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No previous images. There is mild hyperexpansion of the lungs without vascular congestion. Pleural effusions are seen bilaterally, apparently more prominent on the right. Areas of atelectasis are seen in the retrocardiac region. No definite hilar or mediastinal adenopathy. No acute pneumonia.
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to assess for increasing signs of lymphoma.
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
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history: <unk>m with cough // eval for pna
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Frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. There is widening of the superior mediastinum suggestive of lymphadenopathy in the right lower paratracheal station in the ap window. The heart is not enlarged. There is no pneumothorax of pleural effusion or consolidation.
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<unk>-year-old male with history of sarcoidosis a persistent cough and shortness of breath. evaluate for recurrent sarcoidosis.
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Frontal and lateral views of the chest were obtained. Patient is mildly rotated. Heart is top normal in size. Aorta remains tortuous with calcifications noted in the arch. Streaky left basilar opacities likely represent atelectasis. There is no focal consolidation, pleural effusion, or pneumothorax. Lung volumes are low.
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<unk>-year-old woman with cough and fever, evaluate for pneumonia.
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
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history: <unk>f with anterior chest pain, pls eval for opactity, edema, or fx // history: <unk>f with anterior chest pain, pls eval for opactity, edema, or fx
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is stable. Eventration of the right hemidiaphragm is incidentally noted.
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<unk>f with toxic-metabolic encephalopathy evaluate for acute infectious process.
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.dense bones are compatible with history of mds.
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<unk> year old man with mds <unk>/p allo transplant. now with worsening cough. ? infiltrate // r/o infiltrate. h/o gvhd s/p allo transplant on immunosupression.
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No radiopaque foreign body seen. Cardiomediastinal silhouette is normal. No focal lung consolidation. There is no pleural effusion or pneumothorax. Views of the upper abdomen are unremarkable.
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<unk>m with ? fishbone in throat // r/o fb .
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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>m with fever and cough
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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.
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<unk> year old man, substantial smoking history, with new left leg pain after lifting, also new o<num> requirement // assess for pneumonia
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Mild bibasilar opacities are seen in this patient with previous diagnosis of nsip.subtle patchy lingular opacity raises concern for pneumonia versus atelectasis. Right-sided chain sutures are noted. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
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history: <unk>f with cough, weakness // acute process
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The heart is mildly enlarged. The mediastinal and hilar contours are normal. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax. No acute osseous abnormality is seen. Right-sided vp shunt catheter is again partially imaged.
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shortness of breath.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits.
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<unk>-year-old female with chest pain.
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A parenchymal opacity with peribronchial location and air bronchograms is seen in the lingula. In light of the clinical presentation of the patient, this abnormality represents pneumonia. At the time of observation and dictation, the referring physician, <unk>. <unk> was paged for notification, <time> a.m., on <unk>, and the findings were subsequently discussed over the telephone. There is no evidence of pleural effusion or other complication. The lung parenchyma looks otherwise normal. Normal aspect of the heart and the mediastinum.
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history of crohn's disease, evaluation, cough, fever, wheezing.
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Ap upright and lateral views of the chest provided. There is increased retrocardiac opacity which could reflect the presence of a left lower lobe pneumonia. Linear densities in the left and right mid lung are unchanged likely scarring. No large effusion or pneumothorax. No signs of congestion or edema. Cardiomediastinal silhouette is stable. Bony structures appear intact.
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<unk>f with fever // r/o infiltrate
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Cardiac silhouette is within normal limits. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Linear opacities in the lingula are compatible with areas of subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. Patient is status post left mastectomy and left axillary node dissection with clips noted in this region. The osseous structures are diffusely demineralized.
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history: <unk>f with intermittent fever last night
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs appear clear of confluent consolidation. There is mild blunting of the posterior costophrenic angles, potentially a small effusion versus atelectasis. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with chest pain.
