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Ap upright and lateral chest radiograph demonstrates low lung volumes . When compared to prior study, the cardiomediastinal and hilar contours appear stable with a tortuous aorta. Patient is status post median sternotomy. Upper lungs appear clear. There is no pulmonary edema. Bibasilar atelectasis is present. Dextroscoliotic deformity of the thoracic spine is re- demonstrated. There is no pneumothorax.
<unk>-year-old female status post fall.
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Low lung volumes are present. Cardiac silhouette size is mildly enlarged, similar to the prior study. Mediastinal and hilar contours are unremarkable. There is crowding of bronchovascular structures but no overt pulmonary edema. Patchy opacities in lung bases may reflect atelectasis. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
history: <unk>m with fever on immunosuppression, decreased po intake, nonverbal.
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Compared with the prior chest radiograph and chest ct, the prominent cardiomediastinal silhouette is unchanged, with mild cardiomegaly and a tortuous thoracic aorta. There is mild pulmonary vascular congestion, without large effusion or pneumothorax. No new focal consolidation.
<unk>m with dementia increase agitation. evaluate for pneumonia.
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Pa and lateral views of the chest. The lungs are essentially clear. Nodular opacities projecting over the lower lungs bilaterally on the frontal view are most suggestive of nipple shadows. There is no effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. Minor atherosclerotic calcifications seen at the aortic arch. No acute osseous abnormality detected.
<unk>-year-old female with copd with worsening shortness of breath.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. When compared to prior, there has been continued interval resolution of parenchymal opacities in the right lung which still vaguely persist. There is, however, more conspicuous left perihilar opacity projecting on the frontal view. There is no effusion. Cardiomediastinal silhouette is stable. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with cough and fever. tachycardia.
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A right-sided picc line has been removed. The cardiac, mediastinal and hilar contours appear unchanged. The heart is normal in size. As before, there is mild relative elevation of the right hemidiaphragm. An unchanged band-like opacity in the lingula suggests minor scarring. There is a new posterior opacity in the right lower lobe silhouetting the hemidiaphragm with a small suspected pleural effusion. A trace pleural effusion is suspected on the left side. There is no pneumothorax. Bony structures are unremarkable.
shortness of breath.
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The lungs are clear of focal consolidation or effusion. Relative elevation of the right hemidiaphragm is again noted. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. Surgical clips identified in the right upper quadrant.
<unk>f with dizziness // evaluate for acute changes
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The lungs are moderately well inflated and clear. <num> cm calcified granuloma in the left lower lung. No pleural effusion or pneumothorax. Moderate cardiomegaly is stable. Mediastinal contour and hila are unremarkable.
<unk>m with hx of chf afib rvr, s/p bmt, worsening dyspnea on exertion. assess volume overload, infiltrate, acute process
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Pa and lateral images of the chest demonstrate mild interstitial edema, improved from to prior imaging on <unk>. There is no pleural effusion. There is mild cardiomegaly which is stable from prior imaging. Pacer is seen in left axillary position with intact leads in the expected course to the right atrium and right ventricle.
<unk>-year-old male with chf.
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
<unk>-year-old man with cough
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There is no free air beneath the right hemidiaphragm.
<unk>f with fever, cough // r/o pna
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.
right lower extremity pain over the femur.
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Pulmonary vascular cephalization is chronic. Moderate loculated right pleural effusion going into the fissure is stable. <num> mm opacity projects at the left lung base unchanged since <unk>, but could not be clearly seen before that. Mild-to-moderate cardiomegaly is unchanged. The patient is status post fusion with posterior screws at t<num> through t<num> levels.
patient with severe chf, pulmonary hypertension, chest pain, shortness of breath, pneumonia, effusion.
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Left lower lobe consolidation is worrisome for pneumonia. The right lung is clear. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with fever, cough // eval for pna
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The lungs are well expanded and clear. Mediastinal contour, hila, and cardiac silhouette are normal. There is no pneumothorax or pleural effusion. Elevation of the right hemidiaphragm is stable <unk>. Metallic density object overlying the right humeral head is again noted.
<unk>m with cp // ptx?
