Frontal_Image_Path
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Unchanged moderate cardiomegaly. The aorta is calcified, indicating atherosclerosis. The mediastinal and hilar contours are normal. There is congestion of the pulmonary vasculature, consistent with mild pulmonary edema. Bibasilar atelectasis. Small bilateral, right greater than left, pleural effusions. No pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>f with dyspnea, weight gain, edema, chf // ?pulmonary edema, ? pneumonia
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>f with cough and fatigue
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.
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<unk>-year-old female with non-productive cough for one and a half weeks, to rule out intrathoracic process.
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The lungs are hyperinflated, consistent with copd. Some streaky bibasilar opacities, slightly worse on the right than the left, are likely atelectasis. There is no pulmonary edema, pleural effusion, or pneumothorax. The aorta is calcified and tortuous. The cardiac size is at the upper limits of normal, and unchanged. There are coronary artery and aortic valve calcifications, which have progressed since the prior exam. Compression deformities in the mid thoracic spine are stable. Old healed rib fractures are unchanged.
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als with chest pressure.
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The heart is slightly enlarged with left ventricular configuration. The mediastinal and hilar contours appear within normal limits. There is mild relative elevation of the right hemidiaphragm compared to the left. No pleural effusion or pneumothorax is demonstrated. The lungs appear clear. Moderate anterior osteophytes are noted along the mid thoracic spine.
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cough and chills.
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In comparison with study of <unk>, there is improved aeration in the right lung. However, much of the differences in appearance may simply be the upright technique, with substantial right pleural effusion extending along the right lateral chest wall to the apical region. Displacement of midline structures to the right again seen. Increasing opacification at the left base is consistent with pleural fluid and underlying atelectasis. Most of the left lung is essentially clear.
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pleural effusion.
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormality is visualized.
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history: <unk>m with history of pancreatic pseudocyst presenting with fevers and leg swelling
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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
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history: <unk>m with chest pain // acute process?
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The lungs are clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
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<unk>-year-old female with syncope, recent fatigue. evaluate for occult pneumonia.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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<unk> year old woman with <num> month of cough, nausea, vomiting and neck stiffness for <num> days
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Frontal and lateral radiographs of the chest demonstrate low lung volumes which results in bronchovascular crowding. There is persisting consolidation and volume loss in the right upper and left lower lobes. A small right and small to moderate left pleural effusion are unchanged. The cardiomediastinal and hilar contours are unchanged. A right-sided internal jugular central venous line ends at the cavoatrial junction. A nasogastric tube courses into the stomach and likely ends in the duodenum.
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<unk> year old woman with aspiration // ?consolidation
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Frontal and lateral chest radiographs demonstrate overlying breast shadows. The lungs are clear without pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. Pulmonary vasculature is normal.
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<unk>-year-old female with delirium, status post hanging, question infection.
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Pa and lateral chest radiographs demonstrate a subtle right infrahilar opacity with associated bronchial wall thickening. The lungs are otherwise clear and there is no pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
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dyspnea and cough.
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Calcifications in the right upper lobe and hila likely reflect prior granulomatous disease, but there are no signs of active infection. The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.
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<unk> year old man with sob // r/o pna, chf
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The lungs are clear and the lung volumes are normal. There is no pleural effusion, pneumothorax or focal airspace consolidation. The heart is normal size. The mediastinal and hilar contours are unremarkable.
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chest pain. evaluate for pneumonia.
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Triple lead right-sided pacer device is stable in position. The patient is status post median sternotomy and cabg. The cardiac and mediastinal silhouettes are stable. When compared to the most recent prior examination stable bilateral pleural effusions with basal opacities, are superimposed on background lower lobe predominant fibrosis. There is mild vascular congestion pe
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<unk> year old man with effusion, appears larger on stress mibi // assess for effusion progression
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The heart is enlarged. The cardiomediastinal and hilar contours are stable. Again seen is a convexity in the posterior hemidiaphragm which is unchanged and is consistent with a bochdalek hernia as seen on prior ct. Bibasilar opacities are seen which may be due to atelectasis, mild consolidation not excluded. There is possible small right pleural effusion. There is prominence of the hila bilaterally, which may be due to mild pulmonary vascular engorgement the versus lymphadenopathy. There is no pneumothorax. Note is made of an azygos fissure.
