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Compared with the prior radiograph, there is a persistent left pleural effusion with over lying left basilar atelectasis and a newly identified right pleural effusion, evidenced by blunting of the costophrenic angles on the lateral view. There is no focal consolidation concerning for pneumonia or pneumothorax. Unchanged median sternotomy wires, mediastinal clips, and right ij sheath.
<unk> year old man s/p cabg. eval for effusion.
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The heart size remains mild to moderately enlarged. The aorta is unfolded with mild atherosclerotic calcifications visualized. Pulmonary vascularity is normal. The hilar contours are unremarkable. The lungs are clear. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities detected.
hypertension to a systolic pressure of <num>'s, low oxygen saturation.
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Lung volumes are low. There is no definite focal airspace opacity to suggest pneumonia. Bibasilar opacities likely reflect pericardial fat pads. The heart is exaggerated by ap technique and low lung volumes but likely larger since the prior study now with mild to moderate cardiomegaly. There is no pleural effusion or pneumothorax. The mediastinal and hilar contours are normal.
*** code cord *** history: <unk>m with elevated lactate, lethargy. // eval for pna
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Heart size is top normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with chest pressure
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The patient is status post median sternotomy and cardiac valve replacement. A dual lead left-sided pacemaker is seen with leads extending to the expected positions of the right atrium and right ventricle. The cardiac silhouette is mildly enlarged and there is slight prominence of the main pulmonary artery. Reticular nodular opacities projecting over the left lower lobe are of indeterminate age, given lack of prior imaging available for comparison, and may be due to chronic changes, although atypical infection is not excluded in the appropriate clinical setting. There is biapical pleural thickening. Aside from this, the right lung is clear. There is no large pleural effusion or pneumothorax. No overt pulmonary edema is seen.
a strike.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Minimal left basilar atelectasis is noted. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with acute onset chest pain, mild dyspnea // r/o ptx, pna
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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 chest pain and cough // evidence of pneumonia
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Pa and lateral views of the chest provided. Lung volumes are improved compared with prior exam. 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 altered mental status // evaluate for retrocardiac opacity
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The cardiac silhouette size is mildly enlarged. The aorta is mildly unfolded but unchanged. Mediastinal and hilar contours are normal, and there is no pulmonary vascular congestion. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. Remote left-sided rib fractures are present.
aphasia.
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are well expanded. There is no confluent opacity to suggest pneumonia. Minimal interstitial prominence is noted and lateral view shows bronchial thickening and mild dilatation projecting over the heart. Trace obscuration in the left costophrenic angle could be due to atelectasis. There is no pneumothorax or pleural effusion. Mild thoracic spondylosis is present. Note is made of healed right posterior ninth rib fracture.
<unk>-year-old male with cough and recurrent pneumonia reports visiting <unk> earlier today with diagnosis of pneumonia.
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When compared to <unk> chest radiograph, lung volumes are low resulting in a suboptimal study. The previously seen small right apical and small right inferior pneumothorax are unchanged in size. Bibasilar atelectasis, bilateral small pleural effusions, and subcutaneous emphysema are unchanged from prior study. There is stable mild cardiomegaly without overt pulmonary edema. The right chest tube is in stable position.
<unk> year old man s/p r vats rll // check interval change with ct clamped for <num> hrs, please do around <num>am
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Very small right pleural effusion blunts the costophrenic angle. No consolidation, pulmonary edema or pneumothorax is seen. The cardiac and mediastinal contours are normal. A <num>th rib break is seen secondary to previous thoracic surgery.
<unk>-year-old man with right lung cancer status post right thoracotomy and lobectomy. assess for interval change.
