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The lungs are clear. There is no focal consolidation, effusion, or edema. There is moderate cardiac enlargement, unchanged. No acute osseous abnormalities.
<unk>m with cough, sob // any acute cardiopulmonary process
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Lung volumes remain low. This accentuates the size of the cardiac silhouette which is mildly enlarged. Mediastinal and hilar contours are unchanged, without evidence for pneumomediastinum. There is continued bulging of the right lower mediastinal contour, possibly reflective of residual right paraesophageal fluid. Pulmonary vasculature is normal. Linear opacities within the right lung base are compatible with subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. No subdiaphragmatic free air is seen. Clips are re- demonstrated at the gastroesophageal junction.
history: <unk>m with epigastric and chest pain post hernia surgery
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Heart size, mediastinum, and hilar contours are normal. There is a new <num> cm nodule in the left lower lung, not seen on the radiograph from <unk>. Mild dextroscoliosis of the thoracic spine is unchanged. Lungs are otherwise clear without pneumothorax, effusion, or focal consolidation.
<unk> year old woman with sudden onset tachcardia and dizziness. please comment on presence of pnenmothroax and mediastinal contours.
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Ap and lateral chest radiographs demonstrate enlarged heart with relative increase in density bilaterally over the lower lung fields, minimally decreased in conspicuity relative to prior chest radiograph dated <unk>, likely secondary to overlying soft tissue. There is mild pulmonary edema, perhaps slightly improved in the interval. Bibasilar patchy opacities are likely reflective of atelectasis. There is no large pleural effusion or pneumothorax. Imaged osseous structures and upper abdomen are without an acute abnormality. Multiple clips are again noted within the left axilla.
<unk>-year-old female with neck pain and cough. evaluate for pneumonia.
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Again seen is the right cardiophrenic opacity, unchanged, most likely representing a prominent epicardial fat pad. There is left basilar atelectasis. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
<unk>f with dyspnea, cough // eval for pna
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Heart size is normal. Mediastinal and hilar contours are unchanged. Mild prominence of the pulmonary vascular markings is unchanged, without overt pulmonary edema. New ill-defined nodular opacities are seen within the right lung, the largest measuring <num> mm and located within the right lung base. Minimal patchy opacities in the lung bases likely reflect atelectasis. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is present. An electronic device is noted within the left mid anterior wall.
history: <unk>m with syncope
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Cardiac, mediastinal and hilar contours are within normal limits. The aorta is mildly unfolded. The lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Mild degenerative changes are noted at the thoracolumbar junction.
chest pain.
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.
<unk>-year-old female with headache, nausea. evaluate for pneumonia.
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Lung volumes are low. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Left chest port tip in the lower svc. Vertebral compression fractures are stable since ct from <unk> .
<unk> y.o. m s/p liver transplant pod <num> with wbc of <num> // assess for pneumonia
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The lung volumes are low and there is bibasilar atelectasis. Otherwise, the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The heart size is top normal. The mediastinal contours are normal.
<unk>-year-old woman with weakness. evaluate for pneumonia.
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Heart size is top normal. Mediastinal and hilar contours within normal limits. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>f with abdominal pain and fever
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Tortuosity of the descending thoracic aorta is noted. No acute osseous abnormalities.
<unk>m with sob // sob
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Left-sided venous catheter is seen with an unexpected course projecting along the left aspect of the mediastinum to the midline on the frontal view and on the lateral view with a posterior course into the posterior mediastinum. The course of this line may in fact be within a venous structure involving the superior intercostal vein abutting the aortic knob with an inferior trajectory, although correlation with blood gas is suggested to exclude an arterial position. There is no pneumothorax. Lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified. Findings were discussed with dr. <unk> at <time> p.m. On <unk>.
<unk>-year-old male with central venous line placement.
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In comparison to the preoperative examination, there is now cardiomegaly. As we cannot exclude a pericardial effusion, clinical findings should dictate the need for cardiac echo. There is consolidation/atelectasis in the left lower lobe posteriorly. On the lateral film in the left lung base, there is an air-fluid level suggesting a small loculated pneumothorax. No apical pneumothoraces are present. A central line is present on the right, the tip projects over the proximal right atrium. There is persistent linear atelectasis in the left mid chest laterally in the region of the previously noted chest tube which was present on the study of <unk>. There is a small area of linear atelectasis in the right midlung zone.
