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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No evidence of skeletal or parenchymal metastasis. Port-a-cath remains in place.
myeloma, for transplant.
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Right middle lobe ill-defined opacities with bronchial thickening are new and could be compatible with infection. There is also bilateral streak like band of atelectasis that is new. The cardiac contour is mildly enlarged. There is no pleural effusion or pneumothorax.
patient with hcv and productive cough since four months, pneumonia, mass.
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As compared to the previous radiograph, there is no relevant change. No evidence of pneumonia. No pulmonary edema. No other parenchymal abnormalities. Normal size of the cardiac silhouette. The previously placed picc line has been removed.
fever, questionable pneumonia.
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Pa and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
<unk> year old man with high fever and cough.
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As compared <unk> radiograph, lung volumes remain low. Cardiomediastinal contours are within normal limits. Bronchial wall thickening appears chronic. No focal areas of consolidation to suggest pneumonia.
<unk> year old male hx. transplant, smoker with productive cough x<num>d // evaluate for pneumonia
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Diffuse bilateral peribronchial ground-glass opacities are relatively unchanged and better evaluated on recent ct examination. Small bilateral effusions persist. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax.
<unk> year old man with cad, htn presents with progressive dyspnea // evaluate for evidence of pneumonia or pulmonary edema
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In comparison with the study of <unk>, there is no change. There is substantial enlargement of the cardiac silhouette without definite vascular congestion. Hyperexpansion of the lungs is also seen. Discordance suggests cardiomyopathy or possibly pericardial effusion. Evidence of previous cardiac surgery with a pacer device extending to the region of the apex of the right ventricle.
cabg, for baseline before new medication.
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There is a small left pleural effusion, with underlying collpase and/or consolidation which is largely unchanged from <unk> in keeping with dressler's syndrome. There is a small amount of pleural fluid and/or thickening along the left chest wall and at the left apex. Platelike atelectasis is seen throughout the left midzone. The right lung is clear. There is no pneumothorax. The cardiac and mediastinal contours are normal with persistent sslight hift of the mediastinum to the left. Aortic valve and sternotomy wires are constant. Mild hyperinflation, suggesting background copd.
substernal chest pain, evaluate for pneumothorax or pneumonia.
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There is relative increased opacity projecting over the right lung base which correlates with subtle opacity over the heart on the lateral view. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No displaced fractures.
<unk>m with ams // pneumonia?
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Frontal and lateral views of the chest. Slightly lower lung volumes are seen on the current exam. Increased interstitial markings have progressed since prior. There are small bilateral effusions. Moderate cardiomegaly is similar in degree. Posterior lumbar fixation hardware is partially visualized. No acute osseous abnormality is identified.
<unk>-year-old female with new onset of heart failure, newly severely depressed lv systolic dysfunction with dyspnea and cough.
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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 displaced fractures identified.
chest pain after fall.
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Since the prior study, there has been interval decrease in pulmonary edema, which is now mild. Small bilateral pleural effusions are seen, and decreased since prior. More focal right base opacity could relate to combination of mild pulmonary edema and pleural effusion, but consolidation is not excluded in the appropriate clinical setting. The cardiac and mediastinal silhouettes are stable. Right-sided catheter is seen terminating in the right axilla ; if this is a midline catheter it may be in appropriate position, if it is a picc, it is not in appropriate position.
history: <unk>f with chf here with cough, weakness and extremity edema. // ? picc placement, pneumonia, pulmonary edema, cardiomegaly
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Pa and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The right ac joint is chronically widened with an ossific density just inferior to the lateral clavicular head.
left-sided chest pain.
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
fever, cough, chest pain.
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The lungs are reasonably well expanded and clear. Multiple displaced rib fractures are identified in the right posterolateral location, involving the fourth through ninth ribs posterolaterally. Small left pleural effusion and possibly residual pulmonary laceration are seen, though not well identified on the lateral view. No pneumothorax is identified. Heart and mediastinal contours as well as the left lung are unremarkable.
<unk>-year-man cyclist hit by a vehicle with posterior rib fractures. assess rib fractures.
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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.
