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Lung volumes are slightly low. The heart is top normal. Mediastinal contours are unremarkable. Consolidative opacity is noted within the left lung base concerning for pneumonia. Right lung is grossly clear. There is no pleural effusion or pneumothorax. No pulmonary vascular congestion is identified. No acute osseous abnormalities are present.
chronic pancreatitis, possible aspiration pneumonia.
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Pa and lateral views of the chest provided. Rounded density in bilateral lower lungs the likely nipple shadows. Otherwise, lungs are clear. The mediastinal and hilar contours are normal. Left-sided central catheter terminates in the low svc.
<unk> yo man with hiv and aml, now with febrile neutropenia. //
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Lung volumes are markedly decreased, accentuating the bronchovascular structures and cardiac silhouette. New bibasilar opacities are concerning for pneumonia. There is also overlying bibasilar atelectasis with probable left-sided pleural fluid. There is bilateral peribronchial cuffing. There are dilated loops of bowel in the upper abdomen.
fever, cough, wheezing. rule out an acute process. patient has history of asthma.
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The lungs are well-expanded and clear. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with chest pain // ?pneumonia
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Lung volumes remain low, but slightly improved compared to the prior exam. The cardiac, mediastinal and hilar contours are unchanged, with the heart size remaining top normal. Pulmonary vascularity is normal. Minimal bibasilar atelectasis is noted, without focal consolidation. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are demonstrated.
seizure and possible pneumonia on chest radiograph.
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Prominent left hilar region secondary to enlarged left main pulmonary artery as seen on chest ct <unk>. The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pneumonia, no pulmonary edema. No pleural effusions.
two day history of fever and cough; pe shows scattered rhonchi and wheezes // rule out pneumonia
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The lungs are well expanded with equivocal mild pulmonary edema. Retrocardiac opacity is somewhat increased from the prior study and could reflect atelectasis, though infection cannot be excluded. There is no pleural effusion or pneumothorax. Marked cardiomegaly is slightly progressed from the previous examination. Single lead icd is unchanged. Left neck clips could reflect prior carotid intervention.
cough and shortness of breath. assess for pneumonia.
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax is present. Pulmonary vascularity is normal. There are no acute osseous abnormalities.
dizziness.
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Slight increased opacification in the left lower lung. Subsegmental atelectasis in the right lower lung, unchanged from prior. No pulmonary edema, pleural effusion, or pneumothorax. No cardiomegaly. Stable mediastinum and hila. Pleura is unremarkable. No subdiaphragmatic intra-abdominal free air.
<unk>-year-old man complaining of cough and dyspnea. evaluate for pneumonia.
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.
history: <unk>m with fever // eval for infectious source
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Pa and lateral views of the chest provided. Midline sternotomy wires are again noted. Pulmonary edema persists without significant overall change. No large effusion or pneumothorax. No convincing evidence for pneumonia though subtle pneumonia would be difficult to exclude. The cardiomediastinal silhouette appears stable. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with gave with nonspecific fatigue, r/o occult infection of the thorax
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Ap upright and lateral views of the chest provided. Vague nodular opacity in the right upper lobe is again noted which could represent pneumonia versus metastatic disease. The lungs appear otherwise grossly clear. Detection of small nodules is limited on radiograph. No large effusion or pneumothorax. Heart and mediastinal contours are stable and normal. Bony structures are intact. No free air seen below the right hemidiaphragm.
<unk>f with known breast cancer with mets to bone and brain. increased fever, and fatiguex<num> days. // rule out pneumonia
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Heart size and cardiomediastinal contours are normal. The known bilateral pulmonary nodules are not conspicuous on this exam. Mild hyperinflation with prominent retrosternal clear space. No focal consolidation, pleural effusion, or pneumothorax. Surgical clips in the mid upper abdomen are unchanged.
<unk>m with general weakness for <num> days // eval for consolidation
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The large right pleural effusion with associated atelectasis has slightly decreased. The upper right lung field and left lung remain clear. There is no pneumothorax. The heart and mediastinum cannot be accurately assessed, although the heart size remains appears slightly smaller today. Previous mild pulmonary edema has also decreased.
<unk> year old man with esrd and chf with r pleural effusion. no infectious symptoms. // assess for interval change.
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The lungs are well expanded and clear. No pleural abnormalities. Cardiomediastinal and hilar contours are normal.
