Frontal_Image_Path
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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.
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history: <unk>f with chest pain, shortness of breath // eval for pneumonia, pleural effusion
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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable. Linear and nodular opacities projecting over the the right upper lobe and the soft tissues of the right supraclavicular chest are likely artifactual (possibly due to hair braids or extraneous tubular structures).
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history: <unk>m with r sided cp x <num> week with dyspnea // eval ? pneumothorax, effusion
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No large focal consolidation is identified. Known pulmonary nodules seen on prior ct chest are not clearly identified on this study. The cardiac silhouette is unchanged. There is slight prominence of the right perihilar region compatible with known mass, though dramatically decreased as previously observed. There is no pleural effusion or pneumothorax.
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<unk>f with hypotension, on chemotherapy for sclc, evaluate for acute cardiopulmonary process.
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No definite focal consolidation is seen no pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with chest pain // mediastinal widening
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There is increased bibasilar opacification compared to <unk> concerning for pneumonia. No pleural effusion or pneumothorax is noted. Cardiomediastinal silhouette and tortuous aortic contour is unchanged. There is calcification of the descending aorta and possibly aortic valve calcification.
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<unk> year old man with history <unk> <unk>'s who presented to an osh where he was treated for pneumonia but has continued to worsen at home. // evaluate for evidence of infection
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As compared to the previous radiograph, there is further improvement of the pre-existing parenchymal opacities, notably in the right upper lobe. However, the opacities in the right upper lobe, right lower lobe and in the left perihilar areas are still clearly seen. Normal size of the cardiac silhouette. Unchanged left-sided picc line. No pleural effusions.
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chronic osteomyelitis, recent respiratory failure secondary to pneumonia, evaluation.
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Right-sided port-a-cath is grossly stable in position likely terminating at the proximal right atrium.cardiac and mediastinal silhouettes are similar. There is persistent elevation of the left hemidiaphragm with possible overlying increase in left base atelectasis. Increased right base opacity is also seen, possibly due to atelectasis, but infection or aspiration is not excluded. No pleural effusion is seen. There is no pneumothorax.
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history: <unk>f with breast ca p/w dyspnea and hypoxia // eval for pneumonia, chf
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Mild enlargement of the cardiac silhouette is unchanged. The mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated.
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postoperative fever after laparoscopic colectomy.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are clear. There is no focal consolidation, pleural effusion or pneumothorax.
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history: <unk>f with cp, sob // 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 unremarkable.
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history: <unk>f with chest pain // ?ptx
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Lungs are clear without focal consolidation or effusion. There is mild pulmonary vascular congestion without pulmonary edema. Moderate cardiomegaly is again noted as well as atherosclerotic calcifications at the arch. Nodular opacity at the left lung base may represent a nipple shadow.
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<unk>m with sob, known chf/cardiomyopathy, rle swelling // evaluate for acute procesas
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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.
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history: <unk>f with 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. Ett and enteric tube removed since <unk>.
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<unk> year old man with chronic lbp, fecal incontinence w/leukocytosis // evaluate for acute cardiopulmonary 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.
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<unk>f with left leg swelling. // ?dvt
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In comparison with study of <unk>, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
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cough, to assess for pneumonia.
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As compared to the previous radiograph, there is unchanged evidence of a large left upper lobe mass with elevation of the left hemidiaphragm and mild mediastinal widening. The mass could have slightly increased in size as compared to the previous image. New, however, is an ill-defined zone of parenchymal opacities with air bronchograms, located in the peripheral areas of the right lower lobe. Moreover, subtle opacities have newly appeared in the lung parenchyma at the level of the left lower lobe. The of distribution and morphology of the opacities is highly suggestive of multifocal pneumonia. No other relevant change. The size of the cardiac silhouette is constant. A minimal left pleural effusion present, based on the lateral radiograph. At the time of dictation and observation, <time> p.m., on <unk>, the referring physician <unk>. <unk> was paged for notification.
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fatigue and cough.
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Cardiac, mediastinal and hilar contours are within normal limits. Aortic knob calcifications are present. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
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cough.