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Frontal upright and lateral chest radiographs demonstrate low lung volumes. Accounting for differences in patient's position, cardiomediastinal contour is relatively unchanged compared to the prior examination. Heart is normal in size. Thoracic aorta appears tortuous, similar to the prior examination. Focal rounded areas of increased density at the hila bilaterally likely represent calcified hilar nodes, unchanged from the prior examination. Basilar streaky opacities are most consistent with atelectasis. Lungs are otherwise clear without focal areas of consolidation. There is no pleural effusion. There is no pneumothorax.
chest pain radiating through to the back, evaluate for acute process or dissection.
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Frontal and lateral chest radiograph demonstrates unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax is evident. Multilevel degenerative change noted in the thoracic spine. No fractures identified.
tachycardia, shortness of breath, evaluate for cardiomegaly.
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The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Horizontal stripe along the right lung base likely reflects a skinfold. No pulmonary edema.
dyspnea on exertion, bilateral leg edema. evaluate for signs of congestive heart failure.
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Lateral view is somewhat limited by motion artifact. The heart size is top normal. The mediastinal and hilar contours are normal. Lung volumes are low, however the lungs are otherwise clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>f with new visual hallucinations, pressured speech, on chronic narcotics. eval for acute process.
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A right chest wall port-a-cath is in unchanged position ending in the lower svc. Is been interval removal of the right pleural drainage catheter. There is persistent blunting of the right costophrenic angle which may reflect small residual effusion. No focal consolidation, pneumothorax or left pleural effusion.
history: <unk>f with fever // pna?
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Lungs are hyperinflated with flattening of the diaphragms suggestive of copd. Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Linear opacities in the lung bases reflect subsegmental atelectasis or scarring. No focal consolidation, pleural effusion or pneumothorax is seen. Scarring is noted within the lung apices. Remote right-sided rib fractures are again demonstrated.
history: <unk>f with fall unclear cause with headache pain, head injury, right eye proptosis.
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The lungs are clear without effusion, consolidation, or edema. Moderate cardiac enlargement and tortuosity of the descending thoracic aorta are again noted. Left shoulder arthroplasty changes in degenerative changes at the right ac joint are seen. Surgical clips project over the upper abdomen.
<unk> year old man with chest/epigastric pain // evaluate for acute process
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Rotated positioning. Allowing for this, there is probably mild mild enlargement of the cardiac silhouette. There is stable tortuosity of the thoracic aorta. There is a small to moderate left pleural effusion with associated atelectasis. No overt chf.
history: <unk>m with sob, cough // eval for consolidation
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
history: <unk>f with shortness of breath and upper back pain. // r/o pneumonia
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Pa and lateral chest radiographs were obtained. A fine reticular pattern of opacities projects over both lungs. Bibasilar supleural fibrosis is visualized on the subsequently obtained abdomenal ct. Overall, the appearance is similar to <unk>. Moderate cardiomegaly is similar.
epigastric pain.
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Compared with prior radiographs on <unk>, mild cardiomegaly is improved. There is no vascular congestion or pulmonary edema. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen.
<unk> year old woman with cough + fever for a week, lung exam shows low breath sounds, left side wheezing; o<num> sat <unk>% on room air. h/o severe pneumonia necessitating icu admission in <unk>. current smoker. htn // r/o pnaumonia
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The cardiomediastinal silhouette is normal. A left port-a-cath is seen with the catheter tip terminating in the right atrium. The hila and pleura are unremarkable. The patient has had a right mastectomy. Opacification is seen of the left lower lobe on pa and lateral imaging consistent with pneumonia. No pleural effusions or pulmonary edema are seen.
metastatic breast cancer. known small pulmonary nodules. new cough // r/o etiology of new cough. ? infiltrate,? effusion etc
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The lungs are clear. There is no effusion, consolidation or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with sob since <unk> with chills body aches // consolidation or other process
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In comparison with study of <unk>, persistent elevation of the right hemidiaphragmatic contour. There is increasing opacification at the bases with meniscus formation bilaterally, consistent with developing pleural effusions and compressive basilar atelectasis. No vascular congestion or upper lung consolidation.
dullness at the bases and patient with pancreatitis.
