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No focal consolidation is identified. There is mild atelectasis at the left lung base. Numerous bilateral known pulmonary metastases are better evaluated on previous ct chest. The cardiomediastinal silhouette is normal. There are small bilateral pleural effusions. No pneumothorax is seen. A right chest port-a-cath terminates within the right atrium. Surgical clips are seen in the upper abdomen. Osseous structures are grossly intact.
history of afib, metastatic pancreatic ca, here with <num> day of chest pain. evaluate for pneumonia or metastatic disease.
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Frontal and lateral views of the chest demonstrate interval resolution of a left midlung opacity. There are no new areas of consolidation to suggest pneumonia. Heart size is normal. Cardiomediastinal and hilar contours are unchanged. There is no pleural effusion or pneumothorax.
<unk> year old woman with wheezing, couging up clear sputum, evaluate for resolution of left lung opacity.
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. There is mild lung hyperinflation. No focal consolidation, pleural effusion, or pneumothorax.
ms and worsening weakness.
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Right-sided central venous catheter is again noted. There is relative elevation of right hemidiaphragm as on prior. The lungs remain clear consolidation, effusion or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with sob, vomiting coffee ground emesis, abd pain // infiltrate? free air under diaphragm?
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There is an ill-defined opacity visualized within the left lower lobe, concerning for consolidation in the setting of cough. No pleural effusion, pneumothorax, or pulmonary edema is seen. There is stable mild cardiomegaly. The mediastinal contours are normal. A stable wedge-shaped compression fracture is noted within the mid thoracic spine, along with associated diffuse osteopenia.
history of multiple myeloma, now with cough.
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The heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. There is minimal upper zone vascular redistribution, but no overt pulmonary edema is demonstrated. No pleural effusion, focal consolidation or pneumothorax is visualized. There are no acute osseous abnormalities.
pedal edema, fine crackles at the bases.
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
dyspnea.
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The heart is enlarged. There is a small right pleural effusion and a small-to-moderate left pleural effusion. Calcified lymph nodes are seen in the right hilum. Otherwise, the hilar and mediastinal contours are normal. The lungs are well expanded and clear. There are no focal consolidations. There is no pneumothorax. A left-sided double-lumen dialysis catheter is seen with the tip in the right atrium.
<unk>-year-old female patient with history of chf, end-stage renal disease on dialysis. study requested for evaluation of cardiomegaly, pleural effusion and/or infiltration.
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Pa and lateral views of the chest provided. Mild cardiomegaly is noted with an aortic valve replacement noted. Lungs are clear without focal consolidation, large effusion or pneumothorax. No signs of congestion or edema. There is a pectus excavatum deformity of the sternum. The mediastinal contour is stable. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with cirrhosis referred from mrcp after found to be lethargic, undergoing infectious w/u
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Patient is status post esophagectomy with gastric pull-through. The lungs are grossly clear. Heart size is obscured by the neo esophagus but probably not enlarged. Hilar contours are stable. There is no pleural effusion or pneumothorax. Dense contrast is noted within the bowel. A j-tube is partially visualized. A right chest port-a-cath terminates in the mid svc.
<unk>m with chest pain, nausea and vomiting. history of gastric esophageal cancer status post egd and j-tube placement. rule out pneumonia or aspiration.
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There is minimal left base atelectasis. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. Hilar contours are unremarkable.
difficulty breathing, wheezing cough, rule out pneumonia.
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected.
<unk>-year-old male with weakness.
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Patient is status post coronary artery bypass graft surgery. The heart appears mildly enlarged. The cardiac, mediastinal and hilar contours appear stable. Streaky opacities in the lingula suggesting minor scarring are unchanged. Otherwise, the lungs remain clear. There is no pleural effusion or pneumothorax. Kyphotic curvature is exaggerated with suspected bony demineralization and mild chronic appearing loss in height of two mid thoracic vertebral bodies. There is again dishiscence of the third sternal wire from the top without displacement. There has been no significant change.
dyspnea.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. There is small linear atelectasis at the left lung base. The lungs are otherwise clear. Pleural surfaces are clear without effusion or pneumothorax.