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Lung volumes are normal. Other than streaky left retrocardiac atelectasis, remainder of the lungs are clear. No pulmonary edema, pleural effusion or pneumothorax. Cardiomediastinal contours are normal.
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<unk>-year-old male with small bowel gist, now presenting with fever
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New left opacity is likely a pneumonia. Previously seen right lower lobe opacity has resolved. Lungs hyperinflated. Cardiomediastinal contours are unremarkable. No pleural effusion or pneumothorax.chronic right sided rib fracture.
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<unk> year old woman with h/o cryptogenic organizing pneumonia in <unk>, h/o smoking, c/o <num> days chest congestion, wheezing, and cough. no fever. o<num> sat <unk>% on room air. lungs clear. // r/o recurrent pneumonia
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The exam is limited by low lung volumes and body habitus. Again noted is prominence of the pulmonary vasculature, likely accentuated by the low lung volumes. There is no large consolidation, large pleural effusion, or pneumothorax. The cardiomediastinal silhouette is mildly enlarged and unchanged from prior exams.
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hypoxia.
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The lungs are clear. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are normal without effusion or pneumothorax. Visualized osseous structures are unremarkable.
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left back pain.
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Pa and lateral views of the chest provided. Port-a-cath resides over the right chest wall with right ij access and catheter tip in the region of the low svc. Subtle opacity is noted in the left lower lobe which could represent a very early pneumonia in the correct clinical setting. Otherwise lungs are clear. No large effusion or pneumothorax. No signs of congestion or edema. Cardiomediastinal silhouette is stable and normal. Bony structures are intact. Clips are noted in the right upper quadrant.
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<unk>f with sob // infiltrate
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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.
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history: <unk>f with <unk> weakness // ? acute process
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The heart size is normal. The hilar and mediastinal contours are normal. Lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
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<unk>-year-old male who presents for evaluation of cough and malaise.
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with ha, lightheadedness // eval ? infection
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The patient is status post median sternotomy and cabg. Left-sided aicd/pacemaker device is noted with leads terminating in the right atrium and right ventricle. The heart is mild to moderately enlarged but unchanged. The mediastinal contours are stable. Lung volumes are low which causes crowding of the bronchovascular structures. Additionally, there is mild pulmonary vascular congestion. No pleural effusion, focal consolidation or pneumothorax is present. Minimal patchy opacities in the lung bases likely reflect atelectasis.
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syncope.
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The lungs are mildly hypoinflated with minimal bibasilar and lingular atelectasis, left greater than right. The lungs are otherwise clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. No free air under the diaphragm. Visualized bowel gas pattern is nonobstructive.
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<unk>f with mgus, dm<num>, htn p/w <num> week of malaise, fatigue, nausea. assess for pneumonia.
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Frontal and lateral chest radiographs were obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
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patient with history of bilateral pneumonia in <unk>, now with similar symptoms, evaluate for pneumonia.
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits and stable when compared to prior study dated <unk>. There is no evidence of pulmonary edema. There is no pleural effusion. No acute osseous abnormality is seen.
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<unk>-year-old male with confusion.
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Lung volumes are normal. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal.
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history: <unk>m with fevers, ongoing, recent travel // r/o pna
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The lungs are hyperinflated and the diaphragms are flattened, suggesting background copd. The heart is at the upper limits of normal in size. Multiple mediastinal surgical clips are noted. Mild prominence of the pulmonary hila with a tapered appearance raises the question of background pulmonary hypertension. Prominence of the left paratracheal soft tissues is similar to the chest x-ray from <unk> and likely accentuated by slight rotation. There is linear atelectasis and/or scarring at left greater than right lung bases. Minimal blunting of the costophrenic angles is noted. No chf, focal infiltrate, gross effusion, or pneumothorax is detected.
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<unk>m with neck pain, h/o cad w/ cabg // acute process?
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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. A vertically oriented linear density projecting over the left hemithorax is likely external to the patient. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The trachea is midline. The visualized upper abdomen demonstrates no free air beneath the right hemidiaphragm.
