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Severe cardiomegaly is re- demonstrated. Mediastinal and hilar contours are similar. Mild pulmonary vascular congestion appears chronic. Minimal blunting of the costophrenic angles on the lateral view suggests trace bilateral pleural effusions. No focal consolidation or pneumothorax is identified. There are no acute osseous abnormalities.
history: <unk>f with weakness, wheeze
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Cardiomediastinal contours are unchanged. Pulmonary edema has markedly improved now mild. There is no pneumothorax. Small bilateral effusions have decreased. The osseous structures are unremarkable. Catheter projects over the right anterior chest
<unk> year old woman with hx of all s/p bone marrow transplant <unk>, admitted with adrenal insufficiency, now with productive cough, concerning for hcap. // eval for pneumonia
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In comparison with the study of <unk>, there is no interval change. No acute pneumonia, vascular congestion, or pleural effusion. Minimal left basilar streaking. The large bore catheter extends to the right atrium.
pre-bone marrow transplant evaluation.
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Two views of the chest. Enteric tube ends in the corpus of the stomach. Slight cardiomegaly, but no pulmonary edema. There is no focal consolidation, no pleural effusion, and no pneumothorax.
<unk>-year-old with hypoxia.
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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>m with chest pain, shortness of breath
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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
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Heart size is mildly enlarged but unchanged. The aortic knob is calcified. The mediastinal and hilar contours are unremarkable. There is no pulmonary vascular congestion. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.
shortness of breath.
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The lungs are hyperinflated, suggesting chronic obstructive pulmonary disease. Pleural effusion seen, best demonstrated on the lateral view. Moderate pulmonary edema is re- demonstrated. The cardiac and mediastinal silhouettes are stable. No pneumothorax is seen.
history: <unk>m with cough // eval for pneumonia
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Frontal and lateral radiographs of the chest demonstrate normal heart size. The cardiomediastinal silhouette and hilar contours are normal. A calcified nodule at the left apex is again noted likely representing granuloma. The lungs are clear. No pleural effusion or pneumothorax. No displaced rib fracture identified.
positional headaches with glioblastoma, just stopped chemo on <unk>. evaluate for infection.
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Lung volumes are low. There is no focal consolidation. No pleural effusion or pneumothorax. There is moderate central vascular congestion, interstitial edema, and a small amount of fluid in the fissures bilaterally. Heart size is moderately enlarged but likely accentuated by lower lung volumes. Mitral annular calcifications are seen. . Osseous structures are intact.
<unk>f with shortness of breath. evaluate for acute process.
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The lungs are clear. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette, hila, and pleura are unremarkable. No acute osseous abnormality.
<unk>-year-old woman with asthma complaining of back pain; evaluate for pneumonia or pneumothorax.
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There is increased ground-glass opacity within both lungs concerning for edema. Pulmonary vasculature appears engorged. There is no pneumothorax or pleural effusion. Cardiac contour is normal. Reported left lung mass is better visualized on recent chest ct. Visualized osseous structures are unremarkable.
<unk> woman with rapid atrial fibrillation, mild dyspnea, recently diagnosed lung mass.
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Mild pulmonary vascular congestion has improved. No over pulmonary edema. Moderate cardiomegaly unchanged. No pleural effusions. No lobar consolidation. No pneumothorax.
r/o pulm edema worsening // <unk> m with heart failure, hx cancer
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The lung volumes are low, with asymmetric volume loss in the right lung from a prior right upper lobe resection. Surgical changes are stable in appearance. Diffuse interstitial opacities are compatible with chronic interstitial lung disease, though there are increased interstitial opacities throughout both lungs. In comparison to the prior radiograph, there is a new opacity in the retrocardiac region, concerning for infection. There is no obvious pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
known pulmonary fibrosis. presenting with fevers, chills, and increasing oxygen requirements.