history: <unk>m with worsening of r sided dysmetria and ? neg cth // ? recurdescence of stroke sxs - evaluate for infection
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Pa and lateral views of the chest provided. Right chest wall port-a-cath again seen with catheter tip in the region of the cavoatrial junction. Cardiomediastinal silhouette remains stably prominent. Hilar congestion and mild pulmonary interstitial edema is noted though slight asymmetry is noted, right greater than left. Trace pleural fluid is present. No convincing signs of pneumonia. No pneumothorax. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with generalized weakness and bringing up phlegm, history of gastric cancer
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Lung volumes are low. Heart size remains mildly enlarged. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is seen. Minimal atelectasis is noted in the retrocardiac region. No acutely displaced fractures are identified.
history: <unk>m with difficulty speaking, possible recent assault
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. No fracture is identified. Surgical clips are noted in the right axilla from a prior lymph node dissection. Surgical clips are also noted the right upper quadrant from a prior cholecystectomy.
fall and right chest wall pain. evaluate for pneumothorax.
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There is increased opacification of the right lung base suggestive of an early developing infectious process. Minimal opacity is also noted in the left lung base and likely atelectasis. Right pleural effusion has resolved with a small left pleural effusion may now be present. Moderate cardiomegaly is stable. No acute fractures are identified.
chf and copd with worsening dyspnea.
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The lungs are well expanded. No focal opacities are identified. Blunting of the right costophrenic angle is chronic. Chain sutures from prior left lung surgery are redemonstrated. There is a tortuous aorta. Otherwise cardiomediastinal and hilar contours unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with recent pneumonia persistent left rib pain. evaluate for consolidation.
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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. There is no evidence of free air under the diaphragm.
left upper quadrant pain. question air under diaphragm, acute cardiopulmonary disease.
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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. Spinal hardware is partially imaged but not well assessed on this study, and appears new compared to the prior study.
history: <unk>f s/p fall p/w fever // ?acute intrapulmonary process
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The heart is at the upper limits of normal size, allowing for low lung volumes. There is patchy calcification along the aortic arch. The mediastinal and hilar contours appear unchanged allowing for leftward rotation. The lungs appear clear. There are no pleural effusions or pneumothorax. A compression deformity along the mid-to-lower thoracic spine is not well demonstrated due to overlapping soft tissue structures, but is likely unchanged.
altered mental status.
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Cardiac silhouette size is borderline enlarged. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
history: <unk>f with shortness of breath and chest pain
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Compared to the prior study, there is persistent aortic tortuosity and mild cardiomegaly. Lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>m with pancreatitis. eval for pleural effusion.
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There is a new dual-lead pacemaker with leads projecting over the expected locations of the heart. The aorta is tortuous. The heart is moderately enlarged. There is no focal infiltrate. There is a small left effusion, smaller than on the preoperative study.
pacemaker.
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The lungs are clear and minimally hyperinflated. There is minimal basilar atelectasis. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
chest pain.
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The heart is top-normal in size. The cardiomediastinal and hilar contours are within normal limits. Lung volumes are low which accentuate bronchovascular markings. There is some pulmonary vascular congestion, stable from the prior exam. There is no focal consolidation to suggest infection. Blunting of the costophrenic angles seen best on the lateral view may represent some pleural thickening or trace pleural effusions. There is no pneumothorax.
<unk> year old woman with afib on coumadin, htn, hl, presenting with substernal chest pain. // eval for cardiopulm process
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There is a new nodular opacity projecting over the right mid to upper lung field which is not appreciated on lateral view. No pleural or pericardial effusion is seen. Heart and mediastinal contours are within normal limits. Multiple air-fluid levels are seen in the visualized portion of the upper abdomen.
<unk>-year-old female with vomiting and fever.
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Pa and lateral views of the chest provided. On the lateral view there is subtle increased opacity projecting over the spine without correlate opacity on the frontal projection, likely due to prominent body habitus. No convincing signs of pneumonia. 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 sudden onset chest pain. // r/o pna
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Compared to the most recent prior in <unk>, bilateral interstitial abnormality, most pronounced in the left lung has worsened. The cardiomediastinal contour is unchanged. There is no pneumothorax or pleural effusion. Diffuse distension of bowel loops and chronic elevation of the right hemidiaphragm, are similar to prior.
<unk> year old man with sob and cough, evaluate for pneumonia.
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No the pulmonary edema is seen. No displaced fracture is seen although please note that this study is not optimal in assessing back pain. If there is high clinical concern for back injury, should consider cross-sectional imaging.
diffuse back pain.
