Frontal_Image_Path
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Frontal and lateral chest radiographs demonstrate an enlarged cardiomediastinal silhouette, which could be in part due to patient rotation. Sternal wires are intact. The patient is status post coronary artery bypass and mitral valve replacement. Apparent asymmetric mild opacity of the right lung is likely due to patient rotation. There is mild bibasilar atelectasis. No focal consolidation, pleural effusion, or pneumothorax is seen.
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evaluate for pneumothorax or pneumonia in a patient with right upper quadrant pain, worse with movement and recent pneumonia.
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Compared with <unk>, bilateral pleural effusions with borderline pulmonary edema are again seen and opacity in the right lower lobe may represent atelectasis, aspiration, or pneumonia. The cardiac size is enlarged and mediastinal silhouette is unremarkable. Again seen are the left subclavian pacemaker with dual chamber and epicardial leads, median sternotomy wires, mediastinal clips, and prosthetic mitral valve.
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<unk> year old man with dyspnea. // please evaluate for chf or other thorcacic pathology.
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Chronic rightward shift of mediastinal structures is re- demonstrated with unchanged appearance of the right hemithorax status post right lower lobe lobectomy. Chronic collapse of the residual right lung with bronchiectasis is re- demonstrated, better seen on the prior ct from <unk>. Cardiomediastinal silhouette appears unchanged, although the heart size is difficult to assess. The left lung is hyperexpanded but clear. No new pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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syncope versus seizure.
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There are bilateral regions of consolidation involving the right upper lobe and the left midlung, likely the lower lobe. Less conspicuous opacity projects over the right lung apex as well overlying the first rib interspace. There is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. Descending thoracic aorta is tortuous. Loss of the intervertebral disc space in the mid to lower thoracic level is unchanged. No acute osseous abnormalities identified. There is no free intraperitoneal air.
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<unk>f with cough, subj fever, dec appetitis and abd pain, pls eval cxr for pna and abd for obstruc, has ileostomy
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As compared to prior chest radiograph from <unk>, lung volumes are decreased accentuating the cardiac silhouette and bronchovascular structures. There is no focal consolidation concerning for pneumonia. There is no large pleural effusion or pneumothorax.
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chest pressure and shortness of breath. evaluate for acute process.
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The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.
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chest pain.
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Pa and lateral views of the chest demonstrate low lung volumes with persistent mild bibasilar atelectasis. There is no evidence of focal opacity, pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable and the heart size is stable.
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left lateral chest pain worse with inspiration. evaluation for cardiopulmonary process.
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Frontal and lateral views of the chest were obtained. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.
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chest pain and retching, assess widened mediastinum or free air.
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Lung volumes are low but the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified.
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evaluation of patient with dyspnea.
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The patient is status post sternotomy and a dual-lead pacemaker/icd device appears unchanged with leads again terminating in the right atrium and ventricle, respectively. The cardiac, mediastinal and hilar contours appear unchanged including mild cardiomegaly. The chest is hyperinflated. There is no pleural effusion or pneumothorax. The lungs appear clear.
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dyspnea.
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Cardiomediastinal silhouette and hilar contours are unremarkable. The lungs are clear. The pleural surfaces are clear without effusion or pneumothorax.
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shortness of breath and chest pain.
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Pa and lateral views of the chest provided. Left chest wall port-a-cath is again noted with catheter tip in the region of the mid svc. The heart is unchanged and within normal limits of size. The aorta is stably unfolded. No pleural effusion or pneumothorax. No signs of congestion or pulmonary edema. No focal consolidation concerning for pneumonia. Bony structures are intact. No free air below the right hemidiaphragm.
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<unk>f with br ca (portacath in place) p/w chest pain and ekg changes, c/f ischemia // eval ? edema, cardiomegaly
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As compared to the previous radiograph, there is no relevant change. Normal lung volumes. Mild bilateral apical scarring. Normal size of the cardiac silhouette and tortuosity of the thoracic aorta. No pathologic findings in the lung parenchyma, notably no evidence of fibrotic lung parenchymal changes. A faint <num> mm rounded opacity, projecting over the lower aspect of the fourth right rib and internally to the upper border of the second right rib is seen on the frontal radiograph only and likely reflects structure on the skin.
