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There is no focal consolidation, pleural effusion or pneumothorax. Mild to moderate cardiomegaly. The mediastinal and hilar contours are normal.
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history: <unk>m with on hd with fever // r/o pna
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Subtle retrocardiac basilar opacity, better seen on the lateral view, most likely is due to overlapping structures and mild atelectasis, however, underlying aspiration or less likely infection are not excluded, but felt less likely. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. The aortic knob is calcified. No overt pulmonary edema is seen.
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history: <unk>f with hypertensive urgency/emergency and possible cns involvement with dizziness, l sided weakness // ? intracranial process? intrathoracic process
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Right-sided port-a-cath in the mid svc. The nodular opacities throughout the lungs have resolved. No new acute focal consolidation. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax.
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<unk> year old man with burkitt's lymphoma, fever last night, r/o infiltrates // r/o infiltrates
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Lung volumes are low. There is a mildly increased retrocardiac opacity likely representing atelectasis. The heart remains moderately enlarged. The thoracic aorta appears tortuous. There is no pleural effusion or pneumothorax. No acute fractures are identified.
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cough and fatigue.
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A right-sided chest tube has been removed in the interim. The moderate size right pleural effusion is unchanged. There is a small anterior pneumothorax, only appreciated on the lateral view. Increase in the airspace opacity involving the right lung and, to a lesser extent, the left lung base is noted. There is persistent subcutaneous air along the right chest wall. A right <unk> rib deformity is unchanged.
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status post right middle lobe and right lower lobe lobectomy. evaluate for pneumothorax after chest tube removal.
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Cardiomediastinal contours are normal. Small bilateral pleural effusions with adjacent atelectasis are new. There is no pneumothorax. The osseous structures are unremarkable
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<unk> year old woman with febrile neutropenia and persistent cough. please perform with nipple markers. // ?pneumonia
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. There is no pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are within normal limits. No overt pulmonary edema. A large hiatal hernia is again identified. Osseous structures are without an acute abnormality.
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<unk>m with cough and sore throat. evaluate for infiltrate.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Cervical fusion hardware projects over the cervical spine.
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history: <unk>f with generalized weakness // evidence of pneumonia or volume overload
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The lungs are hyperinflated, with relative flattening of the bilateral hemidiaphragms, but otherwise clear. There is no pleural effusion, pulmonary edema, pneumothorax, or consolidation suspicious for pneumonia the cardiomediastinal silhouette is unremarkable. Partially visualized cervical spinal fusion hardware is noted. On the lateral view, there is a questionable ill-defined nodular density projecting over the anterior aspect of the t<num> vertebral body.
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history: <unk>m with fever, generalized weakness // pneumonia
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No interval change in comparison to prior study from yesterday with bilateral small pleural effusions and bibasilar atelectatic changes. Left subclavian picc line with the catheter tip at mid svc. Mediastinal silhouette remains stable. There is no pneumothorax. Surgical <unk> are visualized in the midline overlying the diaphragm.
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evaluation of patient with history of billroth surgery for penetrating duodenal ulcer with hematemesis for interval change.
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Bibasilar opacities are seen as well as opacity overlying the mid lung on the lateral view, in possibly the right middle lobe no pleural effusion or pneumothorax is seen. Cardiac silhouette is top-normal. Mediastinal contours are unremarkable.
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history: <unk>f with cough and sob // eval pneumonia
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A left picc terminates in the low svc. There is blunting of the right posterior sulcus on the lateral view suggesting a small right pleural effusion. The inspiratory lung volumes are appropriate. There is residual mild pulmonary vascular congestion and interstitial edema, improved from <unk>. There is no focal consolidation or pneumothorax. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
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<unk> year old man with dyspnea, suspected drug overdose // eval for pna or pulmonary edema
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Lung volumes are normal. There is no consolidation, effusion or pneumothorax. Cardiomediastinal contours are normal. No acute osseous abnormalities are identified. There is no subdiaphragmatic free air.
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history: <unk>m with sob after mvc // ? rib injury or ptx
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The lungs are hyperinflated with bullous emphysematous disease, again most pronounced in the lung apices. The heart size is normal. The mediastinal and hilar contours are unremarkable. No focal consolidation, pleural effusion or pneumothorax is present. Prominent interstitial markings within the lung bases are similar compared to the prior study, and may reflect a chronic interstitial lung disease. There are mild degenerative changes of the thoracic spine.
