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There is new right middle lobe collapse. There is volume loss at right and left lower lobes. Bronchiectatic changes at the lung bases are noted, less conspicuous due to the right middle lobe collapse. Cardiac silhouette is obscured but appear grossly unchanged.
<unk> year old woman with bronchiectasis // assess for interval worsening of cxr from previous imaging
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The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces appear normal. There is no pneumothorax or pleural effusion. The visualized bony structures are unremarkable.
chest pain. evaluate for acute process.
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Pa and lateral views of the chest provided. Patient is mildly rotated to her right. 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 right chest pain
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As seen on the prior ct from <unk>, there is a mass-like opacity within the right middle lobe, measuring <num> x <num> cm, not significantly changed in size, allowing for differences in modality. This opacity is new compared to the most recent prior chest radiograph from <unk>. Of note, this lesion demonstrated central hypoenhancement on the recent ct from <unk>, suggestive of necrotic mass or abscess. The lungs are otherwise clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
persistent cough with recent abdominal ct revealing a "mass-like consolidation" in the right lung. assess for pneumonia.
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Frontal and lateral views of the chest demonstrate slightly low lung volumes accentuating bronchovascular crowding and a prominent cardiac silhouette. The mediastinal and hilar contours are within normal limits. There is no pneumothorax, vascular congestion, or large effusion. Multilevel moderate thoracic spondylosis is present.
<unk>-year-old male with right rib pain. question effusion.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk>f with fever, immunosuppressed. ?pna // <unk>f with fever, immunosuppressed. ?pna
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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. Right shoulder prosthesis is partially imaged.
history: <unk>m with smoker with productive cough
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Frontal and lateral views of the chest. Relatively low lung volumes are seen. There is no evidence of consolidation or effusion. The cardiomediastinal silhouette is within normal limits given this limitation. No acute osseous abnormalities detected.
<unk>-year-old female with chest pain.
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Ap upright and lateral views of the chest provided. Lung volumes are low. The heart remains mildly enlarged with a left ventricular configuration. There is mild interstitial pulmonary edema without large effusion or pneumothorax. Mediastinal contour stable. Bony structures intact.
history: <unk>m with chf, dyspnea // eval for pulm edema
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No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema or pneumothorax is present. The heart, mediastinal and pleural surface contours are normal.
cough and pleuritic chest pain.
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A vp shunt catheter can be seen coursing through the right side of the neck and torso. 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 tachypnea.
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. <num> cm right lower lung nodular opacity is best seen on the frontal view. No substantial interstitial abnormality. No focal lobar consolidation, pleural effusion, or pneumothorax.
dermatomyositis presenting with syncope, chest pain, and shortness of breath.
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As compared to the previous radiograph, the left pigtail catheter is in unchanged position. There is no indication for the presence of a left pneumothorax. However, other than on the previous radiograph, free intra-abdominal air is seen below the right hemidiaphragm. Normal size of the cardiac silhouette. Normal appearance of the lung parenchyma. At the time of dictation and observation, at <time> a.m., on <unk>, the referring physician, <unk>. <unk>, was paged for notification.
stab wound, status post pigtail placement.
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Pa and lateral radiographs of the chest demonstrate pulmonary and mediastinal vascular engorgement and interval improvement in mild pulmonary edema. Heart size is unchanged. There is no pneumothorax or pleural effusion. Bibasilar atelectasis persists.
worsening dyspnea on exertion in patient with congestive heart failure and copd, with question of right lower lobe pneumonia on prior radiograph.
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Pa and lateral views of the chest. No prior. Lungs are clear without focal consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
<unk>-year-old female with fever and cough.
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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. Partially imaged upper abdomen is unremarkable.
patient fell off her bicycle.
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Left-sided pacer device is stable in position with lead extending to the expected locations of the right ventricle coronary sinus. The cardiac silhouette remains markedly enlarged. There is persistent obscuration of the left hemidiaphragm which may in part relate to overlying soft tissue ; however, on the lateral view, there is focal opacity projecting over the posterior lung base which could be due to focal consolidation or less likely pleural effusion.
history: <unk>m with chest pain // eval for acute process
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The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. Lungs are well-expanded and clear without focal consolidation concerning for pneumonia.
<unk>m with chest pain.
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As compared to prior chest radiograph from <unk>, there has been interval placement of a right pleurx catheter. Right loculated pleural effusion has increased and there are new air inclusions. Post radiation changes are seen in the right mid lung. The left lung is clear. There is no pneumothorax. Cardiomediastinal silhouette is unchanged. Thoracic wedge compression deformities are unchanged.
