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The lungs are well-expanded and grossly clear. The heart is top-normal in size, similar compared to the prior study. Hilar and pleural surfaces are unremarkable. There is no pneumothorax.
history: <unk>f with cough, dyspnea // eval for infectious process
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
cough.
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Pa and lateral views of the chest provided. Right pic line terminates in the mid-svc. The fluid level in the right pneumonectomy space continues to climb compared to <unk>. Leftward mediastinal shift is unchanged compared to <unk>. Small areas of questioned aspiration in the left midlung are minimally improved, if at all. Trace, if any, effusion on the left.
<unk> year old man s/p r pneumonectomy // check interval change
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Frontal and lateral radiographs of the chest were acquired. The lungs are hyperexpanded but clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
asthma flare and productive cough. evaluate for asthma exacerbation versus infectious process.
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In comparison with the study of <unk>, the patient has taken a somewhat better inspiration. The heart is within normal limits and the lungs are clear without vascular congestion or pleural effusion.
fever and neutropenia.
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Pa and lateral radiographs of the chest were provided. There is minimal left lower lobe atelectasis. The lungs are otherwise clear. Mild cardiomegaly is again noted. The mediastinal contours are otherwise normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old woman with history of right-sided chest pain.
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
shortness of breath and productive cough. evaluate for acute cardiopulmonary pathology.
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The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. Heterogeneous appearance of the bones and compression fractures related to known multiple myeloma.
<unk> year old man with multiple myeloma presents with fever/cough // pna?
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As compared to the previous radiograph, there is a new left pleural effusion, associated with a left lower lung opacity, likely to reflect pneumonia. Also new is a mild middle lobe opacity that supports the suspicion for pneumonia. No other changes. Bilateral extensive apical thickening is constant in appearance as compared to the prior study.
chest pain, low-grade fever, pneumonia.
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Mild cardiomegaly is unchanged. The thoracic aorta is tortuous. Enlargement of the pulmonary arteries is stable, suggestive of underlying pulmonary artery hypertension. There is no pneumothorax or pleural effusion. There is no focal lung consolidation. Partially imaged is right shoulder prosthesis.
<unk>-year-old woman with asthma exacerbation/cough with white phlegm for <num> days with some sob with coughing, evaluate for pneumonia
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The lung volumes somewhat low but unchanged compared to the prior study. The trachea is central. The cardiomediastinal contour is within normal limits. No consolidation, pneumothorax or pleural effusion seen. The visualized bony structures are unremarkable in appearance.
<unk> year old woman non verbal with recent increas ein seizure activity with unknown precipitant // please evaluate for evidence of infection
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The lungs are well expanded and clear. The heart size is normal. The mediastinal and hilar contours are unremarkable. No pleural abnormality is seen.
<unk> year old woman cirrhotic for liver transplant. preop for liver transplant
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Lung volumes are normal. There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
history: <unk>f with chest pain // acute process
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Left anterior chest wall icd is unchanged in location. Moderate to severe cardiomegaly is unchanged. Mediastinal and hilar contours are unchanged. Minimal scarring at the lung bases is unchanged. No interstitial edema or dense consolidation. No effusion or pneumothorax.
chest pain and shortness of breath.
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A new right lower lobe consolidation is seen compared with the immediate prior study of <unk>. There is no pulmonary edema, pleural effusion, or pneumothorax. There is stable moderate cardiomegaly. There is severe levoscoliosis of the thoracic spine. The aorta is tortuous.
<unk> year old woman with cough // ** requires assitance with standing
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Ap and lateral chest radiograph demonstrates low lung volumes. A right internal jugular central line appears to terminate at the cavoatrial junction. Blunting of bilateral costophrenic angles suggests scarring or alternatively small pleural effusions. Obscuraion of the left hemidiaphragm likely atelectasis though infection cannot be excluded. Patient is status post median sternotomy. Heart is top-normal in size. There is no overt pulmonary edema.
<unk>-year-old female status post cabg.
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The patient has had median sternotomy and cabg with associated sternal wires and vascular clips. The heart size is moderately enlarged and stable. The hila and pleura are unremarkable. No focal consolidations, pleural effusions, pulmonary edema, or pneumothorax are seen.
<unk> year old man with ? // prior to mri
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Calcified biapical pleural thickening is again seen. The cardiac and mediastinal silhouettes are is unremarkable. No pulmonary edema is seen.
dyspnea on exertion.