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left-sided chest pain, here to evaluate for pneumothorax.
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Lung volumes are somewhat low, with minimal atelectasis in the lung bases. There is no pleural effusion, pulmonary edema, or focal opacification concerning for pneumonia. There is a somewhat tortuous thoracic aorta. The cardiomediastinal silhouette is stable since the prior examination, with no evidence of cardiac enlargement. Mild multilevel anterior wedge in the thoracic spine are unchanged. No acute osseous abnormalities are detected.
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<unk>m with cough // r/o infiltrate
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A right chest wall pacemaker generator is in unchanged position. The patient is status post median sternotomy with wires intact. Surgical clips project over the pericardium. Extensive pulmonary fibrosis with basilar predominance and apparent honeycombing is again seen, however lung opacities at the right lung base are subtly increased in comparison to multiple prior examinations.
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history: <unk>m with dyspnea // r/o chf
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Pa and lateral views of the chest provided. Airspace consolidation is noted within the right middle lobe concerning for pneumonia. Elsewhere lungs are clear. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact.
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<unk>m with fever/ cough // r/o pna
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Frontal and lateral chest radiographs demonstrate a left chest wall pacer device with leads overlying the right atrium and ventricle, as well as mediastinal clips and sternal wires. Moderate cardiomegaly is unchanged. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
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evaluate for pneumonia or mass, in a patient with dyspnea.
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Cardiomediastinal contours are normal. There is minimal biapical pleural thickening greater in the right side. The lungs are clear. There is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine. There is s-shaped scoliosis. Compression deformities of a mid and lower thoracic vertebral bodies are unchanged
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<unk> year old woman with ongoing cough. please assess for infiltrate. // chronic cough - evidence of pneumonia/infiltrate?
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Mild interstitial pulmonary edema is improved compared with <unk>, but likely worsened compared with the chest ct of <unk>. Ill-defined airspace opacity best appreciated on the lateral view and likely corresponding to the left lower lobe may represent atelectasis or early consolidation. There is no pleural effusion. There is no pneumothorax. The cardiomediastinal silhouette, including mild cardiomegaly, is unchanged.
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<unk>f with ckd on dialysis with fever, weakness evaluate for pneumonia.
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are seen at the aortic arch. No acute osseous abnormalities are detected.
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history: <unk>f with shortness of breath // ? infiltrate
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Mild pulmonary vascular congestion with mild to moderate interstitial pulmonary edema are new compared with the prior study. Mild cardiomegaly has increased compared with the immediate prior study. There is no pleural effusion, pneumothorax, or focal consolidation. The cardiomediastinal contour is stable the osseous structures and upper abdomen are unremarkable.
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<unk> year old woman with <unk> edema, evaluate for fluid overload.
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As compared to the previous radiograph, there is no relevant change. Borderline size of the cardiac silhouette without pulmonary edema. Normal appearance of the lung parenchyma without evidence of pneumonia or other pathological changes. No pleural effusions. Mild tortuosity of the thoracic aorta.
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evaluation for acute process.
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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.
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headache, nausea and vomiting.
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The lungs are clear. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette, hila, and pleura are unremarkable. No acute osseous abnormality.
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<unk>-year-old man presenting with chest pain; evaluate for pneumonia.
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Cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lung volumes are lower than they were on the previous study. There is some mild left basilar atelectasis, but no focal consolidation concerning for pneumonia. Surgical hardware is seen overlying the lower cervical spine.
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assess for pulmonary sources of fever.
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Transvenous right atrial biventricular pacer defibrillator leads follow standard placements. Patient has had aortic and mitral valve replacements.lungs are clear. Heart size normal. No pneumothorax or effusion.
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<unk> year old man with cied for mri. // patient has cied, please evaluate for mri.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear without focal consolidation concerning for pneumonia. The upper abdomen is unremarkable.
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<unk>-year-old with shortness of breath and cough.
