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Lateral view is obscured by patient's arm. The lungs are clear of focal consolidation, effusion or vascular congestion. Nodular opacities over the lung bases are likely nipple shadows. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormalities identified.
<unk>m with
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours and unchanged aortic tortuosity.
chest heaviness.
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Cardiac size is top normal in size. Small left pleural effusion associated with adjacent atelectasis is stable. Increasing opacities in the right lower lobe are consistent with atelectasis. There are moderate to severe degenerative changes in the thoracic spine. Ivc filter is again seen. Of note the patient's chin obscures the apices of the lungs.
hypoxia crackles. evaluate for pulmonary edema.
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation, effusion or overt pulmonary edema. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with fever and wheezing.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax.
status post liver transplant. rule out infection.
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Cardiac silhouette size is borderline enlarged, unchanged. The aorta is tortuous. Mediastinal and hilar contours are similar. Crowding of the bronchovascular structures is demonstrated. Patchy opacity in the left lung base likely reflects an area of atelectasis. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are identified.
history: <unk>m with hyperglycemia
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Pa and lateral views of the chest provided. Compared to prior study, there is no significant change. The left heart border continues to be obscured likely due to prominent fat pad. There is right lower lung atelectasis. There is no pleural effusion. Heart size is enlarged. Median sternotomy wires are again noted.
<unk>-year-old male with cough.
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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Osseous structures are normal. No free air is noted under the hemidiaphragms.
evaluation of patient with history of hiv with cough.
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Right-sided chest tube terminates in unchanged position with tip projecting along the medial base of the right hemi thorax. Again demonstrated is a right hilar mass with hilar lymphadenopathy and multiple pleural-based masses compatible with metastases, better assessed on the previous ct. Fiducial markers are noted within the superior aspect of the left hilar mass as well as within the right upper lobe, unchanged. A moderate size right pleural effusion may be minimally increased in size compared to the prior study with worsening airspace opacification in the right lung base which may reflect worsening atelectasis, but infection is not excluded. No pneumothorax is identified. Apart from subsegmental atelectasis in the left lower lobe, the left lung is clear. The cardiac and mediastinal contours are unchanged with the heart size appearing within normal limits. Atherosclerotic calcifications are noted throughout the thoracic aorta.
history: <unk>f with mild pain, shortness of breath associated with recent right thoracentesis
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Pa and lateral views of the chest were provided. Clips are again noted in the left axilla. Low lung volumes without definite signs of pneumonia or chf. Cardiomediastinal silhouette is stable with atherosclerotic calcifications along the aortic knob. Bony structures appear intact.
<unk>-year-old female with cough assess for pneumonia.
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The heart size is normal. The cardiomediastinal silhouette and hilar contour is unremarkable. The lungs are clear without focal consolidation, effusion or pneumothorax. No acute bony change is identified.
cough.
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The lungs are mildly hyperinflated however there is no focal consolidation. No evidence of pulmonary edema or pleural effusions. Heart size and mediastinal contours are normal osseous structures are diffusely demineralized however no compression deformity of the thoracic spine is appreciated.
history: <unk>m with dyspnea. evaluate for heart failure versus pneumonia.
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As compared to the previous radiograph, there is no relevant change. No acute process such as pneumonia or pulmonary edema. Normal size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta. No pleural effusion. Status post septum repair.
wheezes, rule out chronic heart failure.
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Supine and lateral views of the chest. The lungs are clear consolidation or large effusion. Cardiac silhouette appears enlarged likely accentuated by lordotic and supine positioning. No acute osseous abnormality detected. Focal accentuated kyphosis seen at the lumbosacral junction.
<unk>-year-old female status post syncope. headache and neck pain and back pain. pleuritic chest pain.
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Frontal and lateral radiographs of the chest demonstrate a moderate-sized partially loculated pleural effusion and persistent retrocardiac opacity, likely representing atelectasis versus pneumonia. There is mild cardiomegaly. The right lung is clear. The previously seen left apical pneumothorax has resolved.
<unk>-year-old female with recently drained pleural effusion and heart failure exacerbation. evaluate for reaccumulation of pleural effusion.
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No focal consolidation, pneumothorax, pleural effusion or pulmonary edema is seen. Bilateral nipple shadows appear unchanged. The cardiomediastinal silhouette is stable.
eight days of productive cough.
