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Pa and lateral views of the chest provided. Mild bibasilar atelectasis. A right lower lobe opacity projecting over the lung bases may represent pleural disease or may be parenchymal. No pleural effusion or pneumothorax. Hilar contours are normal.
<unk> year old woman with h/o tracheobronchomalacia, transfered with resp distress/?pna // eval for pna
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Frontal and lateral views of the chest are compared to previous exam from <unk>. Right-sided central line is seen with catheter tip at the ra-svc junction. Mildly increased interstitial markings are seen throughout the lungs bilaterally, increased from prior exam. Superimposed linear bibasilar opacities are suggestive of atelectasis. There is no large effusion. Cardiac silhouette is enlarged but not significantly changed. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with fever, question pneumonia.
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Lung volumes are normal and lungs are clear. No pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. Mediastinal and hilar contours are unremarkable.
shortness of breath, evaluate for an acute process.
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As compared to the previous radiograph, there is no relevant change. No evidence of lung nodule or mass. Borderline size of the cardiac silhouette without pulmonary edema. No pleural effusions. No pneumonia.
chest pain two weeks ago, evaluation for mass.
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In comparison with study of <unk>, there is some enlargement of the cardiac silhouette without pulmonary vascular congestion or acute focal pneumonia. Blunting of the left costophrenic angle is again seen on the frontal view. No evidence of hilar or mediastinal adenopathy to radiographically suggest sarcoidosis.
cough and shortness of breath with history of hepatic sarcoid.
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Ap and lateral views of the chest. There are small bilateral pleural effusions. Left-sided pacemaker wires are in appropriate position. Chronic changes at the right lung base are unchanged. No pneumothorax. Cardiomegaly is unchanged.
cough and shortness of breath.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well-expanded and clear without focal consolidation concerning for pneumonia. The upper abdomen is unremarkable.
<unk>f with <num> week cough, dyspnea // please evaluate for acute cp process
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Chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. Faint nodular opacities projecting over the anterolateral fourth and fifth ribs, are not seen on prior studies. Otherwise, the lungs are clear. No pleural effusion or pneumothorax.
renal cell carcinoma, rule out intrathoracic disease.
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The aortic arch appears somewhat prominent which may be due to a or tortuosity versus a mildly dilated aorta. No priors available for comparison. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is mildly enlarged. No overt pulmonary edema is seen.
history: <unk>f with c/o sob with cough // ? pna
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. There is a small left pleural effusion in a tiny right pleural effusion. Left lower lobe opacity likely reflects compressive atelectasis. Right lung is clear. No pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with hypotension
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In comparison with the study of <unk>, the patient has taken a much better inspiration. Previously described opacification at the bases has cleared. On the lateral view, there is the vague suggestion of retrocardiac opacification overlying the spine. However, this is not confirmed on the frontal projection. The appearance could reflect some fibrotic change from previous consolidation. In the appropriate clinical setting, a developing pneumonia would have to be considered.
wheezing, to assess for pneumonia.
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Patient is status post median sternotomy, cabg, and coronary artery stenting. Mild cardiomegaly is re- demonstrated. Mediastinal hilar contours are unchanged. There is no overt pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is demonstrated. No acute osseous abnormalities seen.
history: <unk>m with chest pain and dyspnea on exertion
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, pneumothorax.
chronic cough.
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There is platelike atelectasis at the right lung base, similar to <unk>. The lungs are hyperinflated and is associated with bilateral hemidiaphragm flattening, suggesting chronic lung disease. There are no lung masses, focal consolidations, pleural effusions or pneumothorax. The mediastinum, hila, and heart are within normal limits. No acute osseous abnormalities.
<unk> year old man with worsening dyspnea on exertion. // ?copd, pna, mass, ipf, pulmonary edema
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Frontal and lateral views of the chest were obtained. There is no focal consolidation, pleural effusion or pneumothorax. Mild cardiomegaly is unchanged. Median sternotomy wires are intact after cabg. Hilar contours are normal.
chronic nightsweats with recent worsening.
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Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. Hilar and mediastinal contours are normal. Heart size is normal.
