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Frontal and lateral views of the chest. The lungs are hyperinflated. There is moderate cardiomegaly and an unfolded thoracic aorta. There is minimal bibasilar atelectasis. In addition,there is hazy opacity at the right lung base. On the lateral view, there is patchy opacity posteriorly, in ? Right vs left lower lobe. The lung markings appear prominent, but this is likely technical -- doubt interstitial edema. There is no pneumothorax. Doubt gross effusion. There is no pneumothorax.
<unk>-year-old female with fall and head strike.
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Ap portable upright view of the chest. Lung volumes are low with mild bibasal atelectasis noted. No convincing evidence for pneumonia. No free air below the right hemidiaphragm. Cardiomediastinal silhouette is normal. Bony structures are intact.
<unk>m with distended abdomen, recent turp // eval for free air
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The lungs are clear.accentuation of the cardiac and mediastinal contours likely secondary to technique. No pleural effusion or pneumothorax. No evidence of pneumonia.
history: <unk>f with asthma 'flare'. t<unk> yest // eval for pna
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Since prior, there are new bilateral parenchymal opacities. Specifically there is focal consolidation lateral to the left hilum and silhouetting of the medial left hemidiaphragm with a retrocardiac opacity. Increased interstitial opacities are seen scattered throughout both lungs. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with dyspnea // please evaluate for pneumonia, edema, effusion
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette allowing for low lung volumes. There is no pneumothorax, vascular congestion, or large effusion. There may be trace subsegmental atelectasis in the left base.
<unk>-year-old male with chest pain. question pneumonia.
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The cardiac, mediastinal and hilar contours appear stable. The lung volumes are low. There is new elevation of the left hemidiaphragm with streaky basilar opacification. The lateral view suggests perhaps a trace pleural effusion at least on the right. A trace coinciding pleural effusion on the left is not excluded. The thoracic spine curves mildly to the right. An anterior flowing osteophyte is noted throughout the mid through lower thoracic spine.
new onset of lower extremity swelling.
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The heart is normal in size. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
chest pain and shortness of breath.
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Ap and lateral views of the chest are compared to previous exam from <unk>. Diffuse increased interstitial markings are seen in the lungs which given differences in technique have not significantly changed. There is no confluent consolidation or large effusion. Cardiac silhouette is stable in configuration. Right chest wall port is again noted. No displaced fractures are identified. Posterior spinal fixation seen in the lumbar spine, partially visualized.
<unk>-year-old female with right facial weakness and right arm and leg weakness. status post fall.
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Compared to chest radiographs from <unk>, there is no significant change. Lungs are clear without focal consolidation, effusion, or pneumothorax. There is no central vascular congestion or overt pulmonary edema. Mediastinum, hila and pleural surfaces are unremarkable. Heart size is normal.
<unk> year old woman with cough for one week, now with rhonchi // r/o pna
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The cardiomediastinal and hilar contours are normal. The lungs are clear without evidence of consolidation or masses. There is no pleural effusion or pneumothorax.
<unk>-year-old female with cough and right-sided chest pain, not improved by antibiotics.
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Moderate cardiomegaly with tortuosity of the thoracic aorta is unchanged from prior study. Hilar contours are unremarkable. Right lung base atelectasis and small right greater than left pleural effusion is improved compared to prior study. The lungs are hyperinflated with relatively lucent lung fields, compatible with emphysema. Lungs are otherwise clear. There is no pneumothorax.
pulseless left foot, preoperative evaluation.
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. Previously seen calcified pleural plaques are not well visualized on current exam.
history: <unk>f with cough sob // r/o pna
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Frontal and lateral radiographs of the chest were acquired. There is redemonstration of midline sternotomy wires and surgical clips related to prior cabg. Bilateral right greater than left upper lobe bronchiectasis and adjacent cicatricial atelectasis is not significantly changed compared to the prior chest radiographs from <unk>, better assessed on prior ct from <unk>. The lungs are otherwise clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
confusion. assess for acute intrathoracic process.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with hypoxia // pe
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A left-sided pacemaker/ aicd device is noted with single lead terminating in the right ventricle. The patient is status post median sternotomy and mediastinal clips. Heart remains moderately enlarged. Mediastinal and hilar contours are unchanged with calcification of the thoracic aorta again noted. Worsening opacification within the left lower lobe is concerning for pneumonia or aspiration. Small bilateral pleural effusions persist. There is no pulmonary vascular engorgement. Minimal atelectasis in the right lung base is noted.
shortness of breath.
