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The lungs are well-expanded and clear. No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. The mediastinum is not widened. The descending thoracic aorta is not tortuous. Linear metallic densities projecting over the left lower hemi thorax appear to be in the chest wall/ soft tissue on the prior ct from <unk>. No evidence of fracture on this nondedicated exam.
<unk>-year-old woman presents after mvc with chest pain. vss. (also hx of bilateral breast reconstruction s/p mastectomy for breast ca.) evaluate for fracture, ptx, or widened mediastinum (but low suspicion for dissection, cardiac contusion).
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Frontal and lateral views of the chest were obtained. New heterogeneous right infrahilar opacity is consistent with lower lobe pneumonia. Some right pleural effusion may be present although the basal pleural interface reflects the normal contour. An apparent bulge in the mid portion of the right basal interface seen on the lateral view, is actually superimposition of the stomach and splenic flexure. Widening of the mediastinum and obliteration of the right p;aratracheal stripe could be due to adenopathy or fat deposition. Heart size is normal.
<unk>-year-old female with fever and cough.
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There is peribronchial airspace opacity within the right middle lobe, which appears chronic. Small bilateral pleural effusions are probably present. There is moderate cardiomegaly, and calcification of the aortic knob. Chronic interstitial abnormality is again noted and may reflect chronic mild fluid overload.
<unk>-year-old female with fall, question infiltrate.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with sob x<num> days // sob
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Frontal and lateral radiographs of the chest demonstrate stable top 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.
dyspnea.
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Compared with the study of <unk>, the chest tube has been removed and replaced with a pleurx catheter. The opacification at the left base has improved, though it is unclear whether this reflects removal of pleural fluid or change in position of the patient. No evidence of post-procedure pneumothorax. Otherwise, little change.
pleurx catheter placement.
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An esophageal stent appears unchanged. There is also a stent along the left mainstem bronchus that appears unchanged. The cardiac, mediastinal and hilar contours appear stable there is no pleural effusion or pneumothorax. The lungs appear clear. The chest is hyperinflated. There has been no significant change.
altered mental status.
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The lungs are clear. Relative elevation of left hemidiaphragm is again noted. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with fever // pna
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<num> right chest has been removed. No increased pleural effusion. The other right chest tube remains. Marked cardiomegaly as previously. Bilateral lung opacities with no significant change.
<unk> year old woman with hemopneumothorax s/p ct x <num>, s/p removal of <num> ct yesterday // please eval for status of hemopneumothorax
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The cardiac silhouette size is normal. The mediastinal contour is unchanged. Mild enlargement of the hila bilaterally is compatible with underlying lymphadenopathy which was better demonstrated on the prior ct, and is unchanged. Regions of scarring within the right apex and left lung base appear relatively unchanged, with pleural thickening overlying the right apical lateral lung redemonstrated. Increased patchy opacities however are demonstrated in both lung bases. This could reflect atelectasis though infection cannot be excluded. The pulmonary vascularity is normal. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities are seen.
hypotension, cough.
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with shortness of breath // acute process?
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Heterogeneous left lower lobe consolidation is compatible with pneumonia. Pleural surfaces are clear without effusion or pneumothorax.
<unk> year old woman with cough, fever, left base consolidation on exam // assess for pneumonia, severity
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As compared to the previous radiograph, there is no relevant change. Status post sternotomy and cabg. Low lung volumes with normal shape and size of the cardiac silhouette and normal hilar and mediastinal contours. No acute changes in the lung parenchyma, notably no evidence of pleural effusions, pneumonia or pulmonary edema. No lung nodules or masses.
prerenal transplant, assessment for cardiopulmonary abnormalities.
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There is no focal consolidation, pleural effusion, or pneumothorax. Median sternotomy wires and cabg clips are again noted. The aorta is tortuous, unchanged. Cardiac silhouette size is normal.
cough and fatigue.
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal. Degenerative changes are noted in the mid-lower thoracic spine.
<unk>-year-old man with confusion after falls.
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Pa and lateral chest radiographs were obtained. A large right pleural effusion is new since <unk>. The left lung is clear. The left heart border is normal. There is no central vascular congestion.
<unk>-year-old woman with history of hcv, on interferon, presenting with diffuse anasarca and cough.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. The aorta is again partly calcified. The lungs appear clear. There are no pleural effusions or pneumothorax.
nausea.
