Frontal_Image_Path
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Faint interstitial opacities are visualized at the lung bases suggestive of a chronic interstitial process. The lungs are however without a focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is mildly enlarged but stable. No acute fractures are identified.
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evaluation of patient with chest pain.
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Suboptimal inspiratory effort. Cardiomegaly. No overt features of cardiac decompensation. No airspace consolidation. No areas of oligemia. No bullous lung disease. Small pleural effusions. Left axillary stent in situ. No hilar adenopathy. Spondylotic changes of the thoracic spine.
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in conjunction with v/q scan.
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Chain sutures in the lungs bilaterally are re- demonstrated compatible with prior wedge resections. Panlobular and centrilobular emphysema is re- demonstrated with chronic interstitial and nodular abnormality, most pronounced in the upper lobes, likely reflecting areas of bronchiectasis, scarring, and known pulmonary nodules better assessed on the previous ct. The cardiac and mediastinal contours are unchanged with the heart size within normal limits. Rightward shift of mediastinal structures is unchanged. Spiral tacks are seen along the left hemidiaphragm compatible with prior diaphragmatic hernia repair, and the left hemidiaphragm remains elevated. The pulmonary vasculature is not engorged. No new focal consolidation, pleural effusion or pneumothorax is seen. Multiple remote left-sided rib fractures are re- demonstrated.
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history: <unk>m with shortness of breath
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
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<unk>f with symptoms consistent with influenza and recent sick contacts, evaluate for pneumonia.
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The cardiac silhouette is normal in size. The aorta is somewhat tortuous. Lung volumes are somewhat low and there is elevation of the right hemidiaphragm, which is a stable finding from <unk> and causes some mild bronchovascular crowding on the right. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
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history: <unk>f with s/p fall <num> steps, now is hypoxic on room air. // ? reason for hypoxia
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.
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<unk>-year-old female with cough and shortness of breath. evaluate for acute process.
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There is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Osseous structures are intact. There is no free air under the right hemidiaphragm. A prominent air-filled loop of small bowel is seen in the left upper quadrant, but is incompletely imaged.
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<unk>-year-old female with past medical history of multiple abdominal surgeries and hypertension presents with one day of abdominal pain, nausea, vomiting, question sbo or infectious pathology in the lungs.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs remain clear. Costophrenic angles are sharp. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with cough and pleuritic chest pain for one day.
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.
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<unk>-year-old female with productive cough. evaluate for pneumonia.
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Pa and lateral views of the chest provided. There is a right mid lung perihilar opacity which could represent pneumonia. However, centrally within this region is a subtle lucency which raises potential concern for a cavitary lesion. Recommend ct to further assess. No large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. An azygous fissure is noted. Bony structures are intact. No free air below the right hemidiaphragm. Clips in the upper abdomen noted.
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<unk>f with dyspnea, chest pain
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
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chest pain.
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Lung volumes are within normal limits. The granular appearing opacity in the right mid lung is less conspicuous than on the prior study but persists. A atelectasis in the lingula is also unchanged. No pleural effusion or pneumothorax seen. The cardiomediastinal contour is unchanged compared to the prior study. The heart is not enlarged. Air filled dilated loops of bowel in the left upper quadrant are unchanged in appearance when compared to the prior study.
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<unk> year old man with questionable pneumonia // pneumonia
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Lung volumes have decreased compared with the prior study causing bronchovascular crowding. Chronic interstitial disease is similar. Patient has known emphysema. There is no new focal area of consolidation to suggest superimposed pneumonia. There is no pleural effusion, superimposed pulmonary edema, or pneumothorax. A right pectoral port-a-cath tip terminates at the cavoatrial junction.
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<unk>m with shortness of breath, evaluate for acute process.
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A small focal opacity is seen best on lateral view but may be silhouetting the medial right hemidiaphragm on frontal view. No pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits. Findings and further imaging options and recommendations were discussed with <unk> by <unk> by telephone at <time> a.m. On <unk> at the time of initial review of the study.
