Frontal_Image_Path
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Frontal and lateral views of the chest are compared to previous exam from <unk>. Frontal exam is limited due to poor inspiratory effort, which likely accounts for the bronchovascular crowding and bibasilar opacities from secondary atelectasis. On the lateral view, the lungs are relatively clear. There is no effusion. Cardiomediastinal silhouette is unchanged as are the osseous and soft tissue structures which are notable for a mid thoracic compression deformity.
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<unk>-year-old male with cough, shortness of breath while lying down. some fluid buildup in the ankles.
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In comparison with study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. No evidence of pneumonia, vascular congestion, pleural effusion, or old tuberculous disease. The displacement of the trachea seen previously is not appreciated at this time. Localized bulge of the right hemidiaphragm is unchanged, probably related to partial eventration.
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positive ppd.
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The lungs are clear without focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires are noted as well as coronary artery stents. No acute osseous abnormalities.
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<unk>m with dizziness // eval for infiltrate
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Ap upright and lateral views of the chest provided. Hilar congestion is noted with mild interstitial pulmonary edema. Bibasilar opacities may represent atelectasis versus pneumonia. Small pleural effusions are also noted. Heart size cannot be assessed. Mediastinal contour is stable. Bony structures appear intact.
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<unk>f with sob // eval for pulmonary edema, effusion
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Compared to most recent prior exam, there has been interval resolution of pulmonary edema. No focal consolidation, pleural effusion, or pneumothorax is seen. The heart size is stably prominent. Calcified aorta is again noted. There has been interval removal of the right-sided large bore central catheter.
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a <unk>-year-old female with end-stage renal disease on hemodialysis, now with shortness of breath.
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The cardiac silhouette is top normal to mildly enlarged. The mediastinal contours are unremarkable. No focal consolidation, pleural effusion, evidence of a pneumothorax is seen. There is minimal left base atelectasis. No overt pulmonary edema is seen. Mild degenerative changes are seen along the spine.
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dyspnea.
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear. No pleural effusion, focal consolidation, or pneumothorax. No radiopaque foreign body.
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<unk>-year-old female with chest pain.
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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
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<unk>m with left cp // eval infiltrate or ptx
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Pa and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is stable. Pacemaker leads are seen and are in appropriate position, unchanged from prior study. There are calcifications of the aortic knob. There is a right pleural-based calcified plaque.
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a <unk>-year-old man with cough and fevers at home, has renal graft. question pneumonia.
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There is no evidence of a large hiatal hernia on the lateral radiograph. The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The trachea is midline. There is no free air beneath the right hemidiaphragm. No acute osseous abnormality is detected.
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nausea and vomiting with early satiety, here to evaluate for hiatal hernia.
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The lungs are well expanded and clear. The cardiac silhouette, mediastinal silhouette, hilar contours, and pleural surfaces are normal. No pleural effusion or pneumothorax is present.
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new diabetes and hypoalbuminemia with new lower extremity edema. please assess for pleural effusion, other pulmonary processes.
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The heart is normal in size. The mediastinal and hilar contours appear unchanged. There is a mild interstitial abnormality. It may be due to airway inflammation or atypical infection. Mild pulmonary congestion is not excluded. There is no pleural effusion or pneumothorax.
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cough.
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Two views of the chest demonstrate minimal airspace opacity in the left upper lung. There is mild biapical architectural distortion, with borderline bronchiectasis. The cardiac silhouette is normal in size, the mediastinal contours are normal. There is no osseous abnormality.
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<unk>-year-old female with shortness of breath. she has a history of cystic fibrosis and asthma.
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Again seen is a left-sided dialysis catheter extending to the region of the cavoatrial junction. Allowing for differences in positioning, the cardiomediastinal silhouette is probably unchanged. There is background hyperinflation. On the current exam, the upper zone vessels appear slightly prominent bilaterally. There is new atelectasis at the left lung base and minimal atelectasis at the right lung base. No frank consolidation or gross effusion is identified. Minimal blunting of left costophrenic angle is likely present.
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<unk> year old woman with multiple comorbidities (including esrd on hd, uncharacterized renal cyst/masses, dm<num>), here for anemia/hymolysis, developed cough. // please evaluate for evidence of pneumonia
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with pleuritic cp and dyspnea.
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Lung volumes are low, leading to crowding of the bronchovascular structures. The right hemidiaphragm remains asymmetrical elevated, but unchanged from <unk>. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
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<unk>m with chest pain x<num>d
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The patient is status post mitral valve replacement. The cardiac, mediastinal and hilar contours appear stable, including borderline cardiomegaly. There are new small-to-moderate sized bilateral pleural effusions with patchy parenchymal densities and low lung volumes, a setting suggestive that opacities are probably due to associated atelectasis.
