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The lungs are well expanded and clear. Previously noted left basilar opacity ha resolved, suggesting atelectasis. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Port-a-cath ends close to the cavoatrial junction.
<unk> y/o m with fever, possible neutropenia
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Pa and lateral views of the chest. There is a moderate hiatal hernia which is unchanged. There are mediastinal clips and evidence of aortic valve replacement. Mild cardiomegaly is unchanged. No focal consolidation, pleural effusion or pneumothorax. The mediastinal and hilar contours are normal.
cough and chills.
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Medial bibasilar linear opacities appear similar compared to prior and likely represent atelectasis or scarring. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Hyperinflation is due to bronchospasm or copd. Lateral view suggests left ventricular enlargement or pericardial effusion.
<unk>-year-old male with cough and fever.
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Cardiac mediastinal silhouette is stable. The lungs are well expanded bilaterally. There is no focal consolidation. Diffuse pulmonary vascular engorgement and small bilateral pleural effusions have increased. No pneumothorax.
<unk> year old man with scrotal edema and pain, h/o chf, chronic sob // pulm edema
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is present. Moderate degenerative changes are noted in the thoracic spine.
history: <unk>f with right shoulder pain, history of arthritis, pain worsening
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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.
<unk> year old man with fever, upper respiratory symptoms, also complaining of <num> day of chest throbbing. // r/o pneumonia or other acute process/infection
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Left-sided picc tip appears to have been advanced, now terminating in the proximal right atrium. Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>f with psc on ertapenem for cholangitis now with fever.
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The cardiomediastinal silhouette, pulmonary vasculature, and aorta are within normal limits. There is no area of consolidation. There is no evidence of pleural effusion. There is no pneumothorax. Imaged osseous structures are unremarkable.
history: <unk>m with chest pain // acute process? ptx?
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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear without cavitary nodules or focal consolidations. There is no pleural effusion or pneumothorax.
<unk> year old woman with a history of wegener's granulomatosis // lung involvement of gpa
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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>m with sob, facial pain, s/p recent uri. // pneumonia?
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The patient is status post median sternotomy and cabg. The heart size is normal. The mediastinal and hilar contours are unremarkable and unchanged. The pulmonary vascularity is normal. The lungs are hyperinflated but clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities seen.
palpitations and chest pain.
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The chest cage is distorted by moderate s-shaped scoliosis of the imaged thoracolumbar spine. There is mild pulmonary vascular congestion and edema, increased from the most recent prior study. Retrocardiac opacification is unchanged, likely reflecting atelectasis in the setting of low lung volumes. No significant pleural effusion or pneumothorax is detected. The cardiac silhouette is accentuated by under-inflation of the lungs, but likely within normal limits. The thoracic aorta is tortuous causing prominence of the mediastinum, which is unchanged from prior studies. The hilar contours are within normal limits.
history of chf now with acute chest pain, here to evaluate for acute cardiopulmonary process.
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Subtle opacity in the right upper lobe has resolved. There is no other focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable. There are no acute skeletal abnormalities.
<unk>-year-old woman with signs and symptoms and chest x-ray findings compatible with pneumonia on <unk>. evaluate for resolution of the infiltrate after a <unk>-day course of antibiotics.
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Compared with the immediate prior radiograph, pulmonary vascular congestion has decreased. Extensive interstitial opacities related to underlying interstitial lung disease could easily obscure small consolidations and determination of the presence or absence of an pneumonia would have to be on a clinical basis. There is no pleural effusion or pneumothorax. Moderate cardiomegaly is unchanged.
<unk>f with recent pneumonia, crackles on exam evaluate for pneumonia.
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. Osseous structures are unremarkable.
<unk>-year-old male with fever.
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Ap and lateral views of the chest are compared to previous exam from <unk>. Linear opacity in the right lower lung suggestive of atelectasis versus scar. Not significantly changed from prior. Elsewhere, lungs are clear of focal consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Dual-lead pacing device seen with tips in the right atrium and right ventricular apex. Osseous and soft tissue structures are unremarkable.
<unk>-year-old with chest pain and shortness of breath on exertion. now resolved.
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Lungs are clear and lung volumes are normal. No pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. Mediastinal and hilar contours are unremarkable.
urticarial vasculitis with shortness of breath and chest pain. evaluate for pulmonary infiltrates.