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<unk>-year-old male with diffuse rash for <num> days in the setting of upper respiratory infection.
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Pa and lateral chest radiographs show a subtle opacity in the left lung base compatible with pneumonia. There is no pleural effusion or pneumothorax. Mild cardiomegaly is unchanged. The cardiac, hilar, and mediastinal contours are unremarkable.
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bibasilar crackles.
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As compared to the previous radiograph, the size of the cardiac silhouette has mildly increased. In addition, there is evidence of baso-apical blood flow redistribution, suggestive of mild overall fluid overload. No pleural effusion is seen on the frontal or the lateral radiograph. No pneumonia. No pneumothorax.
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status post kidney transplant, evaluation for pneumonia.
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Frontal and lateral radiographs of the chest demonstrate normal heart size and mediastinal contours. No focal consolidation, pleural effusion, pulmonary edema or pneumothorax.
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syncope, chest pain evaluate for pneumonia or chf.
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The lungs remain hyperinflated. There is interval improved aeration of both lungs with persistent opacification of the right upper lung zone and bilateral hilar prominence. Extensive abnormal background interstitial lung markings are stable over multiple prior studies. There is no pleural effusion or pneumothorax. A right central venous catheter projects over the cavoatrial junction, unchanged. The cardiomediastinal silhouette is stable. There is exaggerated thoracic kyphosis. A tapered appearance of the left distal clavicle is redemonstrated. Healed right posterior rib fractures are again seen, likely sequela of prior trauma.
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<unk>-year-old man with cystic fibrosis and atrial tachycardia, now with fever, here to evaluate for pneumonia.
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Pa and lateral views of the chest. The lungs remain clear of consolidation. Calcified pleural plaques seen at the right lung base. Rounded density nodule projects over the left lung base on the frontal view. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected. Surgical clips seen in the left upper abdomen.
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<unk>-year-old male with pointing to the neck and chest saying painful. hyperglycemia. dementia.
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Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
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syncope, bilateral lower extremity edema.
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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.
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history: <unk>m with chest pressuire worse when supine pls eval for pna vs effusion // history: <unk>m with chest pressuire worse when supine pls eval for pna vs effusion
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Patient is post right upper lobectomy, with expected postsurgical changes and right lung volume loss. There is subtle increased density in the right lower lung which may in part reflect the presence of scarring and right breast implant, however in early pneumonia difficult to exclude in the correct clinical setting. Underlying emphysema is noted. Heart size is top normal. No pneumothorax.
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<unk>f with weakness. r/o pna.
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The heart size is normal. The hilar mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion or pneumothorax. Mild eventration of the right hemidiaphragm is stable.
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<unk>m with fever // evidence of 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.
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<unk> year old woman with chronic cough // r/o path
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Ap upright and lateral views of the chest provided. Left chest wall port-a-cath again seen with catheter tip in the upper svc. Lungs are clear. Cardiomediastinal silhouette is normal. Bony structures are intact.
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<unk>f on chemo, febrile // eval for pna
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Cardiomediastinal contours are stable with widening mediastinum and normal heart. Dilatation of the esophagus is better seen in prior ct. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable. There has been interval decrease in pneumoperitoneum
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<unk> year old woman with cough, fever, liquid diet with esophageal mass, pneumoperitoneum on imaging after g-tube placement // please eval for pna, changes in pneumoperitoneum
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Punctate nodular opacities projecting over the right lower lung are similar compared the prior study and represent vessels on end or calcified granuloma. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with hyperglycemia. infectious workup. // ?pneumonia
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Left-sided aicd device is noted with lead terminating in the right ventricle, unchanged. Right-sided port-a-cath tip also is re- demonstrated anterior terminates within the proximal right atrium, unchanged. Left basilar chest tube is re- demonstrated, in similar location. Heart size remains mildly enlarged. Mediastinal contours are stable. Hazy opacification of the right lung is new compared to the prior exam and could reflect asymmetric pulmonary edema or infection. Increased interstitial and nodular opacities within the left lung are similar compared to the prior study with unchanged dominant lesion in the left mid lung field, previously demonstrated to be located along the major fissure. Moderate size left pleural effusion is unchanged. No right-sided pleural effusion or pneumothorax is seen. Known nodular opacities within the right lung are better demonstrated on the prior ct. There is no pneumothorax. Inferior vena cava filter is visualized within the upper abdomen. There are no acute osseous abnormalities.
