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Pa and lateral views of the chest were reviewed. Compared to the prior studies, a recurring moderate right possibly loculated pleural effusion, an unchanged small left-sided pleural effusion, prominent intralobular lines, preservation or reticulation and thickened fissure lines indicate mild-to-moderate pulmonary edema that has increased compared to the prior study. Mild cardiomegaly is unchanged. Bibasilar opacities likley represented atelectasis. No pneumothorax is visualized. Left pectoral pacemaker with leads ending in the right atrium and right ventricle is unchanged in position.
evaluation of a pleural effusion.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
<unk>f with pleuritic chest pain // infiltrate, effusion, edema
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Compared with most recent prior radiograph, lung volumes have improved. Bulky mediastinal and hilar lymphadenopathy is not significantly changed. No pleural effusion or pneumothorax is present. Normal heart size. Right upper lobe opacities are improving.
lymphadenopathy, status post mediastinoscopy, lymph node biopsy. evaluate for interval change, pneumothorax.
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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Dense opacifications are noted projecting over the right upper and lower lung, stable compared to and better assessed on the <unk> ct. No pleural effusions or pneumothorax evident. A right-sided port-a-cath terminates at the cavoatrial junction. No lytic or blastic lesion is evident. Multilevel degenerative changes identified in the visualized thoracic spine.
cancer, weakness, 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>m with fatigue, cough // eval for pneumonia
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. Minimal right basilar opacity is seen, somewhat obscuring the right hemidiaphragm. In the appropriate clinical context, this may represent a right lower lobe infiltrate. There is no large pleural effusion or pneumothorax. There is evidence of emphysema.
history: <unk>m with chest pain // r/o acute process
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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 chest pain // assess for infiltrate
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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.
chest pain.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes seen the spine, no acute osseous abnormalities.
<unk>m with chest pain // eval for ptx
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A left chest wall pulse generator with continuous pacemaker leads terminating in the right atrium and right ventricle is unchanged in position. The cardiomediastinal silhouette is stable in appearance. Lung volumes are low, and left lower lobe opacity is more conspicuous compared to the most recent comparison studies from <unk>. Mild prominent interstitial markings persist, possibly due to underlying chronic interstitial lung disease, with superimposed mild pulmonary edema. No pneumothorax or pleural effusion.
history: <unk>f with fever // fever
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In comparison with study of <unk>, the patient has taken a better inspiration. Continued enlargement of the cardiac silhouette without appreciable vascular congestion. The pattern raises the possibility of cardiomyopathy or even pericardial effusion. Dual-channel icd device is in place with leads in the region of the right atrium and apex of the right ventricle. No evidence of pneumothorax.
icd.
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified. No free air under the right hemidiaphragm.
<unk>f with pleuritic chest pain // eval ? ptx, effusion, pneumomediastinum
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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.
chest pain after cough, evaluate for pneumothorax.
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In comparison with the study of <unk>, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. Once again there is absence of the left clavicle.
right base crackles, to assess for pneumonia.
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In comparison with study of <unk>, there is probably little change in the bilateral pleural effusions, somewhat worse on the right. The dual-channel pacer device and port-a-cath remain in place. No vascular congestion or acute focal pneumonia identified.
pleural effusion.
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Frontal and lateral radiographs of the chest <unk> inspiratory lung volumes. A basilar opacity in the left lung is consistent with left lower lobe atelectasis. No pleural effusion, pulmonary edema or pulmonary vascular congestion is present. There is no pneumothorax. The cardiac silhouette is top normal in size given the low lung volumes. The patient is status post median sternotomy with wires intact. Extensive degenerative changes of the thoracic spine are noted.
<unk>-year-old male with history of chf and ckd, now with worsening dyspnea, here to evaluate for pulmonary edema or pneumonia.
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. There is no pleural effusion, pulmonary edema, or focal consolidation. The cardiomediastinal silhouette is unremarkable.
aches and weakness.
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There are only mild bibasilar atelectatic changes. The lungs are otherwise clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old with cough.
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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pneumothorax or pleural effusion. There is no right sided subdiaphragmatic free air.
