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Frontal and lateral views of the chest were obtained. Low lung volumes result in bronchovascular crowding. There is no focal consolidation or pneumothorax. A pleural effusion is small. Mild left basilar atelectasis is improved. Cardiac silhouette is stable. The mediastinal silhouette is slightly narrower after cabg than it was immediately post operatively.
status post cabg. evaluate for interval change.
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Single lead pacemaker is unchanged. Left lower lobe collapse and small left pleural effusion are persistent. New subtle opacity at the right lung base may simply represent atelectasis. Small right pleural effusion. No pneumothorax. Stable post operative widening of the cardiac silhouette.
<unk> year old woman with s/p avr/mvr // eval postop changes
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The chest is hyperinflated. Slight blunting along the left costophrenic angle suggests a trace effusion or perhaps minor scarring. There is no evidence for pleural effusion on the right. The lungs appear clear.
ataxia and sudden headache.
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In comparison with study of <unk>, there is no definite change in the appearance of the heart and lungs. The vague opacification at the bases most likely represents merely atelectasis, though it is difficult to completely exclude a supervening consolidation.
crohn's flareup with diarrhea.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits aside from streaky right medial basilar opacities that are better appreciated on the lateral view, most suggestive of atelectasis. There is no pleural effusion or pneumothorax.
asthma exacerbation.
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The sternal wires show unchanged normal alignment. Borderline size of the cardiac silhouette. No pulmonary edema. No evidence of pneumonia. However, there are bilateral pleural effusions, better appreciated on the lateral than on the frontal radiograph, with subsequent basal areas of atelectasis. The hilar and mediastinal contours are unremarkable.
aortic valve repair, evaluation for interval change.
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Normal cardiomediastinal and hilar contours. Clear lungs. Interval resolution of wedge-shaped opacity at the left base. Small, linear densities at the left base likely reflect subsegmental atelectasis. No pneumothorax or pleural effusion.
<unk>-year-old man with a prior radiograph demonstrating a wedge-shaped opacity at the left base.
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The lungs are clear without consolidation or edema. The mediastinum is unremarkable. The cardiac silhouette is top normal for size. No effusion or pneumothorax is noted. The osseous structures are unremarkable.
chest, back, and left shoulder pain.
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The heart size is normal. The hilar and mediastinal contours are normal. There is a new small bilateral pleural effusions, compared to the prior ct from <unk>, left greater than right. There is no evidence of pulmonary edema. There is no pneumothorax. Note is made of mild left basilar atelectasis.
history: <unk>f with known liver disease, p/w worsening b/l <unk> pitting edema // any pulmonary edema, pna
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Cardiac silhouette size is normal. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormality is detected.
<unk> year old woman with fever, hcc status post tace
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Pa and lateral views of the chest were obtained. Heart is normal size and cardiomediastinal contours are stable. Minimal atelectasis is noted at the left base. There is no focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old woman with altered mental status, evaluate for pneumonia.
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Right-sided chest tube has been removed and subcutaneous emphysema in the right chest has decreased. Small right apical pneumothorax is unchanged. Significant interval increase in the volume of a right paraspinal loculation of hydro pneumothorax, measuring <num> x <num> cm. A smaller, right lower lateral component of the air and pleural fluid is not appreciably changed since <unk>. The left lung is clear. The cardiomediastinal contours are unremarkable.
<unk>f w/ newly diagnosed guillain-<unk>'s and rll adenocarcinoma ct<num>an<num>mx s/p vats right lower lobectomy // please evaluate for interval change s/p chest tube removal, please obtain @ <time>am
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Pa and lateral views of the chest provided. Persistent bilateral pleural effusions are seen, moderate to large on the left and small on the right, unchanged with associated compressive lower lobe atelectasis. Scattered opacities in the left upper lung and right lower lung remain concerning for pneumonia. Mild edema difficult to exclude. Heart size cannot be assessed. No pneumothorax. Bony structures intact.
