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Heart size is mildly enlarged. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen.
cough
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The right-sided chest tube has been removed. There is a small right apical and lateral pneumothorax of similar size compared to what was present on the study from earlier in the morning. There is a moderate amount of subcutaneous emphysema on the right that is slightly increased compared to prior. There continues to be volume loss at the bases.
right lower lobectomy, removed chest tube.
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Right-sided port-a-cath tip terminates in the proximal right atrium, unchanged. Heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Lungs are essentially clear with minimal subsegmental atelectasis in the left lung base. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with portable cxr with wide mediastinum
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear without focal consolidation concerning for pneumonia. The upper abdomen is unremarkable.
<unk>m with chest pain // ?pneumonia
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Frontal and lateral chest radiographs demonstrate slightly low lung volumes with exaggeration of the cardiac silhouette and bronchovascular crowding. Allowing for this, the heart is not enlarged. The is minimally unfolded. Increased opacity or they lower lobe on the lateral view likely represents artifact due to underpenetration and multiple overlapping the anatomic structures. Allowing for this, no focal consolidation, pleural effusion, or pneumothorax is detected. The visualized upper abdomen is grossly unremarkable.
evaluate for acute process in a patient with cough/productive sputum.
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The cardiomediastinal silhouette is normal. There is no evidence of pleural effusion or pneumothorax. There is no focal lung consolidation. Cervical spinal hardware is noted on frontal view. No rib fracture is seen. The thoracic vertebral body height is maintained on lateral view.
<unk>f with left lower rib pain after fall <num> days ago with no fevers but focal tenderness to palpation over left lower anterior ribs, evaluate for rib fracture.
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Minor basilar atelectasis is seen without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with chest pain, dyspnea // eval cardiomegaly, infiltrate
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>f with a cough low back pain // pneumonia, fracture?
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with sob // r/o acute process
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The cardiomediastinal silhouettes are stable. Aortic arch calcifications are again noted. The bilateral hila are unremarkable. There is unchanged diffuse mild interstitial prominence, consistent with pulmonary vascular congestion. Again seen is an exaggerated upper thoracic kyphosis. There is no focal lung consolidation. There is no pneumothorax or pleural effusion. Mid thoracic compression deformities are unchanged.
<unk>-year-old woman with chest pain and shortness breath.
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Pa and lateral views of the chest provided. Tracheostomy tube projects over the mediastinum. Lung volumes are low. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with shortness of breath
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Pulmonary hyperinflation is identified. Post appreciated on the lateral view some patchy consolidation posteriorly, representing a left lower lobe pneumonia. No additional definitive finding is noted. There is degenerative change in the thoracic spine. Followup after antibiotic treatment in <num> weeks time is suggested.
<unk> year old man with two weeks of productive cough // r/o infiltrate.
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Left-sided chest tube is unchanged position. Left apical pneumothorax is unchanged. Bibasilar atelectasis is unchanged. Moderate left pleural effusion and small right pleural effusion are state. Cardiomediastinal silhouette is unchanged.
<unk> year old woman with new tpc // effusion size, ptx
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable. Cholecystectomy clips project over the right upper quadrant.
right upper quadrant abdominal pain and cough.
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Subsegmental atelectasis in the left lower lobe is noted. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>f with ascites, cirrhosis, abdominal pain, peritonitis
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The lung volumes are low with secondary apparent widening of the cardiomediastinal silhouette. There is mild vascular congestion. No focal lung consolidation to suggest pneumonia. There is no pneumothorax.
<unk>-year-old woman with recent increase in seizure frequency.
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A <unk>-mm calcified granuloma is again noted in the right upper lobe. Linear bilateral lower lobe opacities are again noted and likely representative of scarring or atelectasis. Otherwise, the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified.
fever on chemotheraphy.
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Pa and lateral radiographs of the chest demonstrate bilateral hilar prominence, unchanged from <unk>. This may reflect prominence of the central vascular. Linear atelectasis in the right lung base has resolved. There is unchanged opacity in the right lung base. There is mild prominence of the right sided fissures, suggesting a small amount of fluid. There is no pleural effusion. Borderline cardiomegaly is unchanged. The aorta is tortuous.
chest pain and pressure. evaluate for acute cardiopulmonary process.