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There are patchy regions of consolidation throughout the right lung. There is also a nodular opacity projecting over the left mid clavicle over the left upper lung. Linear left basilar opacity is most likely atelectasis. There is no pleural effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with bibasilar crackles // pna?
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There are relatively low lung volumes, which accentuate the bronchovascular markings. Slight prominence of the central vasculature may relate to low lung volumes although mild central pulmonary vascular engorgement may be present. There is eventration of the right hemidiaphragm. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. The mediastinal contours are normal. The mediastinum is not widened.
altered mental status and elevated lactate question widened mediastinum, pneumonia or pleural effusion.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There is subtle thickening of the pleural fat at the left lower lateral hemi thorax. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with c/o cough and cp // ? pna
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Frontal and lateral views of the chest demonstrate the lungs are well expanded and clear. No evidence of pneumothorax, pleural effusion, pulmonary edema, or pneumonia is present. The heart is moderately enlarged and the aorta is heavily calcified throughout its intrathoracic course, including the ascending aorta. There is also calcification of the coronary vessels.
<unk>-year-old man with nausea and vomiting. evaluation for pneumonia.
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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unchanged. Heart is top-normal in size. No pneumothorax, pleural effusion, or consolidation.
history: <unk>f with palpitaions // r/o acute process
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Pa and lateral views of the chest are compared to previous exam from <unk>. As on prior, the lungs are hyperinflated. There is no region of consolidation or pleural effusion. Regions of pleural thickening are seen adjacent to multiple bilateral rib fractures. Cardiomediastinal silhouette is unchanged as are the osseous structures.
<unk>-year-old female with copd and <unk>-pack-year history of smoking, presents with shortness of breath.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>f with cough // ?pna
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are well expanded and clear. There is no pneumothorax or pleural effusion as queried. Although not tailored for osseous evaluation, no obvious bony deformity is appreciated.
<unk>-year-old female with acute-onset right lower anterior pleuritic chest pain for three days ago. question pneumothorax or pleural effusion.
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Moderate cardiomegaly has increased from <unk>. There increased interstitial markings bilaterally. There is no focal consolidation. There are small bilateral pleural effusions.
<unk>-year-old woman with past medical history significant for metastatic breast cancer, pulmonary embolism, peripheral neuropathy with history of bilateral lumbar radiculopathy and spinal stenosis, presenting for <num> week of bilateral lower extremity swelling and shortness of breath evaluate for pulmonary edema.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with globus sensation.
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Heart size is normal. The mediastinal and hilar contours are normal with apparent resolution of pneumomediastinum. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with spontaneous pneumomediastinum, s/p conservative management // interval change, please evaluate
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The heart is mildly enlarged with mild pulmonary edema. There are bilateral pleural effusions, right larger than the left. No pneumothorax or focal consolidation is seen.
<unk>-year-old male with generalized weakness, fall and difficulty walking. please evaluate for pneumonia.
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In comparison to prior <unk> radiograph, the right middle lobe atelectasis appears slightly worsened and remains most prominent on the lateral radiograph with only minimal obscuration of the heart border on the frontal view. These findings are new compared to more remote chest radiographs from <unk> and <unk>. There is no pneumothorax nor pleural effusion appreciated. The cardiomediastinal silhouette and hilar silhouettes are normal size.
<unk> year old man with persistent cough x <num> mo despite rx for allergies, atelectasis on prior cxr upon initial eval // r/o progressive infiltrate/pna
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Pa and lateral views of the chest provided. Suture material projects over the right upper lung as on prior. Lungs remain clear bilaterally. No signs of pneumonia or edema. No large effusion or pneumothorax. Cardiomediastinal silhouette is unchanged. No acute bony injury. Chronic right lower ribcage deformity again noted.
<unk>f with hx of asthma presenting with chest pain and shortness of breath
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The lungs are well expanded and clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.
cough and fever.
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The lungs are clear. There is no consolidation, effusion, or edema. The cardiomediastinal silhouette is normal. No acute osseous abnormalities.
<unk>m with cough // ? pna
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable.
history: <unk>f with fever, confusion, chest pain // eval for rib fx, infection
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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no evidence of pneumonia. Views of the upper abdomen are unremarkable.