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atrial fibrillation and new left leg weakness.
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A left-sided picc line is seen with the distal tip in the mid to upper svc. There is no focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema identified. The heart size and mediastinal contours are normal. No bony abnormalities detected.
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left-sided picc line, pain with tpn infusing.
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Lungs: the lungs are well inflated. A surgical clip is seen in the right upper lobe. There is soft tissue density in the right apex which probably has not changed significantly. There is an infiltrate in the right upper lobe which is likely infectious. Linear atelectasis is seen in left midlung zone. Pleura: there is right pleural disease not changed. The right pleural catheter has been removed. Heart: the heart is not enlarged. An aortic valve prosthesis is noted. Mediastinum and hila: there is no mediastinal mass. Osseous structures: the patient is status post median sternotomy. Other findings: none
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history: <unk>m with sob // r/o pna history of pleural effusion with drainage. fdg avid right apical lesion
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Heart size is within normal limits.mediastinal and hilar contours are unremarkable. There is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax.however, central airways are not optimally evaluated by conventional radiographs.
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<unk> year old man with history of tobacco abuse presents with possible hemoptysis.
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Compared to earlier same day, a residual left pneumothorax is seen anteriorly, with additional small areas of lucency about the upper left lung and left lung base. However, the left pneumothorax appears significantly smaller compared with earlier the same day. The small left pleural effusion is essentially unchanged. Area of relative lucency at the right lung base is again noted, question artifact. As before, pneumothorax is considered less likely, but if it remains a clinical concern, then additional imaging with low inspiratory volume films could be obtained. Again seen is the pigtail catheter at the left lung base and multiple left-sided rib fractures. No chf and no new focal consolidation is identified. The small right pleural effusion is unchanged. The right lung nodule remains visible.
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<unk> year old woman with left ptx chest tube to water seal // interval change
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There are new mild ground-glass opacities in the left perihilar region that are concerning for a infectious process. Stability of the right peripheral opacity that is partially due to a loculated hematoma : it is however better then the exam of <unk>. Patient with known subsegmental chronic middle lobe atelectasis. There is also mild right lower lobe atelectasis. Stability of the mild posterior right pleural effusion. There is no pneumothorax. There is a hiatal hernia. The mediastinal and cardiac contour are normal.
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patient with redo tracheoplasty.
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Pa and lateral views of the chest provided. Lungs appear hyperinflated. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with febrile with weakness, fatigue // acute process?
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Streaky linear opacities at the left lung base likely reflect atelectasis versus scar. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits.
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history: <unk>m with lightheadedness, nausea and dry heaves. // r/o chf/pneumonia
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Tracheostomy tube tip is in standard position. Lung volumes remain low. Heart size is normal. The mediastinal and hilar contours are unchanged. Diffuse course interstitial opacities are re- demonstrated bilaterally compatible with a chronic interstitial lung disease. There may be mild superimposed pulmonary edema, though this is not as pronounced as on the previous examination. No new focal consolidation, pleural effusion or pneumothorax is identified. Percutaneous gastrojejunostomy catheter is incompletely imaged.
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history: <unk>m with fever, tachycardia with possible aspiration
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The vague opacity in the right mid lung is no longer are appreciated on the current examination. There is no pleural effusion or pneumothorax.
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<unk>f with chest pain // eval for consolidation
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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 possible ectopic pregnancy // pre-op
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Pa and lateral views of the chest. The lungs are clear without consolidation, pneumothorax, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.
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<unk>-year-old male with chest pain.
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There has been interval removal of the nasogastric tube and right ij central venous catheter. The lungs are clear. Nipple shadows are seen projecting over the low bilateral lower lungs. The appearance of tortuous descending aortic status post stent placement is unchanged. No pneumothorax or pulmonary edema. No focal consolidation to suggest pneumonia. Blunting of the left costophrenic angle may be due to a small pleural effusion or pleural thickening.
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<unk>m with chills and cough // infiltrate
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The heart size is moderate to severely enlarged. Rightward deviation of the trachea due to a large thyroid goiter is noted. Lung volumes are low. There is mild pulmonary vascular congestion. Small bilateral pleural effusions are noted, with a focal area fluid loculated in the left major fissure. Patchy opacities in the lung bases may reflect atelectasis, but infection cannot be excluded. There is no pneumothorax. No acute osseous abnormalities demonstrated.
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history of abdominal distention and hypoxia.
