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Heart size is normal. The mediastinal and hilar contours are normal. Mild calcification at the aortic knob is noted. The pulmonary vascularity is normal. Subsegmental atelectasis in the lingula is present. Lungs are otherwise clear. No focal consolidation is visualized. Blunting of the right costophrenic angle posteriorly likely reflects a small pleural effusion. No pneumothorax is present.
diabetes mellitus, vertigo, atrial flutter.
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The lung volumes are normal. Normal size of the cardiac silhouette. Normal appearance of the lung parenchyma. No current evidence of pneumonia or other pathological changes. An increase in radiodensity at the medial aspect of the right lung base is likely defect of projection. No lung nodules. No pneumothorax.
<unk>'s disease, left-sided chest pain, history of pleurisy, evaluation.
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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>m with chest pain // ? acute cardiopulm process
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Left picc tip terminates in the upper svc. Lung volumes are slightly low. Heart size remains mildly enlarged. Mediastinal contours are unchanged. No pulmonary edema is demonstrated. Linear and patchy opacities within the lung bases, as well as along the fissure in the right upper lobe, are minimally worse in the interval. No pleural effusion or pneumothorax is seen, however the right lung apex is obscured due to the patient's neck and chin projecting over this region. Mild multilevel degenerative changes are noted in the thoracic spine.
history: <unk>f with cough x<num> weeks and left picc line.
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar chest examination <unk> <unk>. Heart size remains within normal limits. No typical configurational abnormality is identified. Thoracic aorta is unchanged and unremarkable. Pulmonary vasculature is not congested and there is no evidence of pneumothorax on the frontal view in the apical area. The patient is rather heavyset and able to elevate the arms on the lateral view (allegedly related to shoulder discomfort). The pulmonary vasculature is not congested. The lateral and posterior pleural sinuses are free from any fluid accumulation. No acute pulmonary parenchymal infiltrates can be identified. Mild degree of degenerative changes are noted in the thoracic spine but appear unchanged in comparison with the previous study of <unk>.
<unk>-year-old female patient with wheezing. no history of smoking. evaluate for pneumonia versus reactive airway disease.
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The cardiac and mediastinal silhouettes are stable. There is mild central vascular engorgement without overt pulmonary edema. No focal consolidation or pleural effusion is seen. There is no evidence of pneumothorax. Degenerative changes are again seen along the spine.
history: <unk>f with dizziness // please eval for cva/hemorrhage
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Ap upright and lateral views of the chest provided. Lung volumes somewhat low. 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 hypotension, tachycardia // pna?
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The lungs are well expanded and clear. The hila and pulmonary vasculatures are normal. The cardiomediastinal silhouette is normal. No pleural abnormality. No pneumothorax. No fractures.
<unk> year old woman with c/o chest congestion, cough, orthopnea, and intermittent fever x few days. // r/o pna
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Ap upright and lateral views of the chest provided. Lung volumes are low limiting assessment though allowing for this, there is no focal consolidation, large effusion or pneumothorax. The heart appears within normal limits of size. The aorta appears unfolded. No acute bony abnormalities.
<unk>f with fall and leg pain
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There is a right juxtrahilar rounded <num> cm opacity, which may represent pneumonia or possibly a mass. Opacities likely representing pneumonia are seen in the right middle lobe and the lingula. There is no right pleural effusion. The left costophrenic angles not included on this study. There is no pneumothorax. The cardiomediastinal silhouette is unremarkable. The spleen appears to be slightly enlarged.
cough for pneumonia.
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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities identified.
<unk>f with s/p fall against wall last night // r/o rib fx
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No rib fracture is identified.
pain in the right chest wall and distal forearm after trauma. evaluate for fracture.
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The lungs are symmetrically expanded and aerated. No focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax is detected. Bi-apical scarring is noted. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The trachea is midline. The visualized upper abdomen is unremarkable. No acute osseous abnormality is identified.
history of smoking with positional chest pain, here to evaluate for acute cardiopulmonary process.
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Ap upright and lateral views of the chest provided.bibasilar atelectasis and bronchovascular crowding limits evaluation through the lower lungs. No definite signs of pneumonia or edema. No large effusion or pneumothorax is seen. Cardiomediastinal silhouette is stable. A chronic deformity involving the mid shaft right clavicle is again noted.
