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Again noted are diffuse bilateral nodular opacities, consistent with known underlying metastases. This is better evaluated on the recent ct chest dated <unk>. There are small bilateral pleural effusions. No pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. Left port-a-cath terminates at the cavoatrial junction.
history: <unk>m with fever, lung crackles rll // pna?
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Cardiac silhouette size is normal. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormality is identified. Bilateral breast prostheses are noted.
history: <unk>f with syncopal episode
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In the right upper lobe, there are two thick-walled cavitary lesions, which allowing for changes in technique, appear similar to the chest ct from <unk>. They have definitely worse and become more thick walled since the prior radiograph on <unk>. No new cavitary lesions or discrete nodules are identified. There is unchanged scarring and atelectasis at the right base. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
persistent cough.
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There are low lung volumes. The cardiac silhouette is normal. The mediastinal and hilar contours are within normal limits. There is no focal consolidation, pleural effusion or pneumothorax.
history of asthma. cough and shortness of breath.
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Ap upright and lateral views of the chest were obtained. A left dialysis catheter terminates in the right atrium. Moderate cardiomegaly and pulmonary artery enlargement are chronic. Lungs are clear. There is no pulmonary edema. No pneumothorax or pleural effusions.
<unk>-year-old woman with chest pain, evaluate for consolidation.
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There are biapical pleural blebs, better evaluated on the ct scan from <unk>. The lungs are otherwise free of focal consolidations, pleural effusions or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk> year old man with <num> weeks of productive cough; diffuse rhonchorous breathing on examination, without focality // please assess for pneumonia
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Pa and lateral views of the chest. Bibasilar atelectasis. There is no pleural effusion or pneumothorax. Chronic severe cardiomegaly is unchanged. The aorta is tortuous. There is hyperinflation of the lungs. The trachea is slightly more compressed compared to prior study, which may be from enlarged thyroid or subglottic fat.
asthma exacerbation and cough, question pneumonia or copd.
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Overall, the lungs are better aerated compared the prior study and there has been interval decrease in previously seen pulmonary opacities. Subtle patchy left base retrocardiac opacity may be due to atelectasis versus infection or aspiration. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. The main pulmonary artery is mildly prominent. No overt pulmonary edema is seen.
history: <unk>f with altered mental status. // eval for trauma or cardiopulmonary process
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Cardiomediastinal contours are normal. Small right apical pneumothorax is stable. The left lung is clear. Small right effusion, pleural thickening and adjacent minimal atelectasis have improved. The osseous structures are unremarkable
<unk> year old woman with recurrent r pneumothrax now s/p r thoracotomy with adhesiolysis, blebectomy x<num> and pleurodesis // interval evaluation of pneumothorax recurrence
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The lungs are clear, there is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal.
shortness of breath, evaluate for pneumonia or hilar lymphadenopathy.
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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.
chest pain.
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There is persistent elevation of the right hemidiaphragm. There is subtle opacification of the lateral right middle lobe, which may represent early developing pneumonia. Linear retrocardiac opacification likely represents atelectasis. No pulmonary edema. The heart size is normal. There is enlargement of the pulmonary arteries bilaterally suggesting pulmonary arterial hypertension. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with h/o myotonic dystrophy presenting with weakness***
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Mild to moderate enlargement of the cardiac silhouette is re- demonstrated, not substantially changed in the interval. The aorta remains unfolded. Mild to moderate pulmonary edema is re- demonstrated, not substantially changed from the previous study. Patchy opacities the lung bases likely reflect areas of atelectasis. There are small bilateral pleural effusions. No pneumothorax is detected. No acute osseous abnormality is visualized.
history: <unk>m with anterior chest pain
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Minor bibasilar atelectasis is seen. There is mild elevation of the right hemidiaphragm. No large pleural effusion. No pneumothorax. Cardiac mediastinal and silhouettes are stable.
history: <unk>f with w/ altered mental status // acute cardiopulm disease
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There is pulmonary vascular congestion without overt edema. There is a small left pleural effusion. No focal consolidation or pneumothorax is seen. Heart size is mildly enlarged. The aorta is calcified.
<unk>-year-old female with right upper quadrant pain.
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The lungs are hyperinflated with flattening of the diaphragms. There is also biapical, right greater than left, scarring. Blunting of the posterior costophrenic angles may relate to hyperinflated lungs although trace pleural effusions are difficult to exclude. No pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with weight loss
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of all status post chemotherapy with a cough. please assess 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. There is no pleural effusion, pulmonary edema or focal pneumonia. No pneumothorax is identified. There is no air under the diaphragm.