<unk> year old woman with s/p cabg // post op baseline
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Ap and lateral views of the chest. Mild cardiomegaly is unchanged. The aorta is tortuous and with diffuse calcifications. The contour of the aneurysmal dilation of the descending thoracic aorta is unchanged. The hilar contours are normal. There is no focal consolidation, pleural effusion or pneumothorax. The expansile lesion in the left lower rib is unchanged, but a sclerotic focus on the <unk> left posterior rib is more prominent; healed right rib fractures are present. Known diffuse bone metastases are better evaluated on prior ct imaging.
hypoxia, evaluate for pneumonia.
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Pa and lateral images of the chest. There is a slight opacity in the right lung base with a small amount of volume loss, consistent with atelectasis. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is borderline enlarged. A hiatal hernia is seen.
shortness of breath.
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There are new moderate bilateral pleural effusions with a mild-to-moderate interstitial abnormality suggesting pulmonary edema. The heart borders are not well defined, but the heart appears moderately enlarged and probably with a relative increase since the prior examination. There is no pneumothorax. Small osteophytes are noted along the lower thoracic spine.
increasing dyspnea.
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Previously noted opacity in the left perihilar region has resolved, the lungs are now clear. There is no focal consolidation, effusion, or pneumothorax. There is slight leftward deviation of the trachea at the thoracic inlet potentially related to right-sided thyroid nodule seen on prior ultrasound. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with shoulder blade pain after pulling muscle, transient sob // ptx
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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: <unk>f with chest pain // please eval for cardiopulmonary process
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The lungs are clear. There is no pneumonia. The mediastinal contour is normal. The cardiac size is top normal. There is no pleural effusion and no pneumothorax.
pneumonia. history of smoking. cough for week. comparison : <unk>.
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The tracheostomy tube terminates <num> cm above the carina. A right port-a-cath terminating at the upper svc is unchanged in position. An epidural catheter is again demonstrated. There is no new consolidation or pneumothorax. There is a trace left pleural effusion, not seen on the <unk> <time> examination, though this may relate to better inspiratory effort on the current study. New linear left basilar opacities likely reflect atelectasis. The cardiac and mediastinal contours remain within normal limits.
severe mucous plugging with desaturations.
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Ap upright 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 herniated disc // pre-op
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Frontal and lateral views of the chest were obtained. Moderate cardiomegaly is unchanged. Right lower lobe opacity has increased since the prior exam, consistent with infection. No pleural effusion or pneumothorax.
<unk>-year-old female with high fevers. evaluate for pneumonia.
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The lungs are noted to be hyperexpanded and the hemidiaphragms are somewhat flattened. There is blunting of the bilateral costophrenic angles, which may be secondary either to bilateral pleural effusions or pleural thickening. There is no focal consolidation, pneumothorax, or pulmonary edema identified. The heart size is normal. Mediastinal contours are normal. Multiple, old, healed bilateral rib fractures are seen, unchanged from prior examinations. Redemonstrated is a cluster of small metallic coils are noted within the right upper quadrant.
status post fall <num> week prior, now with chest pain and cough.
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Frontal and lateral views of the chest demonstrate well expanded clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history diabetic ketoacidosis. evaluate for pneumonia.
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Cardiomediastinal silhouette is normal. The lungs are clear. There is no pneumothorax or pleural effusion. Coronary artery calcifications are noted. There is no acute osseous abnormality.
<unk> year old man with chronic cough
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Pleural based calcifications seen in the right hemi thorax. This obscures clear visualization of the underlying parenchyma. There is mild associated right hemi thorax volume loss. The left lung is grossly clear besides left apical calcified granulomas. Mild cardiomegaly is noted. Tortuosity of the thoracic aorta is also noted. Old posterior left rib fractures are identified.