<unk> year old woman with respiratory illnesss; on immunosupression // ?infiltrate
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable.
cough /shortness of breath
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Cardiac and mediastinal silhouettes are stable with significant tortuosity of the descending thoracic aorta and with mild to moderate cardiomegaly. The appearance of the descending aorta is stable as compared to prior radiograph from <unk>. No new focal consolidation is seen. There is no pleural effusion or pneumothorax.no pulmonary edema is seen.
history: <unk>m with b/l plantar foot pain and mtp pain pls eval b/l feet for fx and <unk> joint dz // history: <unk>m with b/l plantar foot pain and mtp pain pls eval b/l feet for fx and <unk> joint dz
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Subtle increased opacity in the right infrahilar region on the frontal view could reflect aspiration or early pneumonia. The left lung is clear. Subtle opacity is in the right upper lobe on the prior radiograph were characterized on prior ct. No obvious new pulmonary nodules which are better assessed on ct. No edema, pleural effusion or pneumothorax. The heart is top-normal in size, unchanged. The thoracic aorta is slightly tortuous, unchanged. Slight prominence of the pulmonary artery is unchanged and better characterized on prior ct. Mild dextroconvex scoliosis of the thoracic spine is unchanged. Degenerative changes in the thoracic spine are also similar.
<unk>-year-old woman with history of leukemia who presents with a week of shortness of breath and cough. evaluate for pneumonia or acute intrapulmonary process.
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In comparison with study of <unk>, the cardiac silhouette now appears to be within upper limits of normal. No evidence of acute pneumonia, vascular congestion, or pleural effusions.
dyspnea.
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Frontal and lateral views of the chest were compared to previous exam from <unk>. The lungs are clear of confluent consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Osseous structure is again notable for a posterior right fourth and sixth rib fractures. Previously identified right picc line is no longer visualized.
<unk>-year-old male with recurrent aspiration pneumonias.
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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 weakness, cp // eval for pna
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The cardiac, mediastinal and hilar contours are within normal limits and unchanged. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. There is diffuse atherosclerotic calcifications noted within the aorta. There are mild degenerative changes in the thoracic spine.
abnormal stress echo and chest pain radiating to the axilla.
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The lung volumes are low. Normal size of the cardiac silhouette. Mild-to-moderate left pleural effusion with subsequent areas of left basal atelectasis. The presence of a small right pleural effusion, restricted to the dorsal lung areas and visible only on the lateral image, cannot be excluded. No pulmonary edema. No acute changes such as pneumonia or pneumothorax.
cirrhosis, leukocytosis, questionable pneumonia.
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Pa and lateral views of the chest. No prior. The lungs are clear of focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No displaced fracture is identified.
<unk>-year-old male with chest pain.
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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. There is no acute osseous abnormality.
<unk>-year-old woman with shortness of breath cough evaluate for pneumonia.
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Frontal and lateral radiographs of the chest demonstrate lungs. There is mild blunting of the left costophrenic angle, which likely represents atelectasis, and is unchanged. There is a subtle opacity in the right middle lung field which may represent a composite shadow, however underlying parenchymal abnormality cannot be excluded. The cardiac and mediastinal contours are unchanged from the prior radiograph. No pneumothorax or pleural effusion is seen.
acute promyelocytic leukemia with cough. evaluate for pneumonia.
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. Right glenohumeral hardware is incompletely imaged.
<unk>-year-old male with lymphoma on chemotherapy with cough for <num> days.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with cough, fever // eval for acute process
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Patchy left lower lobe opacity may be due to atelectasis or pneumonia. No focal consolidation is seen on the right. No pleural effusion or pneumothorax is seen. Cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable.
history: <unk>f with leukocytosis // ?pna
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The cardiomediastinal and hilar contours are normal. Biapical scarring and mild emphysema are noted. No consolidation, edema, pleural effusion or pneumothorax is seen.
<unk> year old man with cough and dyspnea.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Surgical clips project over the right upper quadrant of the abdomen.
abdominal pain. history of small bowel obstruction.
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There is no consolidation, pleural effusion, or pneumothorax. Bronchiectatic changes are again seen and at the right lung base. Cardiac silhouette is moderately enlarged similar to <unk>. Pacemaker leads terminate at right ventricle and right atrium.
<unk> year old woman with sarcoidosis, severe chf // eval for ?pulmonary sarcoid involvement
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When compared to previous exam, there has been no significant interval change of the moderate right-sided pleural effusion tracking within the fissure and superiorly as well with a loculated component suggested posteriorly. Left lung remains clear of consolidation. Mild pulmonary vascular congestion is noted. The cardiac silhouette is mildly enlarged similar to prior. Pericardial calcifications are again noted.