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<unk>m with met prostate ca to brain presented to osh w/ weakness, fever to <num>, <unk>% o<num>sat on ra, ? infiltrate on poor quality film // pna vs atelectasis?
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Surgical clips are seen in the left axilla.
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history: <unk>f with pain
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As compared to the previous radiograph, there is an improvement of the pleural thickening and opacities on the right. These are less extensive and less severe than on the previous image. The previously malpositioned right pic line has been removed. At the left lung bases, the appearance of the lung parenchyma and the pleura is unchanged. Unchanged moderate cardiomegaly with tortuosity of the thoracic aorta. No evidence of pneumothorax.
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left empyema, status post vats decortication, assessment for interval change.
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The lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. Trophic change is in the spine.
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<unk>-year-old female with possible seizure.
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The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
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<unk>-year-old female with subjective chills.
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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax. There is mild anterior wedging of the midthoracic vertebrae.
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shortness of breath, pneumonia. evaluate for pneumothorax.
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The cardiac, mediastinal and hilar contours appear stable. There is moderate interstitial abnormality, probably unchanged, suggesting known interstitial abnormality but perhaps with coinciding pulmonary edema. However, there is no focal opacification. Fissures appear mildly thickened. There is no pleural effusion or pneumothorax.
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cough and tachycardia.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with cough // acute process?
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As compared to the previous radiograph, there is no relevant change. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pleural effusions. No pulmonary edema. Moderate scoliosis of the thoracic spine.
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chronic cough, evaluation for pathology.
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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No displaced rib fracture is definitively identified.
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<unk>f with left rib pain, recent rib fx, concern re ptx. please obtain expiratory films //
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There is no focal consolidation, pleural effusion or pneumothorax. There is likely mild bibasilar atelectasis. Cardiomediastinal contours are within normal limits. No acute osseous abnormalities are identified.
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history: <unk>f with sob, dka // eval for pneumonia
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Heart size is normal. A moderate size hiatal hernia is present. Mediastinal and hilar contours are otherwise unremarkable. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There is diffuse demineralization of the osseous structures.
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altered mental status.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. A nipple shadow again projects over the right lower hemithorax. The lung fields appear otherwise clear.
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shortness of breath and chest pain.
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The lungs are well expanded and clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.
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<unk>-year-old male with near syncope and chest pressure.
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Upright pa and lateral radiographs of the chest. The lungs are normally expanded. There is an area of scarring or atalectasis at the left base. The cardiomediastinal silhouette and hilar contours are normal. The aorta is calcified and unfolded. There is no pleural effusion or pneumothorax. There is stable dextroconvex curvature centered over the lower thoracic spine and interval development of a compression deformity of a mid thoracic vertebral body of unclear chronicity.
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weakness. evaluate for acute process.
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Compared to the previous radiograph, there is no relevant change. Large left hilar mass with subsequent peripheral area of atelectasis. Elevation of the left hemidiaphragm. No evidence of pneumothorax. Unremarkable aspect of the cardiac silhouette and of the right lung.
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non-small cell lung cancer, evaluation.
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The lungs are clear without focal consolidation, effusion, or edema. There is a rounded nodular opacity in the retrocardiac region which may project behind the heart on the lateral view. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
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<unk>f with lower abdominal mass, vaginal bleeding, febrile without source // evidence of consolidation, infiltrates
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged. Linear opacities within the left upper lobe and lingula are unchanged, compatible with post radiation changes. No focal consolidation, pleural effusion or pneumothorax is detected. No acute osseous abnormalities seen.
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history: <unk>f with cough, history of kidney transplant
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The lung volumes are normal. Moderate cardiomegaly with tortuosity of the thoracic aorta. No pleural effusion. No pulmonary edema. No pneumonia.
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questionable pneumothorax.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is slightly increased in size from prior exam.
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<unk> year old woman with cough ,prod. of green sputum. hx of asthma // ? pneumonia
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Persistent flattening of the diaphragms and increase in ap diameter, consistent with chronic pulmonary disease. New opacity in the right upper lobe. Stable appearance of the right lower lobe opacity. Scattered bilateral nodules, more clearly demonstrated on recent ct, but which appear unchanged. No pleural effusion, pulmonary edema, pneumothorax. Stable tortuosity of the descending aorta. Stable appearance of the cardiomediastinal silhouette and hila.