<unk>-year-old female with history of peptic ulcer disease with acute onset of chest pain and left upper quadrant pain. evaluation for dissection or air under the diaphragm.
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The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk>-year-old woman with dyspnea, evaluate for effusion.
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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 cough and right inferior chest wall pain
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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 are unremarkable.
left-sided chest pain.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with chest tightness and cough. evaluate for pneumonia.
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Cardiac silhouette size is mildly enlarged. The aorta is tortuous. Mediastinal and hilar contours are otherwise unremarkable. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized.
history: <unk>f with cough and fever
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A linear opacity at the left base is similar to the prior exam. Given the chronicity, this is likely chronic atelectasis or scarring. There is no new opacity to suggest pneumonia. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
severe asthma with worsening shortness of breath. evaluate for pneumonia.
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The lungs are clear without focal consolidation. Postsurgical changes including suture in the right lower lung, median sternotomy wires and clips within the right upper abdomen are unchanged. No pleural effusion or pneumothorax is present. The cardiomediastinal silhouette is normal. No evidence of pulmonary vascular congestion.
history of thymoma status post resection, presenting with cough. evaluate for pneumonia.
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Frontal and lateral views chest. The lungs are clear without focal opacity, pleural effusion or pneumothorax. Borderline cardiomegaly is unchanged. The aorta is tortuous. There is no free air beneath the hemidiaphragms.
<unk> year old female with shortness of breath.
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Upright pa and lateral radiographs of the chest. Since the next most recent study of <unk>, there is streaky atelectasis at the right base and new blunting of the right costophrenic sulcus which may represent atelectasis or consolidation. Also, there is left retrocardiac opacity on the ap view with increased density projecting over the spine at the lung base on the lateral view. The cardiomediastinal silhouette and hilar contours are normal without cardiomegaly. There is no pneumothorax.
right-sided chest pain at inferior costal margin. evaluate for acute process.
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Lung volumes are slightly low. Cardiac silhouette appears prominent but could be exaggerated by shallow inspiration. Mediastinal and hilar contours are unremarkable. There is increased peribronchial density in the lower lobes on the lateral view. On the pa view, it is not clear whether it is more prominent on the right than left. There is no pleural effusion or pneumothorax, and no evidence for pulmonary edema. There is mild anterior wedging of <unk> mid to lower thoracic vertebral bodies.
history: <unk>f with cough x<num> weeks. evaluate for pneumonia.
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The lungs are hyperinflated. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. There is a new nodular focus projecting over the right upper lung, not necessarily significant, but possibly a lung nodule, which should be excluded.
patient with asthma, now with shortness of breath and cough. evaluate for evidence of pneumonia.
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In comparison with study of <unk>, there is little overall change. There is a moderate hiatal hernia with some mid lung scarring but no acute pneumonia, vascular congestion, or pleural effusion.
fever and cough.
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Pa and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with shortness of breath.
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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. There is mild elevation of the left hemidiaphragm. No displaced fracture is seen.
history: <unk>m with s/p fall now with right side ttp // r/o right side rib fracture, pneumo
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Heart size is mildly enlarged, but not changed in the interval. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not overtly engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormalities detected.
history: <unk>m with fall, headstrike
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Lungs are normal. No pleural effusions seen on the frontal and the lateral chest radiograph. Moderate cardiomegaly with tortuosity of the thoracic aorta. Asymmetry of the rib cage caused by moderate scoliosis. No evidence of parenchymal changes, no active or non-active tb.
history of positive ppd, evaluation.
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As compared to the previous radiograph, there is mild-to-moderate decrease in extent of the pre-existing right pleural effusion. The effusion, however, are still present but limited on the costophrenic sinuses. A pleural drain is in situ. Moderate atelectasis at the right lung bases. Borderline size of the cardiac silhouette. Minimal enlargement of the pulmonary arteries.
recurrent right effusion, status post pleural drainage.
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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. Surgical clips are noted in the mediastinum from likely prior thymus resection.
<unk>f with myasthenia <unk> with weakness, evaluate for infection.
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with chest pain.
