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A left pectoral pacemaker is again noted, with leads in standard positioned. Aortic and mitral valve prostheses are present. Status post sternotomy. The heart is mild enlarged but unchanged. There is upper zone redistribution, but no overt chf. No gross pleural effusion. Retrocardiac opacity is noted. No pneumothorax. Densities, including nodular densities, seen on the <unk> chest ct, are not well appreciated radiographically. The previously described partially calcified nodule is faintly visible in the right mid zone laterally.
chest pain. evaluate for pneumonia or pulmonary edema.
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Moderate cardiomegaly with mild tortuosity of the thoracic aorta is unchanged since at least <unk>. Central pulmonary vascular congestion with associated interstitial edema is mild. Increased opacity at the right lung base is more pronounced compared to prior examinations. Pleural surfaces are clear without effusion or pneumothorax.
fever.
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Pa and lateral views of the chest provided. Lung volumes are low limiting assessment. The heart is mildly enlarged. The hila appear slightly congested. There is no overt edema or signs of pneumonia. No large effusion or pneumothorax. Bony structures appear intact.
<unk>f with cough, fall // pneumonia?
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There is mild to moderate pulmonary edema. Opacification at the bases bilaterally likely represents atelectasis. No focal consolidations to suggest pneumonia. Small bilateral pleural effusions. There is mild enlargement of the cardiac silhouette, however this may be projectional. No pneumothorax.
history: <unk>m with ams, tachypnea // acute process
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There is subdiaphragmatic free air. 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 colonoscopy yesterday with abdominal pain and right rib pain. please evaluate for air.
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Cardiac silhouette size is normal. The aorta is mildly tortuous and demonstrates atherosclerotic calcifications. Mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities demonstrated.
<unk> year old woman with cerebral aneurysm // preop: pipeline embolization of cerebral aneurysm surg: <unk> (embolization of cerebral aneurysm)
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Ap and lateral views of the chest are compared to previous exam from <unk> and ct from <unk>. Nodular mass projecting over the left mid lung is again seen, compatible with patient's known lung cancer. As on prior, there is elevation of the left hemidiaphragm. Left basilar linear atelectasis is also seen. There is no effusion or large consolidation. Cardiac silhouette is stable. Catheter projects over the anterior right chest wall. Osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old female with history of lung cancer, presenting with lightheadedness.
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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 cough // eval for pna
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The cardiomediastinal silhouettes are normal. The bilateral hila are unremarkable. The lungs are clear. There is no pulmonary vascular congestion. There is no pneumothorax or effusion.
a <unk>-year-old man with chest pain, evaluate for pneumonia.
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Pa and lateral chest radiographs demonstrate well inflated lungs. There is no focal opacity convincing for pneumonia. Cardiac and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Cardiac device appears appropriately positioned. A aortic valvular prosthesis is in similar orientation relative to prior study. There is no pneumothorax or pleural effusion.
history: <unk>f with dyspnea // acute cardiopulmonary process
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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. No displaced rib fracture is seen.
<unk>-year-old man with left rib cage pain. evaluate for fracture.
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The heart size is normal. The aorta is mildly tortuous and demonstrates atherosclerotic mural calcifications at the aortic arch. The hilar contours are normal. There is mild pulmonary vascular congestion. Blunting of the costophrenic angle on the right is compatible with a trace pleural effusion. The lungs are hyperinflated. There is scarring within the lung apices. No focal consolidation is identified, and there is no pneumothorax. Diffuse demineralization of the osseous structures is noted.
shortness of breath and pedal edema.
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Minor bibasilar atelectasis is noted but the lungs are without a focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Post-surgical changes are noted in the right upper lung.
shortness of breath.