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Frontal and lateral radiographs of the chest were acquired. Lung volumes are low. There is no focal consolidation. Mild enlargement of the cardiac silhouette is not significantly changed. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Mild multilevel degenerative changes of the thoracolumbar spine are noted.
bilateral leg swelling. assess for pulmonary edema.
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Mild enlargement of the cardiac silhouette is unchanged. The aorta is unfolded. The mediastinal and hilar contours otherwise are stable. Pulmonary vascularity is normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous abnormality is identified.
cough and hyperglycemia.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable.
migraine presenting with acute onset sharp left-sided chest pain since last night.
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Ap and lateral chest radiographs. Lung volumes are low and the right hemidiaphragm is persistently elevated. However, there is no focal consolidation, pleural effusion, or pneumothorax. Right basilar atelectasis is stable. The heart is mildly enlarged. Leftward deviation of the trachea is from the patient's enlarged right thyroid lobe. Compression deformity of one of the upper lumbar vertebral bodies is similar to prior ct in <unk>.
fever and cough.
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Ap and lateral views of the chest are compared to previous exam from <unk>. New from prior is left basilar opacity in the left lower lobe. Elsewhere, the lungs are clear. Cardiac silhouette is enlarged but stable. Median sternotomy and mediastinal clips and aortic valve replacement are noted. Osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old male with generalized weakness and cough. question pneumonia.
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Ap and lateral images of the chest. Lungs well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is enlarged. There is an upward bulge of the right diaphragmatic-pleural surface anteriorly, consistent with prominent eventuration simulating a torn hemidiaphragm as seen on recent ct. Significant atherosclerotic calcifications are seen in the aorta and coronary arteries.
dyspnea, abdominal pain, no stools or flatus status post partial colectomy.
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An icd device is noted over the left anterior chest. Lead positions remain unchanged from the prior study. Heart is normal in size and configuration. Cardiomediastinal contours are unremarkable. Lungs are clear with no evidence of focal infiltrates. No pleural effusion and no pneumothorax.
<unk>-year-old lady with history of idiopathic dilated cardiomyopathy, heart failure, status post biventricular icd in <unk>, rule out lead dislodgement.
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Heart size is top normal. Cardiomediastinal silhouette and hilar contours are unremarkable. There are mild increased perihilar and basal opacities compatible with mild pulmonary edema. There is no focal consolidation. There is no pleural effusion or pneumothorax.
altered mental status.
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Frontal and lateral radiographs of chest demonstrate well expanded clear lungs. There is no pneumothorax, consolidation, or pleural effusion. The cardiomediastinal and hilar contours are unremarkable.
chest pain.
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Pa and lateral views of the chest provided. Lung volumes are low. There is thickening of the right paratracheal stripe which raises concern for lymphadenopathy. No focal consolidation, effusion or pneumothorax is seen. The heart size is within normal limits. The bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with fever and ha and cough x<num> days // infectious process
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Pa and lateral views of the chest. Lung volumes are low and there is elevation of right hemidiaphragm with overlying atelectasis, right base consolidation due to pneumonia is not excluded. A nodular opacity in the left lower lung likely represents one or more of multiple lung nodules seen on abdominal ct with others not as well seen on chest radiograph. There is no pneumothorax. No pleural effusion. Cardiomediastinal and hilar contours are normal. There is pulmonary vascular congestion.
hypoxia and fever, evaluate for infiltrate.
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.
cough.
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The cardiomediastinal silhouette is stable, with an abnormal contour at the level of ap window and to the right lower paratracheal stripe reflective of known fdg avid mediastinal mass. Aortic arch calcifications are re- demonstrated. There is no new focal lung consolidation. There is no pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or pleural effusion.
<unk>m with febrile neutropenia, evaluate for 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.
history: <unk>f with cough, sob, dizziness // presence of infiltrate
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Pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air is seen below the right hemidiaphragm.
<unk>-year-old man with shortness of breath, evaluate for pneumonia or pneumothorax.
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Pa and lateral views of the chest provided. The heart is mildly enlarged. The lungs are clear without focal consolidation, large effusion or pneumothorax. No signs of edema or congestion. Mediastinal contour is normal. Bony structures are intact.