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Ap and lateral views of the chest are compared to previous exam from <unk>. The lungs demonstrate mildly increased interstitial markings bilaterally. There is no large confluent consolidation or effusion. Cardiac silhouette appears slightly enlarged, likely accentuated by ap technique and relatively lower inspiratory volumes. Old posterior right rib fractures identified. No acute osseous abnormality detected.
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<unk>-year-old female with altered mental status.
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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.
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history: <unk>f with dyspnea
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Redemonstrated are fractures of the right <unk>, <unk>, <unk>, <unk>, and <unk> posterior ribs with adjacent mild pleural thickening. Also redemonstrated is a displaced fracture of the right distal clavicle. There is mild basilar atelectasis of the right lower lobe. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal. There are no additional or acute bony abnormalities detected.
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status post mvc several weeks prior with multiple rib fractures seen on ct examination. now with anterior right-sided rib pain.
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As compared to the previous radiograph, there is no relevant change. Unchanged appearance of the pacemaker and the pacemaker wires. No pulmonary edema. No pneumonia. Moderate cardiomegaly. No pleural effusions.
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evaluation for pneumonia, pacer wires.
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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 and unremarkable.. No evidence of free air is seen beneath the diaphragms.
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history: <unk>m with epigastric chest pain, hx of gastric band who p/w n/v, weakness // eval for effusion, gastric distesnsion
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The known lingular pneumonia is unchanged. There are no new focal consolidations. No pleural effusion or pneumothorax. Heart is normal size. The mediastinal and hilar structures are unremarkable.
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pneumonia dyspnea. evaluate for pneumonia.
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In comparison with the study of <unk>, there are slightly improved lung volumes. Elevation of the left hemidiaphragm is again seen with atelectatic changes at the base. No definite vascular congestion at this time. The tip of the picc line is difficult to see, though it appears to extend to the cavoatrial junction or slightly below it.
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effusions.
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Frontal and lateral views of the chest. The lungs are clear of consolidation or effusion. There is no frank pulmonary edema. Cardiac silhouette is slightly enlarged. Prosthetic aortic valve is noted. Descending aorta is tortuous. Median sternotomy wires and mediastinal clips are noted. Degenerative changes seen at the shoulders bilaterally. No acute osseous abnormality seen. Hypertrophic changes seen throughout the spine.
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<unk>-year-old male with chf presents with cough and scattered wheezes.
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No focal consolidation or pneumothorax is seen. There is blunting of the right costophrenic angle. Heart and mediastinal contours are within normal limits.
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<unk>-year-old female with cough, chest pain, and history of pulmonary embolus.
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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.
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<unk>m with rollover mvc, r knee, r sided neck pain
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Lung volumes are normal. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size, now mildly enlarged, has increased from prior study.
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<unk>f with chest pain
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Pa and lateral chest radiographs were obtained. Heart is normal size and cardiomediastinal contours are unremarkable. The lungs are well expanded and clear with no evidence of focal consolidation or masses. No pleural effusions and no pneumothorax. Linear opacity is seen projecting over the lateral aspect of the left base likely represent pleural calcifications.
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<unk>-year-old man with right-sided ptosis, rule out intrathoracic process.
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In comparison with study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. Specifically, no evidence of interstitial prominence to suggest pcp. No focal pneumonia or vascular congestion.
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hiv with pe, now with cough.
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Frontal and lateral views of the chest were obtained. The lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal.
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cough and chills.
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Pa and lateral chest radiographs were obtained. Prominent interstitial markings in the lower lungs, accompanying mild cardiomegaly and small pleural effusions reflect mild pulmonary edema. Patchy opacification obscuring the right heart border could be confluent edema or lung contusion after recent chest compressions. There is no pneumothorax.
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<unk>-year-old male with past medical history of cardiac compression with persistent chest pain.
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Ap and lateral views of the chest. There is severe dextroscoliosis, which may be causing a tortuous aorta. The cardiac borders are unremarkable. The mediastinal and hilar contours are unremarkable. The lungs are clear. There is no definite effusion. There is no pneumothorax.