<unk>f with hematemesis, dyspnea, // eval ? rll process, free air
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The heart is mildly enlarged. The mediastinal and hilar contours are within normal limits. The pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is visualized. No displaced rib fractures are noted. There are no acute osseous abnormalities. Multi level degenerative changes are seen in the thoracic spine
chest pain over the left chest status post moderate speed motor vehicle collision.
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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>f with pleuritic cp // r/o pneumomediastinum
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no pleural effusion or pneumothorax.
severe dyspnea on exertion, without hypoxia or ekg changes.
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There is no significant interval change compared to the prior radiograph performed yesterday evening. The dual-chamber pacemaker is redemonstrated with leads terminating in the right atrium and right ventricle. There is mild pulmonary vascular congestion. Bilateral pleural effusions are noted, likely also present on the prior study. There is no evidence of pneumonia or pneumothorax. The cardiomediastinal silhouette is within normal limits. Surgical clips are noted in the right upper quadrant.
<unk> year old woman s/p dual chamber pacemaker via l axillary vein // confirm lead placement
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Hyperinflated lungs, consistent with patient history of copd. No focal consolidations are seen. The lungs are otherwise clear. The heart size is normal. No pneumothorax, pleural effusion, or pulmonary edema.
<unk> year old man with hx of myeloma, copd, progressive cough and fever. please r/o pna. // <unk> year old man with hx of myeloma, copd, progressive cough and fever. please r/o pna.
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There is no focal consolidation, pleural effusion, or pneumothorax. Hemidiaphragms are flattened, suggesting hyperinflation. Cardiomediastinal silhouette is normal. There are no acute skeletal abnormalities.
<unk>-year-old woman with eating disorder, rule out infection.
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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 ruq pain // ? pneumonia
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Pa and lateral chest views were obtained with patient in upright position. The moderately enlarged heart appears unchanged. Thoracic aorta as before with marked extensive wall calcifications. The previously observed right-sided pleural effusion that blunts the lateral and posterior pleural sinus has again increased and reaches now to the mid portion of the right-sided lateral chest wall. On the lateral wall, the increased densities are located most posteriorly and have also increased when comparison is made between the lateral views. No new acute pulmonary infiltrates can be identified and there is no pneumothorax in the apical area. The patient has undergone a lymphangiogram on the preceding day, which showed some filling of lymphatic channels from the left leg up to the retroperitoneal structures and periaortic location. At no point was communication with the thoracic duct established. Thus, it is not surprising that any pulmonary arterial embolization with contrast particles cannot be identified on the plain chest examination. It is possible, however, that lymphangiographic material has entered in the right lower pleural and pulmonary parenchymal territory as the ct examination of <unk> suggested.
<unk>-year-old female patient with chylothorax, status post lymphangiogram, still with oxygen requirement, evaluate for interval change of effusion or contrast in the lungs.
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The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. The hilar pleural surfaces are normal.
history: <unk>f with sensation of chest tightness // please evaluate for acute cp abnormality
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As compared to the previous radiograph, the patient still suffers from a pneumothorax. The pneumothorax is approximately <num> cm wide at the left lung apex and shows a substantial air-fluid level in the retrosternal parts of the thorax. There is no evidence of tension, but atelectasis is seen at the left lung base. The right lung, apart from minimal fibrotic changes projecting over the right costophrenic sinus, is unremarkable. Unchanged normal size of the cardiac silhouette.
pneumothorax, evaluation.
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Pa and lateral views of the chest provided. Lung volumes are low. Allowing for this, no convincing evidence for pneumonia or edema. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact
<unk>m with chest pain
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Right chest wall port is again noted. The lungs are hyperinflated but clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified. Compression deformity in the lower thoracic spine is unchanged.
<unk>f with colon ca, sent here for infecitous work-up // r/o pna vs pleural effusion
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Heart size is mildly enlarged and the mediastinal and hilar contours are unchanged. Patient is status post right upper and lower lobe wedge resections with volume loss again noted in the right lung and rightward shift of mediastinal structures. Patchy opacity within the right lung base is relatively unchanged and better demonstrated on the previous ct. Pulmonary vasculature is not engorged. No new focal consolidation or pneumothorax is present. Chronic pleural thickening/ scarring accounts for the blunting of the right costophrenic angle. Cerclage wire projects over the posterior aspect of the cervical spine. No acute osseous abnormalities seen.
history: <unk>f with shortness of breath, cough
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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 cough and dyspnea // chf v pna
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The lung volumes are normal. Borderline size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta. No pleural effusions. No pulmonary edema.
heart failure, evaluation for fluid overload.