<unk>m with dyspnea // r/o acute process
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Frontal and lateral views of the chest. The lungs are hyperinflated with flattening of the diaphragms, similar to prior. Biapical scarring with calcific component has progressed since prior. The lungs are clear of consolidation. The cardiac silhouette appears slightly enlarged when compared to prior, with mild cardiomegaly. Posterior left seventh and ninth rib deformities suggesting prior fractures are noted.
<unk>-year-old male with new atrial fibrillation.
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The lung volumes are low on the lateral view. There is no pleural effusion or pneumothorax. Atelectasis is seen at the bases. The hilar structures and mediastinum contours are unchanged. Calcifications are again seen in the aortic knob. The heart size is stable. Clips are seen overlying the neck. There is a mild s-shaped curvature to the thoracolumbar spine. Degenerative changes of the right shoulder seen, including it being high ridingin position, which can be seen in rotator cuff disease. Moderate degenerative changes of the thoracic spine are noted.
cough, congestion shortness of breath. evaluate for pneumonia.
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The cardiomediastinal and hilar contours are within normal limits. There is a focal patchy opacity at the base of the left lung seen only on the frontal view. There is no evidence of pleural effusion or pneumothorax.
history: <unk>f with cough, wheeze // evaluate for pneumonia, acute process
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with shortness of breath, cough, and subjective fevers. evaluate for pneumonia.
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
dyspnea and chest pain.
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Low lung volumes are present. Mild enlargement of the cardiac silhouette is unchanged. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Again demonstrated is linear atelectasis or scarring within the right middle lobe. Small right pleural effusion is not changed in the interval. No focal consolidation or pneumothorax is present. No acute osseous abnormalities detected.
history: <unk>m with altered mental status
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old male with fever and shortness of breath.
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Right-sided picc is grossly stable in position, terminating at the brachiocephalic/svc junction. The lungs remain hyperinflated, in keeping with copd. Chronic lung changes are noted at the lung apices. Left upper lobe patchy opacity projecting over the posterior left fifth rib, while could relate to vascular structures and/or scarring, underlying pulmonary lesion is not excluded. There are small bilateral pleural effusions, best seen on the lateral view. Cardiac and mediastinal silhouettes are stable and unremarkable.
history: <unk>m with picc // eval for picc placement
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Pa and lateral views of the chest demonstrate well-expanded and clear lungs. Heart is normal in size. Lucency surrounding the heart and the hilar structures is consistent with pneumomediastinum. There is also evidence of pulmonary interstitial emphysema. A small amount of air is also seen in the soft tissues of the neck. There is no pleural effusion or pneumothorax.
<unk>-year-old man with shortness of breath and asthma exacerbation, evaluate for pneumonia.
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Mild cardiomegaly is unchanged. Mediastinal and hilar contours are similar. Lungs are well expanded and clear. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. Diffuse sclerosis of the osseous structures is compatible with osseous metastases.
history: <unk>m with bacteremia. evaluating for source
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Pa and lateral views of the chest. Previously identified right middle lobe opacity is no longer visualized. The lungs are now clear without consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>-year-old female with midsternal chest pain.
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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. The right picc terminates in the upper svc.
<unk>-year-old man undergoing chemotherapy presenting with fever and cough.
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There is left chest tube, which appears unchanged in location in comparison to the prior chest radiograph, without evidence of pneumothorax. There is flattening of the hemidiaphragms and increased ap diameter representing hyperinflation. There is silhouetting of the left heart border, which has improved in comparison to the prior chest radiograph, and likely represents underlying mass with lymphangitic carcinomatosis, noted on the prior ct. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion is seen.
<unk> year old woman with pleural effusion // eval
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Degenerative changes are seen in the thoracic spine.
<unk>f with worsening spinal stenosis add-on for or tomorrow, pre-op chest x-ray.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of focal consolidation or effusion. Cardiomediastinal silhouette is within normal limits, noting a slightly tortuous aorta. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with choking. question aspiration.