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<unk>-year-old male, shortness of breath, history of chf, evaluate for effusions or infection.
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Pa and lateral views the chest were provided. The heart size is normal. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Stable subtle opacity overlying the left lateral hemithorax may represent overlying soft tissue or old rib fractures. There is no consolidation concerning for pneumonia.
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chest pain.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>m with chest pain // r/o acute process
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Cardiac size is top-normal. Widening of the mediastinum has improved. Right ij catheter tip is in the right atrium. There is no evident pneumothorax. Small right and moderate left pleural effusion associated with adjacent atelectasis. Sternal wires are intact. Patient is status post cabg
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<unk> year old woman with cabg // eval post op effusion
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Right basilar chest tube remains in unchanged position. Small right hydropneumothorax is unchanged. There is increased patchy opacification within the right lung base. This could reflect asymmetric pulmonary edema given its rapid development over the course of a few hours. Multiple scattered ill-defined nodular opacities are compatible with known metastatic disease. The cardiac and mediastinal contours are unchanged. Streaky left basilar atelectasis is re- demonstrated.
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<unk> year old man with right pleural effusion status post catheter placement. please perform at <time>pm on <unk>
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Frontal and lateral radiographs of the chest show multiple surgical clips along the right side of the trachea at the level of the right thyroid bed. 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. Fullness in the right paratracheal region corresponds to known mediastinal cyst from ct of <unk>. The mediastinal and hilar contours are unchanged from the preceding radiograph.
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<unk>-year-old female with asthma, now with new symptoms, here to evaluate for superimposed pneumonia.
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Lung volumes are low. No pneumothorax. Normal post operative appearance with left perihilar opacity suggesting resolving hemorrhage. The left hemidiaphragm is elevated with adjacent atelectasis and possible trace left pleural effusion. The mediastinum and cardiac borders are normal.
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<unk> year old woman w/ <num>mm lll nodule along w/ multiple pulm nodules s/p vats lll wedge resection. dc chest tube //?pneumo
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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.
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history: <unk>f with <num> days intermittent chest pain, retrosternal
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Left-sided pacer device is noted with leads again terminating in the right atrium right ventricle, unchanged. Low lung volumes persist with moderate enlargement of the cardiac silhouette appearing unchanged. Extensive atherosclerotic calcification the aortic knob. Mediastinal and hilar contours are similar. There is mild pulmonary vascular congestion, as seen previously. Small bilateral pleural effusions are without significant interval change. Patchy opacities are again seen in the lung bases. No new focal consolidation is evident.
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history: <unk>m with history of cad, chf, ckd with dyspnea and hypoxia
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The cardiac, mediastinal and hilar contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax is present. There are no acute osseous abnormalities.
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chest pain.
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Pa and lateral images of the chest demonstrate clear lungs bilaterally. Again seen is a broken sternotomy wire near the upper sternum. A pacer is seen in the left anterior axillary position with intact leads along the expected course to the right atrium and right ventricle. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or other complication seen. There is no pleural effusion. Visualized osseous structures are unremarkable.
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<unk>-year-old male with new pacer implantation, requiring assessment for pneumothorax and lead placement.
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Frontal and lateral chest radiographs demonstrate a left picc which terminates in the mid svc. There is a normal cardiomediastinal silhouette and well-aerated lungs. No focal consolidation, pleural effusion, or pneumothorax is seen. Lingular scarring is unchanged. The visualized upper abdomen is unremarkable.
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evaluate for pneumonia in a patient with fever.
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Sternotomy, avr. Decreased pulmonary vascularity, heart size since prior exam. There is small left pleural effusion, improved. Improved left basilar atelectasis. Possible trace right pleural effusion. . Chronic right rib fractures. There are aortic calcifications.
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<unk> year old man s/p avr // interval change
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MIMIC-CXR-JPG/2.0.0/files/p17767649/s54563680/7ba7c53f-64b3a6cb-c85cf51f-d74b8dad-5c8c7e68.jpg
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The heart size and mediastinal contours appear within normal limits. There is new consolidation within the left lower lobe of the lung, silhouetted by the major fissure, with additional foci of consolidation in the left upper lobe and likely within the right lower lung. Small left pleural effusion. Osseous structures appear unchanged.