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As compared to the previous radiograph, the now known <num>-<num> cm left upper lung mass was not present. The mass is now clearly visible on the frontal and the lateral radiograph. The volume of the left hemithorax is reduced and the extent of pleural thickening is within the expected range. Elevation of the left hemidiaphragm, no pathological right lung changes. The morphology is better displayed on the pet-ct examination performed on <unk>.
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recurrent lung cancer, shortness of breath, evaluation.
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The lungs are well-expanded and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the osseous structures are notable for a stable chronic right anterior fourth rib fracture and a newly apparent mid thoracic mild anterior wedge compression fracture. No acute displaced rib fracture.
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<unk>m with recent fall. assess for acute infectious process, fracture or bleed.
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. Mild unfolding of the thoracic aorta is unchanged. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion. Small clips and/or chain sutures project over the splenic flexure.
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<unk>-year-old male with alcohol intoxication and chest pain. question acute process.
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In comparison with the study of <unk>, the cardiac silhouette is again somewhat prominent with a left ventricular configuration. However, there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
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polycythemia <unk>, to assess for pneumonia or chf.
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Mild cardiomegaly is overall similar to exams dated back to <unk>. There is mild pulmonary vascular congestion with mild to moderate pulmonary edema bilateral pulmonary edema. There may be small bilateral pleural effusions. There is no evidence of a pneumothorax.
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history of nausea and right shoulder pain with shortness of breath. please evaluate for acute process.
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The lungs are fully expanded and clear. The pleural surfaces are normal without pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are normal. Limited assessment of the upper abdomen is unremarkable. Visualized osseous structures are normal.
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fevers, assess for pneumonia.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen. There is no overt pulmonary edema.
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chest pain, dyspnea.
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Frontal and lateral views of the chest were obtained. Moderate cardiomegaly is similar to prior. Pulmonary vascular markings are indistinct, compatible with mild pulmonary edema, improved since <unk>. Small blunting of the right costophrenic angle and minimal blunting of the left costophrenic angle are similar to prior. No focal consolidation or pneumothorax. No displaced rib fracture is visualized. Single wire of a left chest wall pacer terminates over the right ventricle.
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<unk>-year-old female with left lower extremity trauma and chest pain. evaluate for fracture.
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Frontal and lateral chest radiographs demonstrate improvement but not resolution of a right lower lobe opacity, which could represent residual disease. A left lower lobe opacity is not well seen today, and could represent resolution of a focus of multifocal pneumonia or atelectasis versus obscure a shin of a prominent fat pad by the left hemidiaphragm. The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax.
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assess for interval resolution of the right lower lobe pneumonia seen in <unk>.
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Frontal and lateral views of the chest were obtained. The lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. The mediastinal silhouette is stable with mild aortic tortuosity. Hilar contours are normal.
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<num> weeks of fatigue.
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Frontal and lateral views of the chest re-demonstrate congenital dextrocardia. The descending aorta is normal in contour. The central airway is midline. Congenital or post-traumatic left upper anterior chest wall deformity is again seen. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion.
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<unk>-year-old male with fever. question pneumonia.
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with dyspnea on exertion.
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In comparison with the study of <unk>, the patient has taken a much better inspiration. Blunting of the costophrenic angles persists as well as an area of patchy opacification in the right mid zone laterally. There has been substantial improvement in the other areas of scattered pulmonary opacification.
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post-operative changes.
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. The osseous structures are unremarkable. No radiopaque foreign body.
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<unk>-year-old female with foreign body sensation. evaluate for foreign body.
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Frontal and lateral views of the chest. The heart size and cardiomediastinal contours are normal. Small biapical scarring is unchanged. The lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax.
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<unk>-year-old male with abdominal pain and fever.
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Pa and lateral views of the chest were reviewed and compared to the prior studies. Focal opacification in the left lower lung could represent atelectasis, aspiration or possibly saline infused during bronchoscopy. Otherwise the lungs are clear without evidence of pulmonary edema, vascular congestion, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.
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hypoxia status post bronchoscopy.
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The original dictation was lost in therefore the study performed on <unk> at <time> is being dictated on <unk>. Low lung volumes. Mild enlargement of the cardiac silhouette. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. The patient is status post thoracotomy with a cortical break in the right fourth posterior rib.
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<unk> year old woman s/p vats <unk>; chest tube removal <unk> // s/p chest tube removal
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
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normal chest radiograph without evidence of pneumonia. results were paged to dr. <unk> at <time> p.m. on <unk> by dr. <unk>.
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Frontal and lateral chest radiographs demonstrate multiple sternal wires and severe cardiomegaly, which appears unchanged. Increased bilateral opacities are consistent with increased vascular congestion and mild to moderate pulmonary edema. Retrocardiac opacity is likely a combination of atelectasis and edema. No definite focal consolidation is identified. There is no large pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable.
