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The cardiomediastinal and right hilar contours are normal. Prominence of the left hilum is noted. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear without focal consolidation concerning for pneumonia. Pulmonary vascularity is within normal limits. The upper abdomen is unremarkable. No acute osseous abnormality detected.
<unk>f with likely leukemia // r/o adenopathy, effusion
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The heart size remains moderately enlarged. There is mild pulmonary edema with small bilateral pleural effusions. Left basilar opacity may reflect pneumonia or atelectasis. No pneumothorax is detected. The mediastinal contours appear relatively unchanged. A wedge compression deformity within the mid thoracic spine is unchanged compared to the prior ct.
dyspnea.
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Exam is limited due to underpenetration. Lungs are hyperinflated. There is mild central vascular engorgement without overt pulmonary edema. There is no focal consolidation, pleural effusion or pneumothorax. Mild bibasilar atelectasis, unchanged from prior study. Right-sided pleural fat is again noted. Mediastinal and hilar contours are stable. Heart size is normal.
history: <unk>m with doe, orthopnea // pulmonary edema
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Pa and lateral radiographs demonstrate mild pulmonary edema. The lungs are otherwise clear. The hila and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Sternotomy wires are present. The <unk> wire from the top is fractured. The implantable aicd is unchanged in position and the leads are intact.
<unk>-year-old man with chest pain.
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The heart size is normal. Increased opacity at the right lung base and perihilar region may be secondary to aspiration/infection. There is no pleural effusion, or pneumothorax. The visualized osseous structures are unremarkable.
history: <unk>m with fall while intoxicated // ? traumatic injuries
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Ap and lateral radiographs of the chest demonstrate clear lungs. The cardiac, hilar, and mediastinal contours are normal. No pleural abnormality is seen.
chest pain shortness of breath.
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Pa and lateral chest radiographs were obtained. The lungs are well expanded. There is a consolidation in the right lower lobe. There is no effusion or pneumothorax. The left lung is clear. The cardiac and mediastinal contours are normal.
cough and fever.
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Evaluation of the lateral radiograph is limited due to oblique patient positioning. Apparent mild improvement in a persistent moderate right pleural effusion is likely related to differences in patient positioning on the current study compared to <unk>. Underlying right basilar atelectasis is unchanged. The left lung is grossly clear. There is no pneumothorax. Right apical scarring appears symmetrical. The cardiac, mediastinal and hilar contours are within normal limits and unchanged. Embolization coils project along the right anterior mediastinum. A large radiopaque lesion in the right hepatic lobe is compatible with the patient's known hcc status post tace.
history of hepatocellular carcinoma and pleural 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. No displaced fracture is identified.
history: <unk>f on dipyridamole presenting s/p fall with dizziness. // traumatic injury?
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The cardiac, mediastinal and hilar contours appear stable. Band-like areas of scarring appear unchanged in the lower lungs. There is no pleural effusion or pneumothorax. The chest is hyperinflated. Prior healed rib fractures appear unchanged on the right without displacement.
weakness.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion, or pneumothorax. The visualized osseous structures are unremarkable.
history: <unk>f with chest tightness, palpitations // ? acute cardiopulmonic process
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There is moderate pulmonary edema and stable cardiomegaly. There is pulmonary arterial enlargement. There is a small left pleural effusion. There is no pneumothorax.
<unk>-year-old woman with dyspnea, but no fever or leukocytosis. evaluate for congestive heart failure.
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Previously seen right lung sided picc is no longer present. Hyperinflated lungs persist. Stable position of dual lead left-sided pacemaker. Stable cardiomediastinal silhouette. No focal consolidation is seen. No large pleural effusion. No evidence of pneumothorax.stable biapical pleural thickening.
history: <unk>f with severe as p/w ams and failure to thrive, crackles on exam // evaluate for consolidation, pulm edema
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Pa and lateral chest radiographs were obtained. Low lung volumes accentuate the interstitial markings. On the lateral view projecting over the lowest visible level of the thoracic spine there may be a <num>mm wide irregularly shaped lung lesion, with central lucency or air bronchograms. As expected, even if real--<unk> it could well be an artifact--<unk> would not be visible on a frontal chest radiograph. It was not present on a chest cta in <unk>, and is presumably infection or infarction. It should be investigated with an upright view factored for the upper abdomen and/or routine oblique cxr at deep inspiration. There is no effusion or pneumothorax. Cardiac and mediastinal contours are normal.
weakness.