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Assessment is slightly limited by patient rotation. Heart size is moderately enlarged. The aorta is tortuous and demonstrates atherosclerotic calcifications. Perihilar haziness and vascular indistinctness is compatible with mild pulmonary edema. Enlargement of the hila bilaterally also suggests dilated pulmonary arteries. Low lung volumes with bibasilar atelectasis is noted. No large pneumothorax is seen however the medial aspect of both lung apices is obscured by the patient's chin and neck projecting over this area. Small bilateral pleural effusions appear to be present. There are moderate multilevel degenerative changes noted in the thoracic spine.
history: <unk>m with gi bleeding, wheezing, history of chf
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with pmh htn, hld p/w chest pain
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study dated <unk>. The heart size appears within normal limits. No typical configurational abnormalities are seen. Mildly widened and elongated thoracic aorta without evidence of local contour abnormalities or walled calcifications. The pulmonary vasculature is not congested. No evidence of acute or chronic parenchymal infiltrates are noted, and the lateral and posterior pleural sinuses are free. Mildly elevated right-sided hemidiaphragm, finding which however was present already on the previous study. There is no pneumothorax in the apical area and the skeletal structures of the thorax are grossly unremarkable.
<unk>-year-old female patient with shortness of breath, chest pain, evaluate for pneumonia or chf.
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Compared to the prior radiograph from late <unk>, perihilar heterogeneous opacities are persistent with slight interval improvement. No pleural effusion or pneumothorax. Right chest wall port and catheter are unchanged.
new aml diagnosis, neutropenia, status post chemotherapy. please evaluate for new infiltrate.
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Permanent pacemaker is present with leads in the region of the right atrium and right ventricle with somewhat lateral course of the atrial lead. Heart is upper limits of normal in size, in the aorta is mildly tortuous. Bibasilar atelectasis is present with adjacent small pleural effusions, left greater than right.
<unk> year old man with new likely aml diagnosis, diffuse bilateral chest pain, report of b/l pleural effusions // eval for pleural effusions
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The lung volumes are overall low, there is persistent elevation of the right hemidiaphragm relative to the left side. Faint increased opacity in the left lower lobe/ lingula was also present on the prior chest radiograph dated <unk> and has not changed in the interval, may represent atelectasis. There is no lobar consolidation. No pleural effusions. Cardiomediastinal silhouette is unchanged. Degenerative changes of the thoracic spine are as before.
history: <unk>m with persistent cough // infiltrate
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Pa and lateral views of the chest provided. Cardiomegaly again noted. There is a left pleural effusion which is moderate in size with associated compressive lower lobe atelectasis. There is hilar congestion without overt edema. Mediastinal contour is stable. Bony structures are intact.
<unk>m with lung biopsy today, with sob, poor left lung sliding.
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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 pleuritic pain
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The lungs are clear of confluent consolidation. Linear opacities seen in the right mid lung could be related to scar versus atelectasis and possible thickening of the major fissure. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with fever, low white blood cell, question pneumonia.
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The lungs are moderately well expanded and grossly clear. There is no pleural effusion, pneumothorax, overt pulmonary edema, or focal consolidation. The heart is normal in size. The thoracic aorta is tortuous, and deviates the trachea to the right. Previously described bilateral pulmonary nodules, calcified infrahilar right lymph node, and multiple fractures including many mid thoracic vertebral bodies and posterior lateral right ribs are unchanged, and better characterized on prior ct. Chronic deformity of the proximal right humerus suggests prior fracture.
<unk>f with subjective fevers/chills // please eval for any pna
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is unchanged with enlargement of the main pulmonary artery, as seen on the prior ct. The imaged upper abdomen is unremarkable. The bones are intact.
<unk>f with dyspnea // acute process?
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
left clavicular pain for <num> week, worse with movement.
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Ap and lateral views of the chest. Right mid to lower and left lower lung opacities are identified. Superiorly the lungs are clear. The cardiomediastinal silhouette is within normal limits given relatively low lung volumes. There is no effusion. No acute osseous abnormality identified.
<unk>-year-old male with history of left lower lobe pneumonia with shortness of breath high fevers and hypoxia.