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Cardiac, mediastinal and hilar contours are unchanged, with the heart size appearing normal. Pulmonary vasculature is normal. Minimal atelectasis is seen in the lung bases without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
history: <unk>m with "shallow breathing" cough x weeks
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A right-sided chest tube is been removed. There is a small right pleural effusion, slightly larger than on the prior study. The left lung is clear. The cardiac and mediastinal silhouettes are unchanged.
right effusion.
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Frontal and lateral views of the chest. There is new focal opacity at the left cardiophrenic angle. Elsewhere, the lungs are clear without effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected.
<unk>-year-old female fundamental status.
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Pa and lateral views of the chest. The lungs are clear without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No free air is seen below the diaphragm. No acute osseous abnormality is identified.
<unk>-year-old female with epigastric pain.
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Ap upright and lateral views of the chest were obtained. A chest tube is again noted at the right base. There is a persistent small right apical pneumothorax, not significantly changed compared to the prior examination. Lungs are clear. Cardiomediastinal silhouette is stable. There is no pleural effusion. Patient is status post mitral valve replacement.
<unk>-year-old man with mitral valve replacement, postoperative day <num>, evaluate for pneumothorax, chest tube on waterseal.
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Pa and lateral views of the chest were reviewed. There is moderate cardiomegaly. The thoracic aorta remains tortuous. The hila are unremarkable. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear.
palpitations.
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Pa and lateral radiographs of the chest once again demonstrate a right apical pneumothorax which has not changed substantially in size from the prior study. Aside from the stable appearance of the right hilar and mediastinal mass, the lungs are clear. There is no effusion or pulmonary edema. Elevation of the right hemidiaphragm is unchanged.
evaluate for interval change in right pneumothorax in patient with mediastinal mass status post vats biopsy.
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Left-sided dual-chamber pacemaker device leads terminate in the right atrium and right ventricle. Patient is status post median sternotomy and cabg. Esophageal stent appears in unchanged position. Heart size is normal. Coronary artery stent is re- demonstrated. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vasculature is normal. Small to moderate size right pleural effusion is unchanged, and the size of the small left pleural effusion is slightly increased. No pneumothorax is present. No acute osseous abnormalities detected.
history: <unk>m with cough, shortness of breath, headache, history of cancer
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema.
patient with shortness of breath, who is a smoker.
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Upright pa and lateral radiographs of the chest. The lungs are normally expanded and clear. There is no focal airspace opacity. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax.
cough. evaluate for acute process.
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Of note, a punctate metallic marker is present over the lateral aspect of the interspace between the left ninth and tenth ribs. No displaced rib fractures are present. The heart size and mediastinal contours are within normal limits. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old male with productive cough and rib pain after fall.
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Ap and lateral views of the chest were obtained. Lungs demonstrate emphysematous changes with no focal consolidation, effusion or pneumothorax. There is no evidence of chf. There is mild cardiomegaly. Bony structures appear intact.
fall, question rib fracture.
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Heart size is normal. The aorta remains tortuous, and the mediastinal and hilar contours are otherwise unremarkable. The pulmonary vasculature is normal and the lungs are clear. No pleural effusion or pneumothorax is seen. Symmetric biapical scarring is re- demonstrated. There are mild degenerative changes in the thoracic spine.
fever, cough.
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Frontal and lateral chest radiographs demonstrate normal cardiomediastinal silhouette band well-aerated lungs which are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
fevers, cough, seizure. evaluate for pneumonia.
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Given differences in patient positioning, exam is largely unchanged with bilateral moderate pleural effusions, left greater than right with associated bibasilar atelectasis. No dense focal opacification concerning for pneumonia identified, though examination is limited by overlying effusions. Cardiomediastinal and hilar contours are unchanged.
recent cardiac surgery for iatrogenic laceration of the ventricle, now with shortness of breath, evaluate for pneumonia, pleural effusion, large heart border.
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The cardiomediastinal and hilar contours are stable. There is redemonstration of multiple lung masses which appear similar as compared to prior chest ct. There is a small sized right-sided pleural effusion, which allowing for differences in technique, appears slightly increased in size since prior chest ct. The left costophrenic angle is clear. There is no pneumothorax. No definite new focal consolidation concerning for pneumonia. However, a small superimposed infectious process cannot be excluded.
fever and confusion. evaluate for pneumonia.
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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>. There is mild cardiac enlargement. No typical configurational abnormality can be identified. The thoracic aorta is mildly widened and elongated, but no local contour abnormalities identified. 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 are grossly within normal limits. Noteworthy on the frontal view is an increased translucency of the right lung base structures related to absence of the right breast shadow in this patient who apparently must have a history of right-sided mastectomy. In comparison with the next preceding study of <unk>, no significant interval change can be identified. Thus, mild cardiac enlargement but no signs of advanced pulmonary congestion or acute infiltrates.