<unk> year old woman with cough and fatigue for greater than <num> week. coarse breath sounds and rhonchi in rml on exam. evaluate for pneumonia.
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Patient is status post median sternotomy and cabg. Moderate cardiomegaly appears similar compared to the previous exam. The aorta remains tortuous, and mediastinal and hilar contours are unchanged. Known mediastinal lymphadenopathy is better assessed on the previous ct. Mild asymmetric pulmonary edema on the left has developed in the interval with increased size of small bilateral pleural effusions. Patchy opacities in the lung bases likely reflect areas of atelectasis. No pneumothorax is present. Moderate multilevel degenerative changes are demonstrated in the thoracic spine.
history: <unk>m with worsening shortness of breath over the last couple of days. worst at night.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The heart is top-normal in size.
<unk> year old man with nonischemic cardiomyopathy, episodes of hemoptysis in recent months // eval for opacity
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As compared to the previous radiograph, the central venous access line is in unchanged position, projects over the mid-to-low svc. There is no evidence of complications such as pneumothorax. Unchanged appearance of the lung parenchyma and the cardiac silhouette.
central venous catheter, potential migration.
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Multiple nodules are again seen, some of which are calcified granulomas, and better assessed on ct chest from <unk>. Mild left linear basilar atelectasis is seen. Otherwise, the lungs are clear with normal volumes. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pneumothorax, pleural effusion, pulmonary edema, or pneumonia. Note is made of an azygos fissure.
<unk> year old woman with sense of limited ability to take full breath and aching left back // r/o effusion/atelectasis/abnormality
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As compared to the previous radiograph, there is no relevant change. The bilateral parenchymal opacities are seen in unchanged extent and severity. In addition, there is mild-to-moderate interstitial lung edema. The changes have not substantially evolved since the previous exam. As documented on the lateral radiograph, the pleural effusions are also stable. Unchanged moderate cardiomegaly.
renal failure, evaluation for pulmonary edema.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and fairly well-aerated lungs. A small hiatal hernia is better seen in prior abdomen ct. There is no focal consolidation, pleural effusion, or pneumothorax. Linear opacity in the right lower lung is compatible with atelectasis. The visualized upper abdomen is unremarkable.
evaluate for aspiration pneumonia in a patient with leukocytosis, elevated lactate, and risk for aspiration pneumonia.
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Frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. The previously seen area of increased opacification in the left lower lobe was better evaluated on recent ct of the chest. There is no consolidation, pneumothorax, or pleural effusion. The cardiomediastinal and hilar contours are unchanged. Known hilar lymphadenopathy is better assessed on the recent ct of the chest as well. A right-sided port-a-cath is present with the tip terminating in the mid svc.
history of non-hodgkin's lymphoma now with shortness of breath, wheezing, and cough. evaluate for pneumonia.
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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/ rhinitis x<num> weeks now with upper back and chest pain c/f pneumonia
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Pa and lateral views of the chest demonstrate well-expanded and clear lungs. Heart is larger than expected, but pulmonary vasculature are within normal limits. Mediastinal contour is unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old woman with sudden onset chest pain and nonspecific ekg changes.
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There is mild pulmonary vascular congestion without pulmonary edema. Mild bibasilar opacities are likely atelectasis. There is no pleural effusion or pneumothorax. Mildly enlarged cardiac silhouette is similar to before.
history: <unk>m with cp x <num> // eval edema
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Compared to the prior exam, there has been no significant interval change. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. There is minimal bibasilar atelectasis. Heart size is mildly enlarged. Mediastinal contours are stable with a tortuous aorta with calcifications.
<unk>-year-old male with weakness and cough.