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Ap and lateral views of the chest provided. Surgical clips denote prior left upper quadrant surgery. Interstitial pulmonary edema has resolved from <unk>. No pneumothorax. Hilar contours are normal. Moderate cardiomegaly is unchanged.
<unk> year old man with recent opacities, flu, now c/o chest pain when lying down // ? pericardial enlargement? resolution of opacities?
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No rib fractures are identified.
<unk>-year-old male with smoking history and fall as well as dyspnea on exertion. evaluate for evidence of pneumothorax or rib fracture.
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Frontal and lateral views of the chest. Endotracheal tube is no longer visualized. There is some blunting of the left lateral costophrenic angle potentially due to pleural thickening or atelectasis/scar. There is no blunting of the posterior costophrenic angle suggests layering effusion. The lungs are otherwise clear and there is no pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. There is tortuosity of the descending thoracic aorta. No acute osseous abnormality is detected.
<unk>-year-old male with dyspnea and new atrial fibrillation.
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The lungs are clear of focal consolidation, pleural fusion pneumothorax. The heart is normal in size, and the mediastinal contours are normal. Cervical spinal hardware is noted, and prior right rib fracture is noted.
<unk>-year-old male with mandible fracture. evaluate for pneumonia or fracture.
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Cardiac silhouette size is normal. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is not engorged. Consolidative opacities are noted in both lung bases, more so on the right. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are detected.
history: <unk>m with altered mental status// eval for acute process
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
history: <unk>m with etoh liver failure, pending admission to hepatology; no respiratory or infection sxs, standard hepatology workup // r/o infection
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Compared with the prior study, new bilateral interstitial opacities and indistinct interstitial pulmonary markings is compatible with pulmonary edema. The heart is mildly enlarged. No focal consolidation, pleural effusions, or pneumothorax detected. Median sternotomy wires are intact. Small surgical clip overlying the upper trachea is also unchanged.
<unk>m with shortness of breath/ rt leg swelling. evaluate for chf.
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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. Mild degenerative changes are noted within the mid thoracic spine.
history: <unk>f with history of cardiac arrest, now with substernal chest pain
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<num> views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal mediastinal and hilar contours.
right neck and temporal pain with shortness of breath.
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Normal heart size and mediastinal contours. Increased opacity is seen projecting over the spine on the lateral view with bronchial wall thickening. No pleural effusion or pneumothorax. .
history: <unk>f with fever, sob // ?infection
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No consolidation, pleural effusion or pulmonary edema is seen. The heart size is upper limits of normal with a left ventricular configuration. A severe mid thoracic wedge compression is again seen.
<unk>-year-old female with mulitple myeloma, pre bone marrow transplant.
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Frontal and lateral views of the chest demonstrate low lung volumes. An opacity in the left lower lobe may represent atelectasis as a result of suboptimal inspiration or infection. The right lung is clear. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Pleural surfaces are normal.
cough.
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The lungs are well expanded. Left base atelectasis/scarring is seen. No focal consolidation is seen. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old male with shortness of breath. evaluate for evidence of pneumonia.
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Lung volume is low. There is no focal consolidation, pleural effusion, or pneumothorax. Borderline enlarged cardiac silhouette is exaggerated by low lung volumes. Pulmonary vascular congestion is mild may also be exaggerated by low lung volumes.
history: <unk>f with chest pain doe cough // r/o pna
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Left-sided port-a-cath terminates in the proximal to mid svc without evidence of pneumothorax. No priors available for comparison. There is volume loss of the left lung. Left base opacity is seen which may be due to infection, aspiration, chronic change, related to patient's known lung cancer. Left apical opacity could be due to pleural fluid, chronicity unknown. No focal consolidation, pleural effusion, or pneumothorax is seen on the right. Cardiac silhouette is top-normal. Left paratracheal opacity is seen, unclear whether this relates to patient's pulmonary malignancy. Comparison with prior studies would be helpful for further assessment.
history: <unk>f with lung ca, weakness // infiltrate
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The size of the cardiac silhouette is mildly enlarged and unchanged from the prior exam. The mediastinal and hilar contours are normal. Again noted are flowing anterior osteophytes in the thoracic spine, consistent with diffuse idiopathic skeletal hypertrophy.
bradycardia and dizziness.
