Frontal_Image_Path
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Pa and lateral views of the chest were provided. The heart is top-normal in size. There are tiny bilateral pleural effusions. No evidence of pulmonary edema is seen. Atherosclerotic calcifications are seen along the thoracic aorta. The imaged bony structures appear intact. No free air below the right hemidiaphragm is seen.
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<unk>-year-old female with hypertension, hld, hypothyroidism with <num> days swelling in the legs and abdominal distention.
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Mild to moderate cardiomegaly and pulmonary vascular congestion are chronic. There is no good evidence for pulmonary edema left pleural thickening and associated lower lobe atelectasis are long-standing. Small right pleural effusion has recurred. No pneumothorax.
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history: <unk>m with sob // pneumonia
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Lung volumes are decreased. The heart is top normal in size. There is tortuosity of the descending aorta. Linear opacity in the right lung base likely reflects atelectasis. There is otherwise no focal consolidation, pleural effusion or pneumothorax.
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afib with rvr. evaluate for cardiopulmonary process.
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The lungs are clear. There is no pneumothorax or effusion. Cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
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<unk>f with sob x<num> mo, new chest pain // ? pneumothorax
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Pa and lateral views of the chest. Again seen is relative elevation of the right hemidiaphragm. Linear bibasilar opacities are most suggestive of atelectasis. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.
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<unk>-year-old male with cough for <num> week, hypoxia.
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The cardiac, mediastinal and hilar contours are normal. The tracheobronchial stent is in unchanged position. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. The pulmonary vasculature is normal. No acute osseous abnormality is identified. Widening of the right acromioclavicular interval is unchanged, and suggests prior trauma.
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history: <unk>f with chest pain and shortness of breath status post tracheal stent
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Frontal and lateral radiographs of the chest demonstrate hyperexpanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
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<unk> year old man with hx of melanoma // please evaluate disease status
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Pa and lateral views of the chest provided. Lungs are grossly clear. No pneumothorax. Minimal, bilateral pleural effusions. Hilar and cardiomediastinal contours are normal.
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<unk> year old woman with new diagnosis of multiple myeloma, with subacute dyspnea and chest discomfort. // scheduled for v/q scan, needs cxr beforehand to assess for infiltrate that may affect interpretation of v/q scan
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion, or pneumothorax is seen. There are no acute osseous abnormalities.
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<unk> year old man with metastatic rcc and doe // cxr prior to a vq scan to r/o pe or tumor emboli syndrome
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Frontal and lateral views of the chest were obtained. The heart is of top normal size, similar to prior, with normal cardiomediastinal borders. The vascular pedicle and mediastinum are not widened. The lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. Osseous structures are unremarkable. A new electronic device overlying the left hemithorax is compatible with a vagal nerve stimulator. Surgical clips overlie the right thyroid bed.
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<unk>-year-old female with chest pain. rule out widened mediastinum.
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There is a small left pleural effusion. The lungs are otherwise clear without pulmonary edema, pleural effusions or focal consolidation. The heart size is normal, and the mediastinal contours are normal.
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<unk> year old female with fever, cough, bounce back to the emergency department.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Old anterior right rib fractures are noted. Surgical clips project over the right breast.
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<unk>f with chest pressure, dyspnea // ?cardiomegaly, pleural effusion
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Cardiac silhouette size is mildly enlarged. The aorta is tortuous. Lung volumes are low with crowding of bronchovascular structures but no overt pulmonary edema. Small left pleural effusion with patchy atelectasis is noted at the left lung base. Minimal atelectasis is also noted within the right lower lobe. No pneumothorax is present. There are mild degenerative changes noted in the thoracic spine.
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history: <unk>f with left sided pain, cough, and elevated white count.
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The previously noted right lower lobe pneumonia has resolved. No new areas of airspace consolidation. No pulmonary edema. No cardiomegaly. Surgical clips in the upper abdomen. Bilateral, fairly symmetrical apical pleural thickening.