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Pa and lateral views of the chest. No prior. The lungs are clear. There is no effusion or consolidation. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with increased seizure activity.
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Pa and lateral views of the chest provided. There is no focal consolidation or pneumothorax. Hazy opacity is noted over the lower lungs likely prominent breast tissue/gynecomastia. There is blunting of the left cp angle which may represent pleural thickening or a tiny effusion. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Hyperdense specks in the left axilla likely represent deodorant.
<unk>m with recent dx of pna <num> week ago, s/p <num> days augmentin, now with <num> day of nonbloody diarrhea
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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 hyponatremia // evaluate for acute process
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. Multiple clips are noted within the right upper quadrant of the abdomen.
history: <unk>f with chest pain
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The lungs are clear without focal consolidation, effusion, or edema. There is moderate enlargement of the cardiac silhouette. No acute osseous abnormalities.
<unk>f with ruq mass and pain presenting with inability to walk and dizziness // cardiopulmonary process
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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.
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.
<unk> year old woman with hiv, dm, cad and now chronic cough // r/o chf
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Pa and lateral views of the chest provided. No free air is seen below the right hemidiaphragm. Lungs are clear bilaterally with no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact.
<unk>f with ruq/epigastric abdominal pain
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Compared to chest radiographs from <unk>, there is little overall change. Lung volumes remain low. The right hemidiaphragm is persistently elevated. Mild cardiomegaly is stable compared to prior study. Mediastinal and hilar contours are stable. There is no focal consolidation, pleural effusion or pneumothorax. Several healed right rib fractures are noted.
history: <unk>f with infectious work-up*** warning *** multiple patients with same last name! // eval pna
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Heart size is normal. The aorta is tortuous. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Subtle opacity over the right heart border is similar appearing to <unk> and may represent a focal infection. No pleural effusion or pneumothorax is seen.
<unk> year old woman with improving cough, lll rales // ? infiltrate
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with etoh abuse with chest pain // eval pna
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Previously reported right lower lobe pneumonia on <unk> chest radiograph has resolved. Lungs are currently clear. Heart is upper limits of normal in size in the aorta is mildly tortuous. No pleural effusion, pneumothorax, or acute skeletal abnormality.
<unk> year old woman with f.up pna // resolved?
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The lungs are clear aside from atelectatic changes at the left lung base, which are mildly improved. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size.
<unk> year old man with history of aml for cord blood transplant // ap and lat chest films for tbi planning
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The cardiomediastinal and hilar contours are normal. There is no pneumothorax. Bilateral pleural thickening is noted. Lungs are well-expanded. Multiple small nodular opacities are consistent with patient's known metastatic disease. There is no new focal consolidation concerning for pneumonia. The upper abdomen is unremarkable. The visualized osseous structures are within normal limits.
<unk> year old woman with metastatic lung cancer known pulmonary involvement // worsening doe, cough. ?effusions worsening or acute cardiopulmonary process
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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 within normal limits. Osseous and soft tissue structures are unremarkable. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>-year-old female with cough, evaluate for pneumonia.
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In comparison to the prior radiograph performed earlier on the same date, there has been no significant interval change. Again noted are bilateral calcified pleural plaques. Otherwise, no focal lung consolidation, pleural effusion or pneumothorax. No pulmonary edema. Cardiomediastinal silhouette is within normal limits. Aortic core valve device appears unchanged in position.
history: <unk>m with new onset afib, pnd, new oxygen requirement // eval for pulm edema
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There is unchanged moderate left lower lobe atelectasis and bilateral pleural effusions. Linear atelectases in the left mid lung field are again seen, essentially unchanged. Lesion in the right seventh rib is unchanged. Pleurx catheter is seen, unchanged in position at the base of the left lung. There is no evidence of pneumothorax. Pacer is seen with leads appropriately placed within the right and left atria. Mediastinal silhouette is within normal limits with a calcified aorta.
<unk>-year-old male with history of metastatic thyroid cancer and left pleural effusion. recently placed pleurx catheter.
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Cardiac silhouette size is normal. Volume loss in the left lung is re- demonstrated with leftward shift of mediastinal structures again noted. Nodular and interstitial opacities are again seen throughout the left lung, most pronounced in the left lung base, along with left suprahilar mass compatible with known malignancy. Left-sided pleural thickening is seen diffusely with a small to moderate size left pleural effusion. No pulmonary edema, or right-sided focal consolidation, right-sided pleural effusion, or pneumothorax is identified. Known osseous metastatic lesions within the thoracic spine are better seen on the prior ct.
history: <unk>m with shortness of breath
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A small right apical pneumothorax seen on ct on <unk> is not definitely visualized. There is a displaced right midclavicular fracture. Multiple other right-sided rib fractures are better evaluated on recent ct. Overall lung volumes are low, with bibasilar atelectasis. There is no focal consolidation to suggest pneumonia. There is no pleural effusion. The cardiac and mediastinal silhouettes are unremarkable.