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The lungs are clear and lung volumes are normal. No pleural effusion, pneumothorax or focal airspace consolidation. The mediastinal and hilar structures are unremarkable. Heart size is normal. Subtle irregularity of the lateral left <num>th rib may relate to prior trauma.
dyspnea and chest pain, evaluate for pneumonia or a mass.
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Frontal and lateral views of the chest were obtained. There is mild right base atelectasis. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is not enlarged. Mediastinal and hilar contours are unremarkable. No displaced fracture is seen.
left-sided rib pain after being struck by a at.
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Pa and lateral views of the chest are compared to previous exam from <unk>. Linear opacities again seen in the left mid lung compatible with atelectasis. The lungs are clear of consolidation or effusion. Cardiomediastinal silhouette is normal. No acute osseous abnormality detected.
<unk>-year-old female with increased shortness of breath and hypoxia. question pneumonia.
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Cardiomediastinal silhouette is within normal limits. There is no focal consolidation, pleural effusion, or pneumothorax. The stomach contains an air-fluid level, but there is no free air under the diaphragm.
history: <unk>m with abdominal pain, syncope, hx ruptured gastric ulcer // free air under diaphragm
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Lungs are hyperexpanded. Cardiomediastinal and hilar contours are unchanged. No pneumothorax, pleural effusion, or consolidation.
history: <unk>m with luq pain, cough. // pneumonia?
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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette remains stable at the upper limits of normal with a left ventricular configuration. A left lower lobe calcified granuloma appears stable dating back to <unk>. Diffuse osteopenia is again noted.
evaluation of patient with cough.
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The lungs are hyperinflated and there is bilateral hemidiaphragm flattening, suggesting chronic pulmonary disease. No focal consolidations, pleural effusions or pneumothorax. No new pulmonary nodules or masses. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk> year old woman s/p open partial right nephrectomy for papillary renal cell carcinoma// please evaluate for any abnormalities, r/o mets
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Cardiomediastinal contours are normal. Patient is status post avr. The lungs are clear. There is no pneumothorax or pleural effusion. Sternal wires are aligned
<unk> year old man with aortic valve replacement, here with tia // r/o infx, edema
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Pa and lateral views of the chest. The lungs are clear. There is no consolidation, pneumothorax, or pleural effusion. The cardiac, mediastinal, and hilar contours are normal. There is no pulmonary vascular congestion.
positive ppd, evaluate for active lung disease.
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The heart size and mediastinal contours are normal. The lungs are clear; incidental note is made of a right-sided diaphragmatic eventration which accentuates the depth of the right costophrenic sulcus but on the prior exam, this is not concerning for pneumothorax, especially given it is stable from prior exam. There is no pleural effusion or pneumothorax. Mild degenerative changes are present in the thoracic spine.
<unk>-year-old male with right-sided chest pain.
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No focal opacity, pneumothorax, pleural effusion, or pulmonary edema. Minimal tenting of left diaphragmatic pleural surface without obvious atelectasis. Heart is top normal in size with chronic mild enlargement of the left ventricle. Mediastinal contour and hila are normal. Stable tortuous nondilated aorta. No bony abnormality.
male with end-stage renal disease, on hemodialysis, presenting with cough and shortness of breath, and likely acute bronchitis. assess for interval development of pneumonia.
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Patchy lingular opacity is most likely due to atelectasis although early infectious process is not excluded in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable.
history: <unk>f with cough and shortness of breath // eval 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 unremarkable. No displaced fracture is seen.
left-sided chest pain for <num> days, weakness into left arm.