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No previous images. Cardiac silhouette is at the upper limits of normal in size or slightly enlarged. No evidence of acute focal pneumonia, vascular congestion, or pleural effusion.
polysubstance abuse and chest pain.
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Lateral view is partially obscured by patient's overlying arm. No focal consolidation, pleural effusion, or pneumothorax is seen. Heart and mediastinal contours are within normal limits. There is possible focal narrowing of the distal trachea vs artifact.
<unk>-year-old female with post-traumatic right arm pain and clinical concern for pneumonia.
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Ap and lateral radiographs of the chest demonstrate interval improvement in right lower lobe aeration. Heart size is stable and the hilar and mediastinal contours are normal. The lungs are otherwise clear and there is no pleural abnormality. The osseous structures are normal.
low temperature. evaluate for infiltrate. comparison : <unk>
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Overall lung volumes are low, which may accentuate heart size and vasculature, which appear increased in size compared with prior, with mild prominence of the pulmonary vasculature. No pleural effusion or pneumothorax is seen. There is atelectasis at the lung base.
<unk>f with unprovoked seizure undergoing toxic/metabolic/ infectious workup, no clear precipitant // eval ? infiltrate
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There is increased central vascular congestion with likely mild interstitial pulmonary edema. There is no focal consolidation, effusion or pneumothorax. Mediastinal and hilar contours are normal. Mild cardiomegaly is unchanged.
<unk>m with increasing edema, decreasing uop, recent renal xplant
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Stable moderate cardiomegaly. Mild interstitial pulmonary edema. No focal consolidations. No pleural effusion or pneumothorax is seen. A chronic right clavicular fracture and old right posterior rib fractures are unchanged. Degenerative changes are seen within the lumbar spine. No acute fractures.
history: <unk>f with wheezing // eval for pulmonary process
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
history: <unk>f with vomiting blood, concern for esophageal tear // infiltrate? pneumomediastinum?
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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. Kyphosis
history: <unk>f with dyspnea, fever // ?cpd
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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.
syncope. evaluate for cardiomegaly.
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Pa and lateral views of the chest provided. Clips are noted in the right upper quadrant. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with <num> weeks of night sweats // pna, tb
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Dual lead left-sided pacemaker is seen with leads extending to the expected positions of the right atrium and right ventricle.no focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is mildly enlarged. Mediastinal contours are unremarkable. There may be minimal central pulmonary vascular engorgement without overt pulmonary edema.
history: <unk>f with palpitations // ?pna
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Median sternotomy wires are noted, intact. Heart size is moderately enlarged, but stable. Pulmonary vascular congestion is mild. No frank interstitial edema. Bibasal opacities likely reflect a component of atelectasis. No convincing signs of pneumonia. No large pleural effusion. Osseous structures are intact.
<unk>f with hx of cabg, vertebrobasilar stenosis, carotid stenosis w/ two episodes of dizziness lasting <num> minutes.
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A left port-a-cath terminates in the mid svc. Right chest tube is in unchanged position. An ng tube is also in unchanged position, terminating near the diaphragm. The cardiomediastinal and hilar contours are stable. The neoesophagus is not particularly distended. A new right apical pneumothorax is small. There is no large pleural effusion. There is no significant change in the lungs, with no new focal consolidations concerning for pneumonia. Surgical clips overlie the right axilla.
<unk> year old woman s/p mie // check interval change
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Pa and lateral views of the chest provided. Single lead aicd is unchanged with lead extending to the region the right ventricle. Lungs are clear. No effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures intact.
<unk>m with generalized malaise.
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Ap and lateral views of the chest demonstrate normal heart size. Mediastinal contours are normal. Again noted is a small left pleural effusion with a new right pleural effusion and adjacent atelectasis. Bibasilar opacities are potentially atelectasis. Correlate clinically for infection. There are mildly increased interstitial markings. A tortuous, calcified descending aorta is noted. Calcified apical scarring is seen.
left-sided chest pain.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
shortness of breath.
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There are relatively low lung volumes. Mild pulmonary edema is seen. No definite focal consolidation is seen. There may be trace pleural effusions posteriorly, but no large pleural effusion is seen. Cardiac and mediastinal silhouettes are stable. .
history: <unk>m with sob, fever // r/o pna
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Pa and lateral views of the chest provided. Underpenetration limits assessment. Lungs are clear. No convincing signs of edema or pneumonia. No large effusion or pneumothorax. A prominent fat pad abuts the right heart border. Bony structures are intact. Cardiomediastinal silhouette is unchanged.