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brain metastases, lung cancer, and seizure.
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Minimal irregular opacity in the right upper lung, unchanged since <unk> is scarring with a scar. No lung opacities concerning for an active granulomatous infection. Bilateral pleural spaces are normal. Heart size is normal, mediastinal and hilar contours are unremarkable.
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<unk>-year-old woman with history of positive ppd, to look for granuloma. pa and lateral chest views were reviewed in comparison with prior chest radiograph from <unk>.
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Compared to prior cxr, there has been no significant interval change. Lung volumes are low. Dual barrel port-a-cath resides over the right chest wall with catheter tip extending to the lower svc. A right hilar mass is again noted with right perihilar linear density extending to the right lung base unchanged and consistent with chronic collapse of the right middle lobe. No large effusion or pneumothorax is seen. The cardiomediastinal silhouette is stable. No convincing sign of a superimposed pneumonia or edema. Overall cardiomediastinal silhouette is stable. No acute bony abnormality.
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<unk>m with lymphoma on salvage chemo now w/ syncopal episode. evaluate for acute intrathoracic process.
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Compared with <unk>, i doubt significant interval change. The heart is not enlarged. Within the limits of plain film radiography, no hilar or mediastinal lymphadenopathy is detected. No chf, focal infiltrate, effusion, or pneumothorax is detected. Possible minimal atelectasis/ scarring at the right base, unchanged.
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history: <unk>f with productive cough // acute process?
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The right port-a-cath extends to about the level of the cavoatrial junction. No evidence of pneumothorax. There are low lung volumes but no evidence of acute cardiopulmonary disease.
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port placement from outside hospital.
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
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<unk>f with chest pain. evaluate for acute process.
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A rounded structure in the left suprahilar region is consistent with an external pendant, and removed on repeat frontal view. The cardiomediastinal silhouette is within normal limits. The lungs are clear with the exception of trace left basilar atelectasis. There is no large effusion, vascular congestion, or pleural effusion. A subcentimeter radiodensity overlying the left posterior seventh rib is consistent with a calcified granuloma.
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<unk>-year-old male with fever. question pneumonia.
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The lungs are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
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<unk>f with cough, flu like sx, first started <num> wk ago // pna
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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. Left port-a-cath tip in the distal svc is similar to prior.
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history: <unk>f with cough and bilateral leg swelling // eval for chf, pneumonia
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Right internal jugular central venous catheter remain stable in the low svc. Moderate cardiomegaly is unchanged. Platelike atelectasis in the left mid and lower lungs and bibasilar atelectasis is not significantly changed. There is a small left pleural effusion. There is no pneumothorax.
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<unk> year old man s/p cabg // eval for effusion
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Upright and lateral views through the chest demonstrate clear lungs bilaterally. The mediastinal and hilar contours are within normal limits. Again demonstrated is a mild tortuosity of the great vessels unchanged since <unk> examination. There is no pleural effusion or pneumothorax. Visualized osseous structures are unremarkable.
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<unk>-year-old male with altered mental status.
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The patient is rotated and tilted to the left on the pa view, similar to prior studies. Mild cardiomegaly and a calcified aorta are again seen. Hilar contours are stable. Linear opacities in bilateral basal lower lobes are similar to prior. There is no evidence for pulmonary consolidation, pulmonary edema, or pleural effusion. Degenerative changes and ossification of the anterior longitudinal ligament are again seen in the thoracic spine. Right port-a-cath terminates in the upper right atrium, unchanged. Surgical clips are again seen in the upper abdomen just to the left of midline.
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cough and shortness of breath. evaluate for pneumonia.