<unk>m with dyspnea // 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>f with dizziness, concern for stroke
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The heart size is normal. The hilar mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history: <unk>f with chest pain and shortness of breath with radiation into the back // eval for chf, pneumonia, aortic dissection, pe
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Frontal and lateral chest radiographs demonstrate a central catheter with the tip within the right atrium. Also noted is a loop within the distal catheter. The cardiomediastinal silhouette is normal. The lungs are clear and there is no pleural effusion or pneumothorax.
aml, pre-allogenic transplant and chemotherapy. evaluate for infiltrate.
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Low lung volumes are noted with secondary bibasilar atelectasis, more so on the left. The lungs are otherwise grossly clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with diffuse body pain, s/p fall // r/o acute process
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Compared to the prior study there is increased bilateral pleural effusions, moderate on the left and small on the right. There is increased size of the cardiac silhouette. Surgical clips consistent with prior thyroid surgery are unchanged. A stimulator with leads extending upwards is seen in the right chest wall. A second device is seen inferior to the first which appears new from prior.
history: <unk>f with fever, hypoxia // eval for pneumonia
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Of note, the patient's hair overlies the right lung apex obscuring detailed visualization in this region. The lungs are otherwise clear. There is no consolidation, effusion or edema. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. Compression deformity of a lower thoracic vertebral body is noted, age indeterminate.
<unk>f with sob // eval pneumonia or chf
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Pa and lateral views of the chest. The lungs are clear of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No displaced rib fractures identified on these nondedicated views.
<unk>-year-old female status post fall with left-sided pain.
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Since the most recent prior radiograph, there is stable moderate cardiomegaly and development of a small right pleural effusion. There is no focal consolidation or pneumothorax. The lungs appear better expanded than on the prior radiograph. Multiple left-sided rib fractures seen on outside hospital ct torso are not clearly seen on this radiograph.
<unk>-year-old man with rib fractures, no pneumothorax on ct scan yesterday, question pneumothorax.
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Frontal and lateral radiographs of the chest demonstrate a left chest wall port with the catheter terminating at the cavoatrial junction. There has been no change in the catheter placement since the prior radiograph. Otherwise, the lungs are clear, and the heart, hilar and mediastinal contours are normal. No pleural abnormality is detected.
metastatic breast cancer with a port with no blood return. confirm port placement.
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are unremarkable. Again seen is the opacity in the left lower lobe measuring approximately <num> x <num> cm, of uncertain etiology. This may be a calcification at the costochondral junction however pulmonary nodule cannot be ruled out.
cough and dyspnea.
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Ap and lateral views of the chest. There is unchanged elevation of the right hemidiaphragm. The previously seen extensive right, predominantly peripheral pneumonia is significantly resolved with possible minimal residua remaining. A right port-a-cath ends in lower svc. There is minimal atelectasis at the right lung base. The cardiomediastinal contours are normal. No radiopaque foreign body is seen.
<unk>-year-old male with chest pain after swallowing pill. evaluate for foreign body.
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Cardiac silhouette size remains mildly enlarged. The aorta is slightly tortuous, as seen previously, with re- demonstration of a moderate size hiatal hernia. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are mild to moderate degenerative changes noted in the thoracic spine along with s shaped scoliosis.
history: <unk>f with post-op shortness of breath
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Cardiomegaly is mild. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No focal consolidation, pleural effusion, or pneumothorax.wedge compression fracture in the lower t-spine appears similar to <unk>.
<unk> year old woman with diabetes type-<num>, anemia, esrd // new kidney transplant evaluation, assess for cardiopulmonary abnormalities
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. Bilateral nipple shadows are unchanged. Opacification in the right middle lobe has resolved. The lungs now appear clear. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.
chest pain. history of transvenous ischemic attack.
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Left sided pacemaker is in appropriate position. A small right pleural effusion is either unchanged or slightly decreased compared to chest ct on <unk>. Previously seen sub <num> mm pulmonary nodules on prior ct are not well seen on this radiograph. Opacity in the right lower lobe likely corresponds to rounded atelectasis seen on prior ct. Calcified pleural plaques are known bilaterally. There is a moderate right apical pneumothorax. The cardiomediastinal and hilar contours are normal.
history: <unk>m with pna? // pna?