<unk>m with unintended weight gain, hx chf // overload?
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There is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is normal. There are no acute skeletal abnormalities.
<unk>-year-old man with multiple myeloma with productive cough since <unk>. rule out acute process.
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Mild pulmonary edema is new. No substantial pleural effusions. Mild cardiomegaly unchanged. Pulmonary artery enlargement again demonstrated. Prior median sternotomy and cabg.
<unk> year old man with wt loss and left base rales // r/o ca, chf
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The heart size is mildly enlarged. Prominence of the right superior mediastinal contour likely reflects tortuous vessels and is unchanged. The hilar contours are normal, and the pulmonary vascularity is not engorged. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen.
chest pain.
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The lungs are hyperinflated, consistent with known history of emphysema. There is bibasilar atelectasis, but no focal consolidation. Scarring is noted at the left lung base. Cardiomediastinal silhouette is normal. There is no pneumothorax or pleural effusion.
<unk>m with cough, evaluate for pneumonia..
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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax evident. No osseous abnormalities identified.
chest pain status post stent. evaluate for acute process.
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There are no focal opacities to suggest pneumonia. Mild bibasilar atelectasis, left greater than right is noted. Mild cardiomegaly is present. The mediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax.
right-sided stroke, patient has unexplained lethargy and asterixis on exam. evaluate for etiology of infection.
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Pa and lateral views of the chest. There are small bilateral pleural effusions. Low lung volumes. There is no consolidation or pneumothorax. The cardiac, mediastinal, and hilar contours are normal. There are dilated loops of small bowel in the upper abdomen. No free air.
fever, question pneumonia.
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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. Esophageal stent, sternotomy wires, surgical clips in the chest, and left chest cardiac device are grossly unchanged.
history: <unk>m with be fistula, esoph ca s/p esophagectomy, now w/ increasing amt of brown/bilious emesis and chest pain // eval ? free air, e/o aspiration, mediastinal abnormalities
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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is at the upper limits of normal. The aorta demonstrates heavy atherosclerotic calcifications at the arch and appears ectatic. No acute fractures are identified.
multiple falls.
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Patchy opacity in the right lower lobe appears minimally changed from the previous study. No new focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities identified.
history: <unk>f with worsening dyspnea/ chest pain, recent deep venous thrombosis
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Frontal radiographs of the chest demonstrate a stable top normal heart size. The mediastinal silhouette and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax. No displaced rib fracture identified.
chest pain, frequent falls without pneumothorax
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Patient is status post esophagectomy. Since <unk>, worsening bilateral multifocal heterogenous opacities, predominantly in the lung bases but including the right middle lobe, lingula, and left upper lobe, could reflect multifocal pneumonia or recurrent aspiration following the esophagectomy. Unchanged hyperinflation of the lungs. Small bilateral pleural effusions persist. The heart size is unchanged. No pneumothorax.
<unk> year old man s/p mie w/ pna // check interval change
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The lungs are well inflated. There has been significant interval improvement in the diffuse alveolar opacities previously seen. There are no focal consolidations. However, a minimal amount of fluid is still seen in the minor fissure, and there appears to be some right hilar engorgement with upper retraction which appears new compared with <unk>. There is no pleural effusion or pneumothorax. Stable mild cardiomegaly.
<unk>-year-old male with end-stage renal disease status post transplant, hypertension wit recent episode of pulmonary edema. evaluate for change.
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Frontal and lateral views of the chest. The lungs are clear without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips are again noted. No acute osseous abnormality is identified.
<unk>-year-old male with back pain radiating to the chest. question widened mediastinum.
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Pa and lateral views of the chest provided. Clips in the right axilla again noted with asymmetric smaller right breast shadow. Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The heart appears mildly enlarged. The mediastinal contour is unremarkable aside from an unfolded thoracic aorta. At least <num> discrete compression deformities are noted within the thoracic spine the chronicity of which is unknown. Please correlate clinically. No free air below the right hemidiaphragm is seen.
<unk>f with sudden onset chest pain earlier today that has now resolved
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The lungs are clear. There is no consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. High-density material correlates with cholelithiasis seen on prior ct scan.