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In comparison with the study of <unk>, there is now a dobbhoff tube that extends at least to the fourth portion of the duodenum and possibly to the jejunum. On its course, however, there is a wide loop of the tube in much of the thoracic esophagus. Bibasilar opacifications are consistent with effusion and atelectasis, more prominent on the left. No vascular congestion, and the upper lungs are clear.
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new feeding tube.
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Mild enlargement of cardiac silhouette is unchanged. The aortic knob is calcified. The mediastinal and hilar contours are similar. Pulmonary vasculature is normal. Streaky bibasilar airspace opacities likely reflect atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities identified.
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history: <unk>m with chest pain
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The lungs are clear but hyperexpanded and the cardiac and mediastinal contours are normal. Intact median sternal wires are noted. Loop recorder is seen overlying the left heart border. No pleural effusion or pneumothorax. Osseous structures are unremarkable with no evidence of rib fracture or thoracic spine abnormality.
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history: <unk>m with sdh transfer from outside hospital with fall on left side.
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A dual lead pacemaker is noted overlying the left chest with leads in the expected location. The cardiac silhouette is mildly enlarged, stable from prior examination. There is no evidence of focal consolidation, pleural effusion, or pneumothorax. Mild central vascular congestion has minimally changed.
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history: <unk>m with palpitations, history of atrial fibrillation, icd/pacer. // r/o chf/pneumonia
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Frontal and lateral views of the chest. There has been no significant interval change. Again seen is mild pulmonary vascular congestion with a without frank pulmonary edema or pulmonary pleural effusion. Cardiac silhouette is moderately enlarged similar to prior. Prosthetic aortic valve and median sternotomy wires are again noted.
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<unk>-year-old male with shortness of breath.
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Right middle lobe consolidation has nearly resolved with minimal residual opacity remaining. Paramediastinal areas of radiation fibrosis are unchanged, and intrathoracic lymph node enlargement is similar to recent ct allowing for technical differences between the studies. Heart size remains normal. There is no pleural effusion. Known skeletal lesions are shown to better detail on recent ct.
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<unk> year old man with hx of lymphoma and recent right middle lobe pneumonia. with persistent cough. please re-evaluate. // <unk> year old man with hx of lymphoma and recent right middle lobe pneumonia. with persistent cough. please re-evaluate.
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Known innumerable bilateral pulmonary nodules on prior chest ct are faintly visualized as an increase nodular opacities throughout the lungs. There is no confluent consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>m with sob, cough, cp // r/o acute process
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Heart size is top 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.
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history: <unk>f with cough and sore throat
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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
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<unk>f with hx cholelithiasis, mrcp recently suggestive of ?passed stone, now with increasing pain over past few days // ? effusions on cxr, ?choledocolithiasis
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No focal consolidation, effusion, edema, or pneumothorax. The heart is normal in size. The mediastinum is not widened. Aortic knob calcifications are moderate. Median sternotomy wires and mediastinal clips appear intact. There is significant anterior wedging of a mid thoracic vertebral body with greater than <unk>% loss of vertebral body height anteriorly ; this is age indeterminate in the absence of prior imaging. Multi-level degenerative changes are noted otherwise with anterior osteophytes.
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<unk>-year-old man presenting with chest pain x <num> days. evaluate for acute cardiopulmonary process.
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The heart size is normal. The mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax is present. The pulmonary vascularity is normal. The osseous structures are within normal limits.
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cough and sputum production.
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Cardiac size is top-normal. Bibasilar left greater than right opacities, consistent with atelectasis are unchanged from prior study there is no pneumothorax or effusion . Port-a-cath is in standard position
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<unk> yo man with h/o stage iib pancreatic adenocarcinoma, s/p pylorus-preserving whipple pancreaticoduodenectomy <unk> and undergoing adjuvant chemotherapy with gemcitabine (c<num>d<num> on <unk>), who has had issues with recurrent fever, cholangitis, and prior e. coli bacteremia since his operation presenting with fever. //
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Minor opacification of the right lung base is probably due to atelectasis. Lung volumes are low.
