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Lungs are hyperinflated. There is no parenchymal consolidation. Since <unk>, there is a stable left upper lobe opacity which may represent a parenchymal nodule. Bilateral perihilar bronchial wall thickening is indicative of chronic inflammation. Cardiomediastinal silhouette is normal. No pleural abnormality is seen.
<unk> year old woman with dyspnea on exertion.
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Pa and lateral views of the chest provided. Opacity at the left lung apex is compatible with known mass. Scattered mild linear atelectasis noted. Additional areas of nodularity seen on recent pet-ct not clearly seen on this exam. No large effusions are seen. The heart is mildly enlarged. No signs of edema. Bony structures appear grossly intact.
<unk>f with lower extremity swelling and chest tightness, patient has known left apical lung tumor.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs are hyperinflated but clear of focal consolidation. Cardiomediastinal silhouette is stable. There is a severe compression deformity of the mid thoracic vertebral body which was not present on ct torso from <unk>. Osseous and soft tissue structures are otherwise grossly unremarkable.
<unk>-year-old female with altered mental status and urinary incontinence.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. There has been interval resolution of a small right pleural effusion. No focal opacity or pneumothorax is seen.
recent chest radiograph showing a small right pleural effusion in the setting of influenza. evaluate for resolution of pleural effusion.
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Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax. No displaced rib fracture.
<unk>f with chest pain worsening over <num> weeks
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Frontal and lateral views of the chest demonstrate no acute cardiopulmonary process. There is no pneumothorax or focal airspace consolidation. Subtle increase in linear opacity within the right uper lobe may reflect chronic changes. Mild cardiomegaly is unchanged. The mediastinal contours are normal. The known pulmonary nodules are not appreciated on this study.
chills on chemotherapy. evaluate for pneumonia.
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There is no evidence of intrathoracic metastatic disease or change from recent prior radiograph. No focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is unremarkable. There are no acute skeletal abnormalities.
<unk>-year-old man with history of melanoma. please evaluate disease status.
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No focal consolidation is identified. There is an irregularly marginated <num> cm nodule in the right upper lobe which contains apparent calcification, but superimposition over the rib limits this assessment. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax. Median sternotomy wires and surgical clips are noted.
<unk> year old man with chest discomfort, n/v // eval for cardiopulmonary process
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Heart size is normal. The hilar and mediastinal contours are unremarkable. The lungs are clear without evidence of focal consolidations concerning for infection, pleural effusions, or pneumothoraces. The osseous structures are unremarkable.
history of weakness. rule out infection.
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Pa and lateral images of the chest. A right-sided port-a-cath and a left-sided dialysis catheter are noted to be in adequate positions. There are slightly decreased lung volumes with mild associated vascular crowding. Atelectasis is seen in the lung bases, unchanged from prior exam. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
dyspnea.
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The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion.
cough.
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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.
<unk> year old woman with h/o ppd positive // tb
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Patient is status post median sternotomy and cabg. Left-sided aicd device is noted with leads terminating in the right atrium and right ventricle, unchanged. Heart size is mildly enlarged but similar. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Streaky atelectasis is noted in the lung bases without focal consolidation. No pleural effusion or pneumothorax is present. Moderate degenerative changes are re- demonstrated in the thoracic spine.
history: <unk>m with icd firing x<num>
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Mild enlargement of the cardiac silhouette is present. The mediastinal and hilar contours are unremarkable except for minimal atherosclerotic calcifications at the aortic knob. No pulmonary edema, focal consolidation, pleural effusion or pneumothorax is present. There mild degenerative changes seen in the thoracic spine.
history: <unk>m with nstemi
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In comparison with the study of <unk>, there is little change. Again there is apical pleural thickening with scoliosis of the thoracic spine convexed to the right. However, no evidence of acute focal pneumonia.
breast cancer with several weeks of cough.
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There is minimal bilateral lower lung atelectasis. Engorgement of the pulmonary vasculature with associated cephalization is increased compared to the prior chest radiographs from <unk>. There is no frank interstitial pulmonary edema. The heart is normal in size. There are no pleural effusions. No pneumothorax is seen. There is bulging of the ascending aortic contour. The mediastinal contours are otherwise normal.
chest pain. assess for pneumonia.