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amiodarone, routine surveillance.
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The heart is normal in size. The mediastinal and hilar contours appear unchanged. There is upper zone redistribution of pulmonary vascularity and a diffuse interstitial abnormality, most suggestive of mild pulmonary vascular congestion. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.
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fever and tachycardia.
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Lung volumes are low. There is elevation of the right hemidiaphragm with adjacent pleural thickening and surgical clips, unchanged since the prior examination. There is bibasilar atelectasis. No definite pneumothorax or pleural effusion is noted. The large consolidation is noted. The cardiomediastinal silhouette is unchanged in appearance. There is evidence of prior right shoulder arthroplasty.
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history: <unk>f with cp // evidence of pneumonia
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Pa and lateral views of the chest provided. There is bilateral hilar fullness, concerning for adenopathy. Heart size is normal. The lungs are otherwise clear, without consolidation, pulmonary edema, or no pleural effusion.
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<unk> year old man with <num> lb weight loss of since <unk>, subtle rales heard r posterior lung field //
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The lungs are well-expanded. There is diffuse interstitial opacity throughout the lungs bilaterally, better evaluated on the recent ct. There is diffuse pleural thickening bilaterally. No focal consolidation or pleural effusion is identified. Severe central adenopathy is better appreciated on the concurrent chest ct scan, reported separately. The imaged upper abdomen is unremarkable. The bones are intact.
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<unk>-year-old female with right pleuritic chest pain.
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The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes.
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<unk> year old man with history of stage ia testicular cancer resected <unk> // evaluate for metastatic disease
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The heart size is normal. The hilar and mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. There is mild pulmonary vascular congestion. There is a small right pleural effusion overall unchanged compared to the prior exam. The visualized osseous structures are unremarkable. There is no pneumothorax.
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history: <unk>m with fevers // please eval for any pna
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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. The visualized osseous structures appear to be unremarkable; however, on the lateral view, the patient's arm is down, which limits evaluation of the retrocardiac space.
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history of left forearm fractures. please evaluate preoperatively.
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Cardiomediastinal contours are stable. Cardiac size is top-normal. Patient has had multiple bilaterally lungs resections. Small volume of the right lung is stable with elevation of the right hemidiaphragm. There is no pneumothorax or pleural effusion. Nodular opacities projecting in the left upper lobe are again noted. There is no pneumothorax or pleural effusion.
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<unk> year old man s/p liver transplant <unk>, treating for pneumonia/aspiration pneumonitis, now has worsening resp status and worsened breath sounds diffusely // evolution of pna, any changes
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Ap upright and lateral views of the chest provided. Lateral view is somewhat suboptimal due to overlying arm. There is no focal consolidation, effusion, or pneumothorax. Heart size appears top-normal. Mediastinal contour is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with ams and leukocytosis and cough pls eval for pna //
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Frontal and lateral chest radiographs were obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
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patient with two weeks of cough, chills, rule out pneumonia or other pathology.
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A left port is seen terminating at the cavoatrial junction. A left hilar mass consistent with lymphadenopathy and paramediastinal fibrosis is seen. There are also multiple nodules on the right lung consistent with multiple metastases better characterized on ct dated <unk>. There is no pleural effusion.
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<unk> year old man with hodgkin's disease s/p allo now with cough and low grade fever // infection infection
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Slight increase in opacity over the inferior spine on the lateral view, not substantiated on the frontal view, felt to unlikely represent consolidation, possibly atelectasis. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with sob, chills, lightheadness // pneumonia
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Frontal and lateral views of the chest demonstrate low lung volumes, similar as compared to prior exam in <unk>. Allowing for such, the cardiomediastinal silhouette is unremarkable. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion. There is anterior bridging osteophytosis in the lower thoracic spine. No wedge deformity is noted.
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<unk>-year-old male with chest pain. question acute process.