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fever.
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The cardiac, mediastinal and hilar contours appear unchanged. There is again a small-to-moderate hiatal hernia. The chest is hyperinflated. There is no pleural effusion or pneumothorax. Irregularity of the bronchovascular architecture is consistent with emphysema. Streaky opacities along the left hemidiaphragm and lingula suggest minor atelectasis. Though pneumonia is doubted, if symptoms were to persist or if there is other clinical concern for the possibility of developing pneumonia, short-term follow-up radiographs may be useful.
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copd and worsening dyspnea.
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Linear opacities in the lung bases are compatible with areas of subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is visualized. No acute osseous abnormality is detected.
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<unk> year old woman with tachycardia, cirrhosis, and guaiac positive stools
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The lungs are mildly hyperinflated, as evidenced by flattening of the diaphragms on the lateral view. The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The heart is top normal in size. There is no pulmonary edema. The mediastinal and hilar contours are unremarkable. There is no displaced rib fracture seen.
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right parasternal chest pain and neck pain after low mechanism motor vehicle collision. rule out rib fracture.
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There is new substantial moderate elevation of the left hemidiaphragm. Elevation of the left hemidiaphragm is new. There is no pleural effusion or pneumothorax. The cardiac, mediastinal and hilar contours appear stable. The lungs appear clear.
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fever.
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Pa and lateral chest views were obtained with patient in upright position. The heart size is normal. No configurational abnormality is seen. Thoracic aorta and mediastinal structures are unremarkable. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the pleural spaces are free. No pneumothorax in the apical area on frontal view. Skeletal structures of the thorax grossly within normal limits. When comparison is made with the next preceding chest examination of <unk>, the findings are unchanged and remain normal.
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dry cough.
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The right-sided effusion has significantly decreased as well as the fluid along the minor fissure. The left pleural effusion has also decreased. There is persistent left retrocardiac opacity which could represent atelectasis/consolidation. The pulmonary vascular congestion is compared well. Pneumothorax. Stable enlargement of the cardiac silhouette.
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<unk> year old woman with cardiac amyloidosis, now with likely volume overload and some left-sided chest pain. concern for pleural effusion. // pleural effusion, pericardial effusion
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Lungs are clear of consolidation, pleural effusion or pneumothorax. No pulmonary edema. Cardiomediastinal contours are normal.
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<unk>-year-old female with palpitations and left-sided chest pressure
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The lung volumes are seen particularly in the frontal view with secondary crowding of the bronchovascular markings. The lungs are clear of consolidation effusion, or pneumothorax. There are several left-sided rib fractures, specifically involving the left lateral fourth and fifth ribs. Osseous structures are otherwise unremarkable.
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<unk>m with intermittent chest pain // evaluate for acute process
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. There is mildly increased vascular congestion and diffuse interstitial abnormality, suggestive of mild cardiac decompensation. A <num> mm nodule in the right lower lobe has been unchanged on ct since <unk>. The visualized upper abdomen is unremarkable.
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evaluate for pneumonia or other acute process in a patient with cough and fevers.
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In comparison with the earlier study of this date, the cardiac silhouette is within upper limits of normal in size. There is mild indistinctness of pulmonary vessels raising the possibility of some elevated pulmonary venous pressure. No evidence of pleural effusion or acute focal pneumonia.
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copd and chf.
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The hydropneumothorax is slightly larger than on the study from <time> this morning. The lung is collapsing inward, the amount of fluid has increased.
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followup size of hydropneumothorax.
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Frontal and lateral views of the chest demonstrate fully expanded and clear lungs. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Pleural surfaces are unremarkable.
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history of asthma and lymphoma in remission with ongoing viral syndrome, evaluate for pneumonia.
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Displaced left clavicular midshaft fracture is again noted. Left <unk> to <unk> displaced rib fractures are again noted. Left-sided apical lateral pneumothorax measuring <num> mm in the craniocaudal plane. No left-sided pleural effusion/hemothorax. The heart size normal. The right lung is clear. Non-specific scoliosis of the spine and although i cannot visualize a vertebral body fracture a spinal injury cannot be excluded.
