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The heart size is mildly enlarged. Mass-like opacity within the right middle and lower lobes as well as right hilar lymphadenopathy are re- demonstrated, and allowing for differences in technique, there appears to be more hazy opacification noted in the right lung base which could suggest postobstructive infection. Mediastinal lymphadenopathy is better demonstrated on the previous ct. There is no pulmonary vascular engorgement or new areas of focal consolidation. No pleural effusion or pneumothorax is seen. Compression deformity of a mid thoracic vertebral body is unchanged.
fever and cough.
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Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. No definite rib fracture is identified.
right rib pain status post fall.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is again a prominent fat pad in the right cardiophrenic angle. The mediastinal and hilar contours appear stable. The lungs appear clear. There are no pleural effusions or pneumothorax. Slight degenerative changes along the thoracic spine are similar.
dyspnea, wheezing and cough.
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Pa and lateral chest radiographs. There are new interstitial opacities in the left lung base. Hazy interstitial opacities are also noted in the right lung base. There is no pleural effusion or pneumothorax. The heart is mildly enlarged. Again noted is a rounded foreign body in the right posterior soft tissues.
history: <unk>m with egd today, developing chest pain, fever, vomiting // presence of pleural effusion, infiltrate, pnuemomediastinum
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with new agitation, c/f infectious etiology of ams // ?pneumonia, ams etiology?
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The heart is normal in size. The hilar and mediastinal contours are within normal limits. The lungs are clear. There is no focal consolidation, pleural effusion or pneumothorax. Visualized ossesous structures are grossly intact.
<unk>-year-old woman with cough for four days. evaluate pneumonia.
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Cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Calcified granuloma is seen within the right middle lobe. No focal consolidation, pleural effusion or pneumothorax is visualized. A bb marker indicating the site of patient's tenderness projects over the right eleventh rib posteriorly. No osseous abnormalities are seen in the vicinity of this marker. No displaced rib fractures are noted.
history: <unk>m with right rib pain
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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified.
fever and tachycardia.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are well-expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
chest pain, history of coronary artery disease status post stents x <num>. rule out evidence of structural defects.
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The heart size is top normal with mild tortuosity of the thoracic aortic arch. The mediastinal silhouette and hilar contours are otherwise unremarkable. Low lung volumes accentuate the cardiopulmonary vasculature. The lungs are clear. There is no pleural effusion or pneumothorax.
hypertension, chf with recurrent lower extremity cellulitis, presenting with asymmetric leg swelling and shortness of breath.
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Patient is status post mean sternotomy and cabg. Left-sided port-a-cath tip terminates in the proximal right atrium. Heart size is normal. The mediastinal and hilar contours are unchanged with mild calcified atherosclerotic disease noted throughout the aorta. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormality is visualized.
history: <unk>m with metastatic pancreatic cancer presents with fever
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There has been interval removal of the left-sided pleural pigtail catheter. Clips in the left hilum are compatible with prior lobectomy changes. The cardiomediastinal contours are stable. There is expected aeration of the remaining left lung with elevation of the left hemidiaphragm and small amount of pleural fluid occupying the vacant left chest cavity space. No large pneumothorax is appreciated.
<unk>-year-old male, status post left upper lobectomy for stage iii non-small cell lung cancer; had left apical pigtail catheter placed on <unk> for worsening left pleural effusion.
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Frontal and lateral radiographs of the chest were acquired. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
chest pain, cough, and fever.
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Ap upright and lateral views of the chest provided. A feeding tube is seen projecting over the upper abdomen. The lungs appear clear. No signs of pneumonia or edema. No large effusion or pneumothorax. The esophagus is known to be dilated and debris filled due to a distally obstructing lesion which accounts for mediastinal prominence. Heart size is within normal limits though a coronary stent projects over the left heart border. Bony structures appear grossly intact. Clips in the right upper quadrant noted.
<unk>f with fever esophageal cancer // pna
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The focal opacities over the left mid lung visualized on <unk> are mildly improved. There is no focal consolidation, pleural effusion, or pneumothorax. The heart size is top normal. The cardiac, hilar, and mediastinal contours are within normal limits.
chronic lung disease with radiation fibrosis, presenting with acute cough and chills.