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Lung volumes are low. The cardiac silhouette is borderline enlarged, similar to the prior examination. Again noted is indistinct pulmonary vasculature with patchy bilateral opacity, improved since the most recent examinations. No focal consolidation is definitively identified, though cannot entirely be excluded. There is no pleural effusion or pneumothorax. Left picc tip projects over the mid svc. Multiple surgical clips noted in the right upper quadrant.
<unk>f with cough and left chest crackles // pna?
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Moderate cardiomegaly has been persistent compared to exams dated back to at least <unk>. There is mild pulmonary vascular congestion with overall somewhat improved mild-to-moderate diffuse pulmonary edema. Small bilateral pleural effusions are persistent. There is mild bibasilar atelectasis. There is no evidence of a pneumothorax. Left-sided pacer leads are in unchanged position. Interval removal of a right sided central line.
history of altered mental status, who presents from nursing home. please evaluate for interval change.
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Perihilar bronchial cuffing is concerning for bronchitis. The heart is within normal limits. There is no pneumothorax. Osseous structures are unremarkable.
history: <unk>m with cough, fever // eval for pna
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The lungs are clear. There is no consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with cough // infiltrate
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No previous images. There is hyperexpansion of the lungs with flattening of the hemidiaphragms, consistent with chronic pulmonary disease. Cardiac silhouette is at upper limits of normal in size. Coarseness of interstitial markings could reflect chronic lung disease, some elevated pulmonary venous pressure, or both. No evidence of acute focal pneumonia or pleural effusion. There is mild loss of height of a lower thoracic vertebral body.
possible carotid occlusion, to assess for lung lesion.
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Pa and lateral views of the chest demonstrate streaky opacities in the bilateral lung bases, consistent with atelectasis. No pleural effusion, pulmonary edema, pneumothorax or definite focal pneumonia is identified. The lung volumes are somewhat low. The cardiomediastinal silhouette is unremarkable. A left clavicular fracture is again seen and unchanged since the prior study. No new fractures are identified.
<unk>-year-old male with thoracic spine tenderness. evaluation for fracture or infection.
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Patient is status post median sternotomy and cabg. Single lead left-sided pacemaker is similar in position. The cardiac silhouette remains enlarged. The aorta is tortuous. The lungs are relatively hyperinflated. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Minimal to no pulmonary edema.
history: <unk>f with dyspnea, cough // eval for pulmonary edema, pneumonia
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As compared to prior chest examination, there has been interval placement of a right-sided port-a-cath catheter with its tip terminating in the low svc. The lung volumes are decreased accentuating the bronchovascular structures. The cardiomediastinal and hilar contours are normal. There is no definite focal consolidation, pleural effusion or pneumothorax.
fever. question infection.
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On the current exam, the lungs are clear. Opacity projecting over lung bases on lateral view was not clearly delineated on today's exam. Cardiomediastinal silhouette is stable. There is no pleural effusion or pneumothorax.
<unk>f with worsening cough after pna dx on <unk> <unk>/ evaluate for infiltrate
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Heart size mildly unchanged. The aorta appears mildly tortuous but unchanged. The hila bilaterally appear prominent which may reflect enlarged pulmonary arteries. Lungs are hyperinflated with suggestion of emphysematous changes in the apices. Mild pulmonary vascular congestion is present without overt pulmonary edema. Small bilateral pleural effusions are noted. More focal ill-defined opacity is seen within the left mid lung field. No acute osseous abnormalities detected.
history: <unk>m with cough
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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size.
<unk>f with dm, htn, hld and new onset afib.
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The lungs are clear bilaterally, without focal consolidations, pleural effusions, or pneumothorax. The heart size is within the upper limits of normal. No evidence of hilar lymphadenopathy or cavitary lesions.
<unk> year old woman with history of positive ppd. // any pulmonary findings to indicate active disease?