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Mild prominence of the central pulmonary vasculature suggests pulmonary vascular engorgement without overt pulmonary edema. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is mildly enlarged. Mediastinal contours are unremarkable.
history: <unk>f with hyperglmcemia // eval for pna
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Pa and lateral views of the chest provided. The lungs are hyperinflated though appear clear. Nipple shadows are noted bilaterally. No large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with cough, smoker, recent ilfitrate in <unk>, pls eval pna vs effusion
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The lungs are hyperinflated with attenuation of vascular markings towards the apices compatible with known emphysema. Lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size.
history: <unk>f with shortness of breath, dyspnea on exertion
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Patient is status post median sternotomy and cabg.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.
history: <unk>m with chest pain // ?chest pain
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Pa and lateral radiographs of the chest are provided. The lungs are clear. There is a large paraesophageal hernia. The hilar and cardiac contours appear normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
shortness of breath and low-grade fever.
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The heart size is at the upper limits of normal. The mediastinal and hilar contours are normal. The lungs are clear of consolidation or edema. There is no pleural effusion or pneumothorax.
<unk>-year-old male with cough and shortness of breath.
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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. There is no free air noted in the upper abdomen.
<unk>-year-old female with back pain and shortness of breath. evaluate for chest pain and back pain.
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The lungs are hyperinflated with mild biapical scarring. Blunting of the right lateral costophrenic angle could represent a small effusion. Cardiomediastinal silhouette is within normal limits. Known diffuse lytic lesions throughout the osseous structures were better seen on recent ct. Compression deformities of to mid thoracic vertebral bodies are noted with apparent interval height loss at the t<num> level.
<unk>f with fever following chemo // fever in chemo patient
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There appears to be medial right upper lung/paramediastinal scarring. No focal consolidation, pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Aortic knob calcification is seen. The lungs are relatively hyperinflated. Right apical pleural thickening noted.
history: <unk>f with hyponatremia, dizziness // ? pna
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There is mild biapical scarring unchanged since <unk>. Lungs are clear without consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. Lower thoracic dextroscoliosis is again noted. No acute osseous abnormalities. Degenerative changes seen at the acromioclavicular joints bilaterally.
<unk>m with history of cardiomyopathy and presyncope last night // eval for chf/pneumonia
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There is a moderate left-sided pneumothorax. There is flattening of the left hemidiaphragm, bb possible subtle widening of the left rib interspaces and slight mediastinal shift to the right, raising concern for tension. There may be small amount of left pleural fluid. Evidence of pneumomediastinum as also seen. Subtle patchy right base opacity may be due to atelectasis. The aorta is calcified and tortuous. The cardiac silhouette is top-normal.
history: <unk>m with doe // sob
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Frontal and lateral chest radiographs demonstrate elevation of the left hemidiaphragm. This obscures the left heart border, but allowing for this the heart is likely normal in size. There is no focal consolidation. At the left lung base is atelectasis, likely a small amount of pleural fluid. No pneumothorax is seen.
history: <unk>m with sob during rifaximin infusion, chest pain // pulm edema
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Pa and lateral views of the chest were obtained. Heart is normal in size and cardiomediastinal contours are unremarkable. A heterogeneous density occupying the right hemithorax with a mottled appearance inferiorly in comparison to the recent ct represents the gastric pull-through. The lungs are clear. There is no pleural effusion or pneumothorax. The ng tube tip is probably in the distal aspect of the gastric pull-through.
<unk>-year-old man with esophagectomy with pull-through, gastric outlet obstruction, evaluate ng tube placement.
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Pa and lateral views of the chest were reviewed and compared to the prior study. There is a retrocardiac opacity. Mild blunting of the left costophrenic angle could represent a tiny pleural effusion or pleural thickening. Cardiac and mediastinal contours are normal and there is no vascular congestion or pneumothorax. There are no concerning osseous or soft tissue lesions.
recurrent fever and change in sputum characteristics.
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The patient status post aortic valve replacement. Median sternotomy wires are intact and well aligned. Mediastinal clips are again seen. Lung volumes are low. The cardiac size is difficult to assess. Interstitial markings are prominent, similar to the prior examination. Patchy opacities are seen in the bilateral lower lobes, which are not significantly changed since the prior examination. However, consolidation is not definitively excluded. Bandlike retrocardiac opacity is again seen. Again seen is a small left-sided pleural effusion. No pneumothorax is identified.
history: <unk>m with sore throat, rhonchi on lung exam // please eval for any infiltrates
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Cardiomegaly is mild. The lung are clear. There is no pneumothorax. The upper abdomen is within normal limits.
history: <unk>m with chest pain // eval for acute process
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The cardiac and mediastinal silhouettes appear within normal limits. Mild vascular calcifications are seen at the aortic arch. There no focal pulmonary opacities, pleural effusions, or evidence pneumothorax. Osseous structures appear unremarkable.
cough and chest pain, shortness of breath. evaluate for infiltrate.