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Heart size is mildly enlarged but unchanged. The mediastinal hilar contours are similar. Pulmonary vasculature is not engorged. Patchy and linear opacities are noted within the lingula and right middle lobe, likely reflective of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>f with presyncope
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Lung volumes are normal. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
history: <unk>f with cp // ptx
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There is chronic elevation of left hemidiaphragm. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>f with pna? // pna?
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Frontal and lateral chest radiographs were obtained. Lung volumes remain very low. A persistent tiny left apical pneumothorax remains without evidence of tension. Bilateral small pleural effusions are present with compressive atelectasis at the bases. Postoperative cardiomediastinal silhouette and hilar contours are stable.
patient status post cabg with left apical pneumothorax, eval pneumothorax.
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Frontal and lateral radiographs of the chest demonstrate normal heart size. The cardiomediastinal silhouette and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax. No displaced rib fracture identified.
no significant past medical history common chest pain yesterday evening and syncopal event today. evaluate for cardiopulmonary causes of syncope.
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Chest, pa and lateral radiographs demonstrate clear lungs with no pleural effusion or pneumothorax evident. Heart size is mildly enlarged with an unfolded aorta. Fullness in the right upper mediastinal region likely represents mediastinal vessels. Right paratracheal stripe is maintained.
shortness of breath, cough. please evaluate for pneumonia or pleural effusions.
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Lung volumes are markedly low, which accentuates bronchovascular markings and enlarges the cardiac silhouette. Given that, the heart is enlarged. The course of the aorta is irregular consistent with a known large thoracic aortic dissection. Calcification along the thoracic aorta is demonstrated. Subtle basal opacities likely represent atelectasis. No overt pulmonary edema. Of note, soft tissue density overlying the left apex is most likely related to overlying soft tissue.
<unk>m w/ other requirement, unable to wean to room air pod<unk> s/p afrenalectomy // r/o acute process
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Heart size is normal. Mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
cough and hemoptysis.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are well expanded and clear of any evidence of focal consolidations, pneumothoraces or pleural effusions. Visualized osseous structures are unremarkable.
history of chest pain. rule out pneumothorax.
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Severe dextroscoliosis of the thoracic spine is noted. The heart size is normal. Mediastinal and hilar contours are unremarkable, and there is no pulmonary vascular congestion. Linear and streaky opacities in the lung bases most likely reflect atelectasis. There is no focal consolidation, pleural effusion or pneumothorax is identified.
vomiting, oxygen desaturation.
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Frontal and lateral chest radiographs demonstrate chronic elevation of left hemidiaphragm with adjacent atelectasis, unchanged from <unk>. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is normal in size, the mediastinal contours are normal.
<unk>-year-old male with dizziness. evaluate for occult pneumonia.
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Frontal and lateral chest radiographs demonstrate a right chest port with the catheter terminating in the low svc. The cardiomediastinal silhouette is normal. There is again right hemidiaphragm elevation, unchanged with adjacent mild atelectasis in the right lung base. . No focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality is visualized.
history: <unk>f with dizzy and weak. hx of metastatic cancer (ovarian and thyroid). infection workup
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with sob and chest pain // r/o chf and ptx
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Pa and lateral chest radiographs were provided. Large opacity in the right upper lobe is somewhat masslike and may represent infection, however neoplasm is also possible. A nodule is present superior to the large opacity. Patchy lower lobe opacities are also noted, possibly infectious in nature. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
history of productive cough. evaluate for acute 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 hiv, cd<num> <unk> p/w malaise and subjective fever
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Frontal and lateral views of the chest were obtained. The pleurx catheter projects over the right hemithorax, unchanged in position. A small right apical pneumothorax is noted. Small bilateral pleural effusions are slightly decreased on the right and similar on the left with adjacent atelectasis. No pneumothorax. The right upper lobe mass is again seen. Pulmonary vasculature is within normal limits. Cardiac and mediastinal silhouettes are stable.
pleural effusion and small pneumothorax with pleurx catheter in place.
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Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
ten days of cough.
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Pa and lateral views of the chest demonstrate an prominent cardiomediastinal silhouette, unchanged. There is no focal consolidation, pleural effusion, or pneumothorax. The lung bases are slightly obscured on the lateral views due to elevation of the left hemidiaphragm. The aortic knob is calcified.
chest pain, evaluate for acute cardiopulmonary process.