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<unk> year old man with mds, on thalidomide and high dose prednisone. reporting increasing shorteness of breath with exertion // assess for infection, other possible causes for symptoms.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Mild degenerative changes are noted in the thoracic spine.
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history: <unk>f with cough
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No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. There may be minimal pulmonary vascular congestion.
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history: <unk>m with weakness and fall pls eval pna and edema // history: <unk>m with weakness and fall pls eval pna and edema
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The lung volumes are low. Allowing for that cardiac, mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.
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cough.
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There is no definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. The hilar contours are unremarkable.
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dyspnea for <num> months.
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There is no pneumonia. Cardiomediastinal silhouette is normal. Hilar contours are normal. There is no pneumothorax or pleural effusion. A <num> mm nodular density projecting over <unk> left posterior rib is identified. Previously a nodular density in the left lower lobe was also seen for which repeat radiographs with nipple markers were obtained. That radiograph demonstrated no evidence of abnormality however i do not see the nodule clearly on that radiograph. To confirm, a repeat radiograph with nipple markers can again be obtained.
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chest pain.
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormality is present.
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fever.
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The lungs are clear. No focal consolidation, effusion, edema, or pneumothorax. Heart size is normal. Mediastinum is not widened. Hila are unremarkable.
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history: <unk>f with upper back pain and upper abdominal pain. evaluate for pneumonia.
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The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
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<unk>-year-old man with a <num> day history of chest pain.
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As compared to the previous examination, the left-sided effusion has slightly decreased in extent. This decrease is more obvious on the frontal than on the lateral radiograph. However, the left effusion still occupies approximately a quarter of the left hemithorax. Subsequent atelectasis are seen at the left lung bases. No pneumothorax. No change in appearance of the cardiac silhouette and of the right lung.
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evaluation for pleural effusion.
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In comparison with the study of <unk>, there is again evidence of left and possibly smaller right pleural effusion with mild compressive atelectasis. No evidence of vascular congestion or acute focal pneumonia. Severe post-traumatic changes are again seen on the left with old healed rib fractures and clavicular fracture.
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pleural effusion.
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Ap upright and lateral chest radiograph. Cardiomegaly is again noted with asymmetric prominence of the interstitial pulmonary markings which raises concern for edema though lymphangitic tumor spread is difficult to exclude. No large effusion is seen. No pneumothorax. Diffuse osseous metastatic disease is re- demonstrated.
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<unk>m with cp s/p blood transfusion, history of breast cancer.
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Lung volumes are low. Mediastinal contours, hila, and cardiomegaly are stable. A left chest pacemaker appears unchanged from prior radiographs. The ventricular lead appears normal, terminating in the right ventricle. The atrial lead traverses the expected region of the tricuspid valve and terminates near the tricuspid valve although exact location relative to the valve cannot be determined. No pleural effusion.
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<unk> year old woman with incidental sellar mass on recent head ct, ?macroadenoma. has pacer, cleared for mri, needs coordination with cardiology // check pacemaker placement
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The lungs are hypoinflated with crowding of vasculature. Persistent retrocardiac opacity is unchanged over multiple examinations and consistent with known hiatal hernia. No pleural effusion or pneumothorax. There is persistent mild cardiomegaly, likely accentuated due to low lung volumes. Mediastinal contour and hila are unremarkable.
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<unk>m with hx of pericarditis and recurrent pleural effusion. with complaints of pleurisy chest pain at the right side. assess for pleural effusion worsening cardiomegaly.
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Left-sided aicd is stable in position. The appearance of the lungs is without significant interval change. There are bilateral, right greater than left, pleural effusions with overlying atelectasis. Opacity at the right lung base raises concern for overlying pneumonia, underlying pulmonary mass is not excluded on this study.
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history: <unk>m with chf exacerbation. prior cxr with ?consolidation // please eval s/p diuresis
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The right hemidiaphragm is mildly elevated and there is volume loss in the right lower lobe. There is no focal infiltrate. The heart is mildly enlarged, similar to prior.
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primary sclerosing cholangitis with fever.