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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>m called in for spk to follow liver transplant, not an increased risk donor // preop
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding portable chest examination of <unk> which apparently has been obtained with patient in semi-upright position. It is different and even when paying attention to ap versus pa frontal projection, the overall heart size has been reduced, apparently related to successful pericardiocentesis during the interval. Bilateral pleural effusions persist and are probably equal in size. They are now clearly blunting the lateral and posterior pleural sinuses as the patient is in upright position on the present examination. The accessible pulmonary vasculature does not show any congestive pattern, nor is there any upper zone redistribution when patient is in upright position. No pneumothorax can be identified. The heart shadow configuration is not revealing. An absence of significant left atrial enlargement is, however, noted on the lateral view and confirms the absence of any significant pulmonary vascular congestion.
<unk>-year-old female patient with pleural effusion from unknown source. scheduled for <unk> when she has to return for echocardiography. any interval change.
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Frontal and lateral chest radiographs again demonstrate sternal wires, some of which are fractured but unchanged compared to prior chest radiograph. There is a normal cardiomediastinal silhouette. The lungs are fairly well-aerated. Again seen is bilateral asymmetric parenchymal abnormality, with a reticular appearance of the right hemi thorax, similar in appearance to multiple prior exams. A recurrent left lower lobe heterogeneous consolidation raises concern for recurrent aspiration pneumonia. There is also a somewhat more nodular focus just below the right clavicle. No pleural effusion or pneumothorax is seen.
evaluate for pneumonia in a patient with chest pain.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. There is a mild interstitial process with cuffed airways but no focal opacification. Mild anterior wedging of a mid thoracic vertebral body appears unchanged.
generalized weakness and recent 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. Hilar contours are stable.
history: <unk>f with cough/fever // cough
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding portable chest examination of <unk>. The previously observed marked cardiac enlargement appears rather unchanged. Detailed evaluation is impossible because of overlying pleural densities obscuring the cardiac contours. Thoracic aorta unaltered. The pulmonary vasculature is presently distended, but does not show evidence of acute interstitial or alveolar edema. There exists bilateral pleural effusion, more marked on the left side where also the diaphragm is elevated. No evidence of new acute pulmonary infiltrates can be established. The amount of pleural effusion appears to be mild-to-moderate as judged from the appearance of the mildly blunted posterior pleural sinuses as seen on the lateral view.
<unk>-year-old male patient with chf (ejection fraction <unk>%). no cough or fevers, but worsening leukocytosis. evaluate for pneumonia.
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Lung volumes are within normal limits. The trachea is central. The cardiomediastinal contour is normal. The heart is not enlarged. The patient has known calcified pleural plaques are not well visualized on today's study. No focal consolidation, pneumothorax or pleural effusion seen. Mild degenerative changes in the thoracic spine.
history: <unk>m with chest pain // ?pneumonia
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In comparison with the study of <unk>, the patient has taken a better inspiration. The right basilar mass is again seen with areas of atelectasis or fibrosis adjacent to it. There is no evidence of pneumothorax or pneumomediastinum. No acute focal pneumonia in this patient with hyperexpansion related to chronic pulmonary disease.
bilateral nodules status post mediastinoscopy.
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As compared to the previous radiograph, the left pectoral generator has been changed. There is one lead projecting over the right ventricle and one over the right atrium. No evidence of pneumothorax. Borderline size of the cardiac silhouette. No pulmonary edema. No other acute lung parenchymal changes.
check pacer placement.
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Aortic knob calcification is stable. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
missed session of hemodialysis.
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Low lung volumes are noted with secondary bronchovascular crowding. No definite superimposed consolidation. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with sob and fever // eval pneumonia
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Frontal and lateral chest radiographs demonstrate scattered calcified nodules in the lungs bilaterally, unchanged. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette and mediastinal contours remain normal. The pulmonary vasculature is normal. There is kyphosis of the thoracic spine, with unchanged wedge deformity at multiple levels. Bridging anterior osteophytes suggest dish.
<unk>-year-old male with acute shortness of breath, question infiltrate.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with cough/chest pain. // r/o infection
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Lungs are clear. There is no pleural effusion or pneumothorax. The heart is normal in size and normal cardiomediastinal silhouette.
epilepsy with multiple seizures with low oxygen saturations, assess for aspiration.
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Frontal and lateral radiographs of the chest demonstrate persistent retrocardiac opacification consistent with pneumonia, which is best seen on the lateral view. Cardiomediastinal and hilar contours are unremarkable. No pneumothorax or pleural effusion. Left-sided picc line ends in the distal svc.