<unk>-year-old female patient with recurrent right pleural effusion status post pleurx placement, now with pain at catheter site. study requested for assessment of interval change.
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Mediastinal silhouette is stable in appearance with previously described post-radiation change in the region of the right hilum. Right pleural effusion not significantly changed as compared to prior. There are multiple subcentimeter nodular opacities seen at the apices bilaterally, correlating with findings on a comparison chest ct, <unk>. Stable appearance of the visualized bony thorax.
<unk>-year-old male with metastatic carcinoma. evaluate for interval change.
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Heart size is normal. Hilar contours are unremarkable. Focal pulled along the left lateral aspect of the descending thoracic aortic contour at the level of the aortic hiatus is noted. The pulmonary vascularity is normal. Focal round hazy opacity is noted within the left mid lung field, concerning for pneumonia. Right lung is clear. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities detected.
influenza like illness, fever and asthma exacerbation.
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Moderate to severe cardiomegaly is similar to prior. There is persistent prominence of the pulmonary vascular markings, compatible with mild vascular congestion. No focal consolidation, pleural effusion, or pneumothorax. Sternotomy wires are intact. Numerous cabg clips are present.
<unk>-year-old male with fall in the setting of syncope. evaluate for pneumonia.
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Bibasilar subtle opacities most likely represent atelectasis. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are clear without effusion or pneumothorax.
multiple cranial neuropathies. evaluation for abnormality.
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In comparison with study of <unk>, the left chest tube has been removed. The air-fluid level in the right hemithorax is somewhat higher than on the previous study. Extensive subcutaneous gas persists, the left lung is essentially clear.
right thoracotomy, to assess for pneumothorax following chest tube removal.
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The examination is unchanged without evidence of overt pulmonary edema. Minimal right lower lung atelectasis identified. Stable mild peripheral subpleural lucencies throughout both lungs but with relative sparing of the left lung base. Unchanged cardiomediastinal silhouette. No pleural effusion or pneumothorax identified. Multilevel degenerative changes are noted in the mid thoracic spine.
assess for effusion or pneumonia.
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The heart is perhaps mildly enlarged. The lung volumes appear low. Allowing for technique, the mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Multilevel osteophytes are noted throughout the mid-to-lower thoracic spine.
altered mental status. question pneumonia.
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Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. No pleural effusion, focal consolidation or pneumothorax is seen. The ascending aorta appears prominent. Hilar and mediastinal silhouettes are otherwise unremarkable. Heart size is normal. There is no pulmonary edema.
patient with right mid axillary pain.
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Pa and lateral views of the chest provided. Port-a-cath resides over the left chest wall with catheter tip in the region of the mid svc unchanged. The lungs appear clear. No large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures appear intact. Dish related changes of the t-spine noted. No free air below the right hemidiaphragm.
<unk>m with history of gastric cancer w/ acutely worsening abd pain // ct- evidence of obstruction or necrotizing enterocolitis
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The lungs are well expanded. The previously seen loculated right pleural effusion now demonstrates an air-fluid level, consistent with prior drainage of the collection. No focal consolidation or mass is seen. The cardiomediastinal silhouette is unremarkable.
<unk> year old woman with pleural effusion // eval
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Right-sided port-a-cath is again seen, terminating in the low as cc. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with chest pain and shortness of breath. // pneumonia or other intrathoracic process?
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with fever, chills, upper respiratory symptoms, bilateral rhonchi
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Since prior study, there has been no interval change in position of the right-sided picc. Continues to extend into the right neck, likely within the internal jugular vein. The tip is beyond the field of view. The appearance of the chest is otherwise unchanged.
history: <unk>m with picc line placement. now adjusted by iv team // please eval picc position.
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Heart size is upper limits of 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. Right internal jugular dialysis catheter terminates in the lower right atrium.
<unk> year old man with esrd on dialysis, ppd+ // r/o tb
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Ap and lateral views of the chest are compared to previous exam from <unk>. Chest wall port is again seen with catheter tip projecting over the right atrium. Diffusely increased interstitial markings which are somewhat nodular are unchanged in appearance and perhaps slightly improved at the right lung base when compared to prior chest x-ray, not significantly changed from scout from ct dated <unk>. There is no new large confluent consolidation. Cardiomediastinal silhouette is stable. Osseous and soft tissue structures are essentially unremarkable.
<unk>-year-old male with metastatic colon cancer to the lungs, now with nausea.