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evaluate for consolidation in a patient with shortness of breath and cough.
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The lungs are normally expanded with exception of mild bibasilar atelectasis, left greater than right. Heart size is normal. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The thoracic aorta is tortuous as before. Median sternotomy wires appear intact.
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history: <unk>m with chest pain // acute process
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The lungs are mildly underinflated and there is linear atelectasis emanating towards the periphery from the right hilum and left hilum. There is also atelectasis at the right base. There is blunting of the right posterior costophrenic sulcus suggesting small pleural effusion. The heart is not enlarged. There is no pneumothorax. The visualized bony structures are unremarkable.
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right upper quadrant pleuritic pain, postop day <num>, status post laparoscopic cholecystectomy. evaluate for atelectasis.
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The cardiac, mediastinal and hilar contours appear unchanged, allowing for differences in technique, including a calcified aortopulmonary window lymph node. There is no pneumothorax or definite pleural effusion. There is mild perihilar congestion, but otherwise the lungs appear clear. Surgical clips project over the upper abdomen.
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bilateral edema in the legs.
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The right chest port-a-cath terminates in the mid svc. The lungs are well expanded and clear. Mediastinal contours, hila, and cardiac silhouette are normal. No pneumothorax or pleural effusion.
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<unk>m with chills, neutropenia. // ?pneumonia
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Heart size is top normal with mild unfolding of the thoracic aorta. Hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax. There is no destructive rib fracture.
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sternal chest discomfort for two months.
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In comparison with study of <unk>, the patient has taken a slightly better, though still small, inspiration. The opacification at the left base has decreased, with only relatively mild atelectatic changes. No evidence of pulmonary vascular congestion. Of incidental note is a healed fracture of the distal right clavicle.
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hiv, multiple myeloma with fevers.
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As compared to the previous radiograph, the parenchymal opacities have bilaterally decreased in extent and severity. However, they are still clearly visible, notably at the right and the left lung base. No new parenchymal opacities. Unchanged borderline size of the cardiac silhouette. No larger pleural effusions.
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multifocal pneumonia, evaluation for interval change.
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Pa and lateral views of the chest demonstrate stable mild cardiomegaly. The lungs are well inflated and clear. There is no evidence of pneumonia, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is stable. Mild calcifications in the aortic arch are again noted.
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<unk>-year-old female with productive cough and subjective fever, with bilateral rhonchi. evaluation for 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 copd, left sided back pain down left arm // eval for large mass
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. Hyperexpansion suggests copd. Mild thoracic scoliosis is unchanged. Hyperdensity overlying the anterior aspect of a lower thoracic intervertebral space likely represents superimposition of structures. Cholecystectomy clips are noted projecting over the right upper quadrant.
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<unk>f with s/p recent liver biopsy now with pleuritic chest discomfort and sob, evaluate for pna
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There are low lung volumes in the suboptimal inspiratory effort. There is mild to moderate enlargement of the cardiac silhouette. The mediastinal contours are within normal limits. The bilateral hila are obscured. Retrocardiac opacity obscuring the left hemidiaphragm likely relates to basilar atelectasis in the setting of a suboptimal inspiratory effort, however infection or sequela of of aspiration are possible in the correct clinical setting. There is no focal consolidation elsewhere. There is no pneumothorax or pleural effusion.
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<unk>f with schizophrenia, evaluate for pneumonia?
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable and stable. Left-sided port-a-cath terminates in the low svc.
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history: <unk>m with fatigue // acute process
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The lungs are clear without focal consolidation. The posterior right costophrenic angle not fully included on the lateral view, however, no large pleural effusion is seen. There is no evidence of pneumothorax. Aortic calcification is noted. The cardiac silhouette is not enlarged. Multiple old appearing right-sided rib fractures are seen with evidence of some overlying lateral right pleural thickening. The posterior right eighth fracture appears somewhat displaced but likely old.
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history: <unk>m with concern for tia/stroke // evidence of infection
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Frontal and lateral chest radiographs demonstrates a large right pleural effusion with pleural air inclusions. Multiple air-fluid levels are identified. Thickened left sided pleura, seen previously on chest radiograph dated <unk> and unchanged. Lungs are otherwise grossly clear without overt pulmonary edema. Pleurx catheter in unchanged position.
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<unk>-year-old male with recurrent pleural effusion, end-stage heart failure, status post right pleurx catheter placement.