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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 status post fall, on coumadin
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The lung volumes are slightly low. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
dyspnea. assess for pneumonia.
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The lungs are better aerated. Ground glass opacity at the apices may reflect cephalization. A moderate left pleural lesion has decreased slightly in size. A small right pleural effusion is stable. Right upper lobe volume loss with elevation of the right hilus and minor fissure is unchanged. The tracheobronchial tree remains calcified. The aorta remains tortuous. Cardiomegaly is unchanged. Profound osteopenia and compression fracture of t<num> are stable.
<unk>-year-old woman with thrombocytopenia, question pneumonia.
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax.
dizziness and hypotension. evaluate for consolidation.
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In comparison with study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. Although no definite rib fracture is appreciated, if this is a serious clinical concern, oblique views of the ribs could be obtained.
right-sided chest wall pain.
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Frontal and lateral views of the chest were obtained. The heart is of top normal size, exaggerated by low lung volumes and ap technique. Pulmonary vasculature is unremarkable. Lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. Osseous structures are unremarkable. No radiopaque foreign body.
<unk>-year-old female with seizures. evaluate for infiltrate.
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Pa and lateral chest radiograph demonstrate low lung volumes. There is a nodular opacity in the right lung base which is worrisome for infectious process. There is no large pleural effusion. There is no pneumothorax. Cardiomediastinal silhouette is stable, cardiomegaly which is mild. There is mild central vascular engorgement with mild interstitial perihilar opacities to suggest mild edema. There is no air under the right hemidiaphragm.
<unk>m w/ sickle cell crisis and chest pain. eval for cardiopulmonary change or acute chest.
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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. Prominent anterior bridging osteophyte is again noted in the mid thoracic spine.
history: <unk>m with cough // evidence of pneumonia
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As compared to the previous radiograph, the patient has taken a lesser breath in. As a consequence, the lung volumes are smaller and the heart appears minimally larger than before. There is no evidence of pneumonia and no pleural effusion. No pulmonary edema or other pathological changes. The hilar and mediastinal structures are normal in appearance.
cough, evaluation for pneumonia.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with fever to <num>.
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Mild cardiomegaly is stable. New opacities in the left lower lobe are likely atelectasis. There are small bilateral pleural effusions. The lungs are hyperinflated. Biapical pleural thickening is unchanged. There is no pneumothorax. Degenerative changes in the thoracic spine
<unk> year old woman with urosepsis with proteus and persistent cough // ?pna
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
shortness of breath and chest pain. evaluate for pneumonia.
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The lung volumes are low, which accentuate late the bronchovascular markings; however, there appears to be slight interval worsening of diffuse bilateral pulmonary edema compared to the prior exam. Moderate cardiomegaly is stable. Pacemaker leads are unchanged in position. The patient is status post median sternotomy and cabg. Bibasilar opacities are likely secondary to atelectasis; however, a superimposed infectious process cannot be excluded. There is no large pleural effusion. There is no evidence of pneumothorax. The visualized osseous structures are grossly unremarkable.
history of chest pain. please evaluate for pneumonia.
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Lungs are clear aside from a <num>mm well defined opacity projecting over the upper margin of the posterior right <num>th rib. There is no pleural effusion or pneumothorax. The heart is normal in size. Normal cardiomediastinal silhouette.
smoking with decreased breath sounds and mild clubbing of digits, assess for copd.
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As compared to <unk>, there is unchanged. Lower lobe predominant emphysema and hyperinflation is unchanged. Mild biapical pleural scarring. The lungs are otherwise clear. The cardiomediastinal contours are unchanged. No pleural effusions. Multiple wedge compression fractures involving the mid thoracic spine.
<unk> year old woman with copd and asthma // development of pna since last cxr
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is mildly enlarged. The aorta is tortuous.
history: <unk>f with left arm pain, chest pain // eval for any infiltrates
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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size.
<unk> year old woman with crohn's disease and left sided chest wall pain, fever and full chest feeling // r/o pneumonia
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Lung volumes are low. Compared to <unk>, there is improvement although not complete resolution of the diffuse interstitial thickening bilaterally with mild engorgement of the hila and associated bilateral pleural effusions compatible with pulmonary edema. No focal opacities are identified. Cardiomediastinal contour cannot be properly assessed due to obscuring of the heart silhouette by layering effusions and bibasilar atelectases. There is no pneumothorax. There is no evidence of subdiaphragmatic free air.