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<unk>m bicyclist versus pedestrian with a left clavicular fracture as well as <unk> l rib fractures. // please evaluate for pneumothorax/hemothorax, please evaluate for additional injuries
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There is a right pleural effusion, which appears unchanged in comparison to the prior chest radiograph. There is apical pleural thickening seen on the right. The left lung appears hyperinflated, but clear. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pneumothorax is seen.
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<unk> year old woman s/p r vats rul wedge // check interval change
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Pa and lateral chest views were obtained with patient in upright position. The heart is mildly enlarged. No typical configurational abnormality is seen. The thoracic aorta is unremarkable. No mediastinal abnormalities are present. The pulmonary vasculature is not congested. No evidence of acute pulmonary infiltrates is present and the lateral and posterior pleural sinuses are free. Apical area on frontal view does not disclose any pneumothorax.
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<unk>-year-old female patient status post fall with local cytosis. evaluate for possible infectious cardiopulmonary process.
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Heart size is normal. Mediastinal and hilar contours are unremarkable, and the pulmonary vasculature is normal. Apart from mild atelectasis in the left lung base, no focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities demonstrated. There are mild degenerative changes in the thoracic spine.
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atrial fibrillation, dizziness, dyspnea.
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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.
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history: <unk>f with history of lupus presents with chest pain
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Left chest wall transvenous pacer with leads ending in the right atrium and right ventricle, as expected. Left lingular pulmonary nodule measuring approximately <num> cm is stable. Lungs are otherwise clear. Heart size is normal. There is no pneumothorax. Pleural surfaces are unremarkable.
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<unk> year old man with cied for mri. please evaluate for pending mri.
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Ap upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with sob, palpitations // ? cardiomegaly
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Frontal and lateral views of the chest. The lungs are hyperinflated. There are regions of consolidation at the left lung base confirmed on the lateral, localizing to the lingula. More peripheral opacities are likley in part due to callous formation from healing left posterior seventh and eighth rib fractures. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified. Healing left are identified.
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<unk>-year-old male with copd and recurrent pneumonia with fever and 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.
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history: <unk>f with hemoptysis // lung pathology
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MIMIC-CXR-JPG/2.0.0/files/p10673457/s57868890/8c4ec2ca-ab6455ca-aeca501b-3d21cab9-ff1d6200.jpg
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Frontal and lateral views of the chest. There are low lung volumes, but the lungs are clear. The cardiomediastinal silhouette is within normal limits. Deformity of the left first and second ribs are again noted. No acute osseous abnormality is identified.
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<unk>-year-old male with coronary artery disease, presents with left-sided chest pain.
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The lungs are clear without focal consolidation, effusion, or pneumothorax. Eventration of left hemidiaphragm is again noted. Cardiomediastinal silhouette is within normal limits for technique. Slight tortuosity of the thoracic aorta is noted. No acute osseous abnormalities, hypertrophic changes noted in the spine.
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<unk>m with weakness, dizziness // r/o acute process
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MIMIC-CXR-JPG/2.0.0/files/p15942934/s57303327/6b154a7a-d7a3c3bf-80b1878b-a9240b6e-b7a8fd08.jpg
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. A right-sided ij line ends in the lower svc. The patient has bilateral breast prostheses. A calcified fibrous capsule of the right breast is redemonstrated. Deformity in the right posterior ribs from <num> through <num> represent healing fractures. A compression fracture of a low thoracic vertebra is unchanged since at least <unk>.
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<unk>-year-old female with tachycardia. evaluate for acute cardiopulmonary pathology.
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MIMIC-CXR-JPG/2.0.0/files/p17577830/s53496689/7d31d55b-6700285e-24f45a49-814cf846-26226eb3.jpg
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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.
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history: <unk>m with cp // eval for cp
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal. Coils are noted in the upper abdomen on the lateral radiograph.