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Lung volumes are low. The heart size is normal. The mediastinal and hilar contours are unremarkable. New nodular opacities are clustered within the left upper lobe, and to a lesser extent, within the right upper lobe. There is no pneumothorax or left-sided pleural effusion. Pulmonary vascularity is within normal limits. Postsurgical changes are noted in the right chest with partial resection of the right <num>th rib, lateral right pleural thickening and chronic blunting of the costophrenic sulcus.
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recurrent vomiting, subjective fever and cough.
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Pa and lateral views of the chest. The lungs are clear without focal consolidation, effusion, or pulmonary vascular congestion. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
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<unk>-year-old female with chest pain.
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The right chest port tip continues to be in the middle svc. The bilateral hilar opacities, correlate to regions of radiation fibrosis on prior cta, and are stable or decreased. Left upper of lung density is stable from prior cta. There is no new lung opacity. The cardiac silhouette is not enlarged. There is no evidence of pleural effusion or pneumothorax. There is minimal thoracic dextroscoliosis.
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<unk> year old woman with met. breast cancer to the mediastinum post radiation therapy, dyspnea and cough. hx recurrent pericardial effusions and known mediastinal adenopathy.
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Pa and lateral chest radiographs. Lung volumes are low with bibasilar atelectasis. This also makes the cardiac silhouette appear larger than it likely is. There is no pleural effusion.
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motor vehicle accident. evaluation for pneumothorax.
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Essential resolution of previously seen the left lower lobe opacity, which is not seen on the current study. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with sob // infiltrate?
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well aerated lungs which are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
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shortness of breath and chest pain. evaluate for pneumothorax.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Patchy left basilar opacity is suggestive of minor atelectasis.
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dyspnea and left upper quadrant pain. history of ulcerative colitis.
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A right upper extremity picc terminates in the lower svc. A percutaneous jejunostomy tube is partially imaged. The patient is status post a cholecystectomy. Coronary stents are appreciated. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are unremarkable.
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fever. evaluate for pneumonia.
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The lungs are well expanded. A linear opacity across the left lower lobe represents linear atelectasis. No other focal opacities are observed. There is mild cardiomegaly, stable. The aorta is tortuous with diffuse atherosclerotic calcifications. There is no pleural effusion or pneumothorax. Sternotomy wires are intact. Prosthetic aortic valve is re-identified. Left proximal humeral deformity is again seen.
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<unk>-year-old female with syncope. evaluate for evidence of pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p16407151/s54882812/22e0a788-7a3ee230-85f50486-f752f335-32604b39.jpg
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. Subsegmental atelectasis has nearly resolved. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body. Right upper quadrant abdominal drain is incompletely imaged.
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<unk>-year-old female with postoperative fever.
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MIMIC-CXR-JPG/2.0.0/files/p19988528/s55049180/f8acb738-f7103e28-c841bf13-1f6b7d2a-66cca7ee.jpg
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MIMIC-CXR-JPG/2.0.0/files/p19988528/s55049180/3c682af5-0094c2f9-de31e3dc-d194d34b-999f8826.jpg
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The lungs are relatively hyperinflated. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is top-normal to mildly enlarged. The aorta is calcified and tortuous. There is slight increase in interstitial markings diffusely bilaterally which may be due to mild interstitial edema.
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history: <unk>m with nonspecific fatigue/malaise, subjective fevers, nonproductive cough. // r/o acute cp process
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MIMIC-CXR-JPG/2.0.0/files/p10466300/s53135818/dd080488-c4f44d1f-7f6591d4-d022ccad-b76ac49f.jpg
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MIMIC-CXR-JPG/2.0.0/files/p10466300/s53135818/9961c544-91de95a4-60bfda72-f16cad24-3db35571.jpg
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Lung volumes are low which leads to bronchovascular crowding. There is mild pulmonary edema as well as atelectasis at the left lung base. There is asymmetric elevation of the left hemidiaphragm. No focal consolidation is identified. The cardiomediastinal silhouette and hilar contours are normal. There is a severe compression deformity of the t<num> vertebral body. There is also apparent inferior subluxation of the right humeral head with respect to the glenoid.
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<unk>-year-old man with cerebral palsy and weakness, evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p16830230/s56832991/c42e77c2-d0eb418d-f58bc576-5f2179b2-b32648b0.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16830230/s56832991/e0ad2748-9779a307-794286ce-e9ec19e6-c0e3d0f8.jpg
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Heart size is top normal. Elevation of the left hemidiaphragm is causing some rightward displacement of the heart. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax. Opacity in the lingula may represent pneumonia or pulmonary infarct.
