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The right-sided chest tube is again visualized. The right pneumothorax is slightly increased and is now seen both in the apex and inferiorly. There is a small right pleural effusion that is of similar size compared to prior .there is no infiltrate
<unk> year old man s/p r vats blebectomy w/ mechanical/chemical pleurodesis // interval change, please do at <unk>
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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified.
evaluation of patient with chest pain.
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. No pulmonary edema.
abdominal pain. assess for free air.
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Since the most recent chest radiograph, the pleural effusions have resolved. Previously noted bibasilar airspace opacities have nearly resolved, though a hazy linear opacity at the right base adjacent to the right heart border does not obscure the heart border or diaphragm and likely represents small amount of atelectasis. Linear opacities in the left lung base are also similar, likely scarring or atelectasis. There is no dense consolidation, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is normal. A mechanical aortic valve is visualized. Sternal wires are intact. Underlying emphysema is unchanged. Soft tissue anchors in the right shoulder are re-demonstrated.
shortness of breath. history of aortic valve replacement.
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Ap semi-upright and lateral views of the chest were obtained. The heart is normal size and cardiomediastinal silhouette is stable. There is no focal consolidation, pleural effusion, or pneumothorax. Calcifications of the tracheobronchial tree are again noted. Bones are demineralized. There is exaggerated thoracic kyphosis and degenerative changes in the spine.
<unk>-year-old woman with chest pain.
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Frontal and lateral chest radiographs again demonstrate left lateral chest wall postsurgical changes. The left pneumothorax is not well appreciated on frontal view, but the straight interface of fluid on lateral view suggests the presence of air in the pleural cavity. The left pleural effusion is increased. There is decreased left base atelectasis. The cardiomediastinal silhouette is normal and lungs are without focal consolidation.
status post left upper lobectomy and a subsequent chest wall hernia with rib cartilage fractures. evaluate for interval change.
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The cardiomediastinal silhouette and pulmonary vasculature are unchanged and unremarkable. Findings are consistent with emphysema with hyperinflated lungs. No definite focal consolidation is identified. Vague opacity in the left lung base is similar to the prior examination and likely represents atelectasis. Again seen is a hiatal hernia with air in the esophagus, unchanged since the prior examination. There is no pleural effusion or pneumothorax.
history: <unk>f with weakness // eval for pna
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Frontal and lateral chest radiograph demonstrate unremarkable cardiomediastinal and hilar contours. Mitral annular calcfication is seen best on lateral view. <num> mm nodular opacification projecting over the posterior ninth rib corresponds with nipple. Lungs are clear. No pleural effusion or pneumothorax.
leukocytosis, evaluate for pneumonia.
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Ap and lateral views of the chest. Moderate-to-severe cardiomegaly is unchanged. The aorta is tortuous. Slight increase in interstitial markings compared to prior study which likely indicates mild interstitial pulmonary edema. No pleural effusions. No pneumothorax. No focal consolidation.
chest pain.
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The cardiac silhouette size is normal. The aorta is tortuous but unchanged. The mediastinal and hilar contours are normal and the lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. The pulmonary vascularity is normal.
chest pain.
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Pa and lateral views of chest demonstrate clear lungs. The cardiac silhouette is normal. Right-sided central venous catheter tip terminates in the mid svc. Small right pleural effusion is noted. No pulmonary edema. Calcified implant is noted on the right. Thoracolumbar junction compression deformities are again seen.
altered mental status.
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Lung volumes are low with bronchovascular crowding. The opacity in the right lower hemithorax likely reflects a combination of the small right pleural effusion, atelectasis, and edema, slightly increased from the prior exam. A small amount of fluid tracks in the minor fissure, slightly increased from the prior exam. No large left pleural effusion. The heart is severely enlarged, overall unchanged. The descending aorta is perhaps slightly tortuous or ectatic. Aortic knob calcifications are unchanged. No pneumothorax. The extensive multilevel degenerative changes in the visualized thoracic spine are noted. The bones appear diffusely demineralized.
<unk> year old woman with chf, persistent oxygen requirement. evaluate for intrathoracic process such as effusion, edema.
