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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. Air is noted in the upper abdomen. There is volume loss in the right lower lobe. A small right pleural effusion is likely present. Underlying consolidation is not excluded.
<unk>m with hyperglycemia and hypotension, plus cough. please eval for cardiopulmonary change
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Severe cardiomegaly with tortuous thoracic aorta is unchanged from prior examination. Hilar contours are unremarkable. A left-sided dual-lead pacer remains in unchanged position. The lungs are clear. There is no pleural effusion or pneumothorax.
agitation.
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Pa and lateral views of the chest were provided. As compared with a prior chest radiograph from <unk>, there is slight upward retraction of the right pulmonary hilus which likely reflects postsurgical changes with chain sutures at this location. There is no evidence of pneumonia or chf. Cardiomediastinal silhouette is stable. Old left mid rib cage deformity noted.
<unk>-year-old man with lung cancer, fever, cough, assess pneumonia.
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Frontal and lateral chest radiograph demonstrates a new right middle lobe and left lower lobe consolidation with associated left pleural effusion. In addition, there is a mildly enlarged heart with mildly increased vascular congestion and enlargement of the azygous vein suggestive of increased patient fluid volume. There is no overt pulmonary edema. There is no pneumothorax.
<unk>-year-old female with fever and cough. evaluate for pneumonia.
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Frontal and lateral views of the chest. Hazy opacities projecting over the lung bases bilaterally likely in part due to overlying soft tissues and slight motion. There is no definite consolidation or pulmonary vascular congestion. Cardiac silhouette is slightly enlarged. No acute osseous abnormalities noted.
<unk>-year-old female with altered mental status.
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Right-sided pacemaker device with leads terminating in the right atrium and right ventricle appears unchanged. Cardiac silhouette size is normal. The aorta is mildly tortuous. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is visualized.
history: <unk>f with weakness, cough
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There is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is unremarkable. Osseous structures are intact.
<unk>-year-old male with substernal chest pain, question pneumonia.
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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are noted. 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 stroke symptoms.
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As compared to prior chest radiograph from <unk>, there has been interval removal of a left-sided chest tube. The lungs are clear. There are no pleural effusions or pneumothorax. Cardiomediastinal silhouette is unchanged. There is evidence of subcutaneous emphysema.
<unk>-year-old female patient with vats, left upper lobectomy. study requested to rule out pneumothorax, post chest tube removal.
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Pa and lateral chest radiographs were obtained. Small bilateral pleural effusions are new. A retrocardiac opacity shadows over the supine on the lateral projection. No new nodule or pneumothorax is present. Cardiac contour is unchanged. Aortic arch calcifications are stable. Dual-chamber pacing lead project over the right atrium and right ventricle. Mid thoracic vertebral plana is stable.
<unk>-year-old woman with copd, chf, rapid decline over the last month, crackles at left lung field and right base.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. Previously seen left picc and anterior chest wall drainage catheter are no longer seen. Persistent mild blunting seen at the left greater than right lateral costophrenic angles, potentially due to small effusions or pleural thickening. There is no pneumothorax. Elsewhere, the lungs are clear. Cardiomediastinal silhouette is unchanged as are the osseous and soft tissue structures.
<unk>-year-old male status post aortic valve replacement with increased shortness of breath and left arm weakness.
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No focal consolidation to suggest pneumonia is seen. There are small bilateral pleural effusions. There is vascular congestion. Moderate-to-severe cardiomegaly is present, with apparent enlargement of the left atrium. No pneumothorax is seen. A likely compression deformity at l<num> appears grossly similar to prior exam.
chest pain.
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Ap upright and lateral views of the chest provided. Clips in the right axilla noted. The lungs are clear without focal consolidation, large effusion or pneumothorax. Areas of amorphous calcific density projecting over the right lower lateral lung may reside within the right breast. Heart size appears normal. The aorta appears slightly unfolded. The imaged bony structures appear intact.
<unk>f with cough // r/o infiltgrate
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The lungs are clear. There is no consolidation, effusion, edema or pneumothorax. The cardiomediastinal silhouette is within normal limits. No displaced fractures identified. Incidentally noted is colonic interposition above the liver.
<unk>f with chest pain
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The previously described ihilar opacity is no longer apparent. The lungs are clear. Cardiopericardial silhouette is not enlarged. No pleural effusions or pneumothorax.