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Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with cough // ?pneumonia
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Patient is status post median sternotomy. Heart size remains mild to moderately enlarged with a left ventricular predominance. The aorta is tortuous. Mediastinal and hilar contours are unchanged, and no pulmonary vascular congestion is present. Patchy opacities in the lung bases likely reflect areas of atelectasis, without focal consolidation. No pleural effusion or pneumothorax is identified. Moderate degenerative changes are noted in the thoracic spine.
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history: <unk>f with question of transient ischemic attack
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Pa and lateral views of the chest. The lungs are clear given slightly low lung volumes. The aorta is unfolded. Cardiac silhouette is normal in size. Hilar and mediastinal contours are normal. No pleural effusion. No evidence of pneumothorax. Degenerative changes are noted along the thoracic spine.
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left-sided chest pain.
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The lungs are well-expanded with mild left lower lobe atelectasis. No pleural effusion or pneumothorax. A density projecting along the right upper mediastinum is stable dating back to <unk> and consistent with prominent vasculature as confirmed on chest ct from <unk>. Heart size, mediastinal contour, and hila are otherwise unremarkable. Mildly tortuous aorta noted. Mediastinal clips are again seen with intact median sternotomy wires consistent with prior cabg. Visualized abdomen is notable for a small hiatal hernia.
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<unk>m with cough and possible right peritonsillar abscess. pain, swelling on back of throat, difficulty swallowing, pus seen on posterior pharynx - also c/o chest pain
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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. The osseous structures are unremarkable.
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chest pain.
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The lungs are hyperinflated. A right lower lobe airspace opacity has improved. A small right pleural effusion is unchanged. Lower lobe bronchiectasis is better seen on the <unk> chest ct. There is no pneumothorax. Mild cardiomegaly is unchanged. An ivc filter is partially imaged.
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<unk> year old woman with chronic aspiration and recurrent pna. // f/u of right sided infiltrate and effusion
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Right picc is seen with tip best seen on the <unk> image overlying the brachiocephalic vein, just proximal to the svc. The lungs remain clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>m with picc line concern for movement of line // eval for picc line placement
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Heart size is normal. The aorta is unfolded. Hilar contours are unremarkable. Pulmonary vasculature is not engorged. Streaky opacities seen within the right upper lobe as well as within the retrocardiac region. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormality is detected.
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history: <unk>m with falls, confusion, delirium, mild hypoxia
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A left-sided picc terminates at the distal svc. A right-sided pleural catheter is in unchanged position a small to moderate right pleural effusion persists. There is no pneumothorax or left-sided effusion. The cardiomediastinal and hilar contours are stable.
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<unk> year old woman with pleural effusion // eval
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, pleural effusion, or cardiomegaly.
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end-expiratory knocking sound left base suggestive of pneumonia.
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The cardiomediastinal silhouette and pulmonary vasculature are stable and unremarkable. Bibasilar linear opacities are more evident on the current examination that on priors and are most consistent with atelectasis. There is no pneumothorax or pleural effusion.
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<unk> year old woman with new sob with minimal exertion, s/p kidney transplant // r/o cardiopulmonary abnormalities
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Pa and lateral views of the chest. The lungs are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Mild midthoracic dextroscoliosis is identified. No acute osseous abnormalities are seen.
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<unk>-year-old male with dyspnea and syncope.
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The lungs are clear. There is no consolidation for pulmonary edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Hypertrophic changes are noted in the spine.
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<unk>m w/afib w/rvr presenting with tachycardia, please eval for pulm edema
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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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history: <unk>m with fever, cough*** warning *** multiple patients with same last name! // fever, cough
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The cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Lungs remain hyperinflated suggestive of chronic obstructive pulmonary disease. Lungs are otherwise clear without focal consolidation. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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shortness of breath, fevers, chills.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
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<unk>f with new onset <num>:! av block presenting c/o dyspnea on exertion // ?acute cardiopulmonary process
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. Bilateral calcified breast implants are present. Streaky opacity appears probably unchanged in the lingula and is most consistent with minor scarring. Otherwise the lungs appear clear. There is no pleural effusion or pneumothorax. A deformity of the proximal left humerus is probably unchanged although not entirely assessed.