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Cardiac and mediastinal silhouettes are stable. There are low lung volumes with bronchovascular crowding. No large pleural effusion is seen. There is no pneumothorax. No definite focal consolidation seen. There may be minimal vascular congestion. There is persistent elevation of the right hemidiaphragm.
history: <unk>f with seziure // eval for infiltrate
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The cardiac, mediastinal and hilar contours appear unchanged. There is no evidence of mediastinal air. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
dysphagia and retching.
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Frontal and lateral chest radiographs demonstrate mild leftward rotation, somewhat limiting evaluation. The lungs are clear. Opacity in the right lower lung likely reflects overlying breast shadow. There is unchanged narrowing of the cervical trachea. The pleural surfaces are normal. The cardiac silhouette and hila are unremarkable. A vagal nerve stimulator unit implanted in the left chest is similar appearing.
<unk>-year-old female with dry cough for <num> days and myalgias. evaluate for consolidation.
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There are relatively low lung volumes, which accentuate the bronchovascular markings. Given this, there may be mild pulmonary vascular congestion. No definite focal consolidation is seen. There is no pleural effusion or evidence of pneumothorax. The cardiac silhouette is top-normal. The aorta is slightly tortuous.
syncope versus seizure, vertigo.
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A right-sided port-a-cath is in unchanged position with the tip in the lower svc. Again, there is a moderate right-sided pleural effusion, slightly increased when compared to the prior exam. There is associated compressive right basilar atelectasis. There is minimal left basilar atelectasis. There is no left pleural effusion. Low lungs volumes are accentuating the bronchovascular structures, though there is no evidence of pneumonia or overt edema. There is no pneumothorax. The mediastinal contours are normal. The heart size is at the upper limits of normal.
primary omental cancer with extensive intra-abdominal metastases and a right pleural effusion. status post pleurocentesis. evaluate for change.
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Heart size is normal. The mediastinal and hilar contours are unchanged with prominent epicardial fat re- demonstrated at the right cardiophrenic angle. Pulmonary vasculature is not engorged. Patchy and linear opacities in the lung bases most likely reflect atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities detected.
history: <unk>m with sudden of ataxia
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is identified.
diabetes, hypertension, hyperlipidemia presenting with chest pain that occurred at rest.
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The heart size is top normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
hypotension and ventricular tachycardia during egd.
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Pa and lateral chest radiographs again demonstrate moderate cardiomegaly without pulmonary vascular congestion, representing improvement <unk> <unk>. The lungs are clear and there is no pneumothorax or pleural effusion. Left-sided pacer leads are in stable position.
lightheadedness and weakness. known coronary artery disease with aicd.
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The lungs are clear. There is no pneumothorax or pleural effusion. Cardiomediastinal contours are normal. Mild spinal degenerative changes are present.
<unk> year old man with prolonged cough // ?consolidation
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Normal lung volumes. Mildly enlarged size of the cardiac silhouette without pulmonary edema or other lung parenchymal changes. No pneumonia, no pleural effusions. No hilar or mediastinal abnormalities. In particular, the right upper lobe appears unremarkable.
cough for six weeks, expiratory ct, evaluation for pathology, in particular in the right upper lobe.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal concerning consolidations. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of chest wall pain. please evaluate for rib fracture.
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Cardiac size is top-normal. Mediastinal lymph nodes are better seen in prior ct. Faint ground-glass diffuse opacities have minimally improved. There are no new lung abnormalities pneumothorax or pleural effusion. Port a cath tip is in the lower svc.
<unk> year old man with pancreatic ca, ggo's // f/u x-ray after lasix, ggo's on prior ct
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Marked cardiomegaly appear slightly increased compared to the previous chest radiograph. The mediastinal contour remains similar with rightward deviation of the trachea at the level of the aortic knob. Mild pulmonary vascular congestion is noted, and the hilar contours are unchanged. Lungs appear hyperinflated with probable underlying emphysematous changes. A moderate left and small right pleural effusions are noted. Patchy opacities in the lung bases may reflect areas of atelectasis, though infection or aspiration cannot be excluded. Diffuse increase in interstitial opacities bilaterally may reflect slight progression of previously noted chronic interstitial abnormality. No pneumothorax is present. Scarring is noted within both lung apices. Mild to moderate degenerative changes are noted in the thoracic spine.
history: <unk>f with confusion status post fall
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with chest pain. // ?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 diaphragm is seen.