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Pa and lateral chest radiographs are provided. Hazy opacity at the right base is unchanged from the prior radiographs and is most likely atelectasis. There is no definite focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is unchanged and notable for mild cardiomegaly and a tortuous dilated aorta. The hemidiaphragms are flattened with hyperexpansion consistent with known history of copd. There are no acute fractures and wedge deformities of multiple thoracic vertebral bodies are unchanged. Embolization coils in the right upper quadrant and abdominal aortic stent graft are noted.
<unk>-year-old woman with copd, cardiac risk factors with acute right-sided chest pain. question copd exacerbation versus cardiac arrest.
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Low lung volumes cause bronchovascular crowding. Left-sided perihilar interstitial opacities may be related to aspiration or infection. There is no pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk>f with b/l crackles on exam, evaluate for pneumonia.
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal. A left lower lobe granuloma is unchanged from the prior study.
<unk>f with orthopnea, evaluate for pulmonary edema
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Frontal and lateral views of the chest are compared to previous exam from <unk>. Right chest wall port is again seen with tip in the mid svc. The lungs are clear of focal consolidation. Moderate-sized hiatal hernia is again noted. Azygos lobe and fissure are also seen. There is no effusion. Small pulmonary nodules identified on ct are below resolution for detection by plain film. Osseous and soft tissue structures are unremarkable. Left neck surgical clips are noted.
<unk>-year-old female with cll, on chemo with fever and cough.
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Frontal and lateral radiographs of the chest were acquired. Lung volumes are slightly low, causing accentuation of the pulmonary vasculature. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no definite pleural effusions. No pneumothorax is seen. An old healed fracture of the left fifth anterior rib is noted.
fever, on chemotherapy. evaluate for infectious process.
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Left basilar atelectasis is redemonstrated. The lungs are otherwise clear. The pulmonary vasculature is normal. The cardio mediastinal silhouette is stable. There is no pleural effusion. There is no pneumothorax. Expansile lesion of the right clavicular head and left eighth posterior rib are re- demonstrated. The compression fracture of the lower thoracic vertebral body is unchanged.
<unk> year old man with right back pain // right lower back pain. ? infection or rib fracture
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Ap and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is normal. No acute osseous abnormality detected.
altered mental status.
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The lungs are clear. Cardiac silhouette is normal in size. There is no pleural effusion, pneumothorax, or evidence of pneumonia.
new-onset fever.
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A left lower lobe opacification with air-fluid level adjacent to the posterior pigtail drainage catheter is new since chest radiograph on <unk>. A loculated effusion that did not contain air was present in this area on ct examination on <unk>, prior to pigtail catheter insertion. The two left pigtail drainage catheters appear unchanged. The moderate loculated left-sided pleural effusion is stable. Lung volumes are slightly improved with stable mild pulmonary edema. No pneumothorax.
<unk> year old man with left pleural effusion and pna s/p chest tube placement x<num>, had cxr overnight showing now right pleural effusion with chest tube in place and i think the image is reversed // please re-evaluate for pleural effusion s/p <num> chest tubes
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The cardiomediastinal and hilar contours are normal. The lungs are well expanded and clear. There is no pulmonary edema, pleural effusion, or pneumothorax.
<unk>-year-old with hiv, chronic smoker, and cough for two weeks.
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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. Moderate degenerative changes involve the right shoulder with apparent superior migration of the right humeral head and possible narrowing of the acromiohumeral interval. Small-to-moderate osteophytes are noted along the thoracic spine. Bony demineralization is likely.
suspected colonic primary malignancy. preoperative study.
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The lungs are hypoinflated but without focal consolidation. Heart size is top normal. Mediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with altered mental status. evaluate for acute process.