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Heart size and mediastinum unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.
<unk> year old woman with lower extremity numbness, weakness, ? polyradiculopathy vs gbs, evaluating etiolgoy. // eval for hilar adenopathy, consideration sarcoid
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Imaged upper abdomen demonstrates no air under the right hemidiaphragm.
<unk>-year-old female with history of hypertension who presents with shortness of breath.
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Frontal and lateral views of the chest. The lungs are clear without consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. No displaced fractures identified. Degenerative changes noted at the right acromioclavicular joint.
<unk>-year-old male status post mvc with right shoulder pain.
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Cardiac silhouette size is grossly normal. Mediastinal and hilar contours are unchanged. The pulmonary vasculature is not engorged. Small to moderate size right pleural effusion is noted, likely with a subpulmonic component, along with atelectasis of the right lower lobe. Fluid appears to track into the minor fissure. More focal opacity within the inferior right upper lobe medially may reflect an area of infection. Small left pleural effusion is also noted. Left lung is clear. There is no pneumothorax. Pulmonary vasculature is not engorged. There are no acute osseous abnormalities.
history: <unk>m with liver disease, here with fluid overload
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The lungs are hyperinflated. The lungs are clear. No focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The heart is moderately enlarged, similar to the previous exam. The descending thoracic aorta is tortuous or ectatic, unchanged. Calcifications in the aortic knob and descending thoracic aorta are also unchanged. Surgical clips project over the upper abdomen, unchanged. Incompletely visualized left shoulder replacement appears intact.
<unk> year old woman here for gi bleed, with persistent cough/leukocytosis. hosp for cap <num> mo previous // pna
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The heart size is normal. The mediastinal contours are unremarkable. The hilar contours are normal without evidence of pulmonary vascular congestion. Linear opacities in both lung bases likely reflect subsegmental atelectasis. There is no focal consolidation, pleural effusion or pneumothorax. A stent is noted within the trachea, though extension in to the main bronchi is not completely assessed. There are no acute osseous abnormalities.
shortness of breath and history of y airway stent.
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Large left and small right pleural effusions are both slightly larger when compared to prior. The lungs are otherwise clear. Cardiac silhouette cannot be assessed given silhouetting, particularly on the left. Abnormal contour of the left mediastinum at the ap window is somewhat more pronounced when compared to prior. Prosthetic aortic valve and median sternotomy wires are again noted.
<unk>f with pleuritic chest pain radiating to back. cough. hx of marfans w/ recent surgery for type b a dissection into coronaries. tachypneic tachy. tender in epigastric region at surgical site // pe? pna? ptx? surgical site infection?
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Frontal and lateral chest radiographs demonstrate clear lungs, without pleural effusion, or pneumothorax. The cardiac silhouette is normal in size, the mediastinal contours are unremarkable.
<unk>-year-old male with cough. evaluate for acute process.
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The lungs are well expanded and clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.
chest pain.
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The patient was examined in sitting upright position. Analysis is performed in direct comparison with the next preceding similar chest examination of <unk>. Previously suspected tiny residual of pneumothorax in the left apical area cannot be identified anymore. Also, the at that time existing pleural thickenings occurred in conjunction with the multiple rib injury has regressed. Left lung is now well aerated and no evidence of remaining pulmonary atelectasis. Heart size is unchanged and within normal limits. No new pulmonary abnormalities identified. No gross malalignment of the lateral structures in the thorax. Observed that the patient is still unable to elevate his left arm for the lateral view. With regard to the question concerning rib fractures, the previous torso ct examination of <unk> is reviewed. Rib injuries consisted of minimally displaced right transverse process fractures involving l<num> through l<num>. In addition to bilateral first rib fractures, there were injuries in the medial posterior portions of the left second, third, and fourth rib. Mildly comminuted fractures existed also posteriorly in the eighth and ninth rib, with slight displacement. There was also a fracture of the scapula. All these injuries are impossible to identify in detail on the routine pa and lateral chest examination. Assessment for possible changes of these injuries would require performance of a followup ct examination. Gross changes in position cannot be identified.
<unk>-year-old male patient with rib fracture, evaluate rib fracture.