<unk> year old woman with <unk> non-albicans fungemia, osteomyelitis, and l hilar infiltrate on ap cxr. // please eval for l hilar infiltrate
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormality is present.
history: <unk>m with chest pain
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The lungs are clear without consolidation or edema. Prior pleural effusions have resolved. Cardiac silhouette is mildly enlarged, stable. No acute osseous abnormalities. Median sternotomy wires and mediastinal clips are noted.
<unk>m with avr, cabg here with weakness // edema, cardiomegalgy, acute change?
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The lungs are clear of focal consolidation besides linear right basilar atelectasis. Skin folds overly the upper lungs bilaterally. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with fall with left distal femur fx // pre-op requested by ortho
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Heart size is mildly enlarged, unchanged. Mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. Subsegmental atelectasis is noted in both lung bases. No focal consolidation, pleural effusion or pneumothorax is present.there are no acute osseous abnormalities.
history: <unk>f with chest pain // ?pneumonia
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The heart is normal in size. An azygos fissure is a common normal variant. Lungs appear clear. There are no pleural effusions or pneumothorax.
fatigue. status post myocardial infarction.
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There are old bilateral rib fractures.
history: <unk>m with productive cough // eval for pneumonia
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is identified.
cough.
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Pa and lateral views of the chest provided. Lungs are grossly clear. No pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are normal.
<unk>f with type <num> dm feels like she is dka // r/o pna
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Descending thoracic aorta is tortuous. No acute osseous abnormalities identified. Stents identified in the right upper quadrant.
<unk>f with fevers and cough // eval for pneumonia
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Subtle opacities in the right middle lobe somewhat obscuring the right medial heart border felt to more likely represent overlapping vasculature structures, but developing pneumonia not entirely excluded. Otherwise, the lungs are clear. No pleural effusion, pneumothorax or pulmonary edema. Cardiac silhouette is normal in size.
<unk>-year-old female with fever and cough, question pneumonia.
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No new focal consolidation is seen. Slight increase in opacity in the right perihilar region has been present on multiple priors with no clear correlate seen on chest ct from <unk>, most likely representing overlap of structures. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Chronic rib deformity on the right is re- demonstrated.
history: <unk>m with sob // please evaluate for acute cp abnormality
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The heart is considerably enlarged but stable in size from prior exams. Aorta is mildly tortuous. The pulmonary vasculature is within normal limits. There is no evidence of pulmonary edema. No focal infiltrate, consolidation, pleural effusion, or pneumothorax detected. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with shortness of breath // ?pulmonary edema
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Mild cardiomegaly is stable compared to the prior exam. There are no definite signs of pulmonary edema or vascular engorgement. There is no evidence of large pleural effusion or pneumothorax. Linear opacities in the retrocardiac region are likely secondary to atelectasis. There is no evidence of pneumothorax. The visualized osseous structures are unremarkable.
history of afib, hypertension, who presents for evaluation of chest pain. please evaluate.
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion or consolidation.
new onset atrial fibrillation. evaluate for pneumonia.
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Lower lung volumes seen on the current exam. Linear right basilar opacity is likely scarring. There is no effusion or confluent consolidation. Cardiomediastinal silhouette is enlarged similar to prior. Azygos fissure is again noted. No acute osseous abnormalities detected.
<unk>f with hx of osteoporosis, dm, htn p/w w <num> weeks r arm/shoulder/neck pain // evidence of pancoast tumor or other apical mass?
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Patient is status post bilateral breast expander placement. Small amount of subcutaneous emphysema is seen in the right lateral chest wall. There is a new left lower lobe infiltrate that obscures the left cardiac border. No pleural effusions or pneumothorax. The hila and mediastinum are within normal limits. No acute osseous abnormalities.
<unk> year old woman with post anesthesia exacerbation of asthma. wheezy and bringing up lots of sputum // r/o infiltrate
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Pa and lateral views of the chest are obtained. The lung volumes are low. There is no evidence of intraperitoneal free air. Some air-fluid levels are seen within the small bowel. There is no evidence of pleural effusion, pneumothorax, or significant pulmonary edema. The heart size is normal. On the lateral view, there is a small rectangular-shaped radiopacity overlying the mid thoracic spine posteriorly, likely representing an overlying rib.
<unk>-year-old man postoperative day #<num> after robotic-assisted laparoscopic cholecystectomy. now with leukocytosis. assessment for free air.