<unk>m with persistent cough, malaise, evaluate for pneumonia.
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Two ap and one lateral view of the chest. The lungs are essentially clear noting left basilar linear opacities most suggestive of atelectasis. There is no effusion or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.
<unk>-year-old female with myalgias, hyperglycemia.
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The lungs are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.
patient with assault, trauma. rule out pneumothorax.
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There is a small right pleural effusion tracking superiorly into the minor fissure, essentially unchanged allowing for differences in technique. The known right infrahilar lung mass is partially obscured by adjacent atelectasis. Interstitial opacities within the aerated portion of the right lower lung could potentially represent lymphangitic carcinomatosis. Severe emphysematous changes including right greater than left apical bullae are noted. Heart size is top-normal. Cardiomediastinal and hilar silhouettes are unchanged.
<unk> year old man with lung cancer // assess pleural effusion
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable. No pulmonary edema is seen.
history: <unk>f with new stroke // ? pna
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S-shaped scoliosis is again seen with continued asymmetric elevation of the left hemidiaphragm. There is no pleural effusion or pulmonary edema. Peribronchial opacification in the right lung base may be residual from prior pneumonia. The heart is top normal in size, exaggerated by low lung volumes.
<unk>-year-old female with chest pain.
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In comparison with the study of <unk>, there is continued substantial enlargement of the cardiac silhouette. In view of the relatively mild pulmonary vascular congestion, the possibility of cardiomyopathy or pericardial effusion should be considered. Small effusions are seen bilaterally. No evidence of acute focal pneumonia.
dyspnea on exertion suggesting heart failure.
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No effusion or pneumothorax is seen. No parenchymal consolidation is seen. Cardiomediastinal silhouette is within normal limits except the left hilus appears prominent.
<unk> year old woman with joint swelling // ? hilar <unk> or infiltrate ? hilar <unk> or infiltrate
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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. The heart is at the upper limits of normal. The thoracic aorta is slightly tortuous. Mediastinal silhouette is otherwise within normal limits. No acute fractures are identified.
weakness.
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The lungs are hyperinflated with mild flattening of the diaphragms, suggestive of emphysema. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal. Coronary stents and aortic valvular calcifications are present, better assessed on prior ct from <unk>.
<unk> year old woman with hx of cystectomy for bladder cancer w/dr. <unk> in <unk> // ?mets
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There is new right lower lobe consolidation. Subtle interstitial opacities in the right mid and lower lung are also new. Small left pleural effusion. There is no pneumothorax. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Mass with post obstructive collapse of the left upper lobe is similar to prior.
history: <unk>f with fever, hypoxemia on nonrebreather // eval for pneumonia
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Pa and lateral chest radiographs are provided. There is a moderate left-sided pleural effusion, new from prior study. Left basilar somewhat linear opacity most likely represents atelectasis. There is no focal consolidation or pneumothorax. Cardiomediastinal silhouette is stable. No acute osseous abnormality.
<unk>-year-old man with hcc, fevers, question infiltrate.
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There is a small left pleural effusion and bibasilar atelectasis. Mild interstitial pulmonary edema is seen throughout the lung fields with visible kerley b lines. Heart is upper normal in size. Pleural surfaces are unremarkable. Ng tube is seen in place coursing through the ge junction into the stomach; however, tip is not seen.
<unk>-year-old female with cirrhosis, now with hepatorenal syndrome presents with symptoms suspicious for pneumonia versus pulmonary edema.
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The left-sided picc line has been removed. The lungs are clear. There is no pneumothorax. The heart and mediastinum are within normal limits. No bones and soft tissues are notable only for prior cervical spine fusion.
<unk>-year-old female with dyspnea on exertion for <num> weeks which has increased over the past <num> days.
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Frontal and lateral chest radiographs demonstrate low lung volumes with exaggeration of the cardiac silhouette. Allowing for this, heart size is normal. There is ill-defined opacity projecting over the lateral left hemi thorax, without definite correlate on lateral view. This could reflect early pneumonia in the right clinical setting. There is a nodular opacity projecting over the lower right hemi thorax. There is no pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for pneumonia or rib fractures in a patient status post fall.