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<unk> year old man with f/u pna // compare with <unk>
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Chest, pa and lateral. The lung bases appear dense especially on the left and on the lateral. This is unchanged from the prior study and may be related to insufficient inspiration. The lungs are otherwise clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
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<unk>-year-old man with history of antiphospholipid syndrome presenting with pleuritic chest pain.
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. Calcifications are noted at the aortic knob. There is no pneumothorax or pleural effusion. There is no definite focal consolidation. Minimal linear density in the inferior lingula is mild atelectasis.
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<unk> year old woman with falls, ams
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Pa and lateral views of the chest provided. Lung volumes are low. Mild basilar atelectasis is noted. Otherwise, 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>m with ascites, dyspnea on exertion // eval for effusion
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Frontal upright and lateral chest radiographs demonstrate well-expanded lungs. Cardiomediastinal contour is within normal limits. Focal opacities in the right mid and lower lung could represent infection. Blunting of posterior costophrenic angles suggest small effusions. No pneumothorax. Tube-like opacity projecting over the right costophrenic sulcus is thought to be external.
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chest pain.
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The lungs are clear of consolidation. Focal nodule opacity projecting over the anterior right sixth rib is compatible with a bone island as seen on prior ct. The cardiomediastinal silhouette is within normal limits. Coronary artery stents are noted. No acute osseous abnormalities. Postsurgical changes from prior herniorrhaphy seen along the anterior upper abdominal wall.
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<unk>f with hx colon ca, new chest tightness, coarse breath sounds on exam // any consolidation
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Frontal and lateral chest radiographs demonstrate low lung volumes, with increased prominence of the cardiac silhouette and bronchovascular crowding, specifically in both lower lobes. No definite consolidation identified. There is no pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable. Visualized bones are unremarkable.
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evaluate for pneumonia, in a patient with a headache.
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The heart is normal in size. The aorta is tortuous. Otherwise, the mediastinal and hilar contours are unremarkable. The lungs appear clear. There are no pleural effusions or pneumothorax. Moderate s-shaped thoracolumbar curvature appears similar.
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question aspiration.
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Frontal and lateral views of the chest. There is new patchy consolidation identified in the right lower and middle lobes. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is unchanged. Atherosclerotic calcification seen at the aortic arch. No acute osseous abnormalities detected.
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<unk>-year-old male with chest pain.
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On the current radiograph, there is no evidence of pneumonia or other infectious change. Normal size of the cardiac silhouette. Normal appearance of the lung parenchyma, moderate tortuosity of the thoracic aorta.
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recent pneumonia.
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Frontal and lateral radiographs of the chest were obtained. The heart size and mediastinal contours are normal. No focal consolidation, pleural effusion or pneumothorax is present. No evidence of pulmonary edema.
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cough, evaluate for pneumonia.
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Compared with prior radiographs on <unk>, there is a persistent right lower lobe opacity. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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<unk> year old woman with cough and r basilar crackles // evaluate for interval change from <unk> ew visit
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Pa and lateral views of the chest provided. There is mild atelectasis in the lower lungs. No convincing evidence for pneumonia or edema. No large effusion or pneumothorax. Cardiomegaly is mild. The hila appear stable and overall contour. Bony structures are intact. No free air below the right hemidiaphragm peer
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<unk>f with left frontal hemorrhagic stroke in <unk> s/p evacuation with residual non-fluent aphasia, seizures disorder, htn, hld, hypothyroidism, cad, aaa s/p repair, ckd, tah
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Frontal and lateral views of the chest were obtained. A large right layering pleural effusion has significantly increased since <unk>. There is adjacent atelectasis. The left lung is clear without effusion. No pneumothorax. A right port-a-cath ends in the lower svc. The heart is difficult to evaluate given the pleural fluid, but there is mild leftward shift of mediastinal structures. There has been interval removal of the right chest tube.
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pleural effusion.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. There is mildly increased perihilar opacity, without focal consolidation, pleural effusion, or pneumothorax. The upper abdomen is unremarkable.
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chills and sweats in a patient with copd. evaluate for pneumonia.
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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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chest pain.
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Mild basilar atelectasis is seen without definite focal consolidation. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pneumothorax, pulmonary edema, pleural effusion, or pneumonia.