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shortness of breath.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with chest pain and sob // r/o pneumonia
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
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chest pain. question pneumonia.
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Patient is status post median sternotomy and mitral valve replacement. Moderate cardiomegaly is similar to the previous study. The mediastinal contours unchanged. Mild pulmonary edema is present. No focal consolidation, pleural effusion or pneumothorax is present. There are mild degenerative changes in the thoracic spine.
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<unk>f with chest pain. evaluate for pneumonia.
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The lungs are hyperinflated but clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion, consolidation, or pneumothorax.
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history: <unk>f with cough // pna?
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The heart size is normal. The hilar and mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion, or pneumothorax. The visualized osseous structures are unremarkable.
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history: <unk>f with cough // ?pna
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As compared to the previous radiograph, there is no relevant change. Old tb with calcified granulomas in the right lung, one at the apex and one subpleural lateral regions of the lung. Scarring around the left hilus with lung volume loss regarding the left upper lobe. No evidence of acute lung changes. Unchanged size of the cardiac silhouette. No pleural effusions.
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persistent cough, distant history of treated tb, rule out acute pneumonia.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with cough, myalgia // eval for pna
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Ap and lateral views of the chest. In the right lower lobe anteriorly, there is an opacity most likely representing pneumonia. The remainder of the lungs is clear. There is no pleural effusion or pneumothorax. The cardiomediastinal contours are normal.
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<unk>-year-old female with tachycardia and chest pain, evaluate for infiltrate.
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The aorta is mildly tortuous and calcified along the arch. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
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lightheadedness and sinus bradycardia.
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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 previous bypass surgery with multiple surgical clips in the anterior mediastinum appear unchanged. Moderate cardiac enlargement as before and unchanged appearance of the markedly dilated thoracic aorta unchanged. No evidence of increased pulmonary vascular congestion. The previously described right-sided pleural densities consistent of blunting of the lateral pleural sinus and mild thickening of the pleural space along the lateral view including some accentuated visibility of the minor fissure appear all unchanged. As the appearance of both posterior pleural sinuses as identified on the lateral view is free, it is unlikely,that there is a major amount of free pleural effusion present. No pneumothorax is present in the apical area on the frontal view.
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<unk>-year-old male patient with recurrent right pleural effusion, status post thoracocentesis/pleurodesis, assess for interval change.
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Lungs are hyperexpanded, as before. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>f with chest pain. evaluate for pneumothorax
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Lung volumes are low. There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>-year-old male with altered mental status, fever and recent fall. evaluate for 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>f with chest pain // ? pneumothorax
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Mild enlargement of the cardiac silhouette with normal mediastinal and hilar contours. No pleural effusion, focal consolidation mild pulmonary edema or pneumothorax.
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<unk> year old woman with hx. chf, afib presenting with worsening sob // evaluation for pulmonary edema
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Lung volumes are low. The heart size is normal. The aorta is mildly tortuous. The mediastinal and hilar contours are unremarkable. Minimal patchy opacities in the lung bases likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is demonstrated.
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history: <unk>f with chest pain
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There is no pneumothorax. Sternotomy wires are intact and aligned. A left-sided cardiac device is unchanged in position. Minimal right basilar linear atelectasis is unchanged. A <num> mm right middle lobe nodule is unchanged. The lungs are otherwise clear.
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<unk> year old man with endocarditis having minor fever and feeling warm // ? consolidation. fever work up
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Ap and lateral views of the chest. Low lung volumes are seen with subsequent crowding of the bronchovascular markings and indistinct pulmonary vasculature. There is no effusion. Cardiac silhouette is enlarged but again likely accentuated due to technique and low inspiratory effort. No acute osseous abnormality detected.
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<unk>-year-old male with shortness of breath.
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The patient is slightly rotated. Allowing for this, the heart is not enlarged. The aorta is calcified, but the cardiomediastinal contours are otherwise within normal limits. Calcified coronary arteries are noted. Rounded density at the right lung base and at the periphery of the left base is thought to represent nipple shadows. Crowding of vessels noted in the right base inferiorly. No increased interstitial markings seen in this area on the <unk> radiographs. There is artifact overlying posterior chest on the lateral view. While a focal infiltrate there cannot be excluded, there are no corroborating findings on the ap view. Otherwise, no focal consolidation, pleural effusion or pneumothorax. Chain sutures are noted at the right lung apex for which clinical correlation is requested. Focal vascular calcifications are seen in the left upper arm. Density of the bilateral humeral heads may reflect bone infarcts.