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Pa and lateral views of the chest are compared to previous exams from <unk> and <unk>. There are persistent bibasilar opacities, left greater than right. Superiorly, the lungs are clear. Cardiomediastinal silhouette is unchanged. Anterior and posterior lower cervical and upper thoracic spinal hardware is identified. No acute osseous abnormality is detected. Mild upper-to-mid thoracic compression deformity is unchanged.
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<unk>-year-old male with syncopal episode. question infection.
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Low lung volumes. Lungs appear clear. No pleural effusion. No pneumothorax. Heart size is normal and unchanged.
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<unk>f with p/w generalized weakness and confusion
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In comparison with study of <unk>, there is little overall change. No pneumonia, vascular congestion, or pleural effusion. Parenchymal nodules seen on ct are not appreciated on conventional radiographs. No definite evidence of sclerotic metastases.
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history of prostate cancer with lung mets and worsening cough.
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The patient is status post median sternotomy and cabg. Coronary artery bypass graft stent as well as several coronary artery stents are re- demonstrated.severe cardiomegaly is unchanged. Mediastinal contour is similar. There is mild pulmonary edema, worse in the interval, with trace bilateral pleural effusions. Atelectasis is noted in both lung bases. No pneumothorax is present. There are no acute osseous abnormalities detected.
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history: <unk>m with altered mental status
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The lungs are hyperexpanded and clear. Mediastinal contours, hila, and cardiac silhouette are normal. There is trace right pleural thickening. No pleural effusion or pneumothorax. Surgical clips in the right upper quadrant are consistent with prior cholecystectomy.
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<unk> year old woman with ongoing cough and sob // r/o pneumonia
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Frontal and lateral views of the chest. Relatively low lung volumes seen on the frontal exam with secondary bibasilar atelectasis. Superiorly, the lungs are clear. The cardiomediastinal silhouette is within normal limits. Tortuous thoracic aorta is seen with atherosclerotic calcifications at the arch. No acute osseous abnormality is identified.
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<unk>-year-old female with left-sided chest pain.
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The cardiomediastinal silhouette is within normal limits. The pulmonary vasculature is normal. There is no focal consolidation, pneumothorax, or pleural effusion.
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<unk> year old woman with history of breast cancer s/p treatment, here with subacute weight loss. // please eval for mass or lymphadenopathy, consolidation, or acute process.
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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 study of <unk>. Status post sternotomy and status post aortic valve replacement (porcine type) appears unchanged. The heart size is not increased. Previously identified pacer in left anterior axillary position connected to two intracavitary electrode system unchanged. Pulmonary vascular congestive pattern as before, but no evidence of increased congestion and no signs of newly developed pleural effusions in either right or left, as well as posterior pleural sinuses. No new parenchymal infiltrates can be identified. When comparison is extended to a portable chest examination of <unk>, the patient was markedly more congested than now and had some pleural effusions and more marked perivascular haze than it exists now. On examination yesterday and today, congestive pattern is much less marked and is stable. Thus, no evidence of new parenchymal infiltrates can be identified.
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<unk>-year-old male patient with new change in mental status and focal crackles on left. possible evolution of consolidation observed on yesterday's chest examination. is there now pneumonia?.
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As compared to the previous radiograph, there is no relevant change. No evidence of pneumonia, no pulmonary edema. No pleural effusions. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures.
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alcoholic hepatitis, rule out infection, evaluation.
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Frontal and lateral views of the chest demonstrate no focal consolidation, pleural effusion or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema.
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dyspnea.
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There is a new left lower lobe infiltrate seen best on the lateral exam in in the retrocardiac region. The heart is mildly enlarged and there is mild-to-moderate central pulmonary vascular congestion and interstitial edema. Small bilateral effusions are noted, left greater than right, with adjacent atelectasis. The upper lungs are grossly clear.
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history: <unk>m with sob and cough // hxof pna uses sleep apnia machine
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Pa and lateral chest radiographs demonstrate clear lungs. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
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chest pain.