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Patient is status post median sternotomy and cabg. Prosthetic aortic valve is also re- demonstrated. Heart size is normal. Mediastinal and hilar contours are unchanged with diffuse atherosclerotic calcification of the thoracic aorta again noted. The pulmonary vasculature is normal. Lungs are hyperinflated but clear without focal consolidation. No pleural effusion or pneumothorax is demonstrated. Patient is status post vertebroplasty of two vertebral bodies at the thoracolumbar junction. Multilevel degenerative changes are again demonstrated in the thoracic spine along with diffuse demineralization.
history: <unk>f with hx gi bleeds not anticoagulated, with melena and cough/weakness x <num> weeks // any acute pulm process
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with dyspnea and palpitations // eval for lung process
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Linear bandlike atelectasis in the lingula and lower lobes. No focal consolidation. No pulmonary edema. The cardiac silhouette is not enlarged. No pleural effusions or pneumothorax.
<unk> year old man with leukocytosis and dysphagia post-op // ? atelectasis vs aspiration pna
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The central venous catheter has been removed. A moderate left pleural effusion with associated left basilar atelectasis appears relatively unchanged. The cardiac mediastinal contours are similar with atherosclerotic calcifications noted at the aortic knob. There is no pulmonary vascular congestion, new focal consolidation, new right pleural effusion, or pneumothorax. Mild s-shaped scoliosis of the thoracic spine is again noted.
history: <unk>f with fevers and recent transplant
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There is mild cardiomegaly. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old woman with cough and left crackles // evaluate for pneumonia
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs are clear. There are no pleural effusions or pneumothorax. Moderate to severe rightward convex curvature is centered along the lower thoracic spine. Throughout the mid to lower thoracic spine, there are small anterior osteophytes.
cough and fever.
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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 pressure // ? fluid overload?
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Right chest wall port-a-cath is again seen. Linear right basilar opacity is compatible with atelectasis. The lungs are otherwise clear without consolidation, effusion, or vascular congestion. The cardiomediastinal silhouette is within normal limits. Degenerative changes are noted at the left shoulder. Stents are identified in the right upper quadrant.
<unk>m with lle swelling and pain hx of dvt pls eval dvt,m pls assess cxr for evid of chf
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Frontal and lateral radiographs of the chest were acquired. A moderate left pleural effusion is increased compared to the prior study from <unk>. Consolidation at the left lung base is at least partially related to compressive atelectasis, although a concomitant infectious process is certainly possible. Reticulonodular opacities in the right mid-to-lower lung are new compared to the prior study, highly concerning for an infectious process. The heart size is difficult to assess given the moderate left effusion, but appears unchanged. The mediastinal contours are normal. There is no pneumothorax. Multilevel degenerative changes of the thoracolumbar spine are seen.
recent lung tap for fungal infection. assess for effusion or infiltrate.
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The heart is at the upper limits of normal 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.
cough and pain.
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There is a moderate pleural effusion on the right and probably a small to moderate one on the left side. Pulmonary edema is mild to moderate in severity. It is likely that there is substantial atelectasis associated with pleural effusions in the lower lobes. The cardiac, mediastinal and hilar contours are largely obscured at the base of the chest.
hypoxia.
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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 perhaps vague callus about the right anterior fifth and sixth ribs, which may relate to the given history of recent subacute injury, but no lucencies or displaced fractures are identified. Small osteophytes are present throughout the thoracic spine.
right lateral rib pain. patient with recent motor vehicle collision and right-sided broken ribs and sternum.
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The previous multifocal pulmonary opacities have resolved. There is no evidence of new pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size.
<unk> year old woman who had pneumonia <unk> // evaluate for resolution pneumonia
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There is no focal consolidation, pleural effusion or pneumothorax. Heart size is mildly enlarged. Mediastinal and hilar contours are unremarkable. No subdiaphragmatic free air. No acute osseous abnormalities identified.
<unk>m with general weakness, frequent falls
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Frontal and lateral radiographs of the chest demonstrate clear lungs. The cardiac and mediastinal contours are normal. No pleural abnormality is detected.
chest pain. evaluate for acute process.
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Frontal and lateral views of chest demonstrate interval placement of a left pectoral single lead cardiac pacer/aicd, with the lead terminating in the right ventricle. Median sternotomy wires are intact. There is no evidence of pneumothorax, vascular congestion, or pleural effusion. There is linear atelectasis in the right base. Cardiomediastinal silhouette is within normal limits.
<unk>-year-old male with new icd. question lead positioning and pneumothorax.