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The lung volumes are normal. Normal structure and transparency of the lung parenchyma, neither the frontal than nor the lateral radiographs show evidence of pneumonia. The heart and the mediastinum as well as the hilar contours are also normal. No pleural effusions, no pneumothorax.
heroin abuse, fevers, leukocytosis, evaluation for pneumonia.
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
<unk>f with chest pain radiating to back. evaluate for etiology of chest pain.
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The heart size is normal and there is a rightward mediastinal shift, which is unchanged from the prior study. Again seen is architectural distortion and scarring of the right lung related to sarcoidosis and emphysema, unchanged in appearance. There is minimal scarring at the base of the left lung, which is also unchanged. No new focal opacity is identified. The pleural surfaces are clear without effusion or pneumothorax.
history of severe copd and sarcoid. worsening shortness of breath.
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The lungs are moderately well inflated with cephalization of vasculature and small right pleural effusion. There is prominence of the right hilum which is stable since <unk> given differences in positioning. Mediastinal contour is unremarkable. No pneumothorax. Persistent moderate cardiomegaly with a tortuous aorta is noted.
<unk>f with sob. assess for chf
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Ap semi-upright and lateral views of the chest were obtained. Heart is normal size and cardiomediastinal silhouette is unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old woman with epilepsy presents with two seizures, no history of cough, rule out pneumonia.
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As compared to the previous radiograph, there is no relevant change. Low lung volumes. Borderline size of the cardiac silhouette. Tortuosity of the thoracic aorta. No evidence of pneumonia or other finding that could explain the leukocytosis present clinically. No pleural effusions. No pulmonary edema.
questionable pneumonia.
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Exam is limited secondary to patient positioning, his chin overlies the lung apices bilaterally. Coarse interstitial markings seen throughout the lungs bilaterally which have been chronic back to <unk>. There are small bilateral pleural effusions. Enlarged cardiac silhouette has not significantly changed given differences in positioning and technique. Accentuated thoracic kyphosis is again noted. Osseous structures are not well assessed due to osteopenia.
<unk>m with syncope and fever // pneumonia, effusion?
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There is asymmetric scarring of the left apex compared to the right with a calcification, which may be an indication of prior tuberculosis exposure or infection in the appropriate setting. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.
flushing. possible history of tuberculosis.
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Moderate cardiomegaly is re- demonstrated. The aorta is tortuous and diffusely calcified. Mediastinal and hilar contours are stable. Linear opacities in the right mid and lower lung fields likely reflect areas of atelectasis or scarring. Partially loculated right pleural effusion is small and unchanged from prior. Right basilar patchy opacity may reflect atelectasis. No pneumothorax is identified. Marked abnormality of both glenohumeral joints with bony remodeling of the femoral heads is re-demonstrated.
<unk> m with shortness of breath, chest pain.
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Lung volumes are low. Heart size is mildly enlarged, unchanged. Mediastinal and hilar contours are unremarkable. There is crowding of bronchovascular structures without overt pulmonary edema. Patchy opacities in the lung bases likely reflect areas of atelectasis, though infection is not completely excluded. There is no pleural effusion, focal consolidation or pneumothorax identified. Prominent right nipple shadow is noted.
history: <unk>m with head laceration, fever, hiv+
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In comparison with the study of <unk>, there is persistent left effusion with volume loss in the left lower lobe. No evidence of acute pneumonia or vascular congestion.
pleural effusion.
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As compared to the previous radiograph, there is only a minimal decrease in extent of the known right pneumothorax. The additional air-fluid levels seen at the lung bases have slightly increased in extent. Also increased is atelectasis at the lung bases. The left lung base shows an unchanged area of atelectasis, otherwise, the left lung is unremarkable. Moderate cardiomegaly persists.
pneumothorax, status post rib fracture. evaluation.
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The lungs remain hyperinflated. Increased reticular markings seen particularly at the bases is similar compared to prior. Lobulated right lung base mass is again noted. Faint opacity projecting over the right upper lobe is unchanged from prior chest ct, potentially scarring. Cardiomediastinal silhouette is stable. Old right lateral rib fractures are noted. No acute osseous abnormalities.