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There is a mild left-sided posterior sulcus opacity which might represent a small pleural effusion. Pleural effusion can be confirmed with a left down decubitus study. If diagnostic sample of the fluid is desired, thoracentesis under ultrasound guidance would be recommended. The heart is within normal limits for size. The aorta is tortuous and heavily calcified. There is severe thoracic dextroscoliosis which distorts the lung bases. The diaphragm is seen in the higher position relative to previous studies. No acute infiltrates are identified. There is no evidence of pneumothorax. The pleural surfaces are unremarkable.
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<unk>-year-old female with history of breast cancer and cll presents with pleural chest pain. outside hospital imaging indicated possible pleural effusion. study is to evaluate patient for possible thoracentesis.
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Stable appearance of an elevated left hemidiaphragm. Consolidation at the base of the left lung is demonstrated and may reflect atelectasis, less likely infection. Stable moderate cardiomegaly. The right lung is clear. No pneumothorax or pleural effusion.
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<unk>m with nsclc p/w dyspnea // c/f pneumonia, progression of disease
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>m with chest pain, sob // ptx
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The lung volumes are low. The cardiac, mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. Streaky opacities at the left lung base suggests minor atelectasis. A oval nodular opacity projecting over the left upper lung is of uncertain significance. There is a moderate hiatal hernia.
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leukocytosis, nausea, vomiting and diarrhea.
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<num> views were obtained of the chest. The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinal contours are unremarkable.
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anxiety and chronic kidney disease with palpitations and shortness of breath.
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The cardiac, mediastinal and hilar contours appear unchanged. There is new increased density at the right lung base, which is concerning for pneumonia, probably within the right lower lobe. Small calcified right apical and left lower lobe nodules are consistent with granulomas.the chest is mildly hyperinflated. There is no pleural effusion or pneumothorax. A tips shunt is present. Ethiodol is concentrated in the dome of the liver in accordance with prior chemoembolization procedure.
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altered mental status.
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The cardiac, hilar, and mediastinal contours are within normal limits. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
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chest pain after seizure.
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The cardiac silhouette is enlarged. The lungs are hyperinflated. A large hiatal hernia with an air-fluid level is again seen. No definite focal consolidation is identified. There is no pleural effusion or pneumothorax.
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<unk>f with tia lasting <num> minutes with expressive aphasia. // cva? pneumonia?
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Ap and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. The cardiac silhouette is at upper limits normal. There is no visualized displaced rib fracture. Connecticut of the changes in the spine.
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<unk>-year-old male recently chemical fall and head strike. right-sided pain.
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The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Calcified left hilar lymph nodes are noted. The cardiomediastinal silhouette is otherwise unremarkable. No acute osseous abnormalities.
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<unk>m with near syncope // eval for cardiomegaly
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No focal consolidation, pleural effusion, or pneumothorax.any consolidation at the right base has cleared. Calcified mitral annulus is similar to prior. Pleural thickening and blunting at the right base are similar to prior.
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<unk> year old woman with cough x <unk> year, resolved after antibiotics for new pneumonia seen in <unk>, but now cough returning // eval for resolution of pneumonia
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The lung volumes are low. There are areas of minimal atelectasis at both lung bases. The size of the cardiac silhouette is at the upper range of normal. There is mild tortuosity of the thoracic aorta. No evidence of acute, focal or diffuse lung disease, in particular no evidence of pulmonary nodules or masses.
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constipation, urinary retention. evaluation for neoplasm.
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.
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<unk> year old woman with multiple sclerosis. evaluate for pneumonia.
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Ap upright and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are again noted. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The aorta is densely calcified. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>m with fever // pna?
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Again noted are bilateral calcified pleural plaques. Right basilar opacity silhouetting the hemidiaphragm is compatible with probable rounded atelectasis. There are however probable new underlying interstitial markings as well small bilateral pleural effusions. Small hiatal hernia is noted. Cardiomediastinal silhouette is enlarged but grossly unchanged. No acute osseous abnormalities.
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<unk>m with sob, ekg changes, and b/l crackles to half-way up lungs // evaluate for pulmonary edema
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The lungs are well inflated. A very subtle opacity projects over the left mid lung, just lateral to the left pulmonary artery. No nodule, effusion, or pneumothorax is present. The heart and mediastinal contours are normal.