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Pa and lateral views of the chest. The lungs remain clear. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with cough and chills for <num> week.
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Pa and lateral chest radiographs were provided. Lung volumes are slightly low. Opacity at the left base may be atelectasis; however infection cannot be excluded. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unchanged and notable for a tortuous aorta. The bones are intact.
cough and weakness, evaluate for infiltrate.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Streaky opacities in the lung bases likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are mild degenerative changes noted in the thoracic spine. Mild loss of height anteriorly of a vertebral body at the thoracolumbar junction is unchanged compared to <unk>.
history: <unk>m with dyspnea
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Subtle posterior left base opacity likely relates to atelectasis/vascular structures rather than consolidation. No evidence of consolidation is seen elsewhere. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
headache, fever.
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Opacification of the right mid to lower hemi thorax is likely secondary to pleural effusion with compressive atelectasis. Difficult to exclude underlying pneumonia or mass. Followup to resolution advised. Left lung is clear. Heart size difficult to assess. Mediastinal contour grossly unremarkable. Bony structures intact.
<unk>-year-old man presenting with shortness of breath; evaluate for right pleural effusion.
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Frontal and lateral radiographs demonstrate well expanded clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with crackles in the right lower lobe. evaluate for pneumonia.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are hyperinflated suggesting emphysema. No focal consolidation, pleural effusion or pneumothorax is identified. A rounded opacity projecting over the right midlung on the frontal view is most consistent with overlapping structures.
<unk>f with gastric outlet obstruction and pancreatic mass with oxygen requirement // ?consolidation
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The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No evidence of pathologic changes in the lung parenchyma.
history of tobacco use, fatigue, evaluation for abnormality.
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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are again noted. Since the prior exam there is improved aeration at the lower lungs. There is only mild residual basilar atelectasis on the left. There is a retrocardiac gas filled structure which corresponds with known hiatal hernia. Cardiomediastinal silhouette appears normal. Bony structures are intact.
history: <unk>m with syncope // eval for acute process
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Compared to prior, there is opacity a partially obscuring the left heart border, concerning for pneumonia or atelectasis. The right lung is clear. No pleural abnormality is seen. Mediastinal contour is consistent with patient's known thoracic aortic dissection and descending aortic dilatation, unchanged from prior.
<unk> year old woman with picc, tpn, sepsis. evaluate for pna and picc placement
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Slight prominence of the ap window may be positional, although underlying lymphadenopathy is not excluded.
history: <unk>m with sore throat, cough // eval for pna
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Frontal and lateral chest radiograph demonstrates well-expanded lungs. The right lung is grossly clear with no focal consolidation or appreciable pleural effusion. There is a persistent left-sided pleural effusion and or pleural thickening. Unchanged left chest tube seen along the left hemidiaphram and spine. No appreciable pneumothorax is identified. The cardiomediastinal and hilar contours having normal postoperative appearance. Heart size is top normal. Median sternotomy wires are intact. Incidental note is made of pectus excavatum.
a <unk>-year-old female with left effusion.
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The lungs are well expanded and clear. There is no focal consolidation, effusion or pneumothorax. Cardiomegaly is mild. Aortic arch calcifications are minimal. A left subclavian stent is in stable position.
chest tightness during hemodialysis.
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The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Surgical clips noted in the upper abdomen.
<unk>f with sob // ?pna
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The patient is status post median sternotomy and cabg. Heart size is mildly enlarged, unchanged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Linear opacity in the left lower lobe may reflect subsegmental atelectasis or scarring. Remainder of the lungs are clear. No focal consolidation or pneumothorax is present. Blunting of the left costophrenic angle on the lateral view suggests a trace pleural effusion. No acute osseous abnormality is visualized.
history: <unk>m with right sided chest pain
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Pa and lateral chest radiographs show obscuration of the right heart border, which more likely represents atelectasis. However, there are very subtle opacities overlying the heart on the lateral view. There is no definite focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
cough with shortness of breath.