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history: <unk>m with cough, fever // ? infiltrate
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Pa and lateral chest radiograph demonstrate new left lower lung air space nodular opacities as well as nodular opacities within the left upper lung zone. Scattered opacities within the right upper lobe peripherally are additionally noted with worsening areas in the right midlung. Some areas in the left upper lung have demonstrated interval improvement. There is no pleural effusion. There is no pneumothorax. Mediastinal and hilar contours are unchanged and within normal limits. There is no evidence of pulmonary edema. An apparent probable esophageal stent is identified.
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<unk>m with leukocytosis, abdominal pain // acute cardiopulmonary 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 unremarkable.
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history: <unk>m with tia? // eval for infection
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MIMIC-CXR-JPG/2.0.0/files/p17661745/s54290287/73703149-5dfc1202-a46c3fd9-45c1a5c1-f9acf507.jpg
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In comparison with study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No evidence of acute pneumonia, vascular congestion, or pleural effusion. No evidence of skeletal or parenchymal metastasis.
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cough with history of hodgkin's disease and breast cancer and radiation therapy.
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There is linear right basilar opacity not reproduced on the lateral view most suggestive of atelectasis. The lungs are hyperinflated but otherwise clear. The cardiomediastinal silhouette is stable. Tortuosity of descending thoracic aorta is again noted. Chronic deformity of the proximally left humerus suggests prior healed fracture. Mild height loss of a lower thoracic vertebral body is unchanged.
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<unk>f with palpitations // eval for pna
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The left port-a-cath tip projects is unchanged in position ending in the svc-ra junction. The lungs are well-expanded. No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. The mediastinum is not widened.
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history: <unk>m with pancreatic ca, on chemo here w/ fever // ? infectious process
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Extensive reticular interstitial opacities, predominantly in the lung apices, are unchanged and are consistent with fibrotic changes from sarcoidosis. Minor fissure remains elevated. No pleural effusion, pneumothorax or focal airspace consolidation.there is persistent elevation of the left hemidiaphragm. Hilar and mediastinal lymphadenopathy is unchanged. Heart is top normal in size. There is no evidence for pulmonary edema.
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history of asthma and sarcoid now with shortness of breath and cough. evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p16976334/s51175280/2bc58774-20217668-ded16877-261f5798-dd3a53c3.jpg
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The heart size is normal. The hilar and mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion, pneumothorax.
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history of cough and chills. please evaluate.
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There continues to be elevation of the left hemidiaphragm with volume loss/infiltrate/ effusion in the retrocardiac region. There is also small right effusion. The heart is mildly enlarged. There is mild pulmonary vascular redistribution.
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<unk> year old woman with s/p cabg // f/u effusions, atx
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The heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
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hypertension, intoxicated with palpitations.
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Low lung volumes. Stable elevation of the right hemidiaphragm. Right basilar opacity right lobe represent crowding of the bronchovascular markings in the setting of low lung volumes. No consolidation or effusion. No evidence for vascular congestion. The cardiac silhouette is enlarged, as on the prior examination. Postsurgical changes are seen from prior valve replacement. No acute osseous abnormality.
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<unk> year old man with reduced ef on fluids post-ercp // ?e/o pulmonary edema
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MIMIC-CXR-JPG/2.0.0/files/p19300534/s56248173/9d75e6ca-7e4de681-b047d612-87992f84-7c425ca4.jpg
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. The bony structures are unremarkable.
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cough.
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Heart size is normal. Mediastinal and hilar contours are within normal limits. The pulmonary vasculature is not engorged. Patchy right lower lobe opacity is concerning for pneumonia. Minimal streaky opacities also seen in the retrocardiac region. No pleural effusion or pneumothorax is detected. There are no acute osseous abnormalities.
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history: <unk>f with back pain and fever, incidental mri finding, sent for brain mri // cerebellar enhancement. pneumonia?