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Pa and lateral views of the chest. No prior. The lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is normal. No free air is seen below the diaphragm.
<unk>-year-old male with epigastric pain.
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The cardiac silhouette is stably prominent. The central pulmonary vasculature appears mildly engorged without overt edema. Linear atelectasis is noted. On the lateral view, there is vague posterior opacity at the left lung base. This may represent atelectasis, though infiltrate is not excluded. A small right pleural effusion is present.
history: <unk>m with ckd generalized weakness // eval for pna
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In comparison with the study of <unk>, there may be a tiny residual apical pneumothorax. The degree of pleural fluid may be slightly higher and there is evidence of volume loss in the lower lobe. The right lung is clear and there is no evidence of acute focal pneumonia.
left rib fracture and pneumothorax, to assess for change.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with cp // acute process
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Moderate cardiomegaly is chronic. Diffuse infiltrative pulmonary abnormality is more severe at the lung bases, with right infrahilar confluence. Since pulmonary vasculature is engorged, the simplest explanation is pulmonary edema. However it there is no dilatation of mediastinal veins or any pleural effusion. I suggest careful follow-up to exclude a condition other than congestive heart failure, including interstitial pneumonia.
history: <unk>f with wheezing // wheezing
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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 cough // eval for acute process
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Frontal and lateral views of the chest demonstrate low lung volumes. Compared to priors, the pulmonary vasculature is more engorged. The cardiomediastinal silhouette is unchanged. The left lower lung opacification is unchanged and likely represents atelectasis and a small effusion. There is no right pleural effusion. There is no pneumothorax.
status post cabg and aortic valve repair with postoperative pneumonia, interval followup.
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Pa and lateral chest radiographs demonstrate clear lungs bilaterally. Minimal atelectasis involves the right lower lung. There is no focal opacity. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion, pneumothorax, or evidence of pulmonary edema. Imaged osseous structures and upper abdomen are without an acute abnormality. Cervical hardware is noted.
<unk>-year-old male with right chest wall pain.
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Pa and lateral chest radiographs demonstrate a pigtail catheter in the left chest. The pigtail is not fully deployed. A moderate left apical pneumothorax has not changed in size since the preceding study <num> hours ago. It still measures <num> cm in greatest width. There is no consolidation effusion or pneumothorax. Cardiac and mediastinal contours are normal.
pneumothorax
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The lungs are well aerated and grossly clear without evidence of focal consolidation. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette hilar contours are normal.
history: <unk>f with sob // pulmonary edema? dvt?
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Heart size is mildly enlarged. The aorta is slightly tortuous with atherosclerotic calcifications noted at the knob. The pulmonary vasculature is not engorged. The hilar contours are normal. Lungs are clear without focal consolidation, pleural effusion or pneumothorax. <num> mm calcified granuloma is seen in the left upper lobe. There are no acute osseous abnormalities. Remote right distal clavicular fracture is noted.
history: <unk>m with syncope
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Frontal and lateral views of the chest demonstrate hyperexpanded lungs. There is a veil like opacity at the left lower lung which could reflect atelectasis, effusion or scarring. There is a more focal hyperdensity which projects over the posterior thorax and lower thoracic spine, of uncertain clinical significance. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax.
near-syncope. evaluate for widened mediastinum or cardiomegaly.
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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 chest pain.
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The heart is again moderately enlarged. Prominence of the right hilum suggests mild prominence of central pulmonary arteries. The aorta is slightly tortuous. There is a slightly prominent pulmonary vascularity but without frank edema. Slight new blunting of the posterior right costophrenic sulcus suggests a trace pleural effusion. Bones appear slightly sclerotic although not definitely abnormal.
palpitations and atrial fibrillation.
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The lungs are clear. There is mild cardiomegaly, unchanged from prior studies. The hilar and cardiomediastinal contours are otherwise normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old woman with hypoglycemia.
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia.
<unk> year old man with neck and back aches, as well as dizziness and two days of left arm pain.
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. There is no displaced rib fracture.
<unk> year old woman with htn, l sided sharp chest pain without radiation, reproducible on exam with clear lungs, evaluate for rib fracture or acute pulmonary process.
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Pa and lateral views the chest provided. Midline sternotomy wires and mediastinal clips are noted compatible with interval cabg. Also new in the interval are prominent anterior basal opacities best seen on the frontal view. Given that there is no correlate opacity on the lateral projection, findings are of unclear significance and may represent prominent epicardial fat pads. Please correlate clinically. <unk> consider repeat with more optimized inspiratory effort. No large effusion or pneumothorax. Heart size difficult to assess. Mediastinal contour is unremarkable. Bony structures appear intact.