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is top normal in size. The mediastinal contours are normal.
history: <unk>m with calcaneal fracture. pre-op // ?pna
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Pa and lateral views of the chest. Again seen is a region of consolidation in the left lower lobe compatible with pneumonia as previously described. There is no new region of consolidation nor effusion. Cardiomediastinal silhouette is unchanged noting cardiac enlargement and a prosthetic mitral valve. No acute osseous abnormalities detected.
<unk>-year-old female with pneumonia now with continued fever cough and chills.
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The lungs are hypoinflated with right lower lobe atelectasis. Small left pleural effusion noted. No pneumothorax. Heart is top-normal in size which is likely accentuated due to patient positioning and low lung volumes. Atherosclerotic calcification of the aortic arch is again noted. Mediastinal contour and hila are unremarkable. Left chest wall pacer device lead tips are in the right atrium and right ventricle.
<unk>m with increased o<num> requirements, sob, concern for aspiration pna. assess for aspiration pneumonia p
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Ap upright and lateral views of the chest provided. Nasogastric tube is in place with its tip outside of the imaged field. A left upper extremity picc line is seen with its tip residing in the low svc, unchanged. Bilateral pleural effusions are increased from the prior exam and are moderate in overall size with associated basilar atelectasis. Please note underlying infection/ aspiration cannot be excluded. Heart size cannot be assessed. Mediastinal contour stable. No pneumothorax is seen. Bony structures appear intact.
<unk>m with stage iv colon ca w/ ngt for sbo w/ intractable n/v despite ngt suction, concern for aspiration pneumonia.
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is no pulmonary edema.
intermittent chest pain for <num> days and cough.
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There is no compelling evidence of rib fractures. However, if the clinical symptoms persist without other explanation, a dedicated rib series, focused on the site of the pain, could be performed. Normal appearance of the lung parenchyma. Normal appearance of the cardiac silhouette and of the hilar and mediastinal contours. No pneumothorax, no pneumonia, no direct or indirect signs for pe.
chest, back pain, questionable rib fracture.
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No focal consolidation is seen. No large pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are stable. No overt pulmonary edema is seen.
history: <unk>f with c/o irregular heart beat and jaw pain, sob and lightheadedness starting around <num>am, now resolved // acute cardiopulmonary process
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Status post median sternotomy. There has been interval removal of the right internal jugular central venous catheter. Retrocardiac capacity reflects a combination of a small pleural effusion and atelectasis. The trace right pleural effusion is also present. No pneumothorax identified. The size and appearance of the cardiomediastinal silhouette is unchanged.
<unk> year old man with cabg // r/o inf, eff
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Ap and lateral chest radiograph demonstrates low lung volumes. Resultant bronchovascular crowding is noted. There is no pleural effusion identified. No focal consolidation concerning for pneumonia is identified. Heart is enlarged, partially sequelae of low lung volumes.
<unk> year old woman with fever and sob, pls eval for pna or effusion on repeat cxr // <unk> year old woman with fever and sob, pls eval for pna or effusion on repeat cxr
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Pa and lateral views of the chest are compared to previous exam from <unk>. Despite lower lung volumes on the current exam, the lungs remain clear. Cardiomediastinal silhouette is stable given differences in technique. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with new onset of seizure.
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Pa and lateral views of the chest are compared to prior from <unk>. There has been interval resolution of the previously seen bilateral pleural effusions. There is some patchy right basilar opacity identified. Elsewhere, lungs are grossly clear. Cardiac silhouette is enlarged but stable. Atherosclerotic calcifications are again seen <unk> the aortic arch and abdominal aorta. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with shortness of breath and nausea. question infiltrate.
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Heart size is top normal with mildly tortuous thoracic aorta. Hilar contours are unremarkable. There has been interval clearing of previously seen right lower lobe consolidation. The lungs are now clear. Chronic elevation of the left hemidiaphragm is less pronounced compared to prior study. There is no pleural effusion or pneumothorax.
pneumonia in <unk>. assess for interval change.
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Lung volumes are low. Allowing for this difference in volumes, there is no significant change compared to <unk>. No large pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable. No displaced rib fracture is identified.
history: <unk>f with right rib/side pain // pls eval for fx
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The lung volumes are low. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
progressive personality change and altered mental status.