<unk>-year-old male with past medical history of cirrhosis now with increasing shortness of breath and abdominal pain. evaluate for worsening pleural effusion.
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No esophageal enlargement is noted. No radiopaque foreign body.
<unk> year old female with chest pain and history of esophageal stricture status post multiple dilatations. evaluate for enlarged esophagus.
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Frontal and lateral views of the chest demonstrate low lung volumes. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Right-sided aortic arch is present. There is no pulmonary edema. Heart size is normal. Linear opacity involving left lung base likely represents atelectasis, and appears slightly less conspicuous from <unk> exam.
patient with productive cough and liver failure. assess for pneumonia.
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There has been interval removal of a right apical chest tube with development of a moderate right pneumothorax. There is stable elevation of the right hemidiaphragm and no appreciable mediastinal shift. A patchy opacity in the right lower lobe, best appreciated on the lateral view, likely represents an area of atelectasis. No large pleural effusions or focal consolidations are seen. The left lung is clear. The cardiomediastinal silhouette is stable. A small amount of subcutaneous air is seen tracking along the right chest wall at the site of prior chest tube. Interval removal of nasogastric tube is also noted.
<unk>-year-old male status post right vats procedure complicated by hemothorax, now with chest tube removed. here to evaluate for pneumothorax.
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Pa and lateral views of the chest provided. Lung volumes are low with lower lung opacities likely atelectasis though cannot exclude pneumonia. No large effusion or pneumothorax. Heart size appears top-normal contours unremarkable. Bony structures are intact.
<unk>f with cough, fevers, dyspnea
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures appear within normal limits.
cough and fatigue. question pneumonia.
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The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. The bony thorax is grossly unremarkable.
syncope with exercise. evaluate heart size. also with lower rib pain.
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Ap and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. No pleural effusion, focal consolidation, or pneumothorax is seen. No definite pulmonary edema is noted. Hilar and mediastinal silhouettes are unchanged. Aortic arch calcifications are again noted. Heart size is top normal. Degenerative joint changes of the thoracic spine are longstanding.
patient status post fall.
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The lungs are grossly clear. There is no pleural effusion or pneumothorax.
history: <unk>m with tachycardia, wbc // eval for pna
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with cough // eval pna
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The lungs remain relatively hyperinflated. There is bilateral basilar linear atelectasis. No focal consolidation is seen. No large pleural effusion or pneumothorax. The cardiac silhouette is mildly enlarged. Mediastinal contours are unremarkable. No overt pulmonary edema is seen.
history: <unk>m with diaphoresis, hypotension // eval for acute process
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Cardiac, mediastinal and hilar contours are within normal limits. Lungs are clear and the pulmonary vascularity is normal. There are no pleural effusions or pneumothoraces. No displaced rib fractures or other acute osseous abnormality is identified.
back pain after motor vehicle collision.
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Compared with the immediate prior study, lung volumes are significantly lower causing bibasilar atelectasis and bronchovascular crowding. Allowing for differences in lung volumes, left lung base airspace opacities are likely unchanged. The cardiomediastinal silhouette is stable.
<unk> year old man with nstemi and pneumonia evaluate progression of pna
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In comparison with study of <unk>, a dual-channel pacemaker device remains in place. Pulmonary vascularity is essentially within normal limits and there is no evidence of acute focal pneumonia. No prominence of interstitial markings that would suggest amiodarone toxicity.
atrial flutter, on amiodarone.
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Lung volumes are low. The cardiomediastinal silhouette is unchanged. Again noted is tortuosity of the thoracic aorta. In the right infrahilar region, there is a opacity which was not definitively seen on prior examination though this may be related to technique and poor inspiration. Opacity is also seen in the posterior portion of the chest on the lateral view. In the appropriate clinical context, this may represent pneumonia.
history: <unk>m with increasing confusion // eval for pneumonia
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Postradiation mediastinal fibrosis is unchanged. Lung fields are clear heart size is within normal limits. There is no pneumothorax.
history: <unk>f with sob cough fevers x <num> weeks. // acute process
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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 chest pain // ?pneumonia
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There are low lung volumes and mild bibasilar atelectasis. No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable.
history: <unk>m with cirrhosis, crackles r lung base // eval for pna or pulm edema
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Ap upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Pulmonary vascular congestion is mild. Cardiomegaly is similar to prior. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>m with sob, cp // pna? pulm edema?