<unk>m with left arm paresthesias // cxr for infectious workup
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As compared to the prior examination dated <unk>, there has been no relevant interval change. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>f with cp, sob started today fever yesterday lungs clear // r/o pna vs ad
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Sternotomy wires are midline and intact and a prosthetic cardiac valve is again noted. Surgical clips are again noted within the upper mid abdomen and overlying the right upper hemithorax. The cardiac, mediastinal and hilar contours are mildly prominent consistent with mild cardiomegaly unchanged from prior exam. No pneumothorax is noted. A small left pleural effusion with associated compressive left basilar atelectasis is slightly worse compared to prior exam. Platelike bibasilar atelectasis is noted. Compression fractures involving the mid thoracic vertebrae are unchanged since the most recent prior exam. Atherosclerotic calcification of the carotid arteries is noted bilaterally.
sudden onset shortness of breath, now resolved. rule out acute intrathoracic process.
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The lungs are clear of focal consolidation. Calcified granuloma at the right lung base is again seen. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with chest burning // ? acute cardiopulm process
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In comparison with the study of <unk>, the patient has taken a much better inspiration. The air-fluid levels on the left are again seen, as is the pleural thickening or loculated collection posteriorly. No definite pneumothorax is appreciated. The right lung is essentially clear.
apical pneumothorax after ct removal, to assess for change.
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There are low lung volumes and mild bibasilar atelectasis. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Subtle linear lucency along the inferior aspect of the distal right clavicle is stable since the prior study.
history: <unk>m with mvc, head strike, loc, right chest wall pain // eval for injury
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The heart size is normal. The mediastinal and hilar contours are unchanged, with calcification of the aortic knob again noted. Pulmonary vasculature is normal. Lungs remain hyperexpanded. No focal consolidation, pleural effusion or pneumothorax is seen. There are multilevel degenerative changes in the spine.
lethargy.
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Pa and lateral views of the chest were provided. Dual lead pacer is unchanged with the tips extending into the expected position of the right atrium and right ventricle. No definite signs of pneumonia or chf. No large effusion or pneumothorax. Heart and mediastinal contours appear stable and normal. Bony structures are intact.
<unk>-year-old man with chest pain, pacemaker in place.
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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fracture is identified.
evaluation of patient with presyncope.
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>f with cough // pna?
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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.
history: <unk>f with <num> week intermittent chest pain with radiation to back
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk> year old hiv positive man, well controlled, now with <num> day h/o productive cough // rule out pneumonia
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Subtle right base opacity may be due to atelectasis, overlap of vascular structures, early consolidation is not excluded in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with cough and back pain // eval pneumonia
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Cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Left lower lobe patchy opacity is concerning for pneumonia. Right lung is clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
spitting up blood.
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In comparison with the study of <unk>, there again are low lung volumes with elevation of the right hemidiaphragmatic contour. However, no evidence of acute pneumonia, vascular congestion, or pleural effusion.
fever workup.
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Ap and lateral views of the chest. Again, low lung volumes are noted. There is secondary crowding of the bronchovascular markings but no confluent consolidation the cardiomediastinal silhouette is stable. Eventration of the right hemidiaphragm again noted. Degenerative changes noted at the left shoulder.
<unk>-year-old female with altered mental status.
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Pa and lateral views of the chest. The lungs are clear. There is no effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures demonstrate no acute abnormality.
<unk>-year-old male with acute kidney injury, cough.
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The lungs are clear of consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified. Surgical clips project over the left upper abdomen and posterior soft tissues.
<unk>f with chest pain // eval infiltrate
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No focal consolidation is seen. Left mid to lower lung linear atelectasis/ scarring is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with weakness // ?pna
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Pa and lateral chest radiographs. The lungs are hyperinflated. Bibasilar interstitial opacities are similar to <unk>, probably chronic, improved, compared <unk> when the patient was in mild pulmonary edema, but there is new cephalization of blood flow indicating early cardiac decompensation. The costophrenic angles are now sharper. There are no new abnormal cardiac cardiomediastinal contours. There is no pneumothorax or focal consolidation
crackles and acute renal failure
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Frontal and lateral radiographs of the chest demonstrate clear lungs. The cardiac and mediastinal contours are normal. No pleural abnormality is detected.
multiple sclerosis, on tysabri with cough variant asthma, presenting with subacute cough. evaluate for acute or chronic process.