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Pa and lateral chest radiographs were compared with ap radiograph on <unk>. Again seen in cardiomegaly with interstitial edema worsened compared to <unk>. Lateral views demonstrate that a left lung base opacity most likely represents a small pleural effusion with associated atelectasis, though infection cannot be excluded. Mild patchy opacity is also noted in the right lung base, with a small right pleural effusion. Known left apical ill-defined opacity is redemonstrated.
shortness of breath, evaluate for evidence of chf.
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Lung volumes are low limiting assessment. There is mild bibasilar atelectasis. Bronchovascular crowding also noted in the perihilar region in the setting of low lung volumes. No convincing signs of pneumonia, edema, large effusion or pneumothorax. The cardiomediastinal silhouette is unchanged allowing for differences in technique. Again seen is a comminuted fracture of the surgical neck of the left humerus. Again seen is chronic deformity of the distal right clavicle.
<unk>-year-old man with weakness, cough. evaluate for acute process, pneumonia
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Frontal and lateral views of the chest were obtained. Heart size and cardiomediastinal contours are normal. Lung volumes are low. No focal consolidation, pleural effusion, or pneumothorax. Small radiopaque densities over the right lung base are unchanged.
history of asthma and chf. chest pain, cough, shortness of breath.
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Pa and lateral views of the chest provided. Lines and tubes have been removed. Right pleural effusion has cleared. Minimal residual opacity is noted in the left lower lung which could represent atelectasis versus an early pneumonia. No pneumothorax. No edema. Cardiomediastinal silhouette appears normal. Bony structures are intact.
<unk>m with chronic hcv cirrhosis, confusion
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Cardiomediastinal and hilar contours are normal. Lungs demonstrate stable hyperinflation without paucity of the upper lung zones to suggest copd. Lungs are clear. No pleural effusion or pneumothorax evident.
persistent cough, assess for interstitial lung disease, mass, or any subtle evidence of endobronchial lesion.
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Cardiomegaly and the mediastinal and hilar contours are similar to prior exam. The pulmonary vasculature is normal. Large left pleural effusion has progressed mildly since prior exam. Fluid in the fissures has progressed since prior exam. No focal consolidation or pneumothorax. Median sternotomy wires are intact.
<unk> year old woman with left effusion // interval change
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Mild cardiomegaly is stable compared to exams dating back to at least <unk>. Aside from a mildly tortuous aorta, the hilar and mediastinal contours are normal. There is no focal consolidation concerning for pneumonia. There is no large pleural effusion or pneumothorax. The visualized osseous structures are unremarkable. Left-sided pacer extends to the apex of the right ventricle.
history of right upper quadrant pain, elevated lfts. please evaluate for intrathoracic abnormalities.
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In comparison with study of <unk>, there is little change. Again there is mild blunting of the right costophrenic angle, but no evidence of acute pneumonia, vascular congestion, or pleural effusion.
kidney transplant evaluation.
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Pa and lateral views of the chest were provided. Midline sternotomy wires and mediastinal clips are again noted. The lungs are clear bilaterally without focal consolidation, effusion or pneumothorax. Tiny clips project over the left upper lung. The bony structures are intact. No free air below the right hemidiaphragm.
<unk>-year-old man with shortness of breath.
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal.
<unk>f with cough and shortness of breath, evaluate for acute process.
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Frontal and lateral chest radiographs demonstrate clear lungs without pulmonary edema or focal opacity. Patient has likely undergone thoracic surgery, given the surgical material seen in the right apex. A widened paratracheal stripe suggests possible lymphadenopathy. The heart is normal in size. There are bilateral pleural effusions, left greater than right. No pneumothorax is present.
history of pleural effusion.
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Heart size is normal. The aorta is tortuous. The mediastinal and hilar contours are otherwise unchanged. Pulmonary vasculature is not engorged. Patchy opacities in the lung bases likely reflect atelectasis. No pleural effusion or pneumothorax is seen. There is no focal consolidation. No acute osseous abnormality is detected.
history: <unk>m with shortness of breath and weakness
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Minimal patchy left lower lobe opacity could reflect atelectasis, but infection is not excluded in the correct clinical setting. Right lung is clear. No pleural effusion or pneumothorax is present. Mild degenerative changes are noted in the thoracic spine. Bowel loops within the left upper quadrant the abdomen are distended with gas.