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chest pain.
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In comparison with the study of <unk>, there has been clearing of the left lower lobe pneumonia. No evidence of acute abnormality at this time.
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lower lobe pneumonia.
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The lungs are moderately well inflated with left greater than right subsegmental atelectasis. Small bilateral layering pleural effusions are noted. There is no pulmonary edema. Cardiomegaly is as before. No pneumothorax. There has been interval removal of the right-sided central venous catheter. Sternotomy sutures are noted in place. Diffuse demineralization is unchanged.
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<unk> year old man with tiss avr // predischarge eval
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Compared with prior exam, there has been interval slight worsening of bilateral interstitial opacities, with associated hilar engorgement and vascular upper redistribution. Bibasilar atelectasis is again seen. Elevation of the left hemidiaphragm is not significantly changed from prior, although there is some obscuration of the lateral left hemidiaphragm which may be due to overlying ateletasis and a small left pleural effusion. Cardiac contour cannot be fully assessed due to partial obscuration of the left heart border, but is grossly stable. Mediastinum is stable in appearance. There is no pneumothorax. Patient is status post median sternotomy and cabg. An ill-defined hyperdensity between the fourth and fifth sternotomy wires is not clearly seen in the lateral view and may be external to the patient.
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<unk>-year-old male with weakness and saturating to <unk>%. evaluate for evidence of pneumonia.
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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. A large hiatal hernia is noted. No acute fractures are seen. No free air under the right hemidiaphragm.
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<unk>m with congested cough // ?pneumonia
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Ap upright and lateral views of the chest provided. Lung volumes are low. The heart is mildly enlarged. The aorta is markedly unfolded with calcification noted. There is hilar congestion and mild interstitial pulmonary edema. No large effusion or pneumothorax. Bony structures are intact.
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<unk>f with sob // ? pna
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The patient has undergone thoracocentesis. Nevertheless, relatively large bilateral pleural effusions persist. Subsequent areas of atelectasis at the right and left lung bases. Mild cardiomegaly. There is no evidence of pneumothorax. A part of the right effusion is intrafissural.
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evaluation after thoracocentesis. rule out pneumothorax.
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Cardiomediastinal contours are normal. The lungs are hyperinflated and clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
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<unk> year old man with h/o pneumothorax (spontaneous) in <unk> // r/o r ptx
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Heart is top normal size and cardiomediastinal silhouette is stable. Sternotomy wires are again noted. Lungs are symmetrically expanded and clear. There is no pulmonary edema or pneumothorax. Minimal blunting of the posterior costophrenic angles on lateral projection may reflect small effusions versus chronic pleural thickening.
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<unk>m with chest pain, hx aortic arch repair for bicuspid // r/o infiltrate, pna
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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.
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<unk>-year-old female with shortness of breath.
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A left-sided dual-chamber pacemaker device is again noted with lead position unchanged. Again seen is a large hiatal hernia. The lungs are clear. The heart is top size normal and the mediastinal and hilar contours are normal. There is no osseous abnormality. Of note, the trachea is deviated to the left most likely due to an enlarged thyroid. Compression fractures of the thoracic spine appear worse.
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<unk> year old man with soboe, htn, diasy chf // etio dyspnea
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Pa and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette was normal.
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fever for three days.
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There is significant elevation of the left hemidiaphragm. There is no prior to evaluate for acuity of this finding. The lungs however are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f w/cough for <num> weeks
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Moderate cardiomegaly is re- demonstrated. The mediastinal and hilar contours are unchanged. There is no pulmonary edema. Moderate size right and small left pleural effusions are noted with bibasilar atelectasis. No pneumothorax is seen. There are no acute osseous abnormalities.
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jejunal enteritis with severe onset pain.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There is no pleural effusion or pneumothorax. Bony structures are unremarkable. There has been no significant change.
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chest pain.
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There is mild left base atelectasis. No focal consolidation or large pleural effusion is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable.
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weakness and fatigue.
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Ap upright and lateral chest radiograph demonstrate low lung volumes. There is central vascular engorgement and cardiomegaly, the latter probably exaggerated by low lung volumes. No focal opacity is identified. No over pulmonary edema is seen. There is no large pleural effusion. No pneumothorax. No air under the right hemidiaphragm.