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In comparison with study of <unk>, the patient has taken a much better inspiration. There is no evidence of pneumonia, vascular congestion, pleural effusion, or pneumothorax. The rib fractures are not optimally seen on this study. If clinically warranted, special oblique views for the ribs could be obtained.
rib fractures.
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The lung volumes are low, resulting in accentuation of the cardiomediastinal contours and crowding of bronchovascular structures. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is mildly enlarged but difficult to accurately assess due to relatively low lung volumes. Scar in inferior lingula unchanged.
history: <unk>m with head strike <unk> weeks ago on warfarin with headahce and lethargy, also c/o doe //
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Ap upright and lateral views of the chest provided. Lungs appear clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Screws project over the right humeral head. High riding humeral head suggests chronic rotator cuff disease. No free air below the right hemidiaphragm is seen.
<unk>m s/p fall // ro infectious etiology to fall
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As compared to the previous radiograph, there is no relevant change. Borderline size of the cardiac silhouette. No pulmonary edema. Mild tortuosity of the thoracic aorta. No pleural effusions. No pulmonary edema.
evaluation for cardiomyopathy.
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The lungs are clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.
<unk>f with chest pain
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Frontal and lateral views of the chest. No prior. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. Surgical clips project over the right axilla. Osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old female with chest pain.
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There is hazy right basilar opacity new since prior exam. Elsewhere, the lungs are clear. There is no effusion or pulmonary vascular congestion. Cardiac silhouette is enlarged similar in configuration. Trachea is deviated to the right at the thoracic inlet compatible with left greater than right thyroid enlargement on prior ultrasound. No acute osseous abnormalities.
<unk>f with cough and ili sx // eval pneumonia
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild rightward convex curvature is again centered along the lower thoracic spine.
chest pain.
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Heart size and mediastinal contours are within normal limits. There is a small-to-moderate left-sided pleural effusion, similar to slightly increased to the prior exam with associated atelectasis. Medial left lung atelectasis is also present. There is no pneumothorax.
<unk>-year-old male with cml and pleural effusions, status post drainage, now with decreased sounds at the left lung base.
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Frontal and lateral views of the chest. The lungs are hyperinflated but clear. The cardiomediastinal silhouette is within normal limits as are the hilar contours. No acute osseous abnormalities detected.
<unk>-year-old male with large lymphadenopathy on the left. question pneumonia and metastatic disease.
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Pa and lateral chest radiographs were obtained. Cystic lucencies at both lung bases correspond to known severe bronchiectasis. A pattern of bibasilar opacity on top of this bronchiectasis is unchanged since <time> a.m., but has progressed since <unk>. An additional opacity in the left mid chest has improved. There are no new abnormal cardiac or mediastinal contours. There is no effusion or pneumothorax.
cough.
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The right pleural effusion has increased and is now moderate in size with overlying atelectasis, underlying consolidation cannot be excluded. There may be a very trace left pleural effusion, decreased in size since the prior. The cardiac silhouette remains enlarged. The aorta is calcified and tortuous. Evidence of hiatal hernia is again seen. The lateral view is suboptimal due to the patient's overlying arm. A few punctate calcifications in the lung apices may represent calcified granulomas or may be related to scarring.
dyspnea.
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Consolidation in the lingula on <unk> and <unk> has resolved, but a <unk>-mm left upper lobe nodule, at the periphery of the lung at the level of the fourth anterior rib has grown, presuming that corresponds to what was a <num>-mm nodule in the left upper lobe on the <unk> ct scan, <num>
<unk>-year-old woman with glioblastoma, had a subcentimeter nodule on chest ct earlier.
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Moderate enlargement of cardiac silhouette is present. The mediastinal and hilar contours are unremarkable. There is no pulmonary edema. Bibasilar streaky airspace opacities could reflect infection or aspiration. No pleural or pleural effusion or pneumothorax is detected. There are no acute osseous abnormalities.
fever, cough, likely pneumonia.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are hyperexpanded, consistent with copd. Lungs are otherwise clear with no focal consolidation, pleural effusion or pneumothorax. Previously identified small ill-defined nodule in the right upper lobe is not appreciable on today's examination.
<unk>-year-old man with esrd, prerenal transplant. assess for cardiopulmonary abnormalities.