<unk> year old woman with sob and bilateral pedal edema // r/o acute process
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Cardiac conduction device is contiguous with leads which projects over the right atrium, right ventricle and left chest wall. Moderate cardiomegaly is unchanged. Mild elevation of left hemidiaphragm is unchanged. An opacity at the right lung base is new from prior.
history: <unk>m with cough // acute process
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Patient is status post median sternotomy and cabg. Heart size is mildly enlarged with a moderate hiatal hernia noted. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Patchy opacities are seen in the lung bases, more pronounced on the left, worse in the interval, and may reflect superimposed aspiration on a background of chronic interstitial abnormality. No pleural effusion or pneumothorax is present. Compression deformity of the t<num> vertebral body is re- demonstrated. Fractures of the right fifth and sixth lateral ribs are again noted.
history: <unk>m with syncope
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Mild basilar atelectasis is seen without definite focal consolidation. No large pleural effusion or pneumothorax is seen. Diaphragm eventration is noted bilaterally. The cardiac silhouette is stable. The aorta is tortuous.
history: <unk>m with iddm p/w hypoglycemia // ?pna
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A right picc ends in the proximal svc. Prominence of the pulmonary vessels at the hila is unchanged. The lung fields are clear. There is no pneumothorax. There is a small pleural effusion on the right. There is a nondisplaced fracture of the posterior left sixth rib.
history: <unk>m with immunosuppressed, fever // pna?
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New right basal opacity has appeared, which may represent aspiration. Lateral view does not show the opacity. No pleural effusion, pulmonary congestion or pneumothorax is seen. The heart and mediastinal contours are normal. The right subclavian picc line ends at the mid svc and is in stable position.
<unk>-year-old man with history of dysphagia and silent aspiration with leukocytosis. evaluate for aspiration pneumonitis.
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. There is no pleural effusion or pneumothorax. The left chest pacer defibrillator is identified, its leads in standard position. Cardiomediastinal and hilar contours are within normal limits. Two tubular structures are identified he over the right upper quadrant in keeping with known bilateral internal external biliary drains. Osseous structures are without an acute abnormality.
<unk>-year-old female with fever.
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As compared to the previous radiograph, there is a slight increase in extent of the pleural effusion on the left. This increase is more obvious on the lateral than on the frontal radiograph. However, there is additional atelectasis at the left lung base. The size of the cardiac silhouette and the right lung are of unchanged appearance.
pleural effusion, evaluation.
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The lungs are well-expanded and clear. No focal consolidation, effusion, edema, or pneumothorax. The heart is normal in size. The mediastinum is not widened. The thoracic aorta is tortuous, similar to the prior exam and ct from <unk>. Bony structures appear intact. Rib deformities are unchanged.
<unk>-year-old man presenting with chest pain.
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The lungs are well expanded. The mass is again noted in the right upper lung laterally. There is no pleural effusion. The previously seen right apical pneumothorax has resolved. The cardiomediastinal silhouette is unremarkable.
<unk> year old woman with tiny right apical pneumothorax. evaluate for stability. please perform at <num>pm on <unk>. thank you. // ? stable right pneumothorax.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
positive ppd. evaluate for tuberculosis.
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Ap and lateral views of the chest were reviewed. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Lung hyperinflation with increased interstitial markings are likely sequelae of a chronic interstitial process. Biapical scarring is present. No focal consolidation concerning for pneumonia is present. A <num> cm rounded density projects over the right apex, which may be located in a rib. Surgical <unk>, suture material, and coils are overlying the mid and left upper abdomen.
hypoxia.
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The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified. Mild mid to lower thoracic dextroscoliosis is noted.
<unk>f with sob // eval for cm, chf
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Frontal and lateral radiographs of the chest were acquired. There is redemonstration of a left-sided pacemaker with unchanged positioning of right atrial and right ventricular leads. There is minimal bilateral lower lung atelectasis. The lungs are otherwise clear. The heart size is top normal, unchanged. The thoracic aorta is slightly tortuous, as before. There are no pleural effusions. No pneumothorax is seen. Multilevel degenerative changes of the thoracolumbar spine are seen.
new onset vertigo. evaluate for infiltrate.
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Ap and lateral chest radiographs were provided. The lung volumes are slightly low. There is no focal consolidation, pleural effusion or pneumothorax. The heart size appears mildly enlarged but this is likely due to the ap technique. The cardiomediastinal silhouette is otherwise unremarkable. The imaged upper abdomen is unremarkable. The bones are intact.
lower extremity swelling. evaluate for cardiomegaly.
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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 throat pain. please evaluate for foreign body.