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Since the prior exam, there are increased interstitial abnormalities at the bilateral bases and in the right apex with some tenting of the right side of the mediastinum. The abnormalities are mostly subpleural in location. There is interval volume loss of both lungs. There is no focal opacity, pulmonary edema, pleural effusion, or pneumothorax. The heart size is normal. Tiny clips are present at the diaphragm, and related to the known gastric surgery.
bibasilar dry crackles and history of radiation. evaluate for radiation changes.
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Frontal and lateral radiographs of the chest demonstrate well-expanded lungs. An area of opacification is seen at the base on the lateral view only. A tiny right-sided pleural effusion is present. The cardiomediastinal and hilar contours are unremarkable. The heart is top normal in size. There is no pneumothorax.
<unk>-year-old man status post transplant with cough for two weeks. evaluate for pneumonia.
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The lungs are clear bilaterally, without evidence of focal consolidations, pleural effusions or pneumothorax. The heart and mediastinum are within normal limits. An old left mid-clavicular fracture is noted.
<unk> year old woman with cough x <num> weks // eval for consolidation
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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
history: <unk>f with new abdominal distension and mets. // pna/mass?
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Pa and lateral views of the chest demonstrate severe cardiomegaly. Pulmonary vascular congestion persists, along with tiny bilateral pleural effusions. Old rib fractures are again noted. No pneumothorax is present. Subtle opacity anterior to the left oblique fissure, best seen on the lateral view, is possibly due to atelectasis.
<unk>-year-old female with chest pain and cough. evaluation for pneumonia.
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
<unk>-year-old woman with chest pain evaluate for pneumonia.
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The heart is mild-to-moderately enlarged. There is unfolding and calcification of the thoracic aorta. A soft tissue density projecting over the medial right lung apex is uncertain in etiology but may be due to mild vascular congestion or atelectasis, but perhaps less likely pneumonia, in the right upper lobe. To some extent this may be more due to mediastinal widening on the right. Patchy opacity in the left lower lobe is likely compatible with atelectasis. Pulmonary vasculature does not appear particularly prominent. Bones appear demineralized.
dyspnea.
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Pa and lateral radiographs of the chest depict clear lungs. There is no pneumothorax or pleural effusion. The hilar and cardiomediastinal contours are normal. Pulmonary vascularity is normal. Atherosclerotic calcifications of the thoracic aorta are redemonstrated.
productive cough for half a week.
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There slight increase in interstitial markings bilaterally which may be due to mild interstitial edema. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Multiple old left-sided rib fractures are seen, new since <unk>.
history: <unk>m with known abd aaa // pre op
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The lungs are clear of consolidation, effusion, or pulmonary edema. Cardiac silhouette is top-normal in size. There is tortuosity of the descending thoracic aorta. There is apparent narrowing of the mid to lower trachea, not significantly changed since priors. No acute osseous abnormalities. Chronic left lateral second, third, and fourth rib fractures are noted.
<unk>m with cough // pna
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Lung volumes are low. Streaky bibasilar airspace opacities likely reflect atelectasis. There is no evidence of lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>m with cp fever // eval for pna
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A vascular stent in the svc is in unchanged position. A double-lumen catheter extends past the stent and into the right atrium, further than it has previously been located. The lungs are clear. Cardiac silhouette is normal in size. There is no pleural effusion or pulmonary edema. There is no pneumothorax.
fever.
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The cardiac, mediastinal and hilar contours appear stable including mild cardiac enlargement. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild loss in height among several lower thoracic vertebral bodies appears unchanged. The bones are probably demineralized. There has been no significant change.
shortness of breath and dizziness.
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No focal consolidation is seen. There is mild basilar atelectasis. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable. Some degenerative changes are seen along the spine which overall appear grossly mild.
history: <unk>f with chest pain // eval for structural process
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The lungs are clear. There is no effusion, consolidation, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Bilateral nipple rings are noted. No acute osseous abnormalities.