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Moderate cardiomegaly is stable. Widening mediastinum is unchanged, a combination of mediastinal fat and probably still present small lymph nodes better seen in prior ct. Bibasilar bronchiectasis are better seen in prior ct. There is no evidence of pneumothorax or pleural effusion. Sternal wires are aligned. There are mild degenerative changes in the thoracic spine. The aorta is tortuous.
<unk> year old man with h/o pneumonia, hemoptysis on warfarin // hemoptysisi
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In comparison with study of <unk>, there is little change in the opacification at the left base with blunting of the costophrenic angle consistent either with chronic pleural effusion or pleural thickening. No acute pneumonia, vascular congestion, or pleural effusion.
pleural effusion and pulmonary hypertension with cml.
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Heart size is moderately enlarged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are hyperinflated but clear without focal consolidation. No pleural effusion or pneumothorax is detected. Eventration of left hemidiaphragm is re- demonstrated. There are no acute osseous abnormalities.
history: <unk>f with syncope
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There is no focal consolidation, pleural effusion or pneumothorax.there is a nodular opacity projecting on the lateral view on the lowest thoracic vertebral body adjacent to one of the hemidiaphragms that was not clearly present on the prior exam and may represent a vessel on end. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.
history: <unk>f with sob and prducive cough // r/o infectios process
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Lung volumes are low but leading to crowding of the bronchovascular structures there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>f with acute onset of substernal cp, worse with lying down, taking deep breath, ? pericarditis // eval for cardiomegaly
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Pa frontal and lateral chest radiograph demonstrates persistent stable appearing no new left lower lung pulmonary nodule consistent with patient's known history of rheumatoid arthritis nodule. The right lung is grossly clear with no focal consolidation. There is no pleural effusion. No pneumothorax. Cardiomediastinal and hilar contours are within normal limits.
<unk>-year-old female with rheumatoid arthritis and history of rheumatoid arthritis lung nodule. evaluate for progression.
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There is a nodular opacity projecting over the right lung base which is felt most likely to be a nipple shadow. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. There is no radiopaque foreign body nor may pneumomediastinum. Exuberant anterior osteophytes seen at the mid to lower thoracic spine.
<unk>m with <num> days of inability to swallow solids // evaluate for foreign body in esophagus
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The cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
intermittent chest pain for one day.
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Heart size is top-normal. The aorta is markedly tortuous, as seen previously but atherosclerotic calcifications again noted at the aortic knob. Mediastinal and hilar contours are otherwise similar without pulmonary vascular congestion. Lungs are hyperinflated without focal consolidation, pleural effusion or pneumothorax. Prominent nipple shadow is noted projecting over the right lung base. Moderate multilevel degenerative changes are noted in the thoracic spine with unchanged compression deformity of a vertebral body at the thoracolumbar junction. No radiopaque foreign body is identified.
history: <unk>m with history of aspiration presents with cough while eating lunch, assess for foreign body, aspiration pneumonia/pneumonitis. please also include neck up to hyoid.
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In comparison with study of <unk>, there is increased opacification at the right base with the patient taking a larger inspiration. This most likely represents a combination of radiation effect and scarring, though superimposed recurrent tumor or even infection cannot be definitely excluded. Ct would be necessary to make this distinction. The left lung and upper portion of the right lung remains clear. There is a substantial hilar adenopathy bilaterally, though this appears to be reduced since the previous study and is primarily seen on the lateral projection.
rheumatoid arthritis, on methotrexate with increasing dyspnea.
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Pa and lateral chest radiograph was provided. There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. The bones are intact.
history of syncope or seizure. evaluate for cardiopulmonary process.
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The lungs are symmetrically well expanded and well aerated. No significant pleural effusion, pneumothorax, or focal consolidation is present. An <unk> x <num> mm calcified granuloma is noted in the left lingula, which is similar in appearance to the most recent prior study. Mild increased opacity in the infrahilar region on the lateral radiograph likely reflects atelectasis. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The descending thoracic aorta is mildly tortuous. The pulmonary vasculature is not engorged. The visualized upper abdomen is unremarkable.
diagnosis of ascariasis with chronic cough, here to evaluate for acute pulmonary process.
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.
motor vehicle collision.
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In comparison with study of <unk>, there has been placement of a dual-channel pacemaker device with leads extending to the right atrium and apex of the right ventricle. No evidence of pneumothorax or acute vascular congestion or pneumonia.
pacemaker placement.
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is not enlarged. The aorta remains tortuous.
history: <unk>m with ams // pna?