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Compared with <unk>, there are new opacities in the left mid and lower lung, mostly in the lingula. There are additional opacities in the right mid lung. There is a small left pleural effusion. The heart is enlarged.
history: <unk>f with cough // r/o pneumonia/infiltrate
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Ap and lateral chest radiographs demonstrate clear lungs bilaterally. No focal consolidation is identified. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Visualized osseous structures demonstrate no acute abnormality.
<unk>-year-old male with altered mental status.
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Pa and lateral views of the chest provided. Lungs are hyperinflated and 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>m with isolated fever // r/o infectious process
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Cardiac silhouette is moderately enlarged. Mediastinal contours are grossly stable. There is mild central vascular engorgement without overt pulmonary edema. Left basilar atelectasis is seen. No definite focal consolidation. No large pleural effusion.
history: <unk>f with sob, esrd // eval for volume overload
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Frontal and lateral radiographs of the chest demonstrate hyperinflated clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, consolidation, or opacity.
<unk>-year-old female with possible nodule seen on recent radiographs.
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Lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is stable. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormalities identified.
<unk>m with r facial droop and r sided weakness/nubmness, pls eval ischemia // history: <unk>m with r facial droop and r sided weakness/nubmness, pls eval ischemia
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The lungs are clear. There is no consolidation or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities, no displaced rib fractures.
<unk>m with r sided chest/abd pain. // assess for infiltrate, pnthx
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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.
patient with left supraclavicular fullness, rule out structural abnormality or lymphadenopathy.
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The heart size is top normal. The mediastinal silhouette and hilar contours are unremarkable. The lung volumes are low with minimal bibasilar atelectasis. Lungs are otherwise clear without focal consolidation worrisome for pneumonia. There is no pleural effusion or pneumothorax. A right-sided picc remains at the level of the lower svc.
cirrhosis with recent mssa bacteremia receiving therapy with iv vancomycin. fever.
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The lungs are well expanded. Patchy opacities seen in the lateral views obscuring the posterior cardiac margin are present. There is also minimal peribronchial cuffing bilaterally. There is no pleural effusion or pneumothorax. Cardiac size is top-normal.
<unk>-year-old male with hiv and cough. evaluate for evidence of pneumonia.
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Background hyperinflation/copd again seen, together with cardiomegaly, similar to the prior film. There is upper zone redistribution and mild vascular plethora, which is slightly more pronounced. No overt alveolar edema is identified. Small bilateral effusions are again see, similar to the prior study. There is bibasilar atelectasis, but no frank consolidation is identified.
<unk> year old man with chf exacerbation // any progression of pulmonary edema?
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Streaky linear opacities in the left lung base as well as the right hemithorax are linear atelectasis. No focal consolidations are present that are concerning for pneumonia. The heart size is top normal in size, unchanged. The aorta has a tortuous course, unchanged. There is no pneumothorax or pulmonary edema or pleural effusion.
right upper quadrant pain.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The splenic shadow is enlarged.
low-grade fever and pancytopenia.
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Heart size is mildly enlarged. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Lungs are hyperinflated. <num> mm nodular opacity is seen within the left upper lung field. Remainder lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Moderate multilevel degenerative changes are noted in the thoracic spine.
history: <unk>f with concern for stroke
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No previous images. The heart is normal in size and there is no vascular congestion or pleural effusion. No acute focal pneumonia.
weight loss and anemia.
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The cardiomediastinal hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well-expanded and clear without focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits. The upper abdomen is unremarkable. No acute osseous abnormalities.
history: <unk>f with chest pain and sob // eval pneumonia, other acute process
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Streaky left basilar opacity likely reflects atelectasis. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are detected.
epigastric burning.
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A dual-lead pacemaker/icd device appears unchanged. The patient is status post coronary artery bypass graft surgery. There is no pleural effusion or pneumothorax. The lungs appear clear.
chest pain.
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Patient is status post median sternotomy and placement of a left-sided pacer device with leads terminating in the right atrium and right ventricle, unchanged. Heart size remains mildly enlarged. Mediastinal and hilar contours are similar with tortuosity of the thoracic aorta again noted. Lungs are hyperinflated. Mild interstitial pulmonary edema is new in the interval, superimposed on a background of basilar predominant chronic interstitial lung disease. Small right pleural effusion is new. No pneumothorax is demonstrated. Widening of the left ac joint is unchanged, with chronic deformity of the distal clavicle compatible with prior trauma. Old right-sided rib fractures are also noted.
history: <unk>f with shortness of breath
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The cardiac silhouette size is normal. Atherosclerotic calcifications are noted at the aortic knob. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Patchy opacities are noted in the lung bases, most suggestive of atelectasis given the linear appearance. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities identified.
history: <unk>m with fever and cough
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Frontal and lateral radiographs of the chest were acquired. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
chest tightness with past medical history positive for hypertension. of note, the chest tightness has been occurring intermittently for the past month.