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<num> views are obtained of the chest. The lungs are well expanded and clear without pleural effusion or pneumothorax. The heart is normal in size with normal mediastinal contours.
right-sided chest pain with deep breathing and diaphoresis.
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In comparison with study of <unk>, there are somewhat lower lung volumes. Some coarse interstitial markings are seen at the bases and there is again flattening of the hemidiaphragms, all consistent with chronic pulmonary disease. No definite acute focal pneumonia or vascular congestion.
copd with hypoxia after ercp.
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.
history: <unk>m with chest pain // eval for cardiopulmonary process
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Frontal and lateral radiographs of the chest again demonstrate intact median sternotomy wires with surgical clips overlying the left heart border. The moderate-sized left pleural effusion with adjacent atelectasis is unchanged since the prior radiograph. The remainder of the left lung parenchyma as well as the right lung is clear. The cardiac contour is obscured by the pleural effusion and unchanged since the prior radiograph. No pneumothorax is appreciated.
pleural effusion. evaluate pleural effusion.
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The heart is top-normal in size, but stable from the prior exam in <unk>. There is a small right pleural effusion which is increased from the prior examination. A small left pleural effusion is not significantly changed. Lung volumes are somewhat low, however there is no focal consolidation. There is mild pulmonary vascular engorgement .
<unk> year old man with recurrent pleural effusion s/p multiple taps likely due to constrictive pericarditis. // pleural effusion reaccumulation
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Interval improved aeration in the left retrocardiac region with residual opacities suggestive of atelectasis adjacent to a small pleural effusion. Remainder of the lungs are grossly clear. Cardiomediastinal contours are stable. Small right pleural effusion is also demonstrated.
<unk> year old woman with dlbcl now with neutropenia and intermittant fevers // status of lll
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In comparison with study of <unk>, the right central catheter has been removed. The pulmonary vascularity is essentially within normal limits. There is again small bilateral pleural effusions with compressive atelectasis at the bases.
cardiac surgery.
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The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.
fever, dyspnea.
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There is a small pleural effusionno focal consolidation is seen. No pneumothorax identified. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with abd pain, umbilical hernia // evidence of umbilical hernia strangulation
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Pa and lateral chest radiographs provided. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There are old right-sided healing rib fractures. A minimally displaced sternal fracture demonstrates no appreciable callus formation.
history of sternal fracture, evaluate for evidence of instability or healing.
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The cardiomediastinal contours and bilateral hila are within normal limits. No chf, focal infiltrate, pneumothorax, or pleural effusion detected. Visualized bony structures are within normal limits.
<unk> woman with chest pain, evaluate for acute process.
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Pa and lateral views of the chest. In the right upper lobe, there is a small heterogeneous opacity concerning for pneumonia. No other opacities. No pleural effusion or pneumothorax. Cardiac, mediastinal, and hilar contours are normal.
history of asthma, presents with chest tightness, evaluate for pneumonia.
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As compared to the prior examination dated <unk>, there has been no significant interval change. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are detected.
history: <unk>f with bmt transplant, fevers // evaluate for acute infectious process
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Heart size is top normal. The aorta remains tortuous but unchanged. The mediastinal and hilar contours are otherwise unremarkable. There is no pulmonary edema. Minimal patchy opacities in the left lung base may reflect atelectasis though infection or aspiration cannot be completely excluded. No pleural effusion or pneumothorax is seen. There are mild degenerative changes in the thoracic spine.
sudden onset epigastric pain with distended abdomen.
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The heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
chest pain.
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Cardiac silhouette size is moderately enlarged. Retrocardiac density likely reflects a large hiatal hernia. Remainder of the mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
history: <unk>f with pain
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The lungs are hyperinflated. No focal consolidation, pleural effusion or pneumothorax. Nodular opacities in the right lung apex is consistent with scarring, better evaluated on the prior chest ct dated <unk>. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. No subdiaphragmatic free air.
history: <unk>f with <num> days of sscp // eval ? acute process
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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 man with chest pain.