<unk> year old man with fever
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There is no new consolidation or pleural effusion. The heart and mediastinum are within normal limits. Multilevel spinal degenerative changes are stable. An old right lower rib fracture is re-demonstrated. There is no pneumothorax.
<unk> year old woman with hx of dementia and fevers. // plesae evaluate for any evidence of 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.
<unk> year old man with fever and cough // eval for infiltrates
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Pa and lateral views of the chest again demonstrate right infrahilar atelectasis not significantly changed since the prior portable radiograph from <unk>. The cardiomediastinal silhouette is stable. There is a right pleural effusion and blunting of the costophrenic angle on the right. There is no evidence of pneumothorax.
<unk>-year-old male with history of tracheomalacia status-post tracheobronchoplasty with hemoptysis. evaluation for pneumonia or acute intrathoracic process.
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The lungs are clear. There is no pleural effusion or pneumothorax. Lung volumes are slightly hyperinflated. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.
weight loss, cad, tobacco use, ppd positive. rule out mass.
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Pa and lateral images of the chest demonstrate well-expanded lungs. There is minimal blunting of the left costophrenic angle suggestive of a small pleural effusion. The lungs are otherwise clear. Tips shunt is again seen in the right upper quadrant. Vascular coils are again seen in the left upper quadrant. There is no pneumothorax. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures are unremarkable.
<unk>-year-old male with cough and fever.
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The lungs are clear. No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. Mediastinum is not widened. Mild dextroconvex scoliosis.
<unk>-year-old man with left chest pain. evaluate for pneumothorax or pneumonia.
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Heart size is top normal. The mediastinal and hilar contours are unremarkable. No pulmonary vascular engorgement is present. No focal consolidation, pleural effusion or pneumothorax is present. Clips are again demonstrated within the paratracheal region. Lungs are hyperinflated with flattening of the diaphragms. No acute osseous abnormalities seen.
new onset nausea and vomiting, epigastric pain.
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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 constant epigastric/chest pain
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Patient is status post median sternotomy, cabg, and mitral valve repair. A left-sided aicd device is noted with leads terminate in the right atrium, right ventricle, and coronary sinus, unchanged. Mild cardiomegaly is similar. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. There is a small left pleural effusion, not substantially changed from the previous study with associated left basilar opacity likely reflective of compressive atelectasis. Right lung is clear. No pneumothorax is present. No acute osseous abnormalities demonstrated.
history: <unk>f with dyspnea status post cabg and mvr during <unk> // evaluate for volume overload, infiltrate, effusion
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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Symmetric biapical thickening is unchanged compared to <unk>. Lungs are otherwise clear. No pleural effusion or pneumothorax identified. No displaced rib fractures noted.
total body pain, worsening since yesterday after coughing, evaluate for acute process.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are clear. There is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with hyperglycemia // evidence of pneumonia
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Lung volumes are low. The heart size is mildly enlarged, but unchanged. Mediastinal and hilar contours are within normal limits. The pulmonary vascularity is normal. There is no focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormalities seen.
shortness of breath and hypoxia.
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Lung volumes are low with secondary apparent widening of the cardiomediastinal silhouette. A pacemaker is seen with leads ending in the right atrium and right ventricle. There is no pneumothorax, no large pleural effusion. There is no free air.
<unk>-year-old with obstruction, please assess for pneumonia.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There opacities in the left lower lobe and probably the lingula, which may be seen with atelectasis or chronic scarring, but possibly pneumonia. There is no pleural effusion or pneumothorax.
chest pain.
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Chest pa and lateral radiograph demonstrates unremarkable cardiomediastinal and hilar contours. There are reticulonodular opacifications in the bilateral lung bases with an increased opacification in the right upper lung. Findings are concerning for a multifocal pneumonia or possibly an atypical infectious process. No pleural effusion or pneumothorax evident. No osseous abnormality is evident.
patient with hiv, two days of cough, assess for fever or pneumonia.
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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
<unk>m with cp // eval for pna, ptx, cardiomeg
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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 pleuritic chest pain and cough // evaluate for infiltrate, pneumothorax, etc.