<unk>f with palpitations // ptx
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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. An enteric tube is noted coursing through the stomach, not completely imaged, as well as a percutaneous gastrostomy catheter.
history: <unk>f with weight loss, anorexia, chills
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Compared to the prior 's there is little overall change with stable appearance of moderate left pleural effusion. Opacification of the left mid lung persists likely representing rounded atelectasis. The right lung remains clear. Stable cardiomediastinal contours.
<unk> year old man with effusion // f/u effusion
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A port-a-cath terminates in the superior vena cava. The heart is normal in size. The mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The chest is hyperinflated. The lungs appear clear. Bony structures are unremarkable.
shortness of breath and palpitations. history of lymphoma.
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There are relatively low lung volumes. Moderate mild bibasilar atelectasis is seen. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Evidence of dish is seen along the spine.
dyspnea on exertion.
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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The heart size is normal. The cardiac, hilar, and mediastinal contours are normal.
aids with cd<num> count of <num>. fever and cough concerning for infectious process.
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The heart is borderline in size. The aorta is tortuous with patchy calcification visualized along the arch. Streaky opacities in the lower lungs are most consistent with minor scarring. A very small hyperdense focus in the left upper lung suggests a small calcified granuloma. The chest is hyperinflated. There is no pleural effusion or pneumothorax.
increased leg swelling and dyspnea on exertion. history of sle.
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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 // ? acute cardipulm process
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Pa and lateral views of the chest were reviewed. Heart size is mildly enlarged. Mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear. Pulmonary vasculature is within normal limits.
vomiting with chest pain.
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Flattening of diaphragms on the lateral view suggests possible hyperinflated lungs.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Mild cardiomegaly stable. No evidence of pulmonary edema or vascular congestion. Aorta is tortuous. Metal clips in the right upper abdomen from prior cholecystectomy again seen.
<unk> year old woman with increased cough // r/o pna, r/o chf
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Pa and lateral views of the chest. The lungs are again hyperinflated with flattening of the diaphragms consistent with obstructive lung disease. Chronic interstitial markings bilaterally are again seen, consistent with chronic lung disease. Heart size is normal. The mediastinal and hilar contours are normal. There is no focal consolidation, pleural effusion or pneumothorax.
drug abuse, cough, wheezing.
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Pa and lateral views of the chest. There is mild left basal atelectasis. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal contours are normal.
chest pain.
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The lungs are symmetrically well expanded and well aerated without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is top normal in size, but stable. The mediastinal and hilar contours are within normal limits. The central tracheobronchial tree is midline and appears patent.
<unk>-year-old woman with history of pituitary adenoma status post resection, now with atypical expectoration, here to evaluate for acute cardiopulmonary process.
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There are low lung volumes. Bibasilar streaky and linear opacities likely reflect atelectasis. Remainder of the lungs are otherwise clear. No pleural effusion or pneumothorax is present. The heart size is borderline enlarged. Mediastinal and hilar contours are unremarkable. There is no pulmonary vascular congestion. Mild degenerative changes are seen in the thoracic spine. No free air is seen under the diaphragms.
epigastric abdominal pain.
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<num> views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal mediastinal and hilar contours.
weakness, assess for pneumonia.
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In comparison with study of <unk>, the right pleural effusion has effectively cleared. No evidence of acute pneumonia, vascular congestion, or other abnormality.
to assess for pleural effusion.
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Ap and lateral views of the chest are compared to the previous exams from <unk> and <unk>. There are low lung volumes resulting in accentuation of the pulmonary vasculature. The presence of interstitial edema, focal consolidation or aspiration is difficult to discern given the low lung volumes. Increased interstitial markings are unchanged compared to the prior exams. The cardiomediastinal silhouette is enlarged, however is unchanged compared to the prior study. No bony abnormalities. No free air below the right hemidiaphragm.
evaluation for acute intrathoracic process in a <unk>-year-old woman with fever up to <num>.<unk>f.