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<unk> year old woman with left sided chest pain // r/o pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p19674514/s55927608/9f1cbc0e-42b604af-21c70f7f-46a75356-5a4cee85.jpg
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MIMIC-CXR-JPG/2.0.0/files/p19674514/s55927608/2fe0797a-c50851d8-b39a398d-f0004074-278732fc.jpg
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There is a small to moderate left-sided pleural effusion. Cardiac size remains stable. Ng tube courses into the stomach and off the film. Right-sided picc line terminates in the high svc. There is no evidence of infection. Bibasal atelectasis is present.
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<unk>-year-old man status post cabg and laryngectomy. please evaluate for effusion.
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MIMIC-CXR-JPG/2.0.0/files/p15228822/s53591069/7f2a6b0f-8756e840-d425dcf3-8d75b3e6-f77a0219.jpg
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MIMIC-CXR-JPG/2.0.0/files/p15228822/s53591069/7005be01-1837e755-24e17331-8186347b-4e0fb947.jpg
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with palpitations, left sided pleuritic chest pain, cough
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MIMIC-CXR-JPG/2.0.0/files/p19234335/s54784816/ad4bb873-0d1d3baa-aea181f2-78936a6d-493cdef1.jpg
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MIMIC-CXR-JPG/2.0.0/files/p19234335/s54784816/1520b3f3-9a459d44-0f3e1e36-cc0f1302-7156162b.jpg
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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. There is moderate cardiomegaly with suggestion of right ventricular and left atrial enlargement. The remainder of the mediastinal structures are normal. No acute fractures are identified.
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chest pain and palpitations.
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MIMIC-CXR-JPG/2.0.0/files/p19620082/s57101567/25cdec24-8b771d0d-068a58a6-3fb1e5eb-35454c7e.jpg
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MIMIC-CXR-JPG/2.0.0/files/p19620082/s57101567/d2169ad0-53523844-8a549946-89e4b607-0d63ff4d.jpg
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The cardiac silhouette is top-normal to mildly enlarged. The aorta is calcified and tortuous. There is slight prominence of the interstitial markings diffusely bilaterally which is most likely due to chronic lung disease, although minimal interstitial edema is not excluded. Areas of bilateral costochondral calcifications are seen. No evidence of pneumothorax or focal consolidation is seen. There is no large pleural effusion.
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confusion.
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MIMIC-CXR-JPG/2.0.0/files/p14375008/s52690021/932f1ed5-37705926-e7012e85-c6ed6f65-9ae60306.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14375008/s52690021/4bd045fe-c625e707-f26d340d-0e89cba9-09503d4c.jpg
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Frontal and lateral chest radiographs again demonstrate a dialysis catheter with the tip in the right atrium. The cardiomediastinal silhouette is unchanged, demonstrating mild cardiomegaly. Lung volumes are low, accentuating lung markings with superimposed vascular congestion, but no focal opacity. No large recurrent pleural effusion or pneumothorax.
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history of restrictive disease, esrd, and pleural effusion status post thoracentesis on <unk>. evaluate for pulmonary edema or recurrent pleural effusion.
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MIMIC-CXR-JPG/2.0.0/files/p10804747/s51708508/3d13697e-8d409984-3cbdc497-b95f234f-bfc09991.jpg
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MIMIC-CXR-JPG/2.0.0/files/p10804747/s51708508/4634ebbe-b5347a50-8b3e1808-357af739-30093317.jpg
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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. Tortuous aorta. Eventration of the right hemidiaphragm noted. Calcification of the tracheobronchial tree.
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<unk> year old woman with hfpef and copd p/w increased sob and fatigue. // crackles on exam, increased o<num> requirement
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MIMIC-CXR-JPG/2.0.0/files/p15635880/s56311880/52ad0918-437c9e90-d14c2b62-21d1c247-9098e3f4.jpg
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MIMIC-CXR-JPG/2.0.0/files/p15635880/s56311880/1eb06919-6ac9fe1a-8652aadf-6a4147b8-7ab6522f.jpg
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Study is essentially unchanged from comparison study. There are multiple round nodular opacities which correlate with previously documented metastatic disease. There are no areas of focal consolidation which are suspicious for pneumonia. The left-sided port-a-cath is seen in position terminating appropriately within the mid svc. The cardiomediastinal silhouette is normal. The pleural surfaces are unremarkable. There is no pleural effusion or pneumothorax.