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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.
fever.
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No previous images. The heart is normal in size, and the lungs are clear without vascular congestion or pleural effusion.
persistent cough with family members having community-acquired 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 unremarkable. Small calcified granuloma in the right upper lobe.
history: <unk>f with ams // eval for pna
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Evidence of a large hiatal hernia is seen, but not well assessed on this study. Residual enteric dense contrast is seen in the partially imaged colon.
history: <unk>m with known incarcerated hiatal hernia per rads read had barium swallow earlier today. want to see where contrast moved. // contrast movement/hiatal hernia?
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The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. Cardiac and mediastinal contours are normal. The hilar structures are unremarkable. The pulmonary vasculature is normal.
cough with the immunodeficiency. evaluate for pneumonia.
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Lung volumes are normal. Lungs are clear without focal consolidation, effusion, or pneumothorax. Mediastinum, hila and pleural surfaces are unremarkable. The cardiomediastinal silhouette is normal.
<unk> year old woman with history of reactive airway disease and persistent, worsening cough. // please evaluate lungs for hyperinflation given worsening cough.
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The cardiomediastinal and hilar contours are within normal limits. There is mild bibasilar atelectasis. Lungs are otherwise well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
shortness of breath, productive cough. evaluate for pneumonia.
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Right-sided port-a-cath is seen, placed in the interval since the prior study, distal aspect not well seen on the frontal view of the frontal view, but in combination with the lateral view, likely terminates in the distal svc. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen. No displaced fracture seen.
chest pain.
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Frontal and lateral views of the chest. Relatively low lung volumes are seen. There are indistinct pulmonary vascular markings suggestive of a component of interstitial edema. Bibasilar opacities seen suggestive of atelectasis given low lung volumes versus developing infection. Incidental note is made of an azygos lobe and fissure. Cardiomediastinal silhouette is unchanged. Osseous structures are unremarkable.
<unk>-year-old male with acute shortness of breath with prior chf.
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Pa and lateral views of the chest provided. No radiopaque foreign body in the imaged field. 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 missing tooth, ? aspiration // eval for fb
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In comparison with the study of <unk>, the lungs are clear. There is no evidence of vascular congestion, pleural effusion, acute focal pneumonia, or pneumothorax.
multiple rib fractures after mvc.
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Ap upright and lateral views of the chest were obtained. The heart is normal in size and cardiomediastinal contour including tortuosity of the thoracic aorta is unchanged. Linear bibasilar opacities are unchanged and likely represent mild atelectasis. There is no focal consolidation, pleural effusion or pneumothorax.
<unk>-year-old woman with fever and cough.
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.
<unk>-year-old male with cough and shortness of breath.
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As compared to the previous radiograph, the extent of the right pleural effusion and of left pleural effusion are overall unchanged. There is unchanged evidence of severe pulmonary edema with a predominantly vascular and interstitial component. Unchanged appearance of the cardiac silhouette. No pneumothorax.
pleural effusion, evaluation.
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Compared with the prior radiographs, there is bilateral basilar subsegmental atelectasis. No large focal consolidation or pneumothorax identified. There may be a trace right pleural effusion. Heart size is normal. A right picc line terminates in the mid svc, as seen on the prior study.
<unk>m with right flank pain and ?consolidation on ctu. eval for pneumonia.
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The lungs remain hyperinflated. Heart size is normal. Mediastinal and hilar contours are unchanged. Widespread bronchiectasis with diffuse bronchial wall thickening and interstitial abnormality appears relatively similar compared to the prior exams. No pulmonary vascular congestion is noted. No new focal opacity, pleural effusion or pneumothorax is identified. No acute osseous abnormality seen.
hiv, hepatitis c, shortness of breath.
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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 drug overdose with elevated white count. please evaluate for pneumonia.
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There is a moderate left pleural effusion that is mildly increased since <unk>. There is plate atelectasis in the mid left lung. Opacification of the left lung parenchyma has resolved. There is pneumothorax. Mild cardiomegaly is unchanged. There is no pulmonary vascular congestion.
evaluation of pleural effusion.