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Lordotic positioning. Allowing for this, the heart is not enlarged and the cardiomediastinal silhouette is unchanged. No chf, focal infiltrate, effusion, or pneumothorax is detected. No free air seen beneath the diaphragms.
history: <unk>m with worst ha of life, cp, sob //
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The lungs are clear. There is no effusion, consolidation, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with intermittent cp // ? infectious process, effusion
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Pa and lateral views of the chest provided. Lung volumes are low limiting assessment. Left chest wall pacer device is again noted with leads extending to the region of the right atrium and right ventricle. A picc line is seen projecting over the right axilla though the tip is not seen beyond the level of the right fourth lateral rib arch. Hilar congestion with probable mild edema noted. Small pleural effusions are present, left greater than right. There is mild left basal atelectasis. Heart size appears grossly unchanged. Mediastinal contour is within normal limits. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with fever to <num> // eval pna
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Pa and lateral views of the chest were obtained. The heart size is normal. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. There is no focal consolidation concerning for pneumonia.
cough and shortness of breath, cough.
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The right picc tip terminates in the mid svc. The heart size is normal. Mediastinal and hilar contours are unchanged. The pulmonary vascularity is not engorged. Streaky bibasilar airspace opacities likely reflect atelectasis in the setting of low lung volumes. No focal consolidation, pleural effusion or pneumothorax is present.
new altered mental status. hypoxia.
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There is mild prominence of interstitial markings, which may be due to a chronic cystic interstitial lung disease. A patchy opacity in the right lower lung abuts the pleura on the lateral radiograph and may represent a pulmonary infarction or pneumonia. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable.
history: <unk>m with right chest pain // eval for infiltrate, widened right ac joint
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Frontal and lateral chest radiographs demonstrate clear lungs, without focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette and mediastinal contours are normal. The pulmonary vasculature is normal. There is mild wedge deformity of a lower thoracic vertebral body, unchanged from prior.
<unk>-year-old female with chest pain. rule out infiltrate.
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Lungs are hyperinflated with marked emphysema again noted in the upper lobes. Heart size is normal. Mediastinal and hilar contours are unchanged. No focal consolidation, pleural effusion or pneumothorax is present. Linear subsegmental atelectasis versus scarring is seen in the lingula. Pulmonary vasculature is not engorged. No acute osseous abnormality is detected.
history: <unk>f with history of copd now with chest pain, shortness of breath, increased sputum
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The heart is normal in size. The mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. Severe scoliosis and associated distortion of the rib cage appear unchanged.
epigastric pain, nausea, and vomiting. question free air.
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Pa and lateral view of the chest demonstrate a large right pleural effusion. Chemotherapy port is in place with tip in the svc. Left lung demonstrates atelectasis but is otherwise clear.
shortness of breath.
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Opacities projecting over the right lower lobe appear lie outside of the lung fields. The cardiomediastinal silhouette is within normal limits. No focal consolidation is seen. Probable small right pleural effusion. No pneumothorax. Unchanged moderate compression fracture of a mid thoracic vertebral body. Moderate degenerative change at the left glenohumeral joint.
history: <unk>f with s/p fall, + l ankle pain // eval for ich / fx
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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable. Kyphosis is moderate. The lungs are mildly hyperinflated.
<unk> year old man with smoking hx, mild expiratory wheezing // r/o lung lesion
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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. A <num> mm right upper lobe calcified granuloma is again seen, unchanged from prior.
<unk>m with chest pain. evaluate for chf or pneumonia.
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Midline sternotomy wires are present with fracture through the most superior sternotomy wire, new since <unk>. Multiple surgical clips overlie the mediastinum. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk>m with r/o dka and ami // eval for acute process
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. There is no pleural effusion or pneumothorax. There is no evidence pulmonary edema. In the right infrahilar region, a vague opacity is present, which in the appropriate clinical context, may represent pneumonia.