<unk>-year-old female with history of copd and recent aspiration pneumonia. evaluate for interval change.
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Ap and lateral views of the chest. No prior. The lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female status post mvc.
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There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable. The pulmonary vascularity is normal.
chest pain, evaluate for a cause.
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No focal opacity to suggest pneumonia is seen. An opacity in the right infrahilar region has been present on prior examinations and likely represents a prominent vessel. No pleural effusion, pulmonary edema, or pneumothorax is present. The heart size is normal.
fever, tachycardia and cough since visit to <unk>.
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The lungs are clear within the limitation from overlying soft tissues. There is no consolidation, effusion, or vascular congestion. The cardiomediastinal silhouette is within normal limits.
<unk>m with sob, known pes // eval for infilrate
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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 r chest wall and r posterior iliac crest pain s/p likely seizure // eval for fracture
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Ap upright and lateral views of the chest provided. Lungs are clear without focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with dyspnea // eval for edema/effusion
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The lungs are clear. There is no consolidation or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with pleuritic chest pain. // r/o pneumonia
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Frontal and lateral views of the chest demonstrate a moderate right pleural effusion and associated atelectasis. Known right lower lobe mass is unchanged. The left lung is clear. There is no pneumothorax. Heart and mediastinal contours are stable. A pleurx catheter is unchanged in position.
<unk> year old woman with right pleural effusion, interval assessment.
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A port-a-cath terminates in the lower superior vena cava. The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.
fever.
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. Ill-defined patchy opacity is noted predominantly within the left lower lobe concerning for aspiration pneumonia. Right lung is clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated.
history: <unk>f s/p colonoscopy with possible aspiration event, cough.
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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are detected.
history: <unk>m with heroin od, now hypoxia // r/o pna, aspiration
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In comparison with the earlier study of this date, there is no evidence of hydropneumothorax or pneumothorax. Right chest tube is in place. There is little change in the degree of left pleural effusion. Elevation of the right hemidiaphragmatic contour persists. Mild atelectatic changes are seen at the left base.
chest tube clamped, to check if there has been redevelopment of pneumothorax.
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Ap and lateral views of the chest demonstrates a tortuous aorta with calcified aortic knob, as well as dilatation of the ascending aorta. Bibasilar atelectasis is present. Multiple tiny nodules verses vessels on end appear to be present in the lungs all sub <num> mm and benign appearing on this radiograph. Cardiac size is normal. No pleural effusion or pneumothorax. A veterbra plana deformity of the mid thoracic veterbral body is noted, age indeterminate.
<unk>.
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Compared to the prior study there is no significant change in the cardiac and mediastinal silhouettes. Chronic pleural thickening is noted on the left there is no new infiltrate or effusion. Degenerative changes are noted throughout the thoracic spine
<unk> year old man with worsening delirium // eval for occult 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. Clips in the upper abdomen noted.
<unk>f with chest pain // chf, pneumonia
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Pa and lateral views of the chest. There is a relative elevation of the right hemidiaphragm. The lungs are clear of focal consolidation or large effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with dry cough and post-operative fever.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. Widespread bilateral calcified pleural plaques suggest prior asbestos exposure. There is no radiographic evidence suggestive of interstitial lung disease. The lungs appear clear. There is no pleural effusion or pneumothorax. The chest is hyperinflated.
chest pain.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. No focal consolidation, pleural effusion is identified. There is minimal atelectasis in the left lung base. No acute osseous abnormality is detected.
history: <unk>m with etoh intoxication and chest pain
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Moderate cardiomegaly is stable. Pacer lead is in standard position. . The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old man with uti, had episode of ams, now c/o cough, with wbc increase to <unk>.<num> // r/o pna
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Frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
<unk>-year-old female with recent worsening of dyspnea. evaluate for pneumonia.
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The heart size is top normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation or pleural effusion.
<unk>-year-old male with lethargy.
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As compared to the previous radiograph, there is unchanged evidence of a left pectoral pacemaker and a right pectoral port-a-cath. Both devices are in unchanged position. Unchanged appearance of a right iatrogenic rib deformity and partial lack of a rib. Neither the frontal nor the lateral radiograph show evidence of pleural effusions. The increased density in the subcarinal areas is caused by a large lymph node, documented on a ct examination from <unk>. In the same examination, several pulmonary nodules have been documented. These are not seen on the chest radiograph. The size of the cardiac silhouette is unchanged. Moderate tortuosity of the thoracic aorta. No evidence of pulmonary edema.
metastatic renal cell cancer, progressive fatigue, evaluation.