<unk>-year-old female patient with cough, evaluate for infiltrates.
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There is moderate pulmonary edema. Bilateral pleural effusions are also noted, right greater than left. The cardiac silhouette is mildly enlarged. There is no pneumothorax. A left chest aicd and leads are in unchanged positions.
<unk>m with sob/doe and history of chf with crackles on exam. evaluate for pulmonary edema.
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Frontal and lateral radiographs of the chest demonstrate normal heart size, mediastinal and hilar contours. No focal consolidation. No pleural effusion or pneumothorax.
chest pain. evaluate for pneumonia.
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Pa and lateral views of the chest provided. Streaky opacities in the left lower lobe are minimally changed from chest radiograph <unk>, new as compared to chest radiograph <unk>, and remain concerning for pneumonia. Right lung clear. There is no pleural effusion pneumothorax. Heart size is top normal. There is no osseous abnormality. No free air below the right hemidiaphragm is seen.
history: <unk>f with ?pna // ?pna
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The inspiratory lung volumes are low, which accentuates the size of the cardiac silhouette and prominence of the mediastinum. Given this, the cardiac silhouette is likely stable. There is slightly increased prominence of the right mediastinum, adjacent to level of right mainstem bronchus which may relate to low lung volumes vs unfolded and prominent ascending aorta vs lymph nodes. There is increased airspace opacity in the left lung base on the frontal radiograph which may correspond to increased density projecting over the lower lobe on the lateral radiograph. No significant pleural effusion or pneumothorax is present. The trachea is slightly deviated to the right from the prominent, unfolded thoracic aorta. There is no free air beneath the right hemidiaphragm.
cough and fever, here to evaluate for 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 stable.
history: <unk>f with productive cough // acute process
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Pa and lateral views of the chest provided. Left port-a-cath terminates in the right atrium. There is no focal consolidation, effusion, or pneumothorax. Heart size is normal. Mediastinal and hilar contours are normal.
<unk> year old woman with hist of rectal cancer on chemo with newly resolved bowel function temp to <num> // please evaluate for pneumonia or other signs of infection
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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. No gross osseous abnormalities.
<unk> year old man with recent left lower lobe pneumonia presenting with left sided chest pain // eval for ongoing evidence of infiltrate, effusion, or rib fracture
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When compared to prior again seen is a partially cavitary left upper lobe pulmonary nodule. Other known pulmonary nodules are not clearly identified. The lungs are clear of consolidation or effusion. The cardiac silhouette is enlarged but stable. No acute osseous abnormalities identified.
<unk>f with chest discomfort // eal infiltrate, cardiomegaly, effusion
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.
history: <unk>m with hiv, not on meds for <num> months // pcp <unk>? tb?
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Frontal and lateral views of the chest are compared to previous exam from <unk>. Correlation is also made to chest ct from <unk>. The lungs remain hyperinflated and clear of focal consolidation. Calcific density projecting between the medial left clavicle and anterior left first rib is again seen and unchanged from prior ct scan. The mediastinal silhouette is within normal limits. Osseous and soft tissue structures are unchanged.
<unk>-year-old female with shortness of breath, cough.
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Frontal and lateral views of the chest. No pleural effusion, pneumothorax, or focal airspace consolidation. Cardiac silhouette is normal in size, and unchanged accounting for technique. The lung volumes are low which results in crowding of the bronchovascular structures. Despite this, there is mild pulmonary edema with bronchial cuffing, indistinctness of the hilar borders and vascular redistribution. There is mild prominence of the right hilus, thought to reflect a dilated main pulmonary artery. There is no focal airspace consolidation worrisome for pneumonia.
cough and congestion. rule out an infectious process.
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study obtained two and a half hours earlier. Chest findings are grossly unchanged. The left-sided pneumothorax in the apical area persists but has clearly become smaller. Whereas on the first examination, the maximal width is measured about <num> cm, it has now been reduced to less than <num> cm. No new abnormalities are seen. Dr. <unk> was informed by telephone. An additional film was taken with patient in expiratory phase, demonstrating the pneumothorax being of same size as it was on the preceding study. The conclusion is that the left-sided apical pneumothorax is stable in size.
left-sided pneumothorax, followup examination.