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The heart size is normal. There is mild enlargement of the upper mediastinum. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion pneumothorax. The visualized osseous structures are unremarkable.
history: <unk>m with chest pain. please evaluate for acute process.
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Right upper lobe radiation changes are grossly stable given differences in modality from the prior study. The volume loss in the right upper lobe causes shifting of the mediastinum to the right. Otherwise, the mediastinum as well as the cardiac size are stable. The right hilar adenopathy was better seen on the prior pet. Blunting of the lateral right costophrenic angle is likely from pleural thickening. The left lung is clear. There is no pleural effusion or pneumothorax.
<unk>-year-old female, on chemo, and fevers. question pneumonia.
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No focal consolidation is seen. There is minor linear left base atelectasis/ scarring. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with cough and hyperglycemia. // pna?
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Left-sided aicd device is noted with leads in unchanged positions within the right ventricle. Right picc tip remains in the mid svc. The patient is status post median sternotomy and cabg. Cardiac silhouette size remains borderline enlarged. The mediastinal contours are similar. There is likely minimal pulmonary vascular congestion. Partially loculated moderate size left pleural effusion is re- demonstrated with a trace right pleural effusion also similar in size. Increased opacity within the left lung base may reflect atelectasis though infection is not excluded. No pneumothorax is present. Left apical thickening remains unchanged.
history: <unk>m with altered mental status
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Heart size is normal. The aorta is mildly tortuous and diffusely calcified. The mediastinal and contours are otherwise unremarkable. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or is present. Compression deformities involving an upper and mid thoracic vertebral bodies appear unchanged.
history: <unk>f with chronic dizziness and history of dysautonomia, brought in by ambulance with dizziness
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with fevers/chills, after endoscopy today. shortness of breath // pneumomediastinum?
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Pa and lateral views of the chest are compared to multiple previous exams dating back to <unk>. Again seen are changes of chronic right upper lobe collapse due to known bronchiectasis. The lungs are clear of new consolidation. There is no effusion. Cardiomediastinal silhouette is otherwise unremarkable. Osseous and soft tissue structures appear normal.
<unk>-year-old female with syncope and fall.
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Lung volumes are normal. There is no focal consolidation, pleural effusion or pneumothorax. No pulmonary edema. Cardiomediastinal contours are normal. No acute osseous abnormalities. No subdiaphragmatic free air.
<unk>-year-old male with chest pain
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Frontal and lateral radiographs of the chest show appropriate inspiratory lung volumes. Multiple ill-defined opacities corresponding to known pleural plaques are not appreciably changed from <unk> with predominance in the right hemithorax and diaphragm consistent with asbestos pleural disease. The lungs are clear without pleural effusions, pneumothorax, or focal consolidation. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. Mediastinal and hilar contours are within normal limits and unchanged from the preceding radiograph. Mild degenerative changes are noted in the thoracic spine.
<unk>-year-old male with history of asbestos exposure and known pleural plaques, here to assess for interval changes.
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The lungs are clear. Cardiac silhouette is top normal in size. There is no pleural effusion, pneumothorax or evidence of pneumonia.
cough, rule out fever.
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The lungs are hyperexpanded with an emphysematous configuration of the thorax. No focal consolidation, pleural effusion or pneumothorax identified. The size of the cardiac silhouette is enlarged.
<unk> year old man with ? stroke // r/o pna
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Again noted is subtle pectus excavatum causing apparent increased density at the right lung base. This is unchanged since the prior examination. Lung volumes are slightly lower than on prior examination. No definite new consolidation is identified. The thoracic aorta is tortuous. There is no pleural effusion or pneumothorax.
history: <unk>f with leg swelling // evidence of dvt or pneumonia
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Compared to exam from one hour earlier, there is no significant change with redemonstration of mild cardiomegaly without edema. Lungs are clear. Diffuse bony sclerosis is compatible with metastases.
breast cancer and atrial fibrillation with mitral and aortic regurgitation, presenting with syncopal episode and loss of consciousness.