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history: <unk>m with syncope while shoveling snow*** warning *** multiple patients with same last name! // c/f acute process
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Ap upright and lateral chest radiograph demonstrates a patient rotated to her left. A small hiatal hernia is noted. Lung fields are hyper-expanded with flattening of bilateral hemidiaphragms consistent with emphysema. There is no pleural effusion or pneumothorax identified. A rib fracture of indeterminate age within the posterior aspect of the left tenth rib is noted, probably healed. Several sclerotic vertebral bodies are noted concerning for malignancy, particularly treated or alternatively lymphoma. Surgical clips are seen projecting along the right lateral chest wall.
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<unk>-year-old female status post fall.
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Lungs are clear bilaterally without an opacity convincing for pneumonia. Cardiomediastinal silhouette is stable relative to prior examination, the heart mildly enlarged. There is no evidence of pulmonary edema. There is no large pleural effusion or pneumothorax. There is no air under the right hemidiaphragm.
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<unk>f with cough, sob. // pneumonia?
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The heart is normal in size. The main pulmonary artery contour is mildly prominent, but unchanged and probably compatible with a normal variant. Mild unfolding of thoracic aorta is also similar. There is minimal relative elevation of the right hemidiaphragm compared to the left. There is no pleural effusion or pneumothorax. Streaky opacity at the left lung base is compatible with minor atelectasis. There is no pleural effusion or pneumothorax. Small osteophytes are noted along the thoracic spine.
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shortness of breath.
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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. The visualized upper abdomen is unremarkable.
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evaluate for infiltrate in a patient with cough, chest pain, and fever.
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The heart size is top normal. The aortic contour is tortuous along its descending portion. The mediastinal and hilar contours otherwise are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is present. There is no pulmonary vascular congestion. No acute osseous abnormalities are identified.
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altered mental status.
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The patient is status post median sternotomy and cabg. Mild enlargement of the cardiac silhouette is re- demonstrated. The aorta is diffusely calcified. The mediastinal and hilar contours are similar. Small bilateral pleural effusions are present along with bibasilar patchy opacities, likely atelectasis. Pulmonary vasculature is not engorged. There is no pneumothorax.
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history: <unk>f with drop in hematocrit and bruising on chest wall
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Frontal and lateral views of the chest demonstrate persistent diffuse bilateral interstitial opacities. There is no pleural effusion, focal consolidation or pneumothorax. The hilar and mediastinal silhouettes are unchanged. Moderate cardiomegaly is stable. Mild perihilar vascular congestion is noted. Mild pulmonary edema has progressed from prior. Sternotomy wires appear intact. Multiple surgical clips project over cardiac silhouette. Aicd device is unchanged in position.
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shortness of breath, weight gain.
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The lungs are well expanded. A retrocardiac opacity is seen which is likely due to atelectasis although infection is hard to exclude. Given the linear shape of the opacity, atelectasis is perhaps more likely. The heart is top-normal in size. The cardiomediastinal silhouette is otherwise unremarkable. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.
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<unk>-year-old female with chest pain.
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Anchor screws are noted overlying the right humeral head. Some likely osteophytes are seen along the thoracic spine.
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history: <unk>m with chest and abdominal pain. // evaluate for acs, hiatial hernia
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There are moderate bilateral pleural effusions, which appear similar in size from the prior ct of the chest in <unk>. There are prominent interstitial markings, which likely represent mild pulmonary edema. Bibasilar hazy opacities are most consistent with atelectasis. There is no evidence of a pneumothorax. The mediastinal silhouette is normal. The cardiac silhouette is difficult to fully evaluate, as the left heart border is obscured by the adjacent pleural effusion, but appears mildly enlarged, and stable from the prior chest ct.
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increasing oxygen requirement and dyspnea.
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There are no focal consolidations. The heart size is normal. The mediastinal contours are normal. There is no pleural effusion or pneumothorax. Visualized osseous structures are unremarkable, although chest radiography is not highly sensitive in evaluating back pain.