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The heart size is at the upper limits of normal. The mediastinal and hilar contours are unremarkable. The left mid-lung demonstrates subtle, ill-defined opacity of uncertain clinical significance. There is no pleural effusion or pneumothorax.
<unk>-year-old male with recent malaise, confusion, and fatigue.
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The lungs are clear where not obscured by overlying cardiac leads and wires. There is no effusion, pneumothorax or pulmonary vascular congestion. Cardiomegaly is unchanged. Enlargement of the hila compatible with pulmonary artery enlargement suggesting pulmonary hypertension. Degenerative changes are seen at the shoulders bilaterally. No acute osseous abnormality detected.
<unk>-year-old female status post fall with head strike.
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Ap and lateral views of the chest. The lungs are clear. There is no pneumothorax or effusion. The cardiomediastinal silhouette is normal. No acute osseous abnormality detected.
<unk>-year-old female with chest pain.
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There are low lung volumes. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal, however, likely exaggerated by low lung volumes. Mediastinal hilar contours are also unremarkable given low lung volumes. No displaced fracture is identified.
history: <unk>f with mvc, ttp midline c/t spine // eval for acute fracutre/dislocation
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Dual-chamber pacemaker appears in standard position. Elevation of the right hemidiaphragm is chronic.no focal parenchymal consolidation of pleural effusion, pneumothorax. Mild right infrahilar atelectasis. Moderate cardiomegaly is stable.
history: <unk>f with weakness. evaluate for pneumonia
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Ap and lateral chest radiograph demonstrates no focal consolidation concerning for pneumonia. A left picc is identified terminating in the right atrium. Known <num> mm calcified granuloma within the left lower lobe not definitely visualized and better characterized on pet-ct dated <unk>. Re- demonstration of bilateral pathologic rib fractures, overall unchanged when compared to radiograph dated <unk>. Numerous lytic and mixed lytic/ sclerotic lesions throughout the axial and appendicular skeleton better characterized on ct examination as well as lower thoracic compression deformities and vertebroplasty changes. . The heart is mildly enlarged. Cardiomediastinal and hilar contours are otherwise stable in appearance.
<unk>m with multiple myeloma, subjective fevers // ? pna
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Ap upright and lateral views of the chest were obtained. Cardiomediastinal silhouette is stable. A dual-chamber pacemaker is unchanged in position. Lung volumes are low. No focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old man with chest pain.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Patchy right basilar opacity appears similar compared to the previous examination. Left lung is clear. No new focal consolidation is demonstrated. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. S- shaped thoracolumbar scoliosis is re- demonstrated.
history: <unk>f with shortness of breath
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In comparison with the study of <unk>, there is no evidence of post-procedure pneumothorax. Otherwise, no interval change.
pain after ct-guided biopsy.
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A right picc ends in the mid svc. The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
hairy cell leukemia with picc placed at outside hospital. evaluate picc placement.
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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 left basilar opacities suggest minor atelectasis or scarring. The lungs appear otherwise clear. Bony structures are unremarkable.
chest pain and dyspnea.
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Pa and lateral views of the chest were reviewed. There is mild cardiomegaly. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Slightly low lung volumes result in bronchovascular crowding. There is no focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits.
possible stroke. evaluate for acute process.
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Frontal and lateral views of the chest. The lungs are hyperinflated. On the lateral view, there is increased density in the posterior costophrenic sulcus with blunting of the posterior costophrenic angles bilaterally which is new. Based on the frontal view, this is likely a localizing to the right base medially. This is in aregion of previously seen scarring but is suspicious for superimposed consolidation and possible trace effusions. Elsewhere the lungs are clear. Focal opacity at the right lung base laterally on the frontal view is likely due to changes in the anterior <num>th rib. Old right <unk> rib fracture is again seen. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications seen at the aortic arch.
<unk>-year-old male with cough and history of copd, afebrile with elevated white blood cell count.
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Heart size is normal. The mediastinal and hilar contours are unremarkable. Ill-defined patchy opacities are noted in both lung bases, left more so than on the right, concerning for infection or aspiration. No pleural effusion or pneumothorax is visualized. The pulmonary vascularity is not engorged. No acute osseous abnormality is identified.
dyspnea.