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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, hemoptysis // pna?
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Diffusely abnormal increased interstitial markings are seen throughout the lungs, particularly at the right lung base. There is no definite superimposed consolidation or progression since prior. There is no effusion. Calcified pleural plaques are partially visualized. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Right chest wall port is again seen with catheter tip at the mid svc.
<unk>m with syncope, sob // eval for pna
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities detected.
cough, fever.
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The lung volumes are somewhat low. The pulmonary vasculature is mildly prominent, new since the prior study. There are small to moderate bilateral pleural effusions, left greater than right, increased from prior exam, possibly with some locualtion. Medial basilar opacity has increased in the left lower lobe, superimposed on chronic interstitial changes. There is no pneumothorax. The cardiomediastinal silhouette is unchanged from prior exam. A left anterior chest wall pacemaker is seen with intact leads in appropriate positions. Median sternotomy wires and mediastinal surgical clips are noted.
<unk> year old woman with h/o cad s/p cabg, trop leak at osh, here with diminished breath sounds dullness to percussion b/l, ?nstemi -> acute chf exacerbation // please evaluate for pulmonary edema, other abn
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The heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is identified. Left <unk> and <unk> lateral rib fractures are noted. Other known fractures involving the left-sided ribs are not clearly delineated on the current exam. Old right tenth rib fracture is redemonstrated. Multilevel degenerative changes are seen in the thoracic spine.
known rib fractures involving left <unk> through <num>th ribs with increasing pain.
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The heart size is top normal. The osseous structures are unremarkable. There is no free air below the diaphragm. The lung fields are clear.
history: <unk>f with chest pain and cough // pneumonia?
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Ap upright and lateral views of the chest provided. Evaluation somewhat limited due to underpenetration. An abandoned fragment of an aicd remains in place projecting over the mediastinum. Lungs are clear. Cardiomediastinal silhouette is stable. Bony structures are intact. Superior endplate compression deformity in the upper lumbar spine is again seen.
<unk>f with hypoxia to low <num>s // acute process?
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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No free air is noted on the hemidiaphragms. Cholecystectomy clips are noted in the right upper quadrant. No acute fractures are identified.
chest pain and shortness of breath.
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Frontal and lateral chest radiographs demonstrate mildly low lung volumes which exaggerates the cardiac silhouette. Allowing for this, the cardiomediastinal silhouette is within normal limits. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable. Degenerative changes of the thoracic spine are seen.
evaluate for pneumonia in a <unk>-year-old woman with fever and right upper quadrant pain.
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Ap and lateral chest radiographs demonstrate stable positioning of the right port-a-cath. There is no pulmonary vascular congestion, pleural effusion, or pneumothorax. Left apical nodule is unchanged and has been further characterized on prior ct-torso. The cardiomediastinal silhouette is normal.
nausea and vomiting.
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There is little change from the prior study of earlier the same day. Interstitial changes compatible with bibasilar pulmonary fibrosis and apical emphysema are noted. Repeat radiographs in <num> weeks are recommended to document resolution of heterogeneous lingular opacification.
<unk> year old woman with drop in o<num> sats // eval pna vs pulmonary edema
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Heart size is top normal with mildly tortuous thoracic aortic arch. Hilar contours are unchanged. Again identified is a widespread ground-glass opacity involving most of the right upper lobe and right middle lobe and left lung base, similar compared to a ct examination from one day prior given difference in technique. Again appreciated is small right-sided pleural effusion. Again identified is a roughly <num> cm left upper lobe nodule as seen on recent ct examination. The remainder of the left lung field is otherwise clear. There is no pneumothorax.
dyspnea.
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The lungs are clear without focal consolidation, effusion, or edema. There is mild cardiomegaly and tortuosity of the descending thoracic aorta. No acute osseous abnormalities.
<unk>f with an episode of chest pain and shooting pains yesterday, now resolved. please evaluate for cardiopulmonary change // <unk>f with an episode of chest pain and shooting pains yesterday, now resolved. please evaluate for cardiopulmonary change
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The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is a trace right pleural effusion but no pneumothorax.
new jaundice. evaluate for pneumonia.