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<unk>f with sob and new renal failure // ?pna vs chf
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Frontal and lateral radiographs of the chest demonstrate an area of increased opacification in the right middle lobe obscuring the right heart border, consistent with right middle lobe pneumonia. A second focus of pneumonia is seen in the left upper lobe. There is no pleural effusion or pneumothorax. The heart is not enlarged.
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<unk> year old woman with right sided pleuritic chest pain x two months. // r/o small effusion.
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The lungs are clear besides minimal left basilar atelectasis. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk> year old woman with asthma exacerbation // r/o infiltrate
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Pa and lateral views of the chest. The lungs are clear without evidence of consolidation, effusion, or pneumothorax. The cardiac, mediastinal and hilar contours are normal. Pleural surfaces are normal. There is no pulmonary vascular congestion.
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for reactivation on transplant list, evaluate for cardiopulmonary process.
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Cardiac, mediastinal and hilar contours are normal. Ill-defined patchy opacity is noted within the right upper lobe concerning for pneumonia. Streaky opacity in the left lung base likely reflects atelectasis. No pleural effusion or pneumothorax is present. The pulmonary vasculature is normal. Bilateral <unk> rods are present with s-shaped scoliosis of the thoracolumbar spine demonstrated. No displaced fracture is identified.
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<unk> year old woman with recently diagnosed pyelonephritis presents with cough and persistent back pain
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are detected.
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<unk>m with hx ms presenting with inability to walk and tremors // eval for acute process
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The patient is status post median sternotomy and coronary bypass surgery. Icd pacing leads are unchanged in position including abandoned leads. Stable mild cardiomegaly without evidence of congestive heart failure. Lung volumes remain low. Pleural and parenchymal scarring in the left mid and lower lung are unchanged since <unk>, but a new patchy left retrocardiac opacity is noted .
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<unk> yo m, <unk> type <num> diabetes, htn, hld, cad s/p cabg and pci, systolic chf, stage ii ckd, hyperkalemia, afib on a/c, pr prolongation and ivcd lbbb type, s/p biv icd upgrade, chronic anemia, directly admitted for initiation of amiodarone. appears clinically improved, but want cxr for monitoring of interval change. // evidence of pulmonary edema?
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The cardiac silhouette size remains mildly enlarged. Mediastinal contours are unchanged. Right picc has been removed, and the endotracheal and nasogastric tubes have been removed. There is continued mild pulmonary edema, improved compared to the prior exam. Small bilateral pleural effusions persist. No pneumothorax or focal consolidation is demonstrated. Cervical spinal fusion hardware is incompletely assessed. There are no acute osseous abnormalities.
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alcoholic cirrhosis with altered mental status.
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Right-sided port-a-cath terminates at the low svc without evidence of pneumothorax. Since the prior radiograph study, there has been interval significant decrease in mediastinal adenopathy/soft tissue. Peripheral left upper lobe opacity seen on recent prior chest ct from <unk> and is was better assessed on chest ct ; it is not as well seen on this study, but likely present. No definite new focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac silhouette size is top-normal.
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history: <unk>m with lung cancer p/w fever and cough // ?pneumonia
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Pa and lateral views of the chest provided. No free air seen below the right hemidiaphragm. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact.
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: <unk>f with epigastric pain
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Ap upright frontal and lateral chest radiograph demonstrates opacification of the left lung base concerning for atelectasis or aspiration. Within the right upper lobe, there is a subtle opacity which is concerning for pneumonia. There are mildly increased bronchovascular markings within the upper lobes bilaterally. The cardiomediastinal and hilar contours are unchanged since <unk> examination with a heart size which is top normal. There is no pleural effusion or pneumothorax.
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<unk>-year-old female with shortness of breath and hypoxia.
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Frontal and lateral radiographs of the chest demonstrate clear lungs. The cardiomediastinal contours are normal. No pleural abnormality is detected.
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cough with right-sided wheeze. evaluate for infiltrate.
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Heart size is normal. Mediastinal and hilar contours are unchanged. Patient is status post left upper lobe superior segmentectomy with chain sutures and expected postoperative changes noted in the left hilum. Lungs are hyperinflated with marked upper lobe a dominant emphysema. Pulmonary vasculature is not engorged. Chronic left lateral and costophrenic angle pleural thickening is re- demonstrated. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is demonstrated. Multiple clips are noted within the left upper quadrant of the abdomen. Deformity of the left rib cage is likely from prior thoracotomy.