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Pa and lateral views of the chest provided. Blunting at the right cp angle is chronic and likely reflect pleural thickening. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with ?seizure // eval for ?pna
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Lung volumes are low. The cardiomediastinal silhouette is unchanged since the prior examination. There is no pleural effusion or large pneumothorax. No definite consolidation is identified.
history: <unk>m with lethargy, back pain, hypoxia // eval for pna
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Heart size is normal. Leftward shift of mediastinal structures is similar, due to volume loss in the left lung. Left perihilar and suprahilar fibrosis with bronchiectasis and left lower lobe atelectasis appears grossly unchanged, and likely due to prior radiation therapy. Lungs are hyperinflated with emphysematous changes noted in the upper lobes. No new focal consolidation, pleural effusion or pneumothorax is seen. There is no pulmonary vascular engorgement. No acute osseous abnormality is present.
history: <unk>f with cough/pna
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Pa and lateral views of the chest provided. A linear density again noted in the left mid lung peripherally is likely a scar or atelectasis. 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.
history: <unk>f with fall + head strike //
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The lungs are poorly expanded, but there are no focal opacities. Cardiomediastinal and hilar contours are unchanged, with a left ventricular predominance again seen. The aorta is tortuous. There is no pleural effusion or pneumothorax.
patient with chest pain and cough. evaluate for pneumonia.
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Pa and lateral views of the chest were reviewed and compared to the prior studies. A moderate right pleural effusion has slightly decreased since <unk>. Right apical opacity corresponds to the right upper lung radiation fibrosis better characterized on ct torso of <unk>. The left lung is clear, and there is no pulmonary edema or pneumothorax. Cardiac and mediastinal contours are normal.
evaluation of pleural effusions.
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Lung volumes are low and exaggerate pulmonary vascular markings. There are bibasilar atelectatic changes but the lungs are otherwise without a focal consolidation. The cardiac and mediastinal contours appears stable. Left ventriculoperitoneal shunt is again visualized traversing through the chest into the upper abdomen. No acute fractures are identified. Severe degenerative changes are noted at the right glenohumeral joint with moderate degenerative changes throughout the thoracolumbar spine.
seizure, evaluation for pneumonia.
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Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.
shortness of breath.
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Single upright ap view of the chest demonstrates the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pneumothorax, pleural effusion, pulmonary edema, or focal airspace consolidation. No subdiaphragmatic free air is detected.
<unk>-year-old female with left substernal chest pain, radiating down the left arm. evaluation for pneumonia or pneumothorax.
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The patient is status post coronary artery bypass graft surgery. There is also a replaced aortic valve. The heart is mild to moderately enlarged. Unfolding of the thoracic aorta is similar. The cardiac, mediastinal and hilar contours appear unchanged. A diffuse moderate interstitial abnormality suggests pulmonary vascular congestion. There is no pleural effusion or pneumothorax although the right minor fissure is slightly thickened.
exertional chest pain.
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The lungs are well expanded and are clear. The pleural surfaces, cardiac silhouette, and mediastinal contours are normal. Extensive degenerative changes of the thoracic spine are again noted, including sclerosis within the lower thoracic vertebral body pedicle.
<unk>-year-old with fever, cough, question pneumonia.
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The lungs are relatively well inflated, and innumerable widespread bilateral pulmonary nodules, better characterized on recent prior ct, compatible with known metastatic disease. The heart is mildly enlarged, unchanged. Dense calcifications in the aortic arch and abdominal aorta are noted. No focal consolidation concerning for pneumonia is identified.
<unk> year old woman with metastatic vulvular cancer with low grade temps. // please evaluate for cause of fever.
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The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
history: <unk>m with palpitations and dyspnea.