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The heart size is normal. The hilar and mediastinal contours are normal. Diffuse, chronic interstitial lung changes are seen throughout the lungs bilaterally, overall similar to the prior exam. No focal consolidations concerning for pneumonia are identified. Multiple vertebroplasty changes are again seen in the lower thoracic/upper lumbar spine. Multiple thoracic compression deformities are unchanged compared to the prior exam.
history of cough, please evaluate for infection.
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Lungs are clear on the frontal view. On the lateral view heterogeneous radio opacity, <num> cm across, in the middle lobe or lingula, projects over the anterior cardiac silhouette. Its chronicity is indeterminate because there are no prior lateral chest radiographs. It could be a scar,, but it could also be a small pulmonary infarct or in lung nodule. When feasible, repeat radiographs should be obtained at full inspiration if the abnormality persists it should be evaluated with chest ct. No effusion or pneumothorax. Heart is top-normal in size. Mediastinum and hilar contours are normal. No subdiaphragmatic free air is identified.
history: <unk>m with epigastric pain // epigastric pain, blood, sob
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Pa and lateral chest radiographs again demonstrate ill-defined opacities in the right mid lung, less conspicuous than on <unk>. The heart size is top normal, unchanged. The cardiac, hilar, and mediastinal contours are within normal limits. There is no pneumothorax or pleural effusion.
worsening weakness. evaluation for pneumonia.
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There is mild generalized interstitial abnormality which may represent edema.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>f with stroke. evaluate for abnormality.
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Frontal and lateral chest radiograph demonstrates low lung volumes with chronic interstitial fibrosis and bibasilar atelectasis. Cephalization with a increased interstitial markings in the upper lobes is most consistent with mild vascular congestion. A focal opacity within the left lingula is more prominent on today's examination. No pleural effusion. Heart size, mediastinal contour, and hila are unremarkable. No pneumothorax.
congestive heart failure presenting with saturations in the <num>s. assess for acute process, fluid overload.
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Pa and lateral views of the chest provided. Lungs are hyperinflated. There is no focal consolidation, effusion, or pneumothorax. Mild biapical pleural parenchymal scarring is noted. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>f with dizziness // eval for acute process
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Surgical clips are seen projecting over the right lung apex. Cardiomediastinal silhouette and hila are normal. There is no pleural effusions and no pneumothorax.
<unk>-year-old with chest pain.
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Heart size is mildly enlarged with a left ventricular predominance. The aorta is mildly tortuous. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormalities are visualized.
history: <unk>m with mechanical fall this am
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There is a right picc line which terminates in the low svc, as unchanged compared to prior. The heart remains enlarged. The pulmonary vascular congestion has resolved. The mediastinal and hilar contours are stable. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with heart failure exacerbation // evaluate for interval change, pulmonary edema
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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 acute process // acute process
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. There is widening of the right acromioclavicular joint, better evaluated on dedicated shoulder films performed same day.
<unk>-year-old male with right shoulder pain status post dislocation and reduction.
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Visualized osseous structures demonstrates no acute abnormality.
<unk>-year-old male with cough and fevers.
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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 l anterior rib pain around rib <unk>, worse with deep breathing, lying on left side // pneumo, fracture?
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with chest pain and dyspnea // evaluate for cardiomegaly, any pneumonia?
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The lungs are clear without any focal opacities, pleural effusions or pneumothorax. The mediastinal and cardiac silhouette is unremarkable. The visualized osseous structures are unremarkable.
cough, fevers, evaluate for pneumonia.
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As seen on the lateral view is increased opacity projecting over the ascending aorta which between the two lateral views does slightly change but persist. This likely localizes to the suprahilar region on the left on the frontal view. Elsewhere, lungs are clear, there is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Degenerative changes noted in the spine.
<unk>m with hypotension // evaluate for pneumonia
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Retrocardiac opacity projecting over the left lower lobe on the lateral view may represent some combination of consolidation and effusion. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax.
history: <unk>m with fever, cough, crackles on the left lower lobe. not on any antibiotics // infiltrations?
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In comparison with the study of <unk>, there is little change in the postoperative appearance. Sternal wires are intact and there is again extensive tortuosity of the aorta. However, no evidence of acute pneumonia, vascular congestion, or pleural effusion.
aortic dissection with repair, to assess for pneumonia.