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Mildly hyperinflated lungs suggest obstructive disease. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal. Healed right rib fractures are unchanged.
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<unk> year old woman with cough and fever in patient with splenctomy // rule out pneumonia
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Ap and lateral views of the chest demonstrate mild cardiomegaly and a pacemaker with leads in the right ventricle and right atrium. New hazy right lower lobe opacity is likely a combination of effusion and atelectasis. There is also a small left pleural effusion and retrocardiac opacity most likely reflective of atelectasis. Mild pulmonary edema is present. No focal consolidations worrisome for pneumonia. No free air. No displaced rib fractures.
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<unk>-year-old male with hypoglycemia and altered mental status. evaluate for pneumonia.
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Shrapnel is seen projecting over the anterior right upper chest. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with chest pain // r/o acute process
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Pa and lateral views of the chest. The lungs are well expanded. Bibasilar atelectasis is seen. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
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chest pain.
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There is no focal consolidation, effusion, or edema. Streaky suprahilar right opacity is seen. This could be due to atelectasis. There is biapical scarring. Nodular opacity projecting over the left fourth rib at the lung apex cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with afib with rvr // eval for infiltrate
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Pa and lateral radiographs of the chest were acquired. Heterogeneous opacities in the right middle lobe silhouette a portion of the right heart border, highly suspicious for pneumonia. The lungs are otherwise clear. The cardiac and mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
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change in mental status. evaluate for pneumonia.
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Right sided port-a-cath tip terminates in the upper svc. Left-sided central venous catheter terminates in the proximal right atrium, unchanged. Lung volumes are low. Cardiac silhouette size is accentuated as a result of low lung volumes and is borderline enlarged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
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history: <unk>m with likely septic hip looking for source of presumed infection
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There are low lung volumes. There is a tortuous thoracic aorta. Heart size is top-normal. The hila are within normal limits. Linear opacities at the right mid lung and right lower lobe may represent platelike atelectasis, however it is difficult to exclude developing or interstitial pneumonia. Otherwise, the lungs are clear. There is no pneumothorax or pleural effusion.
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<unk> year old woman with met breast cancer on chemotherapy, new onset dyspnea on exertion, evaluate for pulmonary etiology.
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The lung volumes are low. The heart is at the upper limits of normal size allowing for technique. The aortic arch is calcified. There is no pleural effusion or pneumothorax. Streaky left basilar opacities suggest minor atelectasis.
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tachycardia. history of sepsis.
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The cardiomediastinal and hilar contours are within normal limits. There is mild bibasilar atelectasis. Otherwise, there is no focal consolidation, pleural effusion or pneumothorax.
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<unk> week gestational age, presenting with chest pain and dyspnea. rule out acute cardiopulmonary disease.
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Pa and lateral chest radiographs were provided. Lung volumes are low. There is no focal consolidation, pleural effusion or pneumothorax. The previously seen left pleural effusion has essentially resolved. The cardiomediastinal silhouette is unremarkable. The visualized upper abdomen is unremarkable. There are degenerative changes in the thoracic spine. Mild anterior wedging is noted in the lower thoracic spine, unchanged from the prior exam.
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history of afib, hypertension and recent turp presents with chills and abdominal pain. assess for edema or other cardiopulmonary process.
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Despite somewhat low lung volumes, the lungs are clear of consolidation worrisome for pneumonia. Linear opacity in the left midlung is most suggestive of atelectasis or scar. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
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<unk>m with dyspnea, <num>x wk dry cough // ? r/o pna
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Pa and lateral views of the chest provided. Suture material is again seen projecting over the left lower lung with tiny clips in the left upper abdomen. Bilateral pleural effusions are increased from prior and small in overall volume. Also noted is pleural based opacity at the right apex and along the periphery of the right mid lung which is concerning for loculated effusion similar in appearance to prior exam. Ground-glass opacities in the lower lungs raise concern for pneumonia. In addition, ill-defined opacity in the right upper lung may reflect a component of pneumonia. Cardiomediastinal silhouette is unchanged. Imaged bony structures are intact.
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<unk>m with fever, infectious work-up
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The pulmonary vasculature is unremarkable. The lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. No radiopaque foreign body. Osseous structures are unremarkable.
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possible liver lesions. evaluate for metastasis.