<unk>m w/hand and foot swelling for <num> month, crackles in base, also febrile please eval for pulm edema or pna // <unk>m w/hand and foot swelling for <num> month, crackles in base, also febrile please eval for pulm edema or pna
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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. Incidental note is made of a left-sided cervical rib.
<unk> year old woman with untreated htn, migraine, intermittent cp/sob/back pain // ?pna/other acute intrathoracic process
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Pa and lateral views of the chest. No prior. The lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is normal. There is an acute comminuted fracture identified through the mid portion of the left clavicle, better seen on dedicated exam performed the same day. No other displaced fracture is identified.
<unk>-year-old male status post bike accident.
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As compared to the previous radiograph, there is no relevant change. Moderate overinflation, no pre-existing or newly appeared focal parenchymal opacities. Borderline size of the cardiac silhouette without pulmonary edema.
cop with multiple recurrences.
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Blunting of left costophrenic angle is unchanged since <unk> and may be due to scarring. The lungs are clear without focal opacity. There is no pneumothorax. The cardiac and mediastinal contours are normal.
<unk>-year-old woman with pleuritic chest pain after smoking crack. evaluate for pneumothorax.
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Minor left basilar atelectasis is seen. There is no focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with chest pain, sob // eval for structural process
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The left pleural effusion has increased in size, now moderate. Otherwise, there is little overall change in the right paramediastinal interstitial abnormality. Normal heart size and mediastinal contours. No pneumothorax.
<unk> year old man with pleural effusion // eval
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>m with chest wall pain
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A single-lead pacemaker device terminates in the right ventricle. There is mild unfolding of the thoracic aorta. The heart is moderately enlarged. Indistinct enlargement of each hilum is most consistent with mild vascular congestion but similar to the prior study. There is no pleural effusion or pneumothorax. The chest appears somewhat hyperinflated. Bony structures are unremarkable.
dyspnea. history of congestive heart failure and copd.
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In comparison with the study of <unk>, there are continued areas of opacification at both bases consistent with bilateral pleural effusions and dense streaks of atelectasis. Elevation of the right hemidiaphragm is again seen. The upper lungs are clear and there is no vascular congestion.
dyspnea on exertion with chronic pes, preliminary for vq scan.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for acute process in a patient with new dyspnea on exertion.
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There is a dense round consolidation in the superior segment of the left lower lobe consistent with pneumonia. No pleural effusion, pulmonary edema or pneumothorax is present. The heart size is normal.
productive cough.
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Right-sided port-a-cath tip terminates in the lower svc. The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities identified.
fever, recent chemotherapy.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen.
history: <unk>f with chest pain // evaluate for acs
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Pa and lateral views of the chest are compared to previous exam from <unk> and ct abdomen from <unk>. The lungs are clear of consolidation. Rounded density at the right cardiophrenic angle is compatible with probable pericardial cyst identified on ct. Cardiomediastinal silhouette is otherwise unremarkable. Osseous and soft tissue structures appear normal.
<unk>-year-old female with intermittent clumsiness. question pneumonia.
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Low lung volumes cause bronchovascular crowding and bibasilar subsegmental atelectasis. Lordotic technique falsely enlarges the cardiac silhouette. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. A right pectoral port-a-cath catheter tip terminates within the right atrium. Bilateral moderate acromioclavicular degenerative changes are stable.
<unk>m w/confusion, recent admission for pna, presenting again with productive cough and tactile fevers, evaluate for pneumonia.
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. No pleural effusion, pneumothorax, pulmonary edema, or focal airspace opacities are identified.
<unk>-year-old man with chest pain status post cholecystectomy. evaluation for acute process.
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Frontal lateral views of the chest. The lungs are clear and well expanded. Mild atelectasis or scarring in the left lung base is unchanged. The cardiomediastinal silhouette appears normal. There is no pneumothorax or pleural effusion.
<unk> year old male with 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 early thyrotoxicosis. please evaluate for pneumonia or other infectious trigger.
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Lungs are hyperexpanded. Increased ap diameter consistent emphysema. The lungs clear. Mediastinal contours, hila, and cardiac silhouette are normal. No pneumothorax or pleural effusion.