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Again, there is moderate increase in interstitial markings bilaterally suggesting moderate pulmonary edema. No definite focal consolidation is seen although would be difficult to exclude at the lung bases. No large pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable.
history: <unk>m with sob // eval pneumonia vs chf
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Low lung volumes make it difficult to determine if there is an infiltrative abnormality at the bases; upper lungs are clear. The pleurae, heart, mediastinal and hilar contours are normal.
<unk>-year-old male with cough and bibasilar crackles. assess for pneumonia.
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The patient is rotated to the left. The lungs remain hyperinflated. Basilar atelectasis is seen. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. It is difficult to exclude a fracture of the lateral mid to lower right-sided ribs.
history: <unk>f with fall resulting in lspine tenderness and weeks to months of abdominal pain with nausea and vomiting. // please eval for bleed, fracture or cause for chronic diffuse abdominal pain.
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There is a small-to-moderate sized right pleural effusion. There is no left pleural effusion. The lungs are clear without consolidation or edema. There is no pneumothorax. The cardiomediastinal silhouette is normal. Cervical spine hardware is partially imaged. Suture material and a catheter in the mid upper abdomen are noted and not completely evaluated.
history of pleural effusion and pancreaticopleural fistula.
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In comparison with the study of <unk>, the loculated effusion on the right is less prominent and there is no definite evidence of pneumothorax. Some pleural fluid is again seen at the right costophrenic angle with underlying atelectatic changes in this patient with marked hyperexpansion consistent with copd. The left picc line is difficult to assess but appears to be in the region of the mid svc. No definite left effusion is seen at this time.
pleural effusion.
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There are relatively low lung volumes. Medial right lobe base opacity may be due to overlap of vascular structures and low lung volumes it appears improved since the prior study. No definite new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.
<unk> year old woman with recent pna now c/o worsening cough and sob // interval change
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Right-sided pleural effusion has worsened. Increased opacification along the right middle lobe is likely plate-like atelectasis. There has been interval resolution of the left small pleural effusion. The left lung is clear without focal consolidation. No pneumothorax is seen. The right heart border is obscured. Otherwise, cardiac and mediastinal silhouettes are unremarkable. Of note, there is a displaced fracture of the right clavicle which has been present since at least <unk>.
<unk> year old woman with malignant effusion s/p thoracentesis // ?ptx
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The visualized lung fields are clear without any focal opacities, pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. There are no signs of pneumomediastinum.
chest pain status post endoscopy, evaluate for pneumomediastinum or pneumothorax.
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Elevation of the left lung base due to persistent abnormalities, a combination of left lower lobe collapse, pleural effusion and postoperative seroma as well as a dilated fluid-filled esophagus, appear stable. There may be a trace right-sided pleural effusion. There is no pneumothorax. There is no pulmonary edema.
<unk>f w/achalasia, hh s/p lap hh repair, <unk> myotomy, toupet fund <unk> c/b early hh recurrence s/p reduction, gastropexy <unk> p/w chest pain, vomiting, paraesophageal collection // cardiopulmonary process
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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. S-shaped scoliosis is noted with dextroscoliosis of the t-spine and compensatory levoscoliosis of the lumbar spine. No free air below the right hemidiaphragm is seen. The right humeral head is low-lying as on prior concerning for subluxation/dislocation.
<unk>f with chest pain // please eval for cardiopulmonary process
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Heart size is normal. The aorta is tortuous, unchanged. Lungs are hyperinflated. There is no pulmonary edema. Mild coarse interstitial markings are seen bilaterally which could suggest chronic interstitial lung disease. No focal consolidation, pleural effusion or pneumothorax is demonstrated. Multilevel degenerative changes are noted along with s-shaped scoliosis of the thoracolumbar spine. Clips are seen in the upper abdomen from prior cholecystectomy.
history: <unk>f with cough and fever
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The heart size is normal. Mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. Mild elevation of the left hemidiaphragm is unchanged.
cough with right-sided lateral chest pain.
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Pa and lateral views of the chest provided. Prominence of the cardiomediastinal silhouette is unchanged. There is hilar congestion and and mild interstitial pulmonary edema. No large effusion or pneumothorax. No definite signs of pneumonia. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with pain, leg swelling <num>wk s/p mvc
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Pa and lateral images of the chest. The lungs are hyperexpanded and clear. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable. The visualized osseous structures are unremarkable, with no acute fracture or dislocation seen.
chest wall tenderness and dysphagia status post fall, concerning for fracture.