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Ap upright and lateral views of the chest provided. Lung volumes are low limiting assessment. There is ill-defined opacity in the left mid and lower lung and to a lesser extent in the right lower lung which may represent multifocal pneumonia. Compared with the recent prior exam from <unk>, there is minimal change. No large effusion or pneumothorax is seen. The cardiomediastinal silhouette is stable. No bony abnormalities. No free air below the right hemidiaphragm.
<unk>m with hypoxia, recent pna // pna?
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As compared to the previous image, the left pleural drain has been removed. There is unchanged blunting of the costophrenic sinus, likely caused by a remnant small effusion, visualized on both the lateral and the frontal radiograph. No right-sided pleural effusion. Borderline size of the cardiac silhouette, no pulmonary edema. The left-sided enlargement of the pulmonary artery, shown on the ct exam from <unk>, continues to be present.
pleural effusions, evaluation.
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The cardiomediastinal and hilar contours are within normal limits. There is obscuration of the right heart border raising concern for a opacity within the right middle lobe although this could possibly be due to patient positioning. There is no pleural effusion or pneumothorax. Note is made of multiple small biopsy clips overlying the right breast.
history: <unk>f with palpitations with cp, chills yesterday. // pneumonia/acute process?
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Ap and lateral chest radiographs were provided. There is a right chest wall port with the catheter tip terminating in the deep right atrium. There is no focal consolidation or pneumothorax. There are small bilateral effusions. Linear opacities at the left lung base are likely atelectasis however aspiration is also possible. There is a nodular opacity overlying the seventh posterior rib on the right, which may represent a nipple shadow or alternatively a pulmonary nodule. Cardiomediastinal silhouette is normal. The bones are intact.
<unk>-year-old female with confusion status post fall downstairs. evaluate for intracranial injury or infectious 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.
history: <unk>f with anxiety and chest pain // infection
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There is pulmonary vascular congestion without frank edema. No focal consolidation is identified. There is a small left pleural effusion. The cardiac silhouette is mildly enlarged. No pneumothorax is identified. There is unchanged asymmetric elevation of the right hemidiaphragm. Chronic deformity of the right shoulder is again noted.
<unk>-year-old man with confusion, on coumadin, evaluate for pneumonia.
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Compared with prior radiographs of <unk>, there has been interval placement of a right-sided port-a-cath, which terminates in the low svc.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unchanged.
<unk> year old woman with a port // confirm port position
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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 // r/o pneumothorax
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old man with long-standing crohns and ec fistula needing tb screen // eval for cavitary lesions
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The heart size is at the upper limits of normal. The lung volumes are lower, but clear of consolidation. The mediastinal and hilar contours appear unremarkable. There is no pleural effusion or pneumothorax.
<unk> year old male with chest pain.
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Left-sided chest wall vagal nerve stimulator is in unchanged position. The cardiomediastinal and hilar contours are grossly stable. Lungs are clear without focal consolidation, pleural effusion or pneumothorax. The aorta is unfolded as before.
<unk>f with ha, s/p avm, also incidentally wheezing on auscultation // eval ? infiltrate
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Cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity normal. Except for linear atelectasis within the right middle lobe, lungs are clear. No pleural effusion, focal consolidation or pneumothorax is present. No acute osseous abnormalities are present.
shortness of breath.
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Cardiomediastinal contours are stable. Patient is status post heart transplant. The lungs are clear. There is no pneumothorax or pleural effusion. Sternal wires are aligned. Multiple clips in the mediastinum are noted.
<unk> year old man s/p heart transplant <unk> with cough-coming from holding area-result to dr. <unk> // infiltrated,acute pulmonary process
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Low lung volumes are present. The heart remains mildly enlarged with left ventricular predominance. The aorta is tortuous. There is crowding of the bronchovascular structures but no frank pulmonary edema is detected. Calcified mediastinal lymph nodes are again noted. There are streaky bibasilar opacities likely reflective of atelectasis, without focal consolidation. No pleural effusion or pneumothorax is identified. There are multilevel degenerative changes in the thoracic spine. Small hiatal hernia is present.
fever.
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Interval removal of a right chest tube with. Amount of lateral right chest wall subcutaneous emphysema has increased. A tiny right apical pneumothorax is essentially unchanged. Lung volumes remain relatively low. However, pulmonary edema has essentially resolved. Right greater than left basilar opacities are similar. A bulla at the left lung base is noted, also seen on recent ct.