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar chest examination of <unk>. The heart size is unchanged and remains within normal limits. No change in the appearance of mediastinum and thoracic aorta. The pulmonary vasculature is not congested. The, on previous examination identified, scattered multiple parenchymal patchy infiltrates mostly located to right upper and lower lung fields as well as mid portion of left lung have regressed moderately. Some faint patchy infiltrates remain, however. As before, there is no evidence of pneumothorax or pleural effusion as the lateral and posterior pleural sinuses are free. Metallic ring shaped pressed ornaments are seen as before and unchanged in position.
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<unk>-year-old male patient with hiv and recent pneumonia, worsening dyspnea and chest heaviness, night sweats. is there worsening pneumonia?
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Pa and lateral views of the chest demonstrate relatively low lung volumes with unchanged tortuosity of the aorta. There is no pneumothorax, pulmonary edema, pleural effusion or focal opacification within the lungs. The cardiac silhouette is unchanged since the prior study.
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<unk>-year-old male with shortness of breath and chest pain. evaluate for chf or pneumonia.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen.
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<unk>m with chest pain, lightheadedness, shortness of breath, tachycardic, had neg ddimer and leni. // r/o any small pneumothorax
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Heart size is normal. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Lungs are hyperinflated. Minimal patchy opacities are noted in the lower lobes bilaterally. No focal consolidation, pleural effusion or pneumothorax is present. Skin <unk> along with a nerve stimulator device is noted within the left superior chest wall with single lead coursing cephalad into the left neck.
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history: <unk>m with cough and lethargy
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Upright ap and lateral views of the chest provided. Lung volumes are somewhat low. Streaky perihilar opacities are noted, left greater than right. Overall findings are nonspecific and could reflect bronchovascular crowding. The possibility of a central airways inflammation is difficult to exclude. No lobar consolidation, effusion or pneumothorax. No convincing signs of edema. Heart size is grossly within normal limits. Mediastinal contour is normal. Bony structures are intact.
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history: <unk>m with chest pain, syncope // eval for cardiopulmonary process
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Lung volumes are slightly low, resulting in bronchovascular crowding. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
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history: <unk>m with <num> requirement // ? pna
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The lungs are clear without consolidation or edema. Mild prominence of the pulmonary vasculature is chronic. There is no pleural effusion or pneumothorax. The mediastinal contours are normal. The heart size is at the upper limits of normal.
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history of cirrhosis with an upper gi bleed.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>f with fever, cough
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Portable chest radiograph demonstrates persistent moderate sized right apical pneumothorax without evidence of tension. There are small effusions bilaterally with persistent unchanged pneumoperitoneum. The left lung is grossly clear with no new focal consolidations. The cardiomediastinal and hilar contours are unchanged and within normal limits.
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<unk>-year-old male with pneumothorax.
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MIMIC-CXR-JPG/2.0.0/files/p10686970/s55793801/dfa85788-87014eb3-8447d3a5-2f35d1d4-d3eb33d7.jpg
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MIMIC-CXR-JPG/2.0.0/files/p10686970/s55793801/25c1e462-ed950005-0499b317-19acf9e3-10887d5e.jpg
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The heart size is mildly enlarged but similar. Mediastinal and hilar contours are relatively unchanged. There is mild pulmonary vascular congestion. Streaky and patchy ill-defined opacities in both lung bases are new compared to the prior chest radiograph, and may reflect areas of infection, aspiration or atelectasis. A small left pleural effusion may be present. There is no pneumothorax. No acute osseous abnormalities are detected.
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right scapula and flank pain.
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MIMIC-CXR-JPG/2.0.0/files/p13152570/s50800484/39ad446d-0cd1e0bd-28945e53-e6a8a2d5-1d6996c0.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13152570/s50800484/e87e5795-f6e93ccf-21326cf2-f5db52fc-a03b66d9.jpg
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There is a persistent linear consolidation in the left lung, most consistent with atelectasis. The lungs are otherwise clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Since the prior exam, the left picc has been removed.
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status post renal transplant with malaise, chills, and sweats.
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MIMIC-CXR-JPG/2.0.0/files/p19942382/s53278555/3840a7bc-7629a1e4-87349d98-edc35381-a92f11d1.jpg
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There is a subtle opacity in the right middle lobe, concerning for pneumonia. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pneumothorax, pulmonary edema, or pleural effusion.