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The heart is top size normal. The aorta is mildly calcified. The mediastinal contour is within normal limits. There is mild pulmonary vascular congestion. There is a small to moderate right pleural effusion. There is no evidence of pneumothorax. There are surgical clips in the right axilla.
<unk> year old woman with history of pleural effusions, mild dyspnea // ? effusions
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Pa and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old male with chest pain.
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Relative linear right basilar opacity is most suggestive of atelectasis. Elsewhere, the lungs are clear. Cardiomediastinal silhouette is within normal limits. Right humeral head is relatively inferiorly positioned with respect to the glenoid as seen on recent shoulder films.
<unk>m with r shoulder joint infection // pre-op
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Lungs appear hyperinflated. There is no focal consolidation. Platelike atelectasis is present at the right lung base. No pleural effusion or pneumothorax. Mild cardiomegaly is unchanged. There is no subdiaphragmatic free air. No acute osseous abnormalities identified.
history: <unk>f s/p fall, mild anterior chest pain, left hip pain // eval for fracture, acute process
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Frontal and lateral chest radiographs were obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
patient with history of aml and increased congestion, assess for abnormalities.
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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 cough // ? pna.
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Since prior, there is a large opacity overlying the left hemidiaphragm. There is the possibility of an elevated stomach bubble making the diagnosis of diaphragmatic rupture impossible to rule out. Otherwise, the lungs are clear. The left heart border has been silhouetted out. A small right pleural effusion is seen. Otherwise the lungs are clear. There is a compression deformity of unclear chronicity located at the mid to lower thoracic spine better characterized on ct dated <unk>.
<unk> year old woman s/p mvc vs. pole now febrile to <num> // acute pulmonary process acute pulmonary process
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Lung volumes are low, resulting in bronchovascular crowding. There is chronic blunting of the left costophrenic angle, not significantly changed from prior. The cardiac silhouette is not enlarged. The hilar are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. Median sternotomy wires are present.
history: <unk>m with ams, drug use, r/o infectious w/u // ?pna
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The patient was treated in <unk> with radiotherapy for right lung cancer. Right volume is low with apical pleural thickening. There is reticulation overlying the right lung and left lung base of unknown chronicity. Surgical clips are seen in the mediastinum. The descending aorta is either tortuous or dilated. A stent graft is seen in the upper abdomen, probably in the aorta. There is no pleural effusion or pneumothorax.
patient with dementia, pneumonia, presenting with lethargy; rule out acute process.
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As compared to the previous radiograph, there is no relevant change. Normal chest radiograph with no evidence of pneumonia or other acute or chronic lung parenchymal change. Normal size of the cardiac silhouette.
fevers, evaluation for pneumonia.
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. Post-surgical changes are seen at the left hilum, compatible with known lingula-sparing left upper lobectomy. Right apical scarring and emphysema, similar to prior. No focal consolidation, pleural effusion, or pneumothorax. Osseous structures are unremarkable. No radiopaque foreign bodies.
<unk>-year-old female with presyncope. evaluate for pneumonia.
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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old with cough and fever.
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The heart, mediastinal, and hilar contours are normal. The lungs are well expanded and clear without pleural effusion or focal consolidation. There is no pneumothorax. There has been no relevant change since the last radiograph in <unk>.
<unk> year old woman with h/o sarcoidosis and intermittent pleuritic chest pain. evaluate for interval change.
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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. Mild dextroscoliosis of the thoracic spine is noted.
<unk> year old man with chest pain, history of 'latent tb' in the past // eval for pna, acute pathology
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There is a large central mass involving the right hilus and upper mediastinum, likely the cause of the central venous obstruction. The mass measures approximately <num> x <num> cm. The lungs are hyperinflated and otherwise are clear. The heart is not enlarged. No pleural effusions or pneumothorax.
<unk> year old woman with left jvd, carotid tenderness, sob, positive smoker // is there a structural problem impeeding venous flow
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Pa and lateral views of the chest provided. Focal eventration of the right hemidiaphragm is unchanged. On the lateral projection, a retrocardiac opacity is noted which has no correlate abnormality on the frontal view which raises potential concern for a lower lobe pneumonia. Please correlate clinically. No large effusion is seen. No pneumothorax. Cardiomediastinal silhouette appears normal. No acute bony abnormalities.