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The heart size is normal. Mediastinal and hilar contours are unremarkable. Aortic knob calcifications are again seen. There is mild biapical scarring. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
chest pain and hypertension.
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A dual-lead pacemaker/icd device appears unchanged. The cardiac, mediastinal and hilar contours appear stable. A pleural effusion on the left appears substantially decreased and is small. There is possibly a trace pleural effusion also on the right but without any increase. Hazy bilateral opacification of each lung is similar. Perihilar fullness has decreased. Fissures remain thickened. The bones appear demineralized.
weakness. recent admission for pneumonia.
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The lungs are clear, heart size and mediastinal structures are normal, and there is no pleural effusion or pneumothorax. Osseous structures are intact.
history: <unk>f with intermittent cp x <unk> year w/assoc pleuritic pain // evaluate lung fields heart size, eval for pneumothorax, pna
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Cardiomediastinal and hilar silhouettes are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
<unk> year old woman with positive ppd, no symptoms of pulmonary tb. evaluate for signs of active or latent tb.
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There are small to moderate bilateral pleural effusions with overlying atelectasis. Underlying consolidation is difficult to exclude. There is mild central pulmonary vascular engorgement without overt pulmonary edema. The cardiac silhouette is mildly enlarged. The aorta is tortuous and calcified. There is mild biapical pleural thickening. No pneumothorax is seen.
<unk>-year-old male with fever and some altered mental status.
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Frontal and lateral chest radiographs demonstrate an increased opacity projecting over the medial right lower lung. Although this could represent atelectasis, early pneumonia cannot be excluded. Heart size is normal. There is no pleural effusion or pneumothorax.
fever and cough. evaluate for pneumonia.
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The lungs remain hyperinflated, suggesting chronic obstructive pulmonary disease. Bibasilar linear opacities persist, likely due to atelectasis and/or scarring. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. Multiple surgical clips are re- demonstrated in the left axilla.
<unk> year old woman with copd, chf. hypoxic today hx of cough // please eval for acute abnormality, fluid overload, consolidation
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Pa and lateral chest radiographs. The lungs are still markedly hyperexpanded with biapical consolidation which is overall unchanged in appearance from <unk>. Using <unk> as a baseline, the right apical consolidation is chronic, but the left upper lobe consolidation appeared on <unk>, subsequently improved, and has now recurred. Internal luciencies are from bronchiectasis, demonstrated on ct of <unk>. There is no new opacity. Numerous pleural plaques are unchanged and consistent with asbestos exposure. There is no pleural effusion or pneumothorax. The heart size is normal.
severe copd and left apical pneumonia.
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. The biapical scarring, right greater than left, is unchanged. Cardiomediastinal and hilar contours are normal and unchanged.
chest pain.
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The heart is moderate to severely enlarged. Aortic knob calcifications are present. Enlargement of the hila bilaterally may suggest pulmonary arterial hypertension. There is mild pulmonary vascular congestion. Small bilateral pleural effusions are noted. No focal consolidation is seen. No pneumothorax is present. Mild multilevel degenerative changes of the thoracic spine are present. Additionally, severe degenerative changes of both glenohumeral and acromioclavicular joints are present with narrowing of the acromiohumeral intervals bilaterally suggestive of underlying rotator cuff disease.
confusion and cough.
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Low lung volumes are present. This accentuates the size of the cardiac silhouette which is borderline enlarged. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged, but there is crowding of the bronchovascular structures. Patchy opacities in the lung bases may reflect areas of atelectasis. Infection or aspiration cannot be excluded. No pleural effusion or pneumothorax is present. No acute osseous abnormality is identified.
history: <unk>m with shortness of breath
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The lungs are well expanded, with mild unchanged interstitial abnormality. Bilateral pleural effusions are moderate in size, and increased from <unk>. There is a waving and waning patchy opacity in the right mid lung, probably in the anterior segment of the right upper lobe, suspected to represent atelectasis. The cardiac silhouette remains mildly enlarged. The mediastinal contours are notable for calcification of the aortic knob and tortuosity of the aorta. There is marked degenerative change of the bilateral glenohumeral joints.
<unk>-year-old male with altered mental status.
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Pa and lateral views of the chest provided. Volumes are again low, which accentuates the cardiomediastinal silhouette. Pulmonary edema has resolved since prior study. There are no parenchymal consolidations concerning for pneumonia. There is no large pleural effusion.
<unk> year old man with coronary artery disease scheduled for cabg and avr // ?pulm edema, 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 stable.
history: <unk>f with chest pain, productive cough // pneumonia