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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. Several clips are noted within the right chest wall.
history: <unk>f with history of breast cancer complaints of chest pain for the past <num> days.
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Lower lung volumes seen on the current exam with secondary crowding of the bronchovascular markings. Prior right picc is no longer visualized. There is no effusion or confluent consolidation. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with aids. positive smoker <num>ppd, positive chest pain, productive cough, wheezes on lung fields. // rule out pulmonary problems, including pneumonia.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. The chest is hyperinflated.
dyspnea.
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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size. There is no free air. The left ac joint is widened to <num> mm suggestive of previous ac joint separation, type ii.
history: <unk>m with epigastric pain, nausea
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A port-a-cath is seen over the right chest wall with the catheter tip extending to the level of the mid svc. Median sternotomy wires are again seen and are unchanged. A nodular opacity projecting over the right lower lobe is unchanged in size from the prior radiograph and is better characterized on recent chest ct from <unk>. There are small bilateral pleural effusions. An opacity at the left lateral lung base may represent atelectasis or infection. The heart is normal in size and the cardiomediastinal and hilar contours are unchanged.
<unk>m with metastatic panc cancer s/p biliary stent complaining of abdominal pain, recently inpt for sob, chest pain // eval for pna, eval for stent/biliary dilatation
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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 persisent respiratory symptoms, recent influenza a // eval for infiltrate or change
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Since the prior cxr, there has been interval resolution of right-sided pulmonary edema. The right lung is otherwise free of focal consolidations, large pleural effusions or pneumothorax. Within the left lung, there is extensive atelectasis at the lung base. The two chest tubes are unchanged in position. The moderate/large left loculated pleural effusion is not significantly changed compared to <unk>. Tiny hydropneumothoraces noticed in the left lung apex. No acute osseous abnormalities.
<unk> year old man with pneumonia s/p vats decortication // f/u
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Heart size is normal. No definite pneumonia or chf. There is posterior blunting/pleural thickening on both sides accounting for some of the increased density in the retrocardiac region. Allowing for differences in rotation appearances are similar to the prior study from <unk> and <unk>. .
history: <unk>f with copd/ sob // r/o pna
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The cardiac, mediastinal and hilar contours appear unchanged. Calcified pleural plaques are again widespread along the left hemithorax, most often seen in the setting of prior asbestos exposure, although reaction to a pleural effusion of other cause might be considered, noting that these are apparently unilateral. There is no pleural effusion or pneumothorax. The lung parenchyma appears clear. There is again moderate rightward convex curvature centered at thoracolumbar junction with multilevel degenerative changes. The bones appear demineralized.
altered mental status.
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Again seen is a left-sided pectoral icd. The generator itself has rotated with respect to the prior study. The single lead is grossly similar in course. Heart size is at the upper limits of normal or slightly enlarged. Compared to <unk>. The cardiomediastinal silhouette is slightly more prominent. No chf, focal infiltrate, or effusion is identified. No pneumothorax detected. Previously seen atelectasis the right cardiophrenic region has resolved.
<unk>f w/ worsening dyspnea in the past <num> weeks. h/o vf arrest and icd placement, unknown cardiomyopathy // <unk>f w/ worsening dyspnea in the past <num> weeks. h/o vf arrest and icd placement, unknown cardiomyopathy
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Pa and lateral views of the chest demonstrate the lungs are well expanded. A tubular structure in the anterior segment of the left lower lobe is likely due to mucoid impaction. The cardiomediastinal silhouette is unremarkable. There is no evidence of pulmonary edema comparable effusion, pneumothorax or focal consolidation concerning for pneumonia.
<unk>-year-old male with chest pain. evaluation for acute process.