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<unk>-year-old female with metastatic breast cancer, now with symptoms suspicious for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p14913407/s59410756/44383920-d08840d8-1936bde5-69bfd3ea-93d72249.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14913407/s59410756/96448d5d-fe503a11-947fcdff-2d24f38c-41c100b4.jpg
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
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<unk>-year-old woman with dyspnea, evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p14995538/s58510853/0fc6aef7-18e86113-95444e70-e52cd1fa-b9e4354e.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14995538/s58510853/ffe233de-33fafe24-11f74fd5-3f22c88b-1f8fb835.jpg
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Ap upright and lateral views of the chest provided. Mild cardiomegaly is unchanged with stable mediastinal contour. Mild vascular congestion is noted without frank edema, effusion, pneumonic consolidation or pneumothorax. Bony structures appear intact.
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<unk>f with fever, cough // eval for acute process
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MIMIC-CXR-JPG/2.0.0/files/p19862541/s56838417/6f337164-9e7aa5c3-79b9cffa-16e2c7cd-0dcc08d8.jpg
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MIMIC-CXR-JPG/2.0.0/files/p19862541/s56838417/35dec32f-4b871faf-031a38fb-020d06c6-1d897563.jpg
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In comparison with the study of <unk>, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, pleural effusion, or hilar or mediastinal adenopathy.
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weight loss and night sweats.
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MIMIC-CXR-JPG/2.0.0/files/p19180828/s52807367/41d01f48-b7f36655-040cbae0-700e1154-ca0249ef.jpg
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MIMIC-CXR-JPG/2.0.0/files/p19180828/s52807367/21531d2c-8da315fc-2d31f9df-0b7c95bc-c92add5d.jpg
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Pa and lateral views of the chest are compared to previous exam from <unk>. Since prior, tracheostomy tube is no longer seen. The lungs are clear. Costophrenic angles are sharp. Mild scarring vs. Atelectasis in the left lower lobe noted. Elevation of the right hemidiaphragm is stable. The cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.
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<unk>-year-old man with shortness of breath. question pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p14021677/s55772282/021d4957-1ab32405-2f69d513-952caba5-38042549.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14021677/s55772282/c6c3f9c7-c1de2469-3cb45b88-21685fdf-ceb70dff.jpg
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Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. Slight elevation of the right hemidiaphragm is stable.
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vague left-sided chest pain and shortness of breath.
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MIMIC-CXR-JPG/2.0.0/files/p16550112/s58674583/0c199336-d98bcfad-2df94c9d-6187dad9-fc8fbea8.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16550112/s58674583/caf66da0-a91232b1-4b493308-99078931-f0bc5341.jpg
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The heart size is normal. The mediastinal and hilar contours are unchanged with mild calcification of the thoracic aorta noted. Calcified ap window lymph nodes are again unchanged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities. Mild degenerative changes are noted in the thoracic spine.
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recent stroke with palpitations and shortness of breath.
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MIMIC-CXR-JPG/2.0.0/files/p16130527/s59318227/fe9f503e-0f56056b-86d2db9a-cc79cfe0-23adaad0.jpg
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MIMIC-CXR-JPG/2.0.0/files/p16130527/s59318227/7d8bc12b-e56a0520-0ed2c638-56cbe280-b792a429.jpg
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Pa and lateral chest views obtained with patient in upright position. Comparison is made with the next preceding portable ap single chest view of <unk>. Cardiomegaly as before. Unchanged position of permanent pacer in left anterior axillary position connected to a single electrode, terminating in right ventricular apical portion as before. The pulmonary vascular congestive pattern, upper zone redistribution, mild perivascular haze on the bases and bilateral pleural effusions blunting the lateral and posterior pleural sinuses before. The on the next previous portable chest examination of <unk> suspected parenchymal infiltrate in the left upper lobe lateral portion has cleared up completely. Thus, there exists no remaining appreciable parenchymal pneumonic infiltrate. It is unclear whether shift of pleural effusion with appearance of pneumonic infiltrate accounts for this change. The present findings on the chest examination are similar to what has been noted on the next preceding pa and lateral chest examination of <unk>. Thus, the findings are consistent with chronic left-sided heart failure, pulmonary congestion.
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<unk>-year-old male patient with pneumonia, amyloidosis, persistent <unk> liter oxygen requirement, evaluate for edema or pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p18368837/s59212141/c311000c-08311745-ecfd7f2f-d255faf9-98b5ca42.jpg
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MIMIC-CXR-JPG/2.0.0/files/p18368837/s59212141/dff6fea4-4b995571-877a7fa9-960f187c-b333466e.jpg
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The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>m with fevers, cough, body aches // eval for pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p18014061/s53823123/5692823d-56395e47-5617743f-191e73c7-2a4dcb1a.jpg
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MIMIC-CXR-JPG/2.0.0/files/p18014061/s53823123/03274396-e2b4a168-d1b88499-3cd479a1-03807b48.jpg
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
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<unk>-year-old male with fever and rigors status post kidney transplant on <unk>.