<unk>f with ble edema + cough // acute process
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Mediastinal and hilar contours are unremarkable. There is stable mild cardiomegaly. Lung volumes are low with bronchovascular crowding evident in the lung bases. No focal opacification concerning for pneumonia. No evidence of fluid overload. No pleural effusion or pneumothorax. Sternotomy sutures are midline and intact.
fevers, evaluate for pneumonia.
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The patient is status post median sternotomy and aortic valve replacement. Heart size is normal. The aorta is mildly tortuous and demonstrates atherosclerotic calcifications. Mild pulmonary vascular congestion is noted. Small bilateral pleural effusions are visualized. No focal consolidation or pneumothorax is seen. There are mild degenerative changes in the thoracic spine.
confusion.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>m with weakness // eval pna
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The cardiomediastinal and hilar contours are within normal limits. As compared to prior chest examinations, there is a new consolidation involving the right upper and middle lobes. There are also new ill-defined nodular opacities with bronchial wall thickening in the left upper and mid lung fields. There is no pneumothorax or pleural effusion.
cough and fever.
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There is stable mild cardiomegaly. The hilar and mediastinal contours are stable. No focal consolidations concerning for infection are identified. There are small suspected bilateral pleural effusions. There are no pneumothoraces. The visualized osseous structures are unremarkable.
history of hypertension, copd, presenting with chest pain. rule out infectious or other acute process.
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Pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old woman with shortness of breath. evaluate for pneumonia.
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Ap and lateral chest radiographs demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no evidence of pleural effusion, pulmonary edema, or pneumothorax. Imaged upper abdomen demonstrates left gastric band which projects over the left upper quadrant. There is no free subdiaphragmatic gas.
history: <unk>f with significant abdominal pain // eval for any infiltrates, eval for free air
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The cardiomediastinal and hilar contours are stable. The bibasilar atelectasis is improving as well as small pleural effusion. There is no pneumothorax. The lungs are otherwise clear.
<unk>-year-old status post minimally invasive esophagectomy.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities, hypertrophic changes noted in the spine. Metallic structures project over the abdomen which are potentially external in nature to be correlated clinically.
<unk>f h/o angina with productive cough, fevers // pneumonia
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with shortness of breath // eval for chf/pneumonia
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with fever and history of neutropenia. evaluate for evidence of pneumonia.
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Ap upright and lateral chest radiograph demonstrates a moderately enlarged heart. There is prominence of the interstitial markings which is similar to prior likely reflecting known interstitial lung disease. No convincing evidence for a superimposed pneumonia or edema. No large effusion or pneumothorax. Cardiomediastinal silhouette appears grossly stable. No acute bony abnormalities.
<unk>f with palps, dyspnea
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Calcified mediastinal lymph nodes. Calcified granulomas in the left upper zones. Normal lung volumes. No consolidation. No pleural effusion. No pneumothorax. Cardiomediastinal borders and hilar structures are normal.
<unk> year old woman with cough x <num> weeks, fatigue // eval for pna
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Ap and lateral views of the chest. Exam is limited due to low inspiratory effort and patient body habitus. The lungs are grossly clear. Cardiac silhouette appears enlarged but could be for technical reasons mentioned above. No free air seen below the diaphragm. Hypertrophic changes noted in the spine.
<unk>-year-old female <num> days of left upper quadrant pain.
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Heart size is only top normal. Nevertheless, worsened moderate pulmonary edema and small pleural effusions are presumably cardiac in origin. There is increased density within the right lower lobe, is dependent atelectasis or pneumonia<num>. No pneumothorax.
<unk>-year-old female with known diastolic congestive heart failure and copd. evaluate for pulmonary edema or focal consolidation.
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Pa and lateral views of the chest were obtained. There has been interval removal of the central catheter. There is a small right-sided pleural effusion and mild interstitial edema. There are <num> nodules within the left upper lung, present in <unk>, but new since <unk>. There is no focal consolidation. The heart size is top-normal and unchanged from prior radiograph. No pneumothorax or intra-abdominal free air is identified. The bony structures are unremarkable.
right pulmonary crackles, evaluate for pneumonia/pulmonary edema.
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Frontal and lateral chest radiographdemonstrates well expanded lungs.no chf, focal infiltrate, pleural effusion or pneumothorax is detected. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.
status post assault with right rib tenderness. assess for rib fractures or complications of trauma.
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There is a left basilar opacity likely due to a combination of moderate pleural effusion and underlying atelectasis. Blunting of the lateral and posterior costophrenic angles on the right suggests small effusion. These changes have increased since prior exam. Pulmonary vascular congestion is again noted. The cardiomediastinal silhouette is stable. Mitral annular calcifications are again noted. Left chest wall dual lead pacing device is again noted. No acute osseous abnormalities.