<unk>m with liver disease, hepatic encephalopathy, and shortness of breath // eval for effusion
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk>m with fever/rigors // r/o occult infiltrate
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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified.
history: <unk>f with cp // pna?
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Massive thoracic scoliosis, causing substantial asymmetry of the rib cage. The lung volumes are otherwise normal. There are no pleural effusions. No lung parenchymal abnormalities. A <num> mm rounded sclerotic structure projecting over the middle part of the first left rib might represent a calcified granuloma. No cardiac abnormalities. Normal hilar and mediastinal contours.
positive <unk>, right-sided chest pain, rule out pleural effusion.
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The lungs are clear and pleural surfaces are normal. No focal opacity or lymphadenopathy. Heart size and mediastinal and hilar contours are normal. No gross bony abnormality.
<unk>-year-old female with history of locally advanced cervical cancer and weight loss. assess for mass or lesion.
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. The heart is normal in size. Mediastinal contours are normal. A previously t<num> compression fracture, now status post vertebroplasty, is identified and unchanged in appearance.
preoperative examination prior to renal transplant.
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Pa and lateral views of the chest provided. There is marked cardiomegaly with mild pulmonary interstitial edema. No large effusion or pneumothorax. No signs of pneumonia. Mediastinal contour is normal. Bony structures are intact.
<unk>m with dyspnea // r/o chf
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Heart is normal size and cardiomediastinal silhouette is stable. Lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old woman with shortness of breath, evaluate for pneumonia.
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Ap and lateral views of the chest. There is new retrocardiac opacity silhouetting the medial hemidiaphragm. Elsewhere, the lungs are clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.
<unk>-year-old male with fevers status post mvc.
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Heart size is normal. Coronary artery stent is noted. 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
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No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. The hilar contours are stable.
chest pain radiating to back.
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The lung volumes are normal. No pneumothorax. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. The lung parenchyma is unremarkable, no pneumonia, no pulmonary edema. No nodules or masses.
rash, cough, evaluation for abnormalities.
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Pa and lateral views of the chest. No prior. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. The osseous and soft tissue structures are unremarkable. No free air below the diaphragm.
<unk>-year-male with abdominal and chest pain.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Degenerative changes are seen at the shoulders.
<unk>f with ams s/p fall // infiltrate, bleed or fracture?
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The mild interstitial prominence seen bilaterally is unchanged from the prior exam and is likely related to the patient's underlying sickle cell disease. There is no consolidation, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Concavity of the vertebral bodies is again noted and a sequelae of sickle cell disease.
history of sickle cell disease with recent cough and chest pain. evaluate for pneumonia.
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As compared to the previous radiograph, the patient has received a new pacemaker. Devices implanted in the left pectoral region. There is no evidence of pneumothorax. The leads are in expected position. Borderline size of the cardiac silhouette with no evidence of pulmonary edema. The lateral radiograph shows minimal bilateral pleural effusions limited to the posterior aspect of the costophrenic sinuses.
new ppm, questionable pneumothorax.
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Exam is limited by patient rotation. The lungs are well inflated. Reticular opacities at the lung bases are similar to <unk> but worse compared with <unk>. There is no focal consolidation, effusion or pneumothorax. Heart size is normal.
cough and wheeze.
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Pa and lateral views of the chest provided. Midline sternotomy wires are again noted. The heart is mildly enlarged. There is a similar pattern of linear density abutting the left heart border which likely reflects the presence of a fat pad and minimal adjacent atelectasis. No signs of pneumonia or edema. No large effusion or pneumothorax. Bony structures are intact. Mediastinal contour is normal. No free air below the right hemidiaphragm.
<unk>f with chest pain and sob with diaphoresis.
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Frontal and lateral views of the chest were obtained. The heart is of top normal size, although exaggerated by low lung volumes. The thoracic aorta is slightly unfolded. Lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. No radiopaque foreign body. No displaced fracture seen.
<unk>-year-old male with fall. evaluate for acute intrathoracic process.
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Pa and lateral views of the chest provided. Previously noted right lateral lung base opacity has resolved in the interval. No convincing evidence for pneumonia. No pleural 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 fever // pna?