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<unk>-year-old male with cough and fever.
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Left-sided port-a-cath terminates at the cavoatrial junction, stable in position. Midline tracheostomy tube is re- demonstrated.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.
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history: <unk>f with shortnes sof breath*** warning *** multiple patients with same last name! // shortness of breath
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Pa and lateral views of the chest demonstrate minimal left basilar atelectasis. There is no pulmonary edema, pleural effusion, pneumothorax or focal consolidation. The cardiomediastinal silhouette is unremarkable.
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<unk>-year-old female with dizziness. evaluation for pneumonia.
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Severe cardiomegaly is unchanged. No focal consolidation is seen concerning for pneumonia. No convincing evidence for edema. Mild congestion difficult to exclude. There is no pleural effusion or pneumothorax. Aicd leads again noted extending to the region the right atrium, right ventricle and coronary sinus. No acute bony abnormality. No free air below the right hemidiaphragm.
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<unk>-year-old man with idiopathic cardiomyopathy, chf on torsemide with <num>lb weight gain since last week, evaluate for volume overload.
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Faint opacity in the left upper lobe might represent possible early pneumonia in the appropriate clinical setting. Follow-up cxr after antibiotic therapy may be helpful. The cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
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<unk>-year-old with left chest pain.
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Patient is status post median sternotomy and cabg. Mild cardiomegaly is re- demonstrated. The mediastinal and hilar contours are unremarkable except for atherosclerotic calcifications at the aortic knob. The pulmonary vasculature is not engorged. There is minimal atelectasis in the left lung base without focal consolidation. Minimal blunting of the right costophrenic angle may suggest the presence of a trace pleural effusion. No pneumothorax is detected. There are moderate degenerative changes seen in the thoracic spine. Clips are noted in the right upper quadrant of the abdomen.
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history: <unk>f with shortness of breath
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Pa and lateral views of the chest provided. Mild basal atelectasis on the left noted. Otherwise lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>m with recent gi bleed // ? effusion
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Pa and lateral views of the chest provided. Right hemidiaphragm is stably elevated with chronic appearing atelectasis at the right lung base. There is no evidence of pneumonia or edema. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact. No free air below the right hemidiaphragm.
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<unk>m with hypoglycemia - r/o infectious process // ? pna
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Pa and lateral views of the chest. No prior. The lungs are clear. There is no pneumothorax or effusion. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
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chest pain on the right. question mass.
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Patient is rotated to the right. The right hemidiaphragm is elevated and there is overlying atelectasis and possible small right pleural effusion. Difficult to exclude small left pleural effusion. No pneumothorax. The cardiac silhouette is not well assessed but appears enlarged. The aorta is unfolded.
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history: <unk>f with cough // acute process?
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
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<unk> yo woman with persistent fevers of unclear etiology x <num> weeks. // pneumonia?
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Pa and lateral views of the chest. The lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
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<unk>-year-old male on chemotherapy with cough and chills.
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Frontal and lateral views of the chest demonstrate low lung volumes. No pleural effusion, focal consolidation or pneumothorax is identified. Hilar and mediastinal silhouettes are unchanged. Heart size is normal. Right-sided port-a-cath tip projects over distal svc. Post-surgical changes related to medial sternotomy and cabg are again noted. Sternotomy wires appear intact.
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patient with history of pancreatic cancer, now with chills and leukocytosis. assess for pneumonia.
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Moderate left-sided pleural effusion is again noted with adjacent atelectasis. There is a tiny right pleural effusion as well. Elsewhere the lungs are clear. There is no edema. Cardiac silhouette is mildly enlarged as on prior. No acute osseous abnormalities.