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In comparison with the study of <unk>, there is no change or evidence of acute cardiopulmonary disease or old tuberculous disease.
positive ppd.
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Interval removal of the right internal jugular approach dialysis catheter. The cardiomediastinal and hilar contours are stable with moderate cardiomegaly. A small right pleural effusion is worsened compared to the prior study. The lungs are well expanded with atelectasis at the right lung base. Previously seen left retrocardiac opacity is improved. There is no focal consolidation concerning for pneumonia. Cephalization of vessels with increased prominence of the azygos vein indicate mild volume overload.
<unk>f with doe, orthopnea, substernal cp // eval for pulm edema
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The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
palpitations. evaluate for pneumonia.
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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
history: <unk>f with cough // pna?
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. No definite acute osseous injury identified.
scapular pain on the right. question fracture, question pulmonary 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>f with chest pain // ? pna
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Again seen mild increase in interstitial markings bilaterally which could relate to pulmonary edema, but atypical infection is not excluded. Posterior basilar opacity seen on the lateral view may be relate to overlap of structures although subtle consolidation is not excluded. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. Aortic knob calcification is noted.
history: <unk>f with cough // ?pna
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As compared to the previous radiograph, the lung volumes have slightly decreased. The known bilateral subpleural reticulations, left more than right and clearly predominating in the lower lung zones, are unchanged in extent and severity. The opacities are better appreciated on the lateral than on the frontal radiograph. There is no evidence of new parenchymal opacities, in particular none that would suggest pneumonia or aspiration. Status post sternotomy and cardiac surgery. The sternal wires are in unchanged position. No pleural effusions. No pulmonary edema.
scleroderma, aspiration, rule out pneumonia.
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Heart size is normal. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Embolization coils are noted within the left upper quadrant of the abdomen.
history: <unk>m with confusion and fever status post tips
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Heart size is normal. The mediastinal and hilar contours are remarkable for a multifocal lymphadenopathy, seen to better detail on recent ct of <unk>. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with a history of cll now with non productive cough. please evaluate for infiltrate. // <unk> year old man with a history of cll now with non productive cough. please evaluate for infiltrate.
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The lungs are clear focal consolidation, effusion or vascular congestion. There is moderate cardiomegaly and tortuosity of the descending thoracic aorta. No acute osseous abnormalities.
<unk>m with <unk> headache, e/o right basal ganglia ischemia in the setting of hypertension to sbp > <num> // ? e/o cardiomegaly, pulmonary vascular congestion
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There are chain sutures along the right upper lobe reflective of prior biopsy. No focal consolidation, pleural fusion pneumothorax seen. The heart is normal in size, and there is no pulmonary edema.
<unk>-year-old male was rapid onset dizziness and headache. evaluate for pneumonia.
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Pa and lateral views of the chest are compared to previous exam from <unk>. There is new left lower lobe parenchymal opacity compatible with pneumonia in the proper clinical setting. Elsewhere, the lungs are clear. Cardiomediastinal silhouette is within normal limits. Degenerative changes are noted throughout the spine. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with fever and cough. question pneumonia.
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The lungs are hyperinflated, suggestive of emphysema. Compared with prior exam there is mild interval increase of cardiac size, with worsening of vascular congestion, more prominent in both lower lobes. There is also coarse interstitial thickening, more prominent in the left lower lobe suggestive of interstitial pulmonary edema. There is chronic minimal blunting of the left costophrenic angle but no clear effusion. No right-sided effusion is seen. There is no pneumothorax. Old healed left-sided rib fractures are re-demonstrated. Severe degenerative changes of both shoulders are seen, right worse than left, with loss of the acromiohumeral interval in the right suggestive of rotator cuff pathology.
<unk>-year-old female with weakness, cough, crackles in the right lower lobe.