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with h/o plasmacytoma on revlimid with fevers, green prod cough, course breath sounds // any sign of pna
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Pa and lateral chest radiograph is compared to prior radiograph dated <unk>. Heart size is stable. Lungs are without a focal opacity convincing for pneumonia. There is no evidence of pulmonary edema or pneumothorax. There is no pleural effusion.
<unk>-year-old male with chest pain and shortness of breath.
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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. The bony structures are unremarkable.
fever, back pain, and myalgia.
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The lungs are clear. Cardiomediastinal silhouette and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old woman with cough, question pneumonia.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with hyperglycemia
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Pa and lateral chest radiographs demonstrate severe cardiomegaly, unchanged since <unk>. There is no focal consolidation, pleural effusion, pneumothorax, or interstitial edema. Segmental retrocardiac atelectasis is noted.
seizure and concern for aspiration.
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There is mass-like opacity in the left lower lobe, measuring approximately <num> cm. There is elevation of the right diaphragm, consistent with history of right diaphragmatic paralysis. Heart size is within normal limits.mediastinal and hilar contours are unremarkable. There is no evidence for pulmonary edema, pleural effusion, or pneumothorax.
<unk> year old man with ipf and right sided diaphragm paralysis now with one month of cough and shortness of breath. please evaluate for interval change.
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Cardiac silhouette size is mildly enlarged. The mediastinal and hilar contours are similar. There is mild pulmonary vascular congestion, improved compared to the previous study. No focal consolidation, pleural effusion or pneumothorax is present. Linear opacities within the right mid lung field may reflect areas of atelectasis or scarring. Clips are demonstrated in the left aspect of the neck. There are moderate degenerative changes seen in the thoracic spine.
history: <unk>m with shortness of breath, dyspnea on exertion, history of chf.
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No pulmonary edema is seen. 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 <num>wk h/o intermittent palpitations, sob, and chest pain // eval pneumonia, edema
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Diffuse peribronchovascular opacification bilaterally suggests a multifocal infectious process in the setting of fever and cough. There is no pleural effusion or pneumothorax. The heart is normal in size. Normal cardiomediastinal silhouette.
cough and fever, assess 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. The lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. The osseous structures are unremarkable. A stimulator device overlies the mid thoracic vertebral bodies posteriorly.
<unk>-year-old male with cough, fever, and hypoxia. evaluate for cardiopulmonary disease or infiltrate.
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There relatively low lung volumes. Bibasilar atelectasis is mild. No definite focal consolidation is seen. There is no large pleural effusion or pneumothorax. <num> lead left-sided pacemaker is seen with leads extending the expected positions of the right atrium and right ventricle. The cardiac silhouette is top-normal. The aorta may be tortuous.
history: <unk>f with altered mental status // eval for pneumonia, ich
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The right ij catheter terminates in standard position. Median sternotomy wires, cabg clips, and the cardiomediastinal silhouette are stable. Pulmonary vascular congestion has improved. However, bilateral pleural effusions and associated atelectasis are unchanged.
recent cabg. evaluation for interval change, pleural effusions and atelectasis.
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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.
<unk>f with intermittent shortness of breath // eval for chf/pneumonia
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Pa and lateral views of the chest provided. Lungs are hyperinflated with upper lung lucency suggestive of underlying emphysema. Mild hilar prominence suggests possibility of pulmonary hypertension. Please correlate clinically. No focal consolidation effusion or pneumothorax is seen. The heart size appears within normal limits. The bony structures appear normal.
<unk>m with <unk> swelling and decreased l breath sounds // effusion? edema?
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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 left leg weakness // pre-operative cxr
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<num> views were obtained of the chest. The lungs are low in volume but clear. There is no pleural effusion or pneumothorax. The heart and mediastinal contours are unremarkable.
neck spasms and left upper quadrant abdominal pain assess for pneumonia or pleural effusion.