<unk>f with afib, chf, p/w fall from standing today // evaluate for head bleed, pna vs pulm edema
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Lungs are clear without focal consolidation, effusion, or consolidation. The cardiomediastinal silhouette is within normal limits for technique. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormalities.
<unk>f with cough for several weeks // eval for chf/pneumonia
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Calcified granuloma in the right lower lobe. The lungs are otherwise 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 shortness of breath and chest tightness. // please evaluate for etiology.
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The lung volumes are low. There is no consolidation, edema, pleural effusion, or pneumothorax. The aorta is tortuous, and unchanged from the prior exam. The cardiomediastinal silhouette is otherwise normal. Again noted is levoscoliosis of the thoracic spine, similar to the prior exam.
right-sided chest pressure. history of a myocardial infarction. evaluate for acute process.
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Pa and lateral radiographs of the chest demonstrate clear lungs. Mild left atrial enlargement is noted. Otherwise the hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old woman with shortness of breath. evaluate for pneumonia or cardiomegaly.
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Pa and lateral views of the chest provided. Hilar congestion and mild pulmonary edema is noted. No large effusion is seen. Cardiomediastinal silhouette appears unchanged. No pneumothorax. Bony structures intact.
<unk>m with shortness of breath
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with chest pain, cough, afebrile // pneumonia? pulmonary edema?
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Right upper lobe opacity is new since <unk>. Peribronchovascular cuffing and mild interstitial abnormality is consistent with mild pulmonary edema. Moderate cardiac enlargement is slightly increased since <unk>. No pleural effusion or pneumothorax. The mediastinal contours are normal
<unk>-year-old woman with long standing smoking in a history of peripheral arterial disease. presents with hemoptysis. evaluate for mass.
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Patient is status post median sternotomy, tricuspid valve replacement, and cabg. Moderate enlargement of cardiac silhouette is unchanged. There is mild pulmonary edema, similar to that seen on the prior examination. Linear and patchy opacification in the right lung base is compatible with atelectasis and/or scarring, with a small right pleural effusion and right lateral pleural thickening appearing unchanged. There is no pneumothorax. No acute osseous abnormalities detected.
history: <unk>f with past medical history of congestive heart failure presents with symptoms of volume overload as well as productive cough, shortness breath, chest pain
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Pa and lateral views of the chest provided. There is stable mild elevation of the right hemidiaphragm with mild scarring in the right lower lobe accounting for the linear opacity at the right lung base. There is no convincing evidence for pneumonia or chf. No large effusion or pneumothorax is present. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. A curvilinear hyperdensity projecting along the right mediastinal border corresponds with the costovertebral junction based on comparison with prior ct. No free air below the right hemidiaphragm is seen.
<unk>m with seizure, eval for pnuemonia, other acute process.
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Pa and lateral views of the chest provided. Streaky lucencies overlying the mediastinum noted concerning for pneumomediastinum. No focal consolidation, effusion or pneumothorax. Heart size is normal. Bony structures are intact.
<unk>f with chest pain // ? pna
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There are low lung volumes, which accentuate the cardiomediastinal contours and bronchovascular structures. There are bilateral patchy lower lobe opacities. There is no pneumothorax. The mediastinal and hilar contours are unchanged with widening of the cardiomediastinal silhouette, related to known mediastinal lipomatosis. There are degenerative changes along the lower thoracic spine.
<unk>-year-old female patient with cough and leukocytosis. study requested for evaluation of pneumonia.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. Since prior, there has been essentially complete resolution of bilateral pleural effusions. The lungs are now essentially clear. There is no pulmonary vascular congestion. Median sternotomy wires, prosthetic valve and mediastinal clips are again seen. The osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old male status post avr <num> week ago with weakness.
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Cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. Ill-defined pleural and parenchymal nodular opacities are seen diffusely throughout the lungs bilaterally with continued diffuse increased interstitial opacities worrisome for lymphangitic spread of tumor. Moderate left and small right pleural effusions are unchanged. Streaky opacities in the lung bases likely reflect areas of compressive atelectasis. No pneumothorax is demonstrated. Partially imaged is a common bile duct stent.
history: <unk>m with pancreatic cancer presents with fever
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The lungs are hyperinflated. Chronic changes including scarring identified at the left upper lung as well as increased interstitial markings throughout the lungs. There is no new consolidation no are effusion. Cardiomediastinal silhouette is mildly enlarged as on prior. No acute osseous abnormalities identified.