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Ap and lateral views of the chest. Right central venous line is no longer seen. The lungs are clear. There is no effusion or consolidation. The cardiomediastinal silhouette is within normal limits and notable for median sternotomy wires and mediastinal clips. No acute osseous abnormality detected. Calcification seen adjacent to the right greater tuberosity, potentially calcific tendinitis or bursitis.
<unk>-year-old female with end-stage renal disease on hemodialysis with chest pain.
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There is a subtle opacity overlying the right lower lobe. Otherwise, the left lung is clear. The cardiac silhouette is normal. There are no pneumothoraces or pleural effusions. No acute fractures are identified.
evaluation of patient with cough.
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Pa and lateral views of the chest. No prior. The lungs are clear of focal consolidation. Costophrenic angles are sharp. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable. Note is made of a filter projecting over the mid abdomen on the right.
<unk>-year-old male with hiv, fever. question infiltrate.
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is demonstrated.
right chest pain.
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No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with brain ca, p/w fever // eval for pneumonia
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Frontal and lateral views of the chest were obtained. Heart size and cardiomediastinal contours are stable. Bibasilar linear opacities are similar to prior and compatible with atelectasis or scarring. No focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old female with acute onset of palpitations.
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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. The lungs are clear. Views of the upper abdomen are unremarkable. Mild loss of vertebral body height in the lower thoracic spine is unchanged, and of uncertain etiology.
<unk>-year-old with syncope and left rib pain // eval for sob, left rib pain, syncope cardiomegaly .
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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 and stable.
history: <unk>m with sore throat and possible submandibular la for the last week, and cough w/ cp <num> week ago. // rule out pna and neck abscess
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The lung volumes are low with adjacent bibasilar compressive atelectasis. The heart size is difficult to evaluate due to low lung volumes. Mediastinal silhouette and hilar contours are unremarkable. Lungs are otherwise clear. There is no pleural effusion or pneumothorax. The osseous structures are grossly unremarkable.
nausea vomiting and weakness.
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Reticular opacities in mid and lower lungs are improved since <unk>. Upper lobe predominant emphysema is unchanged. The heart size is normal. Mediastinal contours are normal. No bony abnormality is detected.
history of hiv and hcc, now with hypoxemia.
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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 atypical chest pain. evaluate for presence of acute cardiopulmonary process.
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Patchy right lower lobe opacity may reflect atelectasis versus pneumonia. There is no pleural effusion, pneumothorax or pulmonary edema. The heart is normal in size.
<unk>-year-old male with productive cough. evaluate for pneumonia.
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In comparison to the chest radiographs obtained <unk>, mild pulmonary edema has resolved and a small right pleural effusion has decreased in size. A right-sided pleural drainage catheter projects medially over the right hemidiaphragm. There is mild bibasilar atelectasis. Apparent double lung parenchyma is such that small pulmonary nodules could be missed. A left-sided picc terminates in the mid svc. An enteric tube passes into the stomach, the proximal duodenum, than outside the field of view.
<unk> year old woman with hepatic hydrothorax s/p tpc placement // follow up right sided pleural effusion
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The lungs are well-expanded and clear. No focal consolidations. Normal appearance of the cardiomediastinal silhouette. No pleural effusion. No pneumothorax. No acute osseous abnormalities detected.
history: <unk>m with chest pain s/p mvc. // rib fx, pneumo?
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Triple lead pacing device is again seen. Lung volumes are relatively low with secondary crowding of the bronchovascular markings. There is no consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires are again noted. Degenerative changes noted at the right ac joint and hypertrophic changes in the spine.
<unk>f with mvc // eval for injury
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Frontal and lateral views of the chest were obtained. The lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. There is no free air under the diaphragm. No osseous abnormality is identified.
chest pain.
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Lung volumes are low, accounting for some of the bronchovascular crowding. However, there are still bilateral diffusely increased interstitial opacities particularly in the right upper lobe as well as cephalization of the vessels compatible with mild pulmonary vascular congestion and edema. There is no large pleural effusion. There is also peribronchial cuffing, particularly evident in the right infra-hila region. Atherosclerotic calcifications of the aortic arch are unchanged as is the mild cardiomegaly. Degenerative changes of the thoracic spine are once again present with several lower thoracic vertebral bodies being slightly compressed anteriorly.
chest pain, question acute process.