<unk>f with weakness // pna?
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There is bilateral lower lobe atelectasis and the lungs are otherwise clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
a <unk>-year-old man with altered mental status. evaluate for pneumonia.
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<num>mm right lung pulmonary nodule has been stable since at least <unk>. However the is suggestion of <num> x <num>mm right suprahilar lung nodule, a new <num>mm nodule projecting over the right third rib, and new right hilar lobulation and soft fullness in the right tracheobronchial angle suggesting hilar and mediastinal lymphadenopathy respectively. There is no focal airspace opacity to suggest pneumonia. There is no pleural effusion or pneumothorax. Heart size is normal. Indentation of the right cervical trache reflects the right thyroid mass present since <unk> previously biopsied in <unk>.
tachycardia, abdominal pain. evaluate for evidence of effusion.
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The lungs are clear of opacities concerning for infection. Subtle left lower lobe opacities likely represent areas of atelectasis, which date back to <unk>. There is no pleural effusion or pneumothorax. Cardiac size is normal. No frank pulmonary edema. An old left sided rib fracture is reidentified, but no acute fractures are present. Degenerative changes of the left shoulder including subchondral cyst formation date back to <unk>.
confusion and chest contusion.
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Pa and lateral views of the chest provided. Compared to prior study from <unk>, there is interval increase in left pleural effusion. There is no right pleural effusion. Lungs are otherwise clear. Substantial left lower costal pleural thickening is again seen. Moderate cardiomegaly appears chronic.
<unk> year old man with pleural effusion status post thoracentesis in <unk> (pathology negative for malignant cells).
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Frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. The patient is status post thyroidectomy. Incidental note is made of pectus carinatum.
<unk>-year-old man with cold symptoms and crackles at the bilateral bases. evaluate for pneumonia.
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The heart continues to be enlarged with mild to moderate chf. Possible minimal blunting of both costophrenic angles could reflect small bilateral effusions. There is bibasilar atelectasis. No focal consolidation or pneumothorax is detected. Right-sided rib fractures are better seen on the dedicated chest ct.
<unk>-year-old male with congestive heart failure and dyspnea on exertion. please evaluate for pulmonary edema.
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The lungs are clear without consolidation, effusion, or edema. Mild scarring noted within the lingula, unchanged. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>f with cough // ?pna
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Aside from left lower lobe atelectasis, lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. Again noted is blunting of the posterior costophrenic angles suggestive of pleural thickening or chronic effusions. Pulmonary vascularity is normal.
<unk>-year-old woman with metastatic pancreatic cancer, fever, altered mental status.
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The heart size is top normal. The aorta is tortuous. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. No displaced fractures are present.
fall.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Small eventration of the anterior right hemidiaphragm appears unchanged. The lungs appear clear. There has been no significant change.
cough.
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Pa and lateral views of the chest provided. Left chest wall pacer device is again noted with leads extending to the region of the right atrium and right ventricle. The previously noted right sided picc line is been removed. There is no evidence of pneumonia, edema, effusion or pneumothorax. Heart size is normal. Mediastinal contour is unremarkable aside from calcification at the aortic knob. Deformity at bilateral shoulders is unchanged.
<unk>f with chest pain, tachycardia. hx pacemaker wire issues.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The heart size is normal. The cardiomediastinal silhouette is normal. Imaged bony structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with <num> hours sharp substernal nonradiating chest pain
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Mild to moderate cardiomegaly is unchanged. Prominence of the right hilum is re- demonstrated, and there is evidence of mild pulmonary vascular congestion. Trace pleural fluid is seen tracking along the fissural planes. Streaky opacity in the right lung base is likely atelectasis. No pleural effusion, pneumothorax, or focal consolidation.
<unk>m with sob. evaluate for pulmonary edema.
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Sternotomy, valve replacements. Increased heart size and pulmonary vascularity, mildly improved since prior exam, and accentuated today secondary to shallow inspiration. Improved right basilar opacity. Resolved left basilar opacity. Aortic calcification. Prominent central pulmonary arteries, suggest pulmonary artery hypertension. Degenerative changes thoracic spine, kyphosis, stable. No pleural fluid.