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MIMIC-CXR-JPG/2.0.0/files/p13207377/s53255474/0c406515-7f5dafe3-ee3cd80a-e77693f7-3a4d75de.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13207377/s53255474/96cf9450-99e2ed14-8a9ca2ac-af6d3c29-6756ad88.jpg
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The lungs are clear. No pleural effusion or pneumothorax is identified. The heart size is normal.
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pleuritic chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p12854140/s52171835/49845e4b-5d4cf27a-e211960e-8bce627c-26aa916c.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12854140/s52171835/cda99233-86263f32-2a6bb937-f83d0957-817e1651.jpg
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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. There is mild prominence of the pulmonary vasculature without overt edema. The cardiomediastinal silhouette is normal. No acute fractures are identified.
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evaluation of patient with tuberous sclerosis with seizure.
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MIMIC-CXR-JPG/2.0.0/files/p11910036/s56157414/33ca26c9-52037239-ec8ebefb-fcdd2da5-f9f74612.jpg
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MIMIC-CXR-JPG/2.0.0/files/p11910036/s56157414/78949ff2-ef9f2bbf-de16a480-11c02979-93f3f5b6.jpg
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The cardiac silhouette remains massively enlarged. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs are well expanded. Slight increased haziness of the left lung base is noted, which may reflect an acute infectious process. Pulmonary vascularity is within normal limits. Air distended loops of bowel in the upper abdomen are noted, similar to the prior exam. No acute osseous abnormality is detected.
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<unk>m with productive cough // ?pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p12690962/s54580883/34503bfb-69466411-7ae5f99f-b6b689a5-98d678ac.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12690962/s54580883/0e21d448-d5f35dcc-eb1a7fc3-e085b521-d1f3d777.jpg
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Pa and lateral views of the chest provided. Low lung volumes limits assessment. The heart is mildly enlarged. No edema or pneumonia. No large effusion or pneumothorax. Mediastinal contour is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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<unk>f with sob // ? cardiomegaly, effusions
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MIMIC-CXR-JPG/2.0.0/files/p11034781/s54126687/5cf317a2-03dc3027-f089a6ac-aa00e145-7b5c4d2b.jpg
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MIMIC-CXR-JPG/2.0.0/files/p11034781/s54126687/8e3c354c-03aef837-feeec61b-7d79306c-46028556.jpg
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There is a focal opacity seen in the right mid to upper lung likely localizing to the upper lobe based on the lateral view. Elsewhere, the lungs are clear without effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality identified.
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<unk>m with <num> days of left leg swelling and pleuritic pain // eval pleuritic pain in the setting of left foot swelling
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MIMIC-CXR-JPG/2.0.0/files/p13628670/s50941143/94a7da75-c8820197-ab9f7693-65b7044e-659edf49.jpg
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MIMIC-CXR-JPG/2.0.0/files/p13628670/s50941143/41a6aa77-3ec448e2-66a52e2e-f4e15e4a-730ead52.jpg
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Low lung volumes persist although the degree of interstitial edema is improved since the prior study. Calcified lymphnodes are present along the left hilus, as before. Moderate cardiomegaly is unchanged. Stable small bilateral pleural effusions and bibasilar atelctasis.
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<unk>-year-old male with chf exacerbation, continuing o<num> requirement despite diuresis. evaluation for interval change.
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MIMIC-CXR-JPG/2.0.0/files/p19793246/s54208646/e4347167-762f1a00-9c214fbe-8be3a51e-60754555.jpg
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MIMIC-CXR-JPG/2.0.0/files/p19793246/s54208646/eca321cb-ec77bfd6-080a386e-7b524c37-48253577.jpg
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Cardiac silhouette size is mildly enlarged, unchanged. Mediastinal and hilar contours are similar, with unchanged prominence of the right hilum. Pulmonary vasculature is normal. Linear opacities in both lung bases are compatible with areas of subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. Remote right-sided rib fractures are re- demonstrated. There are mild degenerative changes in the thoracic spine.
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history: <unk>f with cough for <num> weeks
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MIMIC-CXR-JPG/2.0.0/files/p11297034/s52184632/468dddd5-42e8f981-a2616aa3-bbfedb2a-c05f1012.jpg
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MIMIC-CXR-JPG/2.0.0/files/p11297034/s52184632/961da488-db7813d7-cbe83780-76d67af4-c2edf666.jpg
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Frontal upright and lateral chest radiographs were obtained. The lungs are well expanded. Cardiomediastinal silhouette is normal. Lungs are clear without focal consolidation or edema. There is no pleural effusion and no pneumothorax.
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chest pain, evaluate for acute process.
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