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history: <unk>f with fever, cough //
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Mild hyperinflation of the lungs results in relative flattening of both hemidiaphragms. The lungs are grossly clear, with no pneumothorax, pleural effusion, pulmonary edema, or focal airspace opacity. The cardiomediastinal silhouette is unremarkable. No displaced rib fractures are identified.
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history: <unk>f with assult, punches by other nursing home resident, known c-<unk> fx // ? fx, bleed
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Pa and lateral chest radiographs were obtained. The lungs are hyperinflated and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.
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left chest pain
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The heart is borderline 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.
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hypertension. question effusion.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There is no pleural effusion or pneumothorax. The vertebral body heights and interspaces appear preserved.
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mid thoracic back pain.
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The left-sided chest tube is unchanged with surrounding subcutaneous emphysema. Small apical pneumothorax on the left is stable. There is persistent left effusion and atelectasis/consolidation within the lingula and left lower lobe. The cardiac size is normal. The right lung is clear.
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<unk> year old woman s/p l vats blebectomy // check interval change with chest tubes on waterseal for <num> hrs. please do around <num>pm
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Lungs are hyperinflated. Bilateral and symmetric apical thickening is unchanged. Bilateral linear opacities in the upper lungs are unchanged since at least <unk> and may represent emphysema or sequelae of past radiation. Right perihilar scar or atelectasis is unchanged. There is no focal consolidation, effusion, or pneumothorax. Heart size normal. Mediastinal and hilar contours are normal.
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<unk> year old woman with productive cough, copd, fever // pneumonia
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Compared to the prior study, the lung volumes are lower, with increased right pleural effusion, and adjacent atelectasis, as well as thickening along the major and minor fissures on the right. Left basilar atelectasis is also noted, with likely associated small effusion, slightly increased compared to the prior study. There is no overt pulmonary edema. The cardiac size is unchanged. No pneumothorax is identified.
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<unk> year old woman with ongoing right sided chest pain and fever, known pleural effusion // ? interim change, ? increase effusion/other
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The lungs are clear without focal consolidation, effusion, or edema. Apparent increased density projecting over the right lower lung is due to overlying breast implant. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with syncope // evaluate for cardiomegaly, fractures
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The cardiac, mediastinal and hilar contours appear stable. Opacification in the right lung has resolved. There is vague increase in interstitial opacification of the left lung including small nodular foci in the left upper lobe worrisome for a reurrent/chronic infection, new since the prior study. Previously, there were few nodular foci in the left mid lung that have resolved. There is no pleural effusion or pneumothorax.
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cough. chronic curtain esophageal stricture status post recent endoscopic dilatation.
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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
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weakness. evaluation for pneumonia.
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Pa and lateral views of the chest. The lungs are clear without consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected.
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<unk>-year-old female with elevated bnp.
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The lungs are fully expanded and clear. Cardiomediastinal and hilar silhouettes are normal. Pleural surfaces are normal. The right picc line terminates in the origin of the svc.
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<unk> year old woman on dapto via picc; line appears to have withdrawn <num>cm. // confirm line positioning still central.
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Minimal bibasilar atelectasis is again noted. The lungs are otherwise clear. There is no focal consolidation worrisome for pneumonia. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.
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<unk>f with wbc <unk>.<num>; infectious work-up for pneumonia // please eval for pna
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The patient is status post coronary artery bypass graft surgery. A port-a-cath terminates at the cavoatrial junction. The heart is normal in size. Calcifications are noted along the aortic arch. Comparing to the prior scout view, the cardiac, mediastinal and hilar contours do not appear significantly changed. There is no pleural effusion or pneumothorax. Pulmonary nodules mentioned in the prior ct report are not visible on this study, although a nipple shadow can be visualized on the right. A small quantity of retained contrast within the colon is essentially unchanged. Mild rightward convex curvature centered along the lower thoracic spine with small-to-moderate osteophytes. The bones are probably demineralized to some degree.