<unk> year old man with history of heart failure, with persistent crackles on examination. // please evaluate for heart failure.
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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. No fracture is identified.
left-sided chest pain after a fall. question pneumothorax or rib fracture.
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Cardiomediastinal and hilar contours are within normal limits. Comparison is made with prior study dated <unk>. Again identified within the right lung apex is a persistent streaky density most compatible with parenchymal scarring. Bi-apical pleural thickening as well as subtle streaky densities and subsegmental atelectasis is again identified. There is no pleural effusion. There is no pneumothorax. Osseous structures demonstrate no acute abnormality.
<unk>-year-old male status post mvc.
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The lungs are hyperinflated but clear of consolidation. Nipple shadows project over the lung bases. There is no effusion or edema. Cardiomediastinal silhouette is within normal limits. Coronary artery stent is noted. No acute osseous abnormalities.
<unk>m with cad, h/o stemi, opioid abuse, here w/ cp for <num> days // pneumonia, pneumothorax
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The lungs are hyperinflated. Coarse interstitial markings, particularly at the bases bilaterally, likely due to interstitial lung disease. No focal consolidations. No pulmonary edema. Normal appearance of the cardiomediastinal silhouette. No pleural effusion. No pneumothorax. No acute osseous abnormality visualized.
history: <unk>f from osh with report of femur fracture, transferred for management of stroke // preop cxr
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Since the prior study performed on <unk>, the right lower lobe pneumonia has resolved. No new consolidation, pleural effusion or pneumothorax. Mild interstitial pulmonary edema is new. Mild to moderate cardiomegaly. There is no subdiaphragmatic free air. No acute osseous abnormalities are identified.
history: <unk>f with ams, infectious work-up // eval pna
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As compared to the previous radiograph, there is radiographic improvement. The lungs are more clear and transparent than on the previous image. There is no change in appearance of the heart and the mediastinum. Unchanged minimal elevation of the right hemidiaphragm and small metallic <unk> projecting over the left cervical soft tissues. No pneumothorax.
shortness of breath and cough, evaluation for interval change.
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Left pectoral vagal stimulator is in unchanged position. There is no focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is normal size.
history: <unk>f with likely seizure (with a history), wbc // eval infectious work-up
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Lung volumes are normal. There is no focal consolidation, effusion, or pneumothorax. Linear right upper lung opacity is likely due to scarring. There is no central vascular congestion or overt pulmonary edema. Mediastinal and hilar contours are normal. Heart is mildly enlarged. Multiple left posterior and right anterior rib fractures are seen.
<unk>m with weakness // ?pneumonia
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Frontal and lateral radiographs of the chest demonstrate interval worsening of the consolidation in the lingula when compared to the radiographs from <unk>. There are persistent atelectatic changes at the right base, with volume loss, consistent with prior right upper lobectomy. The left heart border is not clearly visualized due to the adjacent parenchymal opacification, however the cardiac contour appears unchanged since <unk>. No pleural effusion or pneumothorax.
lung cancer. evaluate for infiltrate.
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Right hemidiaphragm remains elevated. Evidence of chronic fibrotic lung disease particularly in the left mid to lower lung is re- demonstrated, similar to priors. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Gaseous distention of bowel is re- demonstrated.
history: <unk>m with pulmonary disease now with nonproductive cough, congestion // r/o acute process
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Lung volumes remain low. Mild cardiomegaly persists. The aorta remains tortuous. Widening of the superior mediastinal contour is unchanged. Pulmonary vasculature is not engorged. There is no focal consolidation, pleural effusion or pneumothorax. Atelectasis is noted in the lung bases. There are no acute osseous abnormalities.
history: <unk>m with syncope // eval for pneumonia
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Frontal and lateral views of the chest. Left chest wall dual-lead pacing device is seen with leads in stable position. The lungs are clear of focal consolidation, effusion or pneumothorax. Biapical scarring is noted. The cardiomediastinal silhouette is within normal limits. No displaced fractures identified.
<unk>-year-old male with multiple falls.
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Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear with no focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits.
left arm numbness and chest heaviness. question pneumonia.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal. Mild, multilevel degenerative changes are seen throughout the visualized thoracic spine. No acute bony abnormality is detected.
stat mechanical fall with lingering right chest pain.