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<unk>-year-old male with chest pain.
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The lungs are well inflated and clear. No nodule, consolidation, effusion, or pneumothorax is present. The heart and mediastinal contours are normal.
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<unk>-year-old woman with shortness breath, question pneumonia.
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.
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cough.
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There has been interval removal of an endotracheal tube and nasogastric tube. Lung volumes are low causing crowding of the bronchovascular structures. The patient is status post median sternotomy and cabg. No definite focal consolidation or pleural effusion is seen.
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<unk>-year-old male with altered mental status. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p15593582/s53154698/4349dc32-ed614a00-e77da842-9e1e7c40-7345971e.jpg
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
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chest pain. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p18394695/s53704018/09667196-f82997d9-038368f9-b2abd302-2ddc0bfd.jpg
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Assessment is somewhat limited due to patient rotation. Heart size appears mildly enlarged, increased compared to the previous exam. The aorta is diffusely calcified. Bronchiectasis with architectural distortion, scarring, and calcifications involving the right apex and left mid lung field as well as superior retraction of the right hila are again noted along with calcified mediastinal and right hilar lymph nodes, findings compatible with the sequela of prior granulomatous infection. New mild pulmonary edema is present. No pleural effusion or pneumothorax is identified. Multiple punctate radiopaque densities again are seen overlying the left superior chest. No acute osseous abnormality is detected. Calcifications in the right upper quadrant of the abdomen are compatible with gallstones.
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history: <unk>m with fever
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There are no focal consolidations, pleural effusions, pulmonary edema or pneumothorax. There is evidence of a drain in the upper abdomen.
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<unk>-year-old male patient with cholangitis, drain and new fevers. study requested to rule out pneumonia.
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The lungs are well inflated and clear. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax. The included upper abdomen is unremarkable. Osseous structures are grossly intact.
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episodes of svt, evaluate for pneumonia or cardiomegaly.
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Pa and lateral chest radiograph demonstrates a heart which is upper limits of normal in size. There is no evidence of pulmonary edema. Mediastinal and hilar contours are otherwise within normal limits. No focal consolidation is identified within the lungs. There is no pleural effusion or pneumothorax. Imaged osseous structures and upper abdomen are without an acute abnormality.
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<unk>-year-old female with dizziness.
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Patient is status post median sternotomy, cabg and cardiac valve replacement.no focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Coronary artery calcification is noted. Some degenerative changes are seen along the spine.
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history: <unk>m with c/o weakness // ? pna
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MIMIC-CXR-JPG/2.0.0/files/p14222873/s52100741/61a9e78a-2befa5b9-ad5b5610-7e3761e3-7fb10c8f.jpg
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Mild vascular congestion is slightly increased. The cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
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<unk> year old man with sob, s/p liver transplant, dchf // eval interval change
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Pa and lateral views of the chest provided. The heart remains mildly enlarged. There is no discrete consolidation, effusion or pneumothorax. No convincing signs of pulmonary edema. The mediastinal contour is stable. Bony structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>m with sickle cell, cp, // pna?
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Right-sided central venous catheter is noted with tip over the lower svc. There is no pneumothorax. There is a moderate left-sided pleural effusion with some fluid tracking posteriorly and likely anteriorly. There is associated atelectasis. Elsewhere, lungs are clear. Mild cardiac enlargement is noted, new since <unk>. Surgical clips project over the posterior mediastinum.
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<unk>m with r port and pain // eval placement of port s well as acute process
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MIMIC-CXR-JPG/2.0.0/files/p12931603/s50157957/f6de3ec5-9f435aec-bbb1bb62-6f17e77b-93399cd5.jpg
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Frontal and lateral views of the chest shows no acute cardiopulmonary process. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac, mediastinal and hilar structures are unremarkable.
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hyperglycemia and shortness of breath. evaluate for pneumonia.