<unk>m with chest pain, pls eval for edema vs pna
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Pa and lateral chest radiograph demonstrate minimal atelectasis versus scarring at the left lung base. Cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax or pleural effusion. Patient is status post posterior spinal fusion of the lower thoracic spine and visualized lumbar vertebrae. Osseous structures are otherwise unremarkable.
<unk>-year-old male with dyspnea on exertion.
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Pa and lateral views of the chest provided. Right chest wall port-a-cath is seen with catheter tip in the region of the mid svc. Pulmonary nodules seen on prior ct chest are not visualized on radiograph. 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 history of ovarian carcinosarcoma with immunosuppression, fever // ? pneumonia
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In comparison with study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
pleuritic chest pain and cold symptoms.
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Pa and lateral views of the chest provided. Left chest wall pacer is seen with lead extending to the region of the right ventricle. Cardiomegaly is noted with mild central hilar congestion. No frank edema. No large effusion or pneumothorax. No focal opacity concerning for pneumonia. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with dyspnea // eval chf
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cough, f/c, h/o asthma // eval pna
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Lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Osseous structures are grossly intact.
chest pain, evaluate for acute process
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of nausea, diaphoresis, please evaluate for pneumonia.
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In comparison with the study of <unk>, there has been complete clearing of the right mid lung consolidation. Minimal fibrous streaking is seen in the region. The remainder of the study is within normal limits with no acute pneumonia or vascular congestion. Of incidental note are multiple surgical clips in the right upper quadrant of the abdomen.
pneumonia, to assess for clearing.
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There has been interval removal of a right-sided picc. Chronic changes/postoperative changes of the right hemi thorax are re- demonstrated. No large pleural effusion is seen, although a trace pleural effusion is difficult to exclude. No definite new focal consolidation is seen. There is persistent prominence in the right hilar region. No pneumothorax. Cardiac and mediastinal silhouettes are stable.
history: <unk>m with pseudomonal uti who is presenting with an episode of increased oxygen requirement this morning and weakness. // ?pneumonia
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. No focal consolidation concerning for pneumonia is identified. Cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax or pleural effusion identified. Osseous structures are without acute abnormality.
<unk>-year-old male with chest pain.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with fever and cough
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Right chest tube has been removed and there is a new small left pneumothorax. Increased gastric distension. Moderate cardiomegaly is unchanged. Bibasilar and left retrocardiac atelectasis is unchanged. Right pacemaker, right jugular venous catheter, and left port-a-cath are in unchanged and appropriate locations. No pleural effusions.
<unk> year old woman s/p epicardial lead placement via thoracotomy // assess lead placement
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation. Well-circumscribed left lower lung nodule is grossly unchanged. Cardiomediastinal silhouette is unchanged. No acute osseous abnormality is identified.
<unk>-year-old male with lightheadedness, malaise, and extensive coronary artery disease.
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Frontal and lateral views of the chest. As on prior there are increased interstitial opacities suggestive of chronic underlying disease. On the frontal view there is increased retrocardiac opacity with no correlate on the lateral view and may be due to atelectasis. There is no effusion. Cardiomediastinal silhouette is unchanged. Dual lead pacing device is again noted. No acute osseous abnormalities detected.
<unk>-year-old male with syncopal event. fall.
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In comparison with study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. There are low lung volumes, but no evidence of pneumonia, vascular congestion, or pleural effusion.
cough and fever.
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Cervical spinal fixation device in skin <unk> are new compared to prior. The dual lead pacemaker is is again visualized. The cardiac and mediastinal silhouettes are normal. There is no focal infiltrate or effusion.
<unk> year old woman with icd // icd position placement before mri
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The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits and unchanged from <unk>.
<unk>-year-old female with history of hiv and cd<num> count of <num>, now with cough and diffuse crackles, here to evaluate for pneumonia.
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Heart size is normal. The aorta is mildly tortuous. The mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is seen. Mild degenerative changes are noted involving both glenohumeral and acromioclavicular joints. Mild to moderate degenerative changes are also noted involving the thoracic spine. Cervical spinal fusion hardware is incompletely assessed.
history: <unk>f with fall, subdural hemorrhage, pending evacuation // preop cxr prior to neurosurgery
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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. Included osseous structures are grossly intact.
seizure. evaluate for infection.