<unk> year old man with cough, fever. // ?infiltrate
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There is continued elevation of the left hemidiaphragm. 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 dyspnea. evaluate for pneumonia.
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Pa and lateral chest views were obtained with patient upright position. Status post bypass surgery with sternotomy wires and mild cardiac enlargement appears stable. Pulmonary vasculature is not congested. Comparison with the next preceding portable chest examination of <unk>, the left-sided pleural effusion which at that time was status post thoracocentesis has increased again. The amount of left-sided pleural effusion is similar to what existed on <unk> prior to the thoracocentesis. There is no evidence of pneumothorax. The right-sided hemithorax remains unremarkable without evidence of pulmonary vascular congestion.
<unk>-year-old female patient with left pleural effusion, evaluate.
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The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old female with 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.
new diagnosis of hyperthyroidism presenting with shortness of breath laying flat and chest pain on exertion, new right lower extremity swelling for <num> day.
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Heart size is borderline enlarged. The mediastinal hilar contours are unremarkable. The pulmonary vasculature is not engorged. The lungs are clear. No pleural effusion or pneumothorax is present. There mild degenerative changes seen in the mid thoracic spine.
history: <unk>f with dyspnea and leg swelling
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Left lower lobe opacities are definitely present; however, in comparison to the most recent prior film, they are probably improving. Right lower lobe opacities are certainly improving with a much clearer visualization of the diaphragm today than on the prior film. Heart size is normal. Aorta is slightly tortuous. No pleural effusion or pneumothorax.
<unk>-year-old man with recurrent aspiration pneumonias, now with decreased breath sounds on the left. question pneumonia.
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Heart size is normal. The hilar and mediastinal contours are normal. There is a <num> cm right lower lobe nodule which has been present on prior ct scans, most recently from <unk>; a formal chest ct should be performed to evaluate for long-term stability. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion or pneumothorax. No definite rib fractures are seen; however, a dedicated rib series would be helpful if there is further clinical concern for rib fractures.
history of assault with rib pain. please evaluate for trauma.
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There is pulmonary vascular congestion with worsening interstitial edema when compared with the prior study of <unk>. Additionally, there are bilateral moderate pleural effusions, left greater than right, with adjacent bibasilar atelectasis or consolidation, again more severe on the left.
<unk> year old woman with possible l lobe collapse vs infiltrate on portable cxr // eval l lower lobe
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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 scoliosis.
<unk>f w/chest pain, please eval for ptx, mediastinal widening // <unk>f w/chest pain, please eval for ptx, mediastinal widening
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Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
chest discomfort.
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation or effusion or significant pulmonary edema. The cardiomediastinal silhouette is within normal limits. Left chest wall dual-lead pacing device is again seen. Median sternotomy wires are identified. Aortic valve replacement is also noted.
<unk>-year-old male with femoral neck fracture.
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Pa and lateral views of the chest demonstrate normal lung volumes. No pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.
severe weight loss. assess for mass.
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>f with syncope // eval
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Pa and lateral views of the chest. Lungs are clear of focal consolidation, effusion, or vascular congestion. Biapical scarring is again noted. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with left shoulder pain.
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.
chest pain.
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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 normal. There is no radiopaque foreign body identified.
inhalation of glass, evaluate for foreign body.
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.
<unk>-year-old female with left chest pain, sudden onset. please assess for evidence of pneumothorax.
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The lungs are again hyperinflated, but clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia.
history: <unk>m with cough // cough
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The lungs appear mildly hyperinflated. The heart is mildly enlarged. There is chronic pulmonary vascular redistribution. No pneumothorax, pleural effusion, or consolidation.
history: <unk>f with cough, doe for <num> weeks + subjective fever and decreased lung sounds in bilateral lower lobes of lungs // ? chf vs pneumonia
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Left picc is seen with tip in the lower svc. When compared to prior, there has been interval progression of the right basilar opacity which is in part due to underlying effusion with superimposed consolidation. Superiorly the lungs are clear the cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>f with bibasilar crackles, recent seizure. // please eval for pna
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Ap and lateral chest radiograph demonstrates clear lungs bilaterally. There is no pleural effusion or pneumothorax. Cardiomediastinal contours are within normal limits. No air under the right hemidiaphragm is identified. Osseous structures are unremarkable.