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Frontal and lateral radiographs of the chest were acquired. There is minimal left lower lung scarring/atelectasis, decreased compared to the prior study. The lungs are otherwise clear. There has been near-complete interval resolution of a small loculated left pleural effusion, with minimal residual pleural thickening/fluid along the lateral aspect of the left lower lung, best appreciated on the frontal projection. There is no right pleural effusion. No pneumothorax is seen. The heart size is normal. The mediastinal contours are normal.
acute onset dyspnea.
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion, pneumothorax. Cardiomediastinal silhouette is normal. No bony abnormalities are seen. No free air below the right hemidiaphragm.
<unk>f with chest pain.
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
weakness.
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The heart size is normal. There is evidence of prior left lung resection with multiple clips noted in left hilar region and volume loss in the left lung with elevation of the left hemidiaphragm and superior displacement of the left hilum. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. The pulmonary vasculature is not engorged. There are no acute osseous abnormalities.
cough.
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. Cardiomediastinal silhouette is within normal limits.
<unk>f with cough and fevers evaluate for infectious process
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Severe kyphoscoliosis deformity is again noted. There is atelectasis at the right lung base. Left lower lobe opacity with partial obscuration of the left hemidiaphragm may reflect atelectasis, although aspiration or pneumonia is also possible. The aorta remains tortuous. There is central vascular congestion. No pneumothorax is identified.
<unk>m with cp with point tenderness on left chest wall, evaluate for rib fracture or infectious process.
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The heart size is mildly enlarged. Mediastinal and hilar contours are similar with enlargement of the hila bilaterally compatible with pulmonary arterial enlargement. Pulmonary vasculature is not engorged. Patchy right upper and lower lung field opacities appear improved compared to the prior study. A moderate size left pleural effusion may be minimally increased from prior with continued left basilar opacification, likely compressive atelectasis. No pneumothorax is detected. There are no acute osseous abnormalities.
history: <unk>f with shortness of breath, cough
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Frontal and lateral chest radiographs demonstrate significant interval increase in a right pneumothorax despite a right pigtail catheter. There is no cardiomediastinal shift. The heart is normal in size. The lungs are clear and there is no pleural effusion.
spontaneous pneumothorax, status post placement of a pigtail.
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Since the prior study there right ij central line is been removed. There is moderate left lower lobe atelectasis and a small left pleural effusion. The right lung essentially clear. Heart size and mediastinal contours are normal.
<unk> year old woman with s/p cabg. evaluate for effusion and or infiltrate. // eval for effusion or infiltrate
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As compared to the prior examination dated <unk>, there has been no significant interval change. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. The heart size is normal. Mediastinal contours are normal. Redemonstrated is a wedge shapped deformity a lower thoracic vertebral body.
productive cough, but clear chest examination.
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Pa and lateral views of the chest provided. Patient is slightly leftward rotated. 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 syncope, wbc elevation, feeling unwell
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The heart size is normal. There is elevation of the right hemidiaphragm, of indeterminate chronicity. No focal consolidations concerning for pneumonia are identified. There is no large pleural effusion or pneumothorax. Right lower lobe atelectasis.
history: <unk>m with sob pls eval // eval pna
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with fever // infiltrate?
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Pa and lateral views of the chest demonstrate flattening of the hemidiaphragms and the parenchymal pattern consistent with severe copd. No focal consolidation concerning for pneumonia is present. There is no pleural effusion, pulmonary edema or pneumothorax. The cardiomediastinal silhouette demonstrates prominence of the right upper mediastinal contour, which should be further evaluated with shallow oblique images. Partial resection of the posterior right fifth rib is also stable. Bilateral nipple shadows should not be confused for pulmonary nodules.
<unk>-year-old female with copd and hospitalization in <unk> for pneumonia. evaluation 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>m with first time seizure, cough // eval for consolidation
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As compared to prior chest radiograph from <unk>, there has been complete resolution of right middle lobe opacity. No new focal consolidations are identified. The cardiomediastinal and hilar contours are within normal limits. There are no pleural effusions. There is no pneumothorax. Visualized osseous structures are grossly unremarkable.