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<unk>m with productive cough and shortness of breath
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Pa and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is detected. Surgical clips seen in the right upper quadrant.
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<unk>-year-old female with chest pain.
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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.
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history: <unk>f with diffuse purpura, immunosuppressed // infiltrate?
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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.
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history: <unk>f with sob // pna?
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Lung volumes are low. Moderate cardiomegaly persists. Mediastinal contour is unchanged. Blunting of the bilateral costophrenic angles likely secondary to small effusions. There is no pneumothorax. No definite focal consolidation is seen.
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<unk>f with chest pain, evaluate for pneumonia or pneumothorax.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities. Surgical clips noted in the right upper quadrant.
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<unk>m with confusion, <unk> // evaluate for pneumonia
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
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<unk> year old woman with cough, fever // r/o pneumonia
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Lungs remain clear. Cardiomediastinal silhouette is within normal limits. Significant mid thoracic dextroscoliosis is again noted. No acute osseous abnormalities.
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<unk>f with fever and neuts, ams, pls eval cxr for pna
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There are relatively low lung volumes. Bibasilar atelectasis is seen without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are likely exaggerated by low lung volumes. The aorta is tortuous. The cardiac silhouette is top-normal to mildly enlarged. There may be mild central pulmonary vascular engorgement, without overt pulmonary edema. There is anterior wedging of a vertebral body at the thoracolumbar junction, of indeterminate age.
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history: <unk>f with dm, htn, cad p/w right mca stroke // r/o chf, pneumonia
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Right picc terminates in the svc. Cardiac, mediastinal, and hilar contours are unchanged, with the heart size within normal limits. No pulmonary vascular congestion, pneumothorax, or pleural effusion. Calcified granuloma in the left upper lobe is unchanged. Minimal left basilar atelectasis, without focal consolidation. Marked right glenohumeral degenerative changes again noted. Left humeral head prosthesis is partially imaged.
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fever.
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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.
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history: <unk>m with chest pain // chest pain
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Pa and lateral images of the chest. The lung volumes are large but the diaphragmatic contours are still domed. Findings concerning for small airway obstruction. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable.
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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.
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<unk>f with worsening r shoulder and chest wall pain
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There is slight blunting of the right costophrenic sulcus, which may represent combination of atelectasis and very small pleural effusion. Also, at the lateral aspect of the right hemidiaphragm is apparent slight focal concavity or lobulation of the diaphragm, which may represent adjacent airspace opacity or normal contour of the diaphragm.
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new onset right-sided back pain with coarse rhonchi on exam. evaluate for pneumonia/abscess or obvious fracture.
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No focal consolidation or opacities seen indicating resolution of pneumonia. No pleural effusion or pulmonary edema is seen. The cardiac and mediastinal contours are unchanged.
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<unk>-year-old woman with history of pneumonia, treated in <unk>. assess for resolution of pneumonia.
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Lungs well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
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<unk>m with c/o fever/chills and fatigue // ? pna
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In comparison with the study of <unk>, there is little change in the appearance of the heart and lungs. The small pneumothorax seen on ct is not definitely appreciated on this study. No gross evidence of vascular congestion or acute focal pneumonia.
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trauma.
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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.
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<unk>-year-old male with chest pain. evaluate for pneumonia.
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Complete resolution of the multifocal opacification involving the upper lobe as well as the lower lobes bilaterally. No pulmonary edema or pleural effusions. Mild cardiomegaly unchanged. Prominence of the ascending thoracic aorta with unfolding of the descending is chronic.
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<unk>m with rll bronchiectasis, recent multifocal pneumonia s/p antibiotic therapy // repeat cxr in <num> weeks to evaluate for resolution of pneumonia
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Pa and lateral views of the chest provided.low lung volumes. 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.
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<unk>f with cough, fever // acute pulmonary process
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No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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<unk>m w/chest pain, productive cough // <unk>m w/chest pain, productive cough
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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified.
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shortness of breath.