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Frontal and lateral views of the chest. No prior. The lungs are relatively low in volume but clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old male with chest pain, worse with movement.
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The cardiomediastinal and hilar contours are stable and within normal limits. The heart is normal in size. The lungs are hyper expanded consistent with emphysema, similar to the prior exam. Calcifications project over the right upper lobe as before. Again seen is asymmetric right apical pleural thickening, with crowding of vessels in scarring in the right upper zone retraction of the right hilum. Clips are seen over the right axilla, unchanged in appearance from the prior study. Bilateral perihilar and bibasilar opacities raise the question of mild chf, minimally increased from the prior examination. No focal consolidation is identified. No pneumothorax is seen. There is mild blunting of the posterior costophrenic angles bilaterally.
history: <unk>f with sudden onset dyspnea // 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>m with hx of asthma p/w intermittent sscp x<num> weeks found to have diffuse expiratory wheezing on exam.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with sore throat, cough.
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Median sternotomy wires and mediastinal clips are again noted. Lung volumes are low accentuating the cardiac silhouette. Moderate cardiomegaly is likely unchanged. Hilar contours are unremarkable. There is mild retrocardiac atelectasis. Lungs are otherwise clear. Pleural surfaces are clear without effusion or pneumothorax. Chronic deformity of the proximal left humerus is again noted.
cough, weakness and confusion.
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In comparison with an outside study of <unk>, the right base is now clear. There is evidence of pleural thickening and blunting of the left costophrenic angle. Large hiatal hernia is seen. No evidence of acute focal pneumonia or vascular congestion. Port-a-cath extends to the lower portion of the svc. Multiple surgical clips are again seen in the lower left neck.
leukemia, on chemotherapy, now with fever.
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Since prior, there has been interval resolution of the previously seen bilateral pleural effusions. The lungs are now clear. The cardiomediastinal silhouette is within normal limits. Surgical clips noted within the lower neck on the right as well as in the upper abdomen. No acute osseous abnormalities identified.
<unk>f with chest pain // r/o acute process
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Lungs are hyperinflated.the lungs are clear without focal consolidation. Small bilateral pleural effusions. No pneumothorax. Mild cardiomegaly stable. Mediastinal hilar contours are normal.
<unk> year old man with stemi, prepping for cabg // any pna
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A right subclavian infusion port is in place with the tip projecting over the cavoatrial junction. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax. Cervical fixation hardware is incompletely imaged. A surgical clip projects over the left axilla. Mild dextroscoliosis is noted.
breast cancer status post recent port placement. confirm port placement.
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The patient is status post recent cabg with stable postoperative appearance of the mediastinum. Again appreciated is the significant cardiomegaly especially of the left ventricular contour with tortuous aorta. Bibasilar lung opacities are improved. There is a persistent small to moderate left pleural effusion. A right internal jugular central venous catheter is unchanged in position with the tip projecting over the mid svc. There is no pneumothorax.
status post cabg. followup left effusion.
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Ap and lateral views of the chest. The lungs remain clear consolidation or effusion. Cardiac silhouette is enlarged but stable in configuration. Dual lead pacing device is again noted within some expected locations of the right atrium and right ventricular apex. There is no evidence of lead wire fracture. Coronary stent is noted. Median sternotomy wires and mediastinal clips are also noted. No acute osseous abnormality detected.
<unk>-year-old male with aicd fire, question lead fracture.
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Frontal and lateral views of the chest. Left picc terminates in the upper svc. Moderate cardiomegaly and mediastinal contours are stable. The interstitial markings have slightly increased, consistent with worsening interstitial edema. Bilateral small pleural effusions are unchanged. No new focal consolidation. Severe bilateral glenohumeral degenerative changes are noted.
weakness.
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There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation. Lungs are clear except for linear bibasilar atelectasis or scarring. The heart size is normal with prominent epicardial fat pads. Mitral valve prosthesis is unchanged from prior studies. Moderate to severe thoracic scoliosis is unchanged.
<unk>m with palpitations, evaluate for cardiomegaly.