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Left-sided pacemaker device is again noted with single lead terminating in the region of the right ventricle. Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature normal. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
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history: <unk>m with chest pain
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Relatively low lung volumes are noted. The lungs are clear without focal consolidation, effusion, or pneumothorax. Azygos fissure is incidentally noted. The cardiomediastinal silhouette is within normal limits. No displaced fractures identified.
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<unk>f s/p fall down several stairs, ? confusion, + midline c<num> pain, // eval for fx, / ich
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The lung volumes are normal. Borderline size of the cardiac silhouette with tortuosity of the thoracic aorta, but no evidence of pneumonia or other acute lung process. No pulmonary edema. The hilar and mediastinal contours are normal. A minimally denser band-like lesion in right perihilar location is seen on the frontal radiograph only and likely corresponds to a combined projection artifact created by an upper lobe vein and the anterior margin of the third right rib.
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rule out chronic heart failure.
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MIMIC-CXR-JPG/2.0.0/files/p18780736/s57882665/6a7d7151-b40140cf-00b3692c-e35285c9-abd65603.jpg
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Moderate to large bilateral pleural effusions, left greater than right, are unchanged compared with the ct from <unk>. Heart size is top normal, unchanged. Right port-a-cath tip terminates in the upper svc. Bibasilar atelectasis has increased since the prior radiograph. No new focal consolidation or pneumothorax.
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<unk> year old man with cll. increasing shortness of breath. history of chf; pleural effusions noted on prior ct. assess for abnormalities.
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MIMIC-CXR-JPG/2.0.0/files/p18602613/s58332233/b67dec17-40cdd8f7-a6d6de54-9acd87bb-6fdaa1af.jpg
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MIMIC-CXR-JPG/2.0.0/files/p18602613/s58332233/707bb300-d2d8b739-e6bf8fba-cb2af771-9508d62e.jpg
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Frontal and lateral chest radiographs demonstrate well-expanded and clear lungs. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. A pectus deformity of the sternum is noted as documented in most recent ct <unk>.
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<unk>-year-old female with multiple myeloma status post pallidus transplantation. evaluate for infection or pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p10686309/s51084205/09e8f213-dd32fd27-077f1e34-a4fe9a47-4a37324b.jpg
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MIMIC-CXR-JPG/2.0.0/files/p10686309/s51084205/be221445-69f87a72-7525d402-0d33cb6d-833105cd.jpg
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Right-sided port-a-cath tip terminates in the upper svc. The cardiac silhouette size is normal. Fullness of the hilar contours is unchanged compared to the previous exam. There is no pulmonary edema. Streaky bibasilar airspace opacities are noted, which could reflect atelectasis. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormalities are present.
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history of myocardial infarction with chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p17325615/s59380366/95604e25-54643767-d8734ffe-2c0c875c-0d9067ec.jpg
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Ap upright and lateral views of the chest provided. There is mild pulmonary edema with small bilateral pleural effusions. Hilar engorgement is noted. Heart size is top-normal. Mediastinal contour is unremarkable. No pneumothorax is seen. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>m with nstemi // assess for infiltrate, edema
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MIMIC-CXR-JPG/2.0.0/files/p13081978/s52217231/099695e9-52011245-a70459d3-033f5332-5adf9e98.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13081978/s52217231/3aeeb490-fed9ea15-a523cc80-2e7af462-72473102.jpg
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Heart appears top-normal in size. The mediastinal contour is prominent likely secondary to an unfolded thoracic aorta. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with cp, sob // eval for consolidation
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MIMIC-CXR-JPG/2.0.0/files/p14798363/s54126871/ffbd2604-770c9d9f-de92c5a1-3f4ee627-c2d98572.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14798363/s54126871/b9bbecf5-2aa3e1df-e864cdc5-70731ed5-bcbf5623.jpg
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Ap and lateral views of the chest. The lungs are clear without focal consolidation, effusion or pulmonary vascular congestion. There is moderate cardiomegaly. Atherosclerotic calcifications seen in the thoracic aorta. No visualized acute osseous abnormality.
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<unk>-year-old female with altered mental status.
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