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Pa and lateral views of the chest. The lungs are clear of confluent consolidation or effusion. There is a well defined density in the at the posterior aspect of the mediastinum on the right. This was present on prior however appears slightly larger on the current exam. This is not clearly identified on the lateral and there is no visualized air-fluid level to confirm hiatal hernia. No acute osseous abnormalities detected. Cardiomediastinal silhouette is otherwise unremarkable.
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<unk>-year-old male with chest pain.
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Pa and lateral views of the chest. The lungs are clear of consolidation. Biapical scarring right worse than left is noted. Enlargement of the aorta, particularly in the region of the arch raising possibility of aneurysm. Cardiomediastinal silhouette is otherwise unremarkable.
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<unk>-year-old male with fever, cough, history of asthma.
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Pa and lateral images through the chest were obtained. Right costophrenic angle not included on the frontal image. No focal consolidation is identified. Pulmonary vasculature is within normal limits. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion. There is no pneumothorax. Visualized osseous structures are without acute abnormalities.
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<unk>-year-old female with chest pain.
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There is a large region of consolidation involving the left lung, involving the upper lobes, lingula, and possibly the left lower lobe, significantly increased since the prior study. Patchy right basilar opacity may represent atelectasis or additional site of consolidation. Additional subtle opacity projecting over the right upper lobe, in the region of the posterior right <unk> rib, may be additional site of consolidation. No pleural effusion or pneumothorax is seen. There are relatively low lung volumes. The cardiac and mediastinal silhouettes are stable.
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hemoptysis, recently had pneumonia
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Compared to <unk>, persistent left perihilar opacity and dense opacification overlying the mid thoracic spine, consistent with radiation changes. Bibasilar atelectasis. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>f with chest pain and cough // infiltrate?
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A left pectoral pacemaker is noted in unchanged location with two leads terminating in the right atrium and ventricle, respectively. The cardiac silhouette is top normal. Mediastinal and hilar contours are within normal limits. Calcifications are seen within the aortic arch. Persistent, mildly hazy opacification of the bilateral lung bases is somewhat improved as compared to the prior examination, and may relate to underpenetration on technique. No definitive lobar consolidation is identified. A subtle, somewhat nodular opacity overlying the left lower lobe is noted. There is no pleural effusion or pneumothorax.
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<unk> year old man with fever and cough. // ?infiltrate
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures appear within normal limits. There has been no significant change.
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chest pain. history of pulmonary embolism on prior anticoagulation therapy.
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Ap and lateral chest radiographs provided. Compared to the previous exam there has been interval development of mild pulmonary edema. Multiple calcified opacities within the right upper lobe may be due to prior granulomatous infection. The heart remains severely enlarged and the aorta is tortuous. There is no pleural effusion or pneumothorax.
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fever, question pneumonia.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
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<unk> year old man with relapsed acute leukemia with dysnpea at rest // r/o consolidation or acute cardiopulmonary process
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Pa and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is within normal limits. Surgical clips identified in the left upper quadrant. No acute osseous abnormality detected.
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<unk>-year-old male with cough.
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Deep brain stimulator device packs are noted overlying the anterior chest walls bilaterally. Heart size is mildly enlarged. Mediastinal and hilar contours are unremarkable. No pulmonary vascular engorgement is seen. There is minimal patchy left basilar opacity likely reflective of atelectasis. Blunting of the costophrenic angles posteriorly on the lateral view suggests trace pleural effusions. No focal consolidation or pneumothorax is present. There are no acute osseous abnormalities.
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altered mental status.
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MIMIC-CXR-JPG/2.0.0/files/p13281196/s53534500/1f1b68a0-99d739cc-c8c000e8-f03e5b8b-71ace273.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13281196/s53534500/36dd9b13-9f060334-dbfc8f11-b1be0927-3355a52a.jpg
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Heart size is normal. Hilar and mediastinal contours are normal. Lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
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history of chest pain. please evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p11765820/s50221926/e3eaacdd-bd4285b3-aab15a17-44384cdf-d0f6dc22.jpg
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MIMIC-CXR-JPG/2.0.0/files/p11765820/s50221926/f640c23f-99272db2-62c0e96a-1c8de801-60a8ce1f.jpg
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are within normal limits. No chf, focal infiltrate, pleural effusion or pneumothorax is detected.