<unk> year old man s/p trauma w/ r clav fx // ?ptx
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A moderately enlarged heart is again seen with pulmonary edema. There is near complete resolution of the previous right pleural effusion. Focal opacities in the left mid lung and right upper lung could be asymmetric edema or infectious process in the appropriate clinical setting.
dyspnea, hypoxia. evaluate for pneumonia, effusions or edema.
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Streaky bibasilar opacities are likely secondary to atelectasis. Superiorly, the lungs are clear. The cardiomediastinal silhouette is within normal limits. Median sternotomy is a mediastinal clips are again noted. No acute osseous abnormalities.
<unk>m with fever // infiltrate
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Pa and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The bones are intact. The imaged upper abdomen is unremarkable.
history of chest pain, question pneumonia.
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Pa and lateral views of the chest demonstrate relatively low lung volumes with persistent elevation of the right hemidiaphragm and bibasilar atelectasis. A right port is unchanged in position, terminating in the low svc. There has been interval removal of a left subclavian central venous catheter and nasogastric tube since the prior study. The cardiomediastinal silhouette is stable. There is no evidence of pulmonary edema, pleural effusion or focal consolidation concerning for pneumonia. Upper mid abdominal surgical clips are again seen.
<unk>-year-old female on chemotherapy with fever. evaluation for pneumonia.
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Frontal and lateral views of the chest were performed. There is opacification of the right lower lobe, concerning for pneumonia but oblique views are recommended. There is no pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable. There are no acute osseous abnormalities appreciated.
likely seizure and cough, evaluate for infiltrate.
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The lungs are hypoinflated. There are bilateral increased vascular markings as well as interstitial opacities, more pronounced in the lower lobes. There is no pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are unremarkable.
<unk>-year-old female with one-week history of nonproductive cough, now with fever. evaluate for evidence of pneumonia.
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Right-sided port-a-cath tip terminates in the right atrium, unchanged. Heart size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Calcified granulomas are again scattered in both lungs, the largest in the left apex. No focal consolidation, pleural effusion or pneumothorax is identified, however the extreme right costophrenic angle is excluded from the field of view. Known myeloma involvement of the left fifth rib is better assessed on the previous chest ct. Degenerative changes are again noted within the thoracic spine.
history: <unk>m with multiple myeloma complicated by neutropenia, hfpef presents with cough and lower extremity edema
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Pa and lateral views of the chest. Pericardial calcifications were previously seen on ct torso <unk> are stable. The lungs are clear. There are no nodules or masses identified. The cardiac, mediastinal, and hilar contours are normal. Pleural surfaces are normal. No pleural effusions or pneumothorax.
chronic hepatitis c, new liver transplant evaluation workup, assess for pleural lesions.
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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. No free air below the right hemidiaphragm is seen.
<unk>m with let sided chest pain // acute process?
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Re- demonstrated is posterior spinal fusion hardware. The cardiomediastinal silhouette is within normal limits. The hila are unremarkable. There are slightly low lung volumes, with streaky opacities at the lung bases likely representing atelectasis. There is no focal lung consolidation elsewhere. There is no pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or pleural effusion.
<unk>m with fever, evaluate for pneumonia.
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The lungs are symmetrically well expanded and well aerated without focal consolidation, pleural effusion or pneumothorax. No pulmonary vascular congestion or overt pulmonary edema is seen. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The trachea is midline. No acute displaced rib fractures are detected. The vertebral body heights are preserved in the visualized thoracic spine.
history of osteopenia, now with chest pain, here to evaluate for a rib fracture.
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Pa and lateral views of the chest demonstrate well-expanded clear lungs. The heart is normal in size and cardiomediastinal contour is unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with chest pain, evaluate for pneumothorax.
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No focal consolidation is seen. Calcification at the lateral right lung base has been present since at least <unk>. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with recent watery bm and weakness after eating at a friends house // cardiopulmonary process
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation. There is however mild pulmonary vascular congestion. There is no large effusion. Cardiac silhouette is moderately enlarged. No acute osseous abnormality detected.