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<unk> year old woman with <num> weeks of cough and low grade fevers // evaluate for pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p18203000/s57706573/8ca2e09a-71230b80-d70b530a-4d43b9bd-6f946a83.jpg
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MIMIC-CXR-JPG/2.0.0/files/p18203000/s57706573/304eddf3-763854e5-35dd9c93-4500f0a1-420f9704.jpg
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There has been interval removal of a right internal jugular central venous line. Otherwise, there has not been significant interval change. Inspiratory volumes are slightly low. The heart size is within normal limits for technique. There is no pulmonary edema. The lungs are without evidence of focal consolidation, pleural effusion or pneumothorax.
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<unk>-year-old male with dyspnea. evaluate for acute process.
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MIMIC-CXR-JPG/2.0.0/files/p16051478/s58561716/58b92ba6-7b13ccaa-5b83cf47-5a310c46-6dd367e1.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16051478/s58561716/105b55ba-0f2b082c-42f0ad70-39f01ce6-549a94d4.jpg
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In comparison with study of <unk>, there is little overall change. Relatively low lung volumes with the cardiac silhouette at the upper limits of normal. Mild indistinctness of pulmonary vessels could reflect some elevated pulmonary venous pressure. Atelectatic changes are seen at the right base.
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new oxygen requirement.
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The patient is rotated which limits assessment. There is stable cardiomediastinal contours. No focal consolidation, pleural effusion or pneumothorax. Unchanged compression deformity of a mid thoracic vertebral body.
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history: <unk>f with altered mental status // worsening subdural hematoma, sah? pna?
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MIMIC-CXR-JPG/2.0.0/files/p12947996/s51638907/15a48eea-36e17997-5955c2c1-6b0502c6-85e94391.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12947996/s51638907/90e7f14b-b4f1671c-407ac81a-362cbf6b-686f3815.jpg
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Bibasilar patchy opacities are seen, most likely due to atelectasis. Elsewhere, the lungs are clear. There is no large effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
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<unk>-year-old male with confusion.
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MIMIC-CXR-JPG/2.0.0/files/p13587732/s58734664/922e606e-7cda6f4a-ae68d709-17561a4e-b75f9353.jpg
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities detected.
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shortness of breath.
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MIMIC-CXR-JPG/2.0.0/files/p12406461/s54894459/76be1e8c-bf04075e-1e905386-e0108b62-f2fe449e.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12406461/s54894459/a27e7770-855276fa-98ce21ab-9179d3c5-343ba171.jpg
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The lungs are well expanded and clear. No consolidation. No pleural abnormalities. No pneumothorax. The cardiomediastinal silhouette is normal. No fractures. The hickman port catheter terminates at lower svc.
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<unk> year old woman with hickman port with fever // eval for pna
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MIMIC-CXR-JPG/2.0.0/files/p12189597/s51962902/27dcbbed-2cb492ca-b702ce2e-79f75296-4fd8a86f.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12189597/s51962902/1f5c3cc8-65519859-1333daee-ba003bd6-3943614c.jpg
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Ap upright and lateral views of the chest provided. Lungs are hyperinflated and lucent likely reflecting underlying emphysema. Prominent costal cartilage accounts for para nodularity projecting over the left lower lung. No large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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<unk>m with sob over <num> month period
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MIMIC-CXR-JPG/2.0.0/files/p16130030/s52042259/110c5f28-d0d9e29d-c4576d47-20ae32c7-bb4e0d5f.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16130030/s52042259/8265c9b6-82b88f89-0da98e3a-ab4c57fb-54922534.jpg
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Frontal and lateral chest radiograph demonstrates stable severe cardiomegaly. Evaluation of the lungs is limited by poor inspiratory effort. Within this limitation, there is bronchial cuffing and perihilar opacifications, most consistent with pulmonary edema. Bibasilar opacifications likely reflect a combination of edema and atelectasis, though superimposed infection is not excluded.
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weakness, shortness of breath, evaluate for infiltrate.