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There is small right pleural effusion. No lung consolidation or pneumothorax is identified. Cardiomediastinal and hilar silhouettes are normal size.
<unk> year old woman with pleural effusion seen on ruq // eval pleural effusion
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No focal consolidation or pleural effusion is detected. No pneumothorax is seen. Heart size is top normal. Mediastinal contours are within normal limits with mild aortic tortuosity. Thyroidectomy clips are again noted.
<unk>-year-old female with altered mental status and right-sided rhonchi.
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Heart size remains moderately enlarged. Dense atherosclerotic calcifications are noted at the aortic knob. Mild pulmonary edema has improved compared to the previous study. There are small bilateral pleural effusions. Patchy bibasilar airspace opacities likely reflect atelectasis. No pneumothorax is demonstrated. There are no acute osseous abnormalities.
history: <unk>f with dyspnea
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen.
<unk>f with chest pressure for <num> days. eval for pulm process
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Ap upright and lateral chest radiograph demonstrates a stable cardiomediastinal silhouette allowing for differences in patient positioning when compared to prior study dated <unk>. No focal opacity is identified convincing for pneumonia. There is no evidence of overt pulmonary edema. No large pleural effusion or pneumothorax is seen.
<unk>m with fever and hypoxia // eval for pna
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Ap upright and lateral views of the chest provided. Lung volumes are low. Allowing for low lung volumes, there is no convincing evidence for pneumonia or edema. There is mild left basal atelectasis noted. No large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with s/p mvc, c/o chest pain, r ankle pain. reassuring physical exam // eval ? traumatic injury
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Frontal and lateral radiographs of the chest demonstrate low lung volumes, which results in bronchovascular crowding. There is mild interstitial pulmonary edema and trace bilateral plural effusions. The heart is top normal in size. No pneumothorax or consolidation.
history: <unk>f with weakness // pna?
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Heart size remains moderately enlarged. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Minimal patchy opacity is seen within the left lung base, possibly reflective of atelectasis. No pleural effusion or pneumothorax is seen. The osseous structures are diffusely demineralized.
lethargy, hyperglycemia.
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The lungs are well inflated bilaterally with persistent unchanged scarring in the right lung apex most likely related to prior radiation therapy. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette, hilar, and mediastinal contours are stable and within normal limits, with slight tortuosity of the aorta noted. The pleural surfaces are unremarkable. Incidentally noted is the appearance of new vascular clips within the right breast.
<unk>-year-old female with leukemia presents with cough, congestion.
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Heart size remains mildly enlarged but unchanged. Mediastinal and hilar contours are stable. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities detected.
history: <unk>f with chest pain
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Pa and lateral views of the chest provided. A subtle nodular opacity projecting over the right lower lung corresponds with a right lower lobe nodule on prior ct. Otherwise lungs are clear. 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 a-fib with rvr, soret hroat, cough
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Compared to <unk> at <time>, the overall appearance is similar. Again seen are bibasilar pleural effusions and underlying collapse and/or consolidation. Right-sided chest tube is similar in appearance. No pneumothorax is detected. Prominence of cardiomediastinal silhouette is stable. Upper zone redistribution and mild vascular plethora may be slightly increased.
<unk> year old woman polytrauma, with bil. pleural effusion, chest tube right side to water seal // evaluate for interval change
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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 fever cough // ?pna
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with upper respiratory symptoms, then cough productive of clear sputum, fever/chills, pleuritic chest pain
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A port-a-cath terminates in the superior vena cava, similar to prior findings. Surgical clips project over the right breast. The right lung remains clear but there is increasing opacification of the left hemithorax, probably for the most part associated with increase in a suspected large pleural effusion on that side. Previously there was a small hydropneumothorax that is no longer apparent.
stage iv breast cancer with lung metastases and malignant pleural effusion on the left, presenting with shortness of breath and cough.
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Unremarkable mediastinal, hilar and cardiac contours. Bibasilar opacifications evident more evident on the lateral view, potentially in the retrocardiac space. No pleural effusion or pneumothorax evident.
atraumatic right-sided chest pain with inspiration, shortness of breath, wheezing. please evaluate for acute process.
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Moderate cardiomegaly is unchanged. The hilar contours are unremarkable. There is a moderate right pleural effusion that is increased from previous studies and has a fissural component similar to study from <unk>. There are no focal abnormalities of left lung.