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Linear opacities at the lung bases are most suggestive of atelectasis. There is no effusion or vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. No free intraperitoneal air identified. Laparoscopic band identified in the upper abdomen better seen on the lateral view.
<unk> year old man s/p adjustable gastric band surgery, who p/w <num>d hx of severe upper abdominal pain // rule out perf?
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
history: <unk>f with chest pain // eval for acute process
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Pa and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is within normal limits. Osseous structures are unremarkable.
<unk>-year-old male with epilepsy status post <num> seizures today. question infection.
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Pa and lateral views of the chest provided. There has been interval placement of a nasogastric tube which courses into the left upper abdomen with the tip outside the field of view. There is a catheter projecting over the right upper quadrant likely a percutaneous biliary drain as seen on recent prior ct abdomen pelvis. There is mild bibasilar atelectasis without definite signs of pneumonia, edema, effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact.
<unk>m with history of metastatic neuroendocrine tumor s/p biliary drain p/w ruq pain and ttp
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As compared to the previous radiograph, the image is now performed in expiration. There is no substantial difference in appearance of the known pneumonia and empyema on the right. A plate-like atelectasis has newly occurred on the left. Borderline size of the cardiac silhouette. No visualization of an apical right pneumothorax.
pleural effusion and empyema, evaluation.
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Pa and lateral views of the chest. There is a small nodular opacity projecting over the left lower lobe. There is slight blurring of the medial portion of the left hemidiaphragm and adjacent vague opacity that may represent pneumonia or atelectasis. Otherwise, the lungs are clear. No pleural effusion or pneumothorax. The cardiomediastinal contours are normal.
vertigo, question of pneumonia.
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There are low lung volumes with bibasilar subsegmental atelectasis. Pneumonia in these regions cannot be completely excluded. The cardiac silhouette is mildly enlarged, which is chronic. There is no pneumothorax. Pulmonary vascularity is normal.
<unk>-year-old man with shortness of breath. evaluate for pneumonia, effusion, or pulmonary edema.
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Since <unk>, there has been re-accumulation of left pleural effusion with minimal atelectasis at the left base. Small right pleural effusion is similar to <unk>. The heart size is top normal. Mediastinal and hilar contours are unchanged. Right picc terminates in mid to low svc. A pleural catheter is right of midline. No pneumothorax is seen.
<unk> year old man with prior left pleural effusion. left pleural effusion
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As compared to the prior examination performed <num> hr earlier, there has been no significant interval change. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>m with vertebral artery dissection // toxic/ metabolic evaluation, possible paraneoplastic
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The lungs are well expanded. There is a bandlike, well defined density projecting over the anterior portion of the <unk> left rib. No other focal parenchymal opacities are seen. A linear density projecting across the right lower lung is likely a skin fold. Heart size is mildly enlarged but the cardiomediastinal and hilar contours are otherwise unremarkable. There is a small right-sided pleural effusion. There is no left-sided pleural effusion or pneumothorax. A port-a-cath port is seen in the left upper hemithorax with the tip of the catheter at the lower svc.
<unk>-year-old female with history of ovarian cancer with bilateral lower extremity swelling and shortness of breath. evaluate for intrathoracic process.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen. .
<unk> year old man with fever // chr vs pna
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. Old healed fracture is identified in the anterior right second rib.
history: <unk>m with paroxysmal afib // eval for pleural effusion
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Pa and lateral views of the chest were obtained. The heart is normal in size, and cardiomediastinal contour is unremarkable. Lungs remain hyperinflated and clear. There is no pleural effusion or pneumothorax. There is no free air under the diaphragm.
<unk>-year-old man with bowel prolapse, evaluate for free air.
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There has been interval placement of left-sided single chamber icd which apparently follows expected course, to the right ventricle. There is small amount of fluid in the right major fissure. Peribronchial and interstitial opacities in the right base has improved. Persistent elevation of the left diaphragm is seen. Heart size is enlarged. Mediastinal and hilar contours are unremarkable. There is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax. Sternotomy wires are intact. Surgical clips are in place and appear unchanged from prior.