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<unk>m with dyspnea, leg swelling // eval for acute process
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Cardiomediastinal contours are normal. The lungs are clear. There are persistent low lung volumes with crowding of the bronchial vascular structures. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
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<unk> year old woman with persistent cough // ? pneumonia
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Frontal and lateral radiographs of the chest when compared to the prior study demonstrate interval improvement in bibasilar opacities. No focal areas of consolidation are noted. The cardiac contour is top normal. The mediastinum is normal. No hilar lymphadenopathy is appreciated. No pleural effusion or pneumothorax is seen.
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spinal stenosis, asthma, and recent cough with low-grade temperature. evaluate for bronchitis versus pneumonia.
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.
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history: <unk>m with leukocytosis, productive cough // please eval for e/o pneumonia
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Lung volumes are normal. There is no pleural effusion, pneumothorax or focal airspace consolidation. Scarring is seen at the right lung base. The heart is mildly enlarged. The mediastinal and hilar structures are unremarkable. There is no displaced rib fractures seen. Sternotomy wires and cabg clips are present. A coronary artery stent is noted.
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mvc with rib pain on the left.
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Low lung volumes are low. The heart size is mildly enlarged, and slightly increased compared to the previous exam. The mediastinal contours are unchanged. Crowding of the bronchovascular structures is noted with mild pulmonary vascular congestion. A focal patchy opacity is seen within the right lower lobe, which could reflect an area of atelectasis or infection. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
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cough.
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Frontal and lateral views of the chest demonstrate low lung volumes without pleural effusion, focal consolidation or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. A mild interstitial pulmonary abnormality could be acute, either edema or interstial pneumonia, but since there is a suggestion of a milder interstitial abnormality in <unk>, this may be the progression or recurrence of a longstanding process. Heart is mildly enlarged, including a dilated left atrium both increased since <unk>. Partially imaged upper abdomen is unremarkable.
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cough and sore throat for one week.
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Lungs are hyperinflated, compatible with chronic lung disease. There are small bilateral pleural effusions, unchanged from <unk>. Heart is moderately enlarged, also unchanged. There is no strong evidence for pulmonary edema. No pneumothorax or focal airspace consolidation. A right paratracheal opacity with leftward deviation of the trachea is known to be secondary to a tortuous brachiocephalic artery and subclavian vein. A left pectoral pacemaker is constant, with leads in standard position.
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crackles. evaluate for edema or effusion.
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Mild enlargement of the cardiac silhouette is re- demonstrated. The aorta is tortuous but unchanged. Widening of the right paratracheal stripe is compatible with underlying lymphadenopathy, not substantially changed from the previous radiograph. Multiple nodular opacities are again seen bilaterally, but more so within the left mid and lower lung fields, better assessed on the previous chest ct. Blunting of the right costophrenic angle suggests a small right pleural effusion which may be chronic. Minimal atelectasis is noted in the lung bases. Pulmonary vascularity is not engorged. There is no pneumothorax. No acute osseous abnormalities detected.
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<unk>f ill-defined abdominal pain please eval for intra-abdominal pathology
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As compared to the previous radiograph, there is no relevant change. The diameter of the pulmonary vessels continues to suggest mild fluid overload. Moderate cardiomegaly persists, a stent is seen in unchanged position. Clips in the left axilla, the sternal wires are of constant alignment. Unchanged position of the left picc line. No pleural effusions seen on the frontal or the lateral radiograph. Minimal atelectasis at both the left and right lung bases, but no evidence of pneumonia. No pneumothorax.
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pursed lip breathing, wheezing, history of cabg, mitral valve replacement, questionable pneumonia.
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The lungs are well expanded. There are diffuse increased interstitial markings, with vascular cephalization, kerley b lines, bilateral hilar engorgement, in the setting of stable moderate-to-severe cardiomegaly. Bilateral pleural effusions, right worse than left are also noted. There is no pneumothorax. A unicameral pacemaker is in the left hemithorax with the leads overlying the expected location of the right ventricle.
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<unk>-year-old male with shortness of breath for one week. evaluate for congestive heart failure.