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Pa and lateral views of the chest provided. There is new opacity at the left lung base which likely represents a combination of effusion and atelectasis. The possibility of pneumonic consolidation is not excluded though air bronchograms are not seen. The right lung appears clear. Heart size cannot be assessed accurately. The mediastinal contour is normal. Bony structures appear demineralized with no intact. No free air below the right hemidiaphragm.
history: <unk>f with cp // r/o acute process
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation, effusion or pneumothorax. The cardiac silhouette is slightly enlarged but similar compared to most recent prior. Hypertrophic changes are seen in the spine and orthopedic hardware in the right humeral head.
<unk>-year-old male with shortness of breath. question effusion.
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Left moderate pleural effusion and right minimal pleural effusion has increased since previous exam. There is no pulmonary edema. Cardiac contour is mildly enlarged and left lower lobe increased density could be due to the pleural effusion with compressive atelectasis; however, superimposed aspiration or pneumonia cannot be excluded.
patient with shortness of breath, dialysis, interval change of pulmonary edema.
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The cardiomediastinal and hilar contours are unchanged. Mid thoracic spine compression deformities are stable. The lungs are clear except for unchanged linear atelectasis or scarring at the right lung base. . There is no pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or pleural effusion.
<unk>-year-old woman with chest pain, shortness breath and cough, rule out acute process.
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The lungs are clear. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with chest pain // chest pain
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Frontal and lateral views of the chest were performed. There is no pleural effusion, pneumothorax or focal airspace consolidation. Cardiac and mediastinal contours are unremarkable. There is scarring at the right lung apex. The hilar structures are normal. A left pectoral pacemaker in unchanged position.
fevers, evaluate for a source.
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The study is limited due to patient rotation. Moderate cardiomegaly is unchanged. A large hiatal hernia is re- demonstrated. The aortic knob remains calcified. There is no pulmonary edema. Small bilateral pleural effusions, right greater than left are increased compared to the prior study. Bibasilar airspace opacities likely reflect atelectasis, but aspiration or infection is not excluded. There is no pneumothorax. The left humeral head remains chronically dislocated. Diffuse demineralization of the osseous structures is noted with evidence of prior vertebroplasty at the thoracolumbar junction.
cough, shortness of breath.
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On the lateral view, opacity projecting over the inferior spine may represent a basilar pneumonia in the appropriate clinical setting. The heart size is normal, and there is no overt pulmonary edema or pleural effusion. The mediastinal contours are normal.
<unk>-year-old female with cough, evaluate for pneumonia.
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The patient is status post cabg with intact and appropriately aligned sternotomy wires. The postoperative appearance of cardiomediastinal silhouette is stable. The lungs are clear. There are small bilateral pleural effusions, decreased compared to prior. The pulmonary vasculature is normal. No pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with s/p cabg // eval postop changes
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Patient is status post median sternotomy and cabg. Cardiac silhouette size remains mildly enlarged but unchanged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Chain sutures are noted along the right hilum and right suprahilar region compatible with prior lobectomy with evidence of prior partial right fifth rib resection. Linear scarring is noted within the right lung base along with unchanged right-sided lateral pleural thickening. No focal consolidation, pleural effusion or pneumothorax is seen. No pleural effusion or pneumothorax is present. No acute osseous abnormality is identified.
history: <unk>m with syncopal episode status post cabg
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Frontal and lateral views of the chest. Two thick-walled cavitary lesions in the right upper lobe are similar to the most recent prior exam, though increased since <unk>. Scarring and atelectasis in the right lung base is unchanged with evidence of right lung volume loss. Right apical pleural thickening and scarring is redemonstrated. No new consolidation, cavitary lesion, pleural effusion, or pneumothorax. Heart size and cardiomediastinal contours are normal.
hemoptysis.
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Pa and lateral chest radiographs. Diffuse interstitial opacities have increased since <unk>. Consolidation at the lung bases may be partly due to atelectasis given low lung volumes. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable.
history of pulmonary alveolar hemorrhage, left ama <unk>.