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Since the prior exam, the pigtail catheter has been removed from the right pleural space and there has been re-accumulation of a small right pleural effusion. There is a tiny left pleural effusion. There is no pneumothorax. A linear opacity in the right midlung zone likely represents atelectasis. The known small pulmonary metastases are not well evaluated on this chest radiograph. No large nodule or opacity is identified. There is no pulmonary edema. Compression deformities in the upper thoracic vertebral bodies are similar to the prior ct. Diffuse sclerotic osseous metastases are also redemonstrated.
history of metastatic breast cancer. re-evaluate pleural effusion.
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Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
sudden onset chest pain, shortness of breath.
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Heart is normal size and cardiomediastinal contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old man with syncope, right-sided chest pain.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Retrocardiac opacity containing air is compatible with a moderate-sized hiatal hernia, as on prior. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Marked dextroscoliosis of the t-spine is noted. No free air below the right hemidiaphragm is seen.
<unk>f with dyspnea on exertion // r/o acute process
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation or effusion. Calcific densities project over lung apices bilaterally, potentially within the overlying the osseous structures or may be due to calcified granulomas. The cardiac silhouette is moderately enlarged. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormalities detected.
<unk>-year-old female with dementia and altered mental status.
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As compared to the previous image, there is unchanged evidence of moderate bilateral pleural effusions. Subsequent bilateral areas of atelectasis and borderline size of the cardiac silhouette. Signs of mild pulmonary edema that are constant as compared to previous image. In the well-ventilated parts of the lung parenchyma, there is no evidence of additional parenchymal opacities. No evidence of pneumothorax. To exclude the possibility of co-existing abnormalities, repeat imaging after resolution of the pleural effusions is recommended.
dyspnea, evaluation for infectious process or pulmonary edema.
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Lung volumes are low. Heart size is mildly enlarged. The aorta is unfolded. Apparent widening of the mediastinum is likely due to low lung volumes as is crowding of the bronchovascular structures. No overt pulmonary edema is present. There is are mild bibasilar opacities, most likely reflecting atelectasis. No pleural effusion or pneumothorax is clearly demonstrated. No acute osseous abnormalities are detected.
tonic-clonic seizure.
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The cardiac, mediastinal and hilar contours appear stable. The chest is hyperinflated. There is no pleural effusion or pneumothorax. Mild subpleural thickening at each lung apex appears unchanged. Otherwise the lungs appear clear.
chest pain.
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The lungs are hyperinflated and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>f with sob // r/o pna
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The lungs are hyperinflated but clear. Calcific density seen in the retrosternal clear space superiorly on the lateral view is seen to be vascular nature on prior ct scan. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. Hypertrophic changes are noted in the spine. Old right lateral rib fractures are also noted.
<unk>f with fall, right wrist deformity and pain distally. // distal radius fx? radial head fx?
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No focal consolidation is seen. No definite radiopaque foreign body is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Degenerative changes partially imaged along the thoracic spine.
history: <unk>m with chipped tooth s/p dog attack, ? tooth in lungs // ? foreign body in lungs
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Right pectoral pacemaker leads terminate in right atrium and ventricle. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
history: <unk>m with palpitations // acute cardiopulmonary process
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. There is mild reversed s-shaped curvature to the visualized thoracolumbar spine which is unchanged.
cough. recent diagnosis of pneumonia.
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Pa and lateral views of the chest provided. Left chest wall pacer device is again seen with leads extending to the region the right atrium and right ventricle. Mild bibasilar atelectasis noted. There is no convincing evidence for pneumonia or edema. No large effusion or pneumothorax. The overall heart and mediastinal contours appear unchanged. Bony structures are intact. No free air is seen below the right hemidiaphragm. There is a focal eventration again noted at the right hemidiaphragm.
<unk>m with increased doe and syncopal episode
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The heart is mildly enlarged. There is mild unfolding of the thoracic aorta and calcification along the arch. Patchy linear opacification in the left lower lung suggests minor atelectasis or scarring. There is no pleural effusion or pneumothorax. There is a prominent epicardial fat pad near the cardiac apex. Mild leftward convex curvature is noted along the thoracic spine with mild degenerative changes. The bones appear probably demineralized.
fever and shortness of breath.