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Cardiac silhouette size is mildly enlarged but unchanged. Mediastinal contour is on similar. Low lung volumes resulting in crowding of bronchovascular structures, but there is no overt pulmonary edema. Patchy atelectasis is noted in the lung bases. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is seen.
history: <unk>f with shortness of breath, asthma, cough
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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 overt pulmonary edema is seen.
hypotension.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are essentially clear noting minimal linear opacities less conspicuous compared to prior, in the left lower lung and right mid lung. There is no acute consolidation, effusion, or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. Hypertrophic changes are noted in the spine. No acute osseous abnormality is detected.
<unk>-year-old female with fall. question pneumonia.
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As compared to the previous radiograph, pre-existing opacity at the left lung base has completely cleared. In the right, opacities, obviously with a component of pleural thickening after right rib resection are constant. Constant moderate cardiomegaly. Constant alignment of the sternal wires. No pulmonary edema. Right port-a-cath is unchanged.
pneumonitis after chemotherapy, evaluation for improvement.
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The patient is status post right upper lobectomy with volume loss in the right hemi thorax and elevation of the right hemidiaphragm, unchanged from the most recent prior study. A small to moderate right pleural effusion is increased from <unk>. Thickening of the right paratracheal stripe and opacification of the medial right lung apex is unchanged and likely represents postsurgical appearance. The left lung is relatively clear without pleural effusion or focal consolidation. No pneumothorax is detected. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal contours are unchanged with slight unfolding and mild tortuosity of the thoracic aorta. The trachea remains deviated to the right related to volume loss in the right hemi thorax. A <num> mm calcification projecting over the right lower neck may correspond to vascular calcifications.
pleural effusion, here to evaluate for interval changes.
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As compared to the previous radiograph, the nasogastric tube has been removed. The lung volumes have improved. No pleural effusions. No focal parenchymal opacities. No pulmonary edema. Unchanged scoliosis. Normal size of the cardiac silhouette.
history of hepatitis c cirrhosis, hepatic encephalopathy.
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The heart size, mediastinal, and hilar contours are unremarkable. Again noted is left basilar atelectasis. The left hemidiaphragm appears somewhat obscured, but no definite consolidation is identified. There is no pleural effusion or pneumothorax.
history: <unk>m with ruq pleuritic pain and productive cough // r/o pna
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On today's radiograph, there is evidence of a small left apical pneumothorax. In addition, a subtle air-fluid level is seen in the posterior aspects of the left hemithorax. The extent of the left pleural effusion is unchanged. Mild decrease in extent of the left cervical and chest wall air collection. Atelectasis at the left lung bases persists. The right lung shows substantially improved ventilation. Unchanged size of the cardiac silhouette. At the time of dictation and observation, <time> a.m., on <unk>, the referring physician, <unk>. <unk> was paged for notification and the findings were discussed over the telephone <num> minute later.
questionable resolution of pneumothorax. evaluation of interval changes.
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The patient arterial no focal consolidation is seen. No pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with delirium // eval ? infiltrate, edema
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The cardiomediastinal silhouette is within normal limits. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. There is no displaced rib fracture seen. Visualized thoracic vertebral body and disc space heights are maintained.
<unk>f with no pmhx, here with back pain, tenderness of thoracic spine between scapulae with palpation and deep breathing, evaluate for any bony abnormality of the thoracic spine.
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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 cough, seizure // pneumonia?
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Frontal and lateral radiographs of the chest demonstrate stable moderate right and small left pleural effusions with increased adjacent atelectasis. There is no overt pulmonary edema. The cardiac silhouette is mildly enlarged, stable. No pneumothorax. .