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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size. There is no evidence of rib fracture on these non dedicated films.
history: <unk>m with s/p assault with l sided rib pain/chest pain // rib fx
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Lung volumes are again low. Poor patient positioning makes it difficult to interpret the cardiomediastinal silhouette, however, they appears grossly unchanged from prior exam. No definitive pleural effusion or consolidation is noted. No pneumothorax is seen.
<unk>-year-old female found down on the floor. question pneumonia.
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized.
cough.
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Pa and lateral views of the chest provided. The lungs are hyperinflated and diaphragms flattened. A linear scar at the left lung base is unchanged. Otherwise, lungs are grossly clear. No pleural effusion or pneumothorax. Biapical pleural and parenchymal scarring is unchanged hilar contours are normal. A hiatal hernia is noted.
<unk> year old woman with ongoing cough // evaluate for pneumonia
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Pa and lateral chest radiographs demonstrate low lung volumes and eventration of the right hemidiaphragm. However, there is no focal consolidation, pleural effusion, or pneumothorax. Cardiac, hilar, and mediastinal contours are normal. Exaggerated kyphosis of the thoracic spine with anterior osteophytosis is noted.
acute onset of high fevers, nausea, and vomiting.
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Heart size is mildly enlarged. The aorta is mildly tortuous. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. Streaky retrocardiac opacity likely reflects atelectasis. No focal consolidation, pleural effusion or pneumothorax is otherwise demonstrated. No acute osseous abnormality is seen. There are mild degenerative changes in the thoracic spine.
altered mental status.
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Pa and lateral views of the chest provided. A severe s-shaped scoliosis is again seen. Retrocardiac opacity is noted raising concern for left lower lobe pneumonia. No large effusion or pneumothorax. No convincing evidence for congestion or edema. Overall cardiomediastinal silhouette appears relatively unchanged.
<unk>f with af rvr // eval for acute process
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The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear without focal consolidation concerning for pneumonia. Chain suture material is again seen projecting over the right upper lung.
<unk>f with afib // eval for infiltrate
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Chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. The lungs are clear. No pleural effusion or pneumothorax evident.
chest pain, please evaluate for acute process.
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The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes. Vertebroplasty of t<num> vertebral body unchanged since thoracic x-ray dated <unk>.
<unk> year old woman with mgus // cough and increased white count. r/o pneumonia.
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Pa and lateral views of the chest demonstrates the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pneumothorax, pulmonary edema or focal consolidation. No rib fractures are seen.
fall from bicycle, landing on right side. pain to the right shoulder and right chest wall. evaluation for fracture.
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There are streaky bibasilar opacities, left greater than right, suggestive of atelectasis. The lungs are otherwise clear. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old male status post fall.
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Evaluation is slightly limited due to patient rotation. Within this limitation, the lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is top normal in size. The mediastinal and hilar contours are likely within normal limits allowing for rotational changes. No acute osseous abnormality is detected.
admitted with trimalleolar fracture of the left ankle, here to evaluate for acute cardiopulmonary process.
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Frontal and lateral views of the chest. Postoperative changes of left-sided pneumonectomy are seen with left-sided volume loss and complete opacification. The right lung is clear. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormality is identified.
<unk>-year-old female with palpitations, status post pneumenctomy.
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There is a rounded opacity measuring approximately <num> cm in the right upper lung, projecting over the fifth posterior rib. Otherwise, the lungs are well expanded and clear. No pleural abnormality is seen. The hilar and mediastinal silhouettes are unremarkable.
<unk>m with seizure. evaluate for pneumonia
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with unsteady gait. evaluate for evidence of pneumonia.