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Pa and lateral views of the chest provided. Lungs appear hyperinflated and clear. 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 chest pain, left sided
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Cardiac and mediastinal silhouettes remain enlarged. Prominence of the main pulmonary artery suggests pulmonary arterial hypertension. There is a small to moderate right pleural effusion with some fluid seen tracking along the major fissure. Right base opacity due to combination of pleural effusion and atelectasis, but underlying consolidation is not excluded. Central pulmonary vascular engorgement is seen. Prominent calcified left lower lobe granuloma is again seen.
history: <unk>m with cryoglobulinemia previously complicated by pulmonary hemorrhage, no symptoms currently // any cpd
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Cardiac, mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Apart from subsegmental atelectasis in the left lung base, the lungs are clear. No pleural effusion or pneumothorax is seen. Multiple embolization coils along with a tips are noted in the upper abdomen. There are no acute osseous abnormalities.
history: <unk>m with fever, liver disease
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The lungs are hyperinflated but clear. 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 size is borderline enlarged. Mediastinal and hilar contours are within normal limits. Pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is visualized. There are mild degenerative changes in the thoracic spine.
altered mental status.
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Mild cardiomegaly is slightly increased compared to the prior exam from <unk>. The hilar and mediastinal contours are normal. There may be a small right pleural effusion, with mild bibasilar atelectasis. No definite focal consolidations concerning for pneumonia are identified. There is no evidence of a pneumothorax.
history of amyloidosis, chest pain. please evaluate.
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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. There is calcification of the aortic knob. No acute osseous abnormality is detected. The patient is status post median sternotomy with multiple intact appearing wires and mediastinal surgical clips consistent with cabg surgery.
history: <unk>m with dm and chf with dyspnea and abd bloating // pneumonia
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Cardiac silhouette size is moderately enlarged, similar compared to the prior study. Mediastinal contours are unchanged. Mild interstitial pulmonary edema is not substantially changed in the interval, and hilar contours are similar. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>m with dyspnea. history of congestive heart failure off meds.
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. The heart size remains unchanged and is within normal limits. Mild widening and elongation of the thoracic aorta with calcium deposits in the wall appears also unchanged. The pulmonary vasculature is not congested. Similar as on the preceding examination, there are low positioned and flattened diaphragms coinciding with a marked irregularity in the vascular distribution in the periphery of both lungs with areas of increased translucency mostly on the lung bases. These findings are grossly unchanged indicative of rather advanced copd with emphysema. New acute parenchymal infiltrates cannot be identified.
<unk>-year-old male patient with bronchiectasis, copd, worsening pulmonary function tests and sputum production. evaluate for pneumonia.
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Lung volumes are within normal limits however there is mild flattening of the hemidiaphragms within increased ap diameter of the thorax which may reflect copd. No consolidation, pneumothorax or pleural effusion seen. The heart is not enlarged. Scarring versus atelectasis of the bilateral lung bases. Focal eventration of the right hemidiaphragm unchanged compared to the prior ct.
<unk> yo male with complicated history including rny bypass presents with partial sbo // desaturation with ambulation, copd
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Pa and lateral chest radiographs demonstrate consolidation in the left upper lobe and air bronchograms. There is no pleural effusion or pneumothorax. The heart size is normal the cardiac, hilar and mediastinal contours are normal.
fever and cough.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
<unk>m with jaw pain, recent negative stress test, now w/ bibasilar crackles and anginal equivalent. evaluate for pneumonia
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Frontal and lateral radiographs of the chest. The heart size and mediastinal contours are normal. No focal consolidation, pleural effusion or pneumothorax is present. Pulmonary vascularity is within normal limits.
fever and cough. evaluate for pneumonia.
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
<unk>-year-old woman with chest pain, dyspnea. evaluate for acute cardiopulmonary process.
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The inspiratory lung volumes are slightly decreased. Streaky opacities in the right lung base greater than the left are compatible with atelectasis. There is no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are within normal limits allowing for low lung volumes. No acute osseous abnormality is detected.
chest pain, here to evaluate for acute cardiopulmonary process.