<unk> year old woman s/p r vats wedge // r/o ptx post ct removal
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Again seen is right upper lobe collapse and consolidation. Has been interval improvement in left base consolidation. No pleural effusion is seen. There is no pneumothorax. Left paratracheal opacity corresponds to enlarged, sub sternal left lobe of the thyroid. Evidence of hiatal hernia is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with increasing back pain since bronchoscopy yesterday // r/o pneumo
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Bilateral perihilar patchy opacities may relate to pulmonary edema although multifocal infectious process is not excluded in the appropriate clinical setting. There is no pleural effusion or pneumothorax. The cardiac silhouette is moderately enlarged. Mediastinal contours are unremarkable.
history: <unk>f with wheeze // eval heart and lungs
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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. Widening of the right ac interval likely chronic. No free air below the right hemidiaphragm is seen.
<unk>f with ? first time seizure vs syncope
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The cardiac, mediastinal and hilar contours appear stable. There is a persistent small pleural effusion, perhaps increased. There is no pleural effusion on the left. The lungs appear clear.
shortness of breath.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with chest pain // eval for chf/pneumonia
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Frontal and lateral chest radiographs demonstrate well-expanded lungs. The heart is top normal in size and cardiomediastinal contours are unchanged. Sternotomy wires and post-surgical clips project over the cardiac silhouette. There is no focal consolidation, pleural effusion, or pneumothorax.
chest pain radiating to jaw, similar to the previous mi, rule out acute process
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Lung volumes remain low. There is mild enlargement of the cardiac silhouette. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Increased interstitial markings with patchy opacities at the lung bases persist, most likely reflective of a combination of known chronic interstitial lung disease with atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are mild to moderate multilevel degenerative changes demonstrated in the thoracic spine.
history: <unk>m with shortness of breath
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Small bilateral left greater than right pleural effusions are new from prior examination. Linear retrocardiac opacity and volume loss are consistent with atelectasis. Postsurgical changes including intact sternotomy wires, surgical clips, and radiopaque device overlying the middle mediastinum are consistent with prior cabg. The right lung is clear. Cardiac borders and mediastinal contours are within normal limits.
<unk> year old man s/p cabg <num> weeks ago, with cough, wheezing, doe // assess for effusion, infiltrate
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The patient is status post median sternotomy. Coronary stenting is also noted. There is a small left pleural effusion. No right pleural effusion is seen. Subtle left base retrocardiac opacity may be due to combination of pleural effusion and atelectasis, but underlying consolidation is difficult to exclude. There is no pneumothorax. Cardiac silhouette is top-normal. Mediastinal contours are stable to slightly less prominent as compared to the prior study. No pulmonary edema is seen.
history: <unk>f with s/p cabg <unk> with pleuritic r sided lower chest pain, shortness of breath // rule out pneumonia, pleural effusion, pulmonary edema, acute processes
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Lung volumes are low. Heart size is at least mildly enlarged. The aorta is unfolded. There is crowding of the bronchovascular structures with possible mild pulmonary vascular congestion, but no overt pulmonary edema is present. Bibasilar airspace opacities likely reflect the patient's known of fibrosing nsip, as seen on the prior chest ct. Blunting of the left costophrenic angle could suggest a small left pleural effusion. No pneumothorax is identified. No acute osseous abnormalities are visualized.
worsening cough, shortness of breath.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. There are streaky opacities in the left mid lung which appear increased, suggestin opacity superimposed on background scarring. There is also focal opacification of the left lower hemithorax on the lateral view, new since the prior study and projecting primarily over the visualized lower thoracic spine. There is no pleural effusion or pneumothorax. The patient is status post right shoulder hemiarthroplasty.
hypoglycemia.
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Pa and lateral views of the chest provided. Lung volumes are low with subtle opacities in the lower lungs thought to represent atelectasis though cannot exclude pneumonia in the correct clinical setting. No large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact.
<unk>m with cough and fever <num> pls eval pna
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are hyperinflated with flattening of the diaphragms. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.
