation identified.
history: <unk>m with sob // eval for chf
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Subsegmental atelectasis is noted in the left lower lobe. Remainder the lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
history: <unk>m with chest pain and shortness of breath
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The heart size and mediastinal contours are normal. The lungs are clear; specifically, a linear density projecting over the lower lobes on the lateral view has been unchanged since prior exam. There is no pleural effusion or pneumothorax.
<unk>-year-old male with cough and prolonged illness.
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The lungs are well expanded. No focal opacities are noted bilaterally. Sevre scoliosis likely accounts for vague opacification of the left pleural sulcus. The cardiomediastinal and hilar contours are unremarkable. There is mild elevation of the left hemidiaphragm, unchanged. There is no pleural effusion or pneumothorax.
<unk>-year-old female with hypertrophic cardiomyopathy, anemia, shortness of breath. evaluate for evidence of pneumonia.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Mild compression deformity of the mid thoracic vertebral body is unchanged.
<unk>f with cough, leukocytosis // eval ? infiltrate
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal and the lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
chest pain.
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Patchy right basilar opacity seen on the frontal view, not as well seen on the lateral view, is most likely due to overlap of vascular structures, however, early pneumonia is not excluded in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with fevers, cough, near syncope // ? acute process
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Decreased pleural effusions and, bibasilar opacities since prior exam. Decreased right perihilar opacities. Degenerative changes spine.
<unk> year old man with cxr c/f pna on hcap coverage and chf // r/o worsening edema/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 chest wall pain, post mvc // ? ptx, rib fx
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Mild interval increase in pulmonary edema with stable small left pleural effusion and minimal left lower lobe atelectasis. Heart size is mildly increased with mediastinal vein dilatation. No pneumothorax. Left mediastinal contour and hila otherwise normal.
female with worsening shortness of breath. assess for worsening pulmonary edema.
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A vague opacity in the left lower lobe seen on the lateral view and in the retrocardiac area on the ap view may represent early pneumonia. No pleural effusion or pneumothorax. The cardiomediastinal hilar contours are normal.
<unk> year old man with chest pain // r/o pna
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In comparison with the study of <unk>, there is again diffuse interstitial prominence throughout both lungs, consistent with chronic pulmonary disease. Cardiac silhouette remains at the upper limits of normal, accentuated by the low lung volumes. It is difficult to detect any definite superimposed pulmonary edema.
to assess for congestive failure.
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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 dyspnea, cough // eval for ptx
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The heart size is within normal limits. The mediastinal contours demonstrate a tortuous aorta. An air-fluid level in the upper esophagus likely reflects esophageal contents. The lungs are clear of consolidation. Flattened hemidiaphragms and a large ap distance are compatible with chronic obstructive pulmonary disease. There is no large pleural effusion or pneumothorax. A lower thoracic wedge deformity is stable compared to the <unk> study.
<unk>-year-old female with nausea, vomiting, and epigastric pain.
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The heart is top-normal in size. Cardiomediastinal and hilar contours are within normal limits. Lung volumes are slightly low which accentuates bronchovascular markings. Given that, there are increasing patchy bibasilar opacities, left greater than right, which could reflect atelectasis; however, infection should be considered in the appropriate clinical setting. No pneumothorax or pleural effusion.
history: <unk>f with fever bilateral crackles s/p gastric revision two weeks // cxr eval for pnact- eval for anatomosis leak abscess
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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified.
syncope.
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Heart size is borderline enlarged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Linear opacities within the right middle lobe and lingula likely reflect areas of scarring. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormality is detected.
history: <unk>f with asthma exacerbation
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The patient is status post mitral valve replacement. The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. Bilaterally, calcified pleural plaques are unchanged. A wedge resection site is noted in the right mid lung with a staple line. Mild peripheral reticulation at the lung bases is probably unchanged allowing for differences in technique. The chest is hyperinflated. There is no pleural effusion or pneumothorax.
chest pain.
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The cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is present. Minimal linear atelectasis versus scarring is seen in the left lung base. There are no acute osseous abnormalities.
possible transient ischemic attack.
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There is increased retrocardiac opacification on the lateral radiograph corresponding to increased opacity of the left heart border concerning for left lower lobe pneumonia. A small left pleural effusion is present. No significant pneumothorax is detected. An air-filled esophagus is noted projecting along the right paratracheal stripe. The cardiomediastinal silhouette is unchanged allowing for decreased lung volumes from <unk>.
nausea and vomiting, here to evaluate for pneumonia.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
chest discomfort.