<unk>m with progressive sob // eval for pulmonary edema, other cardiopulmonary pathology
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Pa and lateral chest radiographs demonstrate clear lungs bilaterally. Heart size is top normal. Hilar contours are within normal limits. Within the anterior mediastinum there is an abnormal contour previously present on study dated <unk> and unchanged, potentially representative of the pulmonary outflow track or soft tissue within the prevascular mediastinal space. There is no evidence of pulmonary edema. There is no large pleural effusion. No pneumothorax. Imaged osseous structures and upper abdomen are unremarkable.
history: <unk>f with afib and iddm p/w dizziness and fsbg <num>s, previous hx pulm edema // any fluid overload, infection
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In comparison with the study of <unk>, there is little change. The heart is within normal limits in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia. Port-a-cath tip again is in the region of the mid portion of the svc.
new right-sided weakness.
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Pa and lateral views of the chest. There are multiple bridging anterior osteophytes in the thoracic spine. There is no focal consolidation. There is no pleural effusion or pneumothorax. The cardiomediastinal contours are normal.
trauma and seatbelt pain.
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The large right-sided pleural effusion is somewhat smaller when compared to previous exam from <unk>. There is no pneumothorax. The left lung remains clear. The cardiomediastinal silhouette is unchanged. No acute osseous abnormalities identified.
<unk>m with hepatic hydrothorax s/p thoracentesis on <unk> p/w dyspnea // assess for effusion, infiltrate
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Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. The left hemidiaphragm is elevated and obscured. A small left pleural effusion is likely. There is no right pleural effusion. No pneumothorax. Bibasilar opacities are noted. There is no pulmonary edema. Heart is normal in size. The descending aorta is tortuous. Aortic arch calcifications are noted.
patient is status post fall. assess for underlying infection.
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Frontal and lateral views of the chest. The lungs remain clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is unchanged. No displaced fractures identified on these non dedicated views.
<unk>-year-old female with mvc and knee pain.
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The lungs are well expanded and clear. The heart is moderately enlarged, with a prominent right atrium, suggesting high pulmonary pressure. The aorta is tortuous. There is no pleural effusion or pneumothorax. A prominent right epicardial fat is noted. No fractures are seen.
<unk>-year-old female with left rib pain after fall, worse with inspiration. evaluate for evidence of fracture.
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There is no focal consolidation, pleural effusion, or pneumothorax. Heart and mediastinal contours are within normal limits, except for mild tortuosity of the aorta. Lateral view suggests an element of hyperinflation anteriorly.
<unk>-year-old male with rigors.
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No definite focal consolidation is seen. The lungs remain relatively hyperinflated, suggesting chronic obstructive pulmonary disease. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with chest tightness and cough // eval pneumonia
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Frontal and lateral chest radiographs were obtained. The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. The lungs do, however, appear hyperinflated and may represent chronic obstructive lung disease. Otherwise, two-lead pacemaker appears in place. The aorta appears mildly tortuous. Osseous structures are grossly unremarkable.
evaluation of patient with shortness of breath.
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Cardiac silhouette remains mildly enlarged. Mediastinal and hilar contours are unchanged. Mild pulmonary vascular congestion has improved. There is continued improvement of previously noted patchy ill-defined opacities in both lungs compatible with resolving infection. No new focal consolidation, pleural effusion, or pneumothorax. The right picc tip projects in the mid svc.
<unk>m with odynophagia and dysphagia, please eval for obstructing mass or foreign body.
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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal contours. Lungs are clear. No pleural effusion or pneumothorax. Degenerative changes are noted in the thoracic spine with anterior osteophyte formation. Surgical clips are noted in the left upper abdomen.
chronic bronchiectasis, new dry cough for five days, assess for pneumonia.
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Transvenous pacing wires project within the right atrium and right ventricle. The heart is mildly enlarged. The mediastinal contour is unremarkable. There is mild calcification of the aortic arch. There is no pleural effusion or pneumothorax. There is no evidence of pulmonary edema. Streaky linear left basilar opacity may reflect focal atelectasis or linear scar.
<unk>f with shortness of breath and leg swelling. reports fall with head injury, evaluate chf/pneumonia, ich, cspine fracture .
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The prominence to the pleura on the right is decreased on the current study likely representing decreased pleural effusion. There is no focal infiltrate.
chf, followup after diuresis.