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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. Chronic left ribcage deformities are again seen. Surgical anchors project over the left humeral head. There is high riding right and left humeral head suggesting chronic rotator cuff disease. No free air below the right hemidiaphragm is seen.
<unk>m with cough and chills and dyspnea // r/o acute process
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Enlarged central pulmonary arteries are again noted. Tortuosity of the descending thoracic aorta is again seen. No acute osseous abnormalities.
<unk>f with gradual onset, severe epigastric pain, hx gerd // eval for acute process, free air under diaphragm, hiatal hernia
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There has been no significant interval change. The appearance of the left hemidiaphragm is stable. No focal consolidation is seen. There is no large pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. The patient is rotated somewhat to the left. Multiple surgical clips are seen overlying the upper abdomen. .
history: <unk>f with weakness, fatigue // please eval for pna
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When compared with prior, previously noted bilateral patchy consolidations have essentially resolved. There is however region of consolidation in the right lung laterally which had been clear on prior exam. No overt pulmonary edema or effusion. Cardiac silhouette is enlarged but stable. Median sternotomy wires and mediastinal clips are noted. No acute osseous abnormalities. There is some residual opacity in the right mid lung laterally
<unk>m with shortness of breath, history of chf // eval for volume overload
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. No radiopaque foreign body is identified.
history: <unk>m with foreign body sensation in esophagus. // eval for cardiopulmonary process
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Pa and lateral views of the chest demonstrate low lung volumes. Lungs are symmetrically expanded and clear. Heart is normal in size and cardiomediastinal contour is unremarkable. There is no pleural effusion or pneumothorax. Linear basilar opacities are compatible with atelectasis.
<unk>-year-old man with chest tightness, evaluate for pneumothorax.
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The lungs are clear. Cardiomediastinal silhouette is within normal limits. Surgical clips again seen in the upper abdomen.
<unk>m with ecg changes // evaluate for acute abnormalities
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Pa and lateral chest radiographs were provided. Ill-defined nodular opacity measuring <num> x <num> cm in the paramediastinal right upper lobe corresponds to the mass seen on the chest ct. Smaller nodules are present in the right lower lobe and left lower lobe, also seen on the prior chest cts. There is no large focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is notable for a tortuous aorta. The bones are intact. The imaged upper abdomen is unremarkable.
<unk>-year-old female with altered mental status, question pneumonia.
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Pa and lateral views of the chest provided. Linear platelike atelectasis in the left mid and lower lung noted. Otherwise the lungs are clear though lungs appear hyperinflated and lucent suggesting underlying copd. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with cp // r/o infiltrate
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Small left pleural effusion. Lungs are otherwise fully expanded and clear. Heart size is normal. Cardiomediastinal and hilar silhouettes and pleural surfaces are otherwise normal.
<unk> year old man with etoh cirrhosis, initiating transplant workup. // xray for liver transplant workup.
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The lungs are clear, cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old with near syncope.
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The heart is borderline in size. There is a large hiatal hernia with an air-fluid level. Streaky associated opacities in both lung bases suggest associated atelectasis. Otherwise, the lungs appear clear. There is no pleural effusion or pneumothorax. Moderate degenerative changes are stable along the visualized thoracolumbar spine.
dyspnea on exertion and wheezing.
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The lungs are clear. There is no effusion or consolidation. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with ?episodic ataxia syndrome with exacerbation of her symptoms. // pnuemonia
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No significant interval change. Other than minimal linear streak like opacities in the left lower lobe, which reflect atelectasis, the lungs are clear. Mild elevation of the left hemidiaphragm is also unchanged. No pleural effusion, pneumothorax, edema, or focal consolidation. Cardiac and mediastinal contours are overall unchanged. Status-post avr. Median sternotomy wires appear intact and unchanged in position. No evidence of acute osseous abnormality on this nondedicated exam.
<unk>-year-old woman presenting after fall. evaluate for fracture.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild degenerative changes are noted along the lower thoracic spine.
chest pressure.
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Patient is status post right-sided thoracotomy with right lower lobe partial lobectomy as on prior. Secondary right-sided volume loss is seen. Streaky left basilar opacity is likely atelectasis. There is no effusion or consolidation worrisome for infection. The cardiomediastinal silhouette is stable. No acute osseous abnormalities identified.
<unk>m with cough x <num> days // eval for pneumonia, other acute process