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As compared to the previous radiograph, the right perihilar opacity is almost unchanged in extent and appearance. The opacity is rounded and adjacent to the minor fissure. The opacity also cannot completely be differentiated against a structure of the right hilus. The differential diagnosis should not only include pneumonia, but also the possibility of a part solid neoplasm, potentially associated with right hilar adenopathy. This finding should best be confirmed or excluded by ct. At the right lung base, mild peribronchial thickening persists. The left lung is normal. Bilateral apical thickening is symmetrical. The presence of bilateral dorsal minimal pleural effusions cannot be excluded. Borderline size of the cardiac silhouette without evidence of pulmonary edema.
right perihilar density, mild thrombocytopenia, evaluation for developing pneumonia.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is identified.
history: <unk>m with fall onto r shoulder // eval for r chest trauma
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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.
history: <unk>m with chemo fever // infectious w/u
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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 woman with productive cough x<num> days, hx of non-hodgkins lymphoma // r/o pneumonia, mass
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On today's exam, inspiratory volumes may be slightly low, but there is background hyperinflation. There is moderate cardiomegaly the pulmonary hila are grossly unchanged. There is slight upper zone redistribution similar to the prior film, without other evidence of chf. On today's film, the left hemidiaphragm is well defined and there is no increased opacity at the left base. Minimal blunting of the right costophrenic angle is consistent with a small pleural effusion. Incidental note is made of an incomplete azygos fissure. Again seen is a single e left-sided pacemaker with lead tip over the right ventricle.
<unk> year old man with pmh significant for t<num>dm, htn, ischemic cardiomyopathy, and cad s/p mi x<num> and pcta x<num> with stent placement in <unk>, lad stent in <unk>, with <num> recent bms in <unk>, and recent admission to ccu <unk> for stemi s/p <num> des to rca presenting from <unk> for chf exacerbation. current leukocytosis and chronic cough. // evidence of infectious process
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Heart size is mildly enlarged. The mediastinal and hilar contours are within limits. Pulmonary vasculature is not engorged. Patchy opacities in the lung bases may reflect areas of atelectasis. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>f with fever // eval for pneumonia
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As compared to the previous radiograph, there is no relevant change. No lung parenchymal abnormalities. Normal size of the cardiac silhouette. Normal appearance of the hilar and mediastinal structures. No pleural effusions. Suspicion of aortic dissection is best confirmed or ruled out with ct angiography.
chest pain, rule out aortic dissection.
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In comparison with study of <unk>, there is mild increase in the bilateral pleural effusions, slightly more prominent on the left. Some indistinctness of pulmonary vessels suggests some underlying elevation of pulmonary venous pressure. Central catheter again extends to the lower svc.
shortness of breath.
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Pa and lateral chest radiographs were obtained. A right middle lobe consolidation obscures the right heart border on the frontal projection and is seen anterior to the major fissure on the lateral view. Otherwise the lungs are well expanded. There is no effusion or pneumothorax. The heart size is normal.
cough.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
three months of cough.
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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette appears normal. No free air is noted under the hemidiaphragms. No acute fractures are identified. Previously seen ground-glass nodule in the right upper lobe on ct is not clearly demonstrated on exam.
chest pain.
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Old calcified right lower lobe focus is stable since the prior study, with differential diagnosis of focal calcified pleural plaque or less likely calcified granuloma. No new focal consolidation is seen. Slight blunting of the right costophrenic angle could be due to pleural thickening or trace pleural effusion. No large pleural effusion is seen. The cardiac silhouette is top-normal to mildly enlarged. The aorta is tortuous. No overt pulmonary edema is seen. The bones are relatively osteopenic.
<unk>m s/p unwitnessed fall this morning with loc. please evaluate for bleed // <unk>m s/p unwitnessed fall this morning with loc. please evaluate for bleed
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The lung volumes are normal and the lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The heart is normal size. The mediastinal and hilar structures are unremarkable.
left chest pain. rule out pneumonia.
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Left chest wall pacer has leads in the right atrium and right ventricle. Right port-a-cath terminates in the low svc. There is no pleural effusion or pneumothorax. With exception of mild atelectasis of the left base and right midlung, the lungs are clear. Heart size is normal. Mediastinal and hilar contours are normal.