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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. No displaced rib fractures are noted.
history: <unk>m with rib pain status post fall
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Frontal and lateral radiographs of the chest demonstrate low lung volumes, which results in bronchovascular crowding. There is bibasilar atelectasis. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with chest pain // eval for pneumonia
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Extremely low lung volumes are seen with crowding of the bronchovascular markings. There is no evidence of consolidation or edema. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormalities.
<unk>f with hx stroke p/w ?left sided weakness, slurred speech // eval for acute process
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Pa and lateral views of the chest provided. Pectus excavatum deformity accounts for opacity obscuring the right heart border. Lungs are clear without signs of pneumonia or edema. No large effusion or pneumothorax. Cardiomediastinal silhouette is stable in overall size and configuration. Bony structures are intact.
<unk>m with hx of diffuse esophageal spasm here with difficulty swallowing, substernal chest pain, and mild doe
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Pa and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There is no evidence of free intraperitoneal air.
substernal chest pain.
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As compared to the previous radiograph, there is no relevant change. Status post sternotomy, the wires are in correct position. No pneumothorax, no pleural effusions. No pneumonia, no pulmonary edema. The size of the cardiac silhouette is borderline.
pleuritic chest pain, evaluation for pneumonia.
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Pa and lateral chest radiographs have been provided. There are small bilateral pleural effusions. There is no focal consolidation or pneumothorax or pulmonary edema. The heart is stably enlarged. Median sternotomy wires are intact.
<unk>-year-old man status post cabg. question interval change.
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Lungs are hyperinflated with flattening of the diaphragms most likely reflective of copd. The cardiac, mediastinal and hilar contours are unchanged and within normal limits. Linear opacities within the left lung base likely reflect areas of scarring and/or subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. The pulmonary vasculature is not engorged. There are mild degenerative changes in the thoracic spine.
history: <unk>m with asthma with shortness of breath
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.
cough, dyspnea.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. There is a <num> mm rounded density in the right lower lung zone which is most likely the nipple, although an underlying nodule cannot be excluded. The cardiomediastinal silhouette is normal.
chest pain.
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Pa and lateral chest radiographs demonstrate well expanded lungs. Cardiomediastinal and hilar contours are within normal limits. Lungs are clear without focal opacity convincing for pneumonia. There is no pleural effusion, pneumothorax, or pulmonary edema. Imaged osseous structures and upper abdomen are without an acute abnormality.
<unk>-year-old female with syncope. evaluate for an acute process.
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The lungs are not completely expanded. There is mild plate like atelectasis at the right lung base. No focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is unremarkable. The descending aorta is ectatic or tortuous. No acute osseous abnormality.
<unk>-year-old man presenting with shortness of breath; evaluate for pneumonia.
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Lung volumes are low. Heart size is mildly enlarged. The aorta remains tortuous. Mediastinal and hilar contours are otherwise stable. Pulmonary vasculature is not engorged. Elevation of the right hemidiaphragm is unchanged. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
<unk> year old woman with chest pressure and shortness of breath
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Pa and lateral views of the chest. The lungs remain clear. The cardiomediastinal silhouette is normal. No acute osseous abnormality detected.
<unk>-year-old male with cough.
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The lungs are well expanded without focal consolidation. Lateral left upper lobe scarring/chronic osseous change is stable since <unk>. Cardiomediastinal and hilar contours are unremarkable. The aorta appears tortuous. Apparent prominence of the ascending aorta compared with the recent chest radiograph is likely due to a slight difference in position, and is unchanged from scout views obtained during chest cta performed in <unk>. No cardiomegaly is present. There is no pleural effusion or pneumothorax. No rib fractures are identified.
patient with left lower lateral chest pain. evaluate for rib fracture versus left lung infiltrate.
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Pa and lateral views of the chest. Low lung volumes. There is a compression fracture in the lower thoracic spine with previous kyphoplasty procedure. There is mild bibasilar atelectasis. There is no focal consolidation. Cardiomediastinal contours are normal.
cough and fever.
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Pa and lateral chest radiographs again demonstrate chronic instertial markings and scarring in the left lower lobe; unchanged from <unk> and prior ct-chest. Mild cardiomegaly is stable. Median sternotomy wires and cabg clips are again noted. There is no pneumothorax. Bi-apical parenchymal scarring is again noted.
altered mental status.
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Pa and lateral views of the chest provided. Lung volumes are low. 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 // eval for acute process
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal. The thoracic spine appears demineralized. Substantial level scoliosis is present. The upper abdomen is unremarkable.