<unk> year old man who presents with sob and peripheral edema and low oxygen saturation than baseline // evaluate for pneumonia or worsening chf
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Patient is status post median sternotomy and cabg. Dual lead left-sided pacer device is stable in position. Cardiac and mediastinal silhouettes are stable. No focal consolidation is seen. There is no pleural effusion or pneumothorax.
history: <unk>m with new onset ha and l hand numbness // cardiac etiology
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Ap and lateral views of the chest were reviewed. The cardiomediastinal contours are stable. Prominence of the right hilum is new since the prior study. There are bibasilar opacities with blunting of the costophrenic angles concerning for atelectasis with small effusions. Multiple large pulmonary nodule is again seen, grossly stable since the prior study, but better assessed on the prior ct chest. Again seen is a left retrocardiac opacity, which now appears slightly larger and is obscuring part of the left hemidiaphragm. This likely represents a mass, seen on the prior ct in the same location, with a component of adjacent atelectasis, accounting for the slight increase in size. Single lead pacemaker is again seen with tip terminating in right ventricle. Left humeral prosthesis is incompletely imaged.
copd, shortness of breath.
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
<unk>f with floridly psychotic sx, needs medical clearance // eval for underlying infection
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Cardiac silhouette size is mildly enlarged but unchanged. The aorta is slightly tortuous but unchanged. Mediastinal and hilar contours are stable. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormalities identified.
history: <unk>f with tachycardia and chest pressure
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The heart is normal in size. The mediastinal and hilar contours appear normal. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures appear normal.
fever.
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Pa and lateral chest radiographs. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal. There are surgical clips in the left breast and axilla.
febrile neutropenia.
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The heart size is mildly enlarged but unchanged. Mediastinal and hilar contours are stable. The pulmonary vascularity is not engorged. Minimal left basilar atelectasis is noted. No definite pleural effusion or pneumothorax is seen. Compression deformity of an upper thoracic vertebral body appears new compared to the prior study, but remains age indeterminate.
altered mental status.
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Pa and lateral views of the chest demonstrates the lungs are well expanded and clear. There is no evidence of pleural effusion, pulmonary edema or pneumothorax. A vague opacity in the left upper lung is persists on two frontal views, in the same area as seen on prior ct from <unk>. Left pleural lipoma is unchanged. The cardiomediastinal silhouette is stable in appearance compared to the prior study and heart size is mildly enlarged, as before.
chest pain.
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An opacity overlying the left first rib extends beyond the boundaries of the ribs in the left lung apex. There is vague airspace opacity newly noted at the right base. No effusion or pneumothorax is present. A large hiatal hernia is unchanged. The cardiac and mediastinal contours are unremarkable. Severe thoracic kyphosis and multilevel retrolisthesis are stable.
<unk>-year-old woman with aml, left-sided chest and back pain.
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The lungs are clear. The cardiac and mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
one month of cough, getting worse. yellow sputum. wheezing in the bases bilaterally. the patient has a history of asthma.
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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No displaced fractures identified.
<unk>m with s/p fall <num> feet, l sided injuries w/ mild abrasions to l face, shoulder, b/l elbows, l knee, pain esp at <unk> great l toe // eval acute injury
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable, noting bilateral mastectomy changes.
<unk>-year-old female with chest pain.
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The lungs are clear without focal consolidation, pleural fusion pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal. No rib fracture is seen.
<unk>-year-old female with mechanical fall presenting with pain on her right side. evaluate for rib fracture.
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An increased right lower lobe airspace opacity is most likely due to aspiration given its rapid improvement on the subsequent chest ct. Asymmetric pleural thickening, right greater than left, is present. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits.
<unk> year old man with leukocytosis // eval for pna
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Moderate cardiomegaly is unchanged. Pulmonary vascular congestion has improved. Lungs are clear. There is no pleural effusion or pneumothorax.
<unk> year old man with cough, shortness of breath // r/o pna
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The heart size is mildly enlarged. The aortic knob is calcified. Mediastinal and hilar contours are otherwise unremarkable. The pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is seen. Minimal patchy bibasilar opacities likely reflect atelectasis. Multilevel degenerative changes are present in the thoracic spine. No acute osseous abnormalities detected.
dizziness.
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No pneumothorax is seen. Icd is seen with leads terminating in the right atrium and right ventricle. The visualized lung parenchyma is without consolidation. There is no definite pleural effusion. The stomach bubble and left hemidiaphragm appear more elevated than the previous examination with associated shifting of the right heart border laterally.