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Minimal basilar atelectasis is seen without definite focal consolidation. There is no pleural effusion or pneumothorax. <num> cm left lower lobe pulmonary nodule is grossly stable. Cardiac silhouette is top-normal in size, appears less prominent as compared to the prior study. Mediastinal contours are unremarkable. Evidence of dish is seen along the spine.
history: <unk>m with fatigue and ha c/f lyme // infection work-up
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The lung volumes are again low particularly in the frontal view. There is no focal consolidation, effusion, or vascular congestion. Cardiomediastinal silhouette is stable. Degenerative changes noted at the left shoulder.
<unk>m with weakness and ams // eval for pneumonia
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Tracheostomy tube is in unchanged position. Left-sided port-a-cath tip terminates at the junction of the right atrium and svc. Cardiac, mediastinal and hilar contours are unchanged with the heart size appearing top normal. Lungs are clear. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>f with cough x <num> weeks, chronic trach
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No focal consolidation is seen. Minimal lateral right base atelectasis is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Multiple surgical clips are seen overlying the chest.
history: <unk>f with cp, sob, productive cough, and crackles over left lung // pna?
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with <num> days chest pain in the setting of heartburn // eval for chest pna
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There are mildly low lung volumes. Allowing for changes due to this, the cardiomediastinal silhouettes are within normal limits. The bilateral hila are unremarkable. An azygos fissure is noted. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk>m with cp, evaluate for pneumonia or sequelae of aspiration.
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There is an opacity of the anterior portion of the right upper lung which likely represents pneumonia in the right clinical setting. There is also another subtle opacity in a more superior portion of the right upper lung. The cardiomediastinal silhouette and hilar contours are within normal limits. The pleural surfaces are clear without effusion or pneumothorax.
history of cll and several weeks of progressive dry cough and dyspnea on exertion, in the setting of fever.
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Allowing for the differences in the radiographic technique, since <unk>, mild-to-moderate bilateral pleural effusions are unchanged; however, the left lower lung atelectasis has minimally improved. Both lungs are clear. Patient is status post median sternotomy with intact sternal sutures following cabg. Central line through the right internal jugular approach ends at the lower svc/cavoatrial junction. Top normal heart size, mediastinal and hilar contours are stable.
follow up and to look for the changes in the pleural effusion.
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As compared to the previous radiograph, there is no relevant change. The postoperative changes on the right are constant, the elevation of the right hemidiaphragm is unchanged. The multiple bilateral calcified apical parenchymal nodules are also constant in appearance. No new pulmonary nodules. No left pleural effusion. Unchanged appearance of the cardiac silhouette.
lung cancer, pleural effusion, reassessment.
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Ap upright and lateral chest radiograph demonstrates a picc which terminates within the right atrium. This appears in stable position relative to prior study. Cardiomediastinal and hilar contours are within normal limits. There is no evidence of pulmonary edema. There is no pleural effusion or pneumothorax. Bilateral irregular opacities within the lungs appears slightly more conspicuous relative to prior exam performed <unk>. Tips identified in the right upper quadrant.
<unk>f with coarse breath sounds, fever // pna?
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Pa and lateral images of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
chest pain.
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. Multiple old healed rib fractures are seen bilaterally. Low lung volumes accentuate the transverse diameter of the heart, but there is no evidence of acute pneumonia or vascular congestion. Streaks of atelectasis or fibrosis are seen on the lateral view.
night sweats.
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of <unk>. Heart size, thoracic aorta and mediastinal structures are unchanged. Thus, no evidence of significant cardiac enlargement. The pulmonary vasculature is not congested. No signs of acute infiltrates and the pleural spaces are free. No pneumothorax in the apical area on the frontal view. Mild degree of s-shaped scoliosis in the thoracic spine is unchanged. On the next preceding examination of <unk>, a small opacity was suspected on the frontal view in mid portion of the right hemithorax overlying the anterior third rib. There is no progression of this lesion and an acute infiltrate is not seen. This patient has a large record of multiple chest examinations and cts. Thus, the pulmonary infiltrate of <unk> cannot be confirmed.
<unk>-year-old male patient with leukemia and increasing cough, congestion. assess for abnormalities.