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Left-sided pacer device is again noted with leads terminating in the right atrium and right ventricle. Heart size is normal. Leftward deviation of the trachea due to enlargement of the right thyroid lobe is unchanged. Re- demonstrated is pleural thickening, chronic opacification and volume loss in the left upper lobe, unchanged, compatible with post radiation changes for prior hodgkin's disease with similar superior retraction of the left hilum. Enlargement of the main pulmonary artery is similar to the previous exam. Streaky opacity is demonstrated in the right lung base. Pulmonary vasculature is not engorged. Small left pleural effusion is new. No pneumothorax is present. There are no acute osseous abnormalities. Clips project over the left upper quadrant of the abdomen and epigastric region.
history: <unk>f with cough
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Pa and lateral views of the chest provided. Lungs are clear. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. Dedicated views of the sternum demonstrate no fracture.
<unk> year old woman with sternal pain // fx?
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>m with altered mental status, new seizures, // rule out infection, lymphadenopathy
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with chest pain sob // eval for pna
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Pa and lateral radiographs of the chest demonstrate clear lungs, which are underinflated. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. No displaced rib fracture is seen.
<unk>-year-old man with pain around the fifth or sixth rib area anteriorly after fall. evaluate for rib fracture.
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Ap upright and lateral views of the chest provided. Mild elevation of the left hemidiaphragm is noted. There is no focal consolidation, effusion, or pneumothorax. No convincing signs of edema. 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>f with weakness, found down // eval for pna, rib fx
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The lungs are hyperinflated. No focal consolidation is identified. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax. No definite rib fractures identified. Vertical lucency and slight deformity of the distal end of the right clavicle suspicious for a fracture.
left rib pain, evaluate for pneumothorax.
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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 dm, hyperglycemia for <num> weeks with constitutional review of symptoms, possible positive urinalysis, wbc <unk>-><unk> after ciprofloxacin started <unk>.
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In comparison with study of <unk>, there is continued right pleural effusion that may be slightly worse or merely reflecting slight difference in patient position. Cardiac silhouette is at the upper limits of normal in size in this patient, who has intact midline sternal wires following previous cabg procedure. No definite vascular congestion at this time.
pleural effusion.
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Heart size is mildly enlarged. The aorta is tortuous with atherosclerotic calcifications noted at the knob. The mediastinal contours are otherwise within normal limits. Lungs are hyperinflated without focal consolidation. Prominence of the hila could reflect enlargement of the pulmonary arteries, without evidence for pulmonary vascular congestion or pulmonary edema. No pleural effusion or pneumothorax is identified. There are mild degenerative changes detected in the thoracic spine.
history: <unk>m with confusion and bradycardia // mediastinal widening?
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are stable with a calcified tortuous aorta. Dual-chamber pacing hardware appears similarly positioned.
<unk>-year-old female with cough.
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When compared to prior, there has been no significant interval change. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with chills, cough // eval for pna
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with confusion, concern for infxn // ? pna
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The lungs are well expanded and clear. Mild cardiac enlargement. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with left-sided pleuritic chest pain.
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Frontal and lateral radiographs of the chest were acquired. Streaky left retrocardiac opacities are not significantly changed compared to the prior study from <unk>, likely atelectasis, although infection cannot be excluded. The lungs are otherwise clear. There is minimal fluid or thickening within the minor fissure. The heart size is top normal. Mediastinal contours are normal. No definite pleural effusions are seen. There is no pneumothorax. Marked thoracic kyphosis is redemonstrated, with mild loss of height of several thoracic vertebral bodies, not significantly changed. There is widespread endplate sclerosis, compatable with renal osteodystrophy. Surgical clips are seen in the right upper abdominal quadrant, as before.
chills and cough.
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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. Levoscoliosis of the thoracic spine is noted. No displaced fractures are visualized.
history: <unk>f with status post motor vehicle collision with left-sided pain
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The lungs remain hyperinflated, with flattening of the diaphragms, suggesting chronic obstructive pulmonary disease. Focal apparent eventration of a posterior diaphragm is grossly similar as compared to the prior study and similar as compared to <unk>. Anterior costochondral calcifications are seen projecting over the lung bases. Bibasilar scarring noted. No focal consolidation, pleural effusion, evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Aortic calcifications are seen.
dyspnea, productive cough.
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Ap and lateral views of the chest. No prior. The lungs are clear of focal consolidation. There is some blunting of the left posterior costophrenic angle, which could be due to atelectasis or small effusion versus small bochdalek hernia. Cardiomediastinal silhouette is within normal limits given significant rotation to the right. Degenerative changes noted at the acromioclavicular joints bilaterally. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with fever and productive cough. question pneumonia.