<unk>f with speech difficulty, cough // eval infiltrate
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Frontal and lateral chest radiograph demonstrates hyperaerated lungs with relative lucencies of the upper lobes suggesting emphysema. There is an appearance of impproved aeration of the right lung base; however, the minor fissure is not well seen and it is unclear if change reflects slightly worsened chronic right middle lobe collapse no longer obscuring evaluation of the right lower lung or improved collapse. Residual streaky opacification within the left lung base is consistent with atelectasis. No focal opacification concerning for pneumonia present. Cardiomediastinal and hilar contours are unremarkable.
dyspnea, cough, chest pain, evaluate for pneumonia.
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Left chest subcutaneous port central venous line tip is in the mid to low svc. Irregular opacity projecting over the right midlung appears similar to prior. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Bilateral pleural effusions are tiny. No pneumothorax. The aortic knob calcifications appear similar to prior.
<unk> year old woman with nsclc w/ brain mets found to have rml opacity. // please assess for interval change/pna.
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Ap and lateral upright radiographs through the chest demonstrate no focal opacity convincing for pneumonia. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Osseous structures demonstrate no acute abnormality.
<unk>-year-old female status post fall.
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Frontal and lateral views of the chest demonstrate normal lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.
palpitations.
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The lungs remain clear. There is no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
<unk>m with fatigue // evaluate for pneumonia
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There is no focal consolidation, pleural effusion or pneumothorax. There are bilateral interestitial opacities with subtle peribronchovascular abnormality in the juxta hilar regions, right greater than left. Mild cardiomegaly is present. There is no pneumothorax or pleural effusions. The imaged upper abdomen is unremarkable. A right port catheter tip terminates in the svc.
history: <unk>f with hx sarcoidosis with liver and lung involvement presents with multiple weeks of ruq pain and recent waxing/waning ams //
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There is silhouetting of the left heart border with hazy increased opacity throughout the left lung on the ap view. The appearances are consistent with lingular consolidation. No other areas of consolidation are seen. No pleural effusion. The heart does appear to be mildly enlarged. No frank pulmonary edema seen however. Surgical clips and suture material seen at the left lung apex. Deformity of the left fifth rib posteriorly is presumed to be related to this prior surgery.
history: <unk>m with cough, sob, and fevers // eval for pneumonia
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Pa and lateral chest radiographs. The lungs are clear and the previously described opacity in the right lower lobe has resolved. However, small bilateral pleural effusions are new. The hila, right paratracheal stripe, and supraclavicular fossae are also slightly enlarged. The heart size is normal.
fever and right-sided crackles. evaluation for pneumonia.
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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. No pneumothorax, pleural effusion, or consolidation.
history: <unk>f with sob // eval for pna
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Frontal and lateral views of the chest demonstrate low lung volumes, accentuating prominent cardiac silhouette. There is bilateral perihilar peribronchial cuffing and wide spread increased interstitial opacities, suggestive of atypical pneumonia or severe bronchitis, felt less likely to represent edema. There is no pneumothorax or pleural effusion.
<unk>-year-old female with worsening shortness of breath. question pneumonia.
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Lung volumes are low with minimal bibasilar atelectasis. Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion, pulmonary edema or pneumothorax.
history: <unk>f with pre-dm, htn, hld p/w cp // r/o volume overload, pna
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Cardiac size is normal. The aorta is tortuous. In the retroesternal space there is a <num> mm nodule that needs further evaluation with ct. Otherwise the lungs are clear. Mild degenerative changes in the thoracic spine. There is no pleural effusion
weight loss
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Pa and lateral chest radiograph demonstrates no focal consolidation concerning for infection. Comparison is made to prior radiograph dated <unk>. There is been no significant changes. Cardiomediastinal and hilar contours are stable in appearance. There is no pleural effusion or pneumothorax. No acute osseous abnormality is identified.
<unk>-year-old male with on witnessed fall.
