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Heart size is mildly enlarged. Mediastinal and hilar contours are similar with tortuosity of the thoracic aorta again noted. Previous pattern of mild pulmonary vascular congestion has nearly resolved. Minimal atelectasis is seen at the lung bases without focal consolidation. No pleural effusion or pneumothorax is identified. S-shaped scoliosis of the thoracolumbar spine is re- demonstrated along with multilevel moderate degenerative changes. No acute osseous abnormalities are clearly noted.
history: <unk>f with unwitnessed fall, complaining of chest pain/shoulder pain.
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Frontal and lateral views of the chest. The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
<unk>-year-old female with chest pain.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear
right rib pain after a fall.
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Cardiomediastinal contours are normal. There is asymmetric apical pleural thickening right greater than left associated with adjacent probably scarring. Ill-defined opacity in the lingula should be evaluated with ct. There appears to be mild diffuse reticular abnormality. There is no pneumothorax or pleural effusion. There is right scoliosis
<unk> year old man with left sided chest pain // left sided chest wall pain
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Cardiomediastinal silhouette is stable. The lungs are clear. There is no pleural effusion or pneumothorax.
history: <unk>f with sputum/dyspnea/coughing/sore throat, crackles on exam, please eval for pna // <unk>f presenting with cough, sputum, some dyspnea, sore throat x<num> week, with some crackles appreciated on lung exam- please evaluate for pna
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The lungs are well-expanded and clear. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation. The cardiomediastinal silhouette is unremarkable.
<unk>m with cp // r/o cardiopulm abnorma
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Low lung volumes contribute to vascular crowding as well as exaggeration of the cardiac size. No focal consolidations worrisome for pneumonia. Possible minimal vascular congestion. No pleural effusion or pneumothorax.
<unk>-year-old man with cough and dyspnea.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Rounded opacity projecting over the costovertebral junction of the left posterior <num>rd rib may represent summation of structures although a lung or bony lesion cannot be excluded. Multiple surgical clips projecting over the left hemithorax are due to prior breast procedures.
patient with cough for two months and history of breast cancer.
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There is no pulmonary edema. The cardiomediastinal silhouette and hila are normal. There is no focal consolidation, pleural effusion or pneumothorax.
<unk>-year-old with cough, please rule out pneumonia.
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Lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
<unk> year old woman with vision loss concerning for at mass, rule out infection before starting steroids.
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Moderate cardiomegaly is redemonstrated with mild pulmonary vascular congestion without overt edema. Small-to-moderate bilateral pleural effusions are seen. No focal consolidation is seen to suggest pneumonia.
dyspnea, shortness of breath. assess for infiltrate or pneumonia.
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The cardiac and mediastinal silhouettes are relatively stable with unfolded thoracic aorta and top to mildly enlarged cardiac silhouette. Streaky opacities at the bases, right greater than left, most likely represent atelectasis although an infectious process is not excluded in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. No pulmonary edema is seen.
worsening bilateral lower extremity edema.
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Heart size and cardiomediastinal contours are normal. Lung volumes are very low and linear bibasilar opacities are most consistent with atelectasis. No pleural effusion or pneumothorax.
history: <unk>m with r flank/back pain, cough // eval for pna
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Cardiac and mediastinal silhouettes are stable. Apparent widening of the right superior mediastinum the thoracic inlet is stable, as described previously, due to tortuous head and neck vessels and enlargement of the right lobe of the thyroid. There is persistent chronic blunting of the left costophrenic angle due to pleural scarring. No new focal consolidation is seen. No pneumothorax is seen.
history: <unk>m with cough // cough
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
dka. evaluate for pneumonia.
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Pa and lateral chest radiographs again demonstrate hyperinflation. Multiple calcified nodular densities in both lungs correspond pleural plaques better seen on prior ct. Apical pleuroparenchymal scarring is again noted. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
shortness of breath. evaluation for pneumonia.
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There is no change in moderate right-sided pneumothorax with associated right lower lobe atelectasis. No new lung pathology is appreciated. The cardiomediastinal silhouette is unchanged.
<unk>-year-old male with moderate right-sided pneumothorax status post chest tube removal, here to evaluate for interval changes.
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Lung volumes are normal. There is no consolidation, pleural effusion or pneumothorax. Cardiomediastinal contours are normal. There is no subdiaphragmatic free air. No acute osseous abnormalities are identified.
history: <unk>f with no sig pmhx syncopal episode given atropine doing an infectious work up. // eval for pna
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Ap upright and lateral views of the chest provided. Low lung volumes limits the evaluation. The patient's chin also obscures the superior mediastinum and portions of the lung apices. There are bibasilar opacities which may reflect atelectasis and small effusions. There is hilar engorgement and mild congestion noted. Heart size appears mildly enlarged. The mediastinal contour is stable. The imaged bony structures appear intact.
<unk>m with hx of cp, hx pericarditis // eval for effusion
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The lungs are clear. The cardiac and mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
hemoptysis, evaluate for evidence of pneumonia or tuberculosis.
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<num> views of the chest demonstrate a small right pleural effusion with a mildly elevated right hemidiaphragm. There is increased interstitial markings bilaterally indicative of pulmonary edema. There is bronchovascular engorgement in the hila bilaterally. No pneumothorax is seen. The heart size is normal.
new onset atrial fibrillation and lower extremity edema.
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Frontal and lateral views of the chest. Moderate cardiomegaly and mediastinal contours are stable. Interstitial markings are chronicall abnormal, and do not necessarily indicate acute decompensation. Trace bilateral pleural effusions are similar to prior.
chf.
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Diffuse micronodular pulmonary opacity is consistent with, but not specific for pneumonia. There is no focal consolidation, effusion, or pneumothorax. An abnormal posterior cardiac contour corresponds with known pericardial cyst as seen on prior cts, most recently <unk>. The picc line tip terminates at the cavoatrial junction.
<unk>-year-old man with history of repaired esophageal atresia and tracheoesophageal fistula.
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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. No displaced rib fracture is visualized.
<unk>-year-old male status post bicycle accident with tenderness to palpation along the right anterior chest wall. evaluate for trauma.
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The lungs are well inflated. Right perihilar and <unk>-<unk> pleural thickening and scarring of the right minor and right major fissure are noted. The lungs are otherwise clear. Aortic arch calcifications are present. The heart is normal in size. Mediastinal contour and hila are otherwise unremarkable.
<unk>f with chest pain. assess for effusion, edema, infiltrate
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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.
<unk>m w/chest pain, please eval for ptx // <unk>m w/chest pain, please eval for ptx
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Pa and lateral chest radiographs were obtained. The lungs are clear. No effusion or pneumothorax is present. Heart and mediastinal contours are normal.
<unk>-year-old woman with cough, chest pain, tachycardia, evaluate for pneumonia.
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The cardiac, mediastinal and hilar contours appear unchanged including mild cardiomegaly. There is marked elevation of the left hemidiaphragm with streaky associated opacification suggesting minor associated atelectasis. There is a round nodular focus projecting over the right mid lung, most likely a nipple shadow but confirmation with a pa view with nipple markers is suggested when clinically appropriate. Degenerative changes are similar along the mid to lower thoracic spine.
syncope and congestive heart failure.
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Low lung volumes cause bronchovascular crowding and subsegmental atelectasis. Pulmonary vascular congestion is decreased compared with the prior study, now mild. Previously seen pulmonary edema has resolved. Opacity in the right lower lobe is increased from the immediate prior radiograph, similar to <unk>. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits for ap technique.
<unk>m s/p fall, evaluate for fracture.
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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 normal. No configurational abnormality is identified. Thoracic aorta is mildly widened and elongated but without evidence of local contour abnormalities. Pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present, and lateral and posterior pleural sinuses are free. Noteworthy are some low positioned and slightly flattened diaphragms coinciding with slightly increased translucency of the lung bases suggesting the possibility of emphysema. There is no evidence of pneumothorax in the apical area on the frontal view. Skeletal structures of the thorax are grossly unremarkable.
<unk>-year-old male patient with intermittent persistent cough, evaluate for pathology.
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On the lateral view, there appears to be subtle retrosternal opacity which may be due to atelectasis although consolidation due to infection is not excluded in the appropriate clinical setting. No focal consolidation is seen elsewhere. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
dka
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Multifocal heterogeneous consolidation involving the right mid and lower lung as well as the left lower lobe has improved since chest ct of <unk> with residual consolidation most pronounced in the right lower lobe. Small right pleural effusion is present. Cardiomediastinal contours are stable in appearance. With mild prominence of the mediastinal and hilar contours which may reflect reactive lymphadenopathy
<unk> year old man with diastolic heart failure, recent pneumonia, respiratory failure, hypoxemic respiratory failure, acute renal failure. slowly improving but still very hypoxemic // any improvement in pneumonia?
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There is a persistent right-sided pleural effusion. Linear platelike atelectasis is identified at the right lung base and also at the left costophrenic angle. Superiorly, the lungs are clear. There is no edema or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with upper <unk> pain, malaise // ? acute cardiopulm process
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The heart size is normal. The hilar and mediastinal contours are unremarkable. There is an opacity at the right lower lobe, without a definite correlate on the lateral radiographs. This is likely secondary to atelectasis, however an acute infection cannot be ruled out. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of cough. rule out pneumonia.
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
possible multiple sclerosis flare with cough.
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The lungs are clear without focal consolidation. There is linear atelectasis in the bilateral lung bases, new, but no definitive consolidation seen. Potentially left lower lobe consolidation is a possibility. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Multiple old healed right rib fractures are again noted. Lower thoracic compression deformities may be slightly worsened, however evaluation is slightly limited due to overlying atelectasis.
history: <unk>m with hx of endocarditis, ivdu // infiltrate, pulmonary edema
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A single lead pacemaker is seen projected over the left chest wall and extending to the right ventricle. The hilar and mediastinal contours are unchanged. Streaky opacities at the lung bases, are compatible with atelectatic changes. Again seen is an opacity in the retrocardiac region. There is no pleural effusion or pneumothorax. The visualized osseous structures, aside from multilevel degenerative changes in the thoracic spine, are unremarkable.
history: <unk>m with ams, chills. please evaluate for pneumonia.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. Streaky opacity in the right costophrenic sulcus is most consistent with minor atelectasis, similar to prior findings, and a nipple shadow is visualized projecting over the right lower lung, as before. The lung fields appear otherwise clear aside from unchanged suspected minor left lower lobe atelectasis. There is no pleural effusion or pneumothorax. The thoracic spine again curves mildly toward the left at the thoracolumbar junction.
sick sinus syndrome and bradycardia.
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Apparent left retrocardiac patchy opacity seen on the frontal view, not substantiated on the lateral view, most likely represents atelectasis. No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with hypoxia // eval for pna, chf,pleural effusions
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Pa and lateral views of the chest. A bochdalek hernia is seen. A screw is seen in the left clavicle. There is eventration of the right hemidiaphragm. Faint opacity over the heart seen on the lateral view may represent pneumonia in the lingula.
cough and shortness of breath, right lower lobe crepitus and dullness, remote smoker, rule out pneumonia.
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Heart size and cardiomediastinal contours are normal. There is calcification of the aortic knob. Diffuse interstitial prominence is consistent with pulmonary vascular congestion, possibly superimposed on a chronic interstitial process. Indistinct appearance of the posterior costophrenic angles is consistent with small bilateral pleural effusions. No focal consolidation or pneumothorax. Left lower rib fracture appears minimally displaced.
history: <unk>m with fall, known history of rib fracture, tenderness on palpation on right
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Heart size is moderately enlarged, increased in size compared to the prior exam. The aorta is mildly tortuous. Numerous clips are demonstrated within the right hilar region compatible with prior right lung lobectomy. There is mild pulmonary vascular congestion. Consolidative opacity is noted within the right lung base, most pronounced within the peripheral aspect of the right mid lung field. Small right pleural effusion is present. Scarring within the lung apices is re- demonstrated. No pneumothorax is seen. No acute osseous abnormalities identified. Extensive degenerative changes of the right shoulder are noted.
history: <unk>m with leukocytosis and fatigue // eval pna
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Pneumomediastinum persists in similar distribution to the prior examination. Subcutaneous gas is seen within soft tissues the neck as before. No significant change from the prior.
history: <unk>m with pneumomediastinum, need repeat cxr to evaluate if stable per thoracic surgery // eval for change in pneumomediastinum
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The lungs are mildly hyperinflated. In the right infrahilar region, there is heterogeneous airspace opacity which may represent developing infection or sequela of aspiration. The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax.
history: <unk>m with and cough. evaluate for pneumonia.
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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. Mildly hyperinflated lungs are likely secondary to underlying emphysema, and unchanged compared to the prior exam. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of chest pain. please evaluate for acute process.
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The lungs are clear. There is no focal consolidation, pneumothorax or pleural effusion. Cardiomediastinal silhouette is normal. There is dextroscoliosis of the thoracic spine.
<unk>-year-old female with cough, question pneumonia on previous x-ray.
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Pa and lateral views of the chest. The aorta is tortuous and calcified. A pacemaker with a single lead is seen. No pleural effusion or pneumothorax is seen. No focal consolidation is seen. There is mild cardiomegaly.
<unk>-year-old female with crackles at the bases, question infiltrate or pulmonary edema.
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There is no chf, focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified. There is relatively prominent dextroconvex scoliosis of the thoracic spine, grossly unchanged compared with <unk>.
<unk>-year-old female presenting with cough
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with cough after potentially aspirating vomit
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The patient is significantly rotated. The lung volume is small. No consolidation. No pulmonary edema. Mild pleural effusion on the right is unchanged. No pneumothorax. The cardiomediastinal silhouette is unchanged. The left hemidiaphragm is elevated with early dilated colon underneath.
<unk> year old woman with crackles in r base and ble // chf
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Pa and lateral views of the chest. There is focal silhouetting of the descending thoracic aorta in the retrocardiac region with time subtle increased opacity in the infrahilar region. On the lateral view. . Elsewhere, the lungs are clear. There is no effusion. The cardiomediastinal silhouette is normal. Osseous structures are unremarkable.
<unk>-year-old male with fevers and cough. question pneumonia.
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The cardiomediastinal silhouette and pulmonary vasculature are normal. Scattered regions of bronchial cuffing are noted, not significantly different the prior examination. There is no definite focal consolidation. There is no pleural effusion or pneumothorax.
history: <unk>f with cough x<num> days and h/o asthma // h/o asthma flu c/o cp
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Lung volumes are slightly low. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits. No acute fracture is detected on these views.
<unk>-year-old male with left rib pain, status post bicycle accident.
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The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. Nodules mentioned in the prior ct report are not discernable on radiographs. Streaky left basilar opacity suggests minimal atelectasis.
syncope and cough.
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Mild cardiomegaly is unchanged. Cardiomediastinal silhouette and hilar contours are stable with re- demonstration of mild central pulmonary vascular congestion without frank edema. No dense consolidation suspicious for pneumonia. No effusion or pneumothorax. Right porta cath tip terminates in the high right atrium. Chronic bony changes consistent with given history of sickle cell disease.
history of sickle cell disease presenting with hip and back pain similar to prior crisis.
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Right chest wall port-a-cath is noted. Catheter tip is not clearly delineated. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with renal trans, immunosuppressed and persistent fever // please eval for infectious process
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Ap upright and lateral views of the chest provided. Abandoned pacer leads again seen projecting over the right chest wall extending into the heart. There is a left chest wall pacemaker with leads extending into the coronary sinus, right atrium and right ventricle. Fibrotic changes are again noted most prominent in the lower lungs, left greater than right. No convincing signs of a superimposed pneumonia. Calcified pleural plaque projects over the right hemi thorax as seen on prior ct chest. No pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact.
<unk>m with difficulty swallowing, chest pain.
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Persistent elevation of the left hemidiaphragm is unchanged. Well-defined rounded opacity, better seen on the lateral view, is chronic and likely reflects a combination of atelectasis and scarring. Mediastinal and hilar contours are normal. Heart size is normal.
<unk> year old woman with cough and fever // rule out infiltrate
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Left basilar atelectasis is minimal. No focal consolidation, effusion, edema, or pneumothorax. The heart is normal in size. Fullness of the left hilum appears unchanged. The descending thoracic aorta is tortuous.
<unk>-year-old man with chest pain. evaluate for acute coronary syndrome and pulmonary embolus.
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The lungs are clear of focal opacities, pleural effusion, pulmonary edema or pneumothorax. A right lower lobe calcified granuloma is again seen. The heart and mediastinal contours are normal.
cough, shortness of breath. evaluate for infiltrate.
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The cardiomediastinal and hilar contours are within normal limits. There is minimal right basal opacity. No large pleural effusion or pneumothorax.
<unk> year old man with combined liver kidney transplant in <unk>, here w/ fever and cholangitis, has crackles at r base // ?r base infiltrate, ?atelectasis
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Heart size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>f with hypoxia, fever
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As compared to the previous radiograph, there is no relevant change. No evidence of pneumonia. Borderline size of the cardiac silhouette without pulmonary edema. No pleural effusions. Known ruptured apical sternal wires. Normal hilar and mediastinal contours.
abdominal pain, questionable pneumonia.
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Lungs volumes are slight low which contribute to some right lower lobe atlectasis, but there are no focal opacities worrisome for pneumonia. Cardiac silhouette is normal. No pleural effusion, pneumothorax or pulmonary edema.
abnormal breath sounds.
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The cardiomediastinal and hilar contours stable, with mild cardiomegaly. Evidence of prior sternotomy is noted. Moderate aortic calcification is present. No pulmonary edema, pleural effusion or pneumothorax is seen. Subtle opacity overlying the right lung base seen in the frontal view without a corresponding abnormality in the lateral view, likely represents the nipple shadow.
<unk>-year-old woman with history of congestive heart failure, now presenting with chest pain.
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No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema or pneumothorax is present. The heart, mediastinal and pleural surface contours are normal.
presyncope and palpitations.
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The patient has been extubated in the interim since <unk>. The inspiratory lung volumes are very low, decreased from <unk>, with progressive bibasilar atelectasis. There is no large pleural effusion. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected. Dilated air-filled colon is noted in the imaged upper abdomen.
<unk> year old man s/p t<num>-l<num> open treatment of fracture now with peristent o<num> requirement // comparison xr
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Ap and lateral views of the chest are compared to previous exam from <unk>. Lungs are clear of consolidation. Calcified granuloma is seen in the left mid lung laterally, unchanged. There is blunting of the posterior costophrenic angles suggestive of trace pleural effusions. Cardiac silhouette is enlarged but stable compared to prior. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with weakness and fever, recent uti.
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Upright ap and lateral views of the chest provided. Lower lung opacities on the frontal projection in the setting of markedly low lung volumes most likely represents bronchovascular crowding. No convincing sign of pneumonia, effusion or pneumothorax. Heart size cannot be assessed. Mediastinal contour appears grossly unremarkable. Bony structures are intact.
<unk>f with dyspnea, myalgias // evaluate for acute process
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This exam is limited due to difficulty with patient positioning in the ap and lateral views. There is persistent left lower lobe collapse as seen on prior ct. There is no pneumothorax.
<unk>-year-old female with new onset afib.
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A previously seen heterogeneous right upper lung opacity has resolved. The lungs are now clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
wheezing. assess for pneumonia.
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Frontal and lateral radiographs of the chest demonstrate slight blunting at the right costophrenic angle. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, consolidation, or pleural effusion.
<unk>-year-old female with indeterminate quantiferon gold test. evaluate for latent tuberculosis.
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Frontal and lateral views of the chest. On the lateral view, there is increased opacity in the retrocardiac clear space. There is no clear correlate for this finding on the frontal and it was not clearly identified on the prior exam. While this may be due to atelectasis, given that it is new from prior exam with similar inspiratory effort consolidation is also possible. There is no effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.
<unk>-year-old male with chest pain.
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Frontal and lateral radiographs of the chest show a left pectoral dual-lead pacemaker with leads terminating in the right atrium and right ventricle. The course of the leads is unremarkable without evidence of complications and no appreciable pneumothorax. Small bilateral pleural effusions with associated bibasilar atelectasis are present on the left greater than the right. No focal consolidation is seen. The pulmonary vasculature is not engorged. The cardiac silhouette is top normal in size. The mediastinal and hilar contours are within normal limits. The patient is status post median sternotomy and mitral valve replacement with intact sternotomy wires.
<unk>-year-old male with new icd, here to evaluate lead placement.
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Ap and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion or pneumothorax. Lung volumes are slightly low. The cardiomediastinal silhouette is notable for a tortuous aorta. The bones are intact without evidence of displaced rib fractures. There are mild degenerative changes in the thoracic spine.
<unk>-year-old female with mechanical fall. rule out rib fracture.
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Confluent consolidation is present in the right lower lobe, predominantly in the superior segment and involving the posterior basilar segment to a lesser degree. The left lung is clear. No pleural effusions or pneumothorax. The cardiomediastinal silhouette is unremarkable.
<unk> year old man with fevers, cough // eval for intrathoracic process
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The heart size is mildly enlarged, increased compared to the previous exam. The mediastinal contour is unchanged. There is mild pulmonary vascular congestion, with increasing patchy opacities in the lung bases. No pleural effusion or pneumothorax is demonstrated. There are no acute osseous abnormalities. Degenerative changes within the thoracic spine with anterior osteophyte formation is re- demonstrated.
shortness of breath.
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No focal opacity to suggest pneumonia is seen. The lungs are hyperinflated. No pleural effusion, pulmonary edema, or pneumothorax is present. The heart size is normal. No displaced fracture is identified.
pain on the right side.
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There are no pleural effusions or pneumothoraces. There are no parenchymal consolidations. The cardiomediastinal silhouette appears unchanged.
<unk> year old woman with past hx +ppd, now entering childcare role // evaluate for evidence of past or present tb evaluate for evidence of past or present tb
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As compared to the previous radiograph, all monitoring and support devices have been removed. There is a known large left hiatal hernia that causes massive elevation of the left hemidiaphragm and moderate atelectasis at the left lung bases. No other parenchymal abnormalities, notably no pneumonia is seen on the current image. Borderline size of the cardiac silhouette without pulmonary edema. No pneumothorax. No larger pleural effusions.
shortness of breath, questionable pneumonia.
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Right internal jugular venous catheter terminates in low svc. Lung volume remains low. Left pleural effusion is small. Left lower lobe aeration is improved. Bibasilar opacities are likely secondary to atelectasis. Sternotomy wires are intact. Cardiomediastinal silhouette has normal postop appearance.
<unk> year old man s/p cabg // eval for effusions
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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
history: <unk>f with shortness of breath, insomnia // evaluate for pneumonia, acute process
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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. Overall lung volumes are relatively low.
<num> days of cough and wheezing.
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The heart is normal in size. The hilar and mediastinal contours are within normal limits. There is no focal consolidation, pleural effusion or pneumothorax. There is no evidence of free air. Visualized osseous structures are grossly intact.
<unk> year old woman with abdominal distention, no formed bowel movement, watery diarrhea after taking laxatives. rule out free air.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are similar to scout image from outside hospital chest ct from <unk>. Lower paratracheal soft tissue likely relates to lymphadenopathy
history: <unk>f with hodgkin's lymphoma who presents with cp and temp <unk>.<num> // evaluate for pneumonia
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Cardiomediastinal contours are unchanged. Mediastinal lymph nodes and lung nodules are better evaluated in prior ct. Left lower lobe atelectasis are unchanged. . There is no pneumothorax or right pleural effusion. Small left effusion is unchanged. The osseous structures are unremarkable
<unk> year old man with metastatic renal cell, on immune therapy, known pulmonary nodules, with lll anterior pleuritic chest pain and leukocytosis // consolidation, effusion
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There is a new air-fluid level noted in the neoesophagus, best seen on lateral image. Chest radiograph is otherwise essentially unchanged from prior imaging. The lungs are clear. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is unchanged. Right port-a-cath is in unchanged position.
<unk>-year-old male status post mie for esophageal cancer, now requiring assessment for interval change.
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The catheter of a right chest wall port terminates in the upper svc. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. No displaced rib fracture is identified.
history: <unk>f with bilateral rib pain
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The heart size is within normal limits. The mediastinal contours again demonstrate a large hiatal hernia projecting to the left lower chest. The right hemidiaphragm is chronically elevated. Between the right hemidiaphragmatic elevation and the left-sided hiatal hernia, the lungs demonstrate bibasilar atelectasis. There is no large pleural effusion or pneumothorax. Clips in the right upper quadrant are compatible with prior cholecystectomy.
<unk>-year-old female with altered mental status.
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In comparison with study of <unk>, there has been complete clearing of the ill-defined areas of increased opacification seen previously. Cardiac silhouette remains mildly enlarged, but no vascular congestion, pleural effusion, or acute pneumonia.
multifocal opacifications, to assess for clearing.
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Since the prior radiographs, new moderate pleural effusions have developed. Patchy parenchymal opacities in the lower lobes are most suggestive of associated atelectasis. There is no pneumothorax. The cardiac, mediastinal and hilar contours appear unchanged.
pancreatitis and leukocytosis. new pleural effusion seen on ct.
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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is top-normal. Cardiomediastinal and hilar silhouettes are normal.
<unk> year old woman with new diagnosis of adult onset stills disease complicated by macrophage activating syndrome started on prednisone/anakinra with hypotension // eval for pna, consolidation, effusion
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Low inspiratory effort as well as ap view exaggerates the heart size and bronchovascular structures. The mediastinum is normal given the ap view. There is no pleural effusion, pneumonia or pneumothorax.
syncope, question widened mediastinum.
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Cardiac silhouette size is normal. The aorta is unfolded. Atherosclerotic calcifications are noted at the aortic arch. Pulmonary vasculature is normal. Lungs are hyperinflated without focal consolidation. Minimal atelectasis is noted in the lung bases. Focal rounded opacity within the right upper lobe measuring approximately <num> mm corresponds to an area of ground-glass opacification on the previous pet-ct and appears unchanged. No pleural effusion or pneumothorax is present. Pulmonary vasculature is not engorged. Paraseptal emphysema is again noted at the lung apices. There is no acute osseous abnormality. Degenerative changes are again demonstrated in the thoracic spine.
history: <unk>m with lung cancer and fatigue
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Mild to moderate cardiomegaly and tortuous aorta are unchanged. Pacer leads are in standard position with tips in the right atrium and right ventricle. . The lungs are clear. There is no pneumothorax . Bilateral effusions are small. Sternal wires are aligned
<unk> year old woman s/p ppm implant // ptx, leads
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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. C-spine hardware is partially imaged.
history: <unk>f with dyspnea, wheeze // infiltrate?
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Pa and lateral chest radiographs were obtained. The lungs are well expanded. Linear atelectasis at the left base is unchanged. Elevation of the left hemidiaphragm is similar. The aortic arch calcifications are stable. Mild cardiomegaly is similar. Mild rightward tracheal deviation due to an enlarged left thyroid lobe is stable.
left inferior rib pain
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Left-sided port-a-cath tip terminates in the lower svc. Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Multiple bilateral nodular opacities compatible with metastases are re- demonstrated, not substantially changed from the previous ct. No new focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected. Multiple clips are noted in the right upper quadrant of the abdomen.
history: <unk>f with fever
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Right picc tip has been withdrawn in the interval and now terminates in the mid/proximal right subclavian vein. The cardiac silhouette size is mildly enlarged. The aortic arch is calcified. Mediastinal and hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
clogged picc.
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar pa and lateral chest examination of <unk>. Heart size is unchanged and no configurational abnormalities are identified. Thoracic aorta unremarkable. Mediastinal structures within normal limits. On previous examination identified parenchymal mass in the right lower lobe subapical segment persists and has increased in size. No other abnormalities are seen, no pneumothorax is identified. As the patient has undergone interventional procedure on the same date.
<unk>-year-old female patient with right lower lobe mass with biopsy.