<unk>-year-old male with fever and shortness of breath.
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Heart size is normal. The aorta is tortuous. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is identified. Moderate degenerative changes are seen in the thoracic spine.
history: <unk>m with exertional dyspnea
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Pa and lateral chest radiographs were obtained. The lungs are well inflated and clear. No focal consolidation, effusion, or pneumothorax is present. Cardiac and mediastinal contours are normal.
<unk>-year-old woman with persistent cough, asthma exacerbation, sweats, rule out infiltrate.
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. Costochondral calcification is seen bilaterally, most notably on the right. . The cardiac silhouette remains enlarged. The aorta is tortuous. Surgical clips were again noted in the epigastric region, at the level of the gastroesophageal junction.
history: <unk>f with dizziness and dementia // eval for pna
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Lung volumes are low. This accentuates the size of the cardiac silhouette which is mildly enlarged. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Minimal patchy opacities are seen at the lung bases. No pleural effusion, focal consolidation or pneumothorax is identified. No acute osseous abnormalities visualized.
history: <unk>f with pleuritic chest pain
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Again, the aorta is calcified and unfolded. The cardiac and mediastinal silhouettes are stable. Minimal bibasilar atelectasis is seen without definite focal consolidation. There is no pleural effusion. No evidence of pneumothorax is seen. There is no overt pulmonary edema. .
history: <unk>f with sob dialysis pt pls eval pna or edema // history: <unk>f with sob dialysis pt pls eval pna or edema
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No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. The mediastinum is not widened. No acute osseous abnormality.
<unk>-year-old man with chest pain. evaluate for pneumonia.
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There is persistent moderate to severe cardiomegaly. There is mild pulmonary edema. Opacity at the right lung base on the frontal view may be due to atelectasis. There is no significant effusion. Degenerative changes are noted in the spine.
<unk>f with dyspnea, sob and cough // please evaluate for acute infectious process, effusion
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Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Right basilar tree-in-<unk> opacity is better seen on the concurrent ct abdomen. Heart size is normal. Mediastinal silhouette and hilar contours are normal. A hiatal hernia is noted.
left flank pain and left lower quadrant pain. recent admission of pneumonia sepsis. evaluate for pneumonia.
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Pa and lateral views of the chest provided. Mild left basal atelectasis noted. Otherwise the lungs are clear. 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 palpitiations // acute process
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No pleural effusion is seen. There is no pneumothorax. Cardiac silhouette is mildly enlarged. Mediastinal contours are unremarkable and stable. There is increase in pulmonary vasculature bilaterally suggesting mild interstitial edema, increased as compared to the prior study. Difficult to exclude underlying pulmonary nodule, and if this is of clinical concern, chest ct is more sensitive.
history: <unk>f with chf, brca p/w dyspnea and chest pain // pulm edema vs. infiltrate
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Cardiomediastinal silhouette is unchanged. Areas of linear atelectasis are identified in the bilateral lung bases. No focal consolidation or pneumothorax. Small left pleural effusion is unchanged. Median sternotomy wires are intact.
<unk> year old woman with s/p cabg/avr. eval postop changes.
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Slight blunting of posterior left costophrenic angle may be due to a trace pleural effusion. There is mild bibasilar atelectasis without definite focal consolidation. Surgical clips are seen overlying the right heart border. Cardiac silhouette is mild to moderately enlarged. No pulmonary edema is seen. Aortic knob is calcified.
history: <unk>m with ams. currently being treated for pneumonia // ?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.
history: <unk>m with chest pain s/p mvc // eval for trauma
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There is again a large pleural effusion occupying the mid-to-lower hemithorax with rightward mass effect although it is likely that the left lower lobe and parts of the left upper lobe, at least the lingula, are collapsed. The right lung remains clear. There is no pneumothorax. A prior healed right posterior lateral seventh rib fracture appears unchanged. Mild degenerative changes are similar along the lower thoracic spine.
cirrhosis and left-sided pleural effusion.