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history: <unk>f with shortness of breath (now resolved) // evaluate for acute process
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MIMIC-CXR-JPG/2.0.0/files/p14715243/s57380517/eacd54e3-646f124c-3b5e0ed0-53d4a56d-4bdb49b1.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14715243/s57380517/26c97bd5-3107b4ec-9ec5ee75-cb89386e-22c57947.jpg
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated.
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chills, on immunosuppression.
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MIMIC-CXR-JPG/2.0.0/files/p13492756/s56342546/74c79cfd-afe7ac6a-f2032bdd-aa71b9cf-7e5dc5a3.jpg
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The patient is status post median sternotomy and cabg. The cardiac and mediastinal silhouettes are stable. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There is no overt pulmonary edema.
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chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p17445268/s53489713/5bf603dd-63668c9d-1d698778-19c970e4-dfbf4590.jpg
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As compared to the previous radiograph, the lung volumes have increased. The <unk> of the known right apical pneumothorax are unchanged. No evidence of tension. The small right pleural effusion and the known subtle right basal and minimal left basal parenchymal opacities are unchanged.
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right hydropneumothorax, pigtail catheter was removed.
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MIMIC-CXR-JPG/2.0.0/files/p13442201/s53365574/07b9ed73-6c0137ff-9dfecb39-92fb2198-01207cdd.jpg
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Right cardiac pacemaker is seen with a single lead ending at the right ventricle. Moderate cardiomegaly is seen, and no consolidation, pleural effusion, or pulmonary edema is seen.
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<unk>-year-old woman, status post pacemaker right ventricular lead revision.
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MIMIC-CXR-JPG/2.0.0/files/p17610956/s52633533/b7409fb2-b4666f71-5bc6b1a1-fdabf880-5ff5dc9a.jpg
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Heart size is normal. Aortic knob is calcified. There appears to be mild pulmonary vascular congestion. Additionally, ill-defined airspace opacities are noted in both lung bases, concerning for infection or aspiration. Blunting of the costophrenic angles bilaterally is compatible with small pleural effusions. There is no pneumothorax. Multilevel degenerative changes are noted in the thoracic spine.
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cough and productive sputum after chemotherapy.
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MIMIC-CXR-JPG/2.0.0/files/p17418579/s55192010/b09b7e8e-a890c81b-061aa1ef-f0c1422a-4c6b0beb.jpg
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As compared to the previous radiograph, the left chest tube is unchanged. Also unchanged is the extent of the apical pneumothorax. No evidence of tension. Unchanged appearance of the lung parenchyma and the cardiac silhouette.
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pneumothorax, followup.
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MIMIC-CXR-JPG/2.0.0/files/p14697497/s50869279/17500473-362a041a-e1036e6d-89190853-ed0339ae.jpg
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As compared to the previous radiograph, a large hiatal hernia continues to be seen. The right chest tube is in situ. There is no pneumothorax. The minimal remnant pleural effusion and the very small remnant basilar opacities at the right lung bases are constant in appearance. There is no evidence of a left pneumothorax. Moderate cardiomegaly persists. No evidence of pulmonary edema or pulmonary infection.
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evaluation for lung disease.
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MIMIC-CXR-JPG/2.0.0/files/p14927564/s53265904/e8992d97-48b4e5ea-291c754e-c799b14d-907a4566.jpg
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Lung volumes are low, which leads to bronchovascular crowding. There are hazy bibasilar opacities, more pronounced on the lateral view, concerning for aspiration or pneumonia. The cardiomediastinal silhouette is unchanged. There is no pleural effusion or pneumothorax.
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<unk>-year-old man with cough/wheezing. evaluate for pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p12094792/s57995602/79785bde-ddd61dc1-35088496-b1e495dc-20d8dc70.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12094792/s57995602/586fa43a-c0989eb3-85870065-fe9cd59f-c4f35f57.jpg
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Mild rightward curvature of the thoracic spine is demonstrated. A pectus excavatum deformity also noted.
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history: <unk>f with left numbness / weakness
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MIMIC-CXR-JPG/2.0.0/files/p10828389/s58550881/83fa72bb-aab1b92e-f0074de6-70e9eaf4-c44e6e39.jpg
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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.