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There appears to be a new linear density in the right middle lobe compared to the prior exam. There is no evidence of a pneumothorax or pleural effusions. The hilar and mediastinal contours are unremarkable. The heart is normal in size. The visualized osseous structures are unremarkable.
<unk>-year-old female with shortness of breath who presents for evaluation.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits.
<unk>-year-old female with chest pain.
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Since <unk>, there is interval decrease in the left pleural effusion. The port-a-cath ends at the low svc near the cavoatrial junction. Right sided chest tube is visualized. Ng tube is removed since <unk>. Cardiomediastinal borders and hilar structures are unchanged mediastinal air-fluid level related to recent esophagectomy. There is no pneumothorax.
<unk> year old man s/p mie // r/o ptx post ct removal
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Pa and lateral views of chest. The lungs, mediastinum, heart, pleural surfaces are all normal. A right-sided picc line terminates in the low svc.
leukocytosis, eval fpr pna.
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The patient is status post median sternotomy and cardiac valve replacement. There are trace bilateral pleural effusions with overlying atelectasis. Basilar opacopacities may represent atelectasis but consolidation due to infection or aspiration is not excluded. The cardiac silhouette remains top-normal. No overt pulmonary edema is seen. There is no pneumothorax.
cough, spitting up blood.
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A double lumen left-sided dialysis catheter terminates at the cavoatrial junction. The left costophrenic angle remains blunted, likely secondary to trace pleural effusion versus chronic pleural thickening. There is no lobar opacity, right pleural effusion, pneumothorax, or pulmonary edema. Moderate cardiomegaly is chronic and slightly less prominent than on the prior examination. The aortic arch is calcified.
history: <unk>f with weakness // evidence of infection
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Frontal and lateral views of the chest. As on prior, mild bibasilar opacities potentially due atelectasis in setting of slightly low lung volumes. Superiorly the lungs are clear. The cardiomediastinal silhouette is stable. No acute osseous abnormality detected.
<unk>-year-old male with hyperglycemia.
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There is a large left hydropneumothorax with near-complete collapse of the left lung. The mediastinum is midline without any evidence of tension. The right lung is clear.
<unk>-year-old man with shortness of breath, alcoholic hcv cirrhosis, and hcc, post-liver transplant complicated by left diaphragmatic hernia.
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The lung volumes are normal. Moderate scoliosis. Normal size of the cardiac silhouette. Fibrotic, right more than left, changes in the upper lobes, likely in the context of past exposure to tb, associated with mild-to-moderate pleural thickening. No evidence of active tb. No pleural effusions. No other parenchymal changes. Normal size of the cardiac silhouette. Minimal tortuosity of the thoracic aorta.
history of tb, treated in the past, now crackles at the lung bases.
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with three postoperative portable chest examinations of <unk>, <unk>, and <unk> as well as the preoperative chest examination of <unk>. On next previous portable examination identified mild and moderate-to-severe atelectasis on the lung bases have improved; however, the lateral view identifies a persistent left lower lobe infiltrate - atelectasis in the posterior segment. Pleural effusion is minimal, as the posterior pleural sinus is only mildly blunted. No other new infiltrates are seen. All previously identified postoperative chest tubes have been removed. When comparison is made with the preoperative pa and lateral chest examination, there is moderate postoperative enlargement of the heart contours consistent with the recent cardiac bypass surgery. The pulmonary vascular pattern has not changed significantly, so that the question for fluid overload can be negated. Basal atelectasis - infiltrates, more marked on the left base, are in regression and should not be related to fluid overload. No pneumothorax is identified on either side.
<unk>-year-old female patient with bypass surgery, follow up atelectasis versus fluid overload.
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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.
pleuritic chest pain.
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
<unk>-year-old male with dyspnea and chest pain.