<unk> year old man s/p icd extraction and reimplantation // r/o ptx; check leads
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Mild enlargement of the cardiac silhouette is present. The aorta is mildly tortuous with vascular calcifications noted at the aortic knob. Hilar contours are normal. Pulmonary vascularity is not engorged. Patchy opacity in the left lung base may reflect atelectasis. Subsegmental atelectasis is noted in the right lung base. There may be a trace left pleural effusion. No pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>f with history of dementia, <unk>'s disease presenting with ?syncope/ altered mental status today at rehab during pt. now back to baseline as per facility
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There is biapical pleural thickening. The lungs are otherwise clear. Heart size is stable. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There is an old healed fracture of the ninth lateral rib, but no acute rib fractures.
<unk> year old woman with new onset crackles in chest following fall and rib pain // ? chf/pneumothorax
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The cardiac silhouette size is mildly enlarged. The mediastinal and hilar contours are unremarkable. No focal consolidation, pleural effusion or pneumothorax is identified. There is mild prominence of the vascular markings suggestive of mild pulmonary vascular engorgement. No acute osseous abnormalities are visualized.
chest pain.
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The left-sided picc line appears to have a sharp hairpin loop on the lateral radiograph proximal to the origin of the svc. The heart size is top normal. The hilar and mediastinal contours are normal. No new focal consolidations, pleural effusions, or pneumothoraces are identified.
<unk>-year-old male with mrsa bacteremia who presents for evaluation of left-sided picc placement. additional pa and lateral radiographs were performed because there was no blood return.
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Pa and lateral chest radiographs are obtained. Cardiomediastinal silhouette is unchanged compared to the prior study. Again, multiple bilateral calcified hilar nodes are seen. Lungs are relatively unchanged. Again, bilateral pleural effusions are noted which are not significantly different compared to the previous study. No pneumothorax is appreciated.
<unk>-year-old man with right pneumothorax, status post pleurodesis and pleurx catheter, now with increased shortness of breath since catheter taken out on <unk>, assess for recurrent effusion or pneumothorax.
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Median sternotomy wires are intact. The patient is status post cabg. The lungs are clear. Cardiac silhouette is top normal and stable in size. No pleural effusion or pneumothorax. No pulmonary vascular engorgement.
<unk>-year-old female with cough.
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Bilateral lower lung volumes due to lack of full inspiration. The lungs are clear otherwise, without focal consolidation or pulmonary edema. No pleural effusion or pneumothorax. The cardiomediastinal silhouette, hila, and pleura are unremarkable. Mild scoliosis of the thoracic spine.
<unk> year old woman with cough during recent weeks, purulent sputum, low grade fever. pmh + asthma. non-smoker. evaluate for pneumonia.
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No significant interval change. Background changes of chronic pulmonary disease are again noted. Cardiomediastinal silhouette is unchanged. Increased opacity at the left costophrenic angle appears to be similar to the prior exam. No pleural effusion, edema, or focal consolidation to suggest a focal pneumonia. Multilevel degenerative changes of thoracic spine are similar. No pneumothorax.
history: <unk>f with afib, pe, cough and wheezing x <num> days with rao<num> sat <unk>% // r/o acute cardiopulmonary process
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The linear opacification within the left lower lung likely represents subsegmental atelectasis. Otherwise, no focal consolidations to suggest pneumonia. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk>m with cough, chest pain // eval for pna
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Multiple air-fluid levels in left upper abdomen are better characterized on the ct exam of the same date.
abdominal pain and rising lactate level.
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Stable, bilateral hilar prominence. Interval improvement in pulmonary vascular congestion. Mild elevation of the left hemidiaphragm and obscuration of the left heart border suggest possible volume loss in the left hemithorax. Normal heart size. No pneumothorax or acute focal pneumonia.
<unk>-year-old woman with cough and wheezing, now status post bronchoscopy. evaluate for complications.
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Pa and lateral radiograph demonstrates stable dextroscoliosis with apex at the thoracolumbar junction. The aorta is tortuous. Otherwise, mediastinal, hilar and cardiac contours are unremarkable. Bibasilar increased lung markings likely reflect early pulmonary edema. Deformity of right upper ribs and the right glenohumeral joint is unchanged compared to <unk>. There is a cardiac monitoring device projecting over the left heart, possibly a reveal monitor.
palpitation, fatigue. please evaluate for pneumonia or mediastinal or cardiac disease.