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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. Clips are noted in the right upper quadrant of the abdomen from prior cholecystectomy.
history: <unk>f with chest pain
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Again seen is significant pleural effusion on the left and a small pleural effusion on the right, largely unchanged from the prior examination. A vascular stent is seen projecting over the mediastinum, unchanged in appearance.
evaluation of bilateral pleural effusions.
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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. Visualized osseous structures are unremarkable, aside from mild scoliosis.
history: <unk>f with chest pain // eval for pna, pneumothorax
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac, mediastinal, and hilar contours are unremarkable. No pulmonary edema is seen.
b symptoms and weight loss.
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Frontal and lateral upright chest radiographs demonstrate elevation of the left hemidiaphragm posteriorly where the gastric bubble protrudes into the lower chest with minimal associated atelectasis. Mildly distended fluid-filled stomach is present. The lungs are otherwise clear and pleural surfaces are unremarkable. Limited view of the bones are unremarkable.
<num> weeks of cough. assess for pneumonia.
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Cardiac silhouette size remains mildly enlarged, and apparent decrease in size is likely due to differences in technique and inspiration. The aorta remains tortuous. A vascular stent is again noted projecting over the right subclavian region. Pulmonary vasculature is not engorged. Lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>m with new onset atrial fibrillation
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Low lung volumes exaggerate the cardiomediastinal silhouette however no hilar or mediastinal abnormalities are identified. Note is made of mild bibasilar atelectasis. There is no pleural effusion or pneumothorax.
history of chest pain. please evaluate for consolidation or effusions.
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Increased opacity at the left lung base likely reflecting a combination of pleural effusion and atelectasis although superimposed infection cannot be excluded. Unchanged airspace opacity in the right lower lung.
<unk> year old woman with etoh cirrhosis admitted with <unk> in the setting of decompensation. decreased air entry on l>r. any acute intrapulmonary process? // decreased air entry on l>r. any acute intrapulmonary process?
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Limited evaluation of pa and lateral radiograph due to body habitus and arm positioning. Streaky opacification in left lower lung likely reflects atelectasis. No pleural effusion or pneumothorax present. Cardiac, hilar, and mediastinal silhouettes are unremarkable. Heart size is top normal.
leg swelling, chills, concern for possible dvt versus cellulitis. also with increased lactate. please evaluate for other possible infectious sources.
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation, or pneumothorax. Heart size is normal. No pulmonary edema.
fever, chills, and productive cough.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
<unk>f with left sided chest pain. // r/o pneumothorax
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Frontal and lateral radiographs of the chest demonstrate air is increased opacification of the left mid lung field, which is concerning for left lower lobe pneumonia. Additionally there is a subtle increased opacity within the right mid lungfield, which may represent a second site of infection. There is a small left-sided pleural effusion. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax.
shortness of breath and fever. evaluate for pneumonia
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with cp // any cpd
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The lungs are well expanded and clear. A small opacity obscuring the heart border at the level of the apex is compatible with a prominent epicardial fat pad. A tiny focus of linear atelectasis is seen at the lung bases. No focal parenchymal opacities are seen. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with history of pneumonia, now presenting with left chest pain. evaluate for pneumonia.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with motor vehicle collision with anterior chest wall pain // fracture? pneumothorax?
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Cardiac silhouette size is normal. The aorta remains tortuous. Enlargement of the pulmonary arteries is again noted, unchanged. Pulmonary vasculature is not engorged. Elevation of the right hemidiaphragm is chronic with associated a right basilar atelectasis. Minimal streaky opacity in the left lung base also is compatible atelectasis. No focal consolidation, pleural effusion, or pneumothorax is present. Several anterior compression deformities within the thoracic spine appear unchanged.
history: <unk>m with fever, back pain, evaluation for source of infection
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Right lower lobe consolidation and trace pleural effusions are worrisome for pneumonia. Cardiac silhouette is top-normal to mildly enlarged. There are knob is calcified. No pneumothorax is seen.
history: <unk>m with syncope and nstemi // eval pneumothorax, other acute process
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Severe cardiomegaly is unchanged. Left axillary device with associated leads is unchanged in position. The left ventricular assist device is partly imaged. There is a small left pleural effusion but no right pleural effusion or pneumothorax. Mild pulmonary edema is present. There is no focal consolidation concerning for pneumonia.
history: <unk>m with cough, lvad // eval for pneumonia
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with chest pain, recent dka