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Normal cardiomediastinal and hilar contours. Opacity at the right base consistent with blood or fluid in the pleural space with atelectasis and a possible pulmonary contusion. No appreciable pneumothorax. No osseous or soft tissue abnormalities.
<unk>-year-old man with right ninth through twelfth rib fractures. evaluate for pneumothorax.
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Pa and lateral views of the chest were reviewed. Compared to the most recent study, there has been slight interval decrease in a small right pleural effusion. Linear opacities in the left lower lobe likely represents atelectasis; otherwise, lungs are clear without focal consolidation, pulmonary edema, pleural effusion or pneumothorax. Normal cardiac and mediastinal contours. A left-sided port-a-cath ends in the mid-to-distal superior vena cava. There are no concerning osseous or soft tissue lesions.
evaluation for interval change of a pleural effusion in a patient with lymphoma.
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The lungs are mildly hyperexpanded. There is mild cardiomegaly. There is no pleural effusion. Lung fields are clear. There is no pneumothorax.
history: <unk>m with productive cough // 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, pneumothorax. The cardiomediastinal contours are normal.
cough.
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Pa and lateral views of the chest show clear, well-expanded lungs with no suspicious interval change compared to prior study from <unk>. Minimal prominence of the ascending thoracic aorta is unchanged. Heart size appears stable and central pulmonary vasculature is not congested. Thoracic vertebral bodies are of maintained height and alignment.
progressive dyspnea on exertion.
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There are low lung volumes, which accentuate bronchovascular markings. Given this, bibasilar atelectasis is seen without definite focal consolidation. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. The hilar contours are stable.
prior small bowel obstruction, rectal cancer, afib.
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Lung volumes are low. The heart size is normal. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is normal. There is no focal consolidation, pleural effusion or pneumothorax identified. Minimal retrocardiac atelectasis is demonstrated. There are no acute osseous abnormalities.
<num> week of cough and nasal congestion.
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In comparison with the study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. Specifically, no evidence of lymphadenopathy or tuberculosis.
erythema nodosum, to assess for hilar lymphadenopathy or tb.
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Frontal and lateral views of the chest demonstrate likely normal cardiomediastinal silhouette allowing for ap technique. Current study is somewhat limited due to underpenetration. There is increased opacity in the left base with blunting of the posterior costophrenic angle which could represent atelectasis and small left pleural effusion, although early pneumonia in this location cannot be excluded. The upper left lung and right lung are well aerated. There is no pneumothorax or vascular congestion.
<unk>-year-old female with dyspnea. question pneumonia.
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Upright ap and lateral views of the chest demonstrate the lungs are well expanded, with mild bibasilar atelectasis and prominent epipericadial fat pads. No pleural effusion, pneumothorax or focal consolidation is identified. Right hilar fullness is new since the prior study.
<unk>-year-old man with dyspnea.
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No focal consolidation, pleural effusion, underline evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable, as are the hilar contours.
fever, cough.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal and hilar contours are unremarkable. No pulmonary edema is seen.
increased seizure frequency.
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Pa and lateral views of the chest. The lungs remain clear. Cardiomediastinal silhouette is within normal limits. Hypertrophic changes are noted in the spine. No acute osseous or soft tissue abnormality noted.
<unk>-year-old male with syncope.
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Frontal and lateral chest radiograph demonstrates hyperinflated lungs with flattening of the hemidiaphragms consistent with known copd. The lungs are clear with no focal consolidation or pleural effusion. Re- demonstration of calcified mediastinal nodes and calcifications projecting posterior to left clavicular head are unchanged. Cardiomediastinal and hilar contours are within normal limits. No pulmonary edema. No pneumothorax.
<unk>-year-old female with copd and productive cough.
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is not enlarged. The aortic knob is calcified. Hilar contours are stable, with stable prominence of the right hilum in this patient with history of sarcoidosis.
shortness of breath.