<unk>-year-old female with chest pain and shortness of breath.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are hyperinflated with areas of scarring noted in both lung bases. Blunting of the costophrenic sulci bilaterally likely reflects chronic pleural thickening rather than pleural effusions. No focal consolidation, pleural effusion or pneumothorax is identified. Multiple old right-sided rib fractures are again noted. Coils are seen within the left upper quadrant of the abdomen. No acute osseous abnormality is demonstrated.
history: <unk>m with history of chronic pancreatitis complaining of rib tightness that feels similar to when he had pleural effusion in past
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A dual-lead pacemaker/icd device appears unchanged. The cardiac, mediastinal and hilar contours appear stable, including very mild tortuosity of the thoracic aorta. The heart is again normal in size. There is no pleural effusion or pneumothorax. The lungs appear clear.
productive cough and wheezing in the right mid lung field.
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Patient is status post median sternotomy and mitral valve replacement.no focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable, with the cardiac silhouette mildly enlarged. Hilar contours are stable.
history: <unk>m with chest pain // r/o pna
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Increasing moderate left-sided pleural effusion. There is also loculated pleural fluid superiorly. Improved aeration of the left lower lobe with persistent mild subsegmental atelectasis. The right lung is relatively clear. Moderate cardiomegaly with tunneled dialysis catheter in the right atrium and dual lead pacer with the tips in the right atrium and right ventricle.
<unk> year old man with pleural effusion // eval
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Frontal and lateral views of the chest. Low lung volumes, which accentuate bronchovascular markings and cardiomediastinal contours. The mediastinum is slightly widened in the region of the aortic knob and aorticopulmonary window. Heart size is top normal. There is no pulmonary edema. Right hemidiaphragm is slightly elevated. There is no pleural effusion, focal consolidation, or pneumothorax. Partially imaged upper abdomen is unremarkable. On the lateral view, the normally clear retrosternal space is not well visualized.
chest pain.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours unremarkable. No pulmonary edema is seen
history: <unk>f with left upper back pain, inspiratory pain // any cpd?
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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 <unk>'s danlos and recently diagnosed <unk> p/w dyspnea on exertion. lungs clear
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Pa and lateral views of the chest. The cardiomediastinal hilar contours are normal. There is no focal consolidation, pleural effusion or pneumothorax.
chest pain and fever.
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The small right apical pneumothorax is unchanged compared with the study of <unk>. The increased density of the left lung base is unchanged, likely with a small left pleural effusion. Areas of scarring in both mid lungs are unchanged. There is no pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk> year old man with small right apical ptx // interval change in ptx interval change in ptx
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Left-sided dual-chamber pacemaker device is re- demonstrated with leads in unchanged positions. Patient is status post tavr, in unchanged position. Moderate enlargement of the cardiac silhouette is similar to the prior study. The aorta is diffusely calcified and mildly tortuous. There is mild pulmonary vascular congestion, improved compared to the previous examination. There are tiny bilateral pleural effusions which are decreased in size compared to the prior study. No focal consolidation or pneumothorax is present. There are mild multilevel degenerative changes seen in the thoracic spine.
history: <unk>f with tachycardia, history of chf
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The cardiac silhouette is mildly enlarged. Again seen are mediastinal clips. The pulmonary vasculature is indistinct. Small bilateral pleural effusions are present. There is no pneumothorax. Bibasilar atelectasis is present. A new opacity is seen in the left mid lung. Again noted is a partial left-sided rib resection.
history: <unk>f with dyspnea // eval acute process
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The lungs are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.
patient recently treated fot pna three days, ongoing cough, needs evaluation for pneumonia.
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A right pleural effusion is small to moderate. A left pleural effusion is trace to small. Pulmonary edema is mild. The heart is moderately enlarged. No pneumothorax. Thoracic aortic calcification is mild. Degenerative changes in the shoulders are moderate. Degenerative changes of thoracic spine are also moderate.
<unk>-year-old man with hypoxia. evaluate for edema.
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The lungs are clear focal consolidation, effusion, or vascular congestion. The cardiomediastinal silhouette is within normal limits. Coronary artery stent is identified. Tortuous descending thoracic aorta is noted. Possible air-fluid level identified in the distal esophagus on the frontal view which is not visualized on the lateral. Old healed bilateral rib fractures are identified.
<unk>f with chest pain now resolved // eval for pneumothorax, other acute process
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An azygos lobe is incidentally noted. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with ?stroke // eval for pna
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Pa and lateral views of the chest. No prior. The lungs are clear, costophrenic angles are sharp. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old man with fever, question pneumonia.