<unk>-year-old male patient with pneumonia. study requested to confirm resolution.
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The lung volumes are low. Allowing for technique, the cardiac, mediastinal and hilar contours appear within normal limits. There is a mild to moderate diffuse interstitial abnormality which is not specific but could be seen with atypical pneumonia, interstitial pulmonary edema or perhaps extensive airway inflammation. There is no pleural effusion or pneumothorax.
disorientation and dizziness.
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Incomplete inspiration causes crowding of pulmonary vasculature. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old man presenting with chest pain and dyspnea for <num> hours, second visit for same symptoms in the last <num> days.
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In comparison with study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
chest pain.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with leukocytosis
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Frontal and lateral chest radiograph demonstrates a new lenticular opacithy suggestings a moderate to large right loculated pleural effusion along the lateral upper hemithorax and associated atelectatic changes. There is improved aeration of the right lower lobe, though opacities suggesting atelectasis of portions of the right lower and middle lobes persists. The left lung appears clear with no new consolidation, pleural effusion, or pneumothorax. A right sided picc is seen terminating at the low svc as is a left-sided an central line. Allowing for changes in patient position, the cardiomediastinal contour appears unchanged.
<unk>-year-old male with <num> hepatic abscesses and emphysematous cholecystitis. evaluate interval change in pleural effusion.
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Reticulation, bronchiectasis and opacification there has increased since <unk> consistent with worsening pulmonary fibrosis. No focal consolidation concerning for pneumonia. No pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.
history: <unk>m with h/o vasculitis presents with fever, cough // ? pneumonia
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There is a hazy opacity in the right mid zone likely corresponding in the lower portion of the right upper lobe, consistent with pneumonia. Otherwise, the right and left lungs are grossly clear, without chf, other focal opacity, or fusion. The extreme left costophrenic angle is excluded from the film. The cardiomediastinal silhouette is within normal limits.
<unk> year old man with history of hcv cirrhosis s/p liver transplant on immunosuppression with newly developed fevers. // please evaluate for pulmonary 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. Bony structures are unremarkable.
dyspnea on exertion.
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Mild right basilar scarring is again noted. Otherwise, the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified.
pain and distention.
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Pa and lateral views of the chest are compared to previous exam from <unk>. On the frontal exam, there is increased patchy opacity at the right lung base obscuring the right heart border which is less conspicuous on the lateral view. Elsewhere, the lungs are clear, costophrenic angles are sharp. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unchanged. Changes at the right humeral head are less clearly seen on the current exam.
<unk>-year-old male with shortness of breath, multiple intubations related to asthma.
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Right internal jugular vascular catheter terminates in the proximal right atrium. Stable enlargement of cardiac silhouette. Improving bibasilar opacities as well as slight decrease in small pleural effusions.
<unk> year old man s/p avr // eval for pleural effusions
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar studies <unk> <unk> and the most immediate chest examination obtained <num> hours earlier during the same day. The on next previous study identified acute interstitial and pulmonary edema pattern has markedly improved. Moderate cardiac enlargement persists. On the other hand, the amount of pleural effusion accumulating in the lateral and posterior pleural sinuses has increased slightly. No new pulmonary parenchymal infiltrates can be identified. When comparison is extended to the chest examination <unk> <unk>, mild cardiac enlargement persists. The on previous examination identified parenchymal density in the periphery of the left upper lobe lingula abutting the cardiac contour is again seen and suggests a possibility of an inflammatory process in this area. Thus, further followup is recommended.
<unk>-year-old female patient with hepatitis c, status post two liters of iv infusion, now tachypneic. evaluate for pulmonary edema or pulmonary embolism, questionable chf.
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Ap and lateral views of the chest. Increased interstitial markings are again seen suggesting \vascular congestion. Increased opacity at the right costophrenic angle on the frontal may be due to underpenetration and overlying soft tissues. There is no definite effusion. On the lateral view, there is slightly more conspicuous retrocardiac opacity on when compared to prior <num> view. Cardiac silhouette is enlarged but unchanged, notable for aortic and mitral valve replacements triple lead pacing device. Median sternotomy wires again noted.