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<unk>-year-old female with back pain radiating to right upper quadrant and epigastrium, evaluate for bony abnormalities or pneumonia.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is no pneumoperitoneum.
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history: <unk>f with rt cp, pleuritic, abd pain // ptx? free air below the diaphragm?
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The lungs are clear. There is there is no consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No free air. The bones are normal.
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nausea vomiting and cough.
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Frontal and lateral views of the chest. Interstitial thickening is consistent with mild pulmonary edema. There is small bilateral pleural effusions. No pneumothorax is identified. A right picc ends at low svc. The mediastinum is widened. The heart is mildly enlarged. There are gas-filled loops of colon in the upper abdomen.
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<unk> year old man with altered mental status. osh report of congestion.
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Left chest port terminates in the right atrium. There has been interval increase in severity and extent of cardiomegaly in comparison to <unk>. Small bilateral lung volumes with elevation of the right hemidiaphragm unchanged compared to <unk>. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen.
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<unk> year old woman with cough // pneumonia?
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The cardiac and mediastinal contours appear unchanged. The right hilar contour has decreased in extent, with near resolution of the right-sided pleural effusion. There is probably still a loculated component of pleural effusion along the posterior aspect of the right lower lobe and probably parenchymal opacity, but minimal. The left lung remains clear. There is no definite pneumothorax. Regarding positioning of a right-sided pleural tube, on the frontal view, it terminates in the right upper posterior chest, very similar to the prior examination. Thoracic compression deformities appear unchanged. These include a moderate-to-severe mid thoracic wedge compression deformity. Post-surgical changes are stable.
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bloody output from pleural tube. history of lung cancer.
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Pa and lateral chest radiographs are taken with the patient in the upright position. Heart is of top normal size. Cardiomediastinal silhouette is unremarkable. Lungs are hyperexpanded and clear with no evidence of focal consolidation to suggest pneumonia. No pleural effusions. No pneumothorax. Normal pulmonary vasculature.
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<unk>-year-old man with cough x <num> weeks, right anterior chest pain with cough. clear lungs. rule out lung disease.
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Pa and lateral views the chest were provided. The lungs are clear without focal consolidation effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>-year-old man with recent fall, question intra thoracic injury.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.
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lower extremity edema.
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In comparison with the study of <unk>, there is again a somewhat ill-defined area of increased opacification in the region of the superior segment of the right lower lobe. No evidence of vascular congestion or pleural effusion.
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cancer and right lower lobe segmentectomy.
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The inspiratory lung volumes are persistently decreased. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar silhouettes are within normal limits. The trachea is midline.
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fever and tachycardia, here to evaluate for pneumonia.
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Frontal and lateral chest radiographs demonstrate a new lingular opacification as well as interval development of a small pleural effusion. Otherwise, the lungs are clear. Cardiomediastinal and hilar contours are unremarkable. Degenerative changes are noted throughout the thoracic spine with anterior osteophyte formation. Intermittent areas of dense sclerosis and loss of corticomedullar interface evident in multiple ribs, better assessed on prior ct, consistent with malignancy.
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cough and wheeze. chf exacerbation versus pneumonia.
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Small residual right pleural effusion and right basilar atelectasis is slightly worse since the prior study. No new consolidation, pulmonary edema or pneumothorax is seen. The left lung is well expanded and clear. The cardiomediastinal and hilar contours are normal.
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<unk>-year-old man with recent history of pneumonia and loculated effusion, status post decortication.
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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 seizures // eval for pna
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Lung volumes are slightly low, causing exaggeration of the heart size and accentuation of the pulmonary vasculature. Compared to <unk>, there are new bilateral predominantly lower lung heterogeneous opacities. Small right and likely tiny left pleural effusions are also new. The heart is mildly enlarged. The mediastinal contours are normal. There is no pneumothorax.
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cough, shortness of breath. evaluate for infiltrate.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There are no pleural effusions or pneumothorax. Depicted only on the lateral view is a nodular density projecting anteriorly, a possible lung nodule, although more likely an artifact or density due to overlying soft tissue or bony structures. Otherwise, lung fields appear clear.