<unk>m with sob // eval for pulmonary edema
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New left lung base opacity is suspicious for pneumonia. Small region of peribronchial opacification in the infrahilar right lung may be a second focus of infection. There is no pleural effusion or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
history: <unk>f with weakness // pna?
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The cardiomediastinal silhouette and pulmonary vasculature are normal. There is no consolidation. There is no pleural effusion or pneumothorax. No definite fractures identified.
<unk>f with r chest pain
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable. No radiodense is foreign body is visualized.
swallowed plastic bag.
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<num> views of the chest. The lungs are clear. There is no effusion or pneumothorax. Mild right greater left apical scarring is noted. Cardiomediastinal contours are unremarkable. Cervical fusion hardware is incompletely assessed.
nausea and elevated lactate with cough. assess for infiltrate.
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Retrocardiac opacification may represent early consolidation in the proper clinical setting. There is no pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is normal. Left sixth and seventh rib fractures appear subacute or chronic.
<unk>m with c/o reflux and fever in setting of recent colonoscopy, evaluate for pneumonia for
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
dull substernal chest pain.
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The lungs are clear. The heart size is normal. There is a left-sided aortic arch. There are no pleural effusions. No pneumothorax is seen.
past medial history of gerd, asthma, and palpitations, with two days of chest pain particularly in the lower ribs. worse with deep inspiration. also with sweats, chills, and dyspnea. assess for pneumonia.
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There is persistent streaky left basilar opacity, similar is configuration when compared to prior. This may be due to atelectasis versus scarring given persistence since prior. The lungs are hyperinflated with no new consolidation. Blunting of the posterior costophrenic angles may be due to atelectasis. Cardiac silhouette is enlarged. Left chest wall dual lead pacing device again noted. Compression deformities in the lower thoracic spine were seen on prior ct rounded opacity at the right ventrolateral aspect of the t<num> vertebral body is more completely characterized on prior ct.
<unk>f with fall; headstrike. has hx of subdural and fractures. // eval for fx, bleed
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There is a right anterior chest drain. There is no pneumothorax or pleural effusion. There is no focal consolidation concerning for pneumonia. The cardiac, mediastinal and hilar structures are unremarkable.
postoperative fever. evaluate for pneumonia.
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Frontal and lateral views of the chest. Sternotomy wires and aortic valve are noted. Clips are seen within the upper abdomen. No pleural effusion, pneumothorax or focal airspace consolidation. Cardiac silhouette remains mildly enlarged. The pulmonary vasculature is normal. The hilar structures and mediastinum are normal.
open aortic valve replacement, now with dizziness. evaluate for pneumonia.
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Lung volumes are low with probable bibasilar atelectasis. The lungs are clear without consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk> year old man with hx of pulmonic regurgitation, chest pain // effusion, consolidation
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Pa and lateral views of the chest provided. The lungs are hyperinflated though appear 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 c/o sob x <num> days with hx asthma // ? pna
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Right upper lobe malignancy was treated with chemo and radiation therapy with stable paramediastinal scarring. Left lung opacification from <unk> proven to be cop has completely resolved. Area of consolidation in right lower lung has increased in size from chest ct of <unk> to pet-ct of <unk>. There is no pleural effusion or pneumothorax. Mediastinal and cardiac contours are unremarkable.
the patient with right-sided opacity to see if it can be seen on chest x-ray.
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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. There is no acute osseous abnormality.
<unk>f with chest pain, palpitation, evaluate for acute process .
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with travel to <unk> with nausea, vomiting, headache, fatigue
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The lungs are clear without focal consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with dyspnea and cp // r/o acute process
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Frontal and lateral views of the chest. The lungs are clear without focal consolidation, effusion, or pneumothorax. Left chest wall dual-lead pacer is again seen with leads in stable position. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with left chest pain after a fall last week.
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Bilateral lung opacities have slightly improved since previous exam but are still moderate-to-severe in this patient with known dilated cardiomyopathy and a pacer/defibrillator with leads in the right atrium and ventricle. There is no pneumothorax and no pleural effusion. Right-sided picc line ends in upper atrium.
patient with shortness of breath, found of have pe, hypersensitivity pneumonitis, interstitial fibrosis, now on high-dose of steroids.