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syncope; also history of rectal cancer.
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Upright pa and lateral radiographs of the chest were obtained. The lateral radiograph is somewhat limited by motion artifact and obscured by the patient's arms. The lungs are normally expanded and clear. The heart is somewhat globular and slightly enlarged, new since <unk>. Pulmonary vascularity is normal and symmetric without frank pulmonary edema. No pleural effusion or pneumothorax is detected. The aorta is somewhat tortuous and calcified at the arch.
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chest pain. evaluate for etiology of chest pain.
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Asymmetric biapical pleural scarring is again noted. There is no pneumothorax or pleural effusion. The lungs are clear. Mild cardiomegaly is stable. The left pulmonary arterial contour is prominent, raising concern for pulmonary arterial hypertension.
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<unk> year old woman with nonspecific pleural and parenchymal opacities left apex noted on cxr <unk>. this is a screening cxr for tuberculosis.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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history: <unk>f with right-sided chest pain
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Bibasilar airspace opacities, more significant on the left, correlate with consolidation seen on recent ct abdomen and pelvis examination. The thoracic aorta is tortuous and partially calcified. Cardiac size is within normal limits. No evidence of pulmonary edema or large effusions
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history: <unk>f with rales, doe // evaluate for fluid overload, acute process
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Right indwelling port catheter tip terminates at the cavoatrial junction. Lungs are fully expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal.
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<unk> year old man with lymphoma, now with coughing and uri symptoms // rule out pneumonia
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In comparison with the study of <unk>, there are continued opacities in the lower lobes at the site of previous radiation therapy treatment. This could reflect radiation pneumonitis. There appears to be some increased coalescence of the area of opacification. The overall appearance is relatively similar compared to recent ct scan. The right apical nodule was better seen on the prior ct scan. There are continued atelectatic changes bilaterally.
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lung cancer with ill-defined opacities in the right mid zone, to assess for change.
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Frontal and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
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<unk>-year-old female with shortness of breath.
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The right-sided chest drain has been removed. No pneumothorax. The rest of the findings is unchanged and please refer to report of earlier today.
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<unk> year old man s/p blebectomy <unk> // assess for ptx or effusion
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Lung volumes are low with bibasilar opacities are similar to prior examination in worse than in <unk>. Mediastinal contours, hila, and cardiac borders are normal. No pleural effusion or pulmonary edema. The aorta is tortuous.
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<unk> year old man with progressive supranuclear palsy// recommended cxr in <num> wk
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The cardiomediastinal and hilar contours are within normal limits. Lung volumes are slightly decreased. The central pulmonary vasculature again remains engorged and there is mild pulmonary edema. Blunting of the right costophrenic angle is likely secondary to a small pleural effusion. There is no focal consolidation or pneumothorax.
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history: <unk>m with dizziness, crackles // pna?
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Compared to most recent chest radiograph, but decreased left lung volume is stable. No mild interstitial edema is unchanged. The moderate left pleural effusion is unchanged. Left basilar atelectasis is unchanged. The right lung is clear with normal pleural surfaces. The mediastinal contours are stable.
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<unk> year old man with recurrent left sided pleural effusion. no lung sounds to lll today. // <unk> year old man with recurrent left sided pleural effusion. no lung sounds to lll today.
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Both lungs are well expanded. Two small opacities superimposed on anterior end of right second rib are most likely sclerotic foci in rib, probably bone island. No opacities concerning for latent or active tuberculosis. Heart size, mediastinal and hilar contours are unremarkable. There is no pleural abnormality. Aorta is tortuous in its course but no evidence of aneurysmal dilatation.
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history of positive ppd. asymptomatic. for work clearance.
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No focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal hilar contours are normal. No rib fracture identified.