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history: <unk>f with abd pain // acute process
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MIMIC-CXR-JPG/2.0.0/files/p12958614/s50747448/2a03a283-05560a90-815493ee-8a276d21-521167c8.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12958614/s50747448/5faea852-e3dd22c3-bef9aaa0-5003a969-f42ccec3.jpg
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Frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. There is no consolidation, pneumothorax, or pleural effusion. The cardio mediastinal hilar contours are unremarkable. There is a small hiatial hernia seen best on the frontal view.
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cough and shortness of breath. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p11315095/s54215097/815ef7c2-cbb31a3a-14972c12-8f7c91b7-9750a54b.jpg
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Increased density in the mid lung zones bilaterally is likely due to soft tissue attenuation. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected. There is pectus excavatum deformity.
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intermittent chest pain, here to evaluate for acute cardiopulmonary process.
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MIMIC-CXR-JPG/2.0.0/files/p19223814/s59839535/d9798ca5-8256473a-e5b774d6-8e23a7b2-d51babfa.jpg
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MIMIC-CXR-JPG/2.0.0/files/p19223814/s59839535/a8903d24-9bf5800b-7d72c2d4-a34a3c2c-b8921847.jpg
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Heart size is normal with mild tortuosity of the thoracic aorta. Hilar contours are unremarkable. Lungs are clear. Most pleural surfaces are normal except for posterior thickening probably due to healed left posterolateral rib fractures. Midthoracic disc space narrowing is due to chronic disc degeneration.
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vertigo.
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MIMIC-CXR-JPG/2.0.0/files/p16776336/s50092035/eec1e128-5c182645-12fa060d-71bafbdb-40d74aab.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16776336/s50092035/e8d3e8b2-3f127a5f-7eb9944a-8c226a61-4528970e.jpg
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The patient is status post median sternotomy and cabg. Heart size is difficult to assess given the presence of a large left pleural effusion, substantially enlarged from the previous study. Small right pleural effusion also appears somewhat increased from prior. Bibasilar airspace opacities may reflect compressive atelectasis, but infection cannot be completely excluded. No pulmonary edema is clearly noted. There is no pneumothorax. Atherosclerotic calcifications of the aortic knob are seen. There are moderate degenerative changes noted in the thoracic spine.
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history: <unk>f with possible pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p14262262/s53205656/a9ff3608-7f5163e7-870c982a-6b025be8-5e205248.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14262262/s53205656/b1324afa-1053173f-55d144d0-b42dc4cf-6e19b54c.jpg
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No focal consolidation is seen. Subtle reticular densities seen at the lung bases is nonspecific, but could relate to underlying chronic lung disease and unlikely acute. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.
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<unk> year old man with near-syncope, in afib, new onset // infectious trigger for afib
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MIMIC-CXR-JPG/2.0.0/files/p11042081/s50378228/9948cc6d-385c2204-4b63b7ac-4b557551-3182146c.jpg
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MIMIC-CXR-JPG/2.0.0/files/p11042081/s50378228/5989928e-5f08e09a-102b036d-fcaf3a6b-08768122.jpg
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Ap and lateral views of the chest. No prior. The lungs are clear of consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with shortness of breath and seizure. question pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p14504795/s55120972/24954a44-83bc93da-cb00a2be-8e120205-9aa4451a.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14504795/s55120972/1fefe2a9-2605af92-5c248f9b-0cabe4b7-a7d4cc03.jpg
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The cardiac, mediastinal and hilar contours appear unchanged. The heart is again borderline in size and again with a left ventricular configuration. There is patchy increased density and bronchial cuffing in each mid lung, suggesting airway inflammation, probably chronic. A trace pleural effusion is suspected on the right only. The bones are probably demineralized to some extent. There is no pneumothorax. An irregular contour to the sternum suggests a fracture, including a small displaced step-off appearance, new since the remote prior studies. There is no soft tissue density effacing the anterior clear space deep to the sternum.
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trauma.
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MIMIC-CXR-JPG/2.0.0/files/p14271401/s53955641/611af81a-4261de7c-87981690-3ed3c8d0-eb681f85.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14271401/s53955641/f103111d-7c9d71ed-06f824e7-aade9eba-21726161.jpg
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The cardiac silhouette remains enlarged in similar configuration as compared to prior though appears larger in size, which may relate to differences in technique or worsening cardiac disease/decompensation. There is vascular congestion. No definite focal consolidation is seen. There is no pleural effusion. No pneumothorax is seen.