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The lungs are hyperinflated, with flattening of the diaphragms, in keeping with known diagnosis of chronic obstructive pulmonary disease. Bilateral pleural effusions have significantly improved, resolved on the left and with residual blunting of the costophrenic angle on the right which may reflect scarring/ atelectasis. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are within normal limits.
history: <unk>f with <num> day hx fever, cough, sob, no hypoxia. copd hx. // evaluate copd exacerbation vs pneumonia vs bronchitis evaluate copd exacerbation vs pneumonia vs bronchitis
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Dual-chamber pacemaker device is noted in the left chest with leads terminating in the right atrium and right ventricle. The heart is mildly enlarged. Atherosclerotic calcification of the aorta is noted. Mediastinal and hilar contours are otherwise unremarkable. Lungs appear mildly hyperinflated. No pulmonary vascular engorgement is seen. Left basilar opacification is noted, with a small left pleural effusion . No pneumothorax is seen, and there is no right-sided pleural effusion. Loss of height of several thoracic vertebral bodies is age indeterminate.
dyspnea, fever, cough and new oxygen requirement.
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Ap upright and lateral views of the chest provided. Lungs are hyperinflated. Previously noted picc line has been removed as has the orogastric tube. Catheter tubing projects over the upper abdomen likely representing g-tube. Previously noted opacities in the left lung appear nearly resolved. There may be mild residual opacity in the left upper lobe. No effusion or pneumothorax is seen. The heart size is stable. Bony structures appear intact.
<unk>m with fever, recent pneumonia // eval for pneumonia
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There has been interval removal of the right-sided chest tube. There is volume loss in the right lung consistent with the wedge resection. There is a pleural-based opacity along the right lateral chest wall, likely a hematoma or loculated effusion related to the chest strain removal from this area. There is a small amount of subcutaneous air also presumed to be related to the recent chest drain removal. No pneumothorax seen. The left lung is clear. Evaluation of the bony structures is limited likely due to the scoliotic curve at the thoracolumbar junction.
<unk> year old woman with lung nodule s/p rul wedge resection. // concern for interval ptx s/p thoracic <unk> removal
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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. There is a nondisplaced fracture involving the right posterolateral eighth rib, of indeterminate chronicity. The lungs appear clear. There are no pleural effusions or pneumothorax. Mild degenerative changes are noted along the thoracic spine.
exertional chest pain and anemia.
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There has been interval resolution of the small left apical pneumothorax and the left-sided pneumomediastinum. The small amount of subcutaneous air underlying the left-sided surgical <unk> has also resolved. There is mild linear atelectasis at the left lung base. There is no focal consolidation, pleural effusion, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk> year old man s/p left thoracotomy with primary repair of diaphram // check interval change
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There is no pleural effusion, pneumothorax or focal airspace consolidation. The heart is normal in size. Tortuous aorta is noted. The hilar structures are unremarkable.
weakness, evaluate for acute process.
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The lungs are hyperexpanded. Ill-defined interstitial opacities are most prominent in both upper lungs, increased from <unk>. Mediastinal contours, and hila are overall unchanged. Cardiac silhouette is larger than in <unk>. There is no pleural effusion pneumothorax.
<unk>m with sob // eval for pneumothorax
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Continued improvement of the left lateral retrocardiac opacity without resolution. Residual opacity is associated with bronchial wall thickening and questionable bronchial dilation. No pleural effusions, pulmonary edema or focal consolidation is seen, and the cardiac silhouette are normal. Tracheomegaly measuring approximately <num> cm is seen at the proximal trachea.
<unk>-year-old man with partially resolved pneumonia on chest x-ray from <unk>. evaluate for resolution.
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Vascular congestion has increased slowly since <unk> but there is no pulmonary edema. Cardiac contour is enlarged in this patient with heavily calcified mitral annulus. There is no pleural effusion. The lungs are unremarkable except for tiny benign calcified granuloma in left upper lobe.
patient with severe kyphosis, no shortness of breath, saturation <unk>% on room air specific kyphosis.
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The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No displaced fractures identified.
<unk>f with chest pain // acute process?
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There is a small persistent right-sided pleural effusion with blunting of the posterior costophrenic angle. Nodules projecting over the right lung base are better seen on prior exam. Left-sided volume loss is again noted including elevation of left hemidiaphragm and leftward mediastinal shift. There is no new consolidation or overt pulmonary edema. Median sternotomy wires and mediastinal clips are again noted. No acute osseous abnormalities.