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Since the prior exam, the right-sided pigtail pleural catheter has been removed. There is no visible pneumothorax. The lungs are clear without consolidation or edema. There is no pleural effusion. The cardiomediastinal silhouette is normal.
status post removal of the right pigtail drain. evaluate for pneumothorax.
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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 r sided chest wall pain // eval pneumonia
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Pa and lateral views of the chest provided. Compared to prior study, the left pigtail pleural cathter position is slightly lower and more lateral in position. A small left apical pneumothorax has increased in size. There is no shift of mediastinal structures. There are persistent bibasilar linear opacities, likely reflective of atelectasis, which are similar in appearance compared to prior study.
<unk> year old man with left spontaneous pneumothorax
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
near syncope.
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The heart size is normal. The mediastinal and hilar contours are unchanged, and the pulmonary vascularity is normal. Leftward deviation of the upper trachea is due to a right thyroid nodule and is unchanged. Streaky opacities in the lung bases are unchanged, and likely reflects chronic aspiration and scarring. Additionally, blunting of the right costophrenic sulcus on the frontal view is unchanged from the prior exam and likely reflects pleural thickening. No new focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
cough.
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Pa and lateral images of the chest. The lungs are well expanded. There is a retrocardiac opacity which likely represents atelectasis, but cannot rule out pneumonia or aspiration in the right clinical setting. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Indication on the right aspect of the trachea is again seen, possibly related to a prominent right thyroid lobe.
dizziness, chest pain.
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.
<unk>-year-old female with cough and fever for <num> days. evaluate for pneumonia.
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There has been no significant interval change. Calcified pleural plaque over the left upper hemithorax is again seen. Minimal bibasilar atelectasis/scarring is seen. There is no focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. Evidence of dish is seen along the spine.
cancer now with intermittent fevers x <num> month.
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Since the chest radiographs obtained <unk>, no significant changes are appreciated. Moderate cardiomegaly is unchanged. No evidence of pulmonary vascular congestion, pulmonary edema, or pleural effusion. The lungs are otherwise fully expanded and clear. Posterolateral right seventh rib fracture is unchanged. Cardiomediastinal hilar silhouettes are unremarkable.
<unk> year old man with exertional dyspnea and systolic murmur. // cardiac disease? other cause for dyspnea,?
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Severe cardiomegaly is stable. Pacer lead tip is in the right ventricle. Hd catheter is in standard position. There is no pneumothorax. Small bilateral effusions with adjacent atelectasis and mild pulmonary edema has improved
<unk> year old woman with esrd d/t t<num>dm, afib, schf, with new diagnosis of colon cancer, with desaturation overnight // eval for edema, infiltrate, volume overloadplease do at <unk>
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The lungs are well expanded. Paucity of lung markings in the upper lobes is suggestive of bullous disease. There is minimal peribronchial thickening, particularly at the right hilus. Opacity superimposed on the heart on the lateral projection is more apparent compared with <unk>. No focal consolidation, effusion, or pneumothorax is present. Post-radiation changes are seen at the low cervical region and superior mediastinum.
<unk>-year-old woman with recent right lower lobe pneumonia, question resolution.
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Pa and lateral chest radiographs were obtained. A moderate to large right pleural effusion is slightly larger compared with <unk>. The left lung is clear. There is no pneumothorax. Cardiac and mediastinal contours are normal. Destructive changes of the right <unk> and <unk> posterior ribs are stable.
metastatic rcc
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In comparison with the earlier study of this date, the patient has taken a better inspiration. That and the fact that the patient is upright most likely account for the apparent decreased opacification at the right base. On the lateral view, there is opacification posteriorly indicating that there has been redistribution of pleural fluid with some volume loss at the right base. Central catheter again extends to the lower portion of the svc. There is indistinctness of engorged pulmonary vessels, consistent with elevated pulmonary venous pressure.
to assess for pulmonary edema.
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Mild cardiomegaly is unchanged. Mediastinal contour is normal. There is no focal consolidation, effusion or pneumothorax. No signs of congestion or edema. Chronic deformity of the right acromioclavicular joint is unchanged. There is subtle deformity at the lateral arch of the right ninth and tenth ribs which may represent acute fractures no findings are suboptimally assessed. Consider dedicated rib series to confirm.