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history: <unk>m with right rib pain s/p fall // r/o right rib fx, ptx
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Pa and lateral views of the chest. There is an increase in interstitial markings bilaterally with increased amount of fluid seen in the right minor fissure. Bibasilar opacities are similar in appearance compared to prior suggesting scarring or atelectasis. No pleural effusion or pneumothorax. No new focal consolidation. Heart size is top normal. Mediastinal contours are otherwise unremarkable. Old right rib fractures and anterior cervical/thoracic hardware is again seen.
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hiv, pulmonary hypertension, lymphocytic interstitial pneumonitis, moderate tr, esrd on hd, hypertension, one week of cough with blood. expiratory wheezes.
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Right-sided port-a-cath tip terminates in the mid/lower svc. Heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. There is minimal atelectasis in the left lung base. No focal consolidation, pleural effusion or pneumothorax is present. Lytic lesions within the right-sided ribs are unchanged.
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history: <unk>m with fever of unknown origin, lymphoma
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Subtle interstitial opacities in the right upper and right lower lung correlate with the locations of peribronchial nodules seen on prior ct chests, most recently <unk>. Otherwise, there is no evidence of new focal consolidation. The cardiomediastinal silhouettes are stable, within normal limits. The bilateral hila are unremarkable. There is no pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or pleural effusion.
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<unk>-year-old man with cough, fever, evaluate for infiltrate.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and lung volumes which are slightly lower compared to prior exam. Again seen is consolidation in the lingula with associated lucency. A right cardiophrenic angle opacity is not as well appreciated on this exam. A nodular opacity in the left mid lung is unchanged. There is no new focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
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evaluate for acute process in a patient with anxiety, tremor, nausea/vomiting.
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The heart is normal in size. The mediastinal and hilar contours appear unchanged. There is no evidence for pneumothorax, pneumomediastinum, or pleural effusion. Streaky basilar opacities are more conspicuous in the right lower lung (probably within the right lower lobe) compared to the lingular region; these are non-specific. Bony structures are unremarkable.
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status post recent upper endoscopy with hematemesis and altered mental status.
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As compared to prior chest radiograph from <unk>, areas of distortion and opacification in both lungs are essentially unchanged. Chronically collapsed right upper lobe remains stable. Again seen is an area of opacification in the lingula which likely has some component of consolidation and atelectasis. Lower lobes are relatively clear. A right subclavian central venous catheter terminates in the distal svc.
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<unk>-year-old man with cystic fibrosis, here for clean out.
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As compared to the previous radiograph, there is no relevant change. Normal lung volumes. Normal size and shape of the cardiac silhouette. Normal appearance of the lung parenchyma. No pleural effusions. No hilar or mediastinal lymphadenopathy. Normal course and position of a left-sided picc line.
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ulcerative colitis, leukocytosis and potential bowel perforation.
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Frontal and lateral views of the chest were performed. There is no pleural effusion, pneumothorax or focal airspace consolidation. Linear atelectasis is seen anterior on the lateral view, likely within the right middle lobe. The cardiac silhouette is normal in size. The mediastinal and hilar structures are unremarkable.
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chest pain, evaluate for acute process.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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cough.
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MIMIC-CXR-JPG/2.0.0/files/p13126396/s59424244/33e03706-f5e30409-e205a399-923f67a5-db18a327.jpg
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As compared to the prior examination from <unk>, there has been interval development of moderate-sized bilateral pleural effusions, mild-to-moderate cardiomegaly, and apparent mild pulmonary edema. There is no focal consolidation or pneumothorax identified. The medistinal contours are stable.
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dyspnea and new lower extremity swelling, evaluate for volume overload.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. Slight degenerative changes are similar along the lower thoracic spine.
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chest pain.
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MIMIC-CXR-JPG/2.0.0/files/p10220107/s58997660/8e0c781b-0cdfcf80-cc672711-815c6913-aaca7cb2.jpg
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Two pa and <num> lateral chest radiograph were obtained. A right lobe perivascular ground-glass opacity partially clears on the repeat pa view. The small left pleural effusion has slightly increased since <unk>. There is a small effusion in the right minor fissure. Left lower lobe atelectasis and bilateral horizontal plate-like atelectasis are unchanged. Median sternotomy wires are intact.
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weakness.
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