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dyspnea and new ovarian mass.
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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size.
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<unk> year old woman with severe asthma, complains of new cough. on exam sounds diffusely wheezy consistent w/ baseline, but has some expiratory rales in r base. // rule out pneumonia
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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 seziure // pna?
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The lungs are well inflated. There is interval significant improvement in previously visualized right lower lobe consolidation. No new foci of consolidation throughout the lungs. No pleural effusions. Cardiomediastinal silhouette is normal. Mild degenerative changes of the thoracic spine are present.
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<unk> year old man with recent rll pneumonia. initially improved after abx, now w recurrent dyspnea, cough. // r/o infiltrate.
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Pa and lateral views of the chest. No prior. There is no definite consolidation. Rounded opacity projecting over the left lung base is thought to represent a nipple shadow. Right nipple ring is identified. There is no effusion or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. Mild vertebral body height loss identified at the mid-to-lower thoracic spine, age indeterminate without prior.
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<unk>-year-old male with history of pneumonia. cough, fatigue, and chest pain.
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The inspiratory lung volumes are decreased with resultant accentuation of the cardiomediastinal silhouette and bronchovascular crowding. Prominence of interstitial lung markings is similar to prior studies. Linear atelectasis or scarring at the left lung base is unchanged. There is no focal consolidation, pleural effusion or pneumothorax. The patient is status post median sternotomy with intact appearing wires. No acute osseous abnormality is detected.
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history: <unk>f with chest pain // eval for cardiopulmonary process
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear without focal consolidation. The upper abdomen is unremarkable. Anterior wedging of an upper thoracic vertebral body is noted, similar to slightly progressed from <unk>.
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history: <unk>f with chest pain.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with myalgias, arthralgias, ck in <unk> range and lft elevations // eval ? infiltrate, effusion
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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 pleuritic chest pain // ? ptx
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Focal airspace opacity silhouetting the right heart border is noted posteriorly on the lateral view and is suggestive of the lying consolidation. Bibasilar atelectasis is noted. The upper lungs are grossly clear. No pleural effusion or pneumothorax. The cardiomediastinal silhouette is unchanged.
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history: <unk>m renal transplant with cough/fever // please assess consolidation, effusion, edema
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Lung volumes are low, causing bronchovascular crowding. There is mild streaky right basilar atelectasis. Otherwise, no evidence of focal consolidation, effusion, or pneumothorax. Asymmetric soft tissue opacity inferior to the medial right clavicle may simply be due to summation of tissues. The cardiomediastinal silhouette is unremarkable. The thoracic aorta is calcified and tortuous, with mild rightward effect on the mid to distal trachea.
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<unk>-year-old man found down, unable to provide history. evaluate for pneumonia.
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Compared to <unk>, there is no significant change. Mild left basilar and right midlung atelectasis are likely. Otherwise, the lungs are grossly clear. Again seen is severely widened mediastinum and heart size due to ascending and descending aortic aneurysm and dissection, better assessed on prior ct, and unchanged from prior. Sternotomy wires and surgical clips are in place and unchanged in position.
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<unk> year old woman s/p bentall with wbc and cough. evaluate for pneumonia.
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The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. Normal transparency and structure of the lung parenchyma. No evidence of recent or non-recent tb.
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diabetes mellitus, rule out tb.
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No consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal. Previous right central venous line has been removed. No masses or nodules are seen.
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<unk>-year-old male with bladder cancer. rule out metastases.
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As compared with the prior examination dated <unk>, there has been minimal interval change. Redemonstrated is a right-sided subclavian line seen terminating in the mid to lower svc. A <num>mm, rounded calcified granuloma is seen projecting over the left lung apex, unchanged since the oldest available chest radiograph dated <unk>. Redemonstrated is old scar tissue seen at the lateral aspect of the right upper lobe, better chracterized on chest cta dated <unk>. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. The heart size is normal. Mediastinal contours are normal.
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history of aml, rule out pneumonia and edema prior to transplant.