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No new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Hilar contours are stable.
history: <unk>f with left chest pain and sob // eval for infiltrates vs small pneumo
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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old with ankle fracture, pre-op chest radiograph.
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No focal consolidation, pleural effusion, no evidence of pneumothorax is seen. The cardiac silhouette is top-normal. The aorta is slightly tortuous. There is no overt pulmonary edema. There is no significant change since the prior study.
cough.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified. There is no free air below the diaphragm.
<unk>m with ruq abdominal pain // eval for acute 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.
history: <unk>f with fever, cough // r/o pna
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Heart size is mildly enlarged, unchanged. 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 in the thoracic spine
history: <unk>f with right sided flank/upper back pain and shortness of breath
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Frontal and lateral chest radiographs were obtained. Lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
syncope, evaluate for infiltrate or pneumothorax.
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The lungs are hyperinflated. No focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with cough and sob x <num> days // ? pneumonia
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Frontal and lateral views of the chest demonstrate well expanded and clear lungs. No focal opacity. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the osseous structures demonstrates a pectus deformity and is otherwise unremarkable. Visualized upper abdomen is within normal limits.
history: <unk>f with cough and sob. assess for pneumonia.
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Moderate cardiomegaly is unchanged from <unk>. Mediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax.
productive cough and pleuritic chest pain.
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Ap and lateral views of the chest. Lung volumes are low was secondary to crowding of the bronchovascular markings. This may also account for the increased interstitial markings although a component of mild edema would also be possible. There is no large pleural effusion. Cardiac silhouette is moderately enlarged, also likely accentuated by low inspiratory effort. Dense atherosclerotic calcifications seen at the aortic arch and there is tortuosity of the descending thoracic aorta. Left chest wall single lead pacing device seen with lead tip in the right ventricular apex. Severe compression deformity of the mid thoracic spine is seen, age indeterminate.
<unk>-year-old female with polymyositis with prior edema no shortness of breath.
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Ap upright and lateral views of the chest provided. Lung volumes are low. There is no definite signs of pneumonia or edema. No large effusion or pneumothorax. The heart appears mildly enlarged. Mediastinal contours unremarkable. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with sob w/ cough // pna?
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Left-sided picc is again seen, terminating in the mid svc. The cardiac silhouette remains moderate to severely enlarged. Bibasilar opacities have increased in there is now a blunting of the costophrenic angles. Findings are consistent with small to moderate bilateral pleural effusions with overlying atelectasis, underlying consolidation due to pneumonia is not excluded. There is moderate pulmonary edema. No pneumothorax.
history: <unk>m with oxygen requirement, crackles at bases // ?pulmonary edema, pna
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
left frontal brain mass. preoperative study.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. Allowing for the portable technique, the cardiomediastinal silhouette is unremarkable.
body aches and weakness. metastatic cervical cancer.
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The lungs are mildly hyperinflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the osseous structures are unremarkable. No displaced rib fracture.
<unk>f w/fall, endorsing right chest wall pain. assess etiology appear
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Lung volumes are low leading to crowding of the bronchovascular structures. There is no lobar consolidation, pneumothorax, or pulmonary edema. Mild blunting of the costophrenic angles may represent trace pleural fluid versus atelectasis. The cardiomediastinal silhouette is within normal limits allowing for low lung volumes.
history: <unk>f with cough and congestion // evaluate for pneumonia
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated.
chest pain.
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Oblong sclerotic focus is again seen projecting over the anterior right second rib, stable since earlier this month. The lungs remain hyperexpanded but clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Hilar contours are stable.
history: <unk>m with hx copd, chf, now with doe // eval heart and lungs
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As compared to the prior examination dated <unk>, the lung volumes are now slightly lower resulting in mild perihilar prominence. There is no lobar consolidation, large pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>m with cough // eval for pna
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
left-sided abdominal pain.
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Frontal pa and lateral chest radiographs were obtained. The lungs are well inflated and clear. No focal consolidation, effusion, or pneumothorax is present. The cardiac and mediastinal contours are normal. There is an impression in the left side of the cervical airway.
<unk>-year-old woman with productive cough and fever.