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Lungs are clear. No pleural effusion or pneumothorax is seen. Moderate multilevel degenerative changes are noted in the thoracic spine with mild loss of height of a vertebral body at thoracolumbar junction, unchanged. No displaced acute fractures are seen.
history: <unk>f with head laceration, head strike, left rib pain status post fall
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Slight pectus deformity obscures the right heart border. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal.
<unk>f with chest pain, shortness of breath. evaluate for pneumothorax.
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Pa and lateral views of the chest provided. There is improvement in left basal opacity though mild residual consolidation persists which likely reflects mild residual pneumonia. A small left pleural effusion appears improved from prior. Right lung remains clear. Heart size cannot be readily assessed due to effacement of the left heart border. Mediastinal contour is normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with hx pna presenting with worsening symptoms.
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Pa and lateral views of the chest provided. Bilateral pulmonary interstitial edema is mild-moderate, associated with engorgement of the vascular pedicle. Increased opacity in the left lower lobe may represent atelectasis, potentially pneumonia. Small coinciding pleural effusion and/or atelectasis cannot be excluded. Heart size is enlarged.
<unk>f with shortness of breath, acute 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>m with <num> days left sided chest pain associated with shortness of breath, non-radiating
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Frontal and lateral chest radiographs were obtained. Except for minima subsegmental atelectasis in the right lung base laterally, the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette remains stable with the heart size within normal limits. Osseous structures remain grossly unremarkable.
evaluation of patient with cough.
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
dyspnea on exertion.
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There are increased interstitial markings throughout. At the lung apices these changes may be chronic however they are now more apparent at the lung bases with associated <unk> b-lines, and mild cardiomegaly. Increased opacity at the right lung base may represent atelectasis, but cannot completely exclude aspiration or pneumonia in the right clinical setting. The previous seen left lung base nodule is similar or may have possibly increased slightly in size from prior exam. There is small left pleural effusion. There is no pneumothorax. Median sternotomy and mediastinal clips clips are seen. Degenerate changes in the bilateral humeral heads are noted.
<unk>f with c/o sob // ? pna
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Frontal and lateral chest radiograph demonstrates mildly hyperinflated clear lungs with flattening of the diaphragms. No focal opacity. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the osseous structures are within normal limits and upper abdomen is unremarkable.
<unk>m with epigastric pain. assess for pneumonia.
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As compared to the previous radiograph, there is a slight increase in extent of the known hilar adenopathy, notably on the left. The signs indicative of interstitial fluid overload, including the bilateral pleural effusions, better appreciated on the lateral than on the frontal radiograph, are stable. A pre-existing right upper lobe parenchymal opacity that is rounded in appearance and was documented on the cta examination from <unk>, has increased in size and density. The size of the cardiac silhouette is unchanged. The extent of the pre-existing retrocardiac atelectasis has decreased. No other interval changes. No newly appeared parenchymal opacities.
hilar lymphadenopathy, bilateral pleural effusions, evaluation.
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Pa and lateral views the chest were viewed. The cardiomediastinal 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.
status post mvc.
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Right lower lobe opacity, predominantly in the superior segment, is identified. There is no pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There is no free air beneath the right hemidiaphragm.
history: <unk>f with cough // ?pna
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The cardiac, mediastinal and hilar contours appear stable including fullness of the upper mediastinal contour to the left of midline, reflecting a combined shadow of the aorta and main pulmonary artery, which is probably borderline enlarged. This area did not show involvement for malignancy on the prior pet-ct but the trachea does appear splayed somewhat more towards the right with a more horizontal configuration to the left main stem bronchus. Possibly, this could indicate developing mediastinal lymphadenopathy. An irregular mass at the left lung apex appears unchanged allowing for differences in technique. Streaky opacities at the left lung base indicates minor atelectasis or scarring. There is no pleural effusion or pneumothorax. There are three new mild compression deformities since remote prior radiographs from <unk>, although somewhat difficult to compare to more recent studies such as radiographs from <unk>, although the indication is that at least the lower two, which probably relate to the t<num> and t<num> vertebral bodies, are new since <unk> and similar but more likely increased since the more recent pet-ct dated <unk>.
chest pain and shortness of breath.
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Evaluation of the lateral view is somewhat limited due to motion. Heart size is within normal limits. Mediastinal and hilar contours are unremarkable. There is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax. Right subclavian picc terminates in mid svc, unchanged from prior.
<unk> year old man with fever. evaluate for pneumonia.