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Pa and lateral views of the chest. Again seen are diffuse bilateral nodular opacities throughout the lungs compatible with patient's known metastatic disease. No definite new region of consolidation identified. Right-sided pleural effusion appears slightly larger. There is also suggestion of a trace left pleural effusion as well which may be new. There is also increased pleural based opacity involving the right hemithorax more superiorly which could represent loculated fluid or pleural-based metastatic disease which has progressed. Cardiomediastinal silhouette is unchanged as are the osseous and soft tissue structures. New right chest wall port is seen with catheter tip at the ra/svc junction.
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<unk>-year-old man with metastatic salivary cancer presenting with severe allergic reaction.
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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>m with syncope, dyspnea on exertion x several days, tachycardia
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The lungs are well expanded. There is a mild prominence of the hila with upper vascular re-distribution suggesting volume overload. There are no focal opacities to suggest pneumonia. There might be a small right-sided pleural effusion. The left costophrenic angle is not blunted. There is no pneumothorax. Severe cardiomegaly is unchanged from prior. Sternotomy wires are intact. There has been interval removal of a previously seen right-sided central line.
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<unk>-year-old male with shortness of breath.
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Frontal and lateral views of the chest. Right picc terminates in the lower svc. Right lung base opacities have improved while left base opacities have slightly increased since the prior exam. A small right pleural effusion may be present. No left pleural effusion or pneumothorax. Heart size and cardiomediastinal contours are stable.
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<unk>-year-old man with shortness of breath on exertion.
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The lung volumes are low, but the lungs are clear of focal opacities, pleural effusions or pneumothorax. There has been interval removal of a right ij central venous line and cardiac pacemaker. The cardiomediastinal silhouette is stable and mildly enlarged.
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<unk>f with recent spine surgery with back pain and hypotension, evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p19073009/s51399958/fc477370-73556d6d-1458eb4b-50591f5e-07471380.jpg
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.
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<unk>-year-old male with cough, fever. evaluate for acute process.
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Pa and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The heart size is mildly enlarged but unchanged from multiple priors.
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leukocytosis. evaluation for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p12335993/s51061584/84694b5e-f10decc4-9ad46df4-355ef314-b9f48411.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12335993/s51061584/fb7a2623-417153ae-5cfd25b9-2da9b451-8f6f324b.jpg
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. No evidence of pulmonary edema. There is no air under the right hemidiaphragm.
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<unk>m with ue and facial swelling // ? abnormality, signs of mass
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Mild cardiomegaly is persistent. The thoracic aorta is tortuous, otherwise the hilar and mediastinal contours are unremarkable. The aorta is generally large, measuring up to <num>-cm on the lateral film, and unchanged compared to the prior exam. There is no pleural effusion, or pneumothorax. No focal consolidations concerning for pneumonia are identified.
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history: <unk>m with orthopnea. pls eval for edema
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Lung volumes have decreased, and the heart continues to be severely enlarged. There is a moderate right pleural effusion with fluid tracking along the minor fissure. The low lung volumes cause crowding of the central bronchovascular structures, and there is central pulmonary vascular congestion. No pneumothorax is seen.
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<unk> year old female with bradycardia. evaluate for congestive heart failure or pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p16888112/s57190215/c0860828-9dcfa832-8b20b8c6-5bcf0fff-ef7e051a.jpg
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Pa and lateral radiographs of the chest were acquired. As before, there is a right tunneled dialysis catheter, not significantly changed in position. The lungs are clear. Mild cardiomegaly is unchanged. The hila are stable. There are no pleural effusions. No pneumothorax is seen.
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chest pain, evaluate for chf or pneumonia.
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Again there is a large right hydropneumothorax, which in comparison with prior exam is similar or just slightly improved. There is persistent collapse of the right lung. The chest tube is in unchanged position. The left lung is clear. The cardiomediastinal silhouette is normal.
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followup pneumothorax.
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Ap upright and lateral views of the chest provided. Overlying ekg leads are present. The lungs appear clear. The cardiomediastinal silhouette appears normal. No acute bony abnormalities. No large effusion or pneumothorax.
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<unk>f with ams, fall and tbi // presence of infiltrate?