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Frontal and lateral views of the chest were obtained. Sternotomy cerclage wires and prosthetic cardiac valve are intact and in stable position. Left ventricular configuration of the heart is unchanged. Atelectasis and scarring in the lower lobes is similar to prior. Left hemidiaphragm remains mildly elevated. No focal consolidation, pleural effusion, or pneumothorax. Thoracic levoscoliosis is unchanged.
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cough and fever.
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Pa and lateral views of the chest. The lungs remain clear without consolidation, effusion or edema. Mid thoracic dextroscoliosis again noted. Cardiomediastinal silhouette is unchanged.
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<unk>-year-old female with hemoptysis.
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The lungs are hyperinflated. No focal consolidation is identified. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax. Mild scoliosis of the thoracolumbar spine is unchanged. The thoracic aorta is tortuous.
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history: <unk>f with chest pain, low grade fever, rule out infection.
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Pa and lateral views of the chest provided. Multiple pulmonary nodules again noted, largest in the left lower lobe measuring at least <num> cm in diameter. These findings are better assessed on prior ct. No definite signs of superimposed pneumonia. No effusion or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures appear intact.
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history: <unk>f with lung ca, cough, weakness // ?pna
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Frontal and lateral radiographs of the chest demonstrate moderate enlargement of the cardiac silhouette. The mediastinal silhouette and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax.
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chest pain, rule out infection
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Mild cardiomegaly. Calcifications of the descending aorta are noted. 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>m with fever, chills, weakness // eval for pna
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A <num> cm rounded opacity is seen in the right lower lung. Increased opacity in the right lower lung abutting the right heart border is concerning for consolidation. Increased heart size may indicate cardiomegaly and/or pericardial effusion. Small pleural effusions are new. A <num> mm calcified granuloma in the left lower lung is stable. A <num> cm calcified lymph node is seen on the lateral view. No pneumothorax is seen. The hilar and mediastinal silhouettes are unremarkable.
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<unk> year old man with mds <unk>/p allo transplant and new tachypnea. also has a history of chf and afib with rvr. // please assess for infiltrate, effusion.
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. A left lung base focal opacity is more conspicuous than on prior exams. The pulmonary vasculature is unremarkable. No pleural effusion or pneumothorax. Osseous structures are unremarkable. No radiopaque foreign bodies.
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<unk>-year-old male with chest pain and shortness of breath. rule out acute intrathoracic process.
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The patient is lordotic in positioning. The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is identified. No displaced fractures are seen.
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cervical spine tenderness and right rib tenderness.
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The lungs are well inflated and clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No displaced fractures identified. There is no free intraperitoneal air.
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<unk>f with chest pain, abdominal pain // evidence of infiltrate
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Pa and lateral views of the chest provided. A again seen is an abandoned pacer lead overlying the right chest wall with lead extending to the right ventricle. There is a left chest wall pacer device with lead extending to the right ventricle. Midline sternotomy wires and mediastinal clips are noted. The heart is mildly enlarged and there is central hilar engorgement with cephalization suggesting mild congestion. No convincing evidence for pneumonia or pneumothorax. Tiny left pleural effusion is suspected. Bony structures are intact.
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<unk>m with chest pain
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Streaky right basilar opacity is most likely due to atelectasis. The lungs are otherwise clear and there is no focal consolidation worrisome for pneumonia. There is no effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with h/o asthma p/w sob x <num>d w/out fevers // eval lung fields, eval for pna
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Normal heart, mediastinum, hila, and pleural surfaces. The lungs are clear without focal consolidation, pneumothorax, or effusion.
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<unk> year old woman with recurrent cough on immunosupresants. evaluate for consolidation.
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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is increased opacification at the right lung base, concerning for pneumonia.
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<unk>-year-old male with cough.
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. The heart size remains unchanged and is within normal limits. No configurational abnormalities seen. Unremarkable appearance of thoracic aorta and mediastinal structures. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. Skeletal structures of the thorax grossly unremarkable.
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<unk>-year-old female patient with shortness of breath, evaluate for pneumonia.