<unk> year old woman with pleural effusion // eval
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Heart size is normal with mild tortuosity of the thoracic aorta. Hilar contours are normal. Subtle nodular opacity in the left mid lung is at the intersection between an anterior and posterior rib and likely represents overlap of bony structures and vasculature. Lungs are clear. There is no pleural effusion or pneumothorax.
history of asthma with low-grade fever and cough.
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Ap and lateral views of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal.
wheezing and cough.
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Moderate left and small right-sided pleural effusion. Improved aeration of the lung bases with decreasing bibasilar atelectasis. Pulmonary vascular congestion has also improved. Moderate cardiomegaly persists. Prior median sternotomy cabg and right-sided picc in the mid svc. No pneumothorax.
<unk> year old man s/p cabg // eval for pleural effusions
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The cardiac silhouette is normal in size. The hilar and mediastinal contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with history of chest pain. // acute process
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Pa and lateral images of the chest were obtained. The lungs are clear bilaterally with no focal consolidation or congestive heart failure. There is no pneumothorax or pleural effusions. The cardiomediastinal silhouette is normal. There are no bony abnormalities. There is no free air below the right hemidiaphragm. Clips are seen within the upper abdomen.
chest pain radiating to the back.
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The lungs are clear. Cardiomediastinal and hilar contours are unremarkable with unfolding of the thoracic aorta again seen. There is no pleural effusion or pneumothorax.
patient with cough. evaluate for pneumonia.
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Ap upright and lateral views of the chest provided. Lung volumes are slightly diminished from prior. Allowing for this, 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 fever, vomiting // infiltrate?
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The heart size is normal. Mediastinal and hilar contours are unremarkable except for mild atherosclerotic calcifications of the aortic knob. The lungs are clear with the exception of subsegmental atelectasis in the right lung base. No focal consolidation, pleural effusion or pneumothorax is visualized. Mild loss of height of two adjacent vertebral bodies at the thoracolumbar junction compatible with compression deformities are age indeterminate.
left-sided chest pain.
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities detected. No free air is noted under the diaphragms.
ulcers, hiatal hernia, sharp abdominal pain and tenderness to the epigastrium.
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As compared to the previous radiograph, lung volumes have slightly decreased. The nasogastric tube shows a normal course, the tip is not included in the image, but course of the tube indicates correct positioning in the stomach. Areas of atelectasis are seen at the right lung bases. In addition, small right pleural effusion is present, better seen on the lateral than on the frontal radiograph. Borderline size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta. No pneumothorax.
post-operative fever, evaluation for atelectasis or pneumonia.
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The cardiomediastinal and hilar contours are stable with top-normal heart size. Extensive pleural calcifications limits assessment of the lung fields. Within this limitation, there is no obvious new focal consolidation concerning for pneumonia. There is no pneumothorax or large pleural effusion.
<unk>m with ams // eval for infiltrate
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.
history: <unk>m with chest wall pain s/p mvc // ? fx
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There is a moderate size left pleural effusion with adjacent compressive collapse. The right lung is clear. Cardiomediastinal and hilar contours are normal. No pneumothorax.
history: <unk>m with r hand weakness/numbness for <num> days. new seizure today. has been having headaches as well. new left sided pleural effusion. // please do with ctv. evaluate for venous thrombus.
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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 or effusion. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female status post syncope.
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal. Degenerative changes of the thoracic spine are noted, and no acute osseous abnormality is seen.
<unk>-year-old male with subdural hematoma. please obtain preoperative chest radiograph.
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Cardiac silhouette size is normal. The aorta is mildly tortuous. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. Anterior flowing osteophytes are noted in the thoracic spine compatible with dish. No subdiaphragmatic free air is identified.
abdominal pain
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Pa and lateral views of the chest were provided. The lungs appear clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm. Clips are noted in the right upper quadrant.
<unk>-year-old female with visual changes and chest pain.
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation, effusion, or pneumothorax. Skinfolds identified over the mid lungs bilaterally. The cardiomediastinal silhouette is within normal limits. No acute displaced fractures identified. Chronic deformity of the mid left clavicle and chronic compression deformity in the lower thoracic spine is again noted.