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In comparison with study of <unk>, there is no change or evidence of acute cardiopulmonary disease. Specifically, no evidence of acute pneumonia, vascular congestion, or pleural effusion.
hiv, status post bone marrow transplant with cough, to assess for pneumonia.
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Pa and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
<unk> year old man with recent assault and chest pain // please assess for fractures
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal. The right picc has been removed.
<unk> year old man with aplastic anemia, with new cold symptoms, please evaluate for acute process.
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Compared with the immediate prior study there is increased pulmonary vascular congestion and mild to moderate pulmonary edema. Cardiomegaly has also increased compatible with volume overload. There is no focal consolidation, pleural effusion, or pneumothorax the osseous structures and partially visualized upper are unremarkable.
<unk>m with valvular heart dz, afib, with worsening doe past <unk> days, evaluate for cardiopulmonary process
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs. There is no focal consolidation, pleural effusion, or pneumothorax. There is chronic elevation of the left hemidiaphragm and lingular scarring. The visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with cough.
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A left-sided pectoral pacemaker is noted with leads terminating within the right atrium and ventricle, respectively, unchanged as compared to <unk>. The lungs demonstrate no focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is unchanged from the prior examination.
<unk>m with syncope, pacemaker // eval pacemaker position
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As compared with the prior exam dated <unk>, there has been no relevant interval change. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. Mild cardiomegaly is unchanged. The patient is status post cervical fusion.
history: <unk>f with cough // eval heart and lungs
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Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
<unk>f with cp and dyspnea // r/o pna, effusions, ptx
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There is prominence of the interstitial markings without focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Posterior lumbar fixation hardware is partially visualized.
<unk>f with cough, weakness // eval for pna
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No previous images. Cardiac silhouette is within normal limits. There is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. There is a moderate impression on the left side of the lower cervical trachea, suggestive of a thyroid mass.
asthma and productive cough with right lower lobe rales.
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Left lower opacity seen on prior is mostly resolved with residual heterogenous linear opacity remaining. Small pleural effusions are new. No pneumothorax or mediastinal widening.
<unk> year old man with s/p cabg // eval for effusion
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There is mild cardiomegaly. There is redemonstration of a <num> cm nodule in the right suprahilar region, not significantly changed since prior. Lungs are clear. There is no focal consolidation, pleural effusion or pneumothorax. No definite radiopaque foreign body identified in this examination.
swallowed a fish bone. assess for foreign body.
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The patient is post median sternotomy and aortic valve repair, right ij sheath is unchanged in position or orientation. The cardiomediastinal silhouette is unchanged. Persistent vascular congestion. Mid-sternal lucency at proximal portion of sternotomy site is unchanged. Bibasilar atelectasis is worse on the right and improved on the left. Tiny right apical pneumothorax is unchanged, but the previously mentioned tiny left pneumothorax is no longer visualized. Small pleural effusions are unchanged.
<unk> year old woman with s/p avr pod <num> // eval for effusion and ptx
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Ap upright and lateral views of the chest provided.there is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Mild dextroscoliosis of the t-spine noted. No free air below the right hemidiaphragm is seen.
<unk>m with r acetabular fx, preop // evidence of pneumonia, cardiomegaly
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Ap and lateral views of the chest. The lungs are clear of consolidation, effusion or vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality identified noting degenerative changes in the spine and at the acromioclavicular joints.
<unk>-year-old male with syncope x<num>.
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Lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
<unk>m with cough // eval pna
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Lungs are well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Visualized osseous structures are notable for minimal levoscoliosis centered at t<num>. No displaced rib fracture.
<unk>f with left rib pain. assess for fracture or pneumonia.
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Ap and lateral chest for graft demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are stable relative to prior examination dated <unk>. Nodular opacities within the right infrahilar region are likely within soft tissue when correlated with the lateral projection and are present on prior exams. There is no evidence of pleural effusion, pneumothorax, or pulmonary edema. Imaged upper abdomen is unremarkable. Multilevel degenerative changes involve the imaged thoracolumbar spine.
history: <unk>f with ams // infiltrate
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The cardiac, mediastinal and hilar contours appear unchanged. There is a mild interstitial abnormality suggestive of pulmonary vascular congestion, but not nearly as striking as on the prior examination. Streaky left basilar opacity suggests minor atelectasis. There is probably a trace pleural effusion, at least on the right side. The bones appear demineralized. Surgical clips project over the central epigastrium.
mental status change and cough. question pneumonia.