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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable. Mild apical capping on the right is unchanged from <unk>.
history: <unk>m with multiple syncopal episodes // eval for chf, pneumonia
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation or effusion. Cardiomediastinal silhouette is within normal limits. No free air is seen below the diaphragm. No acute osseous abnormality is identified.
<unk>-year-old male with fevers and right upper quadrant pain.
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The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The pulmonary vasculature is not engorged, and there is no overt pulmonary edema. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The trachea is midline. There is no free air beneath the right hemidiaphragm. No acute osseous abnormality is detected.
asthma, now with dyspnea, here to evaluate for pneumonia.
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Frontal and lateral chest radiographs were obtained. Lungs are fully expanded and clear. The heart size is normal. There is prominence of the ascending portion of the aorta, likely secondary to underlying hypertension. There is no pleural effusion or pneumothorax.
patient with bad cough, rule out pneumonia.
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. There may be very minimal central pulmonary vascular board course without overt pulmonary edema. The cardiac and mediastinal silhouettes are unremarkable and stable.
history: <unk>f with sob // eval pneumonia
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The lungs again demonstrate increased interstitial opacities bilaterally, predominantly at the bases, indicative of chronic lung disease. No focal consolidation to suggest pneumonia. Heart size is mildly enlarged but stable. No pleural effusion or pneumothorax. Chronic right-sided rib deformities are again seen.
history: <unk>f with chest pain shortness of breath, and abdominal pain.
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The lungs are clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged in appearance.
history: <unk>f with <num> days of left sided chest pain // eval for pna, ptx
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A right picc line has been placed, with tip projecting over the right brachiocephalic vein. There is stable cardiomegaly and intact sternal wires. No focal consolidation, pleural effusion, or pneumothorax identified.
<unk> year old man with osteomyelitis on home antibiotics, picc line displacement.
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The cardiomediastinal silhouettes are unchanged in appearance. The bilateral hila are normal. The previously described increased interstitial prominence reflective of chronic fibrotic changes involving the left lower lobe is again seen, unchanged. Similar changes are also seen to a lesser degree in the right lower lobe, also unchanged. There are no other focal lung consolidations. There is no evidence of pulmonary vascular congestion. There are no pneumothoraces or effusions.
<unk> year old woman s/p liver transplant on immunosuppressants seen in ed <unk> for cough, ? pna on cxr. symptoms not improved, soemwhat worsened, crackles on left, please re-eval // assess for infiltrate, pnuemonia
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The lungs are well inflated. Minimal left lower lobe atelectasis is noted. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.
<unk>f w/ left breast chest pain. assess etiology.
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
history: <unk>f with sob leg swelling // ?pulm edema
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The lungs are well expanded. Bronchovascular thickening is prominent in mid to lower lungs, especially in the right lower lung. There is a possible trace pleural effusion on the right. The cardiomediastinal silhouette is unremarkable.
history: <unk>m with l sided cp x <num> wks. // cause of cp
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In comparison with study of <unk>, there is mild blunting of the costophrenic angles, consistent with small effusions, especially on the left. Central catheter has been removed. Continued enlargement of the cardiac silhouette without definite vascular congestion or acute pneumonia.
for methotrexate therapy, to assess change in pleural effusions.
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The cardiac, mediastinal and hilar contours show substantial decrease in a left hilar mass. This suggests a positive treatment response although bulging character to the aortopulmonary window is concerning for residual tumor or metastatic lymphadenopathy. The lungs appear otherwise clear.
lung cancer and chemotherapy presenting with chest pain.
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Extremely low lung volumes are noted however the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with chest pain // eval for pna
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The lungs are clear of focal consolidation, effusion, or pulmonary edema. The cardiomediastinal silhouette is normal. No acute osseous abnormalities.
<unk>f with sob // pna?
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There is a right-sided picc line with tip in the upper svc. There is volume loss in the left lower lobe which is increased compared to prior. An early infiltrate in this region cannot be excluded.
left elbow bursitis with fever, question pneumonia.
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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac silhouette is normal. Left tracheal deviation is again noted likely due to a thyroid goiter. No acute fractures are identified.
chest pain with history of cardiac catheterization.
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Lung volumes are low. The cardiac silhouette is moderately enlarged likely exaggerated due to technique. Linear opacities at the bilateral lung bases likely represent atelectasis. There is no pleural effusion or pneumothorax.
history: <unk>m with fever and cough // r/o acute infectious process