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history: <unk>f with sob // eval for overload
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MIMIC-CXR-JPG/2.0.0/files/p10102653/s53532963/42aef661-d3c3213e-9845cc38-6a8da37c-e8390898.jpg
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MIMIC-CXR-JPG/2.0.0/files/p10102653/s53532963/2fcd7236-3bf080e2-888df21c-a32270e6-7e01497f.jpg
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The heart size is normal. The mediastinal and hilar contours are unremarkable. There are increased interstitial markings diffusely, with small amount of fluid noted within the fissures. Minimal blunting of the left costophrenic angle on the frontal view is also noted compatible with a trace left pleural effusion. No focal consolidation or pneumothorax is present. There are no acute osseous abnormalities.
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fever with unknown source.
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MIMIC-CXR-JPG/2.0.0/files/p10842735/s52067178/ac7edfed-4c152a9d-5cd11256-722a3f54-8a54beca.jpg
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MIMIC-CXR-JPG/2.0.0/files/p10842735/s52067178/eb8056b6-665b8021-9b9478f0-dfbae8bd-75398567.jpg
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In comparison with the study of <unk>, the large bulge to the right of the mediastinal contour at the level of the bifurcation is no longer visible. This suggests that it had represented a distended azygos vein rather than a node. The overall cardiac size is at the upper limits of normal. There is no vascular congestion, pleural effusion, or acute focal pneumonia.
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melanoma with pericardial effusion.
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MIMIC-CXR-JPG/2.0.0/files/p18998238/s54331631/fb45bd1d-5f007603-d99d8814-1159006e-6740f155.jpg
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MIMIC-CXR-JPG/2.0.0/files/p18998238/s54331631/46a82fa5-ba3d10a3-a3814d7d-5085018e-502e6cd7.jpg
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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.
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<unk>f with palpitations, facial numbness // r/o pna
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MIMIC-CXR-JPG/2.0.0/files/p16376437/s52433566/3454cb35-fe821233-db11e76d-b723f7d2-bfaa3dd5.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16376437/s52433566/8232f15a-b189fdd9-9d13e618-f6267375-c1dee7b5.jpg
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Since prior exam, the subcutaneous emphysema has resolved. The lung volumes are higher. A linear opacity at the left base is most consistent with atelectasis. A small right pleural effusion is present, appreciated best on the lateral view. There is no evidence of pneumonia, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is normal.
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status post laparoscopic reduction of hiatal hernia and gastropexy. evaluate for interval change.
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MIMIC-CXR-JPG/2.0.0/files/p12291576/s53987086/6c90c1df-981f4eba-5490f95f-1b45471a-84b3d8e4.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12291576/s53987086/b5ad2698-180b9a1a-f7d72ae6-783fccf3-87d36a3c.jpg
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Ap upright and lateral views of the chest provided. Large retrocardiac opacity containing an air-fluid level is consistent with large hiatal hernia as seen on prior. The lower lungs are poorly assessed given large hiatal hernia. The mid upper lungs appear well aerated. The heart size cannot be assessed. No left-sided effusion. Difficult to exclude a small right effusion. Bony structures are intact.
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<unk>f with a fib and gerd (w/ hiatal hernia) comes in for lightheadedness and <unk> weakness
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MIMIC-CXR-JPG/2.0.0/files/p15903977/s59481993/a773b777-85a67d10-711d1767-70d7fcde-a818f90f.jpg
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MIMIC-CXR-JPG/2.0.0/files/p15903977/s59481993/61fe5cd9-eb89d0ac-8a743524-498f9654-eec00154.jpg
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Assessment is slightly limited by patient rotation and kyphotic positioning. Cardiac silhouette size remains moderately enlarged. A large hiatal hernia is again noted. The aortic knob is calcified. The mediastinal and hilar contours are grossly unchanged. There are low lung volumes with crowding of bronchovascular structures and pulmonary vascular congestion, but no overt pulmonary edema. No large pleural effusion or pneumothorax is identified, though assessment of the lung apices is limited due to the patient's chin and neck projecting over these areas. Linear atelectasis is noted in the left lung base. There is no focal consolidation. The osseous structures are diffusely demineralized.
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history: <unk>f with dizziness, fall, femoral neck fracture
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