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Pa and lateral radiographs demonstrate clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. Mild atherosclerotic plaques can be seen in the aortic arch. There are degenerative changes of the thoracic spine with kyphosis.
<unk>-year-old woman with abnormal ekg. evaluate for acute process.
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Pa and lateral views of the chest provided. There is stable cardiomegaly with vague opacity in the left lower lobe concerning for pneumonia. No large effusion or pneumothorax. No overt signs of edema or pulmonary vascular congestion. The imaged bony structures are intact.
<unk>m with cough // eval infiltrate
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Nodule over the left lower lung most compatible with nipple shadow also seen in <unk>. Heart and mediastinal contours are within normal limits. The aorta is tortuous. Multilevel loss of disc space height is seen in the lower thoracic and upper lumbar spine, incompletely imaged.
<unk>-year-old male with syncope.
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Heart size, mediastinal, and hilar contours appear normal. Lungs are clear without pleural effusions, focal consolidation, or pneumothorax. Multiple small calcified granulomas are identified in the lungs.
<unk>m with concern for stroke. evaluate for pneumonia.
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Frontal and lateral radiographs of the chest were obtained. A shunt catheter is partially visualized along the right neck, right anterior chest wall and the right abdomen. Lung volumes are low which accentuates normal heart size. Normal mediastinal contours. Bibasilar atelectasis with no focal consolidation, pleural effusion or pneumothorax. No displaced rib fractures are identified.
fall, head injury. evaluate for traumatic injury, pneumothorax, or rib fracture.
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.
history: <unk>f with dyspnea // r/o infiltrate
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. No acute displaced rib fracture is visualized.
<unk>-year-old female status post motor vehicle collision, now with left-sided chest pain.
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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 chest pain after paclitaxel therapy
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Cardiomediastinal contours are unchanged with moderate cardiomegaly and multiple calcified mediastinal and hilar lymph nodes. Vascular congestion has resolved. Small left effusion with adjacent atelectasis has improved. There is no pneumothorax. There are no new lung abnormalities..
<unk> year old woman with pulmonary edema ?pna // persistance of possible lll opacity after diuresis consistent with pna or improved?
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No previous images. The heart is normal in size and there is no vascular congestion or pleural effusion. Specifically, no evidence of acute pneumonia. This information has been conveyed to dr. <unk>, at his request.
cough, to assess for pneumonia.
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Ap portable views of the chest demonstrates clear lungs. Heart size is normal. No pleural effusion or pneumothorax. Along the posterior <num>th rib there is slightly irregularity which may be due to a prior rib fracture, also present on priors. No new displaced fracture is seen. A right-sided port-a-cath terminates in unchanged position.
metastatic breast cancer status post mechanical fall. question fracture.
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Pa and lateral views of the chest provided. Lung volumes are slightly low which limits assessment though allowing for this the lungs are clear. No convincing signs of pneumonia or edema. No large effusion or pneumothorax. Cardiomediastinal silhouette is stable. No acute bony injuries.
<unk>f with c/f dka
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Thoracic aorta is mildly tortuous, otherwise the cardiomediastinal silhouettes are within normal limits. The bilateral hila are unremarkable. The lungs are clear. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk>m with chest pain shortness of breath, evaluate for pneumonia.
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Heart size is mildly enlarged but unchanged. The mediastinal and hilar contours are similar. Atherosclerotic calcifications are noted diffusely within the aorta. A moderate size right pleural effusion which appears to be partially loculated laterally appears similar in size compared to most recent prior exam. Right basilar opacity likely reflects atelectasis. Left lung is clear with the exception of minimal atelectasis at the base. No left-sided pleural effusion is noted, and no pneumothorax is identified. Calcified granuloma in the right upper lobe appears unchanged.
history: <unk>m with history of maligant pleural effusion, with prior drainage
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Frontal and lateral radiographs of the chest demonstrate interval resolution of left pleural effusion with minimal residual pleural effusion. The lungs are hyperexpanded indicative of emphysema. Post-radiation fibrotic changes of the left apex are again noted. Surgical clips in the left axilla are also seen. The cardiac and mediastinal contours are unchanged.
recurrent left effusion.
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The lungs are well expanded and clear. Pleural surfaces are normal without pleural effusion or pneumothorax. No focal opacity. Heart size, mediastinal contours and hila are normal. Clips are seen projecting over the right lower chest. No pneumothorax. Limited assessment of the osseous structures is unremarkable. No sternal or displaced rib fracture seen.
motor vehicle collision. chest wall pain. assess for rib or sternal injury.