<unk>m with ams, difficulty with word finding // eval for consolidation
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As compared to the previous radiograph, there is no relevant change. Borderline size of the cardiac silhouette without overt pulmonary edema. Lateral apical thickening that is symmetric. Parenchymal scar at the right lung bases. No evidence of newly appeared focal parenchymal opacities. No acute changes.
shortness of breath for four months, rule out pneumonia.
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.
<unk>-year-old female with chest pain. evaluate for pneumonia.
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There is mild hyperexpansion of the lung, similar to prior to studies. There is no focal airspace opacity. Atelectasis at the lung bases is mild. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax.
history of dvt, on coumadin, chest pain, headaches.
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The cardiac, mediastinal and hilar contours appear unchanged. The lung volumes remain somewhat low. There is no pleural effusion or pneumothorax. The lungs appear clear. Old right-sided rib deformities appear unchanged.
subjective fever.
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The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with presyncope // eval for widened mediastinum
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Pa and lateral views of the chest provided. There is increased right lung base opacity, likely due to lobar collapse with increased overlying pleural effusion. There is mild pulmonary edema, especially prominent on the left. Postoperative neoesophagus is stable-appearing. There is no pneumothorax. Heart size is normal. Right mainstem bronchial stent is approximately <num> cm from the carina and may possibly occlude the upper lobe take-off. The stent was previously <num> cm below the carina and likely in the bronchus intermedius.
<unk> year old man status post esophagectomy in <unk>, now with right mainstem bronchial stent covering fistula tract to neoesophagus, evaluate for migration of bronchial stent, aspiration pna.
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Clear lungs bilaterally without pleural effusion or pneumothorax. Heart size, mediastinal contours and hila are normal. Mild degenerative change of the thoracic spine without additional bony abnormality.
male with recent cough, productive of phlegm. assess for pneumonia.
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Chain sutures are re- demonstrated at the left lung apex. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is no pulmonary edema.
history: <unk>m with shortness of breath // acute process?
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The multiple ground glass opacity seen on the prior chest ct are difficult to fully evaluated on this chest radiograph. The lungs are essentially clear with the exception of a possible nodule projecting over the left midlung on the frontal view but not clearly appreciated on the lateral view, possibly superimposed vascular structures. No pleural effusion, edema, focal consolidation, or pneumothorax. The heart is top-normal in size. Mediastinum is not widened. Aortic knob calcifications are mild. Dextroconvex scoliosis of the lower thoracic spine is mild. No acute osseous abnormality.
<unk>-year-old woman presenting with a week of productive cough. evaluate for pneumonia.
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. No focal consolidation, pleural effusion, pneumothorax or pulmonary edema is present. The cardiomediastinal silhouette is unremarkable. There is unchanged appearance of deformity of the proximal left humerus, likely from prior trauma.
hyperglycemia and agitation.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The chest is hyperinflated. There is no pleural effusion or pneumothorax. The lungs appear clear. There is a non-displaced left anterolateral ninth rib fracture with a visible step-off, possibly acute. However, non-displaced right ninth and tenth rib fractures show callus and probably subacute or older.
alcohol abuse, presenting with fall after alcohol use, complaining of left rib pain. question pneumothorax.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with dyspnea // ? acute cardiopulm process
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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 hx of frequent pvcs started on renexa, has return of pvcs; sob, dizziness
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Subtle airspace opacity in the medial right lung base, best seen on the lateral view may represent early consolidation or aspiration. There are trace bilateral pleural effusions. There is no pulmonary edema or pneumothorax. The cardiomediastinal silhouette is normal. A chronic appearing left distal third clavicular fracture is noted.
<unk>m with occasitional hypoxia with etoh, evaluate for aspiration.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. Mediastinal silhouette is normal. The heart size is at the upper limits of normal. There is no evidence of free air below the hemidiaphragms. A small amount of air is in the expected location of the stomach. The stomach is mostly fluid-filled.
epigastric pain radiating to the back.