<unk>-year-old male with decreased breath sounds.
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Cardiac, mediastinal and hilar contours appear unchanged. The lungs appear clear aside from minor atelectasis at the lung bases. There is no pleural effusion or pneumothorax. Hemidiaphragms are flattened. Patient is status post bilateral shoulder replacements, incompletely characterized. Similar degenerative changes are present along mid thoracic levels.
congestive heart failure.
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Linear left basilar opacity may be due to atelectasis versus scarring. There is relative elevation of the left hemidiaphragm. The lungs are clear otherwise. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips are identified. No acute osseous abnormalities.
<unk>m with cp // r/o acute process
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. The bony structures appear within normal limits.
fever after recent periorbital infection.
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Cardiomediastinal and hilar silhouettes are normal. The lungs are clear without pleural effusion or focal consolidation. No pneumothorax. No rib fractures identified on this study.
<unk>m with mvc <num> days ago in <unk>. tender to palpation over the right lateral chest. eval for fracture/injury.
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Left-sided pacemaker device is re- demonstrated with leads terminate in the right atrium right ventricle. Heart size is enlarged, but difficult to precisely determined given the presence of a moderate size right and small left bilateral pleural effusions. The right pleural effusion appears increased in size compared to the prior study. There is mild pulmonary edema, perhaps worse in the interval, with bibasilar opacities, likely compressive atelectasis. No pneumothorax is present. No acute osseous abnormality is seen. There are moderate degenerative changes noted in the thoracic spine.
history: <unk>m with fall, anticoagulated, shortness of breath
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The heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. No pulmonary edema is present. Mild patchy bibasilar opacities likely reflect atelectasis. No focal consolidation or pneumothorax is seen. Scarring within the lung apices appears unchanged. Minimal blunting of the costophrenic angles posteriorly suggest trace bilateral pleural effusions.
chest pain.
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are within normal size.
<unk> year old man with persistent cough // ? pneumonia
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<num> views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is stably enlarged with otherwise normal mediastinal and hilar contours. Mild bilateral gynecomastia and splenomegaly are again suggested. No displaced rib fractures are identified.
assaulted.
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Heart size is top normal. Mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities detected. There are mild degenerative changes in the thoracic spine.
history: <unk>m with chest pain
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The lungs are clear with no evidence of consolidation or effusion. There is no pneumothorax. Cardiomediastinal silhouette is at the upper limits of normal. The aorta is stably tortuous. No acute fracture is identified.
chest pressure.
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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 cp // pna? effusion?
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Hyperinflated lungs suggest obstructive disease. Coarseness of lung markings could reflect either chronic lung disease, vascular congestion or both. There is no focal consolidation, effusion or pneumothorax. Mediastinal and hilar contours are stable. Moderate cardiomegaly is unchanged. Note is made of calcification of the mitral valve annulus.
<unk> year old woman with crackles bilaterally, edema // ? chf
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Chest pa and lateral. There is no focal consolidation. There are no pleural effusions or pneumothorax. The cardiomediastinal silhouette is normal.
<unk>-year-old male with low-grade temperature and fever, question of pneumonia.
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Ap upright and lateral views of the chest provided. There is mild left basal atelectasis. Hilar congestion is again noted. Cardiomegaly is unchanged. No large effusion or pneumothorax. Bony structures are intact.
<unk>f with rigors, dyspnea, cough, r arm pain, r foot pain,
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Frontal upright, and lateral chest radiographs demonstrate well-expanded lungs. Cardiomediastinal contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.
shortness of breath, evaluate for pneumonia.
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Frontal and lateral radiographs of the chest demonstrate clear lungs. The cardiac and mediastinal contours are normal. No pleural abnormality is detected.
persistent cough.
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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. Incidental note is made of an azygous fissure.
<unk>-year-old male with right anterior chest wall pain, rule out pneumothorax.
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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips again noted. Moderate cardiomegaly appears progressed from prior exam. There is hilar congestion and mild to moderate pulmonary edema. Scattered left-sided calcified pleural plaque is noted. There is suture material along the right mid to lower lung reflecting prior wedge resection. No pneumothorax. Bony structures are intact. Extensive vascular calcification in the upper abdomen corresponds with known ectatic calcified thoracic aorta.