<unk>-year-old male with chf history, asthma presents with shortness of breath and productive cough.
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In comparison with study of <unk>, there is little change and no evidence of acute cardiopulmonary disease or old granulomatous disease.
hemoptysis with positive ppd.
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In comparison with the study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
on steroids with positive ppd.
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The lungs are relatively well expanded without focal consolidation. There is minimal left base linear atelectasis/scarring. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.
cough and hypoxia.
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Lung volumes are slightly low. This results in vascular crowding at the lung bases. The cardiac silhouette is unremarkable given technique. A vague right basilar opacity is noted, which, in the appropriate clinical context, may represent pneumonia. There is no pleural effusion or pneumothorax.
history: <unk>f with chest pain // pna
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Pa and lateral views of the chest provided. Port-a-cath resides over the right chest wall with catheter tip extending to the region of the upper svc. Extensive opacity in the right mid and lower lung is consistent with known malignancy. Difficult to exclude a superimposed pneumonia. Right pleural effusion has decreased somewhat in the interval, now moderate in size. The left lung appears clear. No large pneumothorax though the patient's chin obscures the superior mediastinum. Cardiomediastinal silhouette is stable.
<unk>f with pmhx of lung ca presenting with acute onset sob.
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A left-sided pacemaker and dual leads are seen in expected position. The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion, pulmonary edema or pneumothorax.
<unk> year old man with chest pain // eval for pneumo, widened mediastinum
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The lung volumes are normal. Normal size of cardiac silhouette. No pleural effusions. No focal parenchymal opacity suggesting pneumonia. No pulmonary edema. No pneumothorax. Normal hilar and mediastinal contours. The osseous structures are stable.
<unk> year old man with uncontrolled hiv presenting with nonproductive cough and some mild weight loss // please evaluate for signs of pneumonia
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A left picc terminates at the upper svc. There is no pneumothorax, focal consolidation, or pleural effusion. Mild elevation of the right hemidiaphragm remains stable. The heart size is normal. The hilar mediastinal contours remain within normal limits.
<unk> year old woman with malpositioned picc // picc pulled back <num> more cm please re-check tip <unk>
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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 new-onset diabetes, please evaluate for pneumonia.
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal hilar contours are normal. No rib fracture is identified.
evaluate for rib fracture or pneumothorax. status post high speed motor vehicle collision.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. There is no focal opacity. The interstitium is mildly prominent. This appearance is not specific but suggests slight fluid overload.
altered mental status.
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Ap upright and lateral views of the chest provided. Low lung volumes significantly limit the assessment. The lungs appear grossly clear though volumes are quite low. Heart size cannot be assessed. Mediastinal contour appears normal. There is relative prominence of the left pulmonary hilum though may reflect bronchovascular crowding in the setting of poor inspiratory effort. No pneumothorax or large effusion. Bony structures are intact.
<unk>m with huntingtons, ?aspiration pna // ?pna
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Lungs are clear without focal consolidation, effusion, or edema. Moderate cardiomegaly and prosthetic mitral valve are again noted. Left chest wall dual lead pacing device is unchanged. No acute osseous abnormalities.
<unk>m with chf, episodic cp since yesterday // ?cpd
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Frontal and lateral chest radiographs demonstrate a right chest wall port with the tip terminating in the low svc/ cavoatrial junction. The cardiomediastinal silhouette is normal in the lungs are well aerated. A linear opacity in the left lower lobe is consistent with atelectasis or scarring. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for infiltrate in a patient with fever.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There is no pleural effusion or pneumothorax.
chest pain and cough.
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Vagal stimulator is seen projecting over the left upper hemithorax. There are areas of bibasilar atelectasis/scarring. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Evidence of multiple old right-sided rib fractures are again seen. No definite acute fracture is seen.
fall.