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Catheter of a left chest wall port terminates in the upper svc. Heart size and cardiomediastinal contours are normal. Minimal right base atelectasis. No focal consolidation, pleural effusion, or pneumothorax.
history: <unk>m with hypotension // eval for pneumonia
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Heart size remains mildly enlarged. Mediastinal and hilar contours are unchanged. Right picc has been removed. Streaky atelectasis is noted in the left lung base. No focal consolidation, pleural effusion or pneumothorax is visualized. Pulmonary vasculature is not engorged. Spinal fusion hardware is noted spanning the thoracolumbar junction.
history: <unk>f with altered mental status
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A left-sided picc line terminates in the mid superior vena cava. The cardiac, mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.
myelodysplastic syndrome, status post cord blood transplant. the patient presents with cough and fever.
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There is no focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.
history: <unk>f with shortness of breath // ? acute cardiouplm process
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The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
<unk>m with dypsnea // acute cardiopulmonary disease
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Ap and lateral views of the chest. Enteric tube is no longer visualized. Subcutaneous gas overlying the right chest wall has resolved. Surgical <unk> present. The lungs are clear of consolidation. There is probable small right pleural effusion. There is no visualized pneumothorax. The cardiomediastinal silhouette is within normal limits and unchanged. Surgical clips project over the upper abdomen as on prior.
<unk>-year-old male status post fall on dialysis, hypotensive.
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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no large pleural effusion or pneumothorax. There is blunting of the left posterior costophrenic angle posteriorly, which may reflect small pleural effusion or pleural thickening.
history: <unk>m with palpitations, sob // evidence of pneumothorax
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Frontal and lateral views of the chest demonstrate top normal cardiomediastinal silhouette allowing for low lung volumes. There is evidence of prior coronary arterial bypass surgery. Median sternotomy wires are intact. The lungs are clear with the exception of trace atelectasis in the left base. There is no pneumothorax, vascular congestion, or pleural effusion. Dense sheet-like calcifications are seen about the abdominal aorta. There is moderate lower thoracic and lumbar spondylosis. Right glenohumeral degenerative changes seen with subchondral cystic changes.
<unk>-year-old male presents with chest pain. question wide mediastinum.
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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.
history: <unk>m with pelvic infx // pre op
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Left-sided port-a-cath tip ends in the approximate region of the cavoatrial junction, unchanged. The lungs are well-expanded and clear. No focal consolidation, pulmonary edema, large pleural effusion, or pneumothorax. Blunting of the costophrenic angles, worse on the left, is probably scarring or thickening. The heart is normal in size. The mediastinum is not patent. Hila are within normal limits.
<unk> year old woman with ovarian cancer // please check port placement
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Lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. No acute osseous abnormality is identified.
cough and fever, evaluate for pneumonia.
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The patient is status post coronary artery bypass graft surgery. The heart is normal in size. Coronary arteries appear calcified, possibly with stents. The lungs appear clear. There are no pleural effusions or pneumothorax. Small osteophytes are noted along the mid thoracic spine. There has been no significant change.
chest pain.
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Pa and lateral views of the chest provided. In this patient with prior right vats wedge resection, there is a persistent right pleural effusion which is slightly decreased from prior exam. There is associated compressive right lower lobe atelectasis. The left lung remains clear. No pneumothorax is seen. The heart and mediastinal contours are stable and within normal limits. The bony structures are intact.
<unk> year old woman s/p r vats wedge resection <unk>
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Left chest wall pacer device is in unchanged position. The cardiomediastinal silhouette is stable. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with chest pain // r/o pna
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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion or pneumothorax.
<unk>-year-old with chest pain.
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Lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. There is a slight irregularity to the right hemidiaphragm, likely from a small diaphragmatic eventration. The size of the cardiac silhouette is at the upper limits of normal. The mediastinal silhouette is normal.
metastatic prostate cancer, on chemotherapy with weakness. complains of difficulty eating.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Mid thoracic dextroscoliosis is again noted. There is no visualized acute fracture or other soft tissue or osseous abnormality. Surgical clips noted in the right upper quadrant, possibily from prior cholecystectomy.
<unk>-year-old female with left-sided pain and dyspnea after altercation.
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Multiple surgical clips are again noted at the ge junction. Opacity projecting over the right mid hemi thorax and extending along the abdomen is most consistent with a skin fold and only seen on frontal projection. The lungs are otherwise clear. Stable mild cardiomegaly. The right main pulmonary artery is again noted to be prominent, unchanged from <unk>. Mediastinal contour is within normal limits. A tortuous aorta is present. . Extensive degenerative disease of bilateral glenohumeral joints are again noted. No displaced rib fracture identified. Multiple wedge-shaped anterior compression fractures are stable from <unk>.