<unk>-year-old man with fall and right sided chest pain
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There is hyperinflation and continued areas of increased opacity in both lower lungs. The appearance is similar compared to the study from the prior day.
chronic shortness of breath with increased oxygen requirement.
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Heart size is normal. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax. No acute osseous abnormality is visualized.
history: <unk>f with asthma exacerbation, chest tightness
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Frontal and lateral views of the chest. No prior. There are indistinct pulmonary vascular markings seen bilaterally. Some of this could be due to overlying soft tissues; however, there is suspected superimposed interstitial process such as edema. There is no effusion. Prominent extrapleural fat is seen particularly posteriorly and on the left at the apex. Cardiac silhouette appears enlarged. Osseous and soft tissue structures are grossly unremarkable.
<unk>-year-old male with difficulty speaking. question stroke. question infiltrate.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. A small rounded opacity is seen overlying the right hemithorax. This is most likely due to a nipple shadow or overlapping structures at the costochondral junction. The cardiomediastinal silhouette is normal.
history of pneumonia diagnosed at an outside hospital. evaluate for resolution.
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Ap upright and lateral views of the chest provided. Dialysis catheter again noted with its tip in the region of the right atrium. There is persistent cardiomegaly and hilar congestion with mild interstitial edema. No large effusion or pneumothorax. No convincing evidence for pneumonia. Bony structures are intact.
<unk>f with c/o cp/sob and cough // ? pna
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No previous images. The heart is normal in size and there is moderate tortuosity of the aorta. No acute pneumonia, vascular congestion, or pleural effusion. Of incidental note is a common bile duct stent.
preoperative.
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Ap and lateral views of the chest. Lungs are hyperinflated. There are streaky right basilar opacities. In addition, there is slightly more superior opacity in the right lung laterally, projecting over the anterior <unk> rib, potentially from prior fracture. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old male with altered mental status and hypoxia.
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As compared to the previous radiograph, the patient has developed a right upper lobe pneumonia that occupies most parts of the lateral and basal right upper lobe. No other relevant changes. Normal size of the cardiac silhouette. No pleural effusions. At the time of dictation, dr. <unk> was paged for notification, <unk>:<num> a.m., <unk>. Findings were discussed <num> minute later over the telephone.
asthma exacerbation, evaluation for cough.
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Pa and lateral views of the chest provided. Lungs are well inflated and grossly clear. No pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are normal.
<unk> year old woman with asthma // patient with productive cough and shortness of breath after influenza. ?infiltrate
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There is moderate enlargement of the cardiac silhouette, increased since <unk>. There is pulmonary vascular congestion without overt edema or effusion. No acute osseous abnormalities.
<unk>m with shortness of breath // acute process?
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Frontal and lateral views of the chest. The lungs are clear without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with chest pain.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. A small nipple-like projection at the level of the aortic knob is a normal radiographic variant and is secondary to a left superior intercostal vein overlying the aortic arch. There is no pleural effusion or pneumothorax.
<unk>-year-old female with chest pain. evaluate.
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The patient is status post sternotomy and probably coronary artery bypass graft surgery in addition to tricuspid and aortic valve replacements. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Best depicted on the frontal view is patchy opacification of the right lower lung probably referring primarily to the right lower lobe concerning for pneumonia.
fever of uncertain etiology.
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The lungs are relatively well expanded, with persistent micronodular and interstitial opacities, compatible with known lymphangitis carcinomatosis, not significantly changed since the prior chest radiograph. There is no pneumothorax, pleural effusion, or new focal consolidation. A left chest wall port terminates in the upper right atrium. Gaseous distension of upper mid abdominal bowel loops is noted.
history: <unk>m with shortness of breath. history and pancreatic cancer on chemo // r/o pna, pneumothorax
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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is intervally enlarged, but remains normal. Cardiomediastinal and hilar silhouettes are normal.
<unk> year old woman with <num> week history of cough eval for pna // eval for pna
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The lungs are well expanded and clear. Mediastinal contours, hila, and cardiac silhouette are normal. There is no pneumothorax or pleural effusion.