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MIMIC-CXR-JPG/2.0.0/files/p16011891/s51977596/b211fbd6-4cd1f229-e184f329-b2bf38f9-e9dce585.jpg
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Streaky bibasilar opacities are noted, most likely atelectasis given slightly lower lung volumes. Elevation the right hemidiaphragm is again noted. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with preop for cholecystitis // pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p12129052/s55423537/358c9b3c-58e3a239-909de73d-412fa45e-80d014c9.jpg
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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unchanged. The patient has had prior median sternotomy, and the inferior most sternotomy wire remains fractured in multiple places. No pneumothorax, pleural effusion, or consolidation. Severe dextroscoliosis.
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history: <unk>f with hx of aortitis, pe, presenting with pleuritic chest pain*** warning *** multiple patients with same last name! // evidence of infiltrate
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
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<unk>f with chest pain // r/o infiltrate, efusion
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MIMIC-CXR-JPG/2.0.0/files/p13050364/s59217701/43abece9-20fae1a6-7b3427dd-ab46cb65-6582466c.jpg
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Pa and lateral chest radiographs. The right ij catheter has been removed. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
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chest pain. evaluation for pneumothorax.
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MIMIC-CXR-JPG/2.0.0/files/p14357506/s58859189/01cdbf8f-6391ac21-633e60b9-14c57961-8747f461.jpg
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Substantial interval increase in the right-sided pleural effusion which is now large and nearly opacifying the entire right lung. There is associated mediastinal shift. Numerous pulmonary nodules are visualized throughout the left lung. No left-sided effusion.
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<unk> year old man with pleural effusion // eval
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MIMIC-CXR-JPG/2.0.0/files/p13588611/s58507822/a2e26c97-b271a141-22d7f501-c5ad56f8-2f06c8b5.jpg
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The lungs are hyperinflated, unchanged. The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
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<unk> year old man with cough, fever, sob // r/o pna
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MIMIC-CXR-JPG/2.0.0/files/p14454813/s55513235/e7aaee57-b8b2a7ab-60c49f97-9d939638-b6812246.jpg
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In comparison with study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
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shortness of breath, pre-radionuclide scan.
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MIMIC-CXR-JPG/2.0.0/files/p10082543/s54115520/23113299-cd341fa5-1d5e8c7e-9ce22077-d7b3870f.jpg
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MIMIC-CXR-JPG/2.0.0/files/p10082543/s54115520/f88c988c-53ea7132-72c7234f-42e0be28-16e0df69.jpg
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The lungs are well-expanded. No focal airspace consolidation concerning for pneumonia is identified. There is no pneumothorax or pleural effusion. The cardio mediastinal silhouette is stable.
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history: <unk>m with <unk> edema and dyspnea // evidence of fluid overload
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MIMIC-CXR-JPG/2.0.0/files/p16370758/s52801392/38b60a3e-ec9a1af2-fa3e0106-8764b1b4-ecae1ec2.jpg
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There are relatively low lung volumes and mild left base atelectasis. No focal consolidation is seen.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is normal in size. Thickening of the right peritracheal soft tissue likely relates to lymphadenopathy seen on subsequent neck ct. Dish is seen along the spine.
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history: <unk>m with hx smoking presenting with r sided neck swelling with firm non mobile masses concerning for malignancy // evidence of lung mass, neck mass
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MIMIC-CXR-JPG/2.0.0/files/p12047870/s54155157/6b513c50-8153f9e4-d44c8b1e-aa41a94a-25ff2525.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12047870/s54155157/31ec596d-57c64595-aa4235f9-ac442556-a144680c.jpg
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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<unk> year old woman who presents w/ meningitis symptoms, id requesting cxr to r/o other infectious causes. // <unk> year old woman who presents w/ meningitis symptoms, id requesting cxr to r/o other infectious causes.
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MIMIC-CXR-JPG/2.0.0/files/p16865787/s58422039/f9f20e95-4f776d5e-c8d04375-90178baa-481be023.jpg
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Pa and lateral chest radiographs. Median sternotomy wires are intact. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
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cough in a former smoker.