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Pa and lateral views of the chest. Small bilateral pleural effusions, right greater than left, are unchanged. Likely bibasilar atelectasis. There is an air ocollection in the upper mediastinum at thoracic inlet of unclear etiology, may be residual tracheal dilation. The cardiac and hilar contours are stable. No focal consolidation. No pneumothorax.
status post tracheobronchoplasty five days ago, evaluate for interval change.
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Heart size is normal. Cardiomediastinal contour is unchanged. There is mild prominence of the central pulmonary vasculature and re- demonstration of mildly increased reticulation with some fluid seen tracking along the right major fissure. There is no dense consolidation. Pleural surfaces are clear without effusion or pneumothorax.
cough, fever and left-sided chest/ flank pain, progressively worse over the past <num> days.
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The lungs are hyperinflated. There is no definite confluent consolidation. The left costophrenic angle is not well seen laterally potentially due to enlarged cardiac silhouette and overlying soft tissues. There is no evidence of an effusion based on the lateral view. Coronary artery stents are noted. Moderate cardiomegaly is seen. Bones are diffusely osteopenic without. The posteroir aspect of the <unk>-<num>th ribs are not seen, not thought to be due to technical factiors, as the more superior and inferior ribs are seen,
<unk>-year-old female with chest pain.
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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. Biapical scarring unchanged. New callus formation around rib fractures in the left anterior first and second ribs and posterior left eighth rib and right lateral ninth rib. Mild pectus excavatum.
<unk> year old woman with auto sct evaluation // auto sct evaluation
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Right-sided port-a-cath is seen, terminating in the region of the mid svc. There is elevation of the right hemidiaphragm. Patchy opacity seen in the left lung base as well as the right lung apex could be due to multifocal pneumonia or metastatic disease. No priors for comparison. There is elevation of the right hemidiaphragm. The cardiac silhouette is not enlarged. The mediastinal and hilar contours are unremarkable.
pancreatic cancer on chemotherapy, fever and fatigue.
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There increased interstitial markings seen at the bases bilaterally, as well as small bilateral pleural effusions which have increased in size. The heart is mildly enlarged. Hila appear congested. No pneumothorax.
<unk>m with heart failure, shortness of breath. evaluate for pulmonary edema
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The cardiac, mediastinal and hilar contours appear stable. A left lower lobe consolidation has increased substantially in extent. A small coinciding pleural effusion is difficult to exclude. There is probably a trace pleural effusion on the right side at most. There is no pneumothorax.
recent pneumonia with increasing weakness.
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of <unk>. The patient is status post vats intervention for right upper lobe removal. The next previous followup examination identified residual tiny right apical pneumothorax cannot be identified anymore. Local pleural thickening indicate scar formations. Moderate elevation of the right-sided hemidiaphragm, unchanged. The left hemithorax is clear, and the previously existing peripheral small plate atelectasis has normalized. No evidence of residual pleural effusion in posterior pleural sinuses as seen on the lateral view.
<unk>-year-old male patient with vats procedure for right upper lobe on <unk>, evaluate for interval change.
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Frontal and lateral views of the chest demonstrate low lung volumes. There are small bilateral pleural effusions. There is moderate cardiomegaly. There is widened mediastinum, which is likely due to tortuous intrathoracic aorta. Bibasilar atelectasis is noted. There is no pulmonary edema.
epigastric pain.
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Streaky left basilar opacity with volume loss is compatible with scarring as seen on prior exams. Elsewhere, the lungs are clear without consolidation. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>f with cp // r/o acute process
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Pa and lateral views of the chest were provided. The lungs are hyperinflated compatible with known emphysema. There is an irregular appearance of the left pulmonary hilum which reflects the presence of a known primary malignancy. There is a focus of scarring in the left upper lung which appears essentially stable. No new consolidation, effusion, or pneumothorax is seen. The overall cardiomediastinal silhouette is unchanged. No definite bony abnormalities are detected. Clips are noted in the right upper abdomen.
<unk>-year-old female with history of metastatic lung cancer, <num> days of hemoptysis.