<unk>f with cp // eval for ptx
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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 otherwise healthy w/ acute onset sharp diffuse chest pain since this am, moved refrigerator yesterday, ros neg except for pleuritic pain
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There is mild pulmonary vascular congestion. No definite pleural effusion or pneumothorax. Heart size is enlarged. The aorta is calcified and tortuous.
<unk>-year-old female with confusion.
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Pa and lateral views of the chest were provided. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged bony structures are intact. No free air is seen below the right hemidiaphragm.
<unk>-year-old male with lethargy and chills.
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
<unk> year old man with cirrhosis, hcc here with fever, sirs, evaluate for pneumonia
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The lungs are clear of consolidation, effusion or vascular congestion. There is apparent enlargement of the left hilum and at the ap window raising possibility of underlying adenopathy. Cardiomediastinal silhouette is within normal limits. Osseous structures are unremarkable.
<unk>m with hiv with sob x <num> weeks // eval pna
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In comparison with the study of <unk>, there is again hyperexpansion of the lungs without evidence of acute pneumonia, vascular congestion, or pleural effusion. Port-a-cath extends to the lower portion of the svc. There are multiple old rib fractures with adjacent pleural thickening. The questioned nodule in the left mid lung laterally is still seen related to a posterior rib and could represent a bone island.
pre-operative.
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No focal consolidation, pleural effusion, or pneumothorax is detected. Linear opacity at the left lung base likely represents atelectasis. Heart size is mildly enlarged as seen previously. Lung volumes are low. Pulmonary vascular congestion is increased without overt edema.
<unk>-year-old female with atrial fibrillation with rapid ventricular response and chest discomfort.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Of note, in the lateral view, there is blunting of the posterior costophrenic angle, unchanged from prior, likely scarring.
<unk>-year-old male with right upper quadrant and right chest wall pain. evaluate for rib fracture or intrathoracic process.
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There is biapical scarring. The lungs are otherwise clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with likely tia. r/o infectious etiology // <unk> y/o female p/w likely tia. r/o infectious etiology
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Frontal and lateral views of the chest. The lungs are clear where not obscured by overlying stimulator device on the left chest. The cardiomediastinal silhouette is within normal limits. Degenerative changes seen at the acromioclavicular joints.
<unk>-year-old female with frequent seizures rule out infection.
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The lungs are clear of focal consolidation. Enlarged hila seen bilaterally as seen on previous exams. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cough // acute process?
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The lungs remain hyperinflated. 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 general malaise, nausea, low temperature, no hypoxia, exam with decreased breath sounds in rll. // evidence of infiltrate, likely rll
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Heart size is normal. The aorta is tortuous. A moderate size hiatal hernia is again noted. Pulmonary vasculature is normal. There is no focal consolidation, pleural effusion or pneumothorax present. Moderate degenerative changes are again noted within the thoracic spine.
history: <unk>f with dyspnea on exertion
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. <unk> rod stabilizes the relatively mild dextroscoliosis of the thoracic spine.
productive cough.
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Compared with prior radiograph, technique and lung aeration are improved. There is no focal opacity and the appearance of the chest is at baseline. Moderate cardiomegaly not significantly changed from prior. There are small bilateral layering pleural effusions, right more than left. No pneumothorax. The icd is in unchanged position.
<unk>-year-old male admitted with shortness of breath and chest pain found to have pulmonary edema. evaluate for interval change.
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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 w/cp and sob // <unk>f w/cp and sob
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Frontal and lateral chest radiographs demonstrate clear lungs. There may be mild atelectasis at the left lung base. There is no fracture, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
chronic pain on the right side. evaluation for fracture or consolidation.
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Low lung volumes and ap technique result in exaggeration of the cardiac silhouette. There is mild engorgement of pulmonary vasculature without frank edema. No pneumothorax, pleural effusion, or consolidation.
history: <unk>m with ams, fever // eval for pna
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No focal consolidation is seen. Persistent calcified nodule in the left mid lung measures approximates <num> mm and represents a calcified granuloma. No pleural effusion or pneumothorax is seen. Focal eventration of the posterior diaphragm on the lateral view may be due to a small bochdalek's hernia. The cardiac silhouette is mild to moderately enlarged; underlying pericardial effusion is not excluded. Mediastinal contours are unremarkable. No pulmonary edema is seen.
history: <unk>f with low grade temp // eval pnuemonia
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
fever.