<unk>f with one week of sob, worse in last <num> days // any evidence of fluid overload?
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The left-sided two-lead cardiac pacemaker device appears intact and unchanged in position, with one tip terminating in the right atrium and the other tip terminating in the right ventricle. Median sternotomy wires, surgical clips, and cardiac valve replacements appear intact and unchanged in position. The right ij also appears intact and unchanged in position. Since <unk>, the left-sided pleural effusion and adjacent compressive atelectasis have improved. Elevation of the left hemidiaphragm persists and is secondary to underlying left lung atelectasis. The lungs are otherwise clear, without focal consolidation or overt pulmonary edema. No pneumothorax. Stable moderate cardiomegaly. Stable post-procedural appearance of the mediastinum.
<unk> year old woman s/p tavi; evaluate the position of the recently placed pacemaker leads.
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The lungs are clear. The cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. No pneumothorax, pleural effusion, or pulmonary edema. No focal consolidations are seen.
<unk>m with left sided neck pain // eval for acute process.
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Frontal and lateral views of the chest. Left basilar linear opacities are compatible with scarring and unchanged. Elsewhere, the lungs are clear. There is no pneumothorax or effusion. The cardiomediastinal silhouette is within normal limits. Mid-to-lower thoracic dextroscoliosis is identified.
<unk>-year-old male with weakness.
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The lungs are clear aside from volume loss in the right lower lobe. There is no pleural effusion or pneumothorax.
history: <unk>m with chest pain // eval for pna
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Pa and lateral views of the chest provided. Midline sternotomy wires, tripolar aicd and lvad device unchanged. An area of pleural parenchymal scarring accounts for blunted appearance of the right cp angle on the frontal radiograph. There is no convincing evidence for pneumonia or edema. There is a small left pleural effusion. No pneumothorax. Cardiomegaly again noted. Mediastinal contour is normal. Bony structures appear intact.
<unk>m with lvad p/w left hand numbness
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There is moderate cardiomegaly and mild pulmonary edema, but no focal airspace consolidation. The patient is status post aortic valve replacement. There is no pneumothorax or pleural effusion.
<unk>-year-old woman presenting with dyspnea.
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In comparison with the study of <unk>, on the upright view, there is loculated air and fluid in the apical region. Postoperative changes on the right are otherwise unchanged and the left lung is essentially clear.
right upper lobectomy, status post right middle lobectomy, to assess for change.
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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. The lungs appear clear. Bony structures are unremarkable.
shortness of breath.
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There is a focal opacity at the right lung base concerning for pneumonia. The heart and central pulmonary vasculature remain mildly enlarged. There is no pleural effusion or pneumothorax. Included upper abdomen is unremarkable.
<num> weeks history of cold like symptoms and chest pain, evaluate for pneumonia.
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The heart is mild to moderately enlarged. Very small bladder bilateral pleural effusions are suspected. There is a moderate interstitial abnormality with indistinct pulmonary vessels and thickening of the fissures which is most consistent with pulmonary edema.
altered mental status and diffuse abdominal pain.
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Cardiomediastinal and hilar silhouettes are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
<unk> year old man with unintentional weight loss. evaluate for cardiopulmonary disease.
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Pa and lateral chest radiographs. There is no focal consolidation, pleural effusion, or pneumothorax. There may be a focus of atelectasis in the left lung base. Mild cardiomegaly is unchanged. There is no evidence of pulmonary edema.
history: <unk>m with cough and dyspnea // r/o pna
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Cardiomediastinal contours are normal. The lungs are clear. There tiny bilateral pleural effusions that are only visible on the lateral film.
<unk> year old man with sudden onset chest pain. hx esrd renal tx, now with rejection. // <unk> m with sudden onset pleuritic chest pain.
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As compared to the previous radiograph, there is substantial improvement with near total resolution of the pre-existing right basal opacity. However, the resolution is not yet complete. No evidence of newly appeared parenchymal changes. No reactive pleural effusions. Normal size of the cardiac silhouette without pulmonary edema.
history of cavitary right-sided pneumonia. evaluation of interval changes.