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There is no focal consolidation, pleural effusion or pulmonary edema. The heart is top-normal in size. The mediastinal contours are normal.
<unk>-year-old female with chest pain.
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The lungs are clear. The cardiomediastinal silhouette, pleural surfaces, and hilar contours are normal. No pneumothorax, pleural effusion, or pulmonary edema.
<unk> year old man with h/o papillary thyroid cancer // sob, chest pain
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Frontal and lateral views of the chest were obtained. There are low lung volumes, accentuating bronchovascular markings. Elevation of the right hemidiaphragm persists. There is minimal left base, linear atelectasis. No focal consolidation, pleural effusion, evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. There may be minimal vascular congestion, but this most likely relates to low lung volumes.
<unk>-year-old female with syncope episode.
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In comparison with study of <unk>, there is no change or evidence of acute cardiopulmonary disease. No evidence of pneumonia, vascular congestion, or pleural effusion.
back pain, to assess for pneumonia.
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Pa and lateral views of the chest provided. Right subclavian access port-a-cath is again noted with its tip in the region of the upper svc. Lungs are clear. No signs of pneumonia or edema. Cardiomediastinal silhouette is normal. No pleural effusion or pneumothorax. Bony structures are intact.
<unk>m with myeloma, day <unk> s/p chemotherapy, now w/ neutropenic fever; please 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 one week of dyspnea, subjective fevers // pna? or other process to explain dyspnea?
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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. Degenerative changes are seen along the spine, including multilevel anterior osteophytes.
<unk>
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There are low lung volumes. The cardiomediastinal silhouettes are stable and within normal limits. Aortic arch calcifications are again seen. The bilateral hila are unremarkable. Pulmonary vascular congestion has improved in comparison to <unk>. The lungs are clear. There is a small right pleural effusion with adjacent basilar atelectasis. There is no left effusion. There is no pneumothorax.
<unk>-year-old man with fever.
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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>f with chest pain // acute cardiopulmonary process
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Surgical clips project along the right central mediastinum. The heart is normal in size. Tortuosity and dilatation of the thoracic aorta appear unchanged. The proximal descending aorta is again calcified. Hyperinflation is present. There is no pleural effusion or pneumothorax. A traumatic deformity of the right posterior fifth rib appears unchanged.
lower extremity weakness. question pneumonia.
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Lung volumes are low, accounting for some bronchovascular crowding. Otherwise, there are no focal parenchymal opacities. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Probable moderate size hiatal hernia is present.
cough and syncope.
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At the left base, there is a <num> mm nodule which is likely calcified. The lungs are otherwise clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
preoperative evaluation prior to orthopedic procedure.
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A mild background generalized interstitial abnormality is identified. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. Scoliosis is noted centered within the mid thoracic spine.
history: <unk>f with sob // pna?
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Small to moderate bilateral pleural effusions are seen. The heart is severely enlarged which is discordant with the mild pulmonary vascular congestion suggesting underlying pericardial effusion or cardiomyopathy. A retrocardiac opacity may represent atelectasis and/or fluid in the major fissure. Recommend comparison with prior outside hospital study.
<unk> year old woman with ? pna on osh imaging // pna, effusion
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There are calcified pleural plaques particularly at the lung bases. Linear opacities in the retrocardiac region on the lateral view is also suggestive of a calcified pleural plaque, likely localizing to the right mid/upper lung on the frontal view. There are some regions of opacity particularly at the right lung base medially which could represent a superimposed consolidation within the lungs. Blunting of the lateral costophrenic angles on both sides may be due to chronic scarring versus small underlying effusions. Cardiac silhouette is top normal in size. Left chest wall dual lead pacing device is identified.
<unk>m with productive cough, dyspnea // evaluate for pna
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The heart is normal in size. The aorta arch is calcified. There is no pleural effusion or pneumothorax. The lungs appear clear.
chest pain and shortness of breath.