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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. Patient status post median sternotomy and cardiac valve replacement.
history: <unk>m with chest pain // eval for acute process
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The lungs are clear without focal consolidation. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax. Bilateral mastectomy changes and breast prostheses are noted. A left chest port-a-cath terminates at the superior cavoatrial junction, as before.
<unk>-year-old woman with cough and fevers, rule out infection.
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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>m with hypertension, headache, chest pain // evaluate for acute proess
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Elevation of the right hemidiaphragm is unchanged from multiple prior studies with associated atelectasis of the right lung base. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is unchanged.
<unk>m with complicated medical history shortness breath, evaluate for effusions or consolidation.
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The lungs are clear without effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Distal right clavicular fracture is better seen on dedicated right shoulder films.
<unk>m with trauma r shoulder, chest bike v car // eval for fx
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Ap single view of the chest was obtained with patient in semi-upright position. Comparison is made with the next preceding similar study of <unk>. In the interval, the right-sided pigtail end drainage catheter in the lower pleural space has been removed. Aeration of the lung is unchanged and no evidence of increasing pleural effusion is present. Again, however, a small up to <num> cm wide apical pneumothorax cavity persists. No other new abnormalities. Left-sided pleural effusion persists and is seen to extend in the posterior pleural space as well as identified on a lateral view in sitting position.
<unk>-year-old male patient with bilateral pleural effusions, status post tap on the right side, now evaluate for pneumothorax post chest tube removal.
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The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old woman with cough and dyspnea.
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The lungs are well-expanded and clear. No focal consolidation, effusion, edema, or pneumothorax. The heart is normal in size. The mediastinum is not widened. No acute osseous abnormality. Visualized bowel gas pattern the upper abdomen is nonspecific.
<unk>-year-old woman with a history of hypertension who presented <num> days of shortness of breath and chest pain. evaluate for acute 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>f with chest pain and sob
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Streaky opacity at the left lung base is most consistent with atelectasis. Cardiomediastinal and hilar contours are within normal limits. There is no large pleural effusion. There is no pneumothorax or evidence of pulmonary edema. Imaged osseous structures and upper abdomen are without an acute abnormality.
<unk>m with cough, fever // eval for infiltrate
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The image is compared to <unk>. The patient now carries a right port-a-cath. The lung volumes have substantially decreased and the size of the cardiac silhouette has also increased. As a consequence, there is increased vascular crowding with minimal diameter of the vascular structures, but no overt pulmonary edema. No pleural effusions. No hilar or mediastinal adenopathy.
metastatic rcc, productive cough.
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Right-sided central venous catheter tip sits at the lower svc. There is no pneumothorax. The lungs demonstrate a suture chain in the left apex. The heart size is normal as are the mediastinal and hilar contours. A moderate right-sided pleural effusion with underlying associated atelectasis is similar in volume but has become more loculated.
<unk>-year-old male with history of metastatic melanoma who has been admitted for il-<num> therapy and recent recipient of central line.
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There are small bilateral effusions, larger on the right than on the left. There is no focal consolidation or overt pulmonary edema. Moderate cardiomegaly is noted. There is no pneumothorax. No acute osseous abnormality is identified, hypertrophic changes noted in the spine.
<unk>m with weakness // eval for pna
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In comparison with study of <unk>, the large opacification overlying the left apical region is no longer present, indicating that it was an artifact. No evidence of acute cardiopulmonary disease.
positive ppd with low-grade fever.
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Pa and lateral views of the chest provided. There has been interval right thoracentesis. Small right pleural effusion persists. There is a tiny right pneumothorax. Small left pleural effusion is unchanged.
<unk> year old woman with recurrent right effusion s/p <unk> with <num>ml removed // ? ptx
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Heart size is mildly enlarged, unchanged. The aorta is mildly tortuous and demonstrates mild atherosclerotic calcifications at the aortic knob, unchanged. Pulmonary vasculature is not engorged. There is minimal atelectasis in the left lung base. No focal consolidation, pleural effusion or pneumothorax is present. Mild multilevel degenerative changes are noted in the thoracic spine.
history: <unk>m with alcohol abuse, known seizure disease status post meningioma removal, presenting with seizure