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Pa and lateral chest radiographs demonstrate low lung volumes with subsequent crowding of bronchovascular structures. There is obscuration of the right hemidiaphragm medially which corresponds to area of opacification within the right lower lobe and retrocardiac area on lateral views. There is no pleural effusion or pneumothorax identified. His structures demonstrates no acute abnormality.
<unk>-year-old male with altered mental status. evaluate for pneumonia.
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The cardiomediastinal and hilar contours are within normal limits. There is bibasilar atelectasis. There is no focal consolidation, pleural effusion or pneumothorax.
fall, head strike, loss of consciousness.
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<num> views were obtained of the chest. The lungs are low in volume but clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal mediastinal and hilar contours.
chest pain.
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Frontal and lateral chest radiographs demonstrate interval removal of a right subclavian catheter. The heart, lungs, mediastinum, hila, and pleural surfaces are normal.
transplant workup.
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There is no new consolidation. Right middle lung atelectatic band is chronic. Left small pleural effusion has completely resolved. There is no pneumothorax. Right jugular line is unchanged and ends in upper atrium. Mediastinal and cardiac contours are normal.
patient with aml, allo stem cell transplant, now with orthostatic hypotension, evaluation for pneumonia.
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Heart size is normal. Mediastinal hilar contours are within normal limits. Pulmonary vascularity is not engorged. The lungs are clear. No pleural effusion or pneumothorax. Again noted is eventration of the right hemidiaphragm. Stable hilar contours.
question pneumonia.
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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.
<unk> year old man with <num> week of progressive shortness of breath and left chest pain. family history of "dropped lung". // evidence of pneumonia, pneumothorax, or etiology of left sided chest pain
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>-year-old man with fever.
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Pa and lateral views of the chest. No prior. The lungs are hyperinflated but clear without consolidation or effusion. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with dizziness. brief episode of dyspnea.
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Pa and lateral views of the chest. There is slight elevation of the left hemidiaphragm, not significantly changed since prior chest x-ray. Left basilar opacity obscuring the left costophrenic angle and retrocardiac opacity are most likely due to atelectasis. Elsewhere, the lungs are clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with dyspnea.
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Pa and lateral views of the chest demonstrate relatively low lung volumes with minimal atelectasis at the bilateral lung bases. There is no evidence of focal consolidation, pleural effusion, pneumothorax or pulmonary edema. The cardiomediastinal silhouette is unremarkable.
history of seizures and recent increased agitation with altered mental status. evaluation for infection.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There is postradiation fibrosis seen at the right apex. There is a right breast prosthesis. No pleural effusion or pneumothorax is seen. The patient is status post bilateral shoulder arthroplasty.
<unk> year old woman with fever, dyspnea, crackles/consolidation l base, hx asthma // r/o pneumonia
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Lung volumes are low. Prominent left cardiophrenic fat pat is identified. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits.
<unk>-year-old male with fever.
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The heart is top normal in size. The hilar and mediastinal contours are within normal limits. There is no focal consolidation, pleural effusion or pneumothorax.
<unk>-year-old man with weakness, fall with possible head strike. evaluate for pneumonia.
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Bibasilar opacities are seen which likely represent combination of pleural effusions and atelectasis although consolidation due to infection or aspiration is not excluded. Superior vena cava stent is re- demonstrated. Cardiac silhouette is mildly enlarged. Mediastinal contours are stable and unremarkable. A square radiopaque structure projects over the right upper hemi thorax, also present on the prior study.
history: <unk>f with dyspnea // r/o acute process
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The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. There is an anterior dislocation of the right shoulder.
seizure and right shoulder pain with limited mobility.
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As compared to the previous radiograph, there is unchanged evidence of a large hiatal hernia. The size of the cardiac silhouette is unchanged and at the upper range of normal. There is no pulmonary edema. No pleural effusion is seen. The lung parenchyma is normal. No hilar or mediastinal abnormalities.
cough, sweats for five days, rule out pneumonia.