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MIMIC-CXR-JPG/2.0.0/files/p12531575/s52277626/d6c600d2-ac570bee-a36e3300-d5c6ebd5-033c8046.jpg
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Pa and lateral views of the chest provided. Low lung volumes limits assessment. There is mild left basal atelectasis. Otherwise, the lungs appear clear without evidence of pneumonia or chf. No large effusion or pneumothorax is seen. The cardiomediastinal silhouette is normal. No displaced rib fractures are seen. No free air below the right hemidiaphragm is seen.
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<unk>m with tender left lower ribs
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MIMIC-CXR-JPG/2.0.0/files/p10415772/s52866368/3cb85693-fde12e59-f1223425-003c6e1e-8f6890f3.jpg
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Pa and lateral views of the chest. There is prominence of pulmonary vasculature consistent with mild congestion. Stable lung hyperinflation is consistent with underlying emphysema. There is no focal consolidation, pleural effusion or pneumothorax. The heart is mildly enlarged.
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hypoxia, evaluate for pneumonia edema.
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MIMIC-CXR-JPG/2.0.0/files/p15719070/s58260763/e53bb1cd-f53fa400-a826599d-e4579b9e-f1e9848f.jpg
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MIMIC-CXR-JPG/2.0.0/files/p15719070/s58260763/5004717b-b2ee497f-d5468fc4-a883a644-53191c3b.jpg
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In comparison with study of <unk>, there is little overall change. There is some enlargement of the cardiac silhouette with tortuosity of the aorta without definite vascular congestion, pleural effusion, or acute focal pneumonia. Minimal atelectatic or fibrotic streaks bilaterally.
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left lower lung crackles.
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MIMIC-CXR-JPG/2.0.0/files/p17815024/s52201353/02190091-9bfabe91-2cf7e40e-cdb0af7b-37fe3197.jpg
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MIMIC-CXR-JPG/2.0.0/files/p17815024/s52201353/99e5e403-888cd1e2-f1151c26-8f85f45a-a3554b0f.jpg
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with cp // eval for intrapulmonary mass, pleural effusion
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MIMIC-CXR-JPG/2.0.0/files/p16453420/s53945702/20d6bae1-252ed577-92769ce2-774a63cc-4322b203.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16453420/s53945702/4e9b145b-9b56b066-30e4039b-48839653-36a44512.jpg
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There are low lung volumes without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette top-normal to mildly enlarged..
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history: <unk>f with left sided neck/chest/arm pain // evaluate for acs
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MIMIC-CXR-JPG/2.0.0/files/p15570344/s54870775/88cf52e1-bfa3452d-83dca9ce-3b6eb03f-6f70cc91.jpg
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MIMIC-CXR-JPG/2.0.0/files/p15570344/s54870775/a1887246-f084beef-360446b4-e8087555-1b639fa7.jpg
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Frontal and lateral views of the chest demonstrate low lung volumes. There is no focal consolidation. Small pleural effusions are present. There is mild interstitial pulmonary edema. Hilar and mediastinal silhouettes are unchanged. Heart size is top normal. No pneumothorax. Biapical thickening is again noted.
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patient with altered mental status.
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MIMIC-CXR-JPG/2.0.0/files/p13049990/s55625985/c1a5c726-81899e87-119a4cad-2a69690f-2998df3b.jpg
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The lungs are clear. The cardiomediastinal silhouette is normal. Coronary artery stents are noted. No acute osseous abnormalities identified.
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<unk>m with chest pain, dizziness, fatigue // eval heart and lungs
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MIMIC-CXR-JPG/2.0.0/files/p16944511/s55202893/1e889307-30452c3d-26400f04-6c6f1a00-fcbb1a31.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16944511/s55202893/bf95ae3d-eacc8188-7e885280-b084ae79-18088040.jpg
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Opacity at the right lung base as seen on prior study on <unk> could be lower lobe pneumonia. A small left pleural effusion has increased and very minimal right pleural effusion is unchanged compared to prior study. No pneumothorax is seen. Moderate cardiomegaly is unchanged. Left pectoral transvenous pacer leads terminate in the right atrium and right ventricle. Transcutaneous epicardial leads terminate in the cardiac apex
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<unk> year old man with cough and question of lll pna on prior ct scan showing lung bases. // evaluate for consolidation/infiltrate
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MIMIC-CXR-JPG/2.0.0/files/p18580142/s54208066/54ce766d-9b19a72c-8d758ac7-667ecbbc-b5b76d50.jpg
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MIMIC-CXR-JPG/2.0.0/files/p18580142/s54208066/4e811a6f-253db5b0-3108b513-35892d22-ebf1d53a.jpg
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Fracture of the sternum with superior and anterior displacement of the distal fracture fragment is noted with adjacent retrosternal density likely reflecting a small hematoma or soft tissue thickening. The heart size remains mildly enlarged. The aorta is tortuous. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There is a moderate compression deformity at the thoracolumbar junction which appears new compared to the prior radiographs from <unk>.