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There is lateral left base atelectasis without focal consolidation seen, no abnormal opacity noted on the lateral view. . No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with tenderness under left breast // <unk>f with syncope, pain under left breast
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Pa and lateral views of the chest provided. Low lung volumes limits evaluation. Bronchovascular crowding likely accounts for subtle increase in hilar opacity. 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 pain // r/o ptx
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There is a moderate right pleural effusion with overlying atelectasis. Right base opacity likely represents combination of pleural effusion and atelectasis, but underlying consolidation is not excluded. Possible trace left pleural effusion. Cardiac silhouette remains mildly enlarged. Mediastinal contours are stable and unremarkable.
history: <unk>f with recent whipple, cough, fever // please eval pnuemonia
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A left lower lobe opacity projects over the spine on the lateral images. There may be additional right lower lobe opacities as well. Cardiomediastinum is widened but unchanged from prior exam. The right lung is essentially clear. No obvious pleural effusion is seen. No pneumothorax.
<unk>-year-old woman with cough and hypoxia. question pneumonia.
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Diffusely increased reticular interstitial markings likely reflect chronic underlying interstitial lung disease. Widespread atypical pneumonia or early pulmonary edema are possible, but much less likely. Chest ct is recommended for further evaluation. Increased opacification of the right lung base with indistinct vascular margins may reflect an early right lower lobe consolidation. The heart size is top normal. There is no pleural effusion or pneumothorax.
<unk>f w uc and complicated diverticulitis, or case cancelled today because of de-sat'ing, purulent sputum // ? eval for pna
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. No acute osseous abnormality is detected.
<unk>-year-old male with acute chest pain.
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Frontal and lateral views of the chest. Linear left basilar opacities that is unchanged from prior and may represent atelectasis or scarring. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected. Surgical clips seen in the upper abdomen.
<unk>-year-old male with fever.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well-expanded and clear without focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits. The upper abdomen is unremarkable.
history: <unk>f with likely ms flare, <unk>/o infectious etiology for symtoms // r/o infection
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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 is persistent elevation of the right hemidiaphragm.
<unk> year old man with cough // ? pna
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The lung volumes are normal. Minimal bilateral apical scarring that is symmetrical. Normal appearance of the cardiac silhouette. Radiographically, the ascending aorta is not substantially enlarged. No pleural effusions. No pulmonary edema. No pneumonia.
ascending aortic aneurysm, preoperative study.
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In comparison with study of <unk>, there is no interval change or evidence of acute pneumonia. Continued globular enlargement of the cardiac silhouette without vascular congestion or pleural effusion.
history of tb exposure, now coughing.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.
shortness of breath and cough.
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Lung volumes are normal. There is no consolidation, pleural effusion or pneumothorax. Cardiomediastinal contours are normal. There is no subdiaphragmatic free air. No acute osseous abnormalities identified.
<unk>-year-old female with chest pain. evaluate for infection.
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Chest, pa and lateral. The lungs are clear. Aside from minimal cardiomegaly, the hilar and mediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old man with cardiomyopathy and palpitations. evaluate for pneumothorax or pneumonia.
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The lungs are well inflated and clear. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with hx of mds. <unk> and cough. also with lower extremity edema. please r/o pna or edema. // <unk> year old woman with hx of mds. <unk> and cough. also with lower extremity edema. please r/o pna or edema.
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The lungs are clear without consolidation or effusion. The cardiac silhouette is mildly enlarged as on prior. No acute osseous abnormalities identified.
<unk>m with cough // eval infiltrate
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Ap upright and lateral views of the chest provided.there is no focal consolidation, effusion, or pneumothorax. Curvilinear calcification projecting over the heart likely reflects mitral annular disease. Coronary stents are seen projecting over the heart. The cardiomediastinal silhouette is stable with top-normal heart size. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with cp // eval pneumonia vs chf
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Lung volumes are low. The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The lungs are clear. No pneumothorax or large pleural effusion is identified.
<unk>f with cough, fever // eval for pna
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Small bilateral pleural effusions are not significantly changed. Severe left basilar atelectasis is unchanged while minimal right basilar atelectasis is improved. The lungs are otherwise clear. Mild cardiomegaly is unchanged. There is no pneumothorax. The mediastinal contours are normal aside from unfolding of the descending thoracic aorta, as before. The patient is status post midline sternotomy with mitral and tricuspid valve repairs.
sensation of chest heaviness, rule out acute cardiac or pulmonary process.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. There is enlargement of the right hilum. Heart size is top normal.
<unk>-year-old female with atrial fibrillation.