<unk>-year-old female with fall and right hip pain.
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Ap and lateral views of the chest. Severe cardiomegaly is stable in configuration. Lungs are clear of focal consolidation. There are, however, moderate bilateral effusions, larger on the right than on the left and likely slightly enlarged from prior. Left chest wall dual-lead pacing device is unchanged. No acute osseous abnormality is identified.
<unk>-year-old male with fall and now increasing weakness.
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Pa and lateral chest radiograph demonstrates obscuration of the right heart border concerning for infection. The remainder of the lungs are clear. Cardiomediastinal and hilar contours are within normal limits. There is no overt pulmonary edema. There is no pleural effusion. Osseous structures are without acute abnormality.
<unk>-year-old female with shortness of breath.
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The heart is normal in size. There is mild unfolding and calcification along the thoracic aorta. The mediastinal and hilar contours appear unchanged. There is similar moderate relative elevation of the right hemidiaphragm. Mild scarring at each lung apex is similar. The lungs appear clear. There are no pleural effusion or pneumothorax. Mild degenerative changes are similar along the thoracic spine.
diffuse weakness. question acute disease.
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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 weakness, history of pulmonary embolism
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There is no new lung consolidation. Snal left hemothorax secondary to rib fractures have decreased with adjacent compressive atelectasis. Mediastinal contours are normal. There is no pneumothorax. Ng tube has been removed.
patient with suspected pneumonia, antibiotics, rule out consolidation.
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Frontal and lateral radiographs of the chest demonstrates mild cardiomegaly which is decreased from prior. No focal consolidation, pleural effusion or pneumothorax. No evidence of free air under the diaphragm.
abdominal discomfort <num> days status post colonoscopy/be ct. rule out free intraperitoneal air.
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Pa and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is unremarkable. There is no acute osseous abnormality.
<unk>-year-old man with dyspnea, cough, fever. evaluate for acute infectious process.
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The lungs are well expanded and clear without evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>f with cough and fever // r/o pna
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.mild elevation of the right hemidiaphragm is unchanged since the prior studies.
<unk> year old woman with crackles pre-op. eval for evolving pna, other pathology.
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Low lung volumes are noted, and opacification in the left lower lobe suggests pneumonia. No pneumothorax or pleural effusion is noted. The cardiomediastinal silhouette is unremarkable.
cough and fever, evaluate for pneumonia.
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Pa and lateral views of the chest. The lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified, hypertrophic changes again seen in the spine.
<unk>-year-old female with palpitations.
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Heart size is normal. The aorta remains tortuous. The mediastinal and hilar contours are otherwise within normal limits. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. Mild degenerative changes are seen in the thoracic spine. A fiducial marker again projects over the midline t<num>-t<num> intervertebral disc space.
history: <unk>m with seizure activity, hiv with cd<num> <num>
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In comparison to chest radiograph from <unk>, there is little change. Left lower lobe opacity is similar. The cardiomediastinal silhouette is stable. There is no pleural effusion or pneumothorax. Mild elevation of the left hemidiaphragm is unchanged. No definite displaced rib fracture seen. Changes of vertebroplasty again seen.
<unk>m with fall, evaluate for rib fracture..
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There are persistent low lung volumes. There is elevation of the right hemidiaphragm and bibasilar atelectasis larger on the right. There is no pneumothorax or large pleural effusions. There is severe kyphosis. Lumbar hardware is partially imaged. Evaluation of vertebral bodies in the thoracolumbar region is very limited. Mild cardiomegaly
<unk>-year-old woman with past medical history significant for hypertension, dm, asthma, osteoarthritis and falls presents to the ed after fall on <unk>. // eval for pneumonia (previous x-ray unsatisfactory)
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There has been interval removal of a right pleural tube and there is miniscule, if any, apical pneumothorax present. A moderate left pleural effusion is present. The previously seen right mid lung opacification likely representing hematoma or atelectasis is again demonstrated. There is also some right basilar atelectasis, unchanged since prior study.
<unk>-year-old female status post right vats and wedge biopsy x<num>. status post chest tube pull. evaluate for pneumothorax.