<unk>f s/p fall, weakness. assess for pneumonia, fracture or bleed
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. Bilateral pleural plaques are again noted
<unk> year old man with fevers // pna?
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Pa and lateral views of the chest provided demonstrate clear well expanded lungs without focal consolidation, large effusion or pneumothorax. The cardiomediastinal silhouette appears normal. The imaged bony structures are intact. No free air below the right hemidiaphragm.
<unk>-year-old man with a history of gerd, now with chest pain. evaluate for evidence of an acute cardiopulmonary process.
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Stable to minimal improvement in previously noted small right pneumothorax with right pleural drainage catheters in unchanged position. Lungs are otherwise clear. Cardiomediastinal silhouette is unchanged. No pleural effusions or pneumonia.
<unk> year old man with r ptx // check cxr with ct on a pneumostat. please do around <num>:<unk>:<num>am
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Lungs are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No hilar or mediastinal lymphadenopathy. No pleural effusions. No evidence of interstitial lung disease. No pneumonia, no pulmonary edema.
diabetes mellitus, evaluation for interstitial lung disease.
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal. No free air. There is an apparent long standing anatomic anomaly of t<num>/t<num> vertebra.
colicky abdominal pain.
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The heart size is large but stable. The mediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. Moderate degenerative changes are seen in thoracic spine.
<unk>-year-old female with new-onset vertigo.
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The lungs are clear. Cardiomediastinal silhouette is top normal but unchanged. There is no pleural effusion or pneumothorax. Left chest wall single pacing lead is unchanged in position.
<unk>-year-old male with chest pain, pleuritic, back pain.
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There is a large left lower lobe opacity with multiple air-fluid levels consistent with patient's known large hiatal hernia with adjacent atelectasis. Otherwise, the remainder of the lungs are clear. Cardiomediastinal silhouette appears within normal limits. Calcifications are noted at the aortic arch.
evaluation of patient with pleuritic chest pain.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable aside for mild leftward convex curvature.
cough and shortness of breath.
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There is a focal opacity at the right lung base. A linear region of opacification at the left lung base most likely represents atelectasis. The lungs are hyperinflated. There is no pleural effusion or pneumothorax. Cardiomediastinal contour is normal. There is dilation of the central pulmonary arteries.
<unk>-year-old man with fever, uri symptoms, evaluate for pneumonia, hiv positive.
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Frontal and lateral radiographs of the chest demonstrate increased opacification of the left base, which likely represents atelectasis and pleural effusion, however pneumonia could be considered in the appropriate clinical setting. There is mild pulmonary edema. The cardiomediastinal and hilar contours are unchanged. There is persistent cardiomegaly. No pneumothorax. There has been interval removal of the tracheostomy and right sided internal jugular central venous line. A pacemaker device is present, with a single lead terminating in the region of the right ventricle.
history: <unk>m with chest pain // evaluate for acute process
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Patient is status post median sternotomy. The lungs remain hyperinflated. There is slight blunting of the posterior left costophrenic angle which may be due to a trace pleural effusion versus pleural thickening. Basilar atelectasis is seen. No definite focal consolidation. There is no pneumothorax. The cardiac and mediastinal silhouettes are grossly stable.
history: <unk>m with slurred speech and ams pls eval for pna or efffusion // history: <unk>m with slurred speech and ams pls eval for pna or efffusion
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.
hyperventilation and shortness of breath.
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In comparison to the prior chest radiographs, no significant change is appreciated. Diffuse interstitial opacities appear unchanged. Obscuration of the right heart border also appears unchanged compared to many prior chest radiographs, likely due to adjacent pericardial fat silhouetting the diaphragm. Lungs are otherwise clear without focal consolidation. Moderate cardiomegaly is unchanged without pulmonary vascular congestion or pulmonary edema. A right-sided port-a-cath terminates in the lower svc. Median sternotomy wires are midline and intact.
cough, chest congestion // ? pna
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As compared to the previous radiograph, the patient has received a left pectoral pacemaker. The leads are positioned in the right atrium and right ventricle respectively. No pneumothorax. No pulmonary edema. No pleural effusion.
questionable 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.
history: <unk>m with ruq pain // eval pna, preoperative
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable.
history: <unk>f with chest and epigastric pain x <num> days resolved w/ asa // acs workup