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Pa and lateral views of the chest were reviewed. Compared to the most recent prior, the small right-sided pleural effusion has decreased. There are no complications appreciated including pneumothorax. The heart, lungs and mediastinal contours are unchanged.
evaluation of right pleural effusion status post right thoracentesis.
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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. A right port-a-cath is seen terminating in the low svc.
history: <unk>f with lung cancer on chemo w/ n/v, weakness // eval for pna
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The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes.
<unk> year old woman with asthma and new diagnosis of ankylosing spondylitis who complaints about dry cough and pleuritic cp // assess for pleural effusion, interstitial/fibrotic changes of the lung apex
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Frontal and lateral chest radiographs demonstrate slightly lower lung volumes, with increased prominence of the cardiac silhouette and bronchovascular crowding. Even allowing for this, the heart is likely mildly enlarged. There are diffusely increased interstitial markings, unchanged from prior. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with cough and epigastric pain.
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart is normal in size. Bilateral degenerative changes along the acromioclavicular joints are noted. There are no displaced rib fractures. There is mild dextroscoliosis centered around the mid thoracic spine.
<unk>-year-old female with fall, right shoulder and clavicle pain and neck pain. evaluate for fracture.
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. There are no displaced rib fractures.
chest pain. evaluate for pneumothorax, pneumonia or rib fracture.
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Mild cardiomegaly has been stable compared to prior exams dated back to at least <unk>. There is mild pulmonary vascular congestion as well as mild pulmonary edema. Small bilateral pleural effusions are new. There is no pneumothorax. The visualized osseous structures are unremarkable.
history: <unk>f with abdominal pain- <unk>% <unk> // ? pleural effusion
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Small to moderate bilateral pleural effusions are new compared to the prior pet-ct of <unk> and associated with adjacent bibasilar atelectasis. Cardiomediastinal contours are within normal limits. Within the lungs, a right middle lobe on <num> cm nodular opacity adjacent to the minor fissure has apparently grown since the prior ct pet study and is new compared to an older chest radiograph of <unk>. Several additional small pulmonary nodules are also evident and not well characterized radiographically. A lobulated opacity in the retrosternal region could either be mediastinal or parenchymal in location. Mild compression deformities in the upper thoracic spine are new compared to <unk>.
<unk> year old woman with hx locally advanced pancreatic ca with a week long hx of right rib pain when taking a deep breath // rule out rib fracture/metastatic disease
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The left mid to upper lobe opacification is new from prior and could represent a focus of infection. The bilateral hemidiaphragms, cardiac borders, and mediastinal silhouettes are normal without pleural effusion or pneumothorax.
<unk> year old man with <num> weeks cough, congestion and occasional fevers // ? pna
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Lungs are hyperinflated. There is significant apparent narrowing with rightward tracheal deviation secondary to a known thyroid nodule. Small left pleural effusion with moderate elevation of the left hemidiaphragm. Mild bibasilar atelectasis is unchanged. No pleural effusion on the right. No focal consolidation. No pneumothorax. No discrete lung lesions identified. Heart size is normal.
<unk>f with elevated wbc. doe. // pna? malignancy?
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Mild cardiomegaly is re- demonstrated. Mediastinal and hilar contours are grossly unremarkable allowing for patient rotation. There has been interval improvement in degree of pulmonary edema, now with only mild pulmonary vascular congestion noted. Lungs remain hyperinflated. No focal consolidation, pleural effusion or pneumothorax is present. There is minimal degenerative change within the thoracic spine.
history: <unk>f with word finding difficulty
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Heart size remains moderately enlarged but unchanged. The mediastinal contour is similar. There is mild pulmonary edema. Low lung volumes are present with minimal atelectasis at the lung bases. No pleural effusion or pneumothorax is present. Diffuse idiopathic skeletal hyperostosis is present within the thoracic spine.
history: <unk>f with cough, chest pain
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. Levoscoliosis of the thoracolumbar spine is noted.
history: <unk>m with cough x<num> weeks
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A right port-a-cath is seen extending towards the right internal jugular vein. There is no abnormal kinking identified. Lungs are otherwise clear, without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The heart size is top normal. Mediastinal and hilar contours are unchanged.
right port-a-cath, no blood return. evaluate port.