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The inspiratory lung volumes are appropriate. The lungs are clear without pleural effusion, focal consolidation or pneumothorax. The pulmonary vasculature is not engorged. The cardiac and mediastinal contours are within normal limits.
<unk>-year-old male with new cough, here to assess for evidence of pneumonia.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Lungs are hyperinflated. Small left apical pneumothorax appears unchanged compared to the previous radiograph. Lungs are hyperinflated without focal consolidation. Trace left pleural effusion is re- demonstrated with minimal left lower lobe atelectasis. No acute osseous abnormality is evident. .
history: <unk>m with left pneumothorax, history of copd.
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Pa and lateral views of the chest. There is no free air. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal. Nipple shadows are noted. No evidence of free air is seen beneath the diaphragms.
abdominal pain, recent colectomy.
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Frontal and lateral views of the chest were obtained. Low lung volumes result in bronchovascular crowding. There is no focal consolidation, pleural effusion or pneumothorax. Mild to moderate cardiomegaly is unchanged with persistent left atrial enlargement. Mild aortic tortuosity is unchanged. Hilar contours are normal.
chest pain.
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. No acute osseous abnormality.
<unk>m with fever, ivdu, lives in shelters.
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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 hx dm with cough, st // eval ? infiltrate
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When compared to prior, there is a new moderate left-sided pleural effusion. There is persistent small right-sided pleural effusion with adjacent atelectasis. Superiorly the lungs are clear. Atherosclerotic calcifications noted at the aortic arch. Hypertrophic changes noted in the spine.
<unk>m with sob, decreased bs on left // ?pl eff, chf
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Pa and lateral chest radiographs were obtained. The lungs are clear. No consolidation, effusion, or pneumothorax is present. There may be minimal linear atelectasis in the right upper lobe. The heart and mediastinal contours are normal. The visualized osseous structures are unremarkable.
<unk>-year-old woman with chest pain and cough, rule out pneumothorax or pneumonia.
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Lungs are clear. There is no consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. There is tortuosity of the thoracic aorta. No acute osseous abnormalities.
<unk>f with exertional/pleuritic chest pain // ?cardiomegaly, 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.
history: <unk>f with pots, mvp, p/w weakness/malaise, cough // eval for weakness/malaise, cough
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The lungs are hyperinflated suggestive of underlying copd. Linear opacities within the lung bases likely reflect subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is seen. Heart size is top normal. Mediastinal and hilar contours are unchanged. No pulmonary vascular engorgement is present. Deformity of the left proximal humerus suggests a remote fracture. There is diffuse demineralization of the osseous structures with unchanged loss of height of a vertebral body at the thoracolumbar junction.
weakness, dizziness, falls.
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Lung volumes are low. This accentuates the size of the cardiac silhouette which is top normal. The aorta is mildly tortuous. Mediastinal and hilar contours are otherwise unremarkable. There is no pulmonary edema. Patchy bibasilar opacities likely reflect atelectasis. No pleural effusion or pneumothorax is seen. There are mild degenerative changes in the thoracic spine. Partially imaged are biliary stents within the right upper quadrant.
history: <unk>m on chemo, with fever
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Ap upright and lateral views of the chest provided.right ij access dialysis catheter is seen terminating in the lower svc. The lungs are hyperinflated with slightly coarsened lung markings corresponding to areas of subpleural fibrosis seen on prior exam. No signs of pneumonia, edema, large effusion or pneumothorax. Cardiomediastinal silhouette appears unchanged with aortic knob calcifications again seen. Imaged bony structures appear intact
<unk>f recently diagnosed with goodpasture's presenting with fatigue, rll crackles on exam // r/o infection
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Frontal and lateral chest radiograph demonstrates unremarkable cardiomediastinal and hilar contours. On a background of interstitial edema, there are dense opacifications noted in the left lower lobe as well as within the lingula. No opacification is noted in the right lung. No pleural effusion or pneumothorax present.
chest pain, cough, fever, evaluate for pneumonia.
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Pa and lateral chest radiographs demonstrates clear lungs bilaterally. The cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Visualized osseous structures are without acute abnormality.
<unk>-year-old female with chest pain.