<unk> year old man s/p single chamber icd. evaluate for the placement.
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No evidence of free air is seen beneath the diaphragms.
history: <unk>f with dyspnea, luq abd pain*** warning *** multiple patients with same last name! // acute process
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Frontal and lateral radiographs of the chest were acquired. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
cough and fever. assess for pneumonia.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with chest pain // eval for acute process
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Patient is post aortic valve replacement, with intact median sternotomy wires. The left chest wall pacer device, with leads terminating in the right atrium and right ventricle, is unchanged in appearance. Compared with the prior radiograph, increased interstitial pulmonary lung markings and <unk> b-lines, with peribronchial cuffing, consistent with worsening pulmonary edema. Mild cardiomegaly and severe calcification of the mitral annulus are unchanged. Right hemidiaphragm eventration is unchanged. No new focal consolidation concerning for pneumonia or pleural effusions.
<unk>f with history of chf, here for sob. assess for pulmonary edema vs. infection.
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The cardiomediastinal and hilar contours are normal. No chf, focal infiltrate, pleural effusion, or pneumothorax.
<unk>-year-old male with hyperglycemia.
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Mild cardiomegaly is unchanged. A single cardiac defibrillator lead is in unchanged position.
chest pain.
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The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old male with fever, chills, and productive cough for <num> days.
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Stable small right pleural effusion and moderate sized left pleural effusion. No interval change in the left lower lobe, retrocardiac, well-circumscribed, thick-walled, soft tissue lesion measuring <num> cm x <num> cm with central contents of air and fluid. The inferosuperior aspect is distinct from the pleura and is in the lung; however, the inferoposterior aspect is partially obscured by the pleural effusion and may have pleural invasion. No vertebral destruction. No additional focal opacities. No pneumothorax and the right lung is clear. Heart is top normal and mediastinal contours are normal without lymphadenopathy. Severe emphysema with widened ap diameter, hyperinflated lungs and flattened diaphragms is unchanged.
<unk>-year-old female with chronic left lower lobe mass.
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
cough and dyspnea. evaluate for pneumonia.
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The heart is top-normal size. Normal mediastinal and hilar contours. There is a left lower lobe airspace opacities with air bronchograms. The right lung is clear. No pleural effusion or pneumothorax.
history: <unk>f with body aches fever cough // eval for pna
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable with top-normal heart size. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk> year old woman with productive cough
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Frontal and lateral views of the chest. Low lung volumes are again seen with crowding of the pulmonary bronchovascular markings with likely superimposed vascular congestion. There is no large effusion or confluent consolidation. Streaky bibasilar opacities suggestive of atelectasis, more so on the left, as noted on prior. Postoperative changes of aortic valve replacement seen with median sternotomy wires and prosthetic aortic valve. No acute osseous abnormality is detected.
<unk>-year-old male status post aortic valve replacement with shortness of breath.
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The lungs are well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.
history: <unk>f with chest pain, chest tightness. assess for pneumothorax or infiltrate.
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Lung volumes are reduced, accentuating the cardiac contour and pulmonary vasculature. Mild cardiomegaly. No strong evidence for pneumonia or pulmonary edema. No pleural effusion or pneumothorax.
history: <unk>m with ams, melanoma on chemo // eval for pna
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Two views were obtained of the chest. The lungs are relatively well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.
pre syncope.
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The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with seizure // eval for pna
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The heart size is mildly to moderately enlarged. Mediastinal contours are relatively unchanged, with mild calcification of the thoracic aorta. Mild interstitial pulmonary edema is present, similar compared to the prior exam with small bilateral pleural effusions. Clips are noted projecting over the left chest wall. There are degenerative changes in the thoracic spine.
shortness of breath.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. Heart is top-normal size. Hilar and mediastinal contours are normal.
history: <unk>f with concern for tia // evidence of infection
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Portable chest radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. Low lung volumes are noted bilaterally with vascular crowding in the lung bases. No focal opacifications evident. No pleural effusion or pneumothorax identified. On this non-dedicated rib series no displaced rib fractures are identified.
fall downstairs with head strike with right chest pain, please evaluate for fracture.
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Ap upright and lateral views of the chest provided. Aicd is noted projecting over the left chest wall with leads extending to the region the right atrium and right ventricle. Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. No overt edema. Aorta is calcified. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f pre op