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Cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is demonstrated. Partially imaged is orthopedic hardware within the humerus on the lateral view. Mild loss of height of the lumbar vertebral body is age indeterminate.
trip and fall, fever, tachycardia.
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Pa and lateral radiographs of the chest demonstrate a wedge-shaped opacity in the periphery of the left upper lobe, similar in appearance to <unk> but more conspicuous on today's examination. This may represent an area of infarction or recurrent pneumonia. The lungs are otherwise clear without pleural effusion or pneumothorax. No pulmonary vascular congestion is detected. The cardiomediastinal silhouette is within normal limits.
<unk>-year-old male with history of hiv, now with cough and shortness of breath, here to evaluate for pneumonia.
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Frontal and lateral views of the chest. Right chest wall dual lead lumen catheter seen with tip in the mid to lower svc. There multifocal nodular opacities in the lungs bilaterally most concerning for metastatic disease. There is a small to moderate left pleural effusion. Underlying atelectasis suspected, possible infection cannot be excluded. The cardiac silhouette is enlarged. Atherosclerotic calcifications noted at the arch. Surgical clips project over the lower neck. There are focal areas of osteolysis best noted at the lateral aspect of the right <num>th rib.
<unk>-year-old female right-sided chest pain since this morning.
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There is volume loss and increased areas of opacity in both lower lungs. Lung markings are increased.small bilateral effusions
dyspnea.
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Ap and lateral views of the chest. Improved inspiration seen on the current exam. The lungs are clear without focal consolidation or effusion. Again seen is relative elevation of the left hemidiaphragm. The cardiomediastinal silhouette is top normal, likely accentuated by technique. Aorta is tortuous. No acute osseous abnormality is identified.
<unk>-year-old female with hypotension.
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The patient is status post median sternotomy and coronary bypass surgery. Heart size is normal. Thoracic aorta is markedly tortuous with an apparent dilation in the distal ascending aorta and adjacent proximal arch, without change. Lungs are hyperinflated, and areas of bibasilar linear scarring are again demonstrated. No new areas of consolidation
<unk> year old man with cough and shaking chills // r/o pneumonia
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion or pneumothorax. Cardiac and mediastinal contours are normal. Median sternotomy wires and bypass graft markers are in expected positions.
tia.
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Pa and lateral views of the chest were reviewed. Compared to the prior study, the right-sided chest tube has been removed. Expected esophagectomy changes including air-fluid level in the right hemithorax are unchanged. The left subclavian port-a-cath is unchanged in position. The lungs are clear and there is no evidence of vascular congestion, pleural effusion or pneumothorax. The heart and mediastinal contours are unchanged.
evaluation for interval change, status post chest tube removal in a patient status post esophagectomy.
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Mild cardiomegaly is unchanged. Mediastinum, hila, and pleural surfaces are normal. Lungs are clear without focal consolidation, effusions, or pulmonary edema. A large hiatal hernia is unchanged and was present on the ct chest from <unk>.
<unk> year old woman with exertional dyspnea. rule out chf.
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There are linear bibasilar opacities most likely atelectasis. Small predominately subpulmonic right pleural effusion is similar compared to recent ct scan. Superiorly, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with cirrhosis w ascites, rlq ttp, r posterior crackles // eval ? rll pna vs atelectesis
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There is no free air below the hemidiaphragms.
cancer, copd, and headache.
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Sternotomy wires are intact. Prosthetic tricuspid valve is in unchanged position. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
history: <unk>m with fever, icdu // eval for pna, evidence of septic emboli
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Heterogeneous opacities overlying the left mid lung field and silhouetting the left heart border are increased since <unk>. The patient is status post left lower lobectomy for volume reduction with stable mild leftward shift of the mediastinum. Blunting of the left costophrenic angle is compatible with a small pleural effusion. The right lung is grossly clear. No pneumothorax. The heart size appears normal. No radiopaque foreign body.
shortness of breath and dyspnea on exertion. history of alpha <num> antitrypsin disease.
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The lungs are clear without consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Right shoulder arthroplasty and thoracolumbar posterior and lateral fixation hardware is noted. No definite acute osseous abnormalities.
<unk>m with copd and ?septic joint now with hypoxia // source of hypoxia