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The lungs are well expanded. No focal opacities are identified. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Diffuse sclerosis of all the bones is reidentified and compatible with known diffuse prostatic metastasis.
<unk>-year-old male with decreased lung sounds and hypotension. evaluate for evidence of pneumonia.
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Extensive bilateral rounded airspace opacities may represent multifocal pneumonia, however widespread metastatic disease and septic emboli can have a similar appearance. Dedicated chest ct is recommended. There is no pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk>f with cough, evaluate cough.
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The lung volumes are normal. There is no pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. A calcified granuloma is seen in the right upper lung. Retrosternal soft tissue prominence is unchanged from the prior ct and reflects a combination of mediastinal fat and vessels. The thoracic aorta is tortuous. The hilar contours are unremarkable. Heart is mildly enlarged but unchanged. There is no pulmonary edema.
shortness of breath and pneumonia.
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There are persistently low lung volumes and elevation of the left hemidiaphragm with gaseous distension of bowel re- demonstrated. No focal consolidation is seen. Left base atelectasis is likely. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with n/v/d, hx of als // eval for pna
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Diffuse predominanlty peripheral interstitial reticular opacities are seen throughout the lung parenchyma in these wlung with relatively low lung volumes. The cardiac borders not clearly evaluated. No definite focal consolidation is identified, however an underlying process acute infectious process cannot be entirely excluded. There is no large pleural effusion or pneumothorax. Surgical clips are seen in the right upper quadrant.
<unk> year old with shortness of breath. evaluate for acute process.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. The patient is status post median sternotomy. Vascular stenting appears stable in position.
recent fever and gram positive cocci in blood.
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The lungs are clear without focal consolidation, effusion, or edema. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with atypical r sided chest pain // r/o infiltrate
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Port-a-cath in place tip near cavoatrial junction, similar. Normal heart size, pulmonary vascularity. Bibasilar opacities have cleared. Minimal scarring right costophrenic angle. No pleural fluid. Stable t<num> moderate compression fracture compared with ct thoracic spine of <unk>. Worsened t<num> compression fracture, which is now moderate.
<unk> year old woman with metastatic gb cancer now w/ shortness of breath // r/o pneumonia, effusions, atelectasis
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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 fall, weakness // ? pna
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The lungs are well expanded. There is increasing opacity in the right lateral mid lung field at the site of the prior chest tube, which likely represents fluid loculated within the major fissure. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Patient is status post gastric pull through with clips noted in the mediastinum.
dyspnea.
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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 right upper quadrant pain
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Moderate-to-severe cardiomegaly with significant contribution from the left atrium is reidentified. Mitral annular calcification is again seen. There are increased diffuse interstitial markings bilaterally with associated bilateral pleural effusions. No pneumothorax is identified. No focal opacity concerning for pneumonia.
<unk>-year-old female with failure to thrive and elevated white blood cell count.
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The heart appears borderline for enlargement. There is similar mild relative elevation of the right hemidiaphragm and a calcified lesion projecting over the right breast. On the right, there is a small-to-moderate new pleural effusion. There is no pleural effusion on the left. There is no pneumothorax. The lung parenchyma appears clear.
shortness of breath and palpitations.
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The heart is borderline in size. The mediastinal and hilar contours are otherwise unremarkable without widening. There is no pleural effusion or pneumothorax. The lungs appear clear.
chest pain. question wide mediastinum.
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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 shortness of breath and palpitations
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Overall, the appearance of the lungs is similar compared to the prior study, with low lung volumes and areas of bilateral pulmonary opacity which may be due to mild edema superimposed on chronic lung disease. Cardiac and mediastinal silhouettes are grossly stable. No pleural effusion or pneumothorax is seen.
history: <unk>f with chf, ild, breast mass*** warning *** multiple patients with same last name! // cardiac workup
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In comparison with the study of <unk>, there is little overall change. Cardiac silhouette is within upper limits of normal in size. No definite vascular congestion, pleural effusion, or acute focal pneumonia.
pancreatitis with fever.
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At the right base, there is a linear patchy opacity most consistent with atelectasis. This is not significantly changed from the prior exam. There is no new consolidation, pulmonary edema, pleural effusion, or pneumothorax. The mediastinal contours are unremarkable. Mild cardiomegaly is unchanged. A rounded calcification is noted in the right upper quadrant subcutaneous tissue, possibly a calcified fibroma.
fever. 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 weakness // r/o pna
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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size. The aorta is tortuous.