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The lung volumes are low. There is mild vascular engorgement but no evidence of pulmonary edema. There is no consolidation, pleural effusion, or pneumothorax. Small central calcifications are unchanged and represent known calcified lymph nodes, likely from prior granulomatous disease. There is calcification of the aortic arch. The cardiac size is at the upper limits of normal. No fracture is identified.
history of mechanical fall. evaluate for fracture or dislocation.
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Right-sided port-a-cath tip terminates in the mid svc. Cardiac and mediastinal contours are unchanged, with mild rightward shift the mediastinal structures. Right-sided hilar lymphadenopathy is again noted, with right basilar opacity compatible with a combination of right lower lobe collapse and known malignancy.left lung is clear. The pulmonary vasculature is not engorged. A small right pleural effusion is demonstrated. No pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with confusion
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Increased density at the right base has progressed compared to the prior study of <unk>, and is compatible right middle lobe pneumonia. There is stable severe cardiomegaly. There is no pleural effusion, pneumothorax, or pulmonary edema.
<unk> year old man with dilated cm, dm, ef <unk>% now s/p r thigh to foot split thickness skin graft. // r/o other causes of sob/o<num> sat of <num>% and cough.
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The lungs are clear. There is no pneumothorax. The heart size appears smaller on today's exam, and is now within normal limits. Mediastinal contours are stable. Left lateral chest wall postsurgical changes are also stable. Mild spinal degenerative changes are unchanged.
<unk> year old woman s/p l vats, excision of chest wall mass (neurofibroma in <unk> with increased chest congestion and chills. please eval for infectious process/fluid
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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no evidence of pneumonia.
<unk>f with chest pain, evaluate for pneumonia.
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine
<unk> year old man with adult onset still's, on methotrexate, s/p uri, with r crackles // evaluate for pna vs. mtx pneumonitis
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Pa for and lateral views of the chest show top normal heart size without current pulmonary vascular congestion or edema. No focal lung parenchymal consolidation is seen but tiny pleural effusions cannot be excluded. Calcified plaque is seen in the thoracic aorta and at the left carotid bifurcation. No bony changes seen from prior study
<unk> year old woman with cad with known <num>vd, htn, dm, hld s/p cardiac cath and awaiting cabg. // pre-op evaluation
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Moderate cardiomegaly is unchanged. The mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. Patchy bibasilar opacities may reflect atelectasis. No pleural effusion or pneumothorax is seen. There are mild multilevel degenerative changes noted in the thoracic spine.
history: <unk>f with dyspnea on exertion, leg swelling
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Cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. New patchy opacity is seen within the left lung base as well as a more focal opacity overlying the right mid lung field. No pleural effusion or pneumothorax is present. No acute osseous abnormalities seen.
history: <unk>f with cough and fever
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Since the prior chest x-ray on <unk>, there has been interval removal of the right-sided chest tube. There is a well circumscribed oval-shaped opacity in the right lung base that is new/more prominent than the prior chest x-ray. The right lower lobe nodule was recently evaluated by a pet-ct on <unk>. There is a linear area of scarring in the prior chest tube tract. There is also a small right pleural effusion. Stable appearance of cardiomediastinal silhouette. No acute osseous abnormalities.
<unk> year old woman with lung resection // post-chest tube xray
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Small-to-moderate anterior osteophytes are noted along the lower thoracic spine.
chest pain.
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There are relatively low lung volumes.given this no focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with dyspnea, back pain // infiltrates, effusion, ptx, volume status, fractures
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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 palpitations // eval for pneumonia, chf
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As compared to the previous radiograph, there is no relevant change. Massive overinflation with flattened hemidiaphragms. Postoperative right rib lesion. No new or acute parenchymal process. The chronic postoperative changes at the right lung apex and the right hilus have not changed. Unchanged small cardiac silhouette with tortuosity of the thoracic aorta.
aspiration.
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Heart size is normal. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is demonstrated. Cervical spinal fixation hardware is incompletely imaged.
history: <unk>m with fevers, 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.
history: <unk>m with ivda, sob // eval for consolidation
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The heart is mild-to-moderately enlarged. The aorta shows calcifications along the arch. The mediastinal and hilar contours appear similar. There is increased indistinctness of vascularity and slightly prominent interstitial opacities suggesting mild vascular congestion. In addition, there is a possible small left-sided pleural effusion based on blunting of the left costophrenic sulcus on the frontal view. A patchy new medial left retrocardiac opacity in the left lower lobe which may reflect pneumonia or potentially atelectasis. Moderate-to-severe thoracolumbar compression deformity appears unchanged.
abdominal and epigastric pain.