<unk>f with chest pain, evaluate for pneumothorax.
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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.
history: <unk>f with history of hiv with last cd<num> <unk> presenting wtih fevers, chills. // please assess for pulmonary process.
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The cardiac and mediastinal silhouettes are stable. No focal consolidation is seen. There is slight blunting of the posterior left costophrenic angle which may be due to atelectasis or trace pleural fluid. Mild basilar atelectasis is seen.
history: <unk>f with palpitations // pna or consolidation?
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Since the prior examination there has been resolution of right perihilar opacification but interval development of right basilar opacification. There are no pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are otherwise stable demonstrating borderline cardiomegaly. Pulmonary vascularity is not increased.
<unk>-year-old male with shortness of breath. evaluate for pneumonia.
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There are findings consistent with thoracotomy and a right chest tube is present. Linear density projecting over the right lung may represent an epidural catheter and is similar in appearance. Again seen is a small right effusion, minimally larger, with atelectasis at the right lung base. No pneumothorax is detected. The cardiomediastinal silhouette is grossly unchanged. The possibility of slight rightward shift of the mediastinum cannot be excluded. There is mild vascular plethora, without overt chf. On the left, no focal consolidation is identified. There is a small left pleural effusion, essentially unchanged, with minimal left base atelectasis. No left-sided pneumothorax.
<unk> year old woman s/p r thoracotomy rml/rll bilobectomy // r/o ptx, htx, atelectasis, consolidation
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Lung volumes are reduced bilaterally. Chronic diffuse interstitial abnormality is re- demonstrated with increased interstitial markings noted most pronounced at the periphery and lung bases, not substantially changed in the interval. Heart size is mildly enlarged. Mediastinal and hilar contours are similar. No overt pulmonary edema, new focal consolidation, pleural effusion or pneumothorax is identified. There are multilevel mild to moderate degenerative changes with mild loss of height of a mid thoracic vertebral body anteriorly.
history: <unk>f with ild, <unk> lb weight loss in <num> months, increasing dyspnea on exertion
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Ap and lateral views of the chest. Relatively low lung volumes are seen with secondary crowding of the bronchovascular markings. There is no large confluent consolidation. No effusion. Single lead left chest wall pacing device is seen. The cardiomediastinal silhouette is within normal limits.
<unk>-year-old male with generalized weakness.
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The cardiac silhouette is normal in size. The hilar and mediastinal contours are normal. The lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. An incompletely imaged gastric tube projects over the left upper quadrant.
<unk>f s/p roux-en-y gastric bypass s/p reversal in <unk> with abdominal pain and nausea // eval for infection, effusion, infiltrate
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A right picc tip projects ends in the distal svc. Lung volumes are slightly low with bronchovascular crowding. No definite focal consolidation. No pleural effusion or pneumothorax. The heart is normal in size. The mediastinum is not widened. No edema. No acute osseous abnormality. Surgical clips in the right upper quadrant may reflect history of cholecystectomy.
<unk>-year-old woman woman with bilateral pelvic abscesses, productive cough, fever on immunosuppression given hx kidney transplant. evaluate for pneumonia.
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The cardiomediastinal silhouettes are stable, again demonstrating likely moderate cardiomegaly. There are low lung volumes, with crowding of normal bronchovascular structures. Left mid lung airspace opacity, in addition to left retrocardiac opacification, is concerning for developing pneumonia. There is no evidence of pulmonary vascular congestion or pulmonary edema. A small left pleural effusion is difficult to exclude. There is no right pleural effusion. There is no pneumothorax.
<unk>f with ams and fever, evaluate for pneumonia.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. No fracture is identified.
chest pain.
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Examination is performed at <time> p.m. With patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. The findings are unchanged and the on previous ct identified nodular lesion in the apical segment of the right lower lobe is again identified and appears unchanged. No new pulmonary abnormalities are seen. No pneumothorax has developed on either side. Observed is that there exist local irregular contoured pleural thickenings in both apices.
<unk>-year-old female patient status post lung biopsy and fiducial mark placement. evaluate for pneumothorax as patient is in radiology care unit.
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with chest pain and dyspnea. cough.
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There are bibasilar opacities localizing to the middle lobe and lingula. While some of this could represent scarring and prominent fat pad as seen on prior chest ct, findings are slightly progressed even given differences in technique. There is also some streaky retrocardiac opacities on the lateral view which may correlate with mucous plugging seen on prior chest ct. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Degenerative changes partially visualized at the shoulders.
<unk>m with dyspnea // ? acute cardiopulm process