<unk>f with weakness // infiltrate?
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Lung volumes are slightly low. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Imaged upper abdomen is unremarkable.
first time seizure, question pneumonia.
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The heart size is top normal, unchanged. The tortuous aorta is also unchanged. Lungs are clear without effusion, pneumothorax, or focal consolidation concerning for pneumonia. An opacity projecting over the heart on the lateral view is unchanged since <unk> and is likely an extensive fat pad.
<unk> year old man with cough, r base rales. assess for pneumonia.
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The lungs are clear without focal consolidation concerning for pneumonia, 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. Multilevel degenerative changes with marginal osteophyte formation of the thoracic spine are noted with mild dextroconvex curvature of the mid-to-lower thoracic spine. Deformity of the right lateral ribs may be related to prior fracture. No acute displaced rib fractures are detected.
history of diabetes with known foot ulcers, now with fever, here to evaluate for pneumonia.
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Again seen are multifocal parenchymal opacities in both lungs similar in appearance to the prior exam. The cardiac silhouette is unchanged the hilar contours are stable. Mild pulmonary edema is improved. There are no large pleural effusions identified. There is no pneumothorax.
<unk> year old woman with ams and pneumonia with new oxygen requirement this morning. // pulmonary edema? new foci of pneumonia?
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lung volumes are slightly low. Lungs are otherwise clear without focal consolidation. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. There appears to be residual oral contrast material within the right colon.
history: <unk>f with pancreatitis
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Cardiac, mediastinal and hilar contours are unremarkable. The aorta is mildly tortuous. The pulmonary vasculature is normal. Patchy opacity within the left lung base likely reflects an area of atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
history: <unk>m with altered mental status
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Frontal and lateral radiographs the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unchanged. The aorta is tortuous. There is no pneumothorax, pleural effusion or consolidation. The patient is status post vertebroplasty at multiple levels within the thoracic spine. Metallic clips project over the right upper chest.
abdominal pain and vomiting.
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The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are seen at the aortic arch. No acute osseous abnormalities.
<unk>f with sob // wheezing
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There is a suboptimal inspiratory effort, and the low lung volumes. Allowing for changes due to this, there is stable at least moderate global cardiomegaly. The bilateral hila are difficult to assess, but appear within normal limits. There are diffuse, centrally predominant interstitial opacities with suggestion of interlobular septal thickening, consistent with pulmonary vascular congestion and worsening now moderate pulmonary edema. Bibasilar opacities likely reflect relaxation atelectasis. There is no focal lung consolidation otherwise. There is no pneumothorax. There bilateral layering small pleural effusions. Effusions
<unk>m with a <num> day history of dyspnea, concerning for chf, crackles at left lung base, evaluate for pulmonary edema.
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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. Moderate degenerative changes with osteophyte formation are seen in the thoracic spine
history: <unk>m with chest pain
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The lungs are clear. There is no effusion, consolidation, or edema. The cardiomediastinal silhouette is within normal limits. Previously seen right-sided central venous catheter is no longer visualized. No acute osseous abnormalities.
<unk>m with esrd on hd, chf, history of mi, who presents with difficulty accessing his left upper extremity av fistula and also complained of pleuritic chest pain // eval for volume overload vs infectious process
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural effusion or pneumothorax.
history: <unk>f with chest pain, history of aortic dissection. evaluate for acute process.
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old man with arthritis // ? hilar <unk> or infiltrate
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Since <unk>. There has been no significant interval change. There is no consolidation. Bibasilar scarring is unchanged. Sclerotic lesions within the bones of the thorax consistent with patient's history of multiple myeloma and unchanged. Compression fractures and vertebral height are unchanged.
<unk> year old man with cough, chest congestion // ? infection
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Lung volumes have decreased compared to prior. Bibasilar patchy and linear opacities are likely due to atelectasis. 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.
<unk> year old woman with persistant cough and fatigue with cough > <num> weeks.
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Pa and lateral images of the chest demonstrate well-expanded lungs. Again seen are diffuse tiny lung nodules which have improved since prior imaging. There is no pulmonary edema. Mediastinum is unremarkable. There is no evidence of consolidation. There is no pneumothorax. The heart is of normal size. Visualized osseous structures are unremarkable.
<unk>-year-old male with disseminated bcg infection status post treatment for bladder cancer.
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Frontal and lateral radiographs of the chest demonstrate low lung volumes. 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.
hypotension and dizziness. rule out pneumonia.