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As compared to the previous radiograph, there is a newly appeared, huge, approximately <num> cm large right dorsal lesion. The lesion abuts the pleura and is likely to represent a metastatic disease. The marked elevation of the right hemidiaphragm is unchanged. Moderate cardiomegaly persists. No other lung lesions. At the time of dictation and observation, the finding was entered into the radiology dashboard system.
metastatic myxoid sarcoma, evaluation for interval change.
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The right lung is clear. There has been improvement in the left lower lobe collapse with only a small amount of atelectasis remaining. There is a small left pleural effusion. The heart size is top-normal. No large pneumothorax is appreciated. Coils and drainage catheters project over the left upper quadrant. Unchanged elevation of the left hemidiaphragm.
<unk> year old man status post-operative pleural effusions-please evaluate status.
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The lung volumes are normal. There is elevation of the left hemidiaphragm caused by hyperdistention of the left colon. Minimal atelectasis at the left lung base but no evidence of pneumonia. No pleural effusions. Normal appearance of the lung parenchyma. Calcific structure projecting over the manubrium sterni at the right aspect of the hemithorax, visible on the frontal radiograph only.
pancytopenia, evaluation for pneumonia.
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The heart is normal in size. The mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. Mild rightward convex curvature is centered along the lower thoracic spine. Bony structures are otherwise unremarkable aside from slight degenerative changes along the lower thoracic spine.
chest pain after recent stent procedure.
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The lungs are clear. The hilar and mediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. There is no free air under the right hemidiaphragm.
chest, abdominal, and back pain.
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There is no significant change compared to the prior chest radiograph performed on <unk>. Lung volumes are again low. Small bilateral pleural effusions, right greater than left. There is mild pulmonary vascular congestion. No focal consolidations, or pneumothorax bilaterally. No acute osseous abnormality.
<unk> year old man with pleural effusion // eval
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There is mild increase in bilateral interstitial markings suggestive of mild increase in central venous pressure. The cardiomediastinal silhouette appears stable to minimally enlarged in comparison to prior study. The aorta appears tortuous. Otherwise, the lungs are clear and without a focal consolidation, effusion, or pneumothorax.
shortness of breath.
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Low lung volumes accentuate heart size which is top-normal, unchanged dating back to <unk>. Increased opacity at the right base that may be related to atelectasis from low lung volumes; however, consolidation is also possible. No pleural effusion or pneumothorax.
chest pain. question cardiomegaly.
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Gastric pull-through is again seen largely unchanged. Cardiomediastinal silhouette is unchanged as compared to previous. Bilateral opacities have since largely cleared. Mild lateral right costophrenic angle blunting.
<unk> year old male s/p lap hernia repair // check interval change check interval change
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As compared to prior chest radiograph from <unk>, lung volumes have increased, however remain low. The cardiac silhouette is mildly enlarged. There is no focal consolidation, pleural effusion or pneumothorax.
shortnes of breath. evaluate heart and lungs.
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Frontal and lateral chest radiograph demonstrates moderate left-sided pleural effusion which does not appear to be freely layering. The right lung is grossly clear. There is a left lower lobe consolidation most likely atelectasis. There is no pneumothorax. Heart size is top normal. Hilar and mediastinal contour is within normal limits.
<unk>-year-old female with alcoholic cirrhosis status post liver transplant. evaluate for pleural effusions.
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The heart is normal in size, and there is a left pectoral cardiac pacing device with its leads projecting over the right atrium and ventricle. The lungs are clear of focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. Leftward deviation of the trachea may reflect a thyroid goiter.
<unk>-year-old male with cough. evaluate for pneumonia.
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Ap upright and lateral views of the chest provided. There is mild bibasal atelectasis. The heart appears mildly prominent likely in part due to ap technique. Mediastinal contour is unremarkable. No pneumothorax or large effusion. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with sob, abd pain // pna, colitis?
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Cardiomediastinal silhouette is within normal limits. Lungs are clear. There is no pleural effusion or pneumothorax.
history: <unk>m with dyspnea // pna?