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. The heart remains normal in size. No configurational abnormality is seen. Thoracic aorta unremarkable. No mediastinal abnormalities are present. The pulmonary vasculature is normal. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No evidence of pneumothorax in the apical area. Skeletal structures of the thorax remain grossly unremarkable.
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<unk>-year-old male patient with past medical history of allergic rhinitis, shoulder pain, complaining of productive cough for <num> days. assess for pneumonia and bronchitis.
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Ap upright and lateral views of the chest provided. Cardiomegaly is new in the interval, which may in part reflect magnification due to ap portable technique. Lungs are clear. No large effusion or pneumothorax. Mediastinal contour is normal. Bony structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with ams, r-face numbness, slurred speech
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. No focal consolidation is identified concerning for pneumonia. Visualized heart and pericardium are unremarkable. There is no pleural effusion or pneumothorax. Osseous structures demonstrates no acute abnormality. No free air is identified below the right hemidiaphragm.
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<unk>-year-old female with chest pain.
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Pa and lateral chest radiographs. The left hemidiaphragm is elevated and there is bibasilar atelectasis. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
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chest pain.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with generalized weakness and intermittent sob // r/o pna
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The heart is normal in size. The aorta is moderately tortuous. There is no pleural effusion or pneumothorax. Flattening of the hemidiaphragms suggest hyperinflation. The lungs appear clear. Lower thoracic spine curves slightly toward the right side.
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chest pain and shortness of breath.
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Again seen moderate to severe pulmonary edema, somewhat improved since the prior study, but persistent. There is a moderate right pleural effusion again seen with overlying atelectasis. Minimal to no left pleural effusion is seen. No pneumothorax. Cardiac and mediastinal silhouettes are stable.
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history: <unk>m with esrd on hd who presents with thrombosed av fistula // please eval for volume overload
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The cardiac, mediastinal and hilar contours appear unchanged. Lung volumes are low. There is vague opacity in the left lower lung but improved since very recent prior radiographs. There is no pleural effusion or pneumothorax.
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altered mental status.
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MIMIC-CXR-JPG/2.0.0/files/p15660452/s56431184/794dbe60-804f5b07-e01843af-09cf80f6-ed8a1eac.jpg
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Calcified breast implant overlies the right lower hemi thorax. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
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history: <unk>f with sob, hx chf // ? effusion, infectious process
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MIMIC-CXR-JPG/2.0.0/files/p11069386/s56372120/00cc85d6-f2a60700-529ee8b0-3fd6ebf0-bedd7c5c.jpg
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MIMIC-CXR-JPG/2.0.0/files/p11069386/s56372120/82f1a6bf-686e9489-43705d63-76781cd5-83f1d2bc.jpg
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Single portable upright chest radiograph was provided. Again seen is prominence of the interstitial markings, similar to the prior studies, compatible with chronic lung disease. There is no superimposed pulmonary edema or focal consolidation. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unchanged. The bones are intact.
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syncope. question infection.
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The cardiomediastinal silhouette and hila are normal. There is a subtle right lower lobe opacity and bronchial wall thickening which might represent early pneumonia, new from <unk>. There is no pleural effusion or pneumothorax.
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<unk>-year-old with hiv, found down.
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The lungs are clear without consolidation, or edema. Blunting of the posterior costophrenic angles may represent trace effusions or atelectasis. The cardiac silhouette is top-normal in size. No acute osseous abnormalities. Surgical clips project over the upper abdomen in the midline.
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<unk>f with weakness, cough // please evaluate for acute abnormality
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MIMIC-CXR-JPG/2.0.0/files/p13630653/s57216568/9f377987-da8a6353-f7dd091b-d843023b-80cb0591.jpg
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Ap upright and lateral views of the chest provided. Cardiomegaly is noted with hilar congestion and mild pulmonary edema. Left chest wall pacer device with single lead extending into the region of the right ventricle noted. There is a small left pleural effusion. No pneumothorax. Bony structures are intact.
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<unk>m with weight gain, chf. // chf?
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