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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 left shoulder pain status post pedestrian struck
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The lung volumes are low. However, there is no evidence of fibrosis. Scarring at both lateral aspects of the chest on the frontal radiograph, however, could suggest the presence of minimal fibrotic changes. There is no pleural calcification and no obvious pleural thickening. Punctate calcifications in the left upper lobe suggest prior exposure to tb. Borderline size of the cardiac silhouette. No pulmonary edema. Mild tortuosity of the thoracic aorta.
copd
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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>f with fever // eval heart and lungs
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Ap semi-erect and lateral views of the chest <unk> at <time> is submitted. Overlying motion on the lateral view limits this exam.
<unk> year old woman with single chamber ppm // assess lead position assess lead position
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Low lung volumes are present. Heart size is borderline enlarged. Aortic knob calcifications are demonstrated. The mediastinal and hilar contours are within normal limits. Crowding of bronchovascular structures is demonstrated without overt pulmonary edema. Streaky bibasilar atelectasis is noted without focal consolidation. No pleural effusion or pneumothorax is present. Mild degenerative changes are noted in the thoracic spine. Fixation hardware within the left proximal humerus is incompletely imaged. Osseous structures are diffusely demineralized.
history: <unk>f with fall, left hand bruising, dementia and amnestic to event
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Frontal and lateral views of the chest demonstrate normal lung volumes. There is no focal consolidation, pleural effusions or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.
patient with productive cough and left-sided chest pain.
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Compared with prior examination dated <unk>, there has been minimal interval change. Redemonstrated is a tortuous aorta. There is no focal consolidation or pleural effusion, pneumothorax, or pulmonary edema identified. The heart size is normal. Mediastinal and hilar contours are otherwise stable.
joint pain and necrotic skin lesions. evaluate for pulmonary pathology.
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Frontal and lateral chest radiographs were obtained. Extensive subcutaneous emphysema is again present within the chest wall and neck. A left chest tube remains in place. A small left medial pneumothorax persists, without evidence of tension. There is also a possible small right apical pneumothorax. The cardiomediastinal silhouette and hilar contours are stable. There is a persistent increased opacity at the left lower lobe. Multiple left sided rib fractures are again visualized.
patient with pneumothorax status post chest tube placement, eval pneumothorax.
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Cardiomediastinal contours are normal. There is a new left lower lobe infiltrate. Left subclavian port-a-cath appearance is unchanged
<unk> year old woman with metastatic breast cancer now with fever and ocassional cough // evaluate for pneumonia
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Pa and lateral views of the chest. No prior. The lungs are clear. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with dka.
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The heart is normal in size. There is mild unfolding of the thoracic aorta. The mediastinal and hilar contours are otherwise unremarkable. There is coarse hazy and streaky opacification involving the right mid to lower lung. Opacities the left lower lobe and lingula are not specific and could be seen with atelectasis or bronchopneumonia. Lungs are hyperinflated, and noting irregular pulmonary architecture, emphysema is suspected. There is no pleural effusion or pneumothorax. Small osteophytes are noted along the thoracic spine.
known pneumonia, presenting with persistent cough.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with fever and cough // infiltrate
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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.
dyspnea on exertion. assess for congestive heart failure.
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal. There is no displaced rib fracture.
<unk>m with s/p assault with neck pain and r shoulder pain, valve ua for acute injury.
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>f with pancreatitis // eval for pleural effusions
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Right sided port-a-cath tip terminates in the upper svc, unchanged. Lung volumes are lower compared to the previous study which slightly accentuates the size of the cardiac silhouette which remains top normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Streaky opacities in the lung bases likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected. Bilateral breast prostheses and demonstrated.
<unk> year old woman with dlbcl, slight cough, fevers
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The lungs are well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. The left chest pacer device lead tips are unchanged in appearance. Median sternotomy wires are noted.
<unk>m with hypoglycemia. assess for infection or pneumonia.