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mid sternal pain.
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MIMIC-CXR-JPG/2.0.0/files/p12904315/s53039583/1550c836-2e8a9279-02313ec9-165510d1-b9b5667f.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12904315/s53039583/49aff88d-a3cb9ad6-28fb71b0-d1577857-baab0a94.jpg
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Compared to prior, there is increased interstitial opacities with linear thickened septal lines and right hilar opacities, concerning for mild pulmonary edema. Right mid lung opacity may represent atelectasis or developing pneumonia. Focal opacity on the left mid lung is likely atelectasis. There is no appreciable pneumothorax. Small bilateral pleural effusion as likely. Cardiomediastinal contours are stable and have expected postop appearance. Aortic valve replacement is seen. Multiple wedge deformities of the thoracic spine and severe kyphosis is again seen, unchanged from preop evaluation. Severe osteoarthritic changes of the right shoulder is again seen.
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<unk> year old woman with s/p cabg/avr // eval postop changes
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MIMIC-CXR-JPG/2.0.0/files/p19068326/s52554083/0a35ce60-97c20baa-4d046d7a-9af10798-8b2c3fb0.jpg
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MIMIC-CXR-JPG/2.0.0/files/p19068326/s52554083/43c37afd-1311eb55-741cbdfa-2cfca83b-07fc0638.jpg
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The heart size top normal. Mediastinal contours are unremarkable. Mild prominence of the left hilum is present. New consolidation in the right middle and right lower lobe is consistent with pneumonia in the correct clinical setting. In addition there is left perihilar consolidation as well as left lower lobe opacity, also concerning for infectious process as well. There is no large pleural effusion or pneumothorax.
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history: <unk>m with fever, ams // eval for consolidationct head/neck
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MIMIC-CXR-JPG/2.0.0/files/p12351579/s52914020/66172802-922a3908-73fc8ce2-aa5f12ba-958f9218.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12351579/s52914020/d1b3dde5-8cdf72b8-2f45f2b6-d7edd299-649ffa7e.jpg
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As compared to the previous radiograph, there is no relevant change. Normal size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta. Multiple very subtle and non-characteristic scars in the lung parenchyma, notably in the periphery of the lung suggest the presence of mild, potentially smoking-related interstitial changes. However, no severe overinflation is present and no nodules or mass lesions are visualized. Known history of right shoulder surgery. Given the limitations in resolution of interstitial structures of the chest radiograph, ct should be considered to establish a morphologic baseline, that of a smoking history.
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smoking history, weight loss, rule out malignancy.
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MIMIC-CXR-JPG/2.0.0/files/p15098892/s56568266/2cdc9a14-1ee5ef46-c066e0e8-1dede6d5-fc032e80.jpg
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MIMIC-CXR-JPG/2.0.0/files/p15098892/s56568266/414e0430-cad514f0-b00231c5-3e509bf8-3c99f869.jpg
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There is a new dual-lead pacemaker with the leads on the frontal film projecting over the expected location. On the lateral film distal curvature in the ventricular lead is visualized. Scarring is seen at both apices. Heart size is normal. There is no focal infiltrate or effusion.
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second-degree av block with dual-lead pacemaker.
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MIMIC-CXR-JPG/2.0.0/files/p12330227/s58089119/7cba08b2-130782ea-a1c483ff-25386c60-94cf37d0.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12330227/s58089119/cded124f-b886c7c4-9cc34d84-98e9c5dd-8df873ed.jpg
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. Note is made of mild right apical pleural thickening, which could be secondary to prior granulomatous exposure. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
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history of cough, shortness of breath. please evaluate for pneumonia.
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