<unk>f with elevated white blood cell count and left upper quadrant ab pain // ?pneumonia
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In the interval since the prior study, the picc has been removed. A right internal jugular port-a-cath terminates in the right atrium. Lung volumes remain low. The cardiomediastinal contour is unchanged. No consolidation, pneumothorax or pleural effusion seen. The visualized bony structures are unremarkable in appearance.
<unk> year old man with dullness at lung bases, slow to clear methotrexate // evaluate for pleural effusion
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Pa and lateral views of the chest provided. Overlying ekg leads are present somewhat limiting assessment. Minimal right infrahilar opacity could represent mild atelectasis. The heart size is top-normal. Aortic calcifications at the knob noted. No pneumothorax or pleural effusion. Bony structures are intact.
<unk>f with sob // eval pna
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Moderate to severe cardiomegaly is re- demonstrated. The mediastinal and hilar contours are unchanged. There is mild pulmonary vascular congestion. Hyperinflation of the lungs is demonstrated with flattening of the diaphragms. Interstitial opacities at the lung bases likely reflect areas of atelectasis. No pleural effusion or pneumothorax is clearly evident. There are no acute osseous abnormalities. Chronic deformities of both glenohumeral joints are re- demonstrated with resorption of both sides of the joint as well as unchanged anterior dislocation on the right.
history: <unk>f with dyspnea on exertion
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Single lead left-sided aicd is stable in position. The cardiac and mediastinal silhouettes are grossly stable. Bilateral interstitial opacities are re- demonstrated, which may be due to underlying chronic lung disease, asymmetric pulmonary edema, infectious process not excluded in the appropriate clinical setting. As mentioned on the prior chest radiograph, nonurgent chest ct may be helpful to ed evaluate for interstitial lung disease. Small left pleural effusion may continue to be present.
history: <unk>m with reports shortness of breathe // ?infectious process
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Frontal and lateral views of the chest. No prior. Low inspiratory effort is seen on the current exam. Bibasilar opacities are therefore likely due to atelectasis. There is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with shortness of breath, pain on inspiration.
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Since <unk>, a right basal pleural drain has been removed. No pneumothorax. Mild cardiomegaly is unchanged. The right pectoral pacemaker is seen with transvenous leads in the right atrium and ventricle. Median sternotomy wires are intact and aligned.
<unk> year old woman with right sided tpc // r/p r ptx
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The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pneumothorax, pulmonary edema, pleural effusion, or focal consolidation worrisome for pneumonia.
history: <unk>m with cough, sob // infiltrate?
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. There is no pneumothorax and no effusion. No displaced fractures identified.
<unk>-year-old male with chest pain.
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Chronic increase in interstitial markings is seen diffusely bilaterally, similar as compared to the prior study. There are relatively low lung volumes. No large pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with interstitial disease, copd // ?pna
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Again noted is an eventration of the right hemidiaphragm. The lungs appear clear.
chest tightness and shortness of breath. history of asthma.
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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.
<unk>f with fever and weakness // r/o pna
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Ap upright and lateral chest radiographs were obtained. Left upper lung consolidative opacities slightly increased from <unk>. Subpleural basal predominant interstitial opacities may reflect chronic interstitial changes in the setting of emphysema given the increased ap diameter on the lateral view. The heart and mediastinal structures are unchanged with dual lead pacemaker is noted.
fever with recent pneumonia.
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Pulmonary edema has improved since the prior exam. There is mild persistent vascular congestion. Bibasilar opacities, greater on the right, have improved and may represent atelectasis or residual pneumonia. No new focal consolidation or pleural effusion. Heart size and cardiomediastinal contours are stable. Left picc terminates at the cavoatrial junction. Sternotomy wires are intact.
history: <unk>m with weakness // pna?
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The heart size is normal. The hilar and mediastinal contours are normal. There is a left-sided port-a-cath which terminates in the right atrium. There is a subtle retrocardiac opacity which is likely secondary to atelectasis. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of lymphoma with cough and low-grade fever. please evaluate for pneumonia or infection.