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The heart is normal in size. The aorta shows moderate tortuosity and the arch patchy calcification. There is no pleural effusion. No pneumothorax is demonstrated. The lungs appear clear. Moderate degenerative changes affect the mid through lower thoracic spine as well as both shoulders. Mild cortical irregularity along the course of the anterior lateral eighth rib suggests a non-displaced fracture. Surgical clips are noted at the base of the neck.
chest pain after motor vehicle collision.
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In comparison with study of <unk>, there are lower lung volumes. Cardiac silhouette is within upper limits of normal in size in a patient with a dual-channel pacer device in place. There may be mild elevation of pulmonary venous pressure. Increased opacification at the left base obscuring the costophrenic angle is consistent with some combination of pleural fluid and volume loss in the lower lobe. In the appropriate clinical setting, supervening pneumonia will have to be considered.
increased cough.
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The cardiac silhouette remains moderately enlarged. Mediastinal contours are stable. The hilar contours are stable. There is blunting of the right costophrenic angle and slight increase of opacity at the right lung base. No large pleural effusion is seen although a trace effusion be difficult to exclude. There is minimal central vascular congestion. No evidence of pneumothorax.
history: <unk>f with dizziness and sob/cp., pls eval for ich/cerebell infacrt and pna on cxr // history: <unk>f with dizziness and sob/cp., pls eval for ich/cerebell infacrt and pna on cxr
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Streaky left lower lobe opacities are likely related to atelectasis and low lung volumes. Cardiac size is normal. Pacemaker with <num> leads terminating appropriate positions is present. The aorta is tortuous. Slight deviation of the trachea is unchanged finding. There are no pleural effusions.
altered mental status. r/o pneumonia
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There is chronic mild cardiomegaly and a vague ground-glass opacity projecting over the left upper lung. There is no pleural effusion or focal airspace consolidation. There is no pneumothorax. Aicd and its lead are unchanged.
<unk>-year-old man with a history of chf and cad complaining of hemoptysis and chf symptoms. evaluate for pneumonia.
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Heart size is top normal with tortuosity of the thoracic aorta similar to prior examination. Hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.
weakness.
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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 sob and cp // r/o infiltrate
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Pa and lateral views of the chest are obtained. There is a left lower lobe retrocardiac opacity which could represent pneumonia in the appropriate clinical setting. There is also an adjacent linear area of opacification in the left lung base and linear opacities in the right lung base likely representing atelectasis. The previously seen spinal stimulator is unchanged in position since the prior study. There is no evidence of pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is unremarkable.
<unk>-year-old female with cough, fever. rule out pneumonia.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Otherwise noted.
history: <unk>m with chest pain // ? acute cardiopulm process
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No consolidation, pleural effusion or pneumothorax. Linear opacities the left lung most likely represent atelectasis. Moderate enlargement of the cardiac silhouette is stable. There are aortic arch calcifications.
<unk>-year-old man with nausea, vomiting and dizziness. evaluate for infection.
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Cardiomediastinal contours are normal. No focal areas of consolidation are identified within the lungs. Mild bronchial wall thickening is noted. No pleural effusion.
<unk> year old woman with <num> weeks cough, low grade fever, but also having sneezing, rhinorrhea // ? pneumonia
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The lungs are well expanded. There is mild pulmonary vascular congestion, mild reticular opacities, perihilar fullness, and small bilateral pleural effusions, consistent with mild pulmonary edema. Bibasilar opacities are seen, which may reflect atelectasis, although cannot exclude pneumonia or aspiration in the right clinical setting. No pneumothorax is seen. There is mild to moderate cardiomegaly. Left-sided pacemaker is seen with intact leads in appropriate positions.
history: <unk>m with sob for a week // ? reason for shortness of breath
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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 fever
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Frontal and lateral views of the chest demonstrate top normal heart size and normal mediastinal and hilar contours. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old female with palpitations. question cardiomegaly.
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Frontal and lateral views of the chest were obtained. Low lung volumes results in bronchovascular crowding and bibasilar atelectasis. There is no focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. No acute osseous abnormality is identified. There is no free air under the diaphragm.
epigastric pain.
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The heart size is normal. The mediastinal and hilar contours are unremarkable. The lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
left upper quadrant pain.