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There is a new consolidation in the right middle lobe concerning for infection. There is no definite correlate seen on the lateral view given the positioning of her arms. Again seen is minimal mid lung atelectasis/scarring. There is persistent elevation of the minor fissure. No pleural effusion or pneumothorax is seen. The aorta remains calcified. The cardiac silhouette is normal. The hilar and mediastinal contours are otherwise unremarkable.
history of cough, rule out infiltrate.
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In comparison with study of <unk>, the substantial left pleural effusion has cleared. Postoperative changes are again seen with cardiomegaly and some element of elevated pulmonary venous pressure and chronic pulmonary disease. Apical pleural thickening is again seen bilaterally, more prominent on the right.
mitral valve repair.
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Patchy right middle lobe and lower lobe opacities are worrisome for multifocal pneumonia. No large pleural effusion is seen, but trace pleural effusion is difficult to exclude. No pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with hypoxia // eval for pna
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Cardiac, mediastinal and hilar contours are normal. No focal consolidation, pleural effusion or pneumothorax is present. Subsegmental atelectasis is demonstrated, likely within the right middle lobe. Pectus excavatum deformity is again noted. No acute osseous abnormality is detected. Clips are noted in the right upper quadrant of the abdomen.
history: <unk>f with fever and cough
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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. No rib fracture is identified. The cardiomediastinal silhouette is normal.
chest pain after mvc.
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The patient is status post median sternotomy and heart size remains moderately enlarged. The aorta is tortuous and diffusely calcified. Right paratracheal calcifications may reflect calcified lymph nodes and are unchanged. There is mild pulmonary vascular congestion. No pleural effusion, focal consolidation or pneumothorax is seen. Lungs appear hyperinflated. Diffuse demineralization of the osseous structures is present.
history: <unk>f with chest pain
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There is apparent nodular opacification overlying the right apex, likely related to costochondral cartilage. Otherwise, the lungs are essentially clear. There are no focal opacities concerning for pneumonia. There are no pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are normal. Pulmonary vascularity is normal.
<unk>-year-old female with fever and joint pain. evaluate for pneumonia.
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Mild left lower lobe atelectasis is noted and low lung volumes. There is no evidence of lobar consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are detected.
history: <unk>f with weakness, diabetes // eval for infection/pna
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Frontal and lateral views of the chest demonstrate low lung volumes, no pleural effusion, focal consolidation or pneumothorax is seen. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Bibasilar opacities likely represent atelectasis.
substernal chest pain.
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The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. There are large calcified pleural plaques projecting over the left hemithorax, but the lungs appear clear.
altered mental status and concern for infection.
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The lung parenchyma has a diffuse reticular pattern prominent for the patient's age caused by micro infarcts related to sickle cell. There is a consolidation with associated air bronchograms at the right lower posterior lung base. There is mild cardiomegaly. There is no pleural effusion or pneumothorax seen.
<unk> year old man with pmh sickle cell newly febrile with sob. // ?infiltrate ?infiltrate
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There is biapical scarring and extensive right sided calcified pleural plaques which somewhat obscures evaluation of the underlying lung parenchyma. The left lung is clear besides a calcified granuloma at the lung base. Cardiomediastinal silhouette is stable. Atherosclerotic calcifications are noted in the thoracic aorta. No acute osseous abnormalities.
<unk>f with prev cough now malaise thickens her liquids // cough <num> weeks ago cont weakness r/o aspiration
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Prior left upper lobe atelectasis has resolved. There is no mild to moderate pulmonary edema. More confluent regions of opacity noted at the lung bases, right greater than left. Blunting of posterior costophrenic angle suggests small effusions. There is moderate cardiac enlargement potentially progressed since prior.
<unk>f with chest pressure // eval pna
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Ap and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion or pneumothorax. Mild prominence of the pulmonary interstitium is present. The cardiomediastinal silhouette is notable for a tortuous aorta. There is a midthoracic compression fracture with nearly complete loss of height, which is age indeterminate. Patient has had a lower thoracic vertebroplasty. There are no displaced rib fractures.
<unk>-year-old female with mechanical fall, right knee pain, rule out rib fracture.
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Pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. Bilateral breast implants project over the anterior chest on the lateral view.
left-sided pleuritic chest pain. evaluate for upper lobe pneumonia vs. pneumothorax vs. pruritus.