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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 mvc, unrestrained, rear ended
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In comparison with the study of <unk>, there again are low lung volumes which accentuate the transverse diameter of the heart. No evidence of pneumonia, vascular congestion, or pleural effusion. No pneumomediastinum or pneumothorax.
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chest pain.
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Heart size is normal. The aorta is tortuous. The mediastinal and hilar contours are unremarkable. There is no pulmonary edema. Patchy opacities in the lung bases likely reflect areas of atelectasis. No focal consolidation pleural effusion or pneumothorax is present. No acute osseous abnormalities seen.
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history: <unk>m with cough, tachypnea, hypoxia // eval for pna
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Ap upright and lateral views of the chest provided. Clips and catheter project over the left upper quadrant. Mild left basal atelectasis is noted. Previously noted feeding tube is been removed. There is no consolidation concerning for pneumonia. No edema, effusion or pneumothorax. The cardiomediastinal silhouette appears stable and normal. The imaged bony structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>m with cp // evidence of pneumonia
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Ap and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are acutely intact. Proximal portion of healing humerus fracture noted with plate and screw fixation. No free air below the right hemidiaphragm is seen.
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<unk>f with seizure, evaluate for infection // ?pneumonia
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There are low lung volumes. Heart size is normal with a left ventricular predominance. The mediastinal and hilar contours are unremarkable. There is crowding of the bronchovascular structures but no overt pulmonary edema is present. Patchy bibasilar airspace opacities may reflect atelectasis though infection or aspiration cannot be completely excluded. No pleural effusion or pneumothorax is seen. There are multilevel degenerative changes in the thoracic spine.
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cough.
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Sternotomy wires are intact. Right apical opacity is again noted, which appears more conspicuous compared to <unk>, although patient rotation limits comparison. Mild bibasilar opacities are likely atelectasis. There is no pneumothorax or pleural effusion. Cardiac silhouette is mildly enlarged. There is no evidence of pulmonary edema.
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history: <unk>f with rle open wound, preop eval. // eval for cardiomegaly, pulmonary congestion
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Frontal upright and lateral chest radiographs demonstrate well-expanded lungs. Cardiomediastinal contours are within normal limits. The lungs demonstrate normal vascularity without focal consolidation. There is no pleural effusion or pneumothorax. Osseous structures are grossly intact.
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chest pain, evaluate for pneumonia
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The lungs are clear. Cardiomediastinal silhouette is stable. No acute osseous abnormalities, degenerative changes noted in the spine. No free intraperitoneal air.
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<unk>f with vomiting // eval for pna or acute process
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A right picc terminates at the cavoatrial junction. Nasogastric tube has been removed. Lung volumes remain low. There are small bilateral pleural effusions with associated overlying atelectasis, right greater than left. There is no pulmonary edema, pneumonia or pneumothorax. Cardiomediastinal silhouette is unchanged. Multiple prominent loops of bowel are noted.
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history of acute pancreatitis, rising wbc and shortness of breath. evaluate for pneumonia or edema.
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There is a consolidation in the lingula obscuring the left heart border. The right lung is clear. Cardiomediastinal and hilar contours are normal. The pleural surfaces are normal. Degenerative changes of the thoracic spine.
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<unk> year old man with cough, fever, evaluate for pneumonia // evaluate for pneumonia
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Heart appears to be normal in size and cardiomediastinal borders are unchanged compared to the prior study. Multiple lung nodules are again noted bilaterally. Lung fields are otherwise clear. The small right apical pneumothorax seen on the prior study is no longer appreciated. No pleural effusions.
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<unk>-year-old woman status post right vats wedge biopsy on <unk>, evaluate interval change.
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The lungs remain hyperinflated.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 epigastric pain // evidence of pneumonia or free fluid
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Lungs are hyperinflated but clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>m with fever, altered mental status
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Pa and lateral views the chest provided. Lungs are clear without focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette is normal. There a small amount of pneumomediastinum seen below the right hemidiaphragm likely reflecting recent surgery. Bony structures are intact.
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<unk>-year-old woman status post cholecystectomy <num> days ago with new fever t-max <unk>. evaluate for post-op pneumonia.
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