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Right-sided port-a-cath tip terminates at the svc/right atrial junction. Heart size is normal. The aorta remains tortuous. Mediastinal and hilar contours are otherwise unchanged. Subsegmental atelectasis is noted in the left lower lobe. Remainder of the lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. Unchanged compression deformities are again noted within the mid and lower thoracic spine.
history: <unk>m with arthralgia, cough
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Heart size is mildly enlarged with a left ventricular predominance. The aorta is tortuous. The mediastinal and hilar contours otherwise are unchanged, with a small hiatal hernia noted. The pulmonary vascularity is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There is mild retrolisthesis at the thoracolumbar junction, unchanged, likely t<num> on l<num> and l<num> on l<num>. Mild loss of height of a mid thoracic vertebral body is also stable. The lungs are hyperinflated compatible with underlying copd.
dyspnea, left lower lung crackles.
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Cardiac silhouette size is normal. The aortic knob is calcified. Mediastinal and hilar contours are unchanged, and known bilateral hilar and mediastinal lymphadenopathy is better appreciated on the recent ct of the chest. Bilateral calcified pleural plaques are noted with mild superimposed opacities in the lung bases possibly reflective of atelectasis. Small bilateral pleural effusions are not substantially changed from the recent chest ct. Approximately <num> cm right apical nodule is re- demonstrated, better assessed on the recent ct. No pneumothorax or pulmonary vascular congestion is demonstrated. No acute osseous abnormality is present.
history: <unk>m with possible stroke/ transient ischemic attack
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Heart size, mediastinal, and hilar contours are unchanged. No focal consolidation, pneumothorax, or pleural effusions.
<unk>m with chest pain, history of pe. evaluate for acute cardiopulmonary process.
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Chest, pa and lateral. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old man with 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.
<unk> year old woman with chest pain.
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The lung volumes are low, which somewhat limits the evaluation. Within the limitations, there is no consolidation or edema. There is no pleural effusion or pneumothorax. The mediastinal contours are normal. The heart size is at the upper limits of normal, and stable from the prior exam.
new altered mental status and agitation.
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. The heart size is normal. No configurational abnormality is found. The thoracic aorta and mediastinal structures are unremarkable. The pulmonary vasculature is normal. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No evidence of pneumothorax in the apical area. The skeletal structures are grossly within normal limits. Comparison is made with the next preceding chest examination of <unk> and no interval change can be identified. Review of older examinations such as preoperative chest of <unk> and pa and lateral chest of <unk> also demonstrates normal chest findings throughout.
<unk>-year-old male patient with positive ppd. chest screening for tuberculosis.
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The heart size is within normal limits. Mediastinal and hilar contours are unremarkable. The lungs are hyperinflated. There is no definite evidence of pneumonia or chf. There is a focal opacity along the left heart border on the frontal view, likely a prominent fat pad. There is no pleural effusion or pneumothorax.
<unk>-year-old male with right upper extremity weakness.
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Pa and lateral views of the chest: the lungs are clear but hyperinflated. There is no pleural effusion or pneumothorax. There is no focal airspace consolidation to suggest pneumonia. The heart size and mediastinal contours are unremarkable.
seizure, evaluate for infectious source.
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
history: <unk>f with chest pain // eval for acute process
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The lung volumes are low. The cardiac silhouette is borderline enlarged; pericardial effusion is not excluded. There is no pleural effusion or pneumothorax. A vague right infrahilar opacity is seen, which appears grossly similar to comparison. This may represent vascular crowding given decreased lung volumes. No definite focal consolidation is identified.
history: <unk>m with h/o dvt, here w/ chest pain and b/l <unk> edema // eval for pneumonia, pulmonary edema
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Ng tube terminates in the region of the stomach. Midline sternotomy wires again noted. Svc stent appears unchanged. Lungs are well expanded and clear. Postoperative mediastinum, hila, cardiac silhouette are normal. No pleural effusion or pneumothorax.
<unk>f with ngt placement // eval placement
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Pa and frontal chest radiographs demonstrate well-expanded lungs. A right lower lobe consolidative opacity shows progressive improvement. The pleural surfaces remain normal. The hilar and mediastinal contours remain normal.
<unk>-year-old male with history <unk> <unk> pneumonia and right-sided infiltrate, question resolution.
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Compared to the prior study, i doubt significant interval change. Possible atelectasis in the right cardiophrenic region/ right middle lobe is unchanged. The cardiomediastinal silhouette is within normal limits. No chf, focal infiltrate or effusion is detected. Minimal biapical pleural scarring is again noted.
history: <unk>m with arm pain, similar to anginal pain // acute cardiopulm disease