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Frontal and lateral radiographs of the chest. There is an opacity at the right middle lobe silhouetting the right heart border suspicious for pneumonia. An additional opacity in the left upper lung on the frontal view could also represent infection. Normal heart size. No pleural effusion or pneumothorax.
wheeze and recent uri, question pneumonia.
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The lung volumes are normal. Normal course and position of the hemidiaphragms. No pleural effusions. Normal size of the cardiac silhouette. Normal appearance of the hilar and mediastinal structures. The lung parenchyma shows no abnormalities, notably no evidence of infectious disease such as pneumonia or abscesses. No pulmonary nodules, no pulmonary edema. The soft tissues in the cervical region and at the level of the thoracic inlet are symmetrically.
chest heaviness, evaluation for infectious process.
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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No definite rib fractures identified.
history: <unk>m with cp s/p assault // evidence of rib fractures
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Frontal and lateral radiographs of the chest show interval removal of a right-sided picc line and a feeding tube. A left supraclavicular dual-channel dialysis catheter is unchanged in position with the tip terminating in the right atrium. The lung volumes are persistently low. A small-to-moderate right pleural effusion is unchanged with increased opacification at the right lung base now silhouetting the right heart border, which may represent compressive atelectasis or pneumonia in the appropriate clinical context. Atelectasis at the left lung base is unchanged. No pneumothorax is present. The cardiomediastinal silhouette is stable.
<unk>-year-old male status post orthotopic liver transplant on <unk>, now with persistent bacteremia, here to evaluate for pneumonia.
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There is a new, right lower lobe and possibly right middle lobe consolidation, concerning for lobar pneumonia. Additionally seen is a mild to moderate right-sided pleural effusion. Hyperexpansion with flattening of the diaphragms bilaterally is also noted, consistent with emphysematous change. There is no pneumothorax or pulmonary edema identified. The heart size is normal. Mediastinal contours are normal.
recurrent cough and sputum production.
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The lungs are clear. There is no consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with chest pain, sudden onset sob // eval for pneumo
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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 abd pain // eval for free air
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Pa and lateral chest radiographs. The lungs are hyperexpanded, likely representing emphysema. However, there is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
weakness.
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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. Mild thoracic scoliosis is again noted.
history: <unk>f with chest pain // eval for cardiopulmonary process
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Patient is status post esophagectomy and right thoracotomy. The right paramediastinal /right hilar opacity has resolved since <unk> with postsurgical changes seen. There is also interval resolution of the left pleural effusion previously noted. Bilateral lungs are hyperinflated with flattening of bilateral diaphragms consistent with known severe emphysema with scarring of the right apex better seen on ct chest in <unk>.no pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unchanged.
<unk> year old man s/p mie // check interval change
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Frontal and lateral views of the chest are compared to previous exam from <unk>. When compared to prior, there has been no significant interval change. The lungs are clear of focal consolidation. Blunting of lateral costophrenic angles on the frontal view is likely due to overlying soft tissues and technique. There is no pleural effusion. Cardiomegaly again seen, unchanged. Osseous and soft tissue structures are stable.
<unk>-year-old male with worsening shortness of breath, history of copd. abdominal pain.
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Frontal and lateral chest radiographs demonstrate intact sternal wires and mild cardiomegaly. The lungs are fairly well-aerated common without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for pneumonia or other infection in a patient with weakness.
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Pa and lateral chest radiographs were obtained. The lungs are overexpanded. Hyperlucency in the lung apices is compatible with emphysema. Since <unk>, linear opacities at both lung bases have become more prominent. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.
shortness of breath.
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Ap and lateral views of the chest. The lungs are clear of consolidation or effusion. Cardiac silhouette is enlarged but unchanged. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with failure to thrive.
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The previously described left lower lobe opacity has significantly improved with minimal linear opacity in the left lower lobe. The remainder of the lungs are clear. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax.
<unk> year old woman with recent pneumonia and ongoing shortness of breath // eval for resolution of pneumonia
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding chest examination which constituted an ap portable view and dated <unk>. Heart size is unchanged. Relative prominence of left ventricular contour is noted as before. Thoracic aorta unremarkable. No new pulmonary parenchymal infiltrates can be seen, but previously already identified scattered small patchy infiltrates are seen in both upper lung fields. Whereas the left lateral pleural sinus is free, there is blunting on the right side with thickening of the pleural structures up to the minor fissure. On the lateral view, there is corresponding mild blunting of the right-sided posterior pleural sinus, whereas the left side is free. Review previous chest examinations including a chest ct of <unk> indicates that the patient has undergone pulmonary embolism. In addition, on the latest preceding portable chest examination, a stent in the left main bronchus was noted. The present routine chest examination does not allow to make such detailed diagnosis.
<unk>-year-old male patient with pleural effusion, evaluate.