<unk>m with tachycardia, sob, hypoxia
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Streaky retrocardiac opacity is noted on the frontal and lateral views. Elsewhere, the lungs are clear. There is no effusion or edema. Moderate cardiac enlargement is noted. Incidentally noted is an azygos fissure. No acute osseous abnormalities.
<unk>m with multiple falls in search of possible infection // evaluation for pna
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Pa and lateral views of the chest provided. Overlying ekg leads are present. The lungs are clear and hyperinflated. There is a subtle nodular opacity projecting over the right mid lung peripherally which could represent a bone island versus a calcified granuloma. 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
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Frontal and lateral radiographs the chest demonstrate complete opacification of the right hemithorax. There is rightward deviation of the trachea and cardiac silhouette, consistent with known right-sided pneumonectomy. There is persistent shift of the mediastinum to the right with hyperexpansion of the left lung. The left lung is clear. There is no pneumothorax, or left-sided pleural effusion.
history lung cancer status post lobectomy now with chest pain and shortness of breath. evaluate for pneumonia, pneumothorax, or acute process.
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Lung volumes are low. Cardiomediastinal silhouette is within normal limits. The lungs are clear. There is no pleural effusion or pneumothorax. Bones and the upper abdomen are grossly unremarkable. There are surgical clips in the right axilla
history: <unk>f with fever // eval for pna
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There is a left chest pacer device with associated dual leads projecting in unchanged configuration. There are low lung volumes, likely accentuating cardiac size. Within this limitation, the cardiac and mediastinal silhouette is unchanged from prior chest x-ray from <unk>. There is probably mild cardiomegaly. Calcified pleural plaques most conspicuous at the right lung base, unchanged from prior exam. There is diffuse, hazy right lung airspace opacity, all involving the right lower lobe most conspicuously. Additional airspace opacities involving the left lung base obscure the left hemidiaphragm. There is no overt pulmonary edema. There is no pneumothorax. There are small bilateral pleural effusions.
<unk>-year-old man with cough, rule out infiltrate.
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation, or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. The descending aorta appears tortuous. Heart is normal in size. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable. Eventration of the right hemidiaphragm is unchanged.
weakness and fever. assess for pneumonia.
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There is mild left apical thickening. The lungs are otherwise clear without consolidation or pulmonary edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
positive ppd.
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Pa and lateral views of the chest. Right picc is no longer visualized. Improved inspiratory effort seen on the current exam. The lungs are now clear without consolidation or pneumothorax. There is trace blunting of the right posterior costophrenic angle suggesting trace effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected.
<unk>-year-old female with left lower rib pain ongoing for months.
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Pa and lateral views of the chest provided. Heart size is normal. Mediastinal and hilar contours are normal. The previously identified right infrahilar opacification is probably due to a pericardial fat pad, pericardial cyst or lipoma. There is no focal consolidation. Minimal, if any, pleural effusion. Bibasilar linear atelectasis and small pleural effusions. No pneumothorax. There are serpiginous radiodense structures in the left axilla and right upper chest, which could represent soft tissue calcifications or external structures.
<unk> year old woman with pvd, newly placed picc now with ? r hilar lung abnormality seen on post picc cxr // further evaluation of r hilar abnormality
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Right picc tip is at the cavoatrial junction. Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old man with granulomatous angiitis // please check picc placement
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. There is calcification of the aortic knob. Small right apical scarring is similar to prior. A vague left mid lung nodule is similar to <unk> but new since <unk>. No pleural effusion or pneumothorax. Deformity of the right humeral head with increased sclerosis and bony bridging is compatible with interval healing of a prior humeral surgical neck fracture. Osseous structures are otherwise unremarkable. No radiopaque foreign body.
syncope. evaluate for cardiomegaly.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Mid thoracic dextroscoliosis is noted. No acute osseous abnormalities.
<unk>f with dyspnea // r/o acute infectious process
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There is stable enlargement of the cardiac silhouette. No focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with sudden onset of left flank plain cough chills // eval for pna in hte left lower pna
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Again seen is a left-sided pacemaker with the leads terminating in the right atrium and right ventricle. Since the prior examination, right mid and lower lung opacities have largely resolved. No new definite consolidation is identified. There is no pleural effusion or pneumothorax.
history: <unk>f with fever // eval for consolidation
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Linear left basilar opacities likely atelectasis versus scarring. The lungs are otherwise clear noting relatively low lung volumes. There is no overt pulmonary edema. The cardiomediastinal silhouette is accentuated by low lung volumes. Median sternotomy wires and mediastinal clips are noted.
<unk>m with hx schf, esrd s/p transplant with worsening renal function. no contrast // ? fluid overload, pna
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Compared with the prior film, i doubt significant interval change. Again seen is moderate to moderately severe cardiomegaly, against a background of copd, with a small effusion on the right and underlying collapse and/or consolidation at both bases. Probable background chf. Compared with <unk> at <time> a.m., the small right effusion has progressed slightly.
stroke, evaluate intrathoracic process given crackles at both bases. chest, single ap portable view.
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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax. A left-sided port-a-cath is in place, with the tip terminating at the cavoatrial junction.
history: <unk>f with breast cancer undergoing chemo p/w fever and cough // r/o pna
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Patient is status post median sternotomy. Heart size is mildly enlarged and dense mitral annular calcifications are noted. The aortic knob is calcified. Mediastinal and hilar contours are unchanged with a small hiatal hernia noted. Pulmonary vasculature is not engorged. Minimal atelectasis is seen in the lung bases without focal consolidation. Blunting of the costophrenic sulci on the lateral view is compatible with subpleural fat deposition, as seen on the ct obtained the same day. No pleural effusion or pneumothorax is demonstrated. Mild degenerative changes are noted within the imaged thoracic spine with slight loss of height at <unk> mid thoracic vertebral bodies, unchanged.
history: <unk>f with cough and fever
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Ap upright and lateral views of the chest provided. There has been interval resolution of lower lobe pneumonia. The lungs appear clear without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is stable. Bony structures are intact.
<unk>f with back pain, recent surgical procedure early <unk>, wbc <num>k. // evidence of infiltrate?
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In comparison with the study of <unk>, there is little overall change. Pacer leads discriminates in standard position in the right atrium, right ventricle, and through the coronary sinus. Stable moderate cardiomegaly without appreciable vascular congestion. Atelectatic changes at the bases with probable small right effusion.
pacemaker placement.
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Pa and lateral views of the chest provided. Improved lung volumes compared with prior exam with mild residual left basal atelectasis. No pulmonary edema, pneumothorax or large effusion. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>f with recent fall down stairs, left sided rib pain // eval for left sided rib fractures
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Frontal and lateral views of the chest demonstrate low lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is top normal. There is no pulmonary edema.
patient with right flank pain for the duration of several months.
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The right basilar pneumothorax is perhaps minimally increased in size compared to the prior. A right apical chest tube is unchanged. Pneumomediastinum and extensive subcutaneous emphysema are unchanged. A small left pleural effusion is stable.
<unk> year old woman with s/p mini mvr/sc air // eval ptx/pneumostat placed
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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>m with cough
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Pa and lateral chest radiographs demonstrate clear lungs. There is no pleural effusion or pneumothorax. The cardiac, hilar, mediastinal contours are normal.
hypoglycemic seizure. evaluation for acute cardiopulmonary process.
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No focal consolidation is seen. There may be very subtle minimal interstitial edema. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No definite displaced fracture is identified.
history: <unk>f with chest pain after fall // acute rpcoess?
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Heart size remains mild to moderately enlarged. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is detected. No acute osseous abnormality is visualized. Degenerative changes at the thoracolumbar junction are noted.
history: <unk>m with hemoptysis
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. Minimal scarring in the middle lobe and lingula are unchanged. The visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with chest discomfort.
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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>f with weakness, diarrhea, <num>x syncopal episodes, hypotension; syncope w/u*** warning *** multiple patients with same last name! // eval ? infection, edema, cardiomegaly