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The lung volumes are low but appear clear. There is no pleural effusion or pneumothorax. The mediastinal and hilar contours are normal. The cardiac silhouette is somewhat enlarged, though exaggerated by low lung volumes.
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chest pain radiating to the back. evaluate heart size.
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MIMIC-CXR-JPG/2.0.0/files/p13151413/s52347601/0dc1a3c7-065b99ea-e0fd8f62-d89f03d4-565b805c.jpg
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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size. No acute osseous abnormalities identified.
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<unk>m with left upper shoulder pain s/p mvc // eval for pneumo
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MIMIC-CXR-JPG/2.0.0/files/p19487346/s58855730/bed0e507-ccd348e8-2e23d604-eae9ab87-4604bfc8.jpg
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MIMIC-CXR-JPG/2.0.0/files/p19487346/s58855730/6dcb853b-3251cb8c-4a76c485-ff9b39e9-df5311d0.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. Bony structures appear intact.
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patient with left upper quadrant pain and fever. evaluate for evidence of pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p12863592/s52418748/b67e5c17-2c1625ea-35f0aa4d-28cd5ed6-67cef141.jpg
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MIMIC-CXR-JPG/2.0.0/files/p12863592/s52418748/f7d8046e-487a65be-bc9938ec-a79f264e-80f6f45b.jpg
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.
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fever and cough.
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MIMIC-CXR-JPG/2.0.0/files/p11362059/s52624011/4eca5aa0-d5d131f8-d97642b8-deecb3a4-43b6be5d.jpg
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MIMIC-CXR-JPG/2.0.0/files/p11362059/s52624011/56aeaf30-9436be0c-747e980b-34939591-65722528.jpg
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. There is a subtle fracture at the left anterolateral seventh rib, mildly displaced as well as a possible subtle fracture of the left posterolateral eighth rib. In the absence of priors, this is of indeterminate chronicity.
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history of shortness of breath. left-sided rib fracture after falling off of roof three weeks ago. please evaluate.
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MIMIC-CXR-JPG/2.0.0/files/p10000980/s57861150/5aa15ba6-55f5e96e-39cea686-7c3b28b2-b8c97a88.jpg
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MIMIC-CXR-JPG/2.0.0/files/p10000980/s57861150/dd8af025-426084b7-b7c38b0c-436a70e0-3e650184.jpg
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Heart size remains mild to moderately enlarged. The aorta is tortuous and diffusely calcified. Mediastinal and hilar contours are otherwise unchanged. Previous pattern of mild pulmonary edema has essentially resolved. Mild atelectasis is seen in the lung bases without focal consolidation. Blunting of the costophrenic angles bilaterally suggests trace bilateral pleural effusions, not substantially changed in the interval. No pneumothorax is present.
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history: <unk>f with dyspnea
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MIMIC-CXR-JPG/2.0.0/files/p17422480/s51922996/768fee1f-db9d62f9-6a335e71-b1f859b0-1893f751.jpg
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MIMIC-CXR-JPG/2.0.0/files/p17422480/s51922996/1327f003-db3fa913-9931ba3e-c2188916-04b59d31.jpg
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The heart size is top-normal. The hilar and mediastinal contours are normal. The lungs are well expanded and clear. There has been interval resolution of bilateral pleural effusions. There is no pneumothorax. Multilevel degenerative changes are noted in the thoracic spine. No areas concerning for rib fracture are appreciated.
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<unk>-year-old female patient with <num> days of left-sided pleuritic type pain. study requested to rule out fracture and/or fluid overload.
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MIMIC-CXR-JPG/2.0.0/files/p14987339/s55022875/17657a41-380cafa1-ac9a7c3c-7863d080-5eece243.jpg
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MIMIC-CXR-JPG/2.0.0/files/p14987339/s55022875/783fcab7-d08c670d-66ac67f6-e39c9580-42990683.jpg
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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